Okwangoku, ngaphantsi kwefuthe leemeko ezahlukeneyo (i-ecology, izimo ezixinzelelekileyo, amayeza), inani lezifo zentsholongwane kwabasetyhini liye landa, elithintela ukuqala kokukhulelwa. Nangona kunjalo, izizathu zomzimba nazo zinokwenzeka, enye yazo i-hypoplasia ye-endometrial ye-uterus - ukuphuhliswa kwe-intlawu yangaphakathi yesibindi esinesibindi sayo (endometrium). Umsebenzi oyintloko we-endometrium kukudala iimeko ezifanelekileyo zokufakelwa kwe-blastocyst kwisigxina se-uterine. Ukuba ibhinqa linomlenze we-endometrium-hypoplasia, ngoko ukufakela kungenzeki, iseli alinakukwazi ukufumana inxalenye encinci ye-endometrium. Kule meko, ibhinqa ifunyanwa "njengengenasiphelo." Ukuze ulungele ngempumelelo umbindi kwisigxina se-uterine, ubukhulu be-endometrium kufuneka bube ubuncinane obu-7 mm. Nge-hypoplasia ye-endometrial, kungenzeka ukuba ukufakelwa kuyo kuza kwenzeka, kodwa isiqhotyoshelweyo sinokungaqiniseki kwaye ukukhulelwa kungayeka ukuhlakulela.
I-hypoplasia ye-endometrial ye-endometrial yesibindi: izizathu
I-endometrium encinci ingabonwa kwindoda eneminyaka yobudala yokuzala ngenxa yezi zizathu ezilandelayo:
ukuhluleka kwenkqubo ye-hormonal; izifo ezithathelwana ngesondo ;- iinkqubo ezivuthayo kwi-uterus (endometritis engapheliyo);
- ukutshiza ngexesha lokukhipha isisu;
- uzuzo lwezinto;
- ukuphulwa kwegazi kwi-uterus;
- utshintsho kumsebenzi wee-receptors ezibuhlungu kakhulu kwi-estrogens;
- imisebenzi eyenziwa kwiiyunithi.
I-Hypoplasia ye-endometrium: iimpawu
Ibhinqa linokuthi linemiqondiso elandelayo ye-endometrial uterine hypoplasia:
- kwi-anamnesis, ukuqala kokuya esikhathini kunobungakanani beminyaka eyi-16 nangaphezulu;
- ukukhubazeka kwexesha lokuya esikhathini: zibuhlungu, zingavumelekile, zifutshane, zibe ziincinci okanye, ngokuthe ngqo, zininzi;
- ukungabikho kwe-orgasm ngexesha lesondo - i- anorgasmia ;
- ukuhamba kweenwele ezinganeleyo;
- ukuphuhliswa ngokubanzi komzimba: i-pelvis emancinci, amahlombe, iimpawu zesini zobuncinci.
I-Endometrial Hypoplasia nokukhulelwa
Ukuba ibhinqa ine-endometrium esincinci, ngoko isakhiwo sichaphazela ukukhulelwa, ukuzala nokuzalwa komntwana. Ukuphululwa komsebenzi wokuzala kunokumelwa ngala maphepha:
- ukungabikho;
- ukukhulelwa kwe-ectopic, ngenxa yobuninzi beethubhu zamathali ezide kunye nezono;
- ukutshatyalaliswa kwamathambo;
- ebizwa ngokuba yi-toxicosis;
- ekubelethweni: umsebenzi obuthathaka obunzima, ukungabikho kolwazi lokutyhila i-uterine perineum ngexesha lobasebenzi;
- ukuphuma kwegazi ebudeni bexesha lokugqibela.
Indlela yokuphatha i-endometrial hypoplasia?
Ngaphambi kokuba uqale unyango, qalisa ukuxilongwa ngokupheleleyo, oku kuquka iinkqubo ezilandelayo:
- ukuhlolwa kwegazi kuma-hormone ngosuku lwama-20 ukuya ku-22 lwenyanga yokuya esikhathini (inkohlakalo-ukuvuselela, i-hormone ye-luteotropic, i-progesterone);
- uvavanyo lwe-uzi ukuhlolwa kobunzima be-endometrium;
- i-biopsy ye-uterus.
Ukuba ibhinqa ifunyanwe ne-uterine ye-endometrial hypoplasia, unyango oluphambili luyonyango ye-hormone, injongo yalo ichongwa ngokwezinga lexinzelelo le-hypoplasia kunye nesizathu esibangele.
Nge-endometrium encinci, umlinganiselo omkhulu we-estrogen kunye namanani amancinci e-aspirin ayalelwe.
Ukongezelela, umgqirha-gynecologist angachaza iinkqubo zonyango, ezenziwa zifundo ngekhefu. Faka ezi ndlela zendlela yokwenza i-physiotherapy:
- laser;
- ozokeritotherapy (unyango lwamafutha);
- i-diathermy (isiphumo kwesikhumba somntu osasazayo).
I-Endometrial Hypoplasia: unyango kunye neziLungiso zeSizwe
Izindlela ezinjalo zokwenza unyango njenge-hirudotherapy kunye ne-acupuncture zingenza ngcono ukunikezelwa kwegazi kwi-pelvis encinci. Oku kuya kuthintela ukucuthwa kwe-endometrium nokukhuthaza ukukhula kwayo.
Ku luncedo ukwenza inkxalabo yobumba bendalo kwindawo engezantsi zesisu. Gcina le nto ikhupha isikhumba sakho ubuncinane kwiiyure ezimbini.
Ukulungelelanisa ukunikezelwa kwegazi kunye nokukhula kwe-endometrium, isisombululo esiphumeleleyo sisisigxina.
Kufuneka kukhunjulwe ukuba i-hypoplasia ye-endometriyali isifo esiyingozi esiyintlungu efuna unyango lwexesha elide. Ngokuxhomekeke kwinqanaba lokuxinwa kwe-hypoplasia, ukuxela kwangaphambili kungahluka: umntu unokuncedwa ngamayeza e-hormonal kunye ne-physiotherapy, kunye neendlela ezingaqhelekanga zonyango akunakunceda umntu. Kukho nawuphi na, kuyimfuneko ukuqhagamshelana nogqirha ngokukhawuleza ukuba ukhethe ikhosi efanelekileyo yonyango, kuba nayiphi na imeko yesifo sesisu esingaba nefuthe elibi kumsebenzi wokuzala umntwana.