Maitiro Ekurapa Akatetepa Endometrium Kuti Ubate Pamuviri
Zvemukati
- Nzira yekuita sei endometrium
- Maitiro echisikigo ekuwedzera endometrium
- Kuziva sei kukura kweye endometrium
- Zvikonzero zve endometrial shrinkage
- Chii chinonzi endometrium inoshandiswa?
Kuwedzera endometrium, zvakafanira kurapwa nemishonga yemahormone, senge estradiol uye progesterone, kukurudzira kukura kweendometrium. Rudzi urwu rwekurapa runoratidzwa kune vakadzi vakawanikwa vaine endometrium yakatetepa, inonziwo atrophic endometrium, mune iyi turu iri 0.3 kusvika 6 mm gobvu, izvo zvinoita kuti zviome kubata nhumbu zvakasununguka, nekuti kune matambudziko akakura "embryo" inoiswa uye inokura.
Iyi mishonga inowedzera iyo endometrial ukobvu, ichibvumira kuiswa kweiyo embryo muchibereko uye, nekudaro, ichibvumira nhumbu. Nekudaro, vanachiremba vazhinji vanopokana kuti kugamuchirwa kwakakosha sekukora kweiyo endometrium, nekuti vakadzi vazhinji vanokwanisa kuve nepamuviri ne4 mm endometrium uye nekudaro kushandiswa kwemishonga hakuwanzo kukosha.
Nzira yekuita sei endometrium
Kuti kuwedzere hukobvu hwedendometriamu uye nekudaro vane mukana wakakura wekubata pamuviri, chiremba anogona kukurudzira kushandiswa kwemimwe mishonga inobatsira kudzora huwandu hwehomoni uye, nekudaro, ichiwedzera hukobvu hwenyama iyi. Mimwe mishonga inogona kuratidzwa ndeiyi:
- Sildenafil (Viagra).
- Pentoxifylline (Trental);
- Acetylsalicylic acid (Aspirin), mune yakaderera huwandu;
- Estradiol (Climaderm);
Mumadzimai asina mamwe matambudziko ekubereka, kushandiswa kwemishonga iyi kunoshanda zvakanyanya kubata pamuviri uye pane zviitiko zvevakadzi vakakwanisa kubata nhumbu isingasviki matatu macircle emishonga. Asi kana paine mamwe matambudziko ane chekuita nekushaya mbereko, ino nguva inogona kuve yakareba kana kuti zvingave zvakakodzera kuti utendeuke mu in vitro fertilization.
Maitiro echisikigo ekuwedzera endometrium
Iko hakuna kurapa kwechisikigo uko kunokwanisa kuwedzera kuwanda kweiyo endometrium, asi zvinofungidzirwa kuti kunwiwa kweiyi tii kune kugona uku. Izvi zvinodaro nekuti zvinofungidzirwa kuti yam chai inokwanisa kuwedzera iwo mwero weprogesterone muropa, isingafarire ovulation chete asi zvakare inosimudzira kuwedzera kweiyo endometrium.
Kunyangwe izvi, hukama pakati peiyi tii uye kuwedzera kubereka uye ukobvu hwendometrium hazvina kuratidzwa nesainzi, saka zvinokurudzirwa kuti chiremba abvunzwe kukurudzira kushomeka kweye endometrium.
Kuziva sei kukura kweye endometrium
Nzira chete yekuziva saizi yeendometrium yako ndeyekushandisa ultrasound, asi sezvo munyama uyu uchichinja pakukura mukati memwedzi, zvakakosha kuita bvunzo iyi pakati pekuenda kumwedzi, kunova ndiko kunonzi nguva yakaorera kuitika, inova iyo iyo endometrium iri pakukora kwayo kukuru.
Kuti ubate nhumbu zvakakosha kuti iyo endometrium mushure mekuisirwa ingangoita 7 kusvika 8 mm gobvu. Uku kukura kunogona kuoneka mune yeutterine ultrasound bvunzo, yakakumbirwa nachiremba. Kana denderedzwa iri risingasviki 7 mm gobvu, chiremba anogona kupa zano rekuti kushandiswa kwemishonga inokwanisa 'kutsemura' iyi dura, sevasodilator, platelet uye mahormone anti-aggregates.
Zvikonzero zve endometrial shrinkage
Iyo endometrium inoshanduka pakukora zvakasununguka panguva yega yega yekutevera, asi panguva yakaorera zvinotarisirwa kuti mukadzi ave nehupakati pakati pegumi nematanhatu kusvika makumi maviri nemasere, kunyangwe zvichitokwanisika kuchengeta "embryo" pa7 mm chete. Asi vakadzi vane yakatetepa nhete, havagone kubata nhumbu nekuti iyo endometrium haina kukwana kupa iyo embryo, kuona kukura kwayo.
Zvimwe zvezvikonzero zvekuderera uku mu endometrium ndeizvi:
- Yakaderera progesterone yevasungwa;
- Kuvapo kwechirwere chinoputika;
- Kushandiswa kwemahormone nzira dzekudzivirira;
- Kukuvara muchibereko mushure mekurapa kana kubvisa nhumbu.
Zvimwe zviratidzo zvinogona kuratidza endometrial atrophy ndeyekusaenda kumwedzi, nhoroondo yekuoma kubata nhumbu kana kubvisa nhumbu.
Chii chinonzi endometrium inoshandiswa?
Iyo endometrium ndiyo nyama inokwenenzvera chibereko mukati uye ine basa rekuchengetedza nekupa chikafu "embryo", inova mhedzisiro yemusangano pakati pezai rakakura nembeu. Uku kusangana kunowanzoitika mukati me fallopian machubhu uye nekuda kwekuvapo kwecilia diki iripo mudunhu rino, vanoenda muchibereko, vachiomerera kune endometrium uko kwainogona kukura kudzamara yanyatso kuumbwa kuti ibereke.
Uye zvakare, iyo endometrium yakakoshawo pakuumbwa kwepacenta iyo inotakura okisijeni uye zvese zvinovaka muviri zvinodiwa kumwana.
Kuti ovulation iitike, endometrium inokwana 7 mm inodiwa, saka kana mukadzi wacho asinga svike saizi iyoyo, haavhure uye nekudaro zvinobva zvanyanya kuomera kubata pamuviri. Tsvaga rumwe ruzivo nezve endometrium.