Ukunyamekela kobugcisa

Ukuphuma kwegazi kumbindi kubandakanya iqela elaneleyo lokuphaphaza kumjikelezo onqabileyo. Zivela ngaphandle kokubola, umzimba ophuzi awukho. Inkqubo yabo iyacaphukiswa ngokuphikelela kobuqili. Ziyavela kwakhona ngenxa yesenzo esrogenic eside.

Ukuphikelela kobugqwetha kubonakaliswe ukufumana omnye okanye ngaphezulu kobugqili bokukhula komzimba othile. Nangona kunjalo, ayikho i-ovulation kunye nokwakhiwa komzimba ophuzi. Ubungqina bexesha lobugqwetha luninzi lweenyanga kwaye luhamba kunye nemveliso ye-hormone ye-estrogen.

Ukufumana ulawulo olunjalo lunokuhlala kwiintsuku ezisixhenxe ukuya kwezi-8. Emva koko, utshintsho kwendalo kunye nokuncipha kwinqanaba le-estrogen emzimbeni kubonakala. Ukuncipha kweHormon kuphazamisa iziphazamiso ezibhubhisayo ze-endometrium kunye nokuphuma kwamanzi, okufana nokuphuma kwindoda. Ukunyamezela okuqhubekayo kobugqwetha kwenzeka ngokuhambelana nokulibaziseka kwimihla (kwezinye iimeko ukuya kwiiveki ezimbalwa) kunye nokukhupha okukhulu kwithuba elide. Ukongezelela, le meko ihambelana ne-hylandpsysia ye-glandular kwi-endometrium. Ukuhlanjululwa kwale hlobo kudla ngokufunyanwa ngokubanzi kwiminyaka engaphambi kwe-menopausal kunye neminyaka yobudala.

Ukuphuma kwegazi kumanqanaba amahlanu ukuya kweyeshumi kuwo onke amacala. Zenzeka ngethuba lokuvuthwa okungapheliyo ngokwesini kunye nokungazinzi komjikelezo wesini. Ngamantombazana ukusuka kwiminyaka elishumi elinesibini ukuya kweyeshumi elinesibini umjikelezo ubonakaliswa njengenqweno kwi-60% yamatyala, ukususela kwiminyaka elishumi elinesibhozo ukuya kweyesixhenxe kwiminyaka - kuma-43% amacala kunye ne-18 ukuya kwe-20 kwiminyaka-kwi-27%.

I-atresia yenkohlakalo ihamba kunye nemveliso emide ye-estrogens. Nangona kunjalo, inani labo lincinci. Umxholo wesi-estrogenic, ongazibonakaliswa yiintlanzi, uvuselela i-hyperplasia kwi-endometrium. Oku kuguqula ithoni ye-vascular, ebangela ukuphulwa ekuhambeni kwe-endometrium, ukuvela kwegazi kunye ne-foci ye-necrosis. Njengomgaqo, ukulibaziseka kwimizila kulo mqathango ixesha elide kunezo ezihamba kunye nokuqhubeka kobugqwetha.

Kuzo zombini iimeko, ukuphuma kwintsholongwane enesibindi, ngokuqhelekileyo emva kokulibaziseka kokuya esikhathini, ezinokuhlala iintsuku eziliqela ukuya kwiiveki ezintandathu ukuya kweebhozo okanye eziliqela. Ngokunyamezela, kukho ukuphuma kwamanzi amaninzi, kodwa ayancinci.

Ukuxilongwa kwegazi elixhamlayo lwenziwa ngokuqwalasela iziganeko zekliniki kunye neenkcukacha zezifundo ze-endocrinological. Ukunyamezela kubonakala ngobungakanani bokushisa okuphantsi kwe-37º, umxholo ophezulu (50-100 mcg / imini) ye-estrogens. Ngexesha elifanayo, umxholo ophantsi we-pregnanediol ufunyanwa.

I-Atresia ihamba kunye neqondo eliphantsi lokushisa. Ngelo xesha kunomlinganiselo wokulinganisela we-estrogens kunye nokunciphisa ukukhutshwa kwe-pregnanediol.

Ukwahlukahlukana kokuxilongwa kwenzelwa izifo zesifo se-uterine zendalo (uterine uterine, umdlavuza wesibeletho kunye nabanye), kunye nezifo eziqhelekileyo (isifo sesibindi, igazi, i-diathesis kunye nezinye). Izigulane ezifunyaniswa ukuba zinobugqwetha bendoda zonyango ziphathwe unyango olujoliswe ekunqandeni ukuphuma (isigaba sokuqala sonyango) nokubuyisela ukunyuka kwesiqhelo (isigaba sesibini sonyango). Umsebenzi wesigaba sokuqala ukukhupha inguqu yecala kwi-endometrium ye-hyperplastic. Isigaba sesibini sonyango senza umsebenzi wokuthintela ukuphuma kwegazi kwaye kubandakanya ukubuyisela imijikelezo kunye nokuvuselela i-ovulation.