Njalo owesifazane uyazi ukuthi cishe inyanga ngayinye kwelinye lama-ovari ayo amaqanda avuthwa kanye nokuvuthwa kwe-ovulation kwenzeka. Kodwa-ke, le misebenzi yama-ovari ayikhawulelwanga. Indawo ye-follicle evuthayo yakha umzimba okuthiwa ophuzi. Kungenxa yokuqala okuphumelelayo kokukhulelwa.
Umzimba ophuzi - uyini?
Umzimba ophuzi ungumgogodla we-endocrine wesikhashana owenza emzimbeni wesifazane emva kokuvuthwa. Ngokuvamile umzimba owodwa ophuzi ukhiwa - ku-ovary noma kwesobunxele (kuye ngokuthi indawo ye-ovulation). Ngezinye izikhathi imizimba emibili ephuzi ifaka phakathi kokubili ama-ovari.
Ingubo ngayinye entsha ihamba ngezigaba ezilandelayo zokuthuthukiswa:
- Isiteji sokuqala - ngokushesha emva kokuvuthwa kwama-cell granular odongeni lwangaphakathi lwe-follicle evuthayo luqala ukwanda. Ingxube ye-follicle igcwele igazi, iphuma emithini yodonga oluphukile.
- Isigaba sesibili, njengeyokuqala, sinezinsuku ezingu-3-4. Imithwalo ye-lymphatic negazi ifomu kusuka odongeni lwangaphakathi lo-follicle. Ngendlela, igazi legazi eliphuzi ligcwele kakhulu kuwo wonke umzimba wesifazane.
- Isigaba sesithathu yizimbali zomzimba ophuzi. Amangqamuzana angama-granular enza umuthi ophuzi - i-lutein, equkethe i-progesterone ye-hormone.
- Isigaba sesine, noma ukuguqulwa komzimba ophuzi. Uma ukukhulelwa kungenzeki, i-gland kancane kancane yeka ukwenza imisebenzi yayo, iminyango, iphela futhi iphela.
Kungani udinga umzimba ophuzi?
Umsebenzi oyinhloko womzimba ophuzi ukukhiqizwa kwe-hormone progesterone, okubangela ukulungiswa komzimba wesifazane ukuze ukhulelwe. Inyanga ngayinye ngokuthuthukiswa komzimba ophuzi esibelethweni, i-endometrium ikhula - i-mucosa ilungiselela ukufakwa kweqanda elivundisiwe. Uma ukukhulelwa kwenzekile, umzimba ophuzi uzosekela impilo entsha: i-progesterone izothuthukisa ukuthuthukiswa nokukhululwa kwamaqanda amasha, ukhululeke imisipha yesibeletho futhi usebenze indawo yesifuba ephathekayo ekukhiqizeni ubisi.
Ngakho-ke, i-gland "isebenza" ngentshiseko phakathi namasonto angu-12-16 okukhulelwa, kuze kube yilapho i-placenta ikhiwa. Khona-ke yonke imisebenzi yokukhiqiza ama-hormone nokudala izimo ezihle zokuthuthukiswa kwe-fetus idlule endaweni yengane, futhi umzimba ophuzi kancane kancane uyanyamalala. Yiqiniso, ngezinye izikhathi, kwesinye isimo, kusuka kweyishumi, i-gland igcina umsebenzi wayo kuze kube sekuzalweni.
I-pathologies yomzimba ophuzi
Uma ukutholakala komzimba ophuzi emasontweni okuqala okukhulelwa kuqinisekisa inkambo yakhe evamile, ukungabi khona komzimba ophuzi kuyisifo esibi kakhulu esidinga ukwelashwa okukhethekile ngemithi ye-hormonal (Dufaston, Utrozhestan). Ukuntuleka kokusebenza (lapho i-progesterone ikhiqizwa ngamanani amancane kakhulu) kungaholela ekukhipha isisu noma ekuthuthukiseni ukungakwazi ukusebenza kwamapayipi.
Ngokuphindaphindiwe, abesifazane abahlela ukukhulelwa baphendukela odokotela ngombuzo othi: "Kungani umzimba ophuzi ungafomu?" Ezimweni eziningi, lokhu kungenxa yokuphulwa kwesizinda se-hormonal, umjikelezo wokugcoba (iqanda alivuthanga futhi aliveli ovary). Ukwelashwa kunqunywe emva kokuhlolwa okuphelele kokuqukethwe kwama-hormone egazi. Ngokuyinhloko, ukwelashwa kuhloswe ekugqugquzeleni i-follicles.
Okunye ukwephula ekuthuthukiseni nasekusebenzeni komzimba ophuzi kuyi-cyst. Ngokuvamile, akuyona ingozi empilweni yowesifazane, njengoba ezimweni eziningi zixazulula imijikelezo eminingi yokuya esikhathini. Kodwa-ke, ngobukhulu obukhulu (ngaphezu kuka-8 cm) kunengozi yokuphuka kwe-cyst yomzimba ophuzi, futhi lokhu kuyingozi ekusongeni impilo kanye nempilo yabesifazane. Ngaphezu kwalokho, i-cyst enkulu ingabangela ukungathandeki, owesifazane angabona ukuthi "umzimba wakhe ophuzi" ubuhlungu. Kulokhu, ukwelashwa kwe-hormone kunqunywe (ngoba imbangela enkulu yezinambuzane kuwukwephulwa kwesizinda sangemuva), futhi lapho kungekho khona izintambo ezinamandla - umsebenzi wokususa i-cyst.