THEendometrial ʻo ia ka mucous membrane e laina ana i loko o kakōpū. I ka pau ʻana o ke kaʻina menstrual, inā ʻaʻole i hoʻoulu ʻia, e hoʻoneʻe ʻia kahi hapa o ka endometrium (e hoʻomau mau ana iā ia iho) menstruation.

THEka hopena ʻike ʻia e ke aʻo ʻana, mawaho o ka opu, ʻiʻo i hoʻokumu ʻia mai nā pūpū endometrial. ʻO ka hopena, hoʻomaka ka endometrium i kahi ʻē aʻe o ke kino.

ʻO kaʻiʻo endometrial, ma kahi o ke kino, pane i ka loli ʻana o ka hormonal i ka pōʻai menstrual. No laila, e like me ka uhi o ka ʻōpū, hana ia a laila "hoʻokahe" i kēlā me kēia mahina. Eia naʻe, ke loaʻa kēia kiko ma waho o ka ʻōpū, e like me ka hihia o nā wahine me ka endometriosis, ʻaʻohe puka o ke koko i waho o ke kino. Hiki i ke koko a me nā pūnaewele endometrial wehe ke hoʻonāukiuki i nā ʻōpū kokoke a me ka peritoneum (ka membrane e hoʻopili ai i nā ʻōpū i loko o ka ʻōpū). Hiki iā ia ke alakaʻi i ka hoʻokumu ʻana o nā kupa (ʻo ka nui o ka pine a me ka nui o ka hua waina), ʻili mākala, a me nā adhesions e hoʻopili ai i nā kino i kekahi i kekahi a me ke kumu eha.

Ma hea kahi e hana ai nā ʻiʻo endometrial?

ʻO ka hapa nui o ka manawa:

- ma nā ovaries;

- ma nā ʻōpū fallopian;

- ma nā ligaments e kākoʻo ana i ka ʻōpū;

– ma ka ʻili o waho o ka ʻōpū.

ʻOi aku ka kakaikahi, hiki iā lākou ke ulu ma nā ʻōpū kokoke, e like me ka ʻōpū, ka ʻōpū a i ʻole nā ​​puʻupaʻa. ʻO ka mea hope loa, ʻike ʻia lākou ma nā wahi mamao loa mai ka ʻōpū, e like me nā māmā, nā lima a me nā ʻūhā.

ʻO kēia maʻi gynecological i waena o nā mea maʻamau: mai 5% a 10% o nā wahine o nā makahiki hānau keiki. ʻIke pinepine ʻia ka endometriosis ma kahi o 25 a 40 mau makahiki, ma muli o eha abnormally ikaika i loko o ka ʻōpū lalo a i ʻole he pilikiainfertility. ʻOiaʻiʻo, ʻo 30% a 40% o nā wahine me ka endometriosis he infertile. Akā i nā manawa he nui, ʻaʻole pili ka endometriosis me ka ʻeha a ʻaʻole pili i ka ulu. A laila ʻike ʻia ma ka manawa kūpono, no ka laʻana i ka wā o ka hana laparoscopic i loko o ka ʻōpū.

Nā kumu

I kēia manawa, ʻaʻole hiki i kekahi ke wehewehe i ke kumu o kekahi mau wahineka hopena. Hiki paha ke hana hewa ʻole o ka ʻōnaehana pale a me kekahi mau kumu genetic. eia kekahi mau kuhiakau holomua.

ʻO ke kuhiakau i ʻae ʻia e pili ana i ka manaʻo o kahe hoʻi hope. I ka wā o ka menstruation, hoʻoneʻe ʻia ke koko a me nā ʻāpana o waho o ka endometrium i waho ma o ka hoʻopaʻa ʻana o ka ʻiʻo. I kekahi manawa, hiki ke ho'ohuli i ke kahe o ke koko (no laila ka inoa retrograde flow) a hiki ke kuhikuhi 'ia ke koko i loko o ka lua pelvic ma o na paipu fallopian (e nana i ke ki'i). Hiki mai kēia reflux i kekahi manawa i ka hapa nui o nā wahine, akā ʻaʻole e hele pū ʻia me ka a muli nā pūnaewele endometrial ma mua o kekahi o lākou.

ʻO kekahi kuhiakau e hiki ke neʻe ka ʻiʻo endometrial i waho o ka ʻōpū ma o ka lymph a i ʻole ke koko.

ʻO ka hope, hiki nō hoʻi ke hoʻololi ʻia kekahi mau cell e kū mau ana ma waho o ka ʻōpū i mau cell endometrial ma lalo o ka mana o nā ʻano genetic a me ke kaiapuni.

Evolution

ʻOkoʻa nā degere o ka paʻakikī o ka endometriosis. ʻO kēia maʻi maʻamau e ʻoi aku ka ʻino i ka manawa ke waiho ʻole ʻia.

Ma ka ʻaoʻao ʻē aʻe, loaʻa i nā kūlana 2 ka hopena o ka hōʻemi ʻana i kāna mau hōʻailona: menopause, ka mea e hāʻawi pinepine ai i ka hoʻomaha mau, a hāpai keiki, ka mea hoʻomaha iā lākou no kekahi manawa.

Nā pilikia i hiki

ʻO ka pilikia nui e pili ana meka hopena no kainfertility. Ma kahi o hoʻokahi o ʻekolu wahine i pilikia i ka hāpai ʻana i loaʻa ka endometriosis. Eia kekahi, hana pinepine ʻia ka ʻike o ka endometriosis i ka wā o ka hoʻāʻo ʻana (e ka laparoscopy) i hana ʻia ma muli o nā pilikia infertility.

ka hoʻopili Hiki i ka ʻiʻo endometrial ke hoʻemi i ka momona ma o ka pale ʻana i ka hua mai ka hoʻokuʻu ʻia ʻana a i ʻole ma ka pale ʻana i ka hele ʻana ma nā ʻōpū fallopian i ka ʻōpū. Eia nō naʻe, ʻike mākou he 90% o nā wahine me ka endometriosis haʻahaʻa a haʻahaʻa paha i kūleʻa i ka hāpai ʻana i loko o 5 mau makahiki. Eia naʻe, ʻoi aku ka nui o ka manawa, ʻoi aku ka nui o ka ulu ʻana. Eia kekahi, ʻoi aku ka maikaʻi ʻaʻole e hoʻopaneʻe i kahi hāpai i makemake ʻia.