Abesifazane abaningi baphupha ngokuba omama. Ngakho-ke kubalulekile ukuqapha impilo yakho, kufaka phakathi ukujikeleza kokuya esikhathini, okuhlukaniswe ngezigaba eziningana:
- Ukuya esikhathini (ukuphuma ngokwayo uma i-follicle evuthiwe iphuma);
- i-ovulatory (ngaphansi kwe-estradiol i- follicle eqhubekayo iqhubeka nokukhula kwayo);
- i-lutein (i-follicle iba "umzimba ophuzi", oqala ukukhiqiza i-progesterone uma kwenzeka ukukhulelwa).
Isigaba sokulwela umjikelezo: kuyini?
Isigaba luteal (elinye igama - i-progesterone, isigaba somzimba ophuzi) yisikhathi somjikelezo wokuya esikhathini ukusuka ekuvuthweni ukuya ekuphumeni kokuya esikhathini.
Esikhathini esilandelayo, i-follicle ihlukana. Amaseli aqala ukuqoqa i-lutein pigment ne lipids, enikeza i-graafonic vesicle i-hue ephuzi.
Umzimba ophuzi uqala ukufaka i-androgens, i-estrogen futhi "i-hormone yokukhulelwa" - i-progesterone. Ngakho-ke, isibeletho siqala ukulungiselela ukuqala kokukhulelwa. Uma ukukhulelwa kwenzeka, khona-ke umzimba ophuzi uqala ukukhiqizwa kwe-progesterone kuze kube yi-placenta efika ezingeni elidingekayo.
Uma ukukhulelwa kungenzeki, umzimba ophuzi uyeka ukukhiqiza ama-hormone. Ukuphuma kwesikhashana kokuya esikhathini kwenzeka.
Indlela yokubala isigaba se-luteal?
Ungakwazi ukukala izinga lokushisa okuyisisekelo kwi-rectum nsuku zonke. Uma kuba ama-degree angaphezu kwama-37, kusho ukuthi kwakukhona i-ovulation kanye nesigaba salo luteal.
Ukuze ubale ukuqala kwesigaba se-luteal, kufanelekile ukukhumbula usuku lokuqala lwenyanga yokuya esikhathini nokubala kusukela ezinsukwini ezingu-14. Noma kunjalo, izibalo ezinjalo azilona ngokunembile ngokuphelele, ngoba ukuvuthwa kungashintsha futhi kwenzeke njengosuku lweshumi nambili lwenyanga yokuya esikhathini (ngomjikelezo ogcwele wezinsuku ezingu-28) nangosuku lwe-16, okuyinto evamile. Ukuxilongwa kwe-ultrasound, isilinganiso sokushisa esilinganisweni sezinyathelo eziningana kunganquma inani elijwayelekile lezinsuku owesifazane anakho ngaphambi kokuvuthwa.
Isigaba esilandelayo sihlala isikhathi esingakanani?
Isikhathi esiphakathi kwesigaba salo luteal siyizinsuku eziyi-14. Esimeni ngasinye, isikhathi sesigaba singasukela ezinsukwini ezingu-12 kuya kwezingu-16. Kuxhomeke esikhathini sokusebenza komzimba ophuzi kanye nomthelela we-hormone wesifazane emsebenzini wezitho zokuzala. Isigaba eside sokulenga singase sibe lapho kwenzeka ukukhulelwa noma ngenxa yokutholakala kwe-cyst yomzimba ophuzi, okwathi ngemva kwesikhathi ungadlula ngokwawo.
Ukungakwazi ukusebenza kwesigaba sokuqapha
Ukuhluleka kwesigaba seLuteal: izimbangela
Ukuhlukunyezwa kwesigaba sokwehluleka kuyisisusa esiningi sokungabikho komuntu wesifazane. Uma lesi sigaba sifushane kakhulu, lokhu kungaba ngenxa yezizathu ezilandelayo:
- ukuthuthukiswa kokungasebenzi kahle kwesimiso se-hypothalamic-pituitary ngenxa yokucindezeleka, ukuhlukumezeka, kanye nokuhlukunyezwa;
- owesifazane unezibonakaliso ze-hyperandrogenism ye-adrenal, i-ovarian, umsuka ohlangene;
- Ukuhlushwa okukhulu kweprolactin kuthinta umsebenzi we-hormone ye-gonadotropic;
- izinqubo zokuvuvukala ezihlotsheni zobuningi;
- hyper- kanye hypothyroidism.
Ukuhluleka kwesigaba seLuteal emjikelezweni: izimpawu
Akukho ukubonakaliswa kwangaphandle kwesigaba se-luteal, ngaphandle komjikelezo wesimiso.
Ukuhluleka kwesigaba se-Luteal: ukwelashwa
Ukuze uhlole isikhathi se-luteal phase, i-ultrasound iyadingeka ukunquma isikhathi sokuqala kwe-ovulation, ukuhlolwa kwegazi kwe-progesterone. Eqhutshwa ekhaya, izilinganiso zokushisa kwe-basal aziwazisi.
Ukwelapha okuyinhloko okushiwo ukungabi nalutho lwesigaba se-luteal - ukwelashwa kwe-hormone ukugqugquzela ukuqala kwe-ovulation
- i-acupuncture;
- i-physiotherapy (i-praophoresis ye-intravaginal);
- ukwelashwa kwe-sanatorium.
Naphezu kokubaluleka kwesigaba sokuqapha kanye nemiphumela yezifo ezinjalo, ukwelashwa kwama-hormonal kuhlangene nezindlela ezihlukile kunomthelela ekwenzeni okuphumelelayo kokukhulelwa okungaphezu kwengxenye yamacala.