Inofanira Kuva Yakareba Sei? Chii Chine Nguva Pfupi? Chii Chinonzi Luteal Phase Defect?
Tsanangudzo inokurumidza: Chikamu chekuenda kwako kumwedzi chinowanikwa mushure mokunge ovulation asi zuva risati rasvika rekuenda kwako kumwedzi kunotevera kunonzi chikamu chekuteal.
Pakati pevhesi, chikwata che luteal chinopedza mazuva gumi kusvika ku14.
Vamwe vakadzi vane zvinetso zvekubereka vanove nechikamu chiduku chekuteal. Kudzokorora kwemazuva mashoma - kukanganisa kaviri kana kupfuura kakawanda mumutsara - kunobatanidzawo shopter kudarika chinowanzoitwa luteal phase.
Matambudziko panguva yechirongwa chekateti dzimwe nguva anonzi se luteal phase defect.
Zvisinei, vamwe vakadzi vane chirwere chemazuva ose vane chikamu chiduku.
Kuwirirana pakati pekuita luteal phase urefu uye kubereka hakunzwisisiki. Zvimwe pane iri pasi apa.
Chii Chinoitika Mukati Luteal Phase
Kuenda kumwedzi kunogona kuputsika muzvikamu zviviri zvikuru: follicular phase uye luteal phase.
The follicular phase is all about ovulation . Mahomoni anotanga kuchinja muhutano hwemashizha kusvikira, pakupedzisira, zera rakakura rinogadzirwa.
Chikamu chekateti ndechekugadzira endometrium uye muviri nekuda kwekuita pamuviri. Mumuviri wako unofunga chaizvo uye unotora kuti mazai akavhenganiswa akabatanidzwa.
Mushure mokuputika, fungira yakabudisa egg inova corpus luteum . Iyo corpus luteum inovhara estrogen uye progesterone.
Kunyange zvazvo isrogen ichikosha, progesterone inogona kuva iyo inonyanya kukosha hormone panguva yechikwereti.
Progesterone ine mabasa mazhinji, kusanganisira ...
- Kuchengetedza mahomoni GnRH , FSH, uye LH: mahomoni anokonzera mavhai uye anoita kuti ovulation. Kana zvisina kudaro, iwe unogona kutorazve mushure mokunge watova nepamuviri.
- Kugadzirira endometrium: progesterone inokonzera uterine lining (kana kuti endometrium) kuti ichengetedze mapuroteni chaiwo, ayo achadyisa embryo
- Kudzivirira kuenda kumwedzi: progesterone inogumisa endometrium kuti irege kuputsa, iyo inogona kutungamirira pakupona pamuviri kana uri nepamuviri
Progesterone inokonzerawo kutonhora kwemuviri wako kuti kuwedzere.
Kana ukasarudza kutengesa kwemuviri wako wepasi , unoona kuwedzera kunopisa mukati mekushisa mushure mekuvhara.
Kana iwe uine pamuviri, kutonhora kwako kucharamba kuchikwirira kupfuura nguva yako yakakwana yechipatera urefu.
Kana iwe usingawani pamuviri, kutonhora kwako kunotanga kudonhora nguva yako isati yasvika. Kudonha kwema progesterone kunoderedza muviri wako wekushisa ndokutanga kumwedzi.
Progesterone inobatsirawo zviratidzo zvechirongwa chemuviri - chimwe chinhu chavakadzi vazhinji vanovhiringidza zviratidzo zvepamuviri .
Rute Rute Runofanira Kuva Rakareba Sei?
Pakati pevhesi, chikamu che luteal chiri pakati pe12 ne14 mazuva.
Zvisinei, inogona kuva shoma semazuva masere uye kana yakareba mazuva gumi nemaviri.
Chero chipi nechipi chako chenguva yakareba yehurefu urefu, iyo inofanirwa kuve yakasimba nguva iyo yoga yoga.
Saka, somuenzaniso, mukadzi ane chikwata chetsika chinowanzova mazuva gumi nemaviri achange ari mazuva gumi nemasere kusvika gumi nemaviri. Kana chikamu chake chechikwereti chinopfuurira kwemazuva gumi nemaviri, izvo zvingava chiratidzo chekutanga chepamuviri.
Chimwe chikamu chechikwereti chiduku kupfuura mazuva masere (kana gumi) chinogona kuratidza dambudziko rinogona kubereka.
Asi kwete hazvo.
Kunyange zvazvo vakadzi vanotambudzika kuti vawane pamuviri kana kuti ruzivo rwakawanda rwakapedzisira ruchiita runogona kunge rune nguva shomanana yepamusoro, zvinokwanisika kuti mukadzi ane ruzivo rwakanaka kuti ave nechikamu chepfupi.
Iwe unogona kudzidza kuti chikamu chako chinorevei chakareba chinobva pakushambisa kwemuviri kwechinyakare chati.
Kana iwe uri kutarisa, uye iwe ucherechedza chikamu chekateyuta, usafunganya zvakadaro. Chero bedzi iwe usina zvimwe zviratidzo zvekushaya vana, zvinogona kuva zvakasarirwa kwauri.
Zvisinei, kana iwe usingakwanisi kubata pamuviri mushure megore rimwe rekuedza kubata pamuviri (kana mushure memwedzi mitanhatu, kana uri nemakore makumi matatu nemashanu kana kupfuura ), iva nechokwadi chekuona chiremba wako.
Unofanirawo kuona chiremba wako kana ukacherechedza dzimwe zviratidzo zvinotambudza .
- Infertility Zviratidzo uye Zviitiko Zvengozi
- Quiz: Uri pangozi yekusakosha here?
Chii Chinonzi Luteal Phase Defect?
A luteal phase chiremera chinokonzera chikonzero chekushaya vana uye kupererwa kwemashure. Inotsanangurwa seine uwandu hwakaderera kana husina kukwana weprogesterone munguva yekateal.
Zvisinei, inofungidzirwa sechikonzero chepfungwa chekushaya mwana uye kutanga kwepamuviri.
Kune zvakawanda zvekukakavadzana uye kukakavara kwakapoteredza ichi chinorwara.
Iyo gakava inokonzerwa ...
- Kuongororwa matambudziko (Tsvakurudzo hauna kuwana nzira yakananga yekuedza kana kusimbisa luteal phase defect.)
- Zvisizvo zvisina kuchena (Chikamu chiduku chekateal kana kuti pasi shoma yeprogesterone haisi nguva dzose inokonzera kusununguka kana kudzokorora kubvisa pamuviri.)
- Migumisiro isina chokwadi yekurapa (Haisi pachena kana mushonga unorongedzwa unogadzirisa chaizvo kubereka kana kuti unogona kudzivirira kusununguka.)
Zviratidzo zvinogona kuitika kana zvipingamupinyi zvinosanganiswa nechiremera chechikwata chechikwata chinosanganisira:
- Kutarisa pakati peivulation uye nguva yako inotarisirwa
- Yakadzokorora kupererwa kwepamberi kare
- Kuvhiringidza kusina kufanana kana kuvhara
- Mwedzi pfupi
Zvimwe zvinokonzera kukanganisa kwechikwata che luteal zvinosanganisira:
- Kusawirirana kwetachiona
- Kuwedzeredza muviri
- Kudya zvinetso , kufanana neanorexia
- Zera ( riri pamusoro pemakore 35 )
- Kuwedzera muviri
- Polycystic ovarian syndrome (PCOS)
- Endometriosis
- Hyperprolactinemia
- IVF mishonga inosanganisira kushandiswa kweGnRH agonists
Kuongororwa kweLuteal Phase Defect
Sezvataurwa pamusoro apa, hapana nzira yekutsvakurudza-yakagadzirirwa kuti iongorore rutivi rwechiremera chetuteal. Nzira imwe neimwe yakaita zvinetso.
Izvozvo zvakati, hezvino dzimwe nzira dzokuti luteal chiremera chinogona kugadziriswa:
Ichando chemuviri chemuviri (BBT) chinotarisa : kutora kunogona kuratidza chikamu chisina kujeka chine luteal.
Zvisinei, tsvakurudzo yakawana kuti zuva chaiyo rekuvhura haisi nguva dzose yakanyatsoratidzwa pane bhidhiyo yeBBT. Izvi zvinoreva kuti hazvizivike kuti mazuva akawanda sei chikamu chekuteerera.
Inogona kuva yakareba (kana yakfupi) pane chati inoratidza.
Progesterone level test : progesterone mazinga anogona kuongororwa mazuva masere kusvika masere mushure mekuvhurwa kunoitika.
Zvisinei, chii chinonzi progesterone maonero anofanirwa kuonekwa sechinyakare hachina kujeka.
Rimwe dambudziko rinogona kuva nguva. Kunyange zvazvo progesterone ichikwira pamusoro pevhiki mushure mekuvhara, kuziva chaizvo kuti zuva rekuvhuvhuta rakaitika harisi nyore.
Izvozvo zvinoreva kuziva nguva yekuedza hazvisi pachena kana.
Endometrial biopsy : endometrial biopsy inosanganisa kutarisa mishonga ye endometrial panguva yechirongwa chekateal, uye kuongorora kana masero akaita seaya ari mucheche yakakodzera yekukura (maererano nezvinoitwa mukadzi ari kumwedzi kwake.)
Ichi chaimboonekwa segoridhe yegoridhe yekuongororwa kwechiremera chechikwata chekateal.
Zvisinei, zvidzidzo zvakawana zvisingabvumirano. Migumisiro iyo yaifungidzirwa isingawanzoiti haisi iyo inotungamirira kumatambudziko asina kuberekwa.
Mishonga yeLuteal Phase Defect
Sezvambotaurwa pamusoro apa, kurapa kwakakosha kwechiremera chechiremera chemaitiro hachisi pachena.
Izvozvo zvakati, chiremba wako angatarisa chimwe cheizvi zvinotevera:
- Kurapa mamiriro ezvinhu aripo kutanga: kana pane kusawirirana kwetachiona, somuenzaniso, taura izvozvo pakutanga.
- Kukurudzira ovulation nemishonga inobereka: nekuwedzera ovulation, corpus luteum inogona kuva yakasimba , zvichiita kuti ive nechirongwa chetsika.
- Progesterone supplementation: zvinopesana zvikuru kana progesterone kuwedzera kunogona kuvandudza kubereka kana kuderedza kusununguka kwokutanga.
- hCG injection: low doses yeHCG (injectable inobereka chirwere chinodhaka) inogona kupiwa kuburikidza nechikamu chekuteal. Zvisinei, progesterone supplementation inowanzoonekwa, nemhaka yekuva nemigumisiro shoma.
Nekurapa kwaVIV , progesterone supplementation yakaratidzwa kuvandudza chikamu chekuteerera uye kunatsiridza zvibereko zvekuzvitakura. Progesterone injections kana progesterone suppositories inogona kurongerwa.
> Sources:
> Balasch J1, Fábregues F, Creus M, Vanrell JA. "Kushandiswa Kwemagadzirirwo Emakemikari Anonyanya Kuita" Luteal Phase Assessment in Infertility ". "Hum Reprod. 1992 Aug; 7 (7): 973-7.
> Kurapa Kwechipatara Kwemazuva Ano kweLuteal Phase Deficiency: Komiti Yenyaya. ASRM Mapeji.
> Progesterone. Vakadzi vane Utano.