Kodwa, njengomthetho, izazi zonyango zihamba zivela ngaphesheya, kwaye zichaneke ngokuthe ngqo, ziqhathanise ixabiso langempela kunye nemimiselo emiselweyo. Iqela ngalinye leminyaka linempawu zalo, umzekelo, ubukhulu be-endometrium, obhekwa njengento eqhelekileyo ngexesha lokumisa umyeni, alufanelekile ukukhulelwa umntwana kwaye ubonise ukuphulwa okucacileyo.
Iinkcukacha ezongezelelweyo malunga nemimiselo ye-endometrium, ngokukhethekileyo kwixesha elithile, siya kuthetha kule nqaku.
Isimiso se-Endometrial sokukhulelwa
I-endometrium yowesifazane oneminyaka yobudala yokubeleka ihlaselwa ngokutshintshwa kwee-cyclic. Ngokukodwa ubuninzi bomgca osebenzayo wegobolondo lwangaphakathi luyahlukahluka, oluxubene ngamandla, kude kube nokuqala kwe-ovulation kunye neentsuku ezimbalwa emva kwayo, kwaye emva koko i-atrophies kancane kwaye ihlanjululwe ngexesha lokuya esikhathini.
Le nkqubo enzima ilawulwa yi-hormone, ngoko ngoko iphendula ngokukhawuleza kokungaphumeleli kwe-hormonal.
Ubunzima be-endometrium bubaluleke kakhulu kubafazi abacwangcisa ukukhulelwa. Ukususela kwimimiselo, ubuninzi bexabiso, ubukhulu be-endometrium bufikelela kwi-ovulation, ngaloo ndlela kudala izimo ezifanelekileyo zokufakelwa kweqanda elichumayo. Ukongezelela, kwimbungu ebandakanyekileyo kwaye yaqala ukuphuhlisa, i-mucosa kufuneka ikhule, kwaye isakhiwo sayo sifanelekile.
Ngoko, ngokuxhomekeka kwisigaba somjikelezo wesini, ubukhulu be-endometrium buhluka:
- Ngomhla wesi-5 we-7 womjikelezo (isigaba sokusasazeka kwangaphambili), isakhiwo se-endometrium sifana, kwaye ubukhulu bayo buhluka phakathi kwe-3-6 mm.
- Ngomhla we-8-10 (isigaba sokusasazeka okuphakathi), uluhlu olusebenzayo lwe-endometrium yesisu luya kwanda, ubukhulu balo obuqhelekileyo bufikelela kuma-5-10 mm.
- Ngosuku lwe-11 ukuya kwe-14 (isigaba sokusasazeka kwexesha elide), ubukhulu begobolondo ngu-11 mm, ixabiso elivunyelwe li-7-14 mm.
- Ngomhla we-15-18th (isigaba se-secretion zakuqala), ukukhula kwe-endometrium kwancipha kancane kwaye kuguquke kwi-10-16 mm.
- Ngomhla wama-19-23 (isigaba sokusithela esiphakathi), ubungakanani obuphezulu be-mucosa buyabonwa, okumele kube ngu-14 mm.
- Isiqhelo se-endometrium ngaphambi kokuya esikhathini ukuya kwi-12 mm.
- Ngethuba lenyanga leyo, uluhlu olusebenzayo luhlanjululwe, kwaye ekugqibeleni, ubunzima be-mucosa bufikelela kwixabiso langaphambili.
Ukuba ukukhulelwa kuye kwenzeka, kwaye iqanda le-fetal lizinzile ngokuqinisekileyo kwi-membrane ye-uterus, kwaye okokugqibela kuqhubeka nokuphuhlisa. Kwimimiselo ye-endometrium ngexesha lokukhulelwa linyusa, lenziwe ngemithambo yegazi. Ngexesha leeveki ezi-4 ukuya ku-5 ixabiso layo liza kufika kuma-20 mm, kwaye emva koko liya kutshintshwa libe yi- placenta eza kusebenza njengokhuselo, kwaye unikeze umntwana lowo kunye ne-nutrients kunye ne-oxygen.
Isiqhelo se-endometrium ekumeni
Okokuqala, ukuphela komzimba kubonakala ngokuncipha kwimveliso ye-estrogen, engenakuchaphazela kodwa izitho zenkqubo yokuzala. Ngokukodwa, impendulo iyathinteka ngenguqu kwi-uterus, ama-ovari, isisu kunye neengxube zamathambo.
Ngethuba lexesha lokusuka kwesikhashana, uhla lwangaphakathi lwesisu luba luncipha kwaye lukhuni, kwaye ekugqibeleni i-atrophies. Ngokuqhelekileyo, ubunzima beli xesha li-3-5 mm. Ukuba ixabiso langempela linyuka, ke sithetha nge-hypertrophic pathological. Iimpawu zeli meko ziyakwazi ukuhluka ngokunyaniseka kwegazi, ngokuqala ngamafutha atshisayo, ekupheleni kwegazi elilahlekileyo. Kwimeko yokuqala, loo mqathango ulungiswa ngonyango lwama-hormone, kwindlela yokungenelela ekugqibeleni.