Kodwa, njengomthetho, izazi zezinkinga zegazi zihamba ngokuphambene, futhi ngokuqondile, qhathanisa inani langempela nemigomo ebekiwe. Iqembu ngalinye leminyaka linezici zalo, isibonelo, ubukhulu be-endometrium, obhekwa njengesijwayelekile ngesikhathi sokuya esikhathini, akufanelekile ukukhulelwa ingane futhi kubonisa ukwephulwa okusobala.
Imininingwane eminingi mayelana nemigomo ye-endometrium, ekhethekile esikhathini esithile, sizokhuluma kule ngxenye.
Isimiso se-Endometrial sokukhulelwa
I-endometrium yowesifazane oneminyaka yobudala evame ukushintsha izinguquko ze-cyclic. Ngokuyinhloko ubukhulu bezingqimba ezisebenzayo zegobolondo langaphakathi liyahlukahluka, okuhlanganiswa kakhulu, kuze kube sekuqalisweni kwe-ovulation nezinsuku ezimbalwa emva kwayo, bese kuthiwa ama-atrophia kancane kancane futhi aqothulwe ngesikhathi sokuya esikhathini.
Le nqubo eyinkimbinkimbi ilawulwa ngokuphelele yi-hormone, ngakho-ke isabela ngokushesha ekuhlulekeni kwe-hormonal kancane.
Ubukhulu be-endometrium bubaluleke kakhulu kubesifazane abahlela ukukhulelwa. Kusukela kujwayelekile, inani eliphakeme, ukuqina kwe-endometrium kufinyelela nge-ovulation, ngaleyo ndlela kudala izimo ezihle zokufakelwa kweqanda elivundisiwe. Ngaphezu kwalokho, ukuba umbungu uhlanganiswe futhi uqale ukuthuthukisa, i-mucosa kufanele ikhulile, futhi isakhiwo sayo sifanelekile.
Ngakho-ke, ngokuya ngesigaba sokujikeleza kokuya esikhathini, ubukhulu be-endometrium buhluka:
- Ngosuku lwesishiyagalolunye nesikhombisa lomjikelezo (isigaba sokusakazeka kokuqala), isakhiwo se-endometrium siyifomu, kanti ubukhulu bayo buhluka ngaphakathi kuka-3-6 mm.
- Ngosuku lwesishiyagalombili-10 (isigaba sokusakazeka okuphakathi), uhlaka olusebenzayo lwe-endometrium yesibeletho luyanda, ubukhulu bayo obujwayelekile bufinyelela ku-5-10 mm.
- Ngosuku lweshumi nane-14 (isigaba sokukhula okuphuthumayo), ubukhulu begobolondo buyi-11 mm, amanani avunyelwe angama-7-14 mm.
- Ngosuku lweshumi nesishiyagalolunye nesishiyagalolunye (isigaba sokuvinjelwa kokuqala), ukukhula kwe-endometrium kancane kancane kwehlisa futhi kuguquke ngaphakathi kwe-10-16 mm.
- Ngosuku lwama-19-23 (isigaba esiphakathi sokuvimba), ubukhulu obukhulu be-mucosa buyabonakala, okufanele bube okungenani ngu-14 mm.
- Isimiso se-endometrium ngaphambi kwesikhathi sokuya esikhathini singama-12 mm.
- Phakathi nenkathi yenyanga, isendlalelo sokusebenza siyasuswa, futhi ekugcineni, ubukhulu be-mucosa bufinyelela inani laso lokuqala.
Uma ukukhulelwa kwenzekile, futhi iqanda lokubeletha lihlelwe ngokuqinile embranini yesikhumba esibelethweni, khona-ke lokhu okuqhubekayo kuthuthuka. Ngokwejwayelekile kwe-endometrium ngesikhathi sokukhulelwa kuqina, kusetshenziswe imithwalo yegazi. Ngesikhathi semasonto amane kuya ku-5 inani lalo lizofinyelela ku-20 mm, futhi nangemva kwalokho lizoguqulwa libe yi- placenta ezosebenza njengesivikelo, futhi linikeze ingane i-fetus ne-nutrients kanye ne-oxygen.
Isimiso se-endometrium ekunqophiseni isikhathi
Okokuqala, ukuphuma esikhathini sokuya esikhathini kubonakala ukwehla ekukhiqizweni kwe-estrogen, okungenakuthinta kodwa izitho zesistimu yokuzala. Ngokuyinhloko, ukusabela kuyathinteka yizinguquko embelethweni, ama-ovari, ama-vaginal and abdomen.
Ngesikhathi sokuya esikhathini, isendlalelo sangaphakathi sesibindi siba mncane futhi sishayeke, futhi ekugcineni i-atrophies. Ngokuvamile, ubukhulu bale nkathi buyi-3-5 mm. Uma izindinganiso zangempela zikhuphuka, sikhuluma nge-hypertrophy ye-pathological. Izimpawu zalesi simo zingase zihluke ngokuqina kwegazi, ziqala ngamafutha ashubile, ziphelelwe ukulahlekelwa kwegazi okunzima. Esimweni sokuqala, lesi simo silungiswa ukwelashwa kwe-hormone, ekugcineni - ngokungenelela kokuhlinzwa.