Unyaka ngamunye, odokotela babhala amacala amaningi abesifazane abangakwazi ukuba nabantwana. Ukuthuthukiswa kwemithi kanye nobuchwepheshe, ngeshwa, akukakaki ngokugcwele zonke iziphazamiso zesistimu ye-genitourinary yabantu. Imibhangqwana eningi ibhekene nesidingo sokuqothulwa komzimba noma ukubeletha komama, futhi ngokuvamile odokotela bakhuluma ngokubaluleka kanye nesidingo sokuhlela umndeni.
Kule ngqikithi, sizokhuluma ngokuvuthwa kwe-ovulation kanye ne-follicle evelele: "i-follicle" evelele kusho ukuthini, ingabe kukhona ama-follicle amabili aphezulu (kokubili ama-ovari), njengoba kuboniswa ngobukhulu noma ukungabikho kwe-follicle evelele.
Ukuvuthwa kanye ne-follicle ephezulu
I-follicle iyisamukeli seqanda. Phakathi kwesigaba sokuthuthukiswa, i-follicle evelele ibonakala kakhulu - yiyona enkulu kunazo zonke futhi ithuthukiswe kahle. Njalo ngenyanga amaqanda avuthiwe futhi alungiselela ukukhulelwa - i-follicle yandisa izikhathi ezingu-15-20, igcwele uketshezi nokuqhuma (cishe ngosuku lweshumi nane lwenyanga). Kulolu cala, kuphela isethi (10-15) ye-follicle evuthwa ngokuphelele futhi iqhuma - ukuthuthukiswa okunye okumele kube khona ngezigaba ezahlukene futhi ufe. Yilokho okubizwa ngokuthi i-ovulation. Esimweni lapho ama-follicles aphezulu ekhula kuwo womabili ama-ovari, amathuba okukhulelwa amawele asanda kaningi. Ngokuvamile, ngenxa yokugqugquzela ama-hormone, ama-follicle amaningana amakhulu akhula, awakhiwe futhi ahlolwe ngesikhathi esisodwa. Lokhu kuchaza inani elikhulu lamawele ne-triplets, azalwe ngenxa yokuqothulwa okufakelwayo noma emva kokugqugquzelwa kokuvuthwa.
I-Ultrasound ukucacisa i-follicle evamile nokuqapha ivumela odokotela ukuba bahlole isimo sezempilo sabesifazane (ikhono labo lokukhulelwa kwengane) futhi babikezele amathuba okukhulelwa, okukhombisa izinsuku zokuba nomthelela wokukhulelwa.
Indlela yokukhulisa i-follicle evelele?
Indlela ejwayelekile kunazo zonke yokuvuselela i-ovulation iyindlela yokwelapha ye-hormonal, ikakhulukazi, ukuqokwa kwe-clostilbegite. Kodwa, naphezu kokuthandwa okuvamile, ukusetshenziswa kwayo akulona kulungile ngaso sonke isikhathi. Ngaphezu kwalokho, abanye besifazane abakwazi ukuyisebenzisa ngokulinganayo. Yingakho kubaluleke kakhulu ukuba uqiniseke ekufundeni udokotela oya khona futhi ube nezimpikiswano ezanele zokubeka izidakamizwa ezinamandla. Kuyaziwa ukuthi ukwedlula ukusebenza komuthi, kuphakamisa amathuba okuba nemiphumela engathandeki futhi kuhlukahluka kakhulu futhi kuyingozi kangakanani.
Khumbula ukuthi ukukhethwa kwezikhwama zokuvuselela i-ovulation kanye nomthamo wezidakamizwa ezikhethiwe kumuntu ngamunye, akunjalo kungasetshenziswa ukuvuselela ama-hormone ngaphandle kokuqondiswa udokotela.
Abesifazane abaningi bayazi ukuthi lezi zintuthuko zisebenza kanjani emva kokuqokwa kwe-vitamin therapy kanye ne-folic acid yokudla.
Kungani kungekho follicle evelele?
Izizathu zokuthi i-follicle evamile ayivuthanga futhi ayikho i-ovulation ingaba eziningana:
- "Ukulala" ama-ovari, lapho izintambo zingathuthuki futhi kungekho-ovulation;
- ukuphazanyiswa kwentuthuko ye-follicle, lapho, lapho ithuthukiswe kwesigaba esithile, ihluleka ukuthuthukisa nokugcizelela, ngenxa yalokho ukuvuthwa okwenziwe nakho kungenzeki;
- I-follicle iqala, kodwa ayifinyeleli usayizi ofanele. Ukuvuthwa nakho akukhona, kepha ukuhlaziywa kwamahomoni akubonakali ukwehlukana noma ukulahla;
- I-follicle iqala ubukhulu obufanele, kodwa ayiyiphuli, i-follicle eqhubekayo iphikelela (okungukuthi, iqhubeka ikhona ngaphandle kokuvuthwa).
Isimo esiyinhloko sokwamukelwa okuphumelelayo kwe-ovulation yincazelo eyanele yezizathu zokuphulwa kwayo. Uma lesi sizathu singakabonakali futhi sichithwe, ngisho nokuvuselela okuningi akusizi njalo imiphumela.
Ukuxilongwa kwezimbangela zokuhluleka kwe-ovulation akukwazi ukusekelwe kuphela ekuhlaziyweni kwamashadi okushisa okuyisisekelo (ngisho noma imijikelezo eminingana iyatholakala). Ukuxilongwa kufanele kube okuphelele - ukuhlolwa kwezokwelapha, ukuhlaziywa kwesizinda se-hormonal, ukuxilongwa kwe-ultrasound yokuthuthukiswa kwe-follicular ngenqwaba yemijikelezo (hhayi njengomphumela wokuvakashela odokotela isikhathi esisodwa).