Ikhono lomfazi lokukhulelwa lizimisele, phakathi kwezinye izinto, ngenani lezintambo ezinamaqanda akhe. Bangaki babo abakhona ngaleso sikhathi, ingabe le nombolo ihambelana nokujwayelekile, futhi empeleni, yiyiphi inombolo evamile ye-follicles kuma-ovari? Ake sithole!
Inombolo ye-follicles ku-ovary
Ngokungafani namadoda abesilisa abesilisa ocansi babo abavuthwa kulo lonke impilo yabo, abesifazane abanalo leli khono. Ngokuphambene nalokho, imvelo isethwe phansi ukuze isamba esiphezulu se-follicles (kufinyelele ku-2 million) sabekwe ngisho nangaphambi kokuzalwa kwentombazane futhi kancane kancane idonsa kuze kufike isikhathi sokuqala kokuya esikhathini.
Ngakho-ke, inani le-follicles emaqanda ama-ovari linenani laso, kuye ngokuthi iminyaka yowesifazane. Ngakho-ke, uma ufaka intsha, intombazane inezinhlobo ezingaba ngu-300,000 follicles ezilungele ukukhiqizwa kwamaqanda.
Thola inani eliqondile lamaseli kuma-ovari, noma i-ovarian reserve, izosiza ukuhlolwa okuvamile kwe-ultrasound ye-appendages. Yenza le nqubo ibe ngcono ngokusizwa kwesinzwa sangasese - ngakho-ke udokotela uzokwazi ukubona inombolo ngqo ye-antral (encane, ububanzi obuvela ku-folloli 2 kuya ku-8 mm). Inombolo yabo ingahunyushwa kanje:
- kusuka ku-16 ukuya ku-30 - evamile;
- ngaphezulu kuka-30 - ama-ovaries we-polycystic;
- kusuka ku-7 ukuya ku-16 - inombolo ephansi, kodwa ukukhulelwa kungenzeka;
- kusuka ku-4 ukuya ku-6 - amathuba okuba akhulelwe;
- ngaphansi kuka-4 - ukungakwazi ukubeletha kungenzeka.
Ngenxa yalolu cwaningo lwesitoreji se-follicular ngayinye yama-ovari, isazi singakwazi ukuhlola ngokunembile ukuzala komfazi ofuna ukuba ngumama.
Mangaki ama-follicles ku-ovary ngezinsuku ezahlukene zomjikelezo?
Ukuze uqonde ukuthi ngabe owesifazane angakhulelwa kulo mjikelezo, udokotela uvame ukuchaza u-folliculometry - ukuqapha kwe-ultrasound yenombolo nobukhulu be-follicles kuma-ovari.
Kusukela ku-7 kuya ku-9 ngosuku lomjikelezo, enye ye-follicles ema-ovari iqala ukuvuthwa nokubusa, okusho ukuthi ilungele ukuvuthwa. Ngakho-ke, ukuhlolwa kokuqala kungcono ngosuku lwesishiyagalombili umjikelezo wokuya esikhathini, uma inani lezintambo lilinganiselwa (ngokwesilinganiso kusuka ku-10 ukuya ku-20). Khona-ke, i-ultrasound yenziwa njalo ezinsukwini ezingu-1-2 ukuze ukwazi ukugcina ukukhula nokuvuthwa kwe-follicle evelele.
Ekhuluma ngemigomo ye-folliculometry, sibona lokhu okulandelayo. Odokotela bavame ukuhlolisisa ama-ovaries amaningi lapho inani lamangqamuzana lingaphezu kwe-30. Lokhu kungabonisa i-polycystosis noma nje kube isici somzimba.
Uma i-follicles ingaphansi kakhulu kwendabuko (kuze kufike ku-5 kokubili ama-ovari), lokhu kungaba umphumela wezifo ezihlukahlukene futhi kunciphise izinga lama-hormone ocansi. Ukuze uthole izizathu eziqondile zalokhu futhi ubeke ukungabi nabantwana, kuyadingeka ukuba uthole inombolo yezivivinyo ezengeziwe.