THEi-endometrial ulwelwesi lwamafinyila olungena ngaphakathikwesibeletho. Ekupheleni komjikelezo wokuya esikhathini, uma kungazange kube nokukhulelwa, ingxenye ye-endometrium (ehlala izivuselela ngokwayo) ikhishwa nge- kokuya esikhathini.

THEi-endometriosis ibonakala ngokuqeqeshwa, ngaphandle kwesibeletho, izicubu ezakhiwe ngamangqamuzana e-endometrial. Ngenxa yalokho, i-endometrium iqala ukwakha kwenye indawo emzimbeni.

Izicubu ze-Endometrial, kungakhathaliseki ukuthi zikuphi emzimbeni, zisabela ukushintshashintsha kwe-hormonal emjikelezweni wokuya esikhathini. Ngakho, njengolwelwesi lwesibeletho, luyakha bese “lopha” nyanga zonke. Nokho, lapho lesi zicubu sitholakala ngaphandle kwesibeletho, njengoba kwenzeka kwabesifazane abane-endometriosis, ukopha akuphumi ngaphandle komzimba. Igazi kanye namangqamuzana e-endometrial avulekile angacasula izitho eziseduze kanye ne-peritoneum (ulwelwesi oluhlanganisa izitho zesisu). Kungase futhi kuholele ekwakhekeni kwe ama-cysts (usayizi wephini kuya kowomvini), izicubu zesilonda, kanye nokunamathela okuhlanganisa izitho komunye nomunye futhi kubangele ubuhlungu.

Zakha kuphi izicubu ze-endometrial?

Isikhathi esiningi :

- kuma-ovari;

- kumashubhu e-fallopian;

- emithanjeni esekela isibeletho;

– endaweni engaphandle yesibeletho.

Kaningi, zingakhula ezithweni eziseduze, ezifana namathumbu, esinyeni noma izinso. Ekugcineni, ngokuhlukile, atholakala ezindaweni ezikude kakhulu nesibeletho, njengamaphaphu, izingalo noma amathanga.

Lesi sifo siphakathi kwezifo ezivame kakhulu: kusukela ku-5% kuya ku-10% yabesifazane abaneminyaka yobudala yokuzala bayathinteka. I-Endometriosis ivame ukutholakala phakathi neminyaka engama-25 kuye kwengama-40, ngenxa ubuhlungu kushube ngokungavamile ku isisu esingezansi noma inkingaukungazali. Ngempela, u-30% kuya ku-40% wabesifazane abane-endometriosis abayinyumba. Kodwa ezimweni eziningi, i-endometriosis ayihambisani nobuhlungu futhi ayithinti ukuzala. Ibe itholwa ngenhlanhla, isibonelo ngesikhathi senqubo ye-laparoscopic esiswini.

Izimbangela

Njengamanje, akekho ongachaza ukuthi kungani abanye besifazane benayoi-endometriosis. Kungenzeka ukuthi ukungasebenzi kahle kwamasosha omzimba kanye nezici ezithile zofuzo ezihilelekile. nakhu amanye ama-hypotheses intuthuko.

I-hypothesis eyamukelwa kakhulu ibandakanya umbono we ukugeleza kwe-retrograde. Ngesikhathi sokuya esikhathini, igazi kanye nezingqimba zangaphandle ze-endometrium zivame ukuphoqelelwa ukuba ziphumele ngaphandle ngokufinyela kwemisipha. Ngezikhathi ezithile, ukugeleza kwegazi kungase kuhlehle (yingakho igama ligeleza kabusha) futhi igazi eliqukethe amaseli e-endometrial lingase liqondiswe emgodini we-pelvic ngamashubhu e-fallopian (bona umdwebo ). Le reflux ingenzeka ngezikhathi ezithile kwabesifazane abaningi, kodwa ngeke ihambisane ne-a ukhula lwenkohlakalo egcwele amaseli e-endometrial kunakwamanye awo.

Enye i-hypothesis iwukuthi izicubu ze-endometrial zingafuduka ziphume esibelethweni nge-lymph noma ngegazi.

Okokugcina, kungenzeka futhi ukuthi amaseli athile ngokuvamile atholakala ngaphandle kwesibeletho aguquke abe amaseli e-endometrial ngaphansi kwethonya lezakhi zofuzo kanye nemvelo.

Evolution

Amazinga obunzima be-endometriosis ayahluka. Lesi sifo sivame ukuba sibi kakhulu ngokuhamba kwesikhathi uma singelashwa.

Ngakolunye uhlangothi, izimo ezi-2 zinomphumela wokunciphisa izimpawu zayo: ukuya esikhathini, okuvame ukuhlinzeka ngokukhululeka okungapheli, kanye ukukhulelwa, okubakhulula isikhashana.

Izinkinga ezingenzeka

Ingozi enkulu ehambisana nayoi-endometriosis iyonaukungazali. Cishe owesifazane oyedwa kwabathathu onenkinga yokukhulelwa une-endometriosis. Ngaphezu kwalokho, ukuxilongwa kwe-endometriosis kuvame ukwenziwa ngesikhathi sokuhlolwa kokuhlola (nge-laparoscopy) okwenziwa ngenxa yezinkinga zokungazali.

The ukunamathela Izicubu ze-endometrial zingehlisa ukuzala ngokuvimbela iqanda ukuthi lingadedelwa noma ngokulivimbela ukuba lidlule kumashubhu e-fallopian liye esibelethweni. Kodwa-ke, sibona ukuthi u-90% wabesifazane abane-endometriosis ethambile noma emaphakathi bayaphumelela ukukhulelwa kungakapheli iminyaka emi-5. Kodwa-ke, ngokuhamba kwesikhathi, ukuzala kungenzeka kube sengozini. Futhi, kungcono ukungalibali ukukhulelwa oyifunayo.