The endometrium isha yekamukati yechibereko. Mwedzi woga woga, endometrium inowedzera uye inovandudza pachayo, ichigadzirira pamuviri.
Kana kuberekwa kusingaitiki, endometrium inosvika mune imwe nzira inozivikanwa semwedzi .
Kana kubata pamuviri kuchiitika, embryo implants kupinda mu endometrium.
Mamiriro ezvinhu anosanganisira endometrium uye anogona kukuvadza kubereka kwako:
- Inotetepa kana kuti yakawandisa endometrium
- Luteal phase chikamu
- Endometriosis
- Endometrial polyps
- Adenomyosis
- Asherman's Syndrome ( uterine adhesions )
- Utachiona hwechirwere
- Muchirwere weEntometrial
Chimwe nechimwe chezviitiko izvi uye zvinokonzera kubereka zvichakurukurwa muchidimbu pasi apa.
Zvakaita Endometrium
Chibereko chinoumbwa nezvikamu zvitatu: serosa, myometrium, uye endometrium.
Iyo serosa iganda rekunze kwechibereko. Iyo inovhara mvura inonaya kuitira kudzivisa kupesana pakati pechibereko uye nhengo dziri pedyo.
The myometrium inonzi uterine yakatsetseka. Uyu ndiwo mutsara wakareba wechibereko. The myometrium inoumbwa nehutsetse hwakasvibiswa.
Munguva yepamuviri, myometrium inowedzera kuti igone kubereka mwana. Panguva yekuberekwa, zvipfeko zve myometrium kubatsira pakuberekwa kwechecheche.
Iyo endometrium inoita mukati mechidzitiro chechibereko. Icho chiganda chemucosal uye chinoshanduka muhupamhi mukati memwedzi.
Endometrium pachayo inoumbwa nematatu matatu:
- Icho chinonzi basalis, chinozivikanwawo sebasal layer. Iyi ndiyo yakadzika inopera kumagumo ekugara kwepamusoro inopesana ne myometrium yechibereko. Icho hachichinje zvakawanda mukati mekutenderera. Funga nezvazvo sechinhu chinobva kune icho chigadziriso chekupedzisira kwe endometrium ichikura.
- Inonzi stratum spongiosum: ichi chinonzi spongy intermediate layer ye endometrium. Izvi zvinoshandiswa pakuchinja panguva yekuenda kumwedzi.
- Iyo yakagadzirwa compactum: ichi ndicho chikamu chekunze kwe endometrium, uye inopinda kuburikidza nekuchinja. Iyo yakaonda uye yakawanda yakaenzaniswa kana ichienzaniswa nemamwe magwaro ekupedzisira.
Icho chinonzi stratum spongiosum uye chikwata checompactum chinoshandura zvinoshamisa mukuenda kwemwedzi. Pamwe chete, zvikamu zviviri izvi zvinozivikanwa se "stratum functionalis" kana "functional layer".
Izvo zvakasara zve endometrium zvinopinda nhanho nhatu dzekutanga maitiro ose:
Nharaunda yakakura : iyi ndiyo apo endometrium inowedzera, kugadzirira chibereko chemuchamu.
Iyi nhanho inotanga musi wekutanga wekuenda kumwedzi uye inoenderera mberi kusvika pakuvhura .
Iyo hormone estrogen inokosha pakuumbwa kweendometrium ine utano. Kana isrogen mazinga akadzika kwazvo kana akakwirira, anogona kutungamirira kune endometrium iyo yakaonda kwazvo kana yakawanda.
Izvo endometrium inowedzerawo vascularized munguva ino kuburikidza nemakakatetera akajeka uye ane simba. Aya mabheti anopa kudikanwa kwemazipa kusvika kune endometrium.
Chikamu chekunyora : iyi ndiyo apo endometrium inotanga kuvhara zvibereko zvinokosha uye mvura inonaya.
Progesterone ndiyo hormone inokosha yechikamu ichi.
Ichi chikamu chinotanga mushure mekuvhara uye ichienderera kusvikira kumwedzi.
Izvo zvipembenene zve endometrium zvakachengetedza mapuroteni, lipids, uye glycogen. Izvi zvinodiwa kuchengetedza embryo. Vanodzivirirawo endometrium kubva pakuputsa.
Kana mucheche uchinge uzvipinza mumadziro e endometrium, iyo inokura placenta inotanga kuvhara vanhu chorionic gonadotropic hormone (hCG) .
Iyi inorema hormone inoratidza zviratidzo zve corpus luteum (pane mavha mavari) kuti irambe ichibudisa progesterone, iyo inochengetedza endometrium.
Kana mucheche usingaiti mu endometrium, ipapo corpus luteum inotanga kuputsa, zvichiita kuti kuderedza mazinga ehomoni progesterone.
Apo progesterone inodonha, zvigunwe zve endometrium zvicharamba zvichivhara mvura inenge ichiri kuchengeta iyo.
Uyewo, nekubviswa kweprogesterone, mishonga inowedzera iyo inopa endometrium neropa inotanga kumira.
Izvo zvino zvinotungamirira pakuparara kwebasa rinoshanda re endometrium.
Pakupedzisira, endometrium inodzingwa kubva muchibereko kuburikidza nekuenda kumwedzi, uye kutenderera kunotanga zvakare.
Kuwanda
Kana uri kuenda kuburikidza nekurapa kwekubereka, chiremba wako wekubereka angataura nezvekupedzisira kwako kana endometrium kunge yakaonda kana kuti yakareba.
Uturu hwe endometrium hunogadziriswa kuburikidza nemudzimai we-vaginal ultrasound. Hakusi kubvumirana kwakajeka pane izvo "zvakanyanya kuderera" kana "zvakanyanya kwazvo." Chiremba wese ane maonero akasiyana pane izvi.
Izvo zvatinoziva ndezvokuti kuva neutete kana kurema kwe endometrium (chero zvingareva) kunogona kuderedza matambudziko ekubudirira pamuviri. Kutsvakurudza kwakawana kuti inogona kukanganisa embryo kushandiswa kana kuwedzera maitiro ekupererwa pamuviri.
Iyo endometrium ine tsvina inogonawo kuva chiratidzo chekuderera kubereka mune zvakawanda. Mhinduro isina kusimba yevarivha inobatanidza neine endometrium yakaonda.
Uyewo zvinokosha kuziva, kudzokorora kushandiswa kwemishonga inobereka Clomid inonyatsozivikanwa kuti inokanganisa kupera kwemametometrial.
Kushandiswa kwenguva refu kwekuberekwa kwepiritsi kunofungidzirwa kuti kunokonzera endometrium yakaonda.
Luteal Phase Defect
Chikamu chekateal chekuenda kumwedzi chinotanga mushure mekuvharidzira uye kunopera nepakutanga kwemwedzi.
Sezvambotaurwa pamusoro apa, panguva yekatealine, hormone progesterone ine basa rinokosha mukukonzera endometrium kuti ivanze zvivako zvinokosha uye zvinhu. Izvo zvose zvinotsigira endometrium uye inoita nzvimbo yakagadzikana yemukomana.
A luteal phase chiremera ndicho chinokonzera kusapera . Izvo zvinoitika apo mazinga eprogesterone haasi akakwana zvakakwana kana kusachengetwa kwenguva yakareba zvakakwana kuti kuchengetedza endometrium kuve yakagadzirirwa uye kugadzirirwa kushandiswa kwemukomana.
Pane imwe nguva, luteal phase defects (LPD) yakaongororwa kuburikidza ne-endometrial biopsy. Izvi zvichiri dzimwe nguva zvakaitwa.
Zvimwe zvinowanzoitika, luteal phase defects inogona kuongororwa kuburikidza neropa rekuedza kuongorora progesterone mazinga. Kana mazinga asina kukwana zvakakwana kana asingatsigiri kwenguva yakareba, izvi zvinogona kuratidza kushaya chikwata chechikwata.
Zvimwe zvinogona kuitika zve luteal phase defect ...
- kutarisa mushure mekuvhara muviri asi kutanga kuenda kumwedzi kunotanga
- chikamu chiduku chine luteal (mazuva masere kusvika pamasere gumi nematanhatu) pamusana wekushisa kwemuviri wepasi
Vakadzi vanonyorera kutengesa kwemuviri wavo wepasina vanogona kuziva izvi zvisina kufanana vasati vaona kuti vane dambudziko rekubereka. Ichi ndicho chimwe chezvikomborero zvakawanda zvechati .
Endometriosis
Endometriosis inzvimbo iyo endometrium inowanikwa kunze kweuterine cavity. Icho chinowanzokonzera kusava nekushaya.
Kunyange zvazvo endometriosis inonyanya kurondedzerwa nemakemikari endometrial ari kukura munzvimbo dzisina kururama, inogonawo kuchinja uterine mamiriro ezvinhu, endometrium pachayo, uye ovulation.
Zvimwe zvidzidzo zvakawana kuipa kwakanyanya pamusana wekuberekwa kwemazamu muvakadzi vane endometriosis, asi vamwe havana kuwana izvi.
Endometrial kana Uterine Polyps
An endometrial polyp inowedzera ye endometrium. Vanowanzova vasina kenza uye vane hanya, asi kwete nguva dzose.
Kuvapo kwemakemikari inonzi poly kunogona kukonzera kusununguka, asi kwete.
Kana uri kutambura kubata pamuviri, chiremba wako angaratidza kuti kubviswa kwepolp. Izvi zvinogona kuita kuti iwe uve nepamuviri kunze kwemamwe mishonga yokubereka .
Adenomyosis
Adenomyosis ndeye apo endometrium inokura kuva myometrium (muscular layer ye chiberekero.) Inogona kukonzera zvinorwadza, nguva dzinorema.
Adenomyosis inowanzonzi "uterine endometriosis." Inonyanya kuonekwa muma peri-menopausal vakadzi, asi inogona kuonekwawo kuvakadzi vane makore makumi matatu nemakumi matatu.
Mishonga yakakosha yeAdenomyosis yave iri endoscopic endometrial ablation (iyo inosanganisira kuparadzwa kwe endometrium) kana hysterectomy (iyo kubviswa kwechibereko.) Hazvipi zvezvirapa izvi zvakakodzera kana uchiri kuda kuva nevana.
Kune vakadzi vachiri kuda kuva nevana, pane zvimwe zvingasarudzwa:
- Kusarudza embolization (iyo inongororwa chete munharaunda yeAdenomyosis uye kwete iyo yose endometrium)
- Hormonal treatments neGnRH agonists (saLupron)
- Kusanganiswa kwehutachiona uye kuporesa
Asherman's Syndrome
Asherman's syndrome ndiyo iyo intrauterine inowanikwa mukati mechibereko. Ichi chivara chemavara chinokura mumashizha mukati memukati.
Inogona kukonzerwa nekuderedza kudengenyeka uye curettages (D & Cs), kutapukira kwepecvic, chikamu cheCesarea, uye mamwe chirwere chinonzi uterine. Dzimwe nguva, chikonzero chayo hachizivikanwi.
Asherman's syndrome inogona kukonzera kushungurudzwa nemimba uye inodzokorora kusununguka.
Inogona kurapwa panguva yehutorikopu, iyo nzira iyo yose inobvumira zvose kugadziriswa uye kubviswa kwehutachiona.
Viral Infection ye Endometrium
Utachiona hwehutachiona hunowanikwa mu endometrium hunogona kukonzera kusununguka uye kurasikirwa kwekudzivirira pamuviri. Kunyange zvazvo ichi chichiri chirevo uye mumatanho ekutanga ekutsvakurudza, zvinogona kutsanangura mamwe mamiriro e "kusatsanangurwa" kusununguka.
Chinyorwa chiduku asi chinogona kunge chinokonzera kuwanikwa chakawana kushamwaridzana kunogona kuitika pakati pehepe virus HHV-6A uye kuberekwa.
Apo vanhu vazhinji vanofunga nezvemhepe, vanofunga nezvehutachiona hwepabonde herpes simplex virus 2, kana HSV-2. Zvisinei, herpes simplex inongova imwe yomuitiro wehutachiona.
Iyo herpes mhuri yemavarusi inobatanidzwawo nehuku yehuku, mononucleosis, uye yakawanda inotonhora.
HHV-6 inofungidzirwa kuti inopfuurirwa nemamate uye inozivikanwa zvikuru nekukonzera hutachiwana hwehutano huchimhanya, roseola, muvana.
Kungofanana nedzimwe mavhamusi ehepe, kunyange mushure mokunge utachiona hwekutanga hupfuura, hutachiona hunoramba huri mumuviri. Vanotsvakurudza vanoti HHV-6 inogona kusanganiswa nedzimwe nhau dzehutano, kunze kwevana vaduku.
Chidzidzo muItaly chevakadzi makumi matatu nevasingakwanisi uye makumi masere ekutungamirira (avo vakange vatotanga kubereka mwana mumwechete) vakaona kuti HHV-6A ingave yakabatana nekushaya vana.
Vose vakadzi vaiva muchidzidzo vakanga vane endometrial biopsies.
Vatsvakurudzi vakaona kuti kuvakadzi vasina simba, 43 muzana vakange vane hutano hwehupenyu hweHHV-6A muhutachiwana mumashure avo ekupedzisira.
Zvisinei, hapana wevakadzi mu ((fertile) boka rinodzora rine DNA maitiro eHHV-6A mumagariro avo.
Dzidzo dzakakura dzinofanira kuitwa, uye hazvizivikanwe kuti mushonga unoshanda zvakanyanya sei kune vakadzi vane hutachiona HHV-6A.
Zvimwe zviitiko zvekutsvakurudza zvinogona kuongororwa zvinosanganisira mishonga inorwisa mishonga kana kuti zvirwere zveumunolo (zvinoreva kugadzirisa zvirwere zvemuviri zvemuviri zvirwere kune hutachiona, izvo zvingangopesana nemubereki kana kuuraya mwana asati abva kuva mwana.)
Endometrial Cancer
Muchirwere weEntometrial dzimwe nguva unonziwo uterine kenza. Nemhaka yokuti inokonzera kubuda ropa kusina kujairika, rudzi urwu rwekenza runowanzoongororwa nokukurumidza. Kunyanya kuongororwa kunogona kuita kuti kurapwa kunochengetedza kubereka.
Pasingapfuuri 5% yeukondombera ye endometrial inowanikwa kuvakadzi vasati vava nemakore makumi mana, saka kuchengetedza kubereka hakuwanzo kunetseka. Zvisinei, zvinogona kuitika kuvakadzi vezera rekubereka.
Kurapa kwekenza yemakemikari kunogona kukonzera kusagadzikana kana kurapwa kunorwadza kuchidiwa. Kuongorora chirwere chekutanga kunokosha.
Uyezve, zvakakosha kutaurira chiremba wako iwe hauna kupedza nekuva nevana vasati vasarudzwa nzira dzokurapa.
Kune nzira dzekuchengetedza kubereka kana chirwere ichi chiri kutanga. Semuenzaniso, kurapwa kwehomoni (panzvimbo yekurapa kunobatwa) kwekenza yemapendometri kunogona kuchengetedza zviri nani kubereka.
Nekurapwa kwakanyatsogadziriswa, chirwere chemakemikari chinonzi post-endometrial chinogona kuva nezvinetso ne endometrium shoma. Izvi zvinogona kuchinja zvakanyanya kuiswa kwemazinga uye kuwedzera mukana wekuparara.
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