Nguva Yako Yokuenda Kumwedzi: Maitiro Ekubereka Kwemadzimai Anoshanda Zvechokwadi

1 -

Yakareba Kusati Mwedzi Ichatanga
Apo musikana mucheche anoberekwa, ane mazai emamiriyoni maviri mumayamu ake. Mufananidzo: tec_estromberg / flickr

Mhando yehutano yekuberekwa inonyanya kuoma, uye kuti zvinhu zvose zviite zvakanaka chaizvo, mahomoni mazhinji, mazamu, uye nhengo dzinofanira kuita mabasa avo nenzira yakakodzera, panguva dzakakodzera. Kana ukangonzwisisa kuti nzira yekubereka nayo inoshanda sei, zviri nyore kunzwisisa kuti zvinhu zvinogona kutadza sei. Icho chishamiso chaizvo kuti zvinhu zvinopinda zvachose, zvakapiwa kuti zvakaoma sei sangano rose!

Uyezve, kuziva kuti nzira yekubereka nayo inoshanda sei inogona kukubatsira kunzwisisa kuti sei zvimwe zvibereko zvekuberekwa zvinoitwa panguva dzakasiyana.

Kuzivikanwa nehutano hwekuberekwa kunogona kukubatsira kuti unzwisise maitiro ekutora pamuviri nekukurumidza , nekukubatsira nguva yekuita zvepabonde nekuda kwekuvhura .

Yakareba Kusati Mwedzi Ichatanga

Isu tinowanzofunga nezvehutano hwekubereka sechinhu chinoshanda mumwedzi inotenderera, sezvinongoita kumwedzi. Kunyange zvazvo ichi chiri chechokwadi, zvakaoma zvikuru kupfuura izvozvo.

Evha raunogona kuvepa mwedzi uno rave richigadzirira mukati me follicle kwemazuva 290 akapfuura, anenge mwedzi 9. Chaizvoizvo, iyo yei yakave yakakomberedzwa sezai mazai kubvira iwe waingova fetus mukati momuviri wako wamai vako.

Pawanga uri weeye chete, panenge masvondo gumi nemaviri ekugumira, mazai ako aiva nemamiriyoni matanhatu kusvika ku7 mazai asina mavara - iyo yaungambove nayo muupenyu hwako. Nenguva yawakaberekerwa, kwaiva nemamiriyoni maviri chete mazai asina kumira akasiyiwa, uye nenguva yawakanga uchitanga kuenda kwako kumwedzi, mazamu ako akabatwa 500 000 chete.

Chii chinoitika kune vose mamiriyoni evanhu vanogona mazai? Vanoenda kupi?

2 -

Hondo Yemajai Makuru: Mafuro Anowedzera Sei kune Eki Yakagadzirwa?
Ichi chifananidzo chinyoronyoro chepamusoro follicle. Mhando dzepamusoro dzinova yechipiri follicles, uyezve, pakupedzisira, mazai (kana mazai, mumakumbo emapatya) achavhenekera kubva kwavari. Mufananidzo: Jpogi / Wikicommons / CC BY

Idzi mamiriyoni emazai asina kuchena ayo aiva mune mavha mavari pawakanga uri muduku ari mune izvo zvinozivikanwa sezvipfeko zveupolisi, uye vazhinji vavo vanofa apo nguva inopfuura .

Pakauya nguva yekutanga kuenda kumwedzi, boka rokutanga remamwe mapurisa akareruka akatanga "kumuka".

Apo pavanomuka, pane rudzi rwemakwikwi pakati pavo sezvavanokura.

Mwedzi woga woga zvimwe zvezviputi zvinotyisa zvinoramba zvichikura, uye chete zvakanakisa zveboka rinoenda kumwedzi unotevera wekukura. Pakati peboka iri, boka rega rega richasvika pakuva guru follicles, uye zvino pave kuva izvo zvinozivikanwa sechipiri follicles.

Zvakangoita se follicle marathon kuti uone kuti ndiani angasvika pakuva mazai anokunda.

Pakupedzisira, imwe chete (uye dzimwe nguva mbiri) yezvipuka izvi inova zera rakakura kuti rive rakagadzirwa.

Asi chii chinokonzera kuti follicles idzi dzinomhanyira pakutanga?

3 -

Kuwana Egg Great Race Yakatanga
JACOPIN / BSIP / Getty Images

Kuwana mapurisa-ku-mahara marathon anomhanya zvakafanana nerwendo rutsva uye mukati mawo.

Kusvikira mapuropial follicles achiva mukuru uye wechipiri follicles, nhangemutange inonyanya kuitika mukati mevhiri pachayo pachayo.

Asi kana nguva inosvika yeboka rechipiri follicles kunotsvaira kuva yai yakagadzirwa, mahomoni kubva kunze kweivary anotamba basa rinokosha zvikuru.

Iyo hypothalamus gland, iyo iri muuropi, inotanga rutsoka rwakatambanudzwa kubva pakusunungura gonadotropin-releasing hormone, kana GnRH. Izvi zvinoitika pazuva rekutanga remakore ako.

Iyi hormone inofanidza gland pituitary kuti iite mamwe mahomoni maviri, follicle-stimulating hormone, kana FSH , uye luteinizing hormone, kana LH.

Kunyange zvazvo chirwere chepituitary chiri kubudisa zvose FSH neLH, inochengetedza vazhinji veLH kwekupedzisira. Mumazuva mashomanana okutanga ekuenda kwako kumwedzi, ndiyo FSH inosunungurwa zvikuru.

Iyi ndiyo kutanga kweiyo inozivikanwa se follicular phase yekuenda kumwedzi.

4 -

The Follicular Phase of the Menstrual Cycle
Apo estrogen mazinga anosvika pane imwe pfungwa, FSH neRH kuputika, zvichiita kuti kuve nekuvhunga. Speck Made / Wikicommons / CC BY / Altered

Munguva ye follicular chikamu chekuenda kumwedzi, anenge mashanu kusvika kune manomwe follicles mudumbu rako (uye dzimwe nguva mavari mavari) anotanga kumhanya kusvika kumugumo.

Kukura kwavo kunokurudzirwa neFSH hormone. Zita racho rinozvipa kure-FSH is follicle-stimulating hormone, kana mune mamwe mashoko, hormone inokurudzira follicles kukura.

Sezvo follicles dzichikura, dzinotanga kusunungura hormone estrogen. Sezvo ichi estrogen inofamba neropa, inodzorera nzira yayo kumucherechedzo wepituitary, zvichiita kuti gland kuderedze kukohwa kweFSH.

Izvi zvinonzi zvisina kunaka-mhinduro - sezvo isrogen inokwira, FSH inotsika.

Pakupedzisira, imwe (uye dzimwe nguva mbiri) ye follicles inova musimboti wakawanda. Iyo inowanzoita follicle inotora imwe yakawanda yeestrogen muropa.

Apo follicle inosvika pamatanho ekupedzisira ekukura, iyo yakaipa-mhinduro inotenderera kune chinyorwa-mhinduro yekudzoka. Izvi zvinoreva kuti kuwedzera estrogen kunotungamirira kukura kweFSH.

Mune mamwe mazwi, mazinga makuru eestrogen anokonzera tsvina muFSH, yakadai seyokupedzisira kune yaikura.

Asi mushure mekupedzisira kweFSH sprint, chirwere chepituitary chinononoka kuderedza kukohwa kweFSH.

Iyi ndiyo kutanga kwechikamu chinotevera chekuenda kumwedzi, inozivikanwa sechikamu chechirwere.

5 -

The Ovulatory Phase of the Menstrual Cycle
Apo LH surges, iwe wava kuda kuvhara. Mushure mekuvhenekera, hormone progesterone inomuka, inomutsa muviri wako wekushisa. Mufananidzo: Isometrik / Wikicommons / CC BY

Sezvo mazinga eFSH ari pasi, follicle yakakurumbira inoramba ichikura uye kusunungura isrogen. Mamwe mapurisa asina kukunda mujaho anofa.

Ikozvino, ndeyekuwana mazai kana mazai (munyaya yeasina kufanana mapatya).

Icho estrogen yakabudiswa nehutano follicle haisi kungovhara kugoverwa kweFSH kubva pituitary. Iwesrogen inobatanidzwawo kukurudzira endometrium, kana kubatana kwechibereko, kukura.

I-endometrium inokura kubva inenge 0.5 millimita muhupamhi pakutanga kwekufamba kwako, kusvika pa5,5 millimita muhupamhi pakuguma.

Iro estrogen hormones inobatsirawo kuwedzera kwehutano hwechiberekero chechibereki uye kuchinja munharaunda yako yemudzinza , kugadzirira mamiriro ezvinhu angave akakodzera kutakura nekugamuchirwa kwemuviri kusvika kuneii. Inowedzerawo unhu hwako hwehupombwe , nzira yehupenyu yekukubatsira nguva yekuita zvepabonde nekuda kwepamuviri.

Apo iyo yakakurumbira follicle yakagadzirira kusunungurwa, mazinga eestrogen peak. Iyi nhamba inokonzera kuti chirwere chepituitary chive chakanyanyisa kune hormone GnRH, zvichiita kuti kusunungurwa kweLH yakachengetwa mumutambo wepituitary.

Izvi zvinowanikwa muRH zvinoratidza kuti follicle inosunungura mazai. Pazuva reRH yako, iwe uchava nechero rakanyanya kubereka chiberekeri uye nzvimbo yako yemudzimai ichave yakakwirira, ine chiremera chechivharo. Izvo izvi zvinokurudzira kuti ovulation predictor kits kukubatsira kuona.

Mukati maawa 24 kusvika ku 48 ekudengenyeka kweHL, hukuru hunoputika uye mazai anokunda anozobudiswa mune imwe nzira inozivikanwa sehutori.

6 -

The Luteal Phase of the Menstrual Cycle
Ovha inosunungurwa uye inoenda kuburikidza ne fallopian tube. Munharaunda ye fallopian, kana pane huro huripo, zamai angangodzwa. Mufananidzo: BruceBlaus / Wikicommons / CC BY

Mushure mokunge mazai akasunungurwa, chikamu chekateti chekuenda kumwedzi chinotanga.

Evha yakabudiswa inenge maawa makumi maviri nemasere kuti iwane fertilized nekumirira mbeu, uye izvi zvinowanzoitika sezvinoitwa mazai muhutori. Kana uchinge waita zvepabonde mumazuva eHR, chirume chinofanira kunge chiripo, chakamirira kukwazisa mazai akavharwa.

Munguva iyi, hormone yeHH inokonzera kuputsika kwemapurisa kuti zvive izvo zvinonzi se corpus luteum. Basa re corpus luteum nderokuti rambe richibudisa isrogen uye kusunungura mahomoni matsva, progesterone.

Estrogen inokurudzira kubatana kwechibereko kuti urambe ichikura, nepo hormone progesterone inobatsira kubatanidzwa kwechibereko kunogamuchirwa kumaza anogadzirwa.

Progesterone inokonzera avo vanofungidzira pamuviri zviratidzo zvinotambudza vazhinji vedu mukati memavhiki maviri kumirira .

Iyo hormone progesterone inokonzera kuwedzera kuduku mumuviri wenyu wekupisa, ndicho chinokonzera kuchinja kwekushisa kunoona kana uri kutarisa kutengesa kwemuviri wako wepasi .

Hupenyu hwekodpus luteum hupfupi, zvisinei.

Kana yei inobatanidzwa, mucheche inoburitsa hormone hCG, kana chorionic gonadotropin. hCG yakafanana zvikuru neHormone LH, uye inochengetedza corpus luteum iri kurarama, ichibereka yakawanda isrogen uye progesterone kuchengetedza pamuviri.

Asi, kana mazai asina kubatanidzwa, ipapo corpus luteum inotanga kuparadzaniswa kwemazuva matatu usati wawana nguva yako. Iwesrogen uye progesterone hormone levels dzinodonha, zvichiita kuti endometrium iparadze uye pakupedzisira inotungamirira kumwedzi.

Apo isu tiri kuchema nezveimwe mwedzi isingagoneki, zvakadaro, miviri yedu iri kuparadza nguva nguva nemapoka emunzwira tsitsi. Zuva rako nguva yako inotanga izuva iro hypothalamus inotanga kusunungura GnRH zvakare, kutangira pane imwe marathon kune boka rinotevera remienzaniso yekumirira.

7 -

Kuchengetwa kwehutano uye Kuenda Kwako Mwedzi
Gonadotropins saFSH neHH zvipenyu zvakangofanana nemahomoni ayo muviri unobereka kuti uwedzere kufema. AWelshLad / iStock

Iye zvino zvaunonzwisisa hutano hwemadzimai, zvichave zviri nyore kunzwisisa kuti sei uye sei zvekutengesa kwepfungwa.

Semuenzaniso, iwe zvino unoziva kuti zvinotora nguva yakati - mwedzi gumi nematatu - nekuda kwechirongwa chisina kumira kuti chigadzirire kurudzi kusvika kune ovulation. Ichi ndicho chikonzero dzimwe nzira dzekuchinja dzinogona kutora nguva yekuita mutsauko mukubereka kwako.

Uyezve, zvinodhaka zvakadai se metformin, insulin kushandiswa kwemishonga iyo dzimwe nguva inoshandiswa kurapa kusagadzikana mune vakadzi neCPOS , inogona kutora mwedzi mitanhatu kushanda.

Kurapa Zvinodhaka

Iwe unogonawo kunzwisisa zviri nani kuti nei iwe uchitora zvimwe zvinodhaka zvekubereka panguva dzimwe nguva panguva yako. Semuenzaniso, Clomid inotorwa munguva yekutanga ye follicular phase yekufamba kwako, nokuti ndiyo nguva iyo follicles iri kukura nekugadzirira kuvhura.

Munguva yeVVF , iwe unogona kutora izvo zvinonzi seGnRH unopikisa kwevhiki pasati watarisira nguva yako. Mupikisi weGnRH anodzivirira gland rako rekudzivirira kubva pakusunungura LH neFSH, kuitira kuti chiremba wako anogona kutonga chirwere chacho.

Zvinodhaka zvakadai seGonal-F uye Follistim zvakagadzirwa neFSH hormones. Iwe zvino unoziva kuti FSH ndiyo hormone inokonzera kukurudzira kukura kwe follicles mu mavha mavari.

Zvinodhaka zvakadai seOvidrel, zvinowanzozonzi "mhirizhonga", inotsiva kana kukurudzira kuputika kweHR izvo zvinokonzera kusimwa kwekupedzisira kweii uye pakupedzisira kuvhara.

Uye mushure mekuvhura, progesterone zvinowedzera zvinogona kupiwa. Munguva yeVIV, apo mazai akadzorerwa, follicle inobviswawo, zvinoreva kuti hakuna corpus luteum yakasara kuti ibudise progesterone inoda kutsigira uterine lining for potential pregnancy. Ndicho chikonzero iwe unoda kutora progesterone munguva yekurapa kwaVIV.

8 -

Kuenzanisa Kunokosha
Nzira dzekuberekwa kwevarume nevakadzi - kubva pakugadzirwa kweavo kusvika pakuumbwa kwehuta - inoshamisa uye yakanaka. Mufananidzo: Ed Uthman / flickr / CC BY

Zvichibva kuoma kunzwisisa kwehutano hwekubereka, chinhu chishamiso kuti chinoshanda kakawanda sezvazvinoita. Uyezve, hatina kutaura pamusoro pechimume chechibatanidzwa.

Isu hatina kutotanga kutarisa kuti mamwe mahomoni ari mumuviri angakanganisa sei mahomoni ekubereka, kana kuti makore, kurema, uye zvimwe zvinhu zvinogona kuchinja hutsika iyi yakaoma.

Kana iwe ukatarisa chaizvo, zvinoshamisa kwazvo, uye kwandiri, zvinokurudzira kunzwisisa kwakadzama munyika yatinogara uye zvinhu izvo vazhinji vedu vanotora zvishoma.

Dzidza zvakawanda zvekubereka kwako:

Sources:

Falker, Elizabeth Swire. (2004). The Infertility Survival Handbook . United States of America: Riverhead Mabhuku.

Greene, Robert A. naTarken, Laurie. (2008). Perfect Hormone Balance For Fertility . United States of America: Three Rivers Press.

Speroff, L, Glass, RH, Kase, NG. (1999) Clinical Gynecologic Endocrinology uye Infertility, 6th edition. United States of America: Lippincott Williams & Wilkins.