Tab sis, raws li txoj cai, gynecologists mus ntawm qhov ntxeev lus, thiab ntau dua precisely, sib piv cov nqi tiag tiag nrog rau cov cai tsim. Txhua lub hnub nyoog twg nws muaj nws tus yam ntxwv, piv txwv li, qhov tuab ntawm qhov kev ntsuas endometrium, uas yog qhov ntsuas thaum lub cev tsis nto hnub nyoog, tsis haum rau kev xeeb tub thiab pom kev ua txhaum cai.
Yog xav paub ntxiv txog cov ntsiab lus ntawm qhov kev ntsuas hauv lub cev, peculiar rau lub sijhawm nyoog, peb yuav tham hauv qhov no.
Endometrial Norm rau cov xeeb ceem
Qhov kawg ntawm ib tug poj niam ntawm hnub nyoog me nyuam yaus ua raws cov kev hloov qeeb. Qhov tseem ceeb ntawm cov txheej txheem ntawm lub plhaub hauv plawv txawv, uas yog khov tuab, kom txog rau thaum pib ntawm ovulation thiab ob peb hnub tom qab nws, thiab tom qab ntawd maj mam atrophies thiab torn tawm thaum lub caij ua poj niam.
Lub txheej txheem ntawm cov txheej txheem yog tswj los ntawm hormones, yog li ntawd tam sim ntawd reacts rau slightest hormonal failures.
Lub plawv ntawm qhov kawg ntawm qhov kev ntsuas yog qhov tseem ceeb rau cov poj niam npaj muaj cev xeeb tub. Txij li thaum tus qauv, qhov siab tshaj plaws, lub thickness ntawm endometrium ncav nrog ovulation, ua li no tsim kev mob zoo rau lub implantation ntawm ib cov qe fertilized. Tsis tas li ntawd, mus rau embryo nrog thiab pib tsim, lub mucosa yuav tsum paub tab, thiab nws cov qauv tsim nyog.
Yog li, nyob ntawm seb lub caij nyoog ntawm kev coj khaub ncaws, qhov thickness ntawm endometrium nws txawv:
- Nyob rau 5th-7th hnub ntawm lub voj voog (cov theem ntawm kev loj hlob thaum ntxov), cov qauv ntawm qhov kev ntsuas ntawm lub qe yog qhov tsis zoo, thiab nws cov tawv nqaij txawv li 3-6 hli.
- Nyob rau hnub tim 8th-10th (theem ntawm kev loj hlob loj), lub plab ntim ntawm lub tsev me nyuam endometrium nce, nws cov tuab tuab ncav cuag 5-10 hli.
- Nyob rau hnub 11th-14th (theem ntawm kev loj hlob tuaj), lub thickness ntawm lub plhaub yog 11 mm, qhov kev tso cai qhov tseem ceeb yog 7-14 hli.
- Nyob rau hnub 15-18 (theem ntawm kev tso pa tawm ntxov), qhov kev loj hlob ntawm endometrium maj mam nqes thiab hloov mus rau hauv 10-16 hli.
- Nyob rau hnub tim 19th - 23rd (theem nrab qis theem), qhov siab tshaj plaws ntawm qhov hnyuv tau pom, uas yuav tsum muaj tsawg kawg yog 14 hli.
- Tus qauv ntawm qhov kev ntsuas endometrium ua ntej kev coj khaub ncaws yog 12 hli.
- Thaum lub sijhawm ntawm lub hli, lub hau ua haujlwm raug muab tua, thiab qhov kawg, lub thickness ntawm qhov hnyuv ncav nws qhov qub nqi.
Yog hais tias lub cev xeeb tub tau tshwm sim, thiab lub plab hnyuv qau tau nti tawm ntawm lub qhov dej ntawm lub tsev menyuam, ces tom qab ntawd nws tseem muaj kev nthuav dav. Nyob rau hauv tus qauv ntawm endometrium thaum cev xeeb tub thickens, enriched nrog cov hlab ntsha. Nyob rau ntawm 4-5 lub lis piam nws qhov nqi yuav mus txog 20 hli, thiab tom qab ntawd nws yuav raug hloov mus rau hauv lub tsho me nyuam uas yuav ua kev tiv thaiv, thiab muab lub fetus nrog cov as-ham thiab cov pa oxygen.
Tus qauv ntawm cov kev ntsuas endometrium hauv menopause
Ua ntej tshaj, tag nrho cov menopause yog ib qhov txo qis rau cov tshuaj no, uas tsis tuaj yeem cuam tshuam rau cov kabmob ntawm qhov kev tsim kho menyuam. Hauv particular, qhov tshwm sim yog cuam tshuam los ntawm cov kev hloov hauv lub tsev menyuam, zes qe menyuam, qhov chaw mos thiab cov qog nqaij hlav hauv tsev.
Thaum lub caij nyoog lawm, lub puab txheej ntawm lub tsev menyuam tau ua nyias thiab txhuam, thiab nws thiaj li atrophies. Nquag, thicknesses nyob rau hauv lub sij hawm no yog 3-5 hli. Yog tias qhov txiaj ntsig tseeb nce, ces peb tham txog kev mob hypertrophy. Cov tsos mob ntawm tus mob no tuaj yeem sib txawv ntawm qhov siv ntshav, pib ntawm ib qho tshuaj pleev xim, nrog rau cov ntshav poob. Hauv thawj cov ntaub ntawv, tus mob yog kho los ntawm hormonal therapy, nyob rau hauv lub tom kawg - los ntawm phais kev cuam tshuam.