Endometrium - yozoloŵera ndi masiku a ulendo

Monga momwe zimadziwira, endometrium yachibadwa ya uterine imasintha nthawi zonse pa masiku a msambo. Zili ndi chikhalidwe cha thupi, ndipo ndizofunikira kwa thupi lachikazi.

Kodi makulidwe a chiberekero cha mkati amatembenuka bwanji pa nthawi ya kusamba?

Pofuna kudziwa chomwe chinayambitsa chitukuko cha kubereka, chizoloŵezi cha kukula kwa endometrium chinakhazikitsidwa, chomwe chimasiyanasiyana ndi tsiku lozungulira.

Pochita mawerengero amenewa, ultrasound imagwiritsidwa ntchito, yomwe mkati mwake chiberekero chimayesedwa. Kufikira ndi kudzera mu umaliseche.

Kumayambiriro kwa kayendetsedwe ka maselo, maselo a endometrial amawonetsedwa pazowonongeka kwa zipangizo, monga zina zomwe zilibe mgwirizano wunifolomu. Kawirikawiri pamtunda uwu, makulidwe osanjikiza sali oposa 0,5-0.9 masentimita. Chowonadi chakuti mkati mwake sichikhala ndi dongosolo losanjikirika ndilo gawo. maselo samakhala mmagulu, mwachizolowezi.

Kale pa tsiku 3-4, endometrium imayamba kukonzedwa, chifukwa maselo ali ndi mawonekedwe osiyana kwambiri. Komabe, kuchepa pang'ono kwa chipolopolo chamkati. Tsopano wosanjikiza wa endometrium sadutsa masentimita 0,3-0.5 mu makulidwe.

Patsiku la 6-7, kuphulika pang'ono kumachitika, mpaka 6-9 mm. Ndipo kokha pa tsiku la 10 pa ultrasound akuyamba kuwonetsa momveka echogenic dongosolo mu gawo lake lalikulu. Kutalika kwa endometriamu ndi 8-10 mm.

Pakapita masiku khumi ndi asanu ndi awiri mphambu khumi ndi zisanu ndi zisanu ndi zitatu (14-14), wosanjikiza amakhala ofanana ndi 9-14 mm Pazitsamba zonse zobisika, endometrium ili ndi mawonekedwe ofanana, akuwonjezeka kokha mu makulidwe. Choncho tsiku la 18, limafika 10-16 mm, pa 19-23 - 20 mm. Kenaka, pa 24-27 tsiku, makulidwe amayamba kuchepa - mpaka 10-18 mm.

Nchifukwa chiyani pali kuphwanya kwa makulidwe a endometrium?

Malingana ndi zomwe tafotokoza pamwambapa, kukula kwa mapangidwe a endometrial kumachitika masiku a kayendetsedwe ka njira yomwe ikupita patsogolo. Komabe, nthawi zambiri sizimakhala choncho, ndipo pali zifukwa zambiri zomwe zimapangitsa kuti chiberekero cha chiberekero chisinthe. Zitha kukhala:

• Zochitika za dyshormonal zimayambitsa kusakwanira kwa gawo la luteal;
• Kuvulala kosiyanasiyana kwa endometrium (chifukwa cha kupopera, njira zopangira opaleshoni pa ziwalo za m'mimba);
• zochitika za congregital hypogormonal, makamaka uterine hypoplasia;
• Kuphwanya magazi mwa ziwalo za m'mimba, zomwe zingakhale zachibadwa kapena zodwala matenda.

Pokhapokha atayambitsa matendawa, dokotala amapereka chithandizo, malinga ndi zizindikiro za thupi komanso kupirira kwa mankhwalawa. Pofuna kuphweka ndondomekoyi, ndikudziŵa molondola chikhalidwecho, tebulo linalembedwa momwe kukula kwa endometrium kumasonyezedwa ndi tsiku lozungulira.

Nchiyani chingayambitse kuphwanya makulidwe a endometrium?

Azimayi ambiri omwe akuyang'anitsitsa kuti afike m'mimba mwa endometrium samamvetsa chifukwa chake izi zimakhala zofunika kwambiri. Chowonadi ndi chakuti ndi mkatikati mwa chiberekero chomwe chimatengera mbali mwachindunji pa njira ya umuna. Choncho, nthawi zambiri, pang'onopang'ono mumalo osungirako mimba, mimba sizimachitika: dzira la feteleza silingathe kulowa mu chiberekero, mwachitsanzo. pali kukanidwa, kutaya padera ali wamng'ono.

Kuonjezera apo, endometrium yoyengedwa ndi chithunzithunzi cha matenda osiyanasiyana ndi tizilombo ting'onoting'ono ting'onoting'ono tomwe timatha kulowa mu chiberekero kuchokera kunja.

Motero, chiwerengero chofanana ndi kukula kwa endometrium chimathandiza kwambiri. Kuchokera pa chikhalidwe chake sichidalira kokha thanzi labwino ndi ubwino wa amayi, komanso mfundo ngati angakhale mayi. Choncho, pokonzekera mimba, boma la endometrium limapatsidwa chidwi.