Amayi ambiri amalota kuti akhale amayi. Choncho ndikofunika kufufuza thanzi lanu, kuphatikizapo nthawi yomwe amayamba kusamba, yomwe yagawidwa muzigawo zingapo:
- Kusamba (kudziyeretsa yokha pamene kupuma kwachitsulo kutuluka);
- ovulatory (motsogoleredwa ndi estradiol, follicle ikupitirirabe kukula);
- Lutein (follicle imasanduka thupi "lachikasu", lomwe limayamba kubala progesterone pa nkhani ya umuna).
Pulogalamu ya luteal ya ulendo: ndi chiyani?
Pulogalamu ya luteal (dzina lina - progesterone, gawo la chikasu thupi) ndi nthawi ya msambo kuchokera kumayambiriro kwa ovulation mpaka kusamba kwa magazi.
Mu gawo la luteal, follicle ikuphulika. Maselo amayamba kuunjikira lutein pigment ndi lipids, zomwe zimapatsa graafonic vesicle chikasu chachikasu.
Thupi la chikasu limayamba kutulutsa androgens, estrogen ndi "hormone yoyembekezera" - progesterone. Choncho, chiberekero chimayamba kukonzekera kuti chiyambireni mimba. Ngati feteleza yachitika, ndiye kuti chikasu chimapanga progesterone mpaka pulasitiki ikufika pa mlingo woyenera.
Ngati feteleza sizichitika, ndiye kuti chikasu chimasiya mahomoni. Kutuluka kwa msinkhu wotsatira kumapezeka.
Momwe mungawerengere gawo la luteal?
Mukhoza kuchepetsa kutentha kwapakati pa tsiku ndi tsiku. Pamene iyo imakhala yaikulu kuposa madigiri 37, izo zikutanthauza kuti panali ovulation ndi luteal phase zinachitika.
Kuti muwerenge chiyambi cha luteal phase, ndi bwino kukumbukira tsiku loyamba la kusamba ndikuwerenga kuchokera masiku 14. Komabe, ziwerengero zoterezi sizolondola kwenikweni, chifukwa kutsekemera kumatha kusuntha ndipo kumachitika ngati tsiku lachisanu ndi chiwiri la kusamba (ndi kuzungulira kwa masiku 28) ndi tsiku la 16, lomwe ndilololanso. Kuyeza kwa ultrasound, kuchuluka kwa kutentha kwapakati pazingapo zingathe kudziwa kuchuluka kwa masiku omwe mkazi ali nawo asanayambe kuvuta.
Kodi luteal isatha nthawi yayitali bwanji?
Nthawi yayitali ya luteal gawo ndi masiku 14. Pa mulandu uliwonse, nthawi ya gawoli ikhoza kukhala kuyambira masiku 12 mpaka 16. Zimadalira nthawi imene ntchito yachikasu imagwira ntchito ndi mphamvu ya mahomoni aakazi pa ntchito za ziwalo zoberekera. Gawo lalitali lalitali likhoza kukhala ngati ali ndi mimba kapena chifukwa cha kukhalapo kwa chikasu cha thupi, chimene pambuyo pake chingadutse paokha.
Kusakwanira kwa gawo la luteal
Luteal gawo kulephera: zimayambitsa
Kugonjetsedwa kwa gawo la luteal ndi chifukwa chobweretsera ubereki. Ngati gawoli ndi lalifupi kwambiri, ndiye kuti izi zingakhale chifukwa cha zifukwa zotsatirazi:
- Kukula kovuta kwa hypothalamic-pituitary dongosolo chifukwa cha kupsinjika, kupwetekedwa mtima, ndi matenda opatsirana;
- mkaziyo ali ndi zizindikiro za hyperandrogenism ya adrenal, ovarian, osiyana;
- ma prolactin ambiri amachititsa ntchito ya mahomoni a gonadotropic;
- zotupa mu njira za uterine;
- hyper- ndi hypothyroidism.
Luteal gawo kulephera mu kayendedwe: zizindikiro
Palibe mawonetseredwe akunja a gawo la luteal, kupatulapo kusamba.
Luteal gawo kulephera: mankhwala
Kuti muone ngati nthawi yayamba bwanji, ultrasound ndi yofunika kudziwa nthawi yoyamba ya ovulation, kuyesa magazi kwa progesterone. Kutengedwa kunyumba, miyezo ya kutentha kwapakati siidziwitsa.
Chithandizo chachikulu chomwe chimaperekedwa ndi kusowa kwa luteal phase - mankhwala otchedwa hormone therapy pofuna kulimbikitsa kuyamba kwa ovulation
- kuchitsulo;
- physiotherapy (intravaginal phonophoresis);
- chithandizo cha sanatorium.
Ngakhale kuti matendawa ndi ovuta kwambiri komanso zotsatira za matendawa, mankhwala ophera mahomoni komanso njira zina zimathandizira kuti pakhale maulendo oposa theka la mimba.