Indlela i-Endometrium idlala ngayo indima ebalulekile empilweni yakho yokuzala
I-endometrium ingaphakathi kwezingxenye ezintathu zezicubu ezihlanganisa isibeletho (isici esikhuliswayo lapho ingane ikhuliswa khona futhi ikhula ngaphambi kokuzalwa). Ungacabanga ngokuthi i-wallpaper yesisu, kodwa imisebenzi eyenziwa kahle ngaphandle kokuhlobisa. Ngezinye izikhathi kuthiwa yi-endometrial lining, i-endometrium idlala indima eyinhloko emjikelezweni wokuya esikhathini nokukhulelwa.
Nakhu ukubheka ukuthi kungani ukukhanya kwe-endometrial kubaluleke kakhulu kulezi zigaba zomjikelezo wokuzala.
I-Endometrium nokukhulelwa
I-endometrium yakhiwa ikakhulukazi kwezicubu ze-mucosal futhi inezinhlangothi ezimbili. Enye yalezi zihlala zihlala njalo futhi lapho i-endometrium ifinyelela khona ungqimba ophakathi kwe-endometrium (izicubu ezibushelelezi ezibizwa ngokuthi i-myometrium.)
Nokho, esinye isendlalelo sinamandla-sishintsha ekuphenduleni ukwedlulela kwanyangazonke kwamahomoni aqondisa umjikelezo wesimiso. Ngenxa yalesi sizathu, kubizwa ngokuthi ungqimba olusebenzayo. Ngenxa yokuthi iyingxenye ye-endometrium lapho iqanda lizofaka khona uma likhulelwa, phakathi nomjikelezo ngamunye ngaphambi kokuvuthwa kwegazi (ukukhululwa kweqanda elivela kuThubhu yama-Fallopian), uhlaka olusebenzayo lwe-endometrium luhamba kuzo zonke izinhlobo zenguquko nje uma kwenzeka ukukhulelwa . Izakhiwo ezibizwa ngokuthi izigulane ze-uterine zithola isikhathi eside futhi imithambo yegazi iyanda.
Ukuze kubangele ama-ovulation, amazinga we-hormone progesterone akhula.
Lokhu kubangela ukuthi indawo yokugcina i-endometrial igxile. Ama-gland nemithambo yegazi zihlangana ndawonye ukuze zilungele ukuvumela iqanda ukuba lifake (uma likhulelwa) futhi lilungiselele ukuthuthukiswa kwe-placenta. (Isidumbu esakhula ngesikhathi sokukhulelwa ukunakekela ingane ekhulayo.)
I-Endometrium ne-Period Yakho
Kwenzekani uma iqanda likhishwa futhi lingakhulumi?
Kuleso simo, konke lokhu ukulungiselela ukukhulelwa kwakungelutho, futhi igazi eliye lasiza ukugcoba uhlaka olusebenzayo lwe-endometrium alisadingeki futhi kumele lusethelwe.
Lokhu kuchitha yisikhathi sakho. Ukugeleza kokuya esikhathini kuyenziwa amangqamuzana achitheka kusukela ohlangothini olusebenzayo oluxubene negazi kusuka emithonjeni encane yegazi ejikeleze izigcawu. Njengoba umjikelezo olandelayo uqala, uhlaka olusebenzayo lubuyela phansi ngaphansi kwe-estrogen
AmaHormone asithinta kanjani i-Endometrium
Ukukhumbula ukuthi i-endometrium iyashintsha ekuphenduleni amazinga e-hormone ngaphambi nje kokuba u-ovulation, kunengqondo ukuthi kumantombazane angakaqali ukuya esikhathini nasesimweni sabesifazane besilisa abaye bayeke ukuba nezinkathi, i-endometrium isancipha futhi ayishintshi. Womabili la maqembu ngeke abe nokugeleza kwenyanga.
Kodwa-ke, ukudlula kwama-hormone kungashukumisa i-endometrium ukuba ibe mkhulu kunokujwayelekile. Ngokwesibonelo, ama-fat cells amaningi kakhulu abhekana nokukhuluphala akhiqiza i-estrogen eyengeziwe. Lokhu kungaholela ekwakheni okwengeziwe kwe-endometrium futhi, ekugcineni, izikhathi ezinzima kakhulu. Uma singapheli, lesi yisimo esibizwa nge- endometrial hyperplasia .
Ngakolunye uhlangothi, izindlela zokulawula i-hormonal zingaba nomphumela ohlukile.
Abesifazane abasebenzisa ukukhulelwa kwemithi ye-progesterone kuphela njenge- Mirena intrauterine device noma ukukhiqizwa kokubeletha kwe- Nexplanon , kokubili ekugcineni ukucindezela ukwakheka kocingo olusebenzayo lwe-endometrium, kuvame ukuba nezinkathi ezilula.
> Umthombo:
> Maybin, JA. Ukuzivocavoca umzimba: Impumelelo ye-Endometrial Pathology and Beyond. Ukuvuselelwa Kwezenzo Zabantu. 2015; 21 (6): 748-761