Qhov sib txawv tseem ceeb ntawm kev loj hlob thiab kev zais zais ntawm endometrium yog qhov kev loj hlob ntawm endometrium loj hlob nyob rau hauv kev cuam tshuam ntawm estrogen thaum secretory endometrium hlob nyob rau hauv tus ntawm progesterone.
Proliferative thiab secretory endometrium yog ob qho kev hloov pauv hauv endometrium thaum lub caij coj khaub ncaws. Nyob rau hauv proliferative endometrium, lub endometrium lub hlwb multiply thiab kis. Thaum lub sijhawm hloov pauv no, qib estrogen nce, thiab endometrium ua tuab. Lub sijhawm no yog 10-12 hnub. Nyob rau hauv lub secretory endometrium, zes qe menyuam tso ib lub qe loj, thiab cov theem tom ntej ntawm kev coj khaub ncaws pib. Cov kab mob endometrium tshiab tshiab tau npaj txhij rau lub qe cog. Yog tias nws tsis tshwm sim, lub cev tshem tawm cov kab mob endometrial. Progesterone siab nyob rau theem no. Cov theem no yuav kav ntev li 13-14 hnub ntxiv.
YProliferative Endometrium yog dab tsi?
Thaum lub caij coj khaub ncaws, lub endometrium loj hlob raws li kev cuam tshuam ntawm estrogen. Qhov no theem ntawm endometrium nyob rau hauv kev coj khaub ncaws yog hu ua proliferative endometrium. Qhov no tseem hu ua follicular theem. Proliferative endometrium yog ib qho kev hloov pauv uas tsis yog mob qog noj ntshav uas tshwm sim hauv cov kab mob hauv lub tsev menyuam. Nws yog ib txwm muaj nyob rau hauv cov poj niam uas muaj hnub nyoog yug me nyuam. Nyob rau thawj feem ntawm kev coj khaub ncaws, nruab nrab ntawm menses thiab ovulation, lub endometrium hlob nyob rau hauv tus ntawm cov tshuaj estrogen.
Daim duab 01: Proliferative Endometrium
Cov kev hloov no tshwm sim hauv lub hnub nyoog fertile. Nws pib nyob rau hauv cov hluas thaum ntxov thiab kav thaum muaj hnub nyoog ntawm 45-55. Kev kuaj mob ntawm tus kab mob proliferative endometrium feem ntau yog ua tom qab cov qauv me me ntawm cov ntaub so ntswg raug tshem tawm ntawm endometrium los ntawm txoj kev hu ua endometrial biopsy lossis uterine curetting. Cov theem no txuas mus txog li 10-12 hnub, feem ntau yog hnub 6 txog 13 hauv 28 hnub voj voog. Tsis tas li ntawd, nyob rau theem no, lub hauv paus follicle hloov mus rau Graafian follicle. Lub endometrium yog li 2-3 hli tuab. Qhov tseem ceeb tshaj plaws, cov qog uterine tsis tso dej tso tawm.
Y Secretory Endometrium yog dab tsi?
Tom qab ovulation, lub endometrium loj hlob nyob rau hauv tus ntawm progesterone. Qhov no yog hu ua secretory endometrium. Secretory endometrium yog ib qho kev hloov pauv uas tsis yog mob qog noj ntshav pom nyob rau hauv cov ntaub so ntswg uas nyob hauv lub tsev menyuam ntawm cov poj niam. Qhov no kuj yog ib txwm muaj nyob rau hauv cov poj niam uas muaj hnub nyoog me nyuam. Thaum lub sij hawm no, cov qog endometrial ua ntev thiab twisted. Nws secretes dej secretions. Yog li ntawd, cov kws kho mob hu ua qhov no secretory endometrium.
Daim duab 02: Secretory Endometrium
Kev coj khaub ncaws tuaj yeem tshwm sim txhua 21 txog 35 hnub thiab feem ntau kav ob mus rau xya hnub. Kev kuaj mob ntawm secretory endometrium feem ntau yog ua tom qab ib qho qauv me me ntawm cov ntaub so ntswg raug tshem tawm ntawm endometrium. Cov txheej txheem no hu ua endometrial biopsy. Nyob rau theem no, qhov khoob Graafian follicle hloov mus rau hauv lub corpus luteum. Tsis tas li ntawd, progesterone siab nyob rau theem no. Lub thickness ntawm lub endometrium feem ntau yog 5 hli, thiab cov qog uterine secrete watery secretion thiab. Cov theem no txuas ntxiv rau 13-14 hnub tom qab ovulation (feem ntau yog hnub 15 txog 28 hauv 28 hnub voj voog).
Dab tsi yog qhov zoo sib xws ntawm Proliferative thiab Secretory Endometrium?
- Ob leeg txuas nrog rau kev coj khaub ncaws.
- Lawv yog cov theem sib txawv ntawm lub endometrium thaum lub caij coj khaub ncaws.
- Ob leeg tsis yog mob qog noj ntshav ib txwm hloov pauv tshwm sim hauv cov ntaub so ntswg hauv tsev menyuam.
- Lawv yog ib qho kev tshawb pom hauv cov poj niam uas muaj hnub nyoog me nyuam.
Dab tsi yog qhov txawv ntawm Proliferative thiab Secretory Endometrium?
Proliferative endometrium yog lub endometrium uas loj hlob nyob rau hauv kev cuam tshuam ntawm estrogen, thiab nyob rau hauv lub sij hawm no, uterine qog tsis tso dej secretion. Secretory endometrium yog endometrium uas loj hlob nyob rau hauv tus ntawm progesterone, thiab nyob rau hauv lub sij hawm no, uterine qog secrete ib tug dej secretion. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm kev loj hlob thiab cov qog endometrium.
Tsis tas li ntawd, nyob rau hauv proliferative endometrium, thawj follicle hloov mus rau Graafian follicle thiab endometrium yog li 2-3 hli tuab. Nyob rau hauv sib piv, nyob rau hauv secretory endometrium, lub khoob Graafian follicle hloov mus rau hauv corpus luteum thiab lub thickness ntawm lub endometrium feem ntau yog 5 hli. Yog li, nws kuj yog ib qho tseem ceeb sib txawv ntawm proliferative thiab secretory endometrium. Tsis tas li ntawd, nyob rau hauv lub proliferative endometrium, cov qog uterine tsis tso dej secretion. Ntawm qhov tod tes, nyob rau hauv secretory endometrium, cov qog uterine secrete ib tug dej secretion.
Cov hauv qab no qhia txog qhov sib txawv ntawm kev loj hlob thiab kev zais zais ntawm endometrium hauv daim ntawv tabular.
Summary – Proliferative vs Secretory Endometrium
Cov ntaub so ntswg endometrial yog lub hom phiaj rhiab rau cov tshuaj hormones steroid thiab muaj peev xwm hloov nws cov yam ntxwv. Lub endometrium yog qhov innermost ntawm lub tsev menyuam. Nws cov qauv thiab thickness sib txawv thoob plaws hauv lub cev ntas. Thaum lub sij hawm cev xeeb tub, tshuaj estrogen cuam tshuam qhov kev loj hlob ntawm proliferative endometrium. Tom qab ovulation, progesterone cuam tshuam txoj kev loj hlob ntawm secretory endometrium. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm proliferative thiab secretory endometrium.
