Njengamanje, ngaphansi kwethonya lezici ezihlukahlukene (imvelo, izimo ezicindezelayo, imishanguzo), inani lezifo ezithathelwanayo kubantu besifazane lenyukile, okuvimbela ukuqala kokukhulelwa. Kodwa-ke, izimbangela zomzimba nazo kungenzeka, enye yazo i-endometrial hypoplasia yesibeletho - ukuthuthukiswa kwengaphakathi lesigqila esiswini (endometrium). Umsebenzi oyinhloko we-endometrium ukudala izimo ezifanele zokufakelwa kwe-blastocyst emgodini we-uterine. Uma owesifazane enomzimba omncane we-endometrium - hypoplasia, lapho ukufakelwa khona kungenzeki, iseli nje alinakukwazi ukuthola i-endometrium. Kulesi simo, owesifazane utholakala "engenalutho." Ukulungisa ngempumelelo imbungu emgodini we-uterine, ubukhulu be-endometrium kufanele bube okungenani bu-7 mm. Nge-hypoplasia ye-endometrial, kungenzeka ukuthi ukufakelwa kuyokwenzeka, kodwa okunamathiselwe kungase kube nokungaqiniseki futhi lokhu kukhulelwa kungase kuphele ukukhula.
I-hypotlase ye-endometrial ye-endometrial yesibindi: izimbangela
I-endometrium encane ingabonwa owesifazane oneminyaka yobudala yokubeletha ngezizathu ezilandelayo:
ukwehluleka ohlelweni lwe-hormonal; izifo ezithathelwana ngocansi ;- izinqubo zokuvuvukala esibelethweni (i-endometritis engapheli);
- ukukhipha ngesikhathi sokukhipha isisu;
- ukulungiswa kwefa;
- ukwephula ukunikezwa kwegazi esibelethweni;
- izinguquko emsebenzini we-receptors ezizwela kakhulu ku-estrogens;
- imisebenzi eyenziwa ama-ovari.
I-Hypoplasia ye-endometrium: izimpawu
Owesifazane angase abe nezimpawu ezilandelayo ze-endometrial uterine hypoplasia:
- ku-anamnesis, ukuqala kokuya esikhathini kunesibalo seminyaka engu-16 nangaphezulu;
- ukukhubazeka kokuya esikhathini: kuyabuhlungu, kungavamile, kuyifushane, kungenzeka kube mncane noma, ngokuphambene, kukhulu kakhulu;
- ukungabi khona kwe-orgasm ngesikhathi socansi - anorgasmia ;
- ukugeleza kwezinwele ezinganele;
- ukuthuthukiswa okujwayelekile komzimba: i-pelvic encane, amahlombe, izici zobuncane bobulili obuphansi.
I-Hypoplasia ye-Endometrial nokukhulelwa
Uma owesifazane ene-endometrium encane, lesi sakhiwo sithinta ukukhulelwa, ukubeletha nokuzalwa kwengane. Ukuphulwa komsebenzi wokuzala kungamelwa yiziqephu ezilandelayo:
- ukungabi namuntu;
- ukukhulelwa kwe-ectopic, ngenxa yobuningi bezibhubhu ezindala nezimbi;
- ukuhlukumeza;
- okubizwa ngokuthi i-toxicosis;
- ekubelethweni: umsebenzi obuthakathaka wabasebenzi, ukungabi khona kokudalulwa kwe-uterine perineum ngesikhathi sokubeletha;
- ukuphaphazeka okukhulu ngesikhathi sokuhamba kwesikhathi.
Indlela yokuphatha i-hypoplasia ye-endometrial?
Ngaphambi kokuqala ukwelashwa, yenza ucwaningo oluphelele, olufaka izinqubo ezilandelayo:
- ukuhlolwa kwegazi ngamahomoni ngosuku lwama-20 kuya ku-22 lwenyanga yokuya esikhathini (i-follicle-stimulating, i-hormone i-luteotropic, i-progesterone);
- u-u-test for the assessment of thickness of the endometrium;
- i-biopsy yesibeletho.
Uma owesifazane ehlonishwa ukuthi une-uterine ye-endometrial hypoplasia, ukwelashwa okuyinhloko yi-therapy ye-hormone, inhloso yayo enqunywa izinga lokuqina kwe-hypoplasia kanye nesibangela esabangela.
Njengoba i-endometrium encane, umthamo omkhulu we-estrogen kanye nokulingana okuncane kwe-aspirin kunqunywe.
Ngaphezu kwalokho, isazi sezinzwa-mzimba singakwazi ukuhlinzeka ngezinqubo zokwelapha ngokomzimba, ezenziwa ngezifundo ngekhefu. Sebenzisa lezi zindlela ezilandelayo ze-physiotherapy:
- ukuphathwa kwelasi;
- ozokeritotherapy (ukwelashwa kokushisa);
- i-diathermy (umphumela esikhunjeni samanje okwamanje).
I-Hypoplasia ye-Endometrial: Ukwelashwa Nezixazululo Zabantu
Izindlela ezinjalo zokwelapha ezinjenge-hirudotherapy kanye nokugcoba umzimba zingathuthukisa ukunikezwa kwegazi ku-pelvis encane. Lokhu kuzovimbela ukuncipha okuqhubekayo kwe-endometrium futhi kukhuthaze ukukhula kwayo.
Kuwusizo ukwenza ukucindezelwa kwendalo yobumba engxenyeni engezansi kwesisu. Gcina lokhu kucindezela esikhumbeni sakho okungenani amahora amabili.
Ukuze kulungiswe ukunikezwa kwegazi nokukhula kwe-endometrium, ikhambi eliphumelelayo liyi-sage.
Kumele kukhunjulwe ukuthi i-hypoplasia ye-endometrial yisifo esibucayi esiyinkimbinkimbi esidinga ukwelashwa isikhathi eside. Ngokuya ngesilinganiso sobukhulu besifo se-hypoplasia, ukuphawula kwesimo kungase kuhluke: umuntu angase asizwe ngemithi ye-hormonal kanye ne-physiotherapy, futhi ngisho nezindlela ezingezona zendabuko zokwelapha azikwazi ukusiza umuntu. Kunoma yikuphi, kubalulekile ukuxhumana nodokotela ngokushesha ukuze ukhethe inkambo yokwelashwa enhle kakhulu, ngoba noma yisiphi isimo se-pathological of the uterus singaba nomthelela omubi emsebenzini wokuzala wesifazane.