Kufuneka Kude Kangakanani? Yintoni Encinci? Yintoni iSigaba seLuteal Defect?
Inkcazo ngokukhawuleza: Inxalenye yesigxina sakho sokuya esikhathini esilandelayo emva kokuvuthwa komzimba kodwa ngaphambi kokuba usuku lokuqala lwenyanga yakho yokuya esikhathini luye kuthiwa isigaba se-luteal.
Ngokomyinge, isigaba esilungileyo sihlala phakathi kweentsuku ezili-10 ukuya kwezi-14.
Abanye abasetyhini abaneengxaki zokuzala banesigaba esifutshane. Ukuphuphuma kwesisu ngokuphindaphindiweyo-ukulahleka ezimbini okanye ngaphezulu kwezihlandlo ngokulandelelana - kudibaniswa nefutshane kunesigqeba esiqhelekileyo.
Iingxaki ngexesha lesigxina ngamanye amaxesha zibizwa ngokuba yi-luteal phase defect.
Nangona kunjalo, abanye abesifazana abanesityalo esiqhelekileyo banesigaba esifutshane.
Ukuqhagamshelana phakathi kobude besigaba kunye nokuzala akucaci. Oku ngakumbi ngale ngezantsi.
Yintoni eyenzekayo kwiSigaba seLuteal
Umjikelezo wesini unokuphulwa kwiingxenye ezibini eziphambili: isigaba sokulandelelana kunye nesigaba esilandelayo.
Isigaba sesilandelayo sonke sithetha ngokunyuka . IiHormone zenza utshintsho kwiintlobo ze-ovarian kuze kube yilapho, ekugqibeleni, iqanda elivuthiweyo livuthwe.
Isigaba esilungileyo sikulungele ukulungiselela i-endometrium nomzimba ngokukhulelwa. Umzimba wakho unethemba kakhulu kwaye uthatha iqanda eligqityiweyo lucetyiswa.
Emva kokuvuthwa, i-follicle ekhuphe iqanda iya kuba yi-corpus luteum . I-corpus luteum ifihla i-estrogen kunye neprogesterone.
Nangona i-estrogen ibalulekile, i-progesterone ingaba yi-hormone enye ebalulekileyo ngexesha lesigaba.
Iprogesterone inendima eninzi, kuquka ...
- Ukunciphisa i-hormone i- GnRH , i-FSH, ne-LH: ii-hormone ezikhuthaza ama-ovari kwaye zenze i-ovulation. Ngaphandle koko, unokukhulelwa kwakhona emva kokuba sele ukhulelwe.
- Ukulungiselela i-endometrium: i-progesterone ibangela i-uterine lining (okanye i-endometrium) ukukhupha iiprotheyini ezikhethekileyo, eziza kunondla umbungu
- Ukuthintela ukuya esikhathini: i-progesterone igxotha i-endometrium ukuba ingaphuli, nto leyo ingakhokelela ekuphumuleni xa ukhulelwe
Iprogesterone ibangela ukuba ubushushu bomzimba wakho bukhule .
Ukuba utshatile ukushisa komzimba wakho osisiseko , uya kuqaphela ukunyuka okuncinci kweqondo lokushisa emva kokuhamba.
Ukuba ukhulelwe, ubushushu bakho buya kuhlala buphakanyiswe ngaphaya kwexesha eliqhelekileyo lexesha eliqhelekileyo.
Ukuba awukhulelwa, ubushushu bakho buya kuqala ukuhla phambi kokuba ixesha lakho lifike. Ukulahla kwamanqanaba e-progesterone kokunciphisa izinga lokushisa lomzimba kwaye uqala ukuya esikhathini.
Iprogesterone nayo ixanduva lweempawu zesigaba se-luteal - into eninzi yabasetyhini abadibanisa iimpawu zokukhulelwa .
Kufuneka kube nini isiGaba seLuteal?
Ngokwesingqinisiso, isigaba se-luteal siphakathi kweentsuku ezili-12 ne-14.
Nangona kunjalo, ingaba mfutshane nje ngeentsuku ezili-8 kunye neentsuku eziyi-16.
Kungakhathaliseki ukuba ubude besigaba sakho esiqhelekileyo siphila, kuya kudla ukuhlala njalo ubude yonke imijikelezo.
Ngoko, umzekelo, ibhinqa elinesigxina esilula ixesha leentsuku ezili-12 liya kuhlala lihlala li-11 ukuya kwiintsuku ezili-13 ubude. Ukuba isiqendu sakhe sithatha ixesha elingaphezu kweentsuku ezili-13, oku kungaba ngumqondiso wokuqala wokukhulelwa.
Isiqendu esincinane kuneentsuku eziyi-8 (okanye ezili-10) singabonisa ingxaki yokuzala.
Kodwa akunjalo.
Nangona abafazi abanomzabalazo wokukhulelwa okanye ukuvalelwa ngokuphindaphinda ngokuphindaphindiweyo kunokuthi babe neendlela ezincinci, kunokwenzeka ukuba umfazi onobuchule obunomdla ukuba abe nesigaba esifutshane.
Unokufunda ukuba ubude bendawo yesigaba sakho buvela kubushushu obushushu bomzimba.
Ukuba utshatile, kwaye uqaphela isigaba esifutshane, ungakhathazeki okwamanje. Ngethuba ongenayo nayiphi na impawu yokungabikho kwengqondo, kuya kuba yinto evamile kuwe.
Nangona kunjalo, ukuba ungakhulelwa emva konyaka omnye wokuzama ukukhulelwa (okanye emva kweenyanga ezintandathu, ukuba uneminyaka engama-35 ubudala okanye ngaphezulu ), qiniseka ukuba ubone ugqirha wakho.
Kufuneka uphinde ubone ugqirha wakho ukuba ubona ezinye iimpawu ezibuhlungu .
- Iimpawu zokungafihliyo kunye neengozi zobunzima
- Imibuzo: Ngaba usengozini yokungafihli?
Yintoni iSigaba seLuteal Defect?
Isalathiso sesigaba salo lunga luyimbangela yecala lokungabikho komntwana kunye nokuphuphuma kwesisu ngokuphindaphindiweyo. Kuchazwe njengamaqondo aphantsi okanye anganeleyo weprogesterone ngexesha lesigaba.
Nangona kunjalo, kuthathwa njengesizathu esibalulekileyo sokungabikho komntwana kunye nokukhulelwa komntwana kwangaphambili.
Kukho ingxoxo enkulu kunye neengxabano ezijikeleze le ngxaki.
Ingxabano ibangelwa ...
- Ubunzima bokuxilonga (Uphando alufumananga indlela echanekileyo yokuvavanya okanye ukuqinisekisa isicatshulwa sesigaba se-luteal.)
- Iziphumo ezingcolileyo (isigaba esifutshane se-luteal okanye i-progesterone nqanaba elincinci alisoloko lidala ukungabi nantlungu okanye ukuphindaphinda isisu.)
- Iziphumo zonyango ezingaqinisekanga (Akucaci ukuba ukunyanga okucetywayo kunokwenza ngcono ukuzala okanye kunokuthintela ukuphuphuma kwesisu.)
Izimpawu ezinokwenzeka okanye iingxaki ezinxulumene nesiphene sesigaba saso siquka:
- Ukuchonga phakathi kwe-ovulation kunye nexesha lakho elilindelekileyo
- Ukuphinda kuphunyezwe kwangaphambili
- Ukuvuthwa okungaqhelekanga okanye ukugcoba
- Imizuzu emfutshane yokuya esikhathini
Izizathu ezinokuthi i-defect phase defect iquka:
- Ukungalingani kwe-thyroid
- Ukuzivocavoca ngokweqile
- Ukuphazamiseka kokutya , njenge-anorexia
- Ubudala ( ngaphezu kweminyaka engama-35 )
- Ukunyanya
- I-Polycystic ovarian syndrome (i-PCOS)
- Endometriosis
- Hyperprolactinemia
- I-IVF unyango oluquka ukusetyenziswa kwe- GnRH agonists
Ukuxilongwa kwe-Luteal Phase Defect
Njengoko kuchaziwe ngasentla, akukho ndlela esekelwe yophando yokufumanisa i-defect phase defect. Zonke iindlela zineengxaki ezinokwenzeka.
Oku kuthethi, nantsi ezinye iindlela zesalathisi sesigaba esilungelelweyo singagqitywa:
Ubushushu bomzimba obusisiseko (BBT) ukutshintshisa : ukutshintshwa kungabonakalisa isigaba esingaqhelekanga esifutshane.
Nangona kunjalo, uphando lufumene ukuba usuku oluchanekileyo lwe-ovulation alisoloko luchanekile ngokuchanekileyo kwi-chart ye-BBT. Oku kuthetha ukuba akaqinisekanga ukuba zingaphi iintsuku isigaba sokubhala.
Kungenzeka kube mude (okanye mfutshane) kunokuba ishati ibonisa.
Uvavanyo lwezinga leprogesterone: amazinga e-progesterone angavavanywa iintsuku ezintandathu ukuya kweyesibhozo emva kokuvuthwa kwe-ovulation kwenzeka.
Nangona kunjalo, yiyiphi imilinganiselo yeprogesterone kufuneka ithathelwe ingqalelo ngokuqhelekileyo.
Enye ingxaki inokuba yinto. Nangona iipresterone ziphezulu malunga neveki emva kokuvuthwa, ukuqonda kakuhle ukuba yiyiphi i-ovulation yenzeke yinto engelula.
Oko kuthetha ukuthatha ixesha lokuvavanya akunjalo.
I-biometric ye-Endometrial : i- biopsy ye- endometrial iquka ukujonga izicubu ze-endometri ngexesha lesigxina, kunye nokuvavanya ukuba iiseli zibukeka ngathi zisezingeni elichanekileyo lokukhula (ngokubhekiselele kwimeko apho umfazi ejikelezayo.)
Oku bekuye kwacatshangwa njengomgangatho wegolide wokuxilongwa kwesiphene sesigaba se-luteal.
Nangona kunjalo, uphando lufumene iziphumo ezingahambelaniyo. Iziphumo ezacatshangelwa ukuba ezingavamile azikhokelela kwiziphumo ezikhuselekileyo zokukhulelwa.
Utyando lweSigaba seLuteal Defect
Njengoko kuchazwe ngasentla, unyango olusebenzayo lwesiphene sigaba salo lucacile.
Oko kwathiwa, ugqirha wakho unokuqwalasela nayiphi na elandelayo:
- Ukunyanga kweemeko eziphambili kuqala: ukuba kukho ukungalingani kwe-thyroid, umzekelo, uphathe okokuqala.
- Ukukhuthaza i-ovulation ngamachiza okuzala: ngokukhulisa i-ovulation, i- corpus luteum ingasomeleza , iholele kwisigaba esilungileyo soguqu.
- Ukuxhaswa kweprogesterone: kukuphikisana kakhulu nokuba i-progesterone isongezelelo ingenza ngcono ukuzala okanye ukunciphisa ukukhulelwa kwangaphambili.
- i-hCG injection: i-hCG ephantsi (i-injection drug injection) inokunikezwa kwisigaba esilandelayo. Nangona kunjalo, ukuxhaswa kweprogesterone kuqhelekileyo, ngenxa yokuba neempembelelo ezimbalwa.
Ngonyango lwe-IVF , ukuxhaswa kwe-progesterone kuye kwaboniswa ukuba kuphuculwe isigaba sokufunda kunye nokuphucula iziphumo zokukhulelwa. Injini yeprogesterone okanye i-progesterone suppositories inokumiselwa.
> Imithombo:
> UBalasch J1, amaFebhebre F, Creus M, UVanrell JA. "Ukusetyenziswa kwe-Biopsy ye-Endometrial Biopsy ye-Luteal Phase Assessment in Infertility. "Uhlambalaza. Ngo-1992 uAgasti; 7 (7): 973-7.
> Ukuhlaselwa kweeNklinikhi zangoku kweLuteal Phase Deficiency: I-Opinion Committee. Amakhasi e-ASRM.
> Progesterone. Abasetyhini abasempilweni.