Endometrium shine murfin ciki na mahaifa. Kowace wata, endometrium yana karaka da sake sabunta kanta, yana shirya don daukar ciki.
Idan ciki bai faru ba, endometrium yana nunawa a cikin tsari da aka sani da haila .
Idan zato ya faru, embryo ya shiga cikin endometrium.
Yanayi wanda ya ƙunshi ƙarsometrium kuma zai iya tasiri ga haihuwa:
- Matsananciyar ciki ko tsalle-tsalle
- Lalacewar lokaci maras kyau
- Endometriosis
- Endometrial polyps
- Adenomyosis
- Abincin Ashaman ( ciwon daji )
- Kwayoyin cutar bidiyo
- Ciwon daji na Endometrial
Dukkan waɗannan ka'idodin da tasirin su a kan haihuwa za a tattauna a taƙaice a kasa.
Yadda Endometrium ke aiki
Yawan cikin mahaifa ya kunshi nau'i uku: sifa, myometrium, da endometrium.
Serosa ne fata fata na mahaifa. Yana ɓoye ruwa mai ruwa don hana haɓaka tsakanin mahaifa da gabobin da ke kusa.
Myometrium shi ne ɗakin layi na tsakiya. Wannan shi ne babban kwanciya na mahaifa. Ana amfani da myometrium na tsoka mai tsoka.
A lokacin daukar ciki, myometrium yana fadada don sauke jaririn. A lokacin haihuwar, haɓakawa na myometrium na taimakawa wajen haihuwar jariri.
Endometrium yana sanya rufin ciki na cikin mahaifa. Yana da murfin mucosal da canje-canje a cikin kauri a cikin juyayi.
Abun ƙarewa kanta kanta ya zama uku na yadudduka:
- A stratum Basalis, wanda aka fi sani da basal Layer. Wannan shi ne mafi zurfin endometrial Layer da ke zaune a kan myometrium na mahaifa. Ba ya canzawa sosai a cikin sake zagayowar. Ka yi la'akari da shi a matsayin tushe daga abin da canza canjin ƙarsometrium ke tsiro.
- Tsarin tsaka-tsaki: wannan wani matsakaicin matsakaicin matsakaici na endometrium. Wannan Layer zai canza a yayin hawan zane.
- Ƙwararren samfuri: wannan ita ce matsakaicin matsakaici na endometrium, kuma yana ta hanyar canje-canje. Yana da ƙarami kuma mafi karami idan aka kwatanta da sauran layers.
Wannan shine matakan shimfidawa da kuma shimfidar shimfiɗaɗɗen shimfidar wuri waɗanda ke canjawa da karuwa a duk tsawon lokaci. Tare, wadannan layuka guda biyu an san su ne a matsayin ma'aunin tsarin aikin ko aiki.
Bayanin aikin na endometrium yana zuwa ta hanyar matakai uku na farko:
Tsarin yaduwa : wannan shine lokacin da endometrium ya kara girma, yana shirya jariri don amfrayo.
Wannan mataki ya fara a ranar farko na haila kuma ya ci gaba har sai da jima'i .
Estrogen na hormone mahimmanci ne akan samuwar rashin lafiya. Idan matakan estrogen suna da ƙananan ko maɗaukaki, zai iya haifar da wani endometrium wanda yake da bakin ciki ko kuma lokacin farin ciki.
Har ila yau, endometrium ya zama fascularized a wannan lokaci ta madaidaiciya da karkace. Wadannan arteries suna bada cikakkun jini zuwa ga endometrium.
Lokaci na sirri : wannan shine lokacin da endometrium ya fara ɓoye muhimman abubuwan gina jiki da ruwaye.
Progesterone shine ainihin hormone na wannan lokaci.
Wannan lokaci zai fara bayan yaduwa kuma ya ci gaba har sai haila.
Gland na endometrium secrete sunadarai, lipids, da kuma glycogen. Ana buƙatar waɗannan don ciyar da amfrayo. Sun kuma hana ƙarsometrium daga karya.
Idan amfrayo ya shiga kanta cikin bango na ƙarsometrium, mahaifa mai tasowa za ta fara ɓoye hormone na gonadotropic ɗan adam (hCG) .
Wannan hormone ta ciki yana nuna suturar jiki (a kan ovaries) don ci gaba da samar da progesterone, wanda ke kula da endometrium.
Idan amfrayo ba ya shiga cikin endometrium, to, kwayar cutar ta jiki za ta fara raguwa, ta haifar da matakan rage yawan kwayar hormone progesterone.
Lokacin da kwayar cutar ta saukowa, gland of endometrium zai hana zubar da ruwan da ke riƙe da shi.
Har ila yau, tare da janyewar progesterone, raƙuman karfin da suke samar da endometrium tare da jini ya fara ƙuntatawa.
Wannan yana haifar da raunin aikin Layer na endometrium.
A ƙarshe, ana fitar da ƙarsometrium daga cikin mahaifa ta hanyar haila, kuma sake zagayowar yana sake farawa.
Haske
Idan kuna tafiya ta hanyar haihuwa , likitan likitanku na iya komawa zuwa ga ƙarshen gadonku kamar yadda yake da mahimmanci ko ma ma ya yi yawa.
A kauri daga cikin endometrium an ƙaddara ta hanyar wani nau'i na tayi. Babu wani ra'ayi mai mahimmanci game da abin da yake "mahimmanci" ko kuma "ya yi yawa." Kowane likita yana da ra'ayi daban-daban game da wannan al'amari.
Abin da muka sani shi ne cewa ciwon bakin ciki ko lokacin farin ciki na endometrium (duk abin da yake nufi) na iya rage rashin daidaituwa na ciki. Bincike ya gano cewa yana iya cutar da rashin amfrayo ko kuma ƙara yawan kuskuren ɓarna.
Bayanin karshen endometrium na iya zama alamar ƙin haihuwa a gaba ɗaya. Amsar rashin talauci mara kyau ya danganta da ƙarancin endometrium.
Har ila yau, mahimmancin sanin, amfani da magungunan ƙwayoyi na haihuwa, Clomid, yana da tasiri ga tasiri mai zurfi.
Amfani da kwancen ƙwayoyin haihuwa a lokacin da ake amfani da shi na tsawon lokaci yana da tsammanin zai haifar da ƙarshen gadon dan lokaci.
Luteal Phase Defect
Halin luteal na juyayi zai fara bayan yaduwa kuma ya fara ta farkon haila.
Kamar yadda aka ambata a sama, a lokacin lokaci na luteal, progesterone na hormone taka muhimmiyar rawa wajen haifar da ƙarsometrium zuwa abubuwan da ke da mahimmanci da abubuwa. Duk waɗannan suna goyon bayan endometrium kuma suna haifar da yanayin lafiya ga amfrayo.
Sakamakon lalacewa na wucin gadi yana iya haifar da rashin haihuwa . Yana faruwa a lokacin da matakan progesterone ba su da cikakkun isa ko basu ci gaba da tsawon lokaci ba don kiyaye endometrium cikakke kuma sun shirya don shigar da amfrayo.
A wani lokaci, lalacewar lokaci na luteal (LPD) an bincikar da ita ta hanyar biopsy endometrial. Wannan har yanzu wani lokaci ne.
Bugu da ƙari, lalacewar lokaci na luteal za a iya bincikarsa ta hanyar matakan daukar kwayar cutar gwaji. Idan matakan ba su da cikakkun isa ko basu da tsayi sosai, wannan na iya nuna rashi lokaci na luteal.
Sauran alamun yiwuwar lalacewa na lakabi sune ...
- gano bayan kwayar halitta amma kafin haila ta fara
- wani ɗan gajeren lokaci na luteal (kasa da 12 zuwa 14) a kan tashar yanayin jiki na basal
Mata waɗanda ke tsara jigilar jikin su na iya gane wannan tsari mara kyau kafin su gane cewa suna da matsalar haihuwa. Wannan yana daga cikin abubuwan da yawa ke amfani da su.
Endometriosis
Endometriosis wani yanayin ne wanda aka samo endometrium a waje da ɗakin mahaifa. Yana da mawuyacin dalilin rashin haihuwa.
Duk da yake endometriosis yana da ma'anarta ta hanyar nama na ƙarshen ciki yana girma a wurare mara kyau, zai iya rinjayar yanayi mai layi, endometrium kanta, da kuma ovulation.
Wasu nazarin sun sami tasiri mai tasiri a kan tayar da embryo a cikin mata tare da endometriosis, yayin da wasu ba su sami wannan ba.
Endometrial ko Uterine Polyps
Dandalin endometrial polyp shi ne farfadowa na endometrium. Yawancin lokaci ba wadanda ba za su iya ba, kuma ba su da kyau, amma ba koyaushe ba.
Kasancewar wani endometrial poly na iya haifar da rashin haihuwa, amma ba dole ba ne.
Idan kana kokarin gwagwarmaya, likitanku na iya bada shawara akan cirewar polyp. Wannan zai iya ba ka damar yin ciki ba tare da ƙarin jiyya ba .
Adenomyosis
Adenomyosis shine lokacin da endometrium ke tsiro a cikin myometrium (murfin muscular na mahaifa.) Zai iya haifar da raɗaɗi, lokaci mai nauyi.
Adenomyosis ne ake kira "uterine endometriosis" a wasu lokutan. Yawanci ne a cikin matan peris-menopausal, amma ana iya ganin su a cikin mata 30s da 40s.
Na farko maganin adenomyosis sune ƙarsosetic endometrial ablation (wanda ya hada da lalata endometrium) ko hysterectomy (wanda shine cire daga cikin mahaifa.) Babu daga cikin wadannan jiyya ya dace idan har yanzu kuna so su sami yara.
Har yanzu mata suna son samun yara, akwai wasu zaɓuɓɓuka:
- Abolization zabi (wanda aka yi niyya kawai a yankin adenomyosis amma ba dukan endometrium)
- Hormonal jiyya tare da GnRH agonists (kamar Lupron)
- Haɗin haɗari da cututtuka
Abincin Ashiru
Maganar Ashira ne lokacin da adhesions intrauterine ke ciki a cikin mahaifa. Wannan nau'in nama ne wanda ke tsiro cikin zanen gado cikin cikin mahaifa.
Ana iya haifar dashi da kuma maganin warkar da cututtuka (D & Cs), kamuwa da cutar pelvic , Sashen Cesarean, da sauran aikin tiyata. Wani lokaci, hanyarsa bata sani ba.
Ƙungiyar Ashiru na iya haifar da matsala tare da haɓaka da sake fashewa.
Ana iya bi da shi a lokacin hysteroscopy, hanyar da ta bada izinin tantance ganewar asali da kuma cirewa daga jikin wulakanci.
Cutar Kwayar cututtuka na Endometrium
Abun kamuwa da kwayar cutar da ke samuwa a cikin endometrium na iya haifar da rashin haihuwa da kuma hasara mai ciki. Duk da yake wannan har yanzu ka'idar ce kuma a farkon farkon bincike, zai iya bayyana wasu lokuta na rashin kulawa da "unxplained".
Wani karamin bincike mai zurfi amma yiwuwar samuwa a tsakanin cutar HHV-6A da kuma rashin haihuwa.
A lokacin da yawancin mutane ke tunani game da herpes, suna tunanin cutar cutar ta hanyar cutar ta hanyar jima'i 2, ko HSV-2. Duk da haka, herpes simplex ne kawai nau'in nau'i na cutar.
Iyaye ta iyali na ƙwayoyin cuta ma yana da alhakin pox na kaza, mononucleosis, da kuma ciwon sanyi.
Hulɗar HHV-6 ana zargin ana wucewa ta hanyar salwa kuma an fi sani da shi don haifar da kyamarar yara mai kama da sauri, yara, a cikin yara.
Kamar sauran ƙwayoyin cutar ta herpes, ko da bayan ƙwaƙwalwar farko ta kamuwa da cuta, kwayar cutar ta zauna a cikin jiki. Masu bincike sunyi zargin HHV-6 na iya haɗuwa da wasu al'amura na kiwon lafiya, bayan raunin yara.
Binciken a Italiya na 30 mata marasa lafiya da iko 36 (wanda ya riga ya haifi jariri daya) ya dubi ko HHV-6A zai iya dangantaka da rashin haihuwa.
Dukan mata a cikin binciken suna da biopsies endometrial.
Masu bincike sun gano cewa daga cikin mata marasa ciki, kashi 43 cikin dari na da shaida na kwayar cutar HHV-6A a cikin samfurori na endometrial.
Duk da haka, babu wani daga cikin mata a cikin rukunin kulawa (m) wanda ke da alamun DNA na HHV-6A a cikin biopsies.
Dole ne a yi karatu mai zurfi, kuma ba a san abin da magani mafi mahimmanci zai kasance ga matan da ke dauke da HHV-6A ba.
Wasu hanyoyi da bincike na gaba zai iya bincike sun hada da magungunan rigakafi ko magungunan immunological (nufin kwantar da hankalin jikin mutum ba tare da amsa cutar ba, wanda zai iya tsangwama tare da hawan embryo ko kuma kai hari ga amfrayo kafin ya iya zama babba.)
Endometrial Kankara
Ciwon daji na endometrial wani lokaci ana san shi kamar ciwon daji na uterine. Saboda yana haifar da zubar da jini, irin wannan ciwon daji ana ganowa da sauri. Sakamakon asali na farko zai iya taimakawa magani wanda zai kare haihuwa.
Kasa da kashi 5 cikin dari na cututtuka na endometrial ke faruwa a cikin mata a cikin shekaru 40, don haka adanar haihuwa bai saba da damuwa ba. Duk da haka, ana iya faruwa a cikin mata masu haihuwa.
Jiyya na ciwon daji na endometrial zai iya haifar da rashin haihuwa idan ana buƙatar magani mai tsanani. Sanin asali na farko yana da muhimmanci.
Har ila yau, yana da muhimmanci a gaya wa likitan da ba a gama ba tare da samun yara kafin a tattauna zabin maganin.
Akwai hanyoyin da za a adana ƙwayar haihuwa lokacin da ganewar asali ne da wuri. Alal misali, maganin hormonal (maimakon magani) na ciwon daji na endometrial zai iya kiyaye adu'a sosai.
Tare da magungunan magani mai mahimmanci, mata masu fama da maganin ciwon daji na ƙarshe zasu iya samun matsala tare da ƙarshen katako. Wannan zai iya rinjayar mummunar tasiri da kuma ƙara yawan yiwuwar ɓarna.
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