Konke Mayelana nesigaba seLuteal seMijikelezo yokuya esikhathini

-Delile

• Kwenzekani ngesikhathi sesigaba se-luteal
• Ubude besigaba seLuteal
• Izimbangela nokwelashwa kwesigaba esifushane se-luteal
• Ukulandelela izinga lokushisa kwakho ukuthola isigaba
• Ukuthatha

Ukubuka konke

Umjikelezo wokuya esikhathini wakhiwa izigaba ezine. Isigaba ngasinye sisebenza umsebenzi ohlukile:

• Ukuya esikhathini kulapho ungena esikhathini. Lona ngumzimba wakho ochitha ulwelwesi lwakho lwesibeletho kusuka kumjikelezo wangaphambilini lapho kungekho ukukhulelwa.
• Isigaba sokulandelana, esiginqana nokuya esikhathini ezinsukwini ezimbalwa zokuqala, kulapho kukhula khona izintambo. Ifolishi eyodwa ngokuvamile iyoba nkulu kunayo yonke bese ikhipha iqanda elikhulile. Lokhu kukhombisa ukuphela kwesigaba sezintambo.
• Ukuvuthwa kulapho kukhishwa iqanda elivuthiwe.
• Isigaba se-luteal siqala njengoba iqanda liqala ukuhamba phansi kushubhu le-fallopian. Lesi sigaba siphela lapho isikhathi sakho esilandelayo siqala.

Isigaba se-luteal sifaka imicimbi eminingana ebalulekile eyenza umzimba ukhulelwe. Ake sibhekisise ukuthi kwenzekani ngalesi sigaba nokuthi sisho ukuthini uma lesi sigaba sinde noma sifushane kunokujwayelekile.

Kwenzekani ngesikhathi sesigaba se-luteal

Isigaba se-luteal yingxenye yesibili yomjikelezo wakho wokuya esikhathini. Iqala ngemuva kokuvuthwa futhi iphele ngosuku lokuqala lokuya esikhathini.

Lapho i-follicle isikhiphe iqanda layo, iqanda lihamba liye phansi kushubhu, lapho lingahlangana khona nesidoda bese livundiswa. I-follicle uqobo iyashintsha. Isaka elingenalutho liyavalwa, liphenduke libe phuzi, bese liguqula libe isakhiwo esisha esibizwa ngokuthi i-corpus luteum.

I-corpus luteum ikhipha i-progesterone ne-estrogen ethile. Iprogesterone iqina ulwelwesi lwesibeletho sakho ukuze iqanda elikhulelwe likwazi ukufakelwa. Imithambo yegazi ikhula ngaphakathi kolwelwesi. Le mikhumbi izonikezela nge-oxygen nezakhamzimba kumbungu okhulayo.

Uma ukhulelwa, umzimba wakho uzoqala nokukhiqiza i-gonadotropin yabantu (hCG). Le hormone igcina i-corpus luteum.

I-HCG inika amandla i-corpus luteum ukuthi iqhubeke nokukhiqiza i-progesterone kuze kube yisonto le-10 lokukhulelwa kwakho. Ngemuva kwalokho i-placenta ithatha ukukhiqizwa kweprogesterone.

Amazinga eprogesterone akhula phakathi nakho konke ukukhulelwa kwakho. Nayi inkomba ejwayelekile:

• i-trimester yokuqala: ama-nanograms ayi-10 kuya kwangama-44 ngemililitha ngayinye (ng / ml) ye-progesterone
• i-trimester yesibili: 19 kuya ku-82 ng / mL
• i-trimester yesithathu: 65 kuya ku-290 ng / mL

Uma ungakhulelwa phakathi nalesi sigaba, i-corpus luteum izoncipha futhi ife ibe isiqeshana esincane sezicubu ezibomvu. Izinga lakho le-progesterone lizokwehla. Ulwelwesi lwesibeletho luzoncipha ngesikhathi sakho. Ngemuva kwalokho umjikelezo wonke uzophinda.

Ubude besigaba seLuteal

Isigaba esijwayelekile se-luteal singahlala noma kuphi kusuka ezinsukwini eziyi-11 kuye kwezingu-17. Ku, isigaba se-luteal sihlala izinsuku eziyi-12 kuye kwezi-14.

Isigaba sakho se-luteal sithathwa njengesifushane uma sihlala ngaphansi kwezinsuku eziyi-10. Ngamanye amagama, unesigaba esifushane se-luteal uma uthola isikhathi sakho izinsuku eziyi-10 noma ngaphansi ngemuva kokugcoba.

Isigaba esifushane se-luteal asinikezi ulwelwesi lwesibeletho ithuba lokukhula nokukhula ngokwanele ukuxhasa ingane ekhulayo. Ngenxa yalokho, kungaba nzima ukukhulelwa noma kungakuthatha isikhathi eside ukukhulelwa.

Isigaba eside se-luteal singabangelwa ukungalingani kwe-hormone njenge-polycystic ovary syndrome (i-PCOS). Noma, ukuphela kwesikhathi eside selokhu wavuleka kungasho ukuthi ukhulelwe futhi awukakaqapheli okwamanje.

Ubude besigaba sakho se-luteal akufanele sishintshe njengoba ukhula. Kodwa amazinga akho e-progesterone phakathi nalesi sigaba angahle anciphe njengoba usondela esikhathini sokuya esikhathini.

Izimbangela nokwelashwa kwesigaba esifushane se-luteal

Isigaba esifushane se-luteal kungaba uphawu lwesimo esibizwa nge-luteal phase defect (LPD). Ku-LPD, i-ovary ikhiqiza i-progesterone encane kunokujwayelekile. Noma, ulwelwesi lwesibeletho alukhuli ngokuphendula i-progesterone njengoba kufanele. I-LPD ingaholela ekungazali nasekukhulelweni kwesisu.

Izici ezithile zendlela yokuphila zingase zibe ngemuva kwesigaba esifushane se-luteal. Ku, abesifazane abanesigaba esifushane se-luteal babenamathuba amaningi okubhema kunalabo abanesigaba eside. Ukubhema kunganciphisa lesi sigaba ngokunciphisa ukukhiqizwa komzimba wakho kwe-estrogen ne-progesterone.

Ukuze uthuthukise izinkinga zakho zokukhulelwa, udokotela wakho angaphatha i-LPD nge:

• ukungabi nenzalo komuthi we-clomiphene citrate (Serophene) noma i-human menopausal gonadotropins (hMG), ekhuthaza ukukhula kwama-follicles
• I-hCG yokwandisa ukukhiqizwa kweprogesterone kusuka ku-corpus luteum
• iprogesterone ngomlomo, ngomjovo, noma nge-suppository yesitho sangasese sowesifazane

Ukulandelela izinga lokushisa kwakho ukuthola isigaba

Ukunquma ukuthi uvundile yini futhi usesigabeni se-luteal, ungazama ukulandelela izinga lokushisa lomzimba wakho we-basal (BBT). Lokhu ukushisa kwakho lapho uvuka, ngaphambi kokuthi uvuke usebenzise indlu yangasese noma uxubhe amazinyo.

Phakathi nengxenye yokuqala (isigaba se-follicular) somjikelezo wakho, i-BBT yakho kungenzeka izulazule phakathi kuka-97.0 no-97.5 ° F. Uma ugcoba, i-BBT yakho izokhuphuka ngoba iprogesterone ivuselela ukukhiqizwa kokushisa emzimbeni wakho.

Uma ususesigabeni se-luteal somjikelezo wakho, izinga lokushisa lomzimba wakho eliyisisekelo kufanele libe cishe ngo-1 ° F ngaphezulu kunangesikhathi sesigaba sabalandeli. Funa leli bump lokushisa ukukutshela ukuthi uvundile futhi wangena esigabeni se-luteal.

Ukuthatha

Isigaba se-luteal, okuyilapho umzimba ulungiselela ukukhulelwa, singaba inkomba ebalulekile yokuzala. Uma usola ukuthi unesigaba eside noma esifushane se-luteal noma ukuthi awudli amaqanda, khuluma nodokotela wakho. Bangakwazi ukubona noma yiziphi izinkinga zezokwelapha ezithinta umjikelezo wakho futhi bancome ukwelashwa.

Uma ungaphansi kweminyaka engama-35 futhi ubulokhu uzama ukukhulelwa okungenani unyaka ngaphandle kwempumelelo, yenza i-aphoyintimenti nodokotela wakho wokunakekela oyinhloko noma uchwepheshe wezokuzala. Ungaba nenkinga yokuzala elaphekayo. Shayela udokotela ngemuva kwezinyanga eziyisithupha zokuzama ukuthi uneminyaka engama-35 noma ngaphezulu.