Ungayiphatha Kanjani i-Endometrium ezacile ukuze ukhulelwe

-Delile

• Ungayiqinisa kanjani i-endometrium
• Izindlela zemvelo zokwandisa i-endometrium
• Ngibazi kanjani ubukhulu be-endometrium yami
• Izimbangela zokuncipha kwe-endometrium
• Iyini i-endometrium esetshenziselwa yona?

Ukuqinisa i-endometrium, kuyadingeka ukwelashwa ngemithi yehomoni, efana ne-estradiol ne-progesterone, ukukhuthaza ukukhula kwe-endometrium. Lolu hlobo lwezokwelapha lukhonjisiwe kwabesifazane abatholakala ukuthi bane-endometrium ezacile, ebizwa nangokuthi i-atrophic endometrium, lapho le nsipho ingu-0.3 kuye ku-6 mm ubukhulu, okungenza kube nzima ukukhulelwa ngokwemvelo, ngoba kunezinkinga ezinkulu kakhulu umbungu uyatshalwa futhi uyakhula.

Le mithi inyusa ukushuba kwe-endometrium, okuvumela ukufakwa kombungu esibelethweni futhi, ngaleyo ndlela, kuvunyelwe ukukhulelwa. Kodwa-ke, odokotela abaningi bathi ukwamukelwa kubaluleke njengokuqina kwe-endometrium, ngoba abesifazane abaningi bayakwazi ukukhulelwa i-endometrium engu-4 mm ngakho-ke ukusetshenziswa kwemithi akudingekile ngaso sonke isikhathi.

Ungayiqinisa kanjani i-endometrium

Ukukhulisa ukushuba kwe-endometrium futhi ngaleyo ndlela kube nethuba elikhulu lokukhulelwa, udokotela angancoma ukusetshenziswa kwezinye izixazululo ezisiza ukulawula amazinga ama-hormone futhi, ngenxa yalokho, zandisa ukushuba kwalesi sicubu. Amanye amakhambi angakhonjiswa yile:

• ISildenafil (Viagra).
• I-Pentoxifylline (iTrental);
• I-Acetylsalicylic acid (Aspirin), ngamanani aphansi;
• I-Estradiol (Climaderm);

Kwabesifazane abangenazo ezinye izinkinga zokuzala, ukusetshenziswa kwale mithi kuyasebenza kakhulu ukukhulelwa futhi kunezigameko zabesifazane abakwazile ukukhulelwa ngemijikelezo engaphansi kwemithathu yemithi. Kepha uma kunezinye izinkinga ezihlobene nokungazali, le nkathi ingaba yinde noma kungadingeka ukuthi ubhekele ukukhulelwa kwe-in vitro.

Izindlela zemvelo zokwandisa i-endometrium

Akukho ukwelashwa kwemvelo okwaziyo ukukhulisa ukushuba kwe-endometrium, kepha kukholakala ukuthi ukusetshenziswa kwetiye yam kunalo mthamo. Lokhu kungenxa yokuthi kukholelwa ukuthi itiye le-yam liyakwazi ukukhuphula amazinga e-progesterone egazini, lingavuni ukuvuthwa kweqanda kuphela kepha liphinde likhuthaze ukwanda kwe-endometrium.

Ngaphandle kwalokhu, ubudlelwano obuphakathi kwetiye le-yam nokwanda kokuzala nokuzimba kwe-endometrium akukaze kufakazelwe ngokwesayensi, ngakho-ke kunconywa ukuthi udokotela aboniswe ukukhuthaza ukuqina kwe-endometrium.

Ngibazi kanjani ubukhulu be-endometrium yami

Ukuphela kwendlela yokwazi usayizi we-endometrium yakho nge-ultrasound, kepha njengoba lesi sicubu siguquka ngosayizi phakathi nomjikelezo wokuya esikhathini, kubalulekile ukwenza lokhu kuhlola maphakathi nomjikelezo wokuya esikhathini, okuyilapho isikhathi esivundile okufanele kwenzeke, okuyilapho i-endometrium isesisindo sayo esikhulu kakhulu.

Ukukhulelwa kubalulekile ukuthi i-endometrium ngemuva kokukhulelwa okungenani ibe ngu-7 kuye ku-8 mm ubukhulu. Lesi sayizi singabonakala ekuhlolweni kwe-uterine ultrasound, okucelwe ngudokotela. Lapho lolu ungqimba lungaphansi kuka-7 mm ubukhulu, udokotela angaphakamisa ukusetshenziswa kwezidakamizwa ezikwazi 'ukuqina' lolu ungqimba, njengama-vasodilators, iplatelet kanye nama-anti-aggregates ama-hormonal.

Izimbangela zokuncipha kwe-endometrium

I-endometrium iyashintsha ekujiyweni ngokwemvelo phakathi nomjikelezo ngamunye wokuya esikhathini, kepha ngesikhathi esivundile kulindeleke ukuthi owesifazane abe nobukhulu obuphakathi kuka-16 no-21 mm, yize sekuvele kungenzeka ukugcina umbungu u-7 mm nje. Kepha abesifazane abanesendlalelo esincanyana kakhulu, abakwazi ukukhulelwa ngoba i-endometrium ayenele ukondla umbungu, ukuqinisekisa ukukhula kwawo.

Ezinye izimbangela zokwehla kwe-endometrium yilezi:

• Ukuhlushwa okuphansi kwe-progesterone;
• Ubukhona besifo sokuvuvukala okhalo;
• Ukusetshenziswa kwezindlela zokuvimbela inzalo ngamahomoni;
• Ukulimala kwesibeletho ngemuva kokwelapha noma ukukhipha isisu.

Ezinye izimpawu ezingakhombisa ukuthi i-endometrial atrophy yisikhathi esingalungile sokuya esikhathini, umlando wobunzima bokukhulelwa noma ukukhipha isisu.

Iyini i-endometrium esetshenziselwa yona?

I-endometrium izicubu ezifaka isibeletho ngaphakathi futhi inesibopho sokukhosela nokondla umbungu, okuwumphumela womhlangano phakathi kweqanda elivuthiwe nesidoda. Lokhu kuhlangana kuvame ukwenzeka kumashubhu we-fallopian futhi ngenxa yobukhona be-cilia encane ekhona kulesi sifunda, baya esibelethweni, banamathele ku-endometrium lapho ingakhula khona ize ikhule ngokuphelele ngokuzalwa.

Ngaphezu kwalokho, i-endometrium nayo ibalulekile ekwakheni i-placenta ezophatha i-oxygen nazo zonke izakhi zomzimba ezidingekayo enganeni.

Ukuze i-ovulation yenzeke, i-endometrium okungenani eyi-7 mm iyadingeka, ngakho-ke lapho owesifazane engafinyeleli kulowo sayizi, akavuvuli futhi ngenxa yalokho kuba nzima ukukhulelwa. Thola imininingwane eminingi nge-endometrium.