Yintoni eyenziwa yiCorpus Luteum, iCorpus Luteum Cysts, kunye neLingenelo
Emva kokuba iqanda likhule kwaye likhutshwe kwi- follicle , i-follicle engenalutho iba yi-corpus luteum. I-corpus luteum ifihla i-hormone i-estrogen kunye neprogesterone, ilungiselela umzimba ukuba kwenzeke ukukhulelwa.
Ukuba ukukhulelwa kungenziwanga, i-corpus luteum iyancipha, ekhokelela ekuhlahleni kweprogesterone kunye ne-estrogen. Olu phawu lukhokelela ekuya esikhathini, kwaye umjikelezo wokuzala uqala kwakhona.
Umsebenzi weCorpus Luteum njani
Ukuqonda indlela i-corpus luteum esebenzayo ngayo, kufuneka uqonde oko kwenzekayo ngexesha le-ovulation.
Kukho izigaba ezimbini eziphambili zomjikelezo wesini.
- Isigaba sokulandelelana: yilapho kwinani elikhethiweyo lezintluli zivuthiwe kude kube yilapho umntu ekhupha iqanda.
- Isigaba esilungileyo: oku ku-post-ovulation xa umzimba ulungiselela isibeleko ukuba samkele iqanda okanye umbungu.
Ngaphambi kokuvuthwa kwegazi, kukho ukunyuka kwiHHM, okanye i- hormone ye- luteinizing . Le hormone ibaluleke kakhulu kokubili ukuvuthwa kwezilwanyana kunye nokuba kwenzekani emva kokuvutha.
Ngaphambi kokuvuthwa kwegazi, i-LH ibangela ukuba i-follicle kunye neqanda elikhulayo ngaphakathi ukuze likhawuleze ukukhula nophuhliso. I-LH nayo ibangela ama-enzyme ukuba aqale ukuphula phantsi iindonga zangaphandle zesalulo.
Ekugqibeleni, iqanda lifikelela ekuvuthweni okupheleleyo, kwaye udonga lwentambo luvuleka. Oku kukhupha iqanda elivuthiweyo kwinkqubo ebizwa ngokuba yi-ovulation.
Xa iqela likhutshwe, i-LH iyaqhubeka ifuthe kwisakhiwo seselula se-follicle yangaphambili.
Ngaphambi kokuba i-ovulation, i-granulosa kunye neeseli ze-theca kwi-follicle zivelisa i-estrogen.
Nangona kunjalo, emva kwe-ovulation, i-LH ibangela ukuba iiseli ziguqule. Baqala ukukhulula i-progesterone ye-hormone.
Iprogesterone inendima ebalulekileyo kwisigaba esilungileyo.
Okokuqala, i-progesterone isayine i-pituitary kunye ne-hypothalamus ingqungquthela kwingqondo yokunciphisa umveliso we-hormone i-FSH, i-LH ne-GnRH.
Oku kuvimbela i-follicle eyongezelelweyo kuma-ovari ukususela kunye nokukhupha.
Okwesibini, i-progesterone ilungiselela i- endometrium , okanye i-uterine.
Iprogesterone ibangela i-endometrium ukuba ikhuphe iiproteni. Ezi proteins zigcina i-endometrium kwaye zakha indawo enonophelisayo yeqanda elichumayo (okanye imbungu.)
Enye into eyenziwa yi-progesterone iyayibonakalisa isisu sakho sebele xa ulungiselela ukuvelisa ubisi. Yingakho amabele akho abe nethenda emva kokugqithisa kwaye ngaphambi kokuya esikhathini.
Yintoni eyenzekayo kwiColpus Luteum Ukuba Ukhulelwe? Okanye ukuba awuyi?
Ukuba ukhulelwe, kwaye umbungu uzifaka kwisitya se-uterine, i-placenta yaqala kakhulu.
Le ntenteko yokuqala ikhupha i- hormone hCG . (Yiloo vavanyo lwe-hormone lokukhulelwa lokubona .)
I-hCG isayine i-corpus luteum ukuqhubeka nokufihla i-progesterone. Iprogesterone inqanda i-endometrium ekubeni ikhutshwe kwaye iyaqhubeka nokukhusela ukuqhubela phambili.
Nangona kunjalo, ukuba ukukhulelwa akukwenzeka , i-corpus luteum iyancipha. Oku kwenzeka malunga neentsuku ezili-10 ukuya kwezi-12 emva kokuvuthwa, okanye iintsuku ezimbini ukuya kwethathu phambi kokuba ixesha lakho liqale.
Njengoko i-corpus luteum iphuka phantsi, iiseli kwi-corpus luteum ziyeke ukuvelisa i-progesterone eninzi.
Ekugqibeleni, ukuwa kweprogesterone kukhokelela ekupheleni kwe-endometrium. Ukuya esikhathini kuqala.
Kwakhona, ukuwa kweprogesterone kubonisa ukuba i-pituitary kunye ne-hypothalamus glands ukunyusa imveliso ye-FSH, i-LH ne-GnRH.
Oku kubuyisela umjikelezo wakho wokuya esikhathini, kwaye isigaba sokulandelana siqala ngokutsha.
Yintoni i-Corpus Albicans?
Xa i-corpus luteum ephuka phantsi, iishubhu ezibomvu zishiywa emva. Le tissue ebomvu iyaziwa njenge-corpus albicans. Ihlala kwi-ovary ezinyangeni ezimbalwa emva kokuvuthwa kwelo follicle.
Ngelixa i-corpus luteum ephuzi kumbala (i-corpus luteum ithetha umzimba ophuzi ngesiLatin), i-corpus albicans imhlophe.
I-Corpus albicans ithetha umzimba omhlophe ngesiLatini.
Yintoni iColpus Luteum Cyst?
Ungakhumbuza ukusuka phezulu ukuba i-corpus luteum yenziwe kwi-follicle evulekile evulekileyo iqela ngexesha le-ovulation.
Ngamanye amaxesha, ukuvulwa kwe-corpus luteum kugxininisa. I-Fluid igcwalisa isigxina kwaye yenza i-cyst.
Olu hlobo lwe-cyst lubizwa ngokuba yi-cyst esebenzayo. Ngokuqhelekileyo banesifo (hhayi ngumhlaza) kwaye bahambe bebodwa.
Ukuba ufumana unyango lwe-fertility , i-ultrasound eqhutywe ekuqaleni komjikelezo wakho inokubona i-corpus luteum cyst.
Ngokuxhomekeke kubukhulu be-cyst, ugqirha wakho unokulibazisa umjikelezo wakho wonyango okanye ukhiphe i-cyst.
Ukuba uthetha ukuhlakulela i-corpus luteum cysts, ugqirha wakho wokuzala ungakubeka ekulawulweni kokuzalwa ngaphambi kokuba unyango. Oku kuya kuthintela i-ovulation, okuya kuthi ikhusele ukubunjwa kwe-cyst.
Ngokuqhelekileyo, i-corpus luteum cysts ayinabuhlungu kwaye ayiyingozi.
Abanye besetyhini bafumanisa ukuba banayo ngexesha lokukhulelwa kwe- ultrasound. Kule meko, i-cyst iya kuqhekeza isisombululo ngokwaso ngekota yesibini yokukhulelwa.
Ukuba ugqirha wakho ubona ukuba i-cyst iyinkulu okanye iyakhula, okanye ibuhlungu ngakumbi, ugqirha wakho unokuyivula okanye uyisuse.
Kwiimeko ezinqabileyo, i-corpus luteum cyst inokubangela ubuhlungu obukhulu. Kwiimeko ezinqabileyo kakhulu, ukuba i-cyst ikhula ngokukodwa, inokubangela ukuba i-ovary iguquke. Oku kunokukhokelela ekutheni i-ovarian torsion. Ingenelelo yokuphanda iyakufuneka.
Njengamaxesha onke, ukuba unobandezeleka obukhulu okanye ukuphuma kwamagqabha engavamile, uye kwindlu egxininisayo, okanye uqhagamshelane nodokotela wakho ngokukhawuleza. I-ovarian torsion ingaba yingozi kakhulu.
Yiyiphi i-Corpus Luteum Deficiency okanye i-Defect?
Njengoko ufunda ngasentla, i-corpus luteum inexanduva lokuvelisa i-progesterone ye-hormone.
Kwezinye iimeko, i-corpus luteum ayivelisi progesterone eyaneleyo. Oku kungakhokelela ekuboneni okungaqhelekanga.
Amanqanaba aphantsi e-progesterone angakhokelela "kwithuba elincinane," okukwenza ucinge ukuba awukhulelwe xa uqobo.
Xa amanqanaba eprogesterone aphantsi emva kokuvuthwa, oku kunokuthiwa yi-corpus luteum defect. Ngokuqhelekileyo, kuthethwa njengesiphene sesigaba se-luteal .
I-corpus lack of luteum inokunyusa umngcipheko wokukhulelwa kwangaphambili.
Unyango lunokuquka ukuxhaswa kweprogesterone okanye ukusetyenziswa kwezidakamizwa zokuzala ezifana ne-Clomid okanye i-hCG injections.
Iingcamango kukuba ukukhulisa i-hormone ekhokelela ekugqithiseni (kunye neziyobisi zonyango) kuya kunceda ukuvelisa i-corpus luteum enamandla.
Isihloko sesicatshulwa sesigaba se-luteal isingqinisiso. Akunabo bonke oogqirha bakholelwa ukuba unyango kunye ne-progesterone supplementation lunokuthintela ukukhulelwa kwangaphambili. Kwakhona, ukuxilongwa ngokufanelekileyo kwe-corpus luteum defect kuyinto engqubuzanayo kwaye ayicacanga.
Imithombo:
27.2 I-Anatomy ne-Physiology yeNkqubo yoLwazi lokuThathaka. I-OpenStax College. University of Rice. http://cnx.org/contents/FPtK1zmh@6.27:nMy6SWSQ@5/Anatomy-and-Physics-of-the-
Ukungabikho kweklinikhi yangoku kwimeko yokungabi naso kwesigaba: i-komiti yekomiti. Umbutho waseMelika weMithi yokuzala. https://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Committee_Opinions/Luteal%20phase%20deficiency2012members.pdf
Ii-Ovarian Cysts: Izifo kunye neemeko. MayoClinic.org. http://www.mayoclinic.org/diseases-conditions/ovarian-cysts/basics/causes/con-20019937