Ukufeza umgomo oyinhloko empilweni yomama womsebenzi womama, umvelo womama ohlakaniphile uye walungiselela konke: ukulungiselela iqanda lokukhulelwa - ukuvuthwa, ukuqala kokukhulelwa - ukufakelwa kwemvelo, nokuthuthukiswa nokugcinwa kwesidumbu esisebusweni - umzimba ophuzi. I-gland ephuzi yomsindo wangaphakathi, obhekene nokukhiqizwa kwe-estrogen ne-progesterone - i-hormone yokukhulelwa "evimba" ukukhululwa kwamaqanda amasha ukuze kugweme ukuqala kokuya esikhathini.
Umzimba ophuzi ungumgogodla wesikhashana, emasontweni angu-18-20 umsebenzi wokuhlinzeka isizinda se-hormonal sokukhulelwa okujwayelekile kudlulela ku-placenta. Konke kuhle, kodwa ngezinye izikhathi kwenzeka ukuthi owesifazane ofuna ukuba ngumama akakwazi ukukhulelwa noma akakwazi ukugcina ukukhulelwa. Isizathu salokhu kuvame ukuntuleka ngokwanele komzimba ophuzi (ukungaqiniseki kwe-progesterone).
Okokuqala, sizoqonda ukuthi yini engabangelwa ukungakwazi ukusebenza komzimba ophuzi:
- i-pathologies yama-hormone yama-ovari, njenge-polycysticosis, ukuchithwa kwe-cystic ye-ovarian tissue, i-oncology, ukwehluleka kwe-ovarian ngenxa yokuhlinzwa noma ukwelashwa;
- ama-genetic pathologies (i-rearrangements ye-chromosome);
- I-pathologies ye-pituitary gland obangelwa ukukhubazeka kwezakhi zofuzo, i-oncology, ukulimala;
- izifo zezinye izitho kanye nezinhlelo zomzimba (hyperprolactinaemia, ukwehluleka kwezintuthwane, ukungakwazi ukusebenza kahle, njll).
Ukuntuleka komzimba ophuzi kubonakala kanjani ngesikhathi sokukhulelwa?
Ukuntuleka komzimba ophuzi kunempawu ezilandelayo, ezihlobene komunye nomunye:
- ukwephulwa komjikelezo wokuya esikhathini ngenxa yokungakwazi ukukhiqiza i-progesterone ngesamba esidingekayo, ngokuphathelene nokuthi i-endometrium ayinweba yini futhi ukukhula komjikelezo;
- kunzima ukufaka iqanda elifakwe emanzini ibe yingqimba elincane le-endometrium ngenxa yesizathu esingenhla.
- uma ngisho nokufakelwa kwesitshalo kwenzeka, izinga eliphansi le-progesterone liholela ekukhulelweni kwesisu (ukukhulelwa kwesisu) okubangelwa ukuphazamiseka okukodwa kwesibeletho.
Indlela yokuphatha ukungabi khona kwe-corpus luteum?
Njengoba sibona, ukungasebenzi kahle komzimba ophuzi - i-pathology efuna ukwelashwa okuphoqelekile, okuyinto engozini yangempela yokubeletha okuvamile kwesisu. Ngisho noma ku-trimesters yokuqala noma yesibili yokukhulelwa kwakungekho ukukhulelwa kwesisu, okwesithathu lesi sifo sibhekene nokuthuthukiswa kokuntuleka kwamapayipi.
Ukuntuleka komzimba ophuzi kunikeza ukwelashwa ngamalungiselelo e-hormonal ekhethekile okuphephile nokuqukethwe kwe-progesterone. Lezi zihlanganisa "i-Utrozhestan" (ngama-capsules), "Dufaston" (kumaphilisi), i-progesterone yemvelo (ku-ampoules, evame ukusetshenziswa esibhedlela), i-suppositories noma i-suppository nge-progesterone. Ukuze ugweme imiphumela engathandeki, kuhlanganise nokuphela kokuvuthwa, ukuqokwa kanye nokulinganisa kwezidakamizwa kufanele kwenziwe ngudokotela oqeqeshiwe ngokuqondile.
Njengengxenye yokwelashwa, ukuqapha okuqhubekayo kokuqala kwe-ovulation ngezindlela ze-ultrasound, ukuhlolwa kwe-ovulation ekhaya, nokuhlolwa kwegazi kwe-progesterone nakho kuyadingeka.
Yebo, umzimba ophuzi ophuzi, ukuhlaselwa okusheshayo nokulondolozwa kokukhulelwa okufunayo!