Isizinda esisodwa se-hormonal wesifazane sihluke inyanga eyodwa. Lokhu kubangelwa ukulungiswa komzimba wakhe ukuze kube nokukhulelwa okungenzeka, futhi uma kungenzeki, isizinda se-hormonal sibuyela esimweni sayo sokuqala. Inyanga ngayinye, i-follicle ephukile ihlukana nokukhululwa kweqanda, futhi i-endocrine gland yesikhashana, ebizwa ngokuthi umzimba ophuzi, isakhiwe kusuka kumaseli e-follicle ngokwayo. Indima yomzimba ophuzi ukukhiqiza i-progesterone, ekhuthaza ukuhamba kombungu okhulelwe ngaphakathi kwesibeletho kanye nokufakelwa kwayo. Uma ukukhulelwa kungenzeki, khona-ke isifo somzimba ophuzi senzeka ngemva kwezinsuku ezingu-12-14.
Umzimba ophuzi ubonakala kanjani ku-ultrasound?
Ku-ultrasound, izibonakaliso zomzimba ophuzi ziyisigqoko esingavamile, esinesisindo, esinesisindo esithambile esibelethweni. Uma lona wesifazane ephuzile esikhathini, futhi umzimba ophuzi awubonakali nge-ultrasound, isizathu esithile sokubambezeleka singase sibe isifo esivela ku-endocrine noma ohlelweni lokuzala. Ngisho nangesikhathi sokuqala kokukhulelwa, ukungabi khona kokubukeka komzimba ophuzi ku-ultrasound kubonisa ukuthi usongo lokuqeda ukukhulelwa ngokwezinga elinganele leprogesterone. Ubukhulu bomzimba ophuzi we-18 mm buhle kakhulu ekukhuliseni okwenzekayo, kanti umbungu wasungulwa esibelethweni futhi waphuthukiswa kahle. Uma i-ultrasound ibonisa umzimba ophuzi ngaphezu kuka-23 mm, ukuvuthwa kwe-ovulation akusho futhi ukukhula kobuciko buqhubeka, ke kuthiwa yi-cyst follicular. I-cyst follicular ingaqedwa ngesikhathi sokuya esikhathini noma phakathi kwemijikelezo elandelayo 2-3. Uma i-ultrasound yembule umzimba ophuzi ngaphezu kuka-30 mm uma kungabikho ukukhulelwa, kubizwa ngokuthi i-yellow body cyst.
Umzimba ophuzi - ubukhulu be-ultrasound
- ubukhulu bomzimba ophuzi ku-ultrasound 18-23 mm kubonisa isigaba sokuqala sokuvuthwa nokulungele ukukhulelwa;
- ubukhulu bomzimba ophuzi ku-ultrasound kusuka ku-20 kuya ku-30 mm ngesikhathi sokukhulelwa kukhuluma ngendlela ejwayelekile, futhi lapho kungekho khona nge-cyst follicular;
- uma ngesikhathi sokuhlolwa kwe-ultrasound ukubunjwa kwe-anechogenous kwesimo esizungezile sikhulu kunama-40 mm endaweni lapho kutholakala khona umzimba ophuzi, kuyisiko ukukhuluma nge-cyst body yellow.
Izimpawu ze-dopplerometric zomshuwalense womzimba ophuzi zitholakala ngesonto eli-13-14 lokukhulelwa, lapho ukwakhiwa kwe-placenta kuqediwe, futhi kuqala ukusebenza komzimba ophuzi ukukhiqizwa kwe-progesterone.
I-yellow body cyst - i-ultrasound
Njengoba sekushiwo kakade, umzimba ophuzi wokukhulelwa ngesikhatsi i-ultrasound inqunywa kuze kube amasonto angu-14, bese kuvela ukuvulwa kwayo. Ezimweni ezingavamile, ukuqedwa komsebenzi nokungondleki komzimba ophuzi kungenzeka kwenzeke, kodwa ukwandiswa kwawo nokwakheka kwe-cyst yomzimba ophuzi, okwebubanzi obungaphezu kuka-40 mm, kwenzeka. Lokhu kwakheka akuthinti kabi inkambo kanye nomphumela wokukhulelwa, kodwa ngokukhula ngokweqile, kungenzeka ukucindezela i-cyst ngokuhlukana okulandelayo.
I-cyst yomzimba ephuzi nayo ingaba khona lapho kungabikho ukukhulelwa. Ngakho-ke, izinsuku ezingu-12-14 emva kokuvuthwa, uma kungenakho ukukhulelwa, isidumbu somzimba ophuzi kufanele senzeke, kepha uma siqhubeka sikhula esakhiweni se-follicle ephukile, kuholela ekubunjweni kwe-cyst body body. Ezimweni ezinjalo, i-cyst yomsindo ophuzi ingaba yinto engavamile futhi ibe yinkinga yokuhlola ekuhlolisweni kwe-ultrasound ehleliwe.
Njengoba sibona, umzimba ophuzi otholakala ekuhlolweni kwe-ultrasound kwezitho zangasese kubesifazane, umzimba ophuzi kubalulekile ekuhloliseni umsebenzi wokuzala ophilayo (mhlawumbe ikhono lokukhulelwa, noma inkambo yokukhulelwa ku-trimester yokuqala, usongo lokuphazanyiswa).