Abesifazane abakhulumi ngokuya esikhathini ngaphandle kokuphawula ngokuthi ngabe kubuhlungu kakhulu noma kancane, uma kuthatha izinsuku ezintathu noma ezi-3, noma ngobuningi bokopha kwethu; Ngaphezu kwalokho, kuye ngeminyaka, sizokwabelana ngolwazi mayelana nezindlela esizisebenzisayo ukumunca (ukucindezela, amathamponi, izipanji zemvelo) noma ukugcina (inkomishi yokuya esikhathini) ukuphuma kwegazi, isihloko - ngasendleleni - kuyathakazelisa kukodwa, okufanele ukunwetshwa. Kodwa ukuya esikhathini kuyingxenye yomjikelezo, okuyinto ngokwesilinganiso ethatha cishe izinsuku ezingama-28, futhi liyingxenye yesimo sethu sobufazi, kungani sinciphisa ezindabeni ezingathi shu njengobuhlungu?
Namuhla ngizoqala ukukutshela ngomjikelezo wokuya esikhathini, ngigxile esigabeni sokuqala. Eqinisweni, ngokwemithombo yolwazi, alakhiwe ncamashi izigaba ezimbili, kodwa kunalokho, lezi, nazo, zakhiwe ezinye. Ngizozama ukucacisa futhi ngiphathe kahle ngangokunokwenzeka, ukuze ulwazi lucace. Isizathu sokuthi ngifune ukukhuluma nawe ngalesi sihloko ukuthi umjikelezo wokuya esikhathini unenjongo yokuzala (ukukhulelwa umntwana), kodwa futhi kuthinta indlela esizizwa ngayo. Nakuba isamukelekile imibono engajwayelekile efana naleyo ekhomba ukuya esikhathini 'njengesijeziso esivela eNdalweni', sikubona njengento eyisijeziso. umaka wezempilo lokho kusivumela ukuba siqonde ukuthi umzimba wethu usebenza kanjani.
Njengoba ngishilo, umjikelezo uvame ukuthatha izinsuku ezingu-28, kodwa futhi wamukelekile ukuthi uhlala phakathi Izinsuku eziyi-21 nezingama-35, ngaphandle kokuthi lokhu kube okungavamile. Iqala ngosuku lokuqala lokuya esikhathini, lapho umzimba ukhishwa ku-endometrium (ulwelwesi lwesibeletho) kanye negazi liphuma emzimbeni ngembotshana encane yomlomo wesibeletho, bese lidlula esithweni sangasese. Kufanelekile ukusho lokho eminyakeni emibili noma emithathu ngemuva kokuya esikhathini (umthetho wokuqala), imijikelezo ngokuvamile ayijwayelekile; njengoba besuka eminyakeni engama-40/45, kuze kube yilapho owesifazane 'engena' ekunqamukeni kokuya esikhathini. I-Más Medicina isitshela ngemijikelezo yangemva kokukhulelwa kanye nokubeletha, futhi sizokutshela okwengeziwe ngayo kamuva.
Isigaba sokuvuthwa okulandelayo: ukukhethwa kweqanda
Okokuqala, akutshele ukuthi yonke into ingumkhiqizo wesenzo sochungechunge lwamahomoni, uma uqhubeka nokufunda uzoqonda. Okokuqala Basiza isibeletho ukukhipha i-endometrium, okubangela ukufinyela okubangela ubuhlungu noma ukungakhululeki. Ezinsukwini ezimbalwa zokuqala, i-follicle-stimulating.FSH) ekhiqizwe indlala ye-pituitary, ishukumisa ama-ovari ukuba 'akhiqize' amaqanda: ku-follicle ngayinye kuneqanda elingavuthiwe, futhi amanye awo ayakhuthazwa ukuba akhiqize. ama-estrogens, izinga layo likhuphuka ngokukhula kwama-follicles.
Yisikhathi lapho i-follicle evelele kubangela ukuthi iqanda lakho livuthwe (kunezimo ezingavamile lapho i-follicle engaphezu kweyodwa ivuthwa futhi uma kwenzeka ukuvundiswa, kubangela ukukhulelwa okuningi). Lesi sigaba, esaziwa ngokuthi i-follicular noma i-preovulatory phase, ihlanganisa isikhathi kusukela ekuyeni esikhathini kuya ekuphumeni kweqanda ngeqanda, futhi iyona eguquguquka kakhulu ngobude bomjikelezo.
Ngaleso sikhathi, i-follicle evelele isondela ebusweni be-ovary neqanda layo ngaphakathi, futhi kamuva, ngokuthuthuka okuthuthukisiwe, lithatha ingxenye yalo. Yilapho sikubiza ngokuthi 'i-Graafian' noma isigaba se-preovulatory. Ngokuvuthwa okuphelele, i-oocyte/ovum iyakhululwa ku-oocyte futhi iqale uhambo lwayo ngeshubhu le-fallopian. Bese kuqala isigaba seluteal, esizoxoxa ngaso kusasa.
Kwenzekani phakathi nesigaba se-follicular kuma-ovari nesibeletho?
Ku-ovary, i- FSH ikhuthaza ukukhula kwama-follicle amaningana, kodwa umuntu uthola inzuzo futhi abe evelele; abanye bayayeka ukukhula kwabo ngenxa i-atresiaLe follicle ikhiqiza amanani akhulayo estradiol, kuze kufike amazinga aqala ukukhishwa LH (LH surge), isignali evula i-ovulation futhi iphawula ukuphela kwesigaba se-follicular.
Esibelethweni, ngenkathi sopha, i-endometrium iyachithwa; ke, ngaphansi komphumela we-estrogen, i-mucosa ingena isigaba sokukhula futhi ikhiqiza kabusha kusuka kungqimba yayo yesisekelo. Ngokuhambisanayo, i- umgogodla wesibeletho Ishintsha isuka ekubeni yincane futhi iminyene iye kuningi, inwebeka futhi ibonakale obala (uhlobo olumhlophe lwamaqanda), ushintsho kusiza ukudlula kanye nokusinda kwesidoda.
Kuvamile ukucabanga ukuthi sivuthwa cishe ngosuku lwe-14, kepha owesifazane ngamunye unesijikelezo esihlukile sokuya esikhathini, yingakho futhi kuyehluka. Lapho u-ovulating ungase uzwe izinhlungu ezibukhali (i-mittelschmerz), nakuba lokhu kungenjalo ngaso sonke isikhathi, ngisho nakuyo yonke imijikelezo yomuntu oyedwa. Isibonelo, i-estrogen isiza i-endometrium ukuthi ihlanganiswe nezakhi, futhi ngeke uqaphele lokhu, kodwa Ingabe amafinyila omlomo wesibeletho azwakala ajwayelekile kuwe? Yini ephuma esithweni sangasese ngalezo zinsuku? Imvamisa izacile futhi icacile noma imhlophe qhwa, futhi ilungele isidoda.
Ubude besigaba se-follicular nokuthi yini engayishintsha
Emjikelezweni wezinsuku ezingama-28, isigaba se-follicular sihlala cishe izinsuku eziyi-14, okuyi-3 kuya ku-6 yokuqala ehambisana nokuya esikhathini. Kodwa-ke, yi- isigaba esiguquguqukayo kakhulu womjikelezo: uma umjikelezo wakho uba mfishane noma unwebeka, cishe njalo yingoba lesi sigaba sesishintshile (isigaba seluteal ngokuvamile sizinzile).
Izici ezifana ukucindezeleka, indawo yesikhathi iyashintsha ngenxa yokuhamba, ukushintsha kwesisindo kungazelelwe, ukuvivinya umzimba okukhandlayo noma okuthile ukungalingani kwe-hormonal, ingashintsha ukuxhumanisa kwe-axis ye-hypothalamic-pituitary-ovarian futhi iguqule ubude besikhathi salesi sigaba. Uma imijikelezo iba ngokungalindelekile noma ngokungajwayelekile ngokusobala, kuyancomeka thintana nochwepheshe.
Izimpawu zokuzala nezindlela zokukhomba i-ovulation
Kwabesifazane abaningi, ukuhlanganisa izindlela kwandisa ukunemba. Amanye amasu awusizo yilawa:
- Ikhalenda lokuya esikhathini: Ukurekhoda imijikelezo eminingi kusiza ukulinganisa iwindi lakho elivundile, wazi ukuthi i-ovulation ngokuvamile ivela Izinsuku eziyi-12-16 ngaphambili yomthetho olandelayo.
- Ukubhekwa kwe-mucus yomlomo wesibeletho: uma uphenduka icacile, inwebeka futhi inezintambo, i-ovulation isondela.
- Ukushisa okuyisisekelo: ihlala iphansi esigabeni se-follicular futhi iphakama ngemva kwe-ovulation ngenxa yomphumela we-progesterone; kuyasiza ngoba qinisekisa lokho sekwenzekile.
- Ukuhlolwa kwe-Ovulation (LH):bona i Ukushintsha kwe-LH emchameni, ilindele ukuphuma kweqanda emahoreni angama-24-36 alandelayo.
Khumbula ukuthi isidoda singaphila Izinsuku ezingama-3-5 emgudwini wokuzala, kuyilapho iqanda lihlala livundiswa Amahora angu-12-24. Ngakho-ke, ukuya ocansini ezinsukwini ngaphambi kokuhlinzwa kwe-LH kwandisa amathuba okukhulelwa.
Ukuhlolwa nokuqapha komtholampilo kokuvuthwa kwe-follicular
Ngokubonisana, ukuthuthukiswa kwe-follicular kuhlolwa ngu i-ultrasound ye-transvaginal (ukukhula kwama-follicles kuyabonwa) kanye amaphrofayili e-hormonal (FSH, LH, estradiol futhi kamuva progesterone). Ukuhlolwa FSH Ngokuvamile kwenziwa ukuqala komjikelezo (imvamisa izinsuku ezi-3-5) ukuhumusha kangcono umsebenzi we-ovarian kulowo mongo.
Lapho i-follicle ebusayo ifinyelela kusayizi we-preovulatory, eduze ne- 18 mm (ingahluka), inani eliphakeme le-LH liyasondela. Ekukhiqizeni okusizwayo, lolu lwazi luvumela ukungenelela ukuthi kuvumelaniswe. Uma bekhona izinguquko eziqhubekayo (isibonelo, i-polycystic ovary syndrome, i-anovulation, noma imijikelezo engavamile), ukuhlolwa kwemihlahlandlela yokwelashwa kwabesifazane.
Ukuvuthwa kwe-Follicular ekuzaleni okusizwayo
Isigaba se-follicular siyisihluthulelo kumasu afana nalokhu umnikelo weqanda noma i-in vitro fertilization. Ngaphansi kwe-ultrasound kanye nokulawulwa kwe-hormonal, ukukhula kwama-follicles amaningana kuyakhuthazwa; lapho befinyelela ubukhulu obufanele, ukufakwa kuhleliwe. ukubhoboza i-follicular ukuthola ama-oocyte. Qonda ukuthi ama-follicle avuthwa kanjani nokuthi asabela kanjani kuwo FSH kusiza ukwenza kahle inqubo futhi ulungise amaphrothokholi ngokusho kwesiguli ngasinye.
Okokugcina, ngikukhumbuza ukuthi lesi sigaba sokuqala somjikelezo wokuya esikhathini sibizwa ngokuthi ukuvuthwa kwe-follicular, futhi kuhlanganisa umjikelezo wokuya esikhathini (ozohlala phakathi kwezinsuku ezi-3 neziyi-7). Isikhathi salesi sigaba simayelana Izinsuku eziyi-14 ngokwesilinganiso, okungukuthi, kuze kube yilapho iqanda liphuma esibelethweni esilihlalise, futhi yenza okulandelayo. Kuyinqubo ethakazelisayo, futhi ngicabanga ukuthi kubalulekile ukuthi sazi.
Imagen - AmathiphuI-Admin.
Ukuqonda isigaba se-follicular ngale kokuphuma kwegazi kuvumela ukuchazwa izimpawu, lindela i iwindi elivundile futhi uthole izinkinga ezingenzeka ngesikhathi ukungalingani kwe-hormonalUkubona ukuqhubeka kwe-mucus yakho, usebenzisa ukuhlolwa kwe-LH, nokuhlela umjikelezo wakho kukunikeza umbono ongokoqobo wesikhathi sakho sokuvuthwa kwamaqanda. Uma ubona noma yiziphi izinguquko eziphawulekayo ubude besikhathi, inani lokopha, noma ukungakhululeki, uchwepheshe wakho wezokunakekelwa kwezempilo angakusekela ngokuhlolwa komuntu siqu kanye nokulandelela.