Iimpawu, Izizathu, kunye NezoNyango Xa Ungeke Ukhuphe
Ukugqitywa kwamanzi kuthetha ukungabikho kwe- ovulation , okanye i-ovulation engekhoyo. Ukuvuthwa kukukhutshwa kweqanda kwi-ovary. Oku kufuneka kwenzeke ukuze kufikelelwe ukukhulelwa ngokwemvelo. Ukuba i- ovulation ayifumanekanga, kodwa ingekho ngokupheleleyo, oku kuthiwa yi-oligo-ovulation.
Ukubanjiswa kokubili kunye ne-oligo-ovulation ziintlobo ze-ovulatory dysfunction. Ukungasebenzi kwe-ovulatory yimbangela eqhelekileyo yokungabikho komntwana , okwenzeka kuma-40 ekhulwini kwabasetyhini abangenabantwana.
Iimpawu zokuzaliswa okanye i-Ovulatory Dysfunction
Ngokuqhelekileyo, abafazi abanezonyuka baya kuba nexesha elingavumelekanga. Kwimeko embi kakhulu, abanako ukufumana imijikelezo yabo yonke. Ukuba imijikelezo yakho imifutshane kuneentsuku ezingama-21, okanye ngaphezulu kweentsuku ezingama-36, unokuba ne-ovulatory dysfunction. Ukuba izijikelezo zakho ziphantsi kweelanga eliqhelekileyo leentsuku ezingama-21 ukuya kwezingama-36, kodwa ubude bemijikelezo yakho buhluka ngokubanzi ukusuka kwenyanga ukuya kwinyanga, oku kungaba ngumqondiso we-ovulatory dysfunction.
Ngokomzekelo, ukuba inyanga enye ixesha lakho leentsuku ezingama-22, elilandelayo liyi-35, ukuba ukuhlukahluka phakathi kwemijikelezo kungabonisa ingxaki ye-ovulation. Kuyakwazi ukufumana imijikelezo yakho kwishedyuli eqhelekileyo kwaye ungagcini, nangona oku akuqhelekanga. Umjikelezo wesini apho i-ovulation engenzi khona ibizwa ngokuba ngumjikelezo onqabileyo.
Ukugcoba kunye ne-Ovulatory Dysfunction Yenza njani ukungenzi lutho?
Ngesiqabane esingenabantwana, amathuba okukhulelwa anama-25 ekhulwini ngenyanga. Nangona i-ovulation yenzeka ngokuqhelekileyo, isibini esithile asiqinisekanga ukuba sikhulelwe. Xa ibhinqa litshatyalazi, akakwazi ukukhulelwa kuba akukho liqanda eliza kutyalwa. Ukuba umfazi unesifo esingavumelekanga, unamathuba ambalwa okukhulelwa, kuba i-ovulates incinci.
Ngaphezu koko, ukuvuthwa kwexesha elide kungakhangeli amaqanda aphambili kakhulu. Oku kungenza ukuba ukuchumisa kuncinci. Kwakhona, ukungavumelekanga kwe-ovulation kuthetha ukuba i-hormone emzimbeni wesifazane ayilunganga kakuhle.
Ezi zitenxo ze-hormone ngamanye amaxesha zikhokelela kwezinye izinto, kubandakanywa:
- Ukungabikho kwenqumlezo yomlomo wesibeleko
- I-Thinner okanye i- endometrium (apho iqanda elichumayo kufuneka lifake khona)
- Amanqanaba aphantsi aphantsi kweprogesterone
- Isigaba esifutshane
Iimbangela Zokuqhawula
Ukugqithisa kunye nokunyanzeliswa kwe-ovulatory kungabangelwa zimbalwa zezinto. Isizathu esona siqhelo sentsholongwane ye-ovulatory yi- polycystic ovarian syndrome (i-PCOS). Ezinye izizathu ezinokubangela ukungavumelekanga okanye ukungabikho zibandakanya:
- Ukunyanya
- Ubunzima bomzimba obuphantsi
- Ukuzilolonga
- Hyperprolactinemia
- Ukungaphumeleli kwe-ovarian
- Ukuphela kwexesha, okanye iindawo zokuhlala eziphantsi kwe-ovarian
- I-thyroid ingasebenzi (hyperthyroidism)
- Izinga eliphezulu kakhulu loxinzelelo
Ukuxilongwa kwe-Anovulation
Ugqirha wakho uza kukubuza malunga nokuhamba kwakho kwimizuzu. Ukuba unika ingxelo ye-cycles irregular okanye engekho, u-ovulatory disys function will be suspected. Ugqirha wakho unokucela ukuba ulandele ukushisa komzimba wakho osisiseko ekhaya ngeenyanga ezimbalwa.
Emva koko, ugqirha uya kuyala umsebenzi wegazi ukujonga amazinga e-hormone. Enye yale mivavanyo ingabandakanya ukuhlolwa kwegazi lwe-progesterone ngosuku. Emva kokuvuthwa, amazinga e-progesterone aphakama. Ukuba amazinga akho e-progesterone avuki, mhlawumbi awuyi- ovulating . Ugqirha wakho unokuhlaziya i-ultrasound. I-ultrasound izakujonga ubungakanani kunye nobukhulu be-uterus nama-ovari, kwaye ujonge ukujonga ukuba i-ovaries yakho i-polycystic, ebonisa ukuba yi-PCOS.
I-Ultrasound ingasetyenziselwa ukulandelela ukuphuhliswa komntu kunye nokuvuthwa, nangona oku kungenziwa ngokuqhelekileyo. Kule meko, unokuba ne-ultrasounds ngaphezu kweeyure ezimbini ukuya kweyesibini.
Unyango lwe-Anovulation
Utyando luya kuxhomekeka kwisizathu sokugcoba. Ezinye iziganeko zokugcoba zinokuphathwa ngumoya wokuguqula okanye ukutya. Ukuba ubunzima bomzimba obuphantsi okanye ukusetyenziswa ngokugqithiseleyo kukubangelwa ukugcoba, ukufumana ubunzima okanye ukunciphisa umsebenzo wakho wokuzilolonga kunokuba ukwanele ukuqala ukuqala. Kuyafana nokunyanya. Ukuba ukhuluphele , ukulahlekelwa iipesenti ezili-10 zesisindo sakho sangoku kunokwanela ukuba uqalise ukuqala.
Unyango oluqhelekileyo unyango lwe-anovulation yiziyobisi zokuzala . Ngokuqhelekileyo, iComomid yinto yokuqala yokusetyenziswa kwezidakamizwa. I-Clomid inokubangela i-ovulation kuma-80 ekhulwini amabhinqa anesifo, kwaye uncedo malunga neepesenti ezingama-45 zikhulelwe zingangeenyanga ezintandathu zonyango. Ukuba i- Clomid ayisebenzi , kukho ezinye iindlela zokwelapha ezishiywe ukuzama.
Kubafazi abane-PCOS, i-insulin-ukukhuthaza iziyobisi ezifana ne- metformin inokukunceda umfazi ukuba aqale u-ovulating kwakhona. Kufuneka inyanga ezithandathu zonyango phambi kokuba wazi ukuba i-metformin iya kusebenza. Emva koko, zama ukuthatha uvavanyo lokukhulelwa. Ukuba i-metformin yodwa ayinakunceda, ukusebenzisa iziyobisi zenzalo kubonisiwe kwandisa amathuba okuphumelela kwabasetyhini abangakhange bavuthise izidakamizwa zonyango kuphela. Umhlaza wesibeletho i- letrozole (i-Femara) ingaba yimpumelelo ngakumbi ekubangela i-ovulation kubasetyhini abane-PCOS.
Ukuba imbangela yokugcoba i-ovarian yangaphaya kwexesha okanye i-ovarian low reserves, ukusetyenziswa kweziyobisi ezincinci akunakwenzeka. Kodwa oko akuthethi ukuba awukwazi ukukhulelwa ngamaqanda akho. Abanye abafazi abayi kukwazi ukukhulelwa kunye namaqanda abo kwaye banokufuna unyango lwe-IVF kunye nomnikeli weqanda.
> Imithombo:
> Ukungenzi lutho. ILayibrari kaZwelonke yeMithi: iMedlinePlus.
> Imithi yokukhupha i-Ovulation: Isikhokelo sabathinteli. Umbutho waseMelika weMithi yokuzala.