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Kude Kuqala Ngaphambi Kokuya EnkathiniUhlelo lwezokuzala luyinkimbinkimbi kakhulu, futhi ukuze yonke into isebenze kahle, ama-hormone amaningana, izigulane, nezitho kumele benze imisebenzi yabo ngendlela efanele, ngezikhathi ezifanele. Uma usuqonda ukuthi uhlelo lokusebenza lokuzala lusebenza kanjani, kulula ukuqonda ukuthi izinto zingahamba kanjani kabi. Kuyinto isimanga ngempela ukuthi izinto zihamba kahle, kunikezwa ukuthi kunzima kangakanani uhlelo lonke!
Futhi, ukujwayela indlela uhlelo lokukhiqiza olusebenza ngayo kungakusiza ukuthi uqonde ukuthi kungani ezinye zokwelapha zokwelapha zenziwa ngezikhathi ezithile.
Ukuzijwayeza ngesistimu yokuzala kungakusiza nokuba uqonde ukuthi ungakhulelwa kanjani ngokushesha , ngokukusiza isikhathi sokulala ngesifo sokuvuthwa .
Kude Kuqala Ngaphambi Kokuya Enkathini
Sivame ukucabanga ngesistimu yokuzala njengokuthile okusebenza emjikelezweni wanyanga zonke, njengokwezikhathi zethu zokuya esikhathini. Yize lokhu kuyiqiniso ngempela, kunzima nakakhulu kunalokho.
Iqanda ongayenza lona le nyanga lilungele ngaphakathi kwe-follicle ezinsukwini ezingu-290 ezidlule, cishe izinyanga ezingu-9. Eqinisweni, lelo qanda liye lazungeze njengeqanda elidala ngoba usanda nje umfanyana ngaphakathi kwesibeletho somama wakho.
Ngesikhathi ubengumngane owodwa, cishe emavikini angu-12 ukubeletha, ama-ovari akho aqukethe amaqanda amancane angama-6 kuya ku-7 - okungeke ukwenze ekuphileni kwakho. Ngesikhathi uzalwa, kwakukhona amaqanda amabili amancane kuphela ashiywe, futhi ngenkathi usuqala umjikelezo wakho wokuya esikhathini, ama-ovari akho aphethwe kuphela ama-500,000.
Kwenzekani kuzo zonke lezi zigidi zamaqanda angaba khona? Ziya kuphi?
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Umjaho Omkhulu Wamagatsha: Indlela Ama-Follicles Akhula Ngayo Egg OvulatedLezo zigidi zamaqanda abomvu ayenama-ovari wakho lapho usencane ziqukethwe kulokho okubizwa ngokuthi yi-follicles eyinhloko, futhi abaningi babo bafa njengoba isikhathi sidlula .
Lapho kufika isikhathi sokujikeleza kwakho kokuqala kokuya esikhathini, iqembu lokuqala lamanye ama-follicle asele ahlala eqala "ukuvuka".
Njengoba bevuka, kukhona uhlobo lokuncintisana phakathi kwabo njengoba bekhula.
Inyanga ngayinye ezinye zalezi follicle ezinkulu ziyeke ukukhula, neqembu elihle kakhulu elihamba phambili ngenyanga ezayo yokukhula. Kuleli qembu, iqembu elilodwa kuphela elizokhetha ukuthi lizobe liyi-follicles eyinhloko, bese liba yilokho okuyaziwa njenge-follicles yesibili.
Kuyinto efana ne-follicle marathon ukubona ukuthi ngubani ozofika ukuze abe iqanda eliwina.
Ekugcineni, eyodwa kuphela (futhi ngezinye izikhathi ezimbili) yale follicle iba yiqanda elivuthiwe elizovulwa.
Kodwa yini eyenza lezi follicles zigijime kuqala?
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Ukuthola u-Egg Great Uhlanga Race waqalaUkuthola umjaho we-follicle-to-egg osebenzayo kufana nomncintiswano owedluliselwa kuwo futhi uqobo.
Kuze kube yilapho izintambo eziyinkimbinkimbi ziba yimpumelelo bese ziyi-follicle yesibili, umncintiswano uqala ngokuyinhloko ngaphakathi kwe-ovary uqobo.
Kodwa uma kufika isikhathi sokuba iqembu lama-follicle yesibili ukuze lifakwe njengeqanda elivotshwe, ama-hormone angaphandle kwe-ovary adlala indima ebaluleke kakhulu.
I-hypothalamus gland, etholakala ebuchosheni, iqala umjaho owedlula emuva ngokukhulula i-gonadotropin-release hormone, noma i-GnRH. Lokhu kwenzeka ngosuku lokuqala lwenkathi yakho.
Le hormone ibonisa i-pituitary gland ukuze ikhiqize amahomoni amabili, i-horlicone-evuselela i-hormone, noma i- FSH , ne-hormone yokuqondisa, noma i-LH.
Nakuba i-pituitary gland ikhiqiza kokubili i-FSH ne-LH, ithengisa iningi le-LH kamuva. Phakathi nezinsuku ezimbalwa zokuqala zomjikelezo wakho wokuya esikhathini, yi-FSH ekhishwa kakhulu.
Lokhu kungukuqala kwalokho okubizwa ngokuthi isigaba se-follicular sokujikeleza kokuya esikhathini.
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I-Follicular Phase ye-Cycle of the Menstrual CyclePhakathi nesigaba se-follicular sokujikeleza kokuya esikhathini, ama-follicles angaba ngu-5 kuya kwayisishiyagalombili e-ovary yakho (futhi ngezinye izikhathi zombili ama-ovari) aqala ukugijima emgqeni wokugcina.
Ukukhula kwabo kukhuthazwa i-hormone ye-FSH. Igama linikezela - i-FSH iyi-follicle-evuselela i-hormone, noma ngamanye amagama, i-hormone evuselela izintambo ezikhulayo.
Njengoba i-follicles ikhula kakhulu, iqala ukukhulula i-hormone estrogen. Njengoba le-estrogen ihamba ngegazi, ibuyela emuva emgodini we-pituitary, okwenza iglozi linciphise ukukhiqizwa kwe-FSH.
Lokhu kubizwa okungalungile-impendulo - njengoba i-estrogen iphakama, i-FSH iyancipha.
Ekugcineni, eyodwa (futhi ngezinye izikhathi ezimbili) yama-follicle iba yintollicle evelele. I-follicle evelele ikhulula isamba esikhulu se-estrogen egazini.
Uma u-follicle ufinyelela ezigabeni zokugcina zokuvuthwa, umjikelezo ongalungile-impendulo ushintshela kumjikelezo we-positive-feedback. Lokhu kusho ukuthi ukwanda kwe-estrogen kuholela ekukhuleni kwe-FSH.
Ngamanye amazwi, amazinga aphakeme e-estrogen ngokuzumayo adala isipike ku-FSH, uhlobo olufana nelokugcina eqanda elikhulayo.
Kodwa emva kwalokhu okushicilelwe kokugcina kwe-FSH, i-pituitary gland isinciphisa ukukhiqizwa kwe-FSH.
Lokhu kungukuqala kwesigaba esilandelayo somjikelezo wokuya esikhathini, owaziwa ngokuthi yisigaba se-ovulatory.
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Isigaba se-Ovulatory of the Cycling CircleNjengoba amazinga e-FSH aphansi, i-follicle eqhubekayo iqhubeka nokuvuthwa nokukhulula isrogen. Amanye ama-follicles angayiphumeli umncintiswano afa.
Manje, kuphela ngamaqanda noma amaqanda okuwina (uma kwenzeka amawele angafani).
I-estrogen ekhishwe yi-follicle evuthiwe yenza okungaphezu nje kokuvala ukunikezwa kwe-FSH ku-pituitary. I-estrogen nayo inesibopho sokuvuselela i-endometrium, noma i-lining of the womb, ukuze ikhule.
I-endometrium ikhula kusukela cishe ngamamitha angu-0.5 ubukhulu ekuqaleni komjikelezo wakho, kufika kumamitha angu-5.5 ubukhulu ekugcineni.
Ama-hormone e-estrogen nawo anesibopho sokwanda kwesikhumba esivundile somlomo wesibeletho kanye nokushintsha kwesikhundla sakho somlomo wesibeletho , ukulungiselela izimo ezizobe zilungile ukuthutha nokwamukelwa kwesidoda kuze kube yiqanda. Kubuye kwandise izinga lakho lesifiso socansi , indlela yezinto eziphilayo zokusiza isikhathi sokulala ngokukhulelwa.
Lapho i-follicle ephezulu ikulungele ukukhishwa, amazinga we-estrogen. Lokhu kuphakamisa kubangelwa ukuthi i-pituitary gland ibe ne-hormone GnRH eyengeziwe, okuholela ekukhululweni kwe-LH egcinwe emgodini we-pituitary.
Lokhu kuhamba ku-LH kubonisa ukuthi i-follicle ikhulula iqanda. Ngosuku lokuvuka kwakho kwe-LH, uzoba nomswakama wesibeletho ovundile kunawo wonke futhi isikhundla sakho somlomo wesibeletho sizothola phezulu, ngesisu somlomo wesibeletho ovulekile futhi ovulekile. Yilokhu okukhuphuka ukuthi ama-kits predictor kits akusiza ukuthi uyithole.
Kungakapheli amahora angu-24 kuya kwangu-48 ukuqhuma kwe-LH, i-follicle ephakeme iyahlukana futhi iqanda eliwina lizokhishwa ngenqubo eyaziwa ngokuthi i-ovulation.
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I-Luteal Phase Yokuhamba KwesikhashanaNgemuva kokukhishwa kweqanda, isigaba sokuqala sokuqala kokuya esikhathini siqala.
Iqanda elikhululwe linamahora angaba ngu-24 ukuze lithole umuthi wokulinda, futhi ngokuvamile lokhu kwenzeka njengalokhu iqanda lingena embumbeni we-fallopian. Uma ubulale ngocansi ezinsukwini zokuqhuma kwe-LH, isidoda kufanele sibe khona, silinde ukubingelela iqanda elivotshwe.
Okwamanje, i-hormone ye-LH ibangela ukuthi i-follicle ephukile ibe yinto eyaziwa ngokuthi i-corpus luteum. Umsebenzi we-corpus luteum ukuqhubeka ukhulula i-estrogen futhi ukhulule i-hormone entsha, i-progesterone.
I-Estrogen ikhuthaza ukwelulwa kwesibeletho ukuba iqhubeke ikhula, kuyilapho i-progesterone ye-hormone isiza ukwelulwa kwesibeletho ukuba ithole iqanda elikhuliswe.
I-progesterone inesibopho salezo zimpawu zokukhulelwa ezicatshangelwayo ezihlupha abaningi phakathi kweviki ezimbili silinde .
I-progesterone ye-hormone nayo ibangela ukwanda kancane emzimbeni wakho wokushisa, yilokho okubangela ukushisa okubonakalayo uma ubheka izinga lokushisa lomzimba wakho .
Ukuphila kwe-corpus luteum kufushane, noma kunjalo.
Uma iqanda likhulelwa, umbungu uzokhipha i-hCG ye-hormone, noma i-gonadotropin ye-chorionic yabantu. i-hCG ifana ne-hormone LH, futhi igcina i-corpus luteum ephilayo, ikhiqiza i-estrogen ne-progesterone ngaphezulu ukugcina ukukhulelwa.
Kodwa, uma iqanda lingenalo umanyolo, i-corpus luteum iqala ukuhlakazeka cishe kwezinsuku ezintathu ngaphambi kokuthola isikhathi sakho. Amazinga e-estrogen ne-progesterone ama-hormone aphuka, okwenza i-endometrium iphule futhi ekugcineni iholele ekuya esikhathini.
Ngenkathi sikhala ngenye inyanga engaphumeleli, noma kunjalo, imizimba yethu ayichithi isikhathi samaqembu omusa. Usuku usuku lwakho luqala ngalolo suku lapho i-hypothalamus iqala ukukhulula i-GnRH futhi, iqala elinye i-marathon yeqembu elilandelayo lezintambo ezilindile.
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Ukwelapha Ukwelashwa Nokujikeleza KwakhoManje ukuthi uqonda uhlelo lwesisu lokuzala, kuzoba lula ukuqonda ukuthi kungani futhi kungani imijikelezo ehlotshisiwe.
Isibonelo, manje uyazi ukuthi kuthatha isikhathi esithile - izinyanga ezingaphezu kwezingu-9 - ukuze ulandele isilwane esincane ukuze ulungele ukugijima emncintiswaneni. Yingakho ezinye izinguquko zokuphila zingathatha isikhathi sokwenza umehluko ekuzaleni kwakho.
Futhi, izidakamizwa ezifana ne-metformin, izidakamizwa zokuvimbela i-insulin ngezinye izikhathi ezisetshenziselwa ukuphatha ukungabi nabantwana kuma- PCOS , zingathatha izinyanga ezingu-6 ukusebenza.
Izidakamizwa zokuzala
Ungabuye uqonde kangcono ukuthi kungani uthatha izidakamizwa ezithile zokuzala ngezikhathi ezithile phakathi nomjikelezo wakho. Isibonelo, i- Clomid ithathwa ngesikhathi sokuqala kwesigaba se-follicular yomjikelezo wakho, ngoba yisikhathi lapho izintambo zikhula futhi zilungiselela ukuvuthwa.
Ngesikhathi sokujikeleza kwe- IVF , ungathatha okwaziwa ngokuthi ungumphikisi we- GnRH isonto ngaphambi kokuba ulindele isikhathi sakho. Umphikisi we-GnRH uvimbela i-pituitary gland yakho ekukhululeni i-LH ne-FSH, ukuze udokotela wakho angakwazi ukulawula umjikelezo.
Izidakamizwa ezifana ne- Gonal-F ne-Follistim zenziwe ngama-hormone e-FSH. Manje uyazi ukuthi i-FSH iyi-hormone enesibopho sokukhuthaza ukukhula kwama-follicles kuma-ovarie akho.
Izidakamizwa ezifana no-Ovidrel, ngokuvamile ezibhekwa ngokuthi "i-trigger shot", zithathe noma zithuthukise ukuqhuma kwe-LH okubangela ukuvuthwa kokugcina kweqanda futhi ekugcineni ukuvuthwa.
Futhi emva kokuvuthwa, ama-progesterone angeke anikezwe. Ngesikhathi i-IVF, lapho amaqanda ehlulwa, i-follicle nayo isusiwe, okusho ukuthi ayikho i-corpus luteum eyashiywe ngemuva ukukhiqiza i-progesterone edingekayo ukusekela i-uterine lining for pregnancy. Yingakho udinga ukuthatha i-progesterone ngenkathi ukwelashwa kwe-IVF.
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Ukulinganisela OkubucayiNjengoba kunikezwe ubunzima besistimu yokuzala, kuyisimangaliso ukuthi isebenza kaningi njengoba kwenza. Ngaphezu kwalokho, asikazanga ukukhuluma ngecala lesilisa le-equation.
Asikaze saqala nokubhekana nokuthi amanye ama-hormone emzimbeni angathinta kanjani ama-hormone okuzala, noma ukuthi ubudala, isisindo, nezinye izici zingathinta kanjani lolu hlelo olubucayi.
Uma uyibheka ngempela, kuyamangalisa kakhulu, futhi kimi, kushukumisa umuzwa ojulile wokwesaba ezweni esiphila kulo nezinto ezithinta abaningi bethu.
Funda kabanzi uhlelo lwakho lokuzala:
- Indlela Yokuthola Umkhulelwe: Kwabaqalayo
- Izinto 7 Wonke Umuntu Odinga Ukukwazi Ngokuzala (Nakuba kuhle ukuthi abesifazane bazi lezizinto, futhi!)
- Izinto 7 Wonke Owesifazane Odinga Ukukwazi Ngokuzala (Nakuba kungcono amadoda ukuba azi lezizinto, futhi!)
- Izinyathelo Eziwusizo Ngokudla Okungcono Nokuhamba Kakhulu
- Folic Acid for Fertility
- Ingabe Kukhona Ukudla Okukhethekile Okusiza Usizi?
- Amathiphu 10 Okukhulisa Ukuzala Kwabantu
- Imikhuba Emibi Yokudiliza Ukuthuthukisa Ukuzala
- I-Mind-Body Therapies for Fertility
Imithombo:
UFalker, u-Elizabeth Swire. (2004). I-Infertility Survival Handbook . I-United States of America: i-Riverhead Books.
UGrene, uRobert A. noTarken, uLaurie. (2008). Ukulinganisela kwamaHhomomu aphelele Ukuzala . I-United States of America: I-Press Rivers Three.
I-Speroff, L, i-Glass, i-RH, iKase, NG. (1999) I-Endocrinology ye-Gynecologic Clinic ne-Infertility, umagazini wesi-6. I-United States of America: Lippincott Williams & Wilkins.