Izimpawu, Izimbangela, Nezokwelapha Uma Ungenakuvuthwa
I-anovulation isho ukuntuleka kwe- ovulation , noma ukungabikho kwe-ovulation. Ukuvuthwa yi-ovary ukukhululwa kweqanda kusuka esibelethweni. Lokhu kufanele kwenzeke ukuze kutholakale ukukhulelwa ngokwemvelo. Uma i- ovulation ingavamile , kodwa ingekho ngokuphelele, lokhu kubizwa ngokuthi i-oligo-ovulation.
Kokubili ukugcoba kanye nokugqunywa kwe-oligo-ovulation kuyizinhlobo zokungasebenzi kahle kwe-ovulatory. Ukuphazamiseka kwe-ovulatory kuyimbangela evamile yokungabi nabesifazane , okwenzeka ngamaphesenti angaba ngu-40 abesifazane abangenalutho.
Izimpawu Zokuqothulwa noma Ukusebenza Kwe-Ovulatory
Ngokujwayelekile, abesifazane abanezikhukhula bazoba nezikhathi ezingavamile. Esimweni esibi kunazo zonke, bangase bangatholi imijikelezo yabo. Uma imijikelezo yakho ifushane kunezinsuku ezingu-21, noma ngaphezulu kwezinsuku ezingu-36, ungase ube nokusebenza okungasebenzi kwe-ovulatory. Uma imijikelezo yakho iwela ebangeni elijwayelekile kwezinsuku ezingu-21 kuya kwezingu-36, kodwa ubude bomjikelezo wakho buhluka kakhulu kusukela ngenyanga kuya enyangeni, lokho kungase kube uphawu lokungasebenzi kahle kwe-ovulatory.
Isibonelo, uma inyanga eyodwa isikhathi sakho singu-22 izinsuku, okulandelayo kungu-35, ukuthi ukuhlukahluka okuningi phakathi kwemijikelezo kungabonisa inkinga yokuvota. Kungenzeka ukuthi uthole imijikelezo yakho kwisimiso esivamile futhi ungagcini, nakuba lokhu kungavamile. Umjikelezo wokuya esikhathini lapho u-ovulation engenzi khona ubizwa ngokuthi umjikelezo ovulekile.
Ukugcotshwa nokuphikisana kwama-ovulatory Kungabangela ukungabi nalutho?
Kwabambhangqwana abangenasifo sokubeletha, amathuba okukhulelwa angama-25 amaphesenti ngenyanga. Ngisho nalapho ukuvunduka kwenzeka ngokuvamile, umbhangqwana awuqinisekisiwe ukukhulelwa. Uma owesifazane enezifo eziphuzayo, akakwazi ukukhulelwa ngoba ayikho iqanda elizokhulelwa. Uma owesifazane ene-ovulation engavamile, unamathuba ambalwa okukhulelwa, ngoba u-ovulates kancane.
Ngaphezu kwalokho, ukuvuthwa okukhipha isikhathi eside akukhiqizi amaqanda aphezulu kakhulu. Lokhu kungenza futhi ukukhulelwa kube lula. Futhi, ukuvota okungavamile kusho ukuthi ama-hormone emzimbeni wesifazane awulungile ngempela.
Lezi zinhlawulo ze-hormonal ngezinye izikhathi ziholela kwezinye izinto, kubandakanya:
- Ukuntuleka komcucu wesibeletho esivundile
- I-endinrium noma ukuqina kwe- endometrium (lapho iqanda elikhuliswe khona lifuna ukutshala khona)
- Amazinga aphansi okungavamile we-progesterone
- Isigaba esincane esifushane
Izimbangela Zokugcoba
Ukuphefumula nokuphefumula kwesibindi kungabangelwa izici eziningana. Isizathu esivame kakhulu sokungasebenzi kahle kwe-ovulatory yi- polycystic ovarian syndrome (PCOS). Ezinye izimbangela ezingabangela ukungavamile noma ukungabikho zihlanganisa:
- Ukukhuluphala
- Isisindo somzimba esincane kakhulu
- Ukuzivocavoca ngokweqile
- Hyperprolactinemia
- Ukuhluleka kwe-ovarian kusengaphambili
- Ukumiswa kwesikhashana, noma izindawo eziphansi ze-ovarian
- Ukungasebenzi komzimba we-thyroid (i-hyperthyroidism)
- Amazinga aphakeme kakhulu okucindezeleka
Ukuxilongwa kwe-Anovulation
Udokotela wakho uzokubuza mayelana nemijikelezo yakho yokuya esikhathini. Uma ubika imijikelezo engekho emthethweni noma engekho, ukusobala okuphazamisayo kuyomangelwa. Udokotela wakho angase akucele ukuthi ulandele ukushisa komzimba wakho osemncane ekhaya ezinyangeni ezimbalwa.
Okulandelayo, udokotela wakho uzoyala umsebenzi wegazi ukuhlola amazinga e-hormone. Enye yalezi zivivinyo zingase zibandakanye ukuhlolwa kwegazi kwe-progesterone ngosuku. Ngemuva kwe-ovulation, amazinga we-progesterone aphakama. Uma amazinga akho we-progesterone engavuki, cishe awunayo i- ovulating . Udokotela wakho angase futhi ahlele i-ultrasound. I-ultrasound izohlola ukuma nobukhulu bebele noma ama-ovari, futhi ubuke ubone ukuthi ama-ovari akho ayi-polycystic, okuyisifo se-PCOS.
I-Ultrasound ingasetshenziselwa ukulandelela ukuthuthukiswa kwezintambo nokuvuthwa, nakuba lokhu kungejwayelekile. Kulesi simo, ungase ube nama-ultrasound angaphezu kweyodwa kuya kweyesonto.
Ukwelashwa Kwe-Anovulation
Ukwelashwa kuzoxhomeka esibangelwa ukugcoba. Ezinye izimo zokugcoba zingaphathwa ngendlela yokuguqula noma yokudla. Uma isisindo somzimba esincane noma ukuvivinya umzimba ngokweqile imbangela yokugcoba, ukuzuza isisindo noma ukwehlisa isimiso sakho sokuzivocavoca kungase kube ngokwanele ukuqala kabusha i-ovulation. Okufanayo kuya ngokukhuluphala. Uma ukhuluphele ngokweqile , ukulahlekelwa ngisho namaphesenti angu-10 esisindo sakho samanje kungenele ukuqala kabusha ukuvuthwa.
Ukwelashwa okuvame kakhulu ukugcoba imithi yokuzala . Ngokujwayelekile, i- Clomid yimizamo yokuqala yokuzala. I-Clomid ingabangela ukuvuthwa ngamaphesenti angama-80 abesifazane abahlukumezayo, futhi basize amaphesenti angu-45 akhulelwe ngaphakathi kwezinyanga eziyisithupha zokwelashwa. Uma i- Clomid ingasebenzi , kuneminye imithi yokwelapha esele ukuzama.
Kwabesifazane abane-PCOS, izidakamizwa ezivuselela i- insulin efana ne- metformin zingasiza owesifazane ukuba aqale ukuvula i-ovulating futhi. Kudingeka ukwelashwa kwezinyanga eziyisithupha ngaphambi kokuthi wazi ukuthi i-metformin izosebenza. Ngemuva kwalokho, zama ukuhlola ukukhulelwa. Uma i-metformin yedwa engasizi, ukusetshenziswa kwezidakamizwa zokuvuna kuhlanganisiwe kukhulise amathuba okuphumelela kwabesifazane abangazange bavotele izidakamizwa zokuzala kuphela. Umuthi wesibeletho we- letrozole (i-Femara) ungase uphumelele ngokwengeziwe ekubangela ukuvuthwa kwe-ovulation kwabesifazane abane-PCOS.
Uma imbangela yokugcoba ukuhluleka kwe-ovarian ngaphambi kwesikhathi noma izindawo eziphansi ze-ovarian, khona-ke izidakamizwa zokuzala zincane kakhulu ukusebenza. Kodwa lokho akusho ukuthi awukwazi ukukhulelwa ngamaqanda akho. Abanye besifazane ngeke bakwazi ukukhulelwa ngamaqanda abo futhi bangadinga ukwelashwa kwe-IVF nge-egg donor.
> Imithombo:
> Ukungenzi lutho. I-Library Kazwelonke Yezokwelapha: I-MedlinePlus.
> Imithi yokwehlisa i-Ovulation: Umhlahlandlela weziguli. I-American Society of Medicine Yokuzala.