Konke malunga neSigaba seLuteal seMijikelezo yokuya exesheni
Umxholo
- Kwenzeka ntoni kwisigaba se-luteal
- Ubude besigaba seLuteal
- Oonobangela kunye nonyango lwesigaba esifutshane se-luteal
- Ukulandelela ubushushu bakho ukumisela isigaba
- Ukuthatha
Ushwankathelo
Umjikelo wokuya exesheni wenziwe ngezigaba ezine. Isigaba ngasinye sisebenza ngokwahlukileyo:
- Ukuya exesheni kuxa usexesheni Lo ngumzimba wakho ophalaza i-uterine lining yakho kumjikelo wangaphambili xa ungekho ukukhulelwa.
- Inqanaba lokulandelwa, eligubungela ukuya exesheni kwiintsuku zokuqala ezimbalwa, kuxa ukukhula kweefollic. Ifollicle enye iya kuba nkulu kunenye kwaye ikhuphe iqanda eliqolileyo. Oku kubonakalisa ukuphela kwenqanaba lokulandela.
- Ukuvuthwa kuxa kukhutshwa iqanda eliqolileyo.
- Isigaba se-luteal siqala njengoko iqanda liqala ukuhamba ezantsi kumbhobho wokuya. Eli nqanaba liphela xa ixesha lakho elilandelayo liqala.
Isigaba se-luteal kubandakanya iminyhadala ebalulekileyo elungiselela umzimba ukukhulelwa. Masiqwalasele ngokusondeleyo okwenzekayo ngeli nqanaba kwaye kuthetha ntoni ukuba eli nqanaba lide okanye lifutshane kunesiqhelo.
Kwenzeka ntoni kwisigaba se-luteal
Isigaba se-luteal sisiqingatha sesibini somjikelezo wakho wokuya esikhathini. Iqala emva kokuvuthwa kwaye iphele ngosuku lokuqala lwexesha lakho.
Nje ukuba ifollicle ikhuphe iqanda layo, iqanda lihamba liye ezantsi kumbhobho, apho linokudibana khona nesidoda kwaye lichumise. Ifollicle ngokwayo iyatshintsha. Ingxowa engenanto iyavala, ijike ibe tyheli, kwaye itshintshe ibe sisixhobo esitsha esibizwa ngokuba yi-corpus luteum.
I-corpus luteum ikhupha iprogesterone kunye ne-estrogen. Iprogesterone iyawurhabaxa umgca wesibeleko sakho ukuze iqanda elichumileyo likwazi ukumilisela. Imithambo yegazi ikhula ngaphakathi ngaphakathi. Ezi nqanawa ziya kubonelela ngeoksijini kunye nezondlo kumbungu osakhulayo.
Ukuba uyakhulelwa, umzimba wakho uya kuqala ukuvelisa i-gonadotropin yabantu (hCG). Le hormone igcina i-corpus luteum.
I-HCG yenza ukuba i-corpus luteum iqhubeke ivelisa iprogesterone de kube lixesha leveki ye-10 ukhulelwe. Emva koko i-placenta ithatha imveliso yeprogesterone.
Amanqanaba eprogesterone anyuka xa ukhulelwe. Nantsi isikhokelo ngokubanzi:
- kwikota yokuqala yokuqala: i-nanograms ezili-10 ukuya kwezingama-44 ngeemililitha (ng / ml) yeprogesterone
- Ikota yesibini yesibini: 19 ukuya ku-82 ng / mL
- Ikota yesithathu: i-65 ukuya kwi-290 ng / mL
Ukuba awukhulelwa ngeli nqanaba, i-corpus luteum iya kuncipha kwaye ife ibe sisiqwengana esincinci sethambo elibomvu. Amanqanaba akho eprogesterone aya kulahla. Umbhobho wesibeleko uya kuphala ngexesha lakho. Emva koko umjikelo wonke uya kuphinda.
Ubude besigaba seLuteal
Isigaba esiqhelekileyo se-luteal sinokuhlala naphi na ukusuka kwiintsuku ezili-11 ukuya kwezi-17. Ku, isigaba sokugqibela sihlala iintsuku ezili-12 ukuya kwezi-14.
Isigaba sakho se-luteal sithathwa njengesifutshane ukuba sihlala ngaphantsi kweentsuku ezili-10. Ngamanye amagama, unesigaba esifutshane se-luteal ukuba ufumana ixesha lakho kwiintsuku ezili-10 okanye ngaphantsi emva kokuba uphume.
Isigaba esifutshane se-luteal asinikezi i-uterine lining ithuba lokukhula kunye nokukhula ngokwaneleyo ukuxhasa usana olukhulayo. Ngenxa yoko, kunokuba nzima ukukhulelwa okanye kungathatha ixesha elide ukuba ukhulelwe.
Isigaba eside se-luteal sinokubangelwa kukungalingani kwehomoni njenge-polycystic ovary syndrome (i-PCOS). Okanye, ukuphela kwexesha elide okoko uvusileyo kunokuthetha ukuba ukhulelwe kwaye awukaqondi okwangoku.
Ubude besigaba sakho se-luteal akufuneki butshintshe njengoko uneminyaka yobudala. Kodwa amanqanaba akho eprogesterone ngeli nqanaba anokuhla njengoko usondela kufutshane nokuyeka ukuya exesheni.
Oonobangela kunye nonyango lwesigaba esifutshane se-luteal
Isigaba esifutshane se-luteal sinokuba ngumqondiso wesimo esibizwa ngokuba yi-luteal phase defect (LPD). Kwi-LPD, i-ovary ivelisa iprogesterone encinci kunesiqhelo. Okanye, umgca wesibeleko awukhuli ngokuphendula iprogesterone njengoko kufanelekile. I-LPD inokukhokelela ekungabikho komntwana kunye nokuphuphuma kwesisu.
Izinto ezithile zokuphila zinokuba semva kwesigaba se-luteal esifutshane. Ku, abasetyhini abanesigaba esifutshane se-luteal babenethuba lokutshaya kunabo banesigaba esinde. Ukutshaya kungalinciphisa eli nqanaba ngokunciphisa imveliso ye-estrogen yomzimba kunye neprogesterone.
Ukuphucula iingxaki zokukhulelwa, ugqirha unokunyanga i-LPD nge:
- ukungachumi kweziyobisi clomiphene citrate (Serophene) okanye i-menopausal gonadotropins (hMG), ekhuthaza ukukhula kweefollic
- I-hCG yokunyusa imveliso yeprogesterone kwi-corpus luteum
- iprogesterone ngomlomo, ngenaliti, okanye nge-suppository yelungu lobufazi
Ukulandelela ubushushu bakho ukumisela isigaba
Ukuchonga ukuba sele uvusile kwaye ukwinqanaba le-luteal, ungazama ukulandela umkhondo wobushushu bomzimba wakho (i-BBT). Obu bubushushu bakho kanye xa uvuka, ngaphambi kokuba uvuke usebenzise igumbi lokuhlambela okanye uhlambe amazinyo akho.
Ngethuba lesahlulo sokuqala (isigaba sokulandelelana) somjikelo wakho, i-BBT yakho iya kuhamba phakathi kwe-97.0 kunye ne-97.5 ° F. Xa u-ovulate, i-BBT yakho iya kunyuka kuba iprogesterone ivuselela imveliso yobushushu emzimbeni wakho.
Nje ukuba ukwinqanaba le-luteal lomjikelo wakho, iqondo lobushushu lomzimba wakho kufuneka libe malunga ne-1 ° F ephezulu kunokuba yayinjalo ngexesha lesigaba sob follicular. Khangela eli qhuma lobushushu ukukuxelela ukuba uye wavota kwaye wangena kwisigaba se-luteal.
Ukuthatha
Isigaba se-luteal, apho umzimba ulungiselela ukukhulelwa, unokuba ngumqondiso obalulekileyo wokuzala. Ukuba ukrokrela ukuba unesigaba eside okanye esifutshane se-luteal okanye awuyikukhupha, thetha nogqirha wakho. Banokuchonga naziphi na iingxaki zonyango ezichaphazela umjikelo wakho kwaye bacebise unyango.
Ukuba ungaphantsi kweminyaka engama-35 kwaye uzama ukukhulelwa ubuncinci unyaka ngaphandle kwempumelelo, yenza idinga nogqirha wakho wokhathalelo lokuqala okanye ingcali yenzala. Unokuba nengxaki yokuzala enokunyangeka. Fowunela ugqirha emva kweenyanga ezi-6 zokuzama ukuba uneminyaka engama-35 okanye ngaphezulu.