I-progesterone ephezulu noma ephansi: kusho ukuthini nokuthi wenzeni

-Delile

• Lapho kudingeka ukuhlolwa kwe-progesterone
• Ngabe amazinga e-progesterone asho ukuthini
• 1. Iprogesterone ephezulu
• 2. I-progesterone ephansi
• Ungasilungiselela kanjani isivivinyo
• Ungazilungisa Kanjani Izinga leProgesterone
• Imiphumela engemihle yokwelashwa
• Ungawanyusa kanjani amazinga e-progesterone ngokwemvelo
• Amanani wesethenjwa we-Progesterone

I-Progesterone iyi-hormone, ekhiqizwa ama-ovari, enendima ebaluleke kakhulu enqubeni yokukhulelwa, enesibopho sokulawula umjikelezo wokuya esikhathini kowesifazane nokulungisa isibeletho ukwamukela iqanda elikhulelwe, ukusivimba ekuxoshweni ngumzimba.

Ngokujwayelekile, amazinga e-progesterone ayakhula ngemuva kokukhulelwa kweqanda futhi ahlala ephezulu uma kukhona ukukhulelwa, ukuze umzimba ugcine izindonga zesibeletho zingakhuli futhi ungakhiphi isisu. Kodwa-ke, uma kungekho ukukhulelwa, ama-ovari ayayeka ukukhiqiza i-progesterone ngakho-ke, ulwelwesi lwesibeletho luyabhujiswa futhi luqedwe ngokwemvelo ngokuya esikhathini.

Ngakho-ke, ukwehla kwamazinga ajwayelekile ale hormone kungaholela ezinkingeni zokuzala kowesifazane ozama ukukhulelwa, noma imiphumela emibi, njengokukhulelwa kwe-ectopic noma ukukhipha isisu, kowesifazane okhulelwe.

Lapho kudingeka ukuhlolwa kwe-progesterone

Ukuhlolwa kweprogesterone kuvame ukukhonjiswa kwabesifazane abane:

• Ukukhulelwa kwengozi;
• Ukuya esikhathini okungajwayelekile;
• Kunzima ukukhulelwa.

Lokhu kuhlolwa kuvame ukwenziwa ekubonisaneni ngaphambi kokubeletha, kepha kungadingeka ukuphinda kaningi, uma owesifazane okhulelwe eveza ukwehla kwamanani phakathi kokuhambela ngakunye.

Yize ingasetshenziswa ekukhulelweni, lolu hlobo lokuhlola alusebenzi ukuqinisekisa ukuthi ngabe kukhona yini ukukhulelwa, okuyiqiniso futhi okunconywayo ukuhlolwa kwe-HCG. Bona ukuthi kufanele kwenziwe kanjani futhi nini.

Ngabe amazinga e-progesterone asho ukuthini

Amazinga eprogesterone angahlolwa ngokuhlolwa kwegazi okukhomba inani lehomoni nge-ml yegazi. Lokhu kuhlolwa kufanele kwenziwe cishe ezinsukwini eziyi-7 ngemuva kwe-ovulation, futhi kungakhombisa imiphumela elandelayo:

1. Iprogesterone ephezulu

Izinga le-progesterone libhekwa njengeliphezulu uma inani lalo likhulu kune-10 ng / mL, okuvame ukwenzeka ngesikhathi se-ovulation, okungukuthi, lapho iqanda elivuthiwe likhishwa yi-ovary. Lokhu kwanda kokukhiqizwa kwehomoni kusebenza ukulungiselela isibeletho uma kwenzeka ukhulelwe, futhi kugcinwa kukho konke ukukhulelwa, ukuvimbela ukukhipha isisu, ngokwesibonelo.

Ngakho-ke, amazinga aphakeme eprogesterone ngokuvamile ayisibonakaliso esihle kulabo abazama ukukhulelwa, njengoba evumela iqanda elikhulelwe ukuba linamathele ezindongeni zesibeletho bese liqala ukukhula, ngaphandle kokuya esikhathini noma ukukhishwa kweqanda elisha. Ngaphezu kwalokho, amazinga aphezulu kowesifazane okhulelwe akhombisa nengozi encane yokukhulelwa kwesisu.

Kodwa-ke, uma amazinga ahlala ephakeme, noma ngabe owesifazane akakakhulelwa, kungaba wuphawu lwezinkinga ezithile ezinjengalezi:

• Ama-cysts ama-ovari;
• Ukusebenza ngokweqile kwezindlala ze-adrenal;
• Umdlavuza wezindlala ze-ovary noma ze-adrenal.

Kulezi zimo, udokotela anga-oda ezinye izivivinyo zegazi noma i-ultrasound ukuhlola ukuthi ngabe kukhona yini ushintsho olungaqinisekisa ubukhona bezinye zalezi zinkinga.

Ukuqinisekisa ukuthi amazinga e-progesterone alungile, owesifazane akufanele ngabe uthatha noma yimaphi amaphilisi e-progesterone phakathi namasonto ama-4 ngaphambi kokuhlolwa.

2. I-progesterone ephansi

Lapho inani le-progesterone lingaphansi kwe-10 ng / mL, ukukhiqizwa kwale hormone kubhekwa njengokuncane. Kulezi zimo, owesifazane angaba nobunzima bokukhulelwa, njengoba inani le-progesterone alanele ukulungiselela isibeletho sokukhulelwa, futhi ukuya esikhathini kwenzeka ngokuqedwa kweqanda elikhulelwe. Laba besifazane ngokuvamile badinga ukusebenzisa izithasiselo zeprogesterone ukukhulisa amathuba abo okukhulelwa.

Ekukhulelweni, uma amazinga e-progesterone ebencipha ngokuqhubeka kwamasonto, kusho ukuthi kunengozi enkulu yokuthola ukukhulelwa kwe-ectopic noma ukukhipha isisu, ngakho-ke, kuyadingeka ukuqala ukwelashwa okufanele ukugwema imiphumela emibi .

Abesifazane abane-progesterone ephansi bangathola nezimpawu ezinjengokuzuza kwesisindo, ukuphathwa ikhanda njalo, ukushintsha okungazelelwe kwemizwa, isifiso sobulili esiphansi, ukuya esikhathini ngokungajwayelekile noma ukushisa okushisayo, isibonelo.

Ungasilungiselela kanjani isivivinyo

Ukulungiselela ukuhlolwa kweprogesterone kubaluleke kakhulu ukuqinisekisa ukuthi imiphumela ilungile nokuthi ayithonywa ezinye izinto. Ngakho-ke, ukwenza ukuhlolwa kunconywa:

• Ukuzila ukudla amahora amathathu ngaphambi kokuhlolwa;
• Yazisa udokotela ngawo wonke amakhambi lokho kuyathathwa;
• Yeka ukusebenzisa amaphilisi e-progesterone, njengeCerazette, uJuliet, uNorestin noma u-Exluton;
• Gwema ukwenza i-X-ray kuze kube yizinsuku eziyi-7 ngaphambili;

Ngaphezu kwalokho, kubalulekile futhi ukuthi uvivinywe cishe ezinsukwini eziyi-7 ngemuva kokukhulelwa kweqanda, ngoba kuyisikhathi lapho amazinga aphezulu ngokwemvelo. Kodwa-ke, uma udokotela ezama ukuhlola amazinga we-progesterone ngaphandle kwe-ovulation, ukuhlola ukuthi ahlala ephakanyisiwe yini kulo lonke umjikelezo, kungadingeka ukwenza isivivinyo ngaphambi kokuvuthwa, ngokwesibonelo.

Ungazilungisa Kanjani Izinga leProgesterone

Ukwelashwa ukulungisa amazinga e-progesterone kuvame ukwenziwa kuphela uma inani le-hormone liphansi kunokujwayelekile, futhi kwenziwa ngokusetshenziswa kwamaphilisi e-progesterone, njenge-Utrogestan, ikakhulukazi kwabesifazane abanobunzima bokukhulelwa. Kwabesifazane abakhulelwe abasengozini enkulu yokuphuphunyelwa yisisu, i-progesterone ivamise ukujojelwa ngqo esithweni sangasese ngudokotela obelethisayo noma wezifo zabesifazane.

Kodwa-ke, ngaphambi kokuqala ukwelashwa, udokotela kufanele aphindele ukuhlolwa ukuze aqinisekise umphumela futhi angabandakanyi ezinye izinto ezingase zehlise amazinga e-progesterone, njengokudla ngaphambi noma ukuba kwesinye isigaba somjikelezo wokuya esikhathini, isibonelo.

Ezimweni eziningi, ukungeniswa kwalolu hlobo lomuthi kwenzeka izinsuku eziyi-10 zilandelana futhi ngemuva kosuku lwe-17 lomjikelezo wokuya esikhathini, kuqalwa kabusha emjikelezweni ngamunye. Isikhathi sokwelashwa nemithamo yemithi kufanele ngaso sonke isikhathi sibalwe kahle ecaleni ngalinye, futhi ukuholwa ngudokotela kubalulekile.

Imiphumela engemihle yokwelashwa

Ukusetshenziswa kwamahomoni, njenge-progesterone, kungaletha imiphumela emibi emzimbeni njengokuzuza kwesisindo, ukuvuvukala okujwayelekile, ukugcinwa koketshezi, ukukhathala ngokweqile, ukungakhululeki esifundeni sebele noma ukuya esikhathini okungajwayelekile.

Ngaphezu kwalokho, abanye besifazane bangaba nokudla okwengeziwe, ukuphathwa ikhanda njalo, umkhuhlane kanye nobunzima bokulala. Lolu hlobo lomuthi kufanele lugwenywe kubantu abanezifo zemithambo yegazi, ukudana, umdlavuza webele, ukopha esithweni sangasese sowesifazane esikhathini sokuya esikhathini noma ngezifo zesibindi.

Ungawanyusa kanjani amazinga e-progesterone ngokwemvelo

Njengoba i-progesterone iyi-hormone ekhiqizwa ngokwemvelo ngumzimba, kukhona ezinye izindlela zokuqapha ezingakhuphula ukugxila kwayo emzimbeni, njenge:

• Yiba ne-turmeric, thyme noma i-oregano tea;
• Khulisa ukudla okudliwayo okunovithamini B6, njenge-steak yesibindi, ubhanana noma isalmon;
• Thatha isithasiselo se-magnesium, ngaphansi kokuqondiswa kwesazi sokudla;
• Khetha ukudla okunenani eliphezulu lamaprotheni;
• Yidla ukudla okunothile ngemifino, izithelo nemifino enamaqabunga amnyama, njengesipinashi;

Ngaphezu kwalokho, ukukhetha ukudla kokuphilayo nakho kungasiza ekukhiqizeni i-progesterone, ngoba amakhemikhali asetshenziswa ekudleni okuhlanganisiwe angaphazamisa amandla omzimba okukhiqiza ama-hormone.

Amanani wesethenjwa we-Progesterone

Amanani we-progesterone egazini ayahlukahluka ngokuya esikhathini kanye nesigaba sempilo yowesifazane, ngokuba:

• Ukuqala kwesikhathi sokuya esikhathini: 1 ng / mL noma ngaphansi;
• Ngaphambi kwe-ovulation: ngaphansi kuka-10 ng / ml;
• Izinsuku eziyi-7 kuya kwezingu-10 ngemuva kwe-ovulation: mkhulu kune-10 ng / mL;
• Maphakathi nomjikelezo wokuya esikhathini: 5 kuya ku-20 ng / ml;
• I-trimester yokuqala yokukhulelwa: 11 kuya ku-90 ng / mL
• I-trimester yesibili yokukhulelwa: 25 kuya ku-90 ng / ml;
• I-trimester yesithathu yokukhulelwa: 42 kuya ku-48 ng / ml.

Ngakho-ke, noma nini lapho kukhona ushintsho kunani, umphumela kufanele uhlolwe ngudokotela ukuze aqonde ukuthi yini engashintsha umphumela, aqale ukwelashwa uma kunesidingo.