So wowɔ ‘Luteal Phase Defect’ wɔ wo brayɛ mu? So worepere awo a wontumi nwo? Momma yɛnka eyi ho asɛm!

Nnipa pii retwɛn abofra, ɛnte saa? Nanso ɛtɔ mmere bi a, ɛmfa ho mmɔden biara a wɔbɔ no, aka akyi dodo sɛ wɔbɛma saa dae no abam. Ebia wo nso wowɔ ɔhaw a ɛte saa ara? Anaasɛ sɛ wunyinsɛn mpo a, ɛnkyɛ? Ade biako nti a eyi ba ne tebea bi a wɔfrɛ no ‘Luteal Phase Defect’ wɔ wo nipadua mu. Momma yɛnka eyi ho asɛm nkɔ akyiri kakra na ɛnyɛ den, ɛyɛ?

Dɛn ne Luteal Phase Defect yi?

Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ bere a wo mmadwoa no gyae egg (wɔfrɛ saa adeyɛ yi `(Ovulation)`) akyi no, wo nipadua no ntumi nyɛ hormone `(Progesterone)` a ɛdɔɔso. Susuw ho sɛ yɛsiesie asase no yiye ansa na yɛadua afifide, saa hormone `(Progesterone)` yi na ɛma wo awotwaa no mu fã (kyerɛ sɛ, `(Uterine Lining)`) te sɛ asase a ɛsow aba.

Saa awotwaa mu aduru a ɛyɛ den na ɛyɛ den yi ho hia na ama nkesua a wɔahyɛ no ma (kyerɛ sɛ, nkesua a ɛne mmadwoa abɔ mu) de ahyɛ awotwaa no mu aduru yi mu na anyin abɛyɛ awotwaa. Enti, sɛ progesterone dodow so tew a, awotwaa no mu ntini yi nnyɛ den yiye. Afei, tumi a etumi ma nyinsɛn kɔ so no so tew.

Nanso ade no ni. Nnuruyɛfoɔ ne awoɔ akwahosan ho abenfoɔ adwene nhyia wɔ sɛdeɛ wɔbɛhunu saa `(Luteal Phase Defect)` yi pɛpɛɛpɛ na wɔasa no ho. Ɛne sɛ, ɛsono adwene wɔ akwan a wɔfa so hu ne ayaresa no ho. Nanso, ɛyɛ nea wonim sɛ hormone `(Progesterone)` dodow ho hia yiye ma nyinsɛn. Sɛ worehyia ɔhaw wɔ nyinsɛn mu a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ nyinsɛn ho oduruyɛfo anaa awo ho ɔbenfo nkyɛn.

Enti, dɛn ne ‘luteal phase’ yi?

Afei ebia woredwene sɛ, "Dɛn ne `Luteal Phase`?" Ɛyɛ mmerɛw. Ɛyɛ wo ɔsram biara brayɛ no fã. Sɛ yɛbɛka no pɛpɛɛpɛ a, luteal phase yɛ bere a efi ase bere a wɔayi ɛmo akyi (`(Ovulation)`) na ɛkɔ so kosi sɛ wubefi ase akɔ wo nna mu.

Mpɛn pii no, obi a ɔwɔ apɔwmuden no luteal fã no di nnafua 12 kosi 14 .

Bere a ɛbɛn saa luteal fã yi mfiase no, ɛmo bi fi wo mmadwoa biako mu na ɛkɔ Fallopian tube no mu. Eyi ne bere a hormone progesterone no fi ase kɔ soro. Adɛn? Sɛnea yɛadi kan aka no, esiesie awotwaa no mu nkataso ma nyinsɛn a ebetumi aba.

• Sɛ ɔkwan bi so no, saa nkesua yi ne mmadwoa bi ka ho (wɔde nyinsɛn mu), de hyɛ awotwaa no mu, na enyinsɛn a, wubenyinsɛn.
• Sɛ ɛnte saa a, sɛ wɔannya nkesua no a, hormone dodow so tew, na afei awotwaa no mu ntini a ayɛ den no gu na wɔpam sɛ brayɛ.

Wɔ nnipa binom fam no, ebia saa luteal fã yi bɛyɛ tiaa.Eyi kyerɛ sɛ brayɛ fi ase wɔ nnafua 10 akyi wɔ ovulation akyi. Wɔ nnipa binom fam no, eyi betumi akyɛ. Eyi kyerɛ sɛ ebia brayɛ mfi ase kosi bɛyɛ nnafua 17 wɔ ovulation akyi.

Ɔkwan bɛn so na saa luteal phase sintɔ yi ka awo?

Eyi ne ade a ɛho hia sen biara. Sɛ wowɔ `(Luteal Phase Defect)` a, ebetumi ama ayɛ den sɛ wubenyinsɛn, na sɛ wonyinsɛn mpo a, ebetumi ayɛ den sɛ wobɛkɔ so akura mu . Mpɛn pii no, ade titiriw a ɛma eyi ba ne hormone `(Progesterone) a ɛba fam.` Esiane eyi nti, awotwaa no mu ntini no ntumi nnyina nyinsɛn ano yiye.

Eyi betumi afi:

• Ebia worentumi nnyinsɛn.
• Anaasɛ, sɛ wunyinsɛn mpo a, ebetumi ayera wɔ nna kakraa bi akyi (yɛfrɛ eyi nyinsɛn a wotu gu ).

Nhwehwɛmufo da so ara gye akyinnye sɛ ebia Luteal Phase Defect yɛ ade a ɛma obi ntumi nwo anaasɛ ɛyɛ awo a wontumi nwo ho sɛnkyerɛnne. Enti, sɛ worehyia ɔhaw wɔ nyinsɛn mu a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa na wahu ayaresa a eye ma wo.

Asiane bɛn na ɛwɔ Luteal Phase Defect mu?

Asiane akɛse abien a ɛwɔ saa ``Luteal Phase Defect`` yi mu ne awo a wontumi nwo ne nyinsɛn a wotu gu .

Efisɛ, sɛ `(Luteal Phase Defect)` bi wɔ hɔ a, awotwaa no mu nkataso no nyɛ den yiye. Sɛnea ɛbɛyɛ a nkesua betumi ahyɛ mu na anyin abɛyɛ awotwaa (kyerɛ sɛ, sɛ nkesua a wɔahyɛ no ma anyin abɛyɛ akokoaa) no, ɛsɛ sɛ awotwaa no mu nneɛma a ɛwɔ nipadua no mu no yɛ duru sɛnea ɛsɛ na wɔyɛ tebea a ɛyɛ papa.

Dɛn ne Luteal Phase Defect ho sɛnkyerɛnne ahorow?

Nnipa pii hu sɛ wɔwɔ Luteal Phase Defect bere a wɔwɔ ɔhaw ahorow wɔ mmɔden a wɔbɔ sɛ wobenyinsɛn mu anaasɛ bere a wɔatu nyinsɛn mpɛn pii nkutoo. Nsɛnkyerɛnne afoforo bi ne:

• Spotting (mogya nketenkete) bere a worekɔ brayɛ mu, te sɛ bere a worebɛkɔ brayɛ mu no.
• Basal nipadua mu hyew (BBT) a ɛkɔ soro nkakrankakra. (Ɛnyɛ obiara na ɔsusuw eyi, nanso sɛ woyɛ obi a ɔhwɛ so a, ebia wubehu.)
• Brayɛ a wɔtaa kɔ, anaasɛ bere tiaa a ɛda nna ntam (a ɛkyerɛ sɛ brayɛ ba bere a ɛda ntam nnu nnafua 21).
• Sɛ wohwɛ wo ovulation so a, ebia wubehu sɛ bere a efi ovulation kosi wo brayɛ mu no yɛ nnafua 10 anaa nea ennu saa.

Dɛn ne nneɛma a ɛde Luteal Phase Defect ba?

Ɛyɛ den ma nnuruyɛfo sɛ wɔbɛka nea ɛde eyi ba ankasa. Nanso ɛda adi pefee sɛ ɛne hormone `(Progesterone)` wɔ abusuabɔ. Nneɛma abien na ebetumi de aba:

1. Ebia wo nipadua no ntumi nnya progesterone a ɛdɔɔso.

2. Anaasɛ, wo yafunu muEbia emu fã no rentumi nyɛ hormone `(Progesterone).` no ho dwuma yiye

Ɛmfa ho nea enti a ɛte saa no, nea efi mu ba awiei koraa ne sɛ awotwaa no mu nkataso no nnyin yiye.

Nnipa pii a wɔwɔ ``Luteal Phase Defect'' no wɔ luteal phase tiawa. Eyi kyerɛ sɛ wɔn nna fi ase wɔ nnafua 10 akyi wɔ ovulation akyi. Abenfo da so ara nte nea enti a nnipa binom luteal phases yɛ tiaa saa no ase yiye. Nanso nhwehwɛmu bi daa no adi sɛ mmea a wɔnom sigaret no luteal phase yɛ tiaa sen wɔn a wɔnnom sigaret no. Sigaretnom betumi atew tumi a wo nipadua no tumi yɛ ``Progesterone.''

Bio nso, akwahosan tebea horow bi a ɛka progesterone dodow betumi ama asiane a ɛwɔ hɔ sɛ obi benya Luteal Phase Defect no ayɛ kɛse. Nhwɛsoɔ:

• Endometriosis a ɛwɔ nipadua no mu
• `(Polycystic Ovary Syndrome - PCOS)` (Nneɛma a Ɛyɛ Fɛ)
• Obolo
• Adwennwen a emu yɛ den
• Apɔw-mu-teɛteɛ a ɛtra so
• Sɛ nhwɛso no, adidi mu haw ahorow, Anorexia
• Thyroid tebea horow
• Nyarewa a ɛfa pituitary gland ho

Wobɛyɛ dɛn ahu sɛ wowɔ Luteal Phase Defect?

Eyi ne baabi a ɛyɛ den kakra. Efisɛ sɔhwɛ biako anaa gyinapɛn pɔtee biara nni hɔ a ɛbɛma wɔahu saa ``Luteal Phase Defect'' yi pɛpɛɛpɛ.

Nanso, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu bi mfa nhwɛ sɛnea wo hormone dodow te:

• Progesterone: Eyi ne hormone titiriw a ɛma awotwaa no mu ntini nyin bere a wɔayi ovulation awie no.
• (Follicle-stimulating hormone - FSH): Saa hormone yi ne nea ɛma ntini a ɛwɔ wo mmadwoa mu no nyin wɔ brayɛ bere biara mu.
• Estrogen: Eyi nam awotwaa a ɛrenyin no so na ɛyɛ na ɛma awotwaa no mu nneɛma yɛ den ansa na ovulation aba.
• (Luteinizing hormone - LH): Saa hormone yi na ɛma ovulation ba, kyerɛ sɛ, ɛwo bi fi follicle mu.

Bio nso, wo duruyɛfo no betumi ayɛ ultrasound scan nso de ahwɛ sɛnea w’awotwaa mu ntini no mu yɛ duru . Sɛ nea ɛwɔ wo nipadua no mu no yɛ teateaa a, ebetumi akyerɛ sɛ progesterone dodow sua anaasɛ progesterone ntumi nyɛ adwuma yiye wɔ wo nipadua mu.

Ɔkwan bɛn so na wobetumi asa saa luteal phase dɛmdi yi?

Ebia woresusuw sɛ, "Ɛyɛ, afei dɛn na wobetumi ayɛ de asa eyi?" Egyina wo tebea ne sɛ ebia worehwɛ akokoaa kwan anaasɛ worenhwɛ kwan so kɛse.

Sɛ wo botaeɛ ne sɛ wobɛwo akokoaa a, wo duruyɛfoɔ bɛtumi akamfo nnuru bi akyerɛ wo de asa saa ``Luteal Phase Defect'' yi. Nhwɛsoɔ:

• (Clomiphene citrate) anaasɛNnuru te sɛ nnipa a wɔgyae brayɛ mu gonadotropins (hMG). Eyinom yɛ adwuma denam ntini a ɛwɔ awotwaa no mu a ɛkanyan no so.
• Hormone bi a wɔfrɛ no (HCG - onipa chorionic gonadotropin) . Eyi ma `(Progesterone)` a wɔyɛ no yɛ kɛse wɔ ovulation akyi.
• Progesterone a wɔde ma. Eyinom betumi aba wɔ nnuru a wɔnom, nnuru a wɔde twitwiw nipadua mu, anaa nnuru a wɔde hyɛ nipadua mu.

Ɛtɔ mmere bi a, wo duruyɛfo nso bɛkamfo akyerɛ sɛ wobɛyɛ nsakrae wɔ w’asetra mu , te sɛ adwennwen a wobɛtew so na woakura mu duru a ɛfata mu.

Ade a ɛho hia ne sɛ, sɛ wowɔ tebea foforo a ɛhyɛ wo ase (e.g., thyroid haw) a ɛreka wo luteal cycle a, saa tebea no a wobɛsa no taa betumi asiesie Luteal Phase Defect no nso.

So ɛho hia sɛ wɔyɛ IVF sɛ Luteal Phase Defect bi wɔ hɔ a?

Ebia worebisa sɛ, "Sɛ mewɔ `(Luteal Phase Defect)` a, so ɛsɛ sɛ meyɛ `(IVF)` (in vitro fertilization) ankasa?"

Dabi, ɛnyɛ ahyɛde. Sɛ worehyia ɔhaw wɔ nyinsɛn mu anaasɛ woatu nyinsɛn mpɛn pii a, wo duruyɛfo bɛboa wo ma woanya ayaresa a eye sen biara a wobɛfa so ama wo tebea no. IVF yɛ ɔkwan biako pɛ.

So metumi awo ba sɛ mewɔ Luteal Phase Defect mpo a?

Eyi yɛ asɛmmisa a nnipa pii wɔ. Mmuae no ne sɛ: Yiw, wubetumi koraa! Mmea pii a wɔwɔ luteal phase tiawa, anaa ``Luteal Phase Defect'', nyinsɛn a edi mu. Ade a ɛho hia sen biara ne sɛ wobɛka wo duruyɛfo no pefee na woadi nokware wɔ anidaso a wowɔ sɛ wobɛwo akokoaa ho. Afei obetumi asusuw w’akwahosan ho abakɔsɛm ne mprempren tebea no ho na wahu ayaresa a eye sen biara ma wo.

Dɛn ne ade a ɛho hia paa a yɛpɛ sɛ yɛde kɔ fie fi saa asɛm yi mu?

Okay, enti eyinom ne nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu.

Sɛ wususuw sɛ wo progesterone dodow sua, anaasɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ wowɔ Luteal Phase Defect a, yɛsrɛ wo ne wo duruyɛfo nkasa ampa. Ebia ehu aka wo ara kwa, anaasɛ sɛ ɔhaw bi ankasa wɔ hɔ a, ebia wubetumi anya ano aduru ntɛm.

Nea eye ne sɛ, sɛ worekyɛ nyinsɛn esiane Luteal Phase Defect nti a, ayaresa pii wɔ hɔ nnɛ a ebetumi aboa. Wo duruyɛfo betumi aboa wo ma woapaw ayaresa a eye sen biara a egyina w’akwahosan tebea ne awo a wohwɛ kwan so.

Enti, mma ɛnhaw wo, wo ne wo duruyɛfo nkasa mfa nea ɛwɔ w’adwene mu no ho asɛm. Sɛ wunim ade a ɛfata na wunya ayaresa a ɛfata a, ɛrenyɛ den sɛ wubedu w’adaeso no ho!

`Luteal Phase Defect, Progesterone, Nyinsɛn a Ɛtu, Brayɛ, Awotwaa, Ovulation