I-endometrium yinkalo yangaphakathi yesisu. Ngenyanga nganye, i-endometrium iyaqina kwaye ivuselele ngokwabo, ilungiselela ukukhulelwa.
Ukuba ukukhulelwa akukwenzeka, i-endometrium ihamba kwinkqubo eyaziwa njengesiqhelo.
Ukuba ukukhulelwa kwenzeka, i- embryo implants kwi-endometrium.
Iimeko ezibandakanya i-endometrium kwaye zinokuchaphazela ukuzala kwakho:
- I-endometrium enobunzima okanye obunzima kakhulu
- Isalathisi sesigaba seLuteal
- Endometriosis
- Iipompoli ze-Endometrial
- Adenomyosis
- I-Asherman's Syndrome (i- uterine adhesions )
- Usulelo lwentsholongwane
- Umhlaza we-Endometrial
Iminye yale miqathango kunye neempembelelo zabo ekuzaleni izakuxoxwa ngokufutshane ngezantsi.
Indlela i-Endometrium isebenza ngayo
Isibeleko senziwe ngamacandelo amathathu: i-serosa, i-myometrium kunye ne-endometrium.
I-serosa yesikhumba sangaphandle sesisu. Ifihla umthamo wamanzi ukukhusela ukuxubana phakathi kwesibindi kunye nezitho ezikufutshane.
I- myometrium yindawo ephakathi kwe-uterine. Olu luhlu olugqithisileyo lwesisu. I-myometrium yenziwe ngamathambo ahlambulukileyo.
Ngethuba lokukhulelwa, i-myometrium iya kwandisa ukulungiselela umntwana okhulayo. Ngethuba lokubeletha, iinqhezu ze-myometrium zancedisa ekuzalweni komntwana.
I- endometrium yenza i-inner lining of uterus. Ingxube ye-mucosal kunye neenguqu ekubunjeni kwimijikelezo yokuya esikhathini.
I-endometrium ngokwayo yenziwe ngamathathu:
- I-stratum basalis, eyaziwa ngokuba ngumgca we-basal. Olu luhlu oluphezulu kakhulu lwe-endometrial oluhlala kwi-myometrium yesisu. Ayitshintshi kakhulu kulo mjikelezo. Cinga nje ngesiseko apho iindawo zokutshintsha ze-endometrium zikhula.
- I-stratum spongiosum: oku kuluhlu oluphakathi kwe-endometrium. Olu tshintsho lugqithiso ngexesha lomjikelezo wesini.
- I-compactum ye-stratum: oku kuluhlu lwangaphandle lwe-endometrium, kwaye luya kutshintsha. Unobuncwane kwaye uhambelana ngokuthelekiswa namanye amacandom endometrial.
Ingumqolo wesipongiosum kunye neenkalo ze-compactum ezitshintsha ngokuphawulekayo phakathi komjikelezo wesini. Ngokubambisana, ezi ziqendu ezimbini ziyaziwa njenge-stratum functionalis okanye uluhlu olusebenzayo.
Uluhlu olusebenzayo lwe-endometrium luhamba kwiinqanaba ezintathu zokuqala umjikelezo ngamnye:
Isigaba esiphezulu : oku kukuthi xa i-endometrium ikhula, ilungiselela isizalo ngesibindi.
Eli nqanaba liqala ngosuku lokuqala lokuya esikhathini kwaye iyaqhubeka ide ifike
I-hormone estrogen ibalulekile ekwakheni i-endometrium enempilo. Ukuba amanqanaba e-estrogen aphantsi kakhulu okanye aphakamileyo kakhulu, anokukhokelela ekupheleni kwe-endometrium encinci okanye eninzi.
I-endometrium iphinda ixilwe ngelo xesha ngeetriyiti ezichanekileyo kunye neentambo. Ezi methanelo zibonelela ngokukhawuleza kwegazi kwi-endometrium.
Isigaba sencwadi : yilapho i-endometrium iqala ukubethelela izondlo ezibalulekileyo neemfutha.
Iprogesterone yi-hormone ebalulekileyo yale sigaba.
Esi sigaba siqala emva kokugqithisa kwaye siqhubeka size sihambe.
Iingqungquthela ze-endometrium zikhupha iiproteni, i-lipids, kunye ne-glycogen. Ezi zifunekayo ukunondla imbungu. Ziyakhusela i-endometrium ukuba ingaphuli.
Ukuba i-embryo iyazifaka eludongeni lwe-endometrium, i-placenta ekhulayo iya kuqala ukukhupha i- horrione ye-gonadotropic ye-chorionic (hCG) yabantu .
Le hormone yokukhulelwa ize ibonise i-corpus luteum (kwii-ovari) ukuqhubeka nokuvelisa i-progesterone, egcina i-endometrium.
Ukuba i-embryo ayifaki kwi-endometrium, ke i-corpus luteum iya kuqala ukuhla, ekhokelela ekunciphiseni amanqanaba e-progesterone ye-hormone.
Xa i-progesterone yehla, iigland ze-endometrium ziyayeka ukufihla izikhukhula ezigcinayo.
Kwakhona, ngokurhoxiswa kweprogesterone, iirrire ezivuthayo ezazisinika i-endometrium ngegazi liqala ukukhawuleza.
Oku kukhokelela ekuphukeni komgca osebenzayo we-endometrium.
Ekugqibeleni, i-endometrium iyaxoshwa kwisibeletho ngokuya esikhathini, kwaye umjikelezo uqala kwakhona.
Ukunyameka
Ukuba ufumana unyango lwezityalo, ugqirha wakho wokuzala ungabhekisela kwi-endometrium yakho njengobuncinane okanye obunzima.
Ubungakanani be-endometrium bunqunywe nge-vaginal ultrasound. Akukho mvumelwano ecacileyo kwizinto "ezincinci" okanye "zininzi kakhulu." Wonke ugqirha unombono ohlukileyo othe ngqo kulo mbandela.
Into esaziyo kukuba ukunyameka okanye ubunzima be-endometrium (nantoni na ithetha) kunokunciphisa iingxaki zokukhulelwa okuphumelelayo. Uphando lufumene ukuba lunokuchaphazela kakubi i-embrying embryo okanye ukwandisa iingxaki zokukhulelwa komzimba.
I-endometrium encinci ingabonakalisa uphawu lokunciphisa inzala ngokubanzi. Impendulo ye-ovarian ephosakeleyo idibene ne-endometrium encinci.
Kwakhona kubalulekile ukwazi, ukusetyenziswa ngokuphindaphindiweyo kwesilwanyana sokuzala I-Clomid iyaziwa ngokuchaphazela kakubi i-endometrial.
Ukusetyenziswa kwexesha elide leepilisi zokulawula ukuzalwa kukhankanywa ukuba kudala i-endometrium encinci.
I-Luteal Phase Defect
Isiqendu sesigxina somjikelezo wokuya esikhathini siqala emva kokugqithisa kwaye sihamba ekuqaleni kokuya esikhathini.
Njengoko kukhankanywe ngasentla, ngexesha lesigxina, i-hormone progesterone inendima ebalulekileyo ekubangela i-endometrium ibe yimpompo ebalulekileyo kunye nezinto eziyimfihlo. Ezi zombini zigcina i-endometrium kwaye yakha indawo enempilo yombungu.
Isalathisi sesigaba esilungileyo sinokubangela ukungabikho komntwana . Iyenzeka xa amazinga e-progesterone aphezulu okanye angagcini ixesha elide ukuze kugcinwe i-endometrium kwaye ilungiselelwe ukufakwa kombungu.
Ngesinye isikhathi, iziphene zesigaba se-luteal (LPD) zafunyaniswa nge-biopsy ye-endometrial. Oku kusezinye amaxesha kwenziwa.
Ngokuqhelekileyo, iziphene zesigaba se-luteal zingafunyanwa ngophawu lwe-blood test progesterone. Ukuba amanqanaba awanelanga ngokwaneleyo okanye angagcinwa ixesha elide, oku kungabonisa ukusilela kwesigaba se-luteal.
Ezinye iimpawu zengxaki yesigaba se-luteal zi ...
- ukuphawula emva kokugqithisa kodwa ngaphambi kokuya esikhathini
- isigaba esifutshane (esingaphantsi kweentsuku ezili-12 ukuya kwezi-14) kwisatifiketi sobushushu bomzimba esisiseko
Abasetyhini abatshintshisa izinga lokushisa lomzimba wabo basemgangathweni bangaqonda le ndlela engavumelekanga ngaphambi kokuba baqonde ukuba baneengxaki zokuzala. Le ngenye yeenzuzo ezininzi zokutshata .
Endometriosis
I-Endometriosis yimeko apho i-endometrium ifumaneka ngaphandle kwendawo yamanzi. Yisona sizathu esibangela ukungabikho.
Nangona i-endometriosis ngokuyinhloko ichazwa ngamathambo e-endometrial ekhula kwindawo ezingafanelekanga, inokuchaphazela imeko yendalo, i-endometrium ngokwayo, kunye ne-ovulation.
Ezinye izifundo zifumene impembelelo embi kwi-embryo implantation kubasetyhini abane-endometriosis, ngelixa abanye bangayifumani le nto.
I-Endometrial okanye i-Uterine Polyps
I-polyp endometrial ipolitth ye-endometrium. Ngokuqhelekileyo abanomdlavuza kwaye banomdla, kodwa kungekho rhoqo.
Ubukho bepolisi ye-endometri bangela ukuba kungabikho, kodwa akunjalo.
Ukuba unzima ukukhulelwa, ugqirha wakho unokubonisa ukutshatyalaliswa kokukhutshwa kwe-polyp. Oku kunokukunceda ukuba ukhulelwe ngaphandle kokonyango olongezelelweyo.
Adenomyosis
I-Adenomyosis yilapho i-endometrium ikhula i-myometrium (umgca we-muscular we-uterus.) Ingabangela iimeko ezibuhlungu, ezinzima.
I-Adenomyosis ngamanye amaxesha ibizwa ngokuthi "uterine endometriosis." Kuqheleke kakhulu kumabhinqa angama-menopausal, kodwa kubonakala nakwabasetyhini ekupheleni kweminyaka engama-30 no-40.
Iipilisi eziphambili ze-adenomyosis ziye zaphela ukuphela kwe-endometrial ablation (okubandakanya ukutshatyalaliswa kwe-endometrium) okanye i-hysterectomy (oko kukususwa kwesibeletho.) Akukho naluphi na olu unyango olufanelekileyo ukuba ufuna ukuzala abantwana.
Kuba besetyhini bafuna ukuba nabantwana, kukho ezinye iindlela zokukhetha:
- Ukubumba okukhethiweyo (okujoliswe kuphela kwingingqi ye-adenomyosis kwaye akusiyo yonke i-endometrium)
- Ukunyanga kwamaHormon kunye ne- GnRH agonists (njengoLupron)
- Udibaniso lwe-hormonal and therapy
Asherman's Syndrome
I-Asherman's syndrome yilapho i- intrauterine ifakela ngaphakathi kwesibeleko. Le ngxube ebomvu ekhula kumakhishithi ngaphakathi kwesibeleko.
Inokubangelwa ukuphucula ngokuphindaphindiweyo kunye ne-curettages (i-D & Cs), ukusuleleka kwe-pelvic , isigaba se-Caesarea, kunye nokuhlinzwa okwenziwa ngumhlaza. Ngamanye amaxesha, imbangela yayo ayiyazi.
I-Asherman's syndrome inokubangela ingxaki yokukhulelwa nokuphindaphinda.
Iyakwazi unyango ngexesha le-hysteroscopy, inqubo eyenza ukuba zombini ukuxilongwa kunye nokususwa kweethambo ezibomvu.
Usulelo lweViral of the Endometrium
Ukusuleleka kwintsholongwane efumaneka kwi-endometrium kunokubangela ukungabikho kwintsholongwane kunye nokulahleka kokukhulelwa okuphindaphindiweyo. Ngoxa le nto isengcamango kunye nakwiindlela zokuqala zophando, inokuchaza ezinye iimeko "ezingenakuchazwa" ukungabikho kwengqondo.
Isifundo esincinci kodwa mhlawumbi sisenokufumana uxhamlwano olunokwenzeka phakathi kwegciwane le-herpes HHV-6A kunye nokungabikho komntwana.
Xa abaninzi abantu becinga nge-herpes, bacinga ngesifo sesandulela ngculazi i-herpes simplex virus 2, okanye i-HSV-2. Nangona kunjalo, i-herpes simplex yindlela enye ekhoyo yintsholongwane.
I-herpes yintsholongwane ye-virus ikwajongene nenkukhu yenkukhu, i-mononucleosis, kunye nesifo esibandayo.
I-HHV-6 ikhunjulwa ukuba idluliswe nge-saliva kwaye iyaziwa kakhulu ngokubangela ukuba i-viral childhood irhoxise, i-roseola, kubantwana.
Njengenye i-virus ye-herpes, nangona emva kokusasazeka kokuqala, intsholongwane ihlala iswele emzimbeni. Abaphandi abatshitshisileyo HHV-6 banokudityaniswa neminye imiba yempilo, ngaphaya kweengxaki zomntwana.
Uhlolisiso lwase-Italy lwabafazi abangama-30 abangenabantwana kunye nolawulo lwama-36 (obesele bebelethe umntwana omnye ubuncinane) babhekise ukuba ingaba i-HHV-6A ingahle ihambelane nokungafumaneki.
Bonke abafazi ekufundweni babe ne-biopsies ye-endometrial.
Abaphengululi bafumene ukuba abafazi abangenabantwana, abangama-43 ekhulwini babenobungqina bemizimba yeHHV-6A kwiimvavanyo zabo ze-endometrial.
Nangona kunjalo, akukho namnye wabafazi kwiqela elilawulayo (elivelisayo) elinemizila ye-DNA yeHHV-6A kwii-biopsies zazo.
Izifundo ezininzi kufuneka zenziwe, kwaye awaziwa ukuba yintoni unyango ophezulu oya kuba ngowama-HHV-6A.
Ezinye iindlela zokuphanda ngexesha elizayo zingaphinda zifumane imishanguzo yokulwa nentsholongwane okanye i-immunological treatments (efuna ukuzinciphisa umzimba womzimba kwisifo sengculaza, esinokuphazamisa ukufakelwa kombindi okanye ukuhlasela umbungu ngaphambi kokuba ikhule ibe ngumntwana.)
I-Endometrial Cancer
Umdlavuza we-Endometrial maxa wambi ubizwa ngokuba ngumhlaza wesibeleko. Ngenxa yokuba ibangela ukuphuma kwegazi, olu hlobo lomhlaza lufumaneka ngokukhawuleza. Ukuxilongwa kwangaphambili kunokunceda unyango olulondoloza ukuzala.
Ngaphantsi kwe-5% yeengcingo ze-endometrial zenzeka kubasetyhini abangaphantsi kweminyaka engama-40, ngoko ukugcinwa kobuncwane akusoloko kuxhalabisa. Nangona kunjalo, lingafumaneka kubasetyhini bexesha lokuzala.
Unyango lomhlaza wesifo se-endometrial ungabangela ukungabi nantoni xa unyango olunonya lufuneka. Ukuxilongwa kwangaphambili kubalulekile.
Kwakhona kubalulekile ukuxelela ugqirha wakho ukuba awuphelelanga ngokuba nabantwana ngaphambi kokuba kuxoxwe ngazo.
Kukho iindlela zokulondoloza ukuzala xa ukuxilongwa kusekuqaleni. Ngokomzekelo, unyango lwe-hormone (endaweni yokunyanga ngophengiyo) lomhlaza wesifo se-endometrial lungcono ukulondoloza ukuzala.
Ngonyango olulondolozo olukhuselekileyo, unyango lomhlaza we-post-endometrial lungaba neengxaki nge-endometrium encinci. Oku kunokuchaphazela kakubi ukuhlaliswa kweerhafu kunye nokwandisa amathuba okukhulelwa kwesisu.
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