Ekukhulelweni kokuqala, kukho ama hormone amabini anokunyuka emzimbeni emva kokufakelwa kwe-progesterone kunye ne- chorionic gonadotropin (hCG) . Amanqanaba ama-hormone athambekele ekukhuphukeni kwabasetyhini abakhulelwe ngokukhawuleza kodwa bawa kubasetyhini abanokuphuphuma kwesisu. Kwaye kwiminyaka embalwa edlulileyo, kuqhelekile ukuba oogqirha babonelela i-progesterone isongezelelo kubasetyhini abaneempazamo eziphindaphindiweyo, kunye nengcamango yokuba ukungaphonywa kweprogesterone kungabangela ukuba ahambe.
Nangona kunjalo, i-progesterone yinto ephikisanayo phakathi koogqirha, baninzi banomuvo wokuthi iphantsi ye-progesterone ebonakalisa ukukhulelwa okungapheliyo kunokubangela ukukhulelwa okungafaniyo, kunye nezongezelelo ze-progesterone ezingabonakali inzuzo kubasetyhini abasengozini yokukhulelwa kwesisu .
Ukugqithiswa okukodwa kunikezelwe kwingcamango yokuxhaswa enye i-hormone yokukhulelwa - i-hCG-ukukhusela imithwalo-mpahla, nangona i-hCG i-hormone elinganiselwe kwiimvavanyo zokukhulelwa ekhaya kunye novavanyo lwegazi lwegazi . Kodwa ngaba kuyaqondakala ukuba ukuncedisa i-hCG inokunceda abafazi kunye neengxaki zokulahleka kwezinto eziqhelekileyo ? Ngaba ukuveliswa kwe-hCG kunokuba negalelo ekuphumeni kokuphuphuma kwesisu kunokuba nje kungumqondiso wokulahleka kwesisu?
Ezi zifundo ezimbalwa ziphandile le nto. Nantsi i- UpToDate , indawo yesithenjwa sezempilo kwi-intanethi kwizonyango kunye nezigulane, kufuneka zithi nge-HCG yokuncedisa njengonyango lokuphuphuma kwesisu:
I-crionic gonadotropin (hCG) yonyango ngexesha lokuthotyelwa kwexesha elidlulileyo linokuba luncedo ekukhuseleni ukuphuphuma kwesisu kuba i-hCG enomdla iyaziwa ukuba idlale indima ebalulekileyo ekumisweni kokukhulelwa. Ukunciphisa umngcipheko wokukhulelwa kwesisu, ngokukodwa kubasetyhini abane-oligomenorrhea. Nangona kunjalo, kukho ubungqina obuthile obubalulekileyo kwizinto ezimbini zezi zifundo. Kuza kubekho ubungqina obaneleyo bokunciphisa ukusebenzisa i-hCG ukukhusela ukulahleka kokukhulelwa kwabasetyhini abanembali engachazi I-RPL. Iimvavanyo ezininzi ezilawulwa ngolu hlobo zifunekayo. "
Ngoko, ngamanye amazwi, kuyaqondakala ukuba i-hCG izongezelo inokukunceda ukukhusela ukulahleka kwamathambo. IHCG idlala indima ebalulekileyo ekuncediseni ukukhulelwa kufumaneke, kwaye kunokwenzeka ukuba ukunciphisa i-hCG yokuvelisa kungadlala indima ebangela ukulahleka. Uphando olukhoyo lubonise ukuba unyango lunokuba luncedo kwabasetyhini ngamaxesha amaninzi kwaye angaqhelekanga (i-oligomenorrhea). Kodwa ngelishwa, oko akuthethi ukuba ufanele uhambe ugqirha uze ucele ukuba ubekwe kwii-injection zeHCG ekuqaleni kokukhulelwa kwakho okulandelayo, nokuba unayo i-oligomenorrhea. Into encinci iyayaziwa malunga nokuba le nkunkuma ayisebenzanga okanye ayayizuza. Kucinga ukuba kusebenze, uphando olungakumbi lufunekayo phambi kokuba unyango lube luncedo kakhulu.
Iingcingo ezingenakuchazwa zizinzima ukuhlangabezana nazo, nangona kunjalo, kwaye zingayiphakamisa imibuzo emininzi ... nantsi ezinye izinto ezixhalabisa.
Ndine-5 imatterriages kwaye ugqirha akakwazi ukuxelela ukuba kutheni. Ndifuna ukuzama olu unyango. Ndizame nantoni apha.
Kunzima ukunyamezela isantya sophando lwezokwelapha. Kulula ukondliwa ngonyango olungafumaneka kwiminyaka eyi-10 xa ufuna uncedo ngoku . Kodwa kubulumko ukuba ungagqibi kwizinto. Nangona kunjalo, abaninzi abasetyhini bakhetha ukuzama ukunyanga okungekho emthethweni okubonakala kungenakwenzeka ukuba kube yingozi kunokuba uqhubeke uzama kungekho unyango.
Thetha ugqirha wakho malunga neemvakalelo zakho malunga naloo nto, kwaye ukuba awuyivuyo kunye nogqirha wakho wangoku, funa uluvo lwesibini. Ungaphinda ufune ukubuza malunga nezilingo zeeklinikhi ezinokuthi ziqhutyelwe kuyo.
Ziziphi iindlela zonyango ezibonakaliswayo zokuncedisa ukulahleka kwamathambo okuphindaphindiweyo?
Ngelishwa, bambalwa kakhulu. Kodwa ukuba unamatholeji amabini okanye ngaphezulu, cela udokotela wakho malunga novavanyo lwe-antiphospholipid syndrome kunye neengxaki zesakhiwo esiswini sakho . Ezi zimbini zizinto ezinokuthi zenze igalelo lezinto ezinokuthi zenze iimeko ezinokuthi zenze iimeko ezinokuthi zikhuphe imithwalo enomzimba.
Uluphi uhlobo olulungileyo lweengcali ukuze ubone ukuba ngaba ndilahlekelwe ngamathambo amaninzi?
I-OB / I-GYN ifanelekile kakhulu ukujongana nemiba enxulumene nokukhulelwa, ngoko ke ukuba unonwabele ngogqirha wakho wangoku, unokubuza udokotela wakho okhoyo malunga nokuvavanywa kokusweleka kwesisu. Kodwa ungaphinda ufune ukuqwalasela i-endocrinologist yokuzalana, i-OB / GYN kunye noqeqesho olongezelelweyo lokungabikho komntwana kunye ne-endocrinology yenkqubo yokuzala. La oogqirha banokuthi bachithe ipesenteji enkulu yexesha labo abasebenzisana nabasetyhini abaneengxaki ezinxulumene nokuba kunye nokuhlala bekhulelwe, kanti i-OB / GYN ingasebenzisa ixesha elininzi lijongene nabasetyhini abakhulelwe ngokuqhelekileyo (kwaye akunakwenzeka ukuba nibone Abesifazane abakhulelweyo kwigumbi lokulinda xa usaya kwiindawo zakho zokuqeshwa.
Ufuna ukufunda ngaphezulu? Jonga isihloko seToDate , "Ulawulo lweembhangqwana kunye nokulahleka kokukhulelwa okuphindaphindiweyo," ukwenzela ngolwazi olongezelelweyo ngolwazi lwezonyango.
Umthombo:
Tulandi, Togas noHaya M Al-Fozan. "Ukulawulwa kwezibini ezithandwayo zokulahlekelwa ngokuphindaphindiweyo." Isemgangathweno.