Esikhathini esibucayi, abesifazane bavame ukuphuma igazi elingasebenzi . Zinezinto ezihlukene nobude obuhlukile. Eqinisweni, ukuphuma okunjalo kuyinkimbinkimbi enkulu yokuya esikhathini, futhi kwenzeka cishe ingxenye yabesifazane abagubha iminyaka engu-40.
Isizathu sokungasebenzi kwamagciwane okungasebenzi kahle kwenkathi yemesopausal (esikhathini sokumisa esikhathini sokuqala) ezinkingeni ze-hormone ezivela ekutheni kancane kancane kokukhula kwesisu. Okokuqala, kunokuphazanyiswa kokuvuthwa kwe-follicle (umzimba ophuzi). Futhi kusukela ukuthuthukiswa kwe-follicles kuphazanyiswa, lokhu kuholela ekuphazanyeni emjikelezweni wezinguquko embranini yomsindo wesibeletho. Njengomthetho, i- endometrial hyperplasia ivela, futhi ukungabi khona kweprogesterone kusuka emzimbeni ophuzi kuholela ekubambezelweni kwesigaba se-secretory. Ngenxa yalokho, i-endometrium eguquliwe ifakwe ku-necrosis, i-thrombosis kanye nokulahlwa okungakhethi. Ngakho-ke kukhona ukuphuma kwamagciwane okukhipha isisu.
Ngokujwayelekile asebekhulile, ukuphuma kwegazi kuvela ngokushesha noma esikhathini esithile ngemva kokulibala kokuqala kwesikhathi sokuya esikhathini futhi kuphele amasonto ambalwa, ngezinye izikhathi ngisho nezinyanga. Lesi simo singashushisa owesifazane iminyaka engama-4-5 emva kokuqala kokuya esikhathini.
Yini engozini yokuphuma kwamagciwane?
Ngenxa yobuningi besikhathi eside, legazi elivame ukuphuma ngesikhathi sokuya esikhathini liholela ekudleni kwegazi. Ngaphezu kwalokho, ngaphansi kwesisindo sokuphuma kwamagciwane angasebenzi, isifo esibi singase sinyamalale - isibonelo, isisu, kuhlanganise nesifo esibi.
Ngakho-ke, ukucacisa i-etiology yegazi lomzimba, kuyinto efiselekayo kakhulu ukuthola ukwelashwa kokuxilongwa kwe-uterine mucosa nomlomo wesibeletho. Uma kuvela ukuthi ukuphuma kwe-causative noma yisiphi isifo sobunjwa kanye nesifungo, khona-ke udokotela uzokunikeza ukwelashwa okufanele kuwe.