Imfihlakalo nokubaluleka kweSigaba seLuteal

Kufanele Kube Kude Kangakanani? Kuyini Okufushane? Iyini i-Deute Luteal Defect?

Incazelo esheshayo: Ingxenye yomjikelezo wakho wokuya esikhathini okwenzeka ngemva kokuvuthwa kodwa ngaphambi kokuba usuku lokuqala lwenyanga yakho yokuya esikhathini ebizwa ngokuthi i-luteal phase.

Ngokwesilinganiso, isigaba se-luteal sihlala phakathi kwezinsuku ezingu-10 kuya kwezingu-14.

Abanye besifazane abanezinkinga zokuzala banaso isigaba esifushane sokulondoloza. Ukukhulelwa kwesisu okuvamile - ukuhlukumeza izikhathi ezimbili noma ngaphezulu ngokulandelana - kuhlotshaniswa nesifushane kunesiqephu esivamile sohlelo luteal.

Izinkinga ngesikhatsi sesigaba se-luteal ngezinye izikhathi kuthiwa yi-luteal phase defect.

Kodwa-ke, abanye besifazane abanesizalo esivamile banesigaba esifushane.

Ukuxhumeka phakathi kobude bebanga luteal and fertility akucacile. Okuningi ngalokhu ngezansi.

Kwenzekani Ngesikhathi Sigaba Luteal

Umjikelezo wokuya esikhathini ungaphulwa zibe izingxenye ezimbili eziyinhloko: isigaba se-follicular nesigaba sokuthi luteal.

Isigaba se-follicular sisho konke ukuvota . Ama-hormone aqala ukuguqula ama-olican follicles kuze kube yilapho, ekugcineni, iqanda elivuthiwe livaliwe.

• Oogenesis: Yeka ukuthi ama-Oocytes (amaqanda) athuthuka kanjani kuma-Ovari
• I-Follicles neSigaba se-Follicular

Isigaba salo luteal ngokuphathelene nokulungiselela i-endometrium nomzimba wokukhulelwa. Umzimba wakho unethemba elikhulu futhi uthatha iqanda elivundisiwe lenziwa umanyolo.

Ngemuva kwe-ovulation, i-follicle ekhishwe iqanda iba i-corpus luteum . I-corpus luteum ifihla i-estrogen ne-progesterone.

Ngenkathi i-estrogen ibalulekile, i-progesterone ingaba i-hormone eyodwa ebaluleke kakhulu ngesikhathi sesigaba se-luteal.

I-progesterone inezindima eziningi, kufaka phakathi ...

• Ukucindezela ama-hormone GnRH , FSH, ne-HH: amahomoni avuselela ama-ovari futhi abangela ukuvuthwa. Uma kungenjalo, ungase ukhulelwe futhi ngemuva kokuba usukhulelwe kakade.
• Ukulungiselela i-endometrium: i-progesterone idala i -uterine lining (noma i-endometrium) ukufihla amaprotheni akhethekile, okuyokondla umbungu

• Vimbela ukuya esikhathini: i-progesterone ivimba i-endometrium ukuthi ingaphuli, okungabangela ukukhulelwa kwesisu uma ukhulelwe

I-progesterone nayo ibangela ukuthi izinga lokushisa lomzimba wakho likhule.

Uma usesha izinga lokushisa lomzimba wakho , uzobona ukunyuka okuncane kokushisa emva kokuvuthwa.

Uma ukhulelwa, izinga lokushisa lakho lizohlala liphakanyiswe ngaphezu kwesikhala sakho sesigaba esivamile.

Uma ungakhulelwa, izinga lokushisa lakho lizoqala ukuwa phansi ngaphambi kokuba isikhathi sakho sifinyelele. Ukuwa kwezinga lama-progesterone kokubili kwehlisa izinga lokushisa komzimba wakho bese uqala ukuya esikhathini.

I-progesterone nayo ibhekene nezimpawu zesigaba se-luteal - into eningi abesifazane abadideka ngayo izimpawu zokukhulelwa zakuqala .

• Kungani Ngizizwa Ngikhulelwe Lapho Ngingekho?

Isikhathi Esifanele Ukuthi Isigaba Sokuqondisa Sibe Ngakanani?

Ngokwesilinganiso, isigaba luteal siphakathi kwezinsuku ezingu-12 no-14.

Noma kunjalo, ingaba mfushane njengezinsuku ezingu-8 futhi uma nje izinsuku ezingu-16.

Kungakhathaliseki ukuthi ubude besigaba sakho sobude bendawo buhlala kangakanani, buzohlala buhlala njalo ubude njalo umjikelezo.

Ngakho-ke, isibonelo, owesifazane ogama lakhe luthatha isikhathi sezinsuku eziyi-12 uzohlala njalo ezinsukwini ezingu-11 kuya kwezingu-13 ubude. Uma isigaba sakhe sokulenga sithatha isikhathi esingaphezu kwezinsuku ezingu-13, lokho kungaba isibonakaliso sokuqala sokukhulelwa.

Isigaba sesikhumba esincane kakhulu kunezinsuku ezingu-8 (noma ezingu-10) singabonisa inkinga yokuzala inzalo.

Kodwa hhayi ngempela.

Ngenkathi abesifazane abanobunzima bokukhulelwa noma okuhlangenwe nakho kokuphindaphindiwe okuphindaphindiwe kungase kube nezigaba ezimfushane, kungenzeka ukuthi owesifazane onenzalo enhle ukuze abe nesigaba esifushane.

Ungase ufunde ukuthi ubude besigaba sakho se-luteal buvela ku-basal lokushisa komzimba okulinganiselwe.

• Indlela Yokudweba Isilinganiso Sokushisa Komzimba Okuyisisekelo

Uma ubeka ishadi, futhi uqaphela isigaba esifushane luteal, ungakhathazeki okwamanje. Uma nje ungenayo ezinye izimpawu zokungazalwa, kungaba okujwayelekile kuwe.

Kodwa-ke, uma ungakhulelwa emva konyaka owodwa wokuzama ukukhulelwa (noma emva kwezinyanga eziyisithupha, uma uneminyaka engu-35 ubudala noma ngaphezulu ), qiniseka ukuthi ubona udokotela wakho.

Kufanele futhi ubone udokotela wakho uma ubona ezinye izimpawu ezibuhlungu .

• Izimpawu zokungabi nabuthakathaka kanye Nezici Zengozi
• Imibuzo: Ingabe Usengozini Yokungafaki?

Iyini i-Deute Luteal Defect?

I-luteal phase defect iyimbangela yezinkinga zokungabikho kokuzalwa nokungavumelani okuphindaphindiwe. Ichazwa njengamazinga aphansi noma angenele we-progesterone phakathi nesigaba sokugcina.

Kodwa-ke, kubhekwa njengesizathu esibangelwa ukungabikho kokubeletha nokukhulelwa kwesisu kwangaphambili.

Kunokuphikisana okuningi nokuphikisana okuzungezile lokhu okuxilongwa.

Ukungqubuzana kubangelwa ...

• Izinkinga zokuxilonga (Ucwaningo alutholanga indlela eqondile yokuhlola noma yokuqinisekisa i-luteal phase defect.)
• Imiphumela engalungile (Isigaba esincane esifundeni noma izinga eliphansi le-progesterone alitholakali njalo noma liphindaphinda ukukhulelwa kwesisu.)
• Imiphumela yokwelapha engaqiniseki (Akucaci ukuthi izindlela zokwelashwa ezihlongozwayo ziyathuthukisa ngempela ukuzala noma zingavimbela ukuphuma kwesisu.)

Izimpawu ezingenzeka noma izinkinga ezihlobene nesici se-luteal zihlanganisa:

• Ukuhlukanisa phakathi kwe-ovulation kanye nesikhathi esilindelekile
• Ukuphindaphinda kokuqala kwesisu
• Ukuvuthwa okungajwayelekile noma ukugcoba
• Imijikelezo emifushane yokuya esikhathini

Izimbangela ezenzekayo ze-luteal phase defect zifaka:

• Ukungalingani kwe-thyroid
• Ukuzivocavoca ngokweqile
• Ukuphazamiseka kokudla , njenge-anorexia
• Ubudala ( obuneminyaka engaphezu kuka-35 )
• Ukukhuluphala
• I-Polycystic ovarian syndrome (i-PCOS)
• I-Endometriosis
• Hyperprolactinemia
• Imithi ye-IVF ehlanganisa ukusetshenziswa kwe- GnRH agonists

Ukuhlonza i-Luteal Phase Defect

Njengoba kukhonjisiwe ngenhla, ayikho indlela esekelwe ekucwaningeni yokuthola i-luteal phase defect. Njalo indlela inezinkinga ezingenzeka.

Lokho kusho, nansi ezinye zezindlela zokukhubazeka kwesigaba se-luteal ezinganqunywa:

Ukushisa komzimba okuyisisekelo (BBT) okudwebayo : ukushayina kungabonisa isigaba esingavamile esifushane.

Kodwa-ke, ucwaningo lithole ukuthi usuku oluqondile lokuvota alubonisi ngaso sonke isikhathi ngokunembile kwishadi le-BBT. Lokhu kusho ukuthi akuqiniseki ukuthi zingaki izinsuku isigaba se-luteal.

Kungaba isikhathi eside (noma esifushane) kuneshadi elibonisa.

Ukuhlolwa kwezinga le- progesterone: amazinga we-progesterone angase ahlolwe izinsuku eziyisithupha kuya kweziyisishiyagalombili emva kokuvuthwa kwenzeka.

Kodwa-ke, yiziphi amazinga e-progesterone okufanele acatshangwe ukuthi ajwayelekile akucacile.

Enye inkinga engenzeka kungenzeka isikhathi. Ngenkathi amazinga e-progesterone ephakama cishe ngesonto ngemuva kokuvuthwa, ukukwazi kahle ukuthi yikuphi ukukhishwa kwelanga okwenzekayo akulula.

Lokho kusho ukukwazi ukuthi ukuhlolwa nini akucaci.

I-biopsy ye-Endometrial : i-biopsy ye-endometrial ihilela ukubuka izicubu ze-endometrial phakathi nesigaba sokugcina, nokuhlola ukuthi ngabe amangqamuzana abukeka sengathi asesimweni esifanele sokukhula (ngokuqondene nokuthi owesifazane usekupheleni komjikelezo wakhe.)

Lokhu kwakubhekwa njengendinganiso yegolide yokuxilongwa kwesici se-luteal.

Noma kunjalo, izifundo zithole imiphumela engavumelaniyo. Imiphumela eyabhekwa njengejwayelekile engazange iholele emiphumeleni empofu yokukhulelwa.

Ukwelashwa kweDefect Phase Defect

Njengoba kushiwo ngenhla, ukwelashwa okuphumelelayo kwesici se-luteal defect akucaci.

Lokho kusho ukuthi udokotela wakho angabheka noma yikuphi okulandelayo:

• Ukwelapha izimo ezingaphansi kuqala: uma kunokungalingani kwe-thyroid, isibonelo, phatha lokho kuqala.
• Ukwandisa i-ovulation nemithi yokuzala: ngokukhulisa i-ovulation, i- corpus luteum ingase ibe namandla , iholele esigabeni esilungile sokuphila.
• Ukuxhaswa kwe-Progesterone: kungcono kakhulu ukuthi ngabe ama-progesterone angeziwe angathuthukisa ukuzala noma anciphise ukukhulelwa kwesisu.
• I-hCG injection: ukulinganisa okuncane kwe-hCG (i-injection drug injectable) kunganikezwa ngesigaba sokugcina. Noma kunjalo, i-progesterone supplementation ivame kakhulu, ngenxa yokuba nemiphumela emibi embalwa.

Ngokunakekelwa kwe-IVF , i-progesterone supplementation iye yaboniswa ukuze kuthuthukiswe isigaba se-luteal futhi kuthuthukiswe imiphumela yokukhulelwa. Izijovo ze-progesterone noma i-progesterone suppository ingabekwa.

> Imithombo:

> Balasch J1, amaFebregues F, Creus M, UVanrell JA. "Ukusetshenziswa kwe-Biopsy for the Luteal Phase Assessment in Infertility. "Uhlehlisiwe. 1992 Aug; 7 (7): 973-7.

> Irrelevance Yamanje Yomtholampilo Yokwelashwa Kwesigaba Luteal: Umbono Wekomidi. Amakhasi ASRM.

> Progesterone. Abesifazane abanempilo.