I-Endometrieg ibizwa ngokuthi i-mucosa yangaphakathi yezindonga zesibeletho, lapho uhlelo lwemizila yegazi lukhona khona. Ngaphambi kokuqala kokuya esikhathini, ungqimba lwe-endometrium lukhula futhi lulungele ukwethulwa kweqanda elikhulelwe. Uma ukukhulelwa kungenzeki, kunqatshiwe kusuka ezindongeni ze-uterine futhi kuphuma nokugeleza kokuya esikhathini. Ngakho-ke, ngezinye izikhathi phakathi kwabo ungabona ama-blood clots noma izibani.
I-endometrium enhle ingabonakala ngokwayo ngenxa yezifo ezinjalo zomzimba:
- ukuhluleka kwe-hormone;
- i-hypterlasia ye-uterine eyenzeka ngesikhathi sokuzalwa;
- ukunikezwa kwegazi okungenalutho kwalesi sitho;
- edabukisayo ngokushaya isendlalelo se-endometri.
Ngokuvamile ubukhulu bayo kufanele bube okungenani ngamamitha ayi-7. I-endometrium encane, engama-millimeters ambalwa kuphela, iba yisizathu esiyinhloko sokungabikho kokukhulelwa. Ngombuzo wokuthi kungani i-endometrium encane ibonakala ngokuqondile kubo, omama abaningi esikhathini esizayo abanezempilo enhle bayabhekana. Esinye isizathu sokubonakala kwayo singase sibe isici ngasinye sesakhiwo nokusebenza komzimba. I-endometrium encane emva kokukhishwa, ukukhipha isisu njalo noma ukusetshenziswa kwezidakamizwa ze-hormone njalo kubangela ukungabaza ngenhlalakahle yomqondo olandelayo nokuzala umntwana. Konke lokhu kunqanda isibeletho esidinga ukuthuthukiswa kwesisekelo sombungu.
I-endometrium enomzimba - izimpawu
Ngokwenzokwelapha, izinkomba eziningana eziyinhloko zokuba khona kwe-endometrium ehlanjululweyo zihlukaniswa:
- ukubambezeleka noma ukungasebenzi kahle emjikelezweni wokuqala kokuya esikhathini;
- ubuhlungu esiswini esingaphansi;
- ukuphuma kwegazi kusuka kwesifazane;
- ubuhlungu emhlane ophansi nokuvuvukala kwezingono;
- shintsha esimweni somqondo wesifazane, njll.
Njengoba i-endometrium encane, izikhathi zokuya esikhathini ezincane, cishe uphawu oluyinhloko lokuba khona kwalokhu kuphambuka. Kunoma yikuphi, ngemuva kokuthola imvelaphi engaqondakali yokuphuma kwegazi, kufanelekile ukuxhumana nokubonisana kwabesifazane.
Ukukhulelwa nge-endometrium encane
Ukuqala kokukhulelwa nokuxilongwa okunjalo kungenzeka ezimweni ezingavamile kakhulu, ngoba akudingeki "udoti" lokufakelwa kombungu, ukuhlanganisa i-placenta nokuyidla ngezinto ezidingekayo. Uma kwenzeka, ingozi yokuphazanyiswa kokuqala ikhulu ngokwanele. Ukukhulelwa nge-endometrium encane kusho ukulawulwa ngokucophelela yi-obstetrician-gynecologist, ukuphumula okuphelele kwalowo wesifazane nokuthatha imithi enqunyiwe ngaphansi kwesimiso esiqinile. Kukhona namathebulethi akhethekile kanye nama-gels angasiza ukubuyisela
Isizathu esivame kakhulu, ukuphoqa owesifazane ekuqothulweni okufakelwayo, i-endometrium encane. I-IVF kuleli cala inikeza ithuba elincane lokukhulelwa, izithelo ezincane kakhulu okuthela - kuphela 1% noma ngisho no-0.5%. Lokhu akusho ukuthi ukuthuthukiswa kwesayensi nokucwaninga akuqhutshwa kule ndlela. Umphumela wokugcina wokuqeda i-endometrium encane kakhulu kuxhomeke ekuphenduleni komzimba ezinyathelo zokwelashwa ezithathwe. Ngokuvamile, odokotela bemitholampilo ye-IVF bayeluleka ukuba uqale uzame ukubuyisela ubukhulu obudingekayo be-endometrium, ngokuqhwaba kule nkathi ye-biomaterial. Lokhu kuzosiza ukugwema imizamo eminingi engaphumeleli, ukudumazeka kanye nezindleko ezinkulu zemali.
Ubuningi nokukala kokuvuthwa kocingo lwe-endometrium kungenziwa ngokunquma ukusebenzisa i-ultrasound devices.