I-Corpus Luteum Iyithinta Kanjani Inzalo?

-Delile

• Umsebenzi
• Isici se-Corpus luteum
• Izimpawu zesici se-corpus luteum
• Ukuxilongwa
• Ukwelashwa
• Umbono
• Amathiphu wokukhulelwa

Yini i-corpus luteum?

Phakathi neminyaka yakho yokuzala, umzimba wakho uzohlala ulungiselela ukukhulelwa, noma ngabe uhlela ukukhulelwa noma cha. Umphumela walomjikelezo wokuzilungiselela umjikelezo wokuya esikhathini kowesifazane.

Umjikelezo wokuya esikhathini unezigaba ezimbili, isigaba sokulandelana nesigaba se-postovulatory, noma se-luteal. Isigaba se-luteal sihlala cishe amasonto amabili. Ngalesi sikhathi, i-corpus luteum yakha esibelethweni.

I-corpus luteum yenziwa nge-follicle eyayineqanda elikhulayo. Lesi sakhiwo siqala ukwakheka ngokushesha lapho iqanda elivuthiwe liphuma ku-follicle. I-corpus luteum ibalulekile ukuze ukukhulelwa kwenzeke nokuthi ukukhulelwa kuhlale isikhathi eside.

Umsebenzi

Inhloso eyinhloko ye-corpus luteum ukukhipha ama-hormone, kufaka phakathi i-progesterone.

Iprogesterone iyadingeka ukuze ukukhulelwa okusebenzayo kwenzeke futhi kuqhubeke. Iprogesterone isiza ulwelwesi lwesibeletho, olwaziwa njenge-endometrium, ukujiya futhi kube yisiponji. Lezi zinguquko esibelethweni zivumela ukumiliselwa kweqanda elikhulelwe.

Isibeletho futhi sihlinzeka ngombungu okhula ngokushesha ngokudla ngesikhathi sezinyathelo zawo zokuqala zokukhula kuze kube yilapho i-placenta, nayo ekhiqiza iprogesterone, ingathatha izintambo.

Uma iqanda elikhulelwe lingafaki ku-endometrium, ukukhulelwa akwenzeki. I-corpus luteum iyancipha, futhi amazinga e-progesterone ayehla. Ulwelwesi lwesibeletho luyachitheka njengengxenye yokuya esikhathini.

Isici se-Corpus luteum

Kungenzeka ube ne-corpus luteum defect, ebizwa nangokuthi i-luteal phase defect. Kubangelwa uma kungekho progesterone eyanele esibelethweni ukuqina i-endometrium. Kungenzeka futhi uma i-endometrium ingagcini ngokuphendula i-progesterone, noma ngabe ikhona enye i-progesterone.

Isici se-corpus luteum singabangelwa izimo eziningi, kufaka phakathi:

• inkomba yomzimba ephezulu kakhulu noma ephansi kakhulu
• ukuvivinya umzimba ngokweqile
• isigaba esifushane se-luteal
• i-polycystic ovarian syndrome (i-PCOS)
• i-endometriosis
• i-hyperprolactinemia
• ukuphazamiseka kwegilo, kufaka phakathi i-thyroid engasebenzi kahle, i-thyroid engasebenzi, ukushoda kwe-iodine, ne-Hashimoto's thyroiditis
• ukucindezeleka ngokweqile
• ukunqamuka kwesikhathi

I-Corpus luteum defect nayo ingenzeka ngezizathu ezingaziwa. Uma lokhu kwenzeka, unganikezwa ukuxilongwa kokuzala okungenakuchazwa.

Izimo eziningi eziholela ekukhubazekeni kwe-corpus luteum nazo zidala ukungazali noma ukukhulelwa kwesisu.

Izimpawu zesici se-corpus luteum

Izimpawu zokukhubazeka kwe-corpus luteum zingafaka:

• ukulahleka kokuqala kokukhulelwa noma ukukhulelwa kwesisu okuvela njalo
• izikhathi ezivamile noma ezifushane
• ukubala
• ukungazali

Ukuxilongwa

Asikho isivivinyo esijwayelekile esisetshenziselwa ukuxilonga iphutha le-corpus luteum. Udokotela wakho cishe uzoncoma ukuhlolwa kwegazi kwe-hormonal ukukala izinga lakho le-progesterone. Bangancoma futhi ama-sonograms wesitho sangasese sowesifazane ukubuka ubukhulu bendwangu yakho yesibeletho ngesikhathi sesigaba se-luteal.

Olunye uvivinyo lokuhlonza okungenzeka lube yi-endometrial biopsy. Le biopsy ithathwa ezinsukwini ezimbili ngaphambi kokuthi ulindele ukuthola isikhathi sakho. Uma izikhathi zakho zingavamile, udokotela wakho uzohlela ukuhlolwa esikhathini esithile ngemuva kosuku lwama-21 lomjikelezo wakho.

Kulesi sivivinyo, udokotela wakho ususa ucezu oluncane lolwelwesi lwakho lwe-endometrial ukuze aluhlaziye ngaphansi kwesibonakhulu.

Ukwelashwa

Uma ungekho ovulation njalo noma nhlobo, udokotela wakho angazama ukukhuthaza i-ovulation ngemithi, njenge-clomiphene (Clomid, Serophene), noma ama-gonadotropin anokujova, njenge-chorionic gonadotropin (hCG). Le mithi ingasetshenziswa yodwa noma ngokuhambisana nezinqubo, njengokufakwa kwe-intrauterine insemination noma in vitro fertilization (IVF). Eminye yale mithi izokwandisa amathuba akho amawele noma amawele amathathu.

Udokotela wakho angakunikeza isithasiselo se-progesterone okufanele usithathe ngemuva kokuvela kwe-ovulation. Izithasiselo zeprogesterone ziyatholakala njengemithi yokwelapha ngomlomo, ama-gel angasese, noma izixazululo zomjovo. Wena nodokotela wakho ningaxoxa ngobuhle nobubi bawo ngamunye ukunquma ukuthi yikuphi okungcono kakhulu kuwe.

Uma ngabe uphuphunyelwa yizisu zakuqala noma eziphindaphindekayo ngenxa yesici se-corpus luteum, udokotela wakho ngokunokwenzeka azokunikeza iprogesterone ngaphandle kwesidingo semithi yokwengeza eyandisa umfutho we-ovulation.

Umbono

I-corpus luteum defect iyelapheka kakhulu. Uma unesimo esingaphansi, njenge-endometriosis noma i-polycystic ovarian syndrome, ezinye izindlela zokwelashwa noma ukuguqulwa kwendlela yokuphila kuzodingeka futhi. Ungaxoxa ngalokhu nodokotela wakho.

Amathiphu wokukhulelwa

Kunezinto ongazenza ukusiza ukugcina noma ukugcina ukuzala, okungakusiza ukuthi ukhulelwe kalula:

• Gcina inkomba yomzimba wakho ebangeni elijwayelekile. Ukukhuluphala ngokweqile noma ukukhuluphala kungaba nomthelela omubi empilweni yehomoni.
• Wazi umlando womndeni wakho. Okunye ukuxilongwa kokungazali kubonakala kwenzeka emindenini.Lokhu kufaka phakathi i-polycystic ovarian syndrome (ohlangothini lukababa noma lukamama), ukungakwazi ukusebenza kahle kwe-ovarian okuyisisekelo (okwaziwa ngokuthi ukwehluleka kwe-ovarian ngaphambi kwesikhathi), ne-endometriosis. Isifo seCeliac singathinta nokuzala.
• Gcina indlela yokuphila enempilo, ehlanganisa ukungabhemi osikilidi, ukudla ukudla okunomsoco, ukunciphisa ukudla kwe-carbohydrate, nokuzivocavoca njalo.
• Yehlisa izinga lokuxineka ngokuzindla, i-yoga, noma izivivinyo zokuphefumula.
• Cabanga ngokuthoma. Ucwaningo luthole phakathi kokukhulelwa kanye nokutholwa. Kukhona nezinga lokukhulelwa elithuthukisiwe phakathi kwabesifazane abathole i-acupuncture ukuze banciphise ukucindezeleka futhi bandise ukugeleza kwegazi kuye esibelethweni.
• Gwema ubuthi, obaziwa ngokuthi iziphazamisi ze-endocrine, emvelweni. Lokhu kufaka phakathi umkhiqizo wamalahle, i-mercury, i-phthalates, ne-bisphenol A (BPA).
• Landelela i-ovulation yakho ngedivayisi yokuhlola ekhaya ehlonishwayo. Ungasebenzisi izinhlelo zokusebenza ze-ovulation noma i-basal thermometer yokushisa komzimba.

Khuluma nodokotela wakho uma ngabe uzame ukungaphumeleli ukukhulelwa isikhathi esingaphezu konyaka uma ungaphansi kweminyaka engama-35, noma ngaphezulu kwezinyanga eziyisithupha uma uneminyaka engama-35 noma ngaphezulu. Udokotela wakho angakusiza ukuthi uze necebo lokuthuthukisa amathuba akho okukhulelwa.