Ðe ‘Luteal Phase Defect’ le wò dzinukpɔkpɔ mea? Ðe nèle avu wɔm kple vidzidzimakpɔmakpɔa? Mina míaƒo nu tso esia ŋu!

Ame geɖe le vi lalam, alo? Gake ɣeaɖewoɣi la, aleke kee woɖadze agbagbae o, etsi megbe akpa be drɔ̃e ma nava eme. Ðewohĩ kuxi ma tɔgbe le wò hã ŋua? Alo ne èfɔ fu gɔ̃ hã la, menɔa anyi didi oa? Susu ɖeka si tae nye nɔnɔme aɖe si woyɔna be ‘Luteal Phase Defect’ le wò ŋutilã me. Mina míaƒo nu tso esia ŋu tsitotsito vie eye wòanɔ bɔbɔe, enyoa?

Nukae nye Luteal Phase Defect sia?

Kpuie ko la, esia fia be ne wò azigolowo ɖe azi ɖe go vɔ (woyɔa nuwɔna sia be `(Ovulation)`), wò ŋutilã mewɔa lãmetsi si nye `(Progesterone)` wòde edeƒe o. Bu eŋu abe alesi míedzraa anyigba ɖo nyuie hafi doa numiemie ene, lãmetsi sia `(Progesterone)` ye nana wò vidzidɔ ƒe akpa ememetɔ (si nye, `(Uterine Lining)`) le abe anyigba nyui ene.

Vidzidɔ ƒe lãkusi sia si le lãmesẽ me eye wòle ɣie la le vevie hafi azi si wodzi (si fia be azi si va kpe ɖe tsinyenye ŋu) nate ŋu ade vidzidɔ sia me eye wòatsi azu fugboe. Eyata ne progesterone ƒe agbɔsɔsɔ ɖiɖi la, vidzidɔa ƒe akpa sia si le eme la metsina nyuie o. Emegbe, ŋutete si le esi be wòalé fufɔfɔ ɖe te dzi ɖena kpɔtɔna.

Gake nya lae nye esi. Ðɔktawo kple vidzidzi ŋuti lãmesẽŋutinunyalawo ƒe susu mewɔ ɖeka le alesi woawɔ akpɔ `(Luteal Phase Defect)` sia nyuie ahadae ŋu o. Eyae nye be nukpɔsusu vovovowo le amewo si ku ɖe mɔnu siwo dzi woato anya dɔlélea kple atikewɔwɔ ŋu. Ke hã, enye nusi ame geɖe nya be lãmetsi si nye `(Progesterone)` ƒe agbɔsɔsɔ le vevie ŋutɔ na fufɔfɔ. Ne fufɔfɔ le fu ɖem na wò la, nu nyuitɔ si nàwɔe nye be nàyi fufɔfɔ ŋuti ɖɔkta alo vidzidzi ŋuti nunyala gbɔ.

Eyata nukae nye ‘luteal phase’ sia?

Fifia ɖewohĩ èle eŋu bum be, "Nukae nye `Luteal Phase`?" Ele bɔbɔe. Enye wò ɣleti sia ɣleti ƒe dzinukpɔkpɔ ƒe akpa aɖe. Ne míagblɔe tututu la, luteal phase nye ɣeyiɣi si dzea egɔme le azi ƒe dodo vɔ megbe (`(Ovulation)`) eye wònɔa anyi vaseɖe esime nàdze wò dzinukpɔkpɔ gɔme.

Zi geɖe la, ame si le lãmesẽ me ƒe luteal phase xɔa ŋkeke 12 va ɖo 14 .

Esi wògogo luteal ƒe akpa sia ƒe gɔmedzedze ŋutɔ la, azi aɖe dona le wò azigolo ɖeka me eye wòzɔa mɔ toa Fallopian tube la me. Esiae nye esime lãmetsi si nye progesterone la dzea dzidziɖedzi gɔme. Nu ka ta? Abe alesi míegblɔe va yi ene la, edzraa vidzidɔa ƒe nutsyɔnu ɖo na fu si ate ŋu adzɔ.

• Ne azi sia to mɔ aɖe nu kpe ɖe tsinyenye ŋu (wodzi vi), ge ɖe vidzidɔa ƒe lãkusi me, eye wòfɔ fu la, àfɔ fu.
• Ne menye nenema o la, ne womedzi azia o la, lãmetsiŋusẽ ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna, eye emegbe vidzidɔa ƒe akpa si le ɣie la dona hedoa goe abe dzinukpɔkpɔ ene.

Le ame aɖewo gome la, luteal ƒe akpa sia ate ŋu anɔ kpuie.Esia fia be dzinukpɔkpɔ dzea egɔme le ŋkeke 10 le azigolo ƒe dodo megbe. Le ame aɖewo gome la, esia ate ŋu adidi wu. Esia fia be ɖewohĩ dzinukpɔkpɔ madze egɔme o vaseɖe abe ŋkeke 17 ene le azigoloa dodo vɔ megbe.

Aleke luteal phase ƒe gbɔdzɔgbɔdzɔ sia kpɔa ŋusẽ ɖe vidzidzi dzii?

Esiae nye nu vevitɔ kekeake. Ne `(Luteal Phase Defect)` le ŋuwò la, ateŋu ana fufɔfɔ nasesẽ, eye ne èfɔ fu hã la, ate ŋu asesẽ be nàlé eme ɖe asi . Zi geɖe la, nusi koŋ gbɔ esia tsonae nye lãmetsi si nye `(Progesterone) ƒe agbɔsɔsɔ si mede o.` Le esia ta la, vidzidɔa ƒe lãkusi mete ŋu doa dzi le fufɔfɔ me nyuie o.

Esia ate ŋu atso:

• Ðewohĩ màte ŋu afɔ fu o.
• Alo, ne èfɔ fu gɔ̃ hã la, ate ŋu abu le ŋkeke ʋɛ aɖewo megbe (míeyɔa esia be fuɖeɖe ).

Numekulawo gale nya hem nenye be Luteal Phase Defect nye nusi hea vidzidzi vɛ alo vidzidzi ƒe dzesi. Eya ta ne fufɔfɔ le fu ɖem na wò la, anyo wu be nàƒo nu kple ɖɔkta aɖe be wòanya atike nyuitɔ si nàzã.

Afɔku kawoe le Luteal Phase Defect me?

Afɔku gãtɔ eve siwo le ``Luteal Phase Defect`` sia me enye vidzidzi kple fuɖeɖe .

Elabena, ne `(Luteal Phase Defect)` li la, vidzidɔa ƒe lãkusi metsina nyuie o. Be azi nate ŋu ade fugboe me eye wòatsi azu fugboe (si fia be azi si me vidzidɔ le natsi azu vidzĩ) la, ele be vidzidɔa ƒe lãkusi nalolo ale gbegbe eye woawɔ nɔnɔme si me lãmesẽ le.

Nukae nye Luteal Phase Defect ƒe dzesiwo?

Ne kuxiwo do mo ɖa le agbagbadzedze be yewoafɔ fu me alo ne fuɖeɖe enuenu koe ame geɖe kpɔnɛ be Luteal Phase Defect le yewo ŋu. Dzesi bubuwoe nye:

• Dzedzeme (ʋu suesuesuewo) le dzinukpɔkpɔ me, abe alesi wònɔna ne èle dzinukpɔkpɔ ge ene.
• Basal body temperature (BBT) ƒe dzidziɖedzi vivivi. (Menye amesiamee dzidzea esia o, gake ne ènye amesi léa ŋku ɖe eŋu la, àte ŋu ade dzesii.)
• Dzinukpɔkpɔ enuenu, alo ɣeyiɣi kpui aɖe si nɔa dzinukpɔkpɔ dome (si fia be dzinukpɔkpɔ dzɔna le wo nɔewo dome si mede ŋkeke 21 o).
• Ne èlé ŋku ɖe wò azigolo ŋu la, àte ŋu akpɔe be ɣeyiɣi si tso azigoloa dodo va se ɖe wò dzinukpɔkpɔ dzi nye ŋkeke 10 alo esi mede nenema o.

Nukawoe hea Luteal Phase Defect vɛ?

Esesẽna na ɖɔktawo be woagblɔ nusi tututu hea esia vɛ. Gake eme kɔ ƒã be edo ƒome kple lãmetsi si nye `(Progesterone)`. Nu eve li siwo ate ŋu ahe esia vɛ:

1. Ðewohĩ wò ŋutilã mele progesterone si sɔ wɔm o.

2. Alo, le wò dɔmeÐewohĩ akpa si le eme la mawɔ nu nyuie ɖe lãmetsi si nye `(Progesterone) ŋu o.`

Nuka kee ɖanye susua o, nusi dona tso eme mlɔebae nye be vidzidɔa ƒe nutsyɔnu metsina nyuie o.

Ame geɖe siwo ŋu ``Luteal Phase Defect'' le la ƒe luteal phase kpuie. Esia fia be woƒe dzinukpɔkpɔ dzea egɔme le ŋkeke 10 me tso esime woɖe fugboe. Eŋutinunyalawo mese nusita ame aɖewo ƒe luteal phases le kpuie alea gɔme bliboe haɖe o. Gake numekuku aɖe ɖee fia be nyɔnu siwo noa atama ƒe luteal phase nɔa kpuie wu amesiwo menoa atama o. Sigaretnono ateŋu aɖe wò ŋutilã ƒe ŋutete be wòawɔ ``Progesterone'' dzi akpɔtɔ.

Tsɔ kpe ɖe eŋu la, lãmesẽkuxi aɖewo siwo kpɔa ŋusẽ ɖe progesterone ƒe agbɔsɔsɔ dzi ate ŋu ana afɔku si le Luteal Phase Defect xɔxɔ me nadzi ɖe edzi. Le kpɔɖeŋu me:

• Endometriosis ƒe dɔléle
• `(Polycystic Ovary Dɔléle - PCOS)` (Azigolo geɖe ƒe dɔléle)
• Amidada
• Nuteɖeamedzi sesẽ
• Kamedede si gbɔ eme
• Nuɖuɖukuxiwo, le kpɔɖeŋu me, Nuɖuɖumadzroame
• Thyroid ƒe nɔnɔmewo
• Dɔléle siwo do ƒome kple pituitary gland

Aleke nàwɔ anya ne Luteal Phase Defect le ŋuwò?

Afi siae wòva sesẽna vie le. Elabena dodokpɔ ɖeka alo dzidzenu tɔxɛ aɖeke meli si dzi woato anya ``Luteal Phase Defect'' sia pɛpɛpɛ o.

Gake wò ɖɔkta ate ŋu aɖe gbe be woado ʋu aɖewo kpɔ atsɔ akpɔ wò lãmetsiŋusẽ ƒe agbɔsɔsɔ:

• Progesterone: Esiae nye lãmetsi si koŋ gbɔ vidzidɔa ƒe lãkusi ƒe tsitsi le fugboe ɖeɖe vɔ megbe.
• (Follicle-stimulating hormone - FSH): Lãmetsi siae nana wò azigolo me lãkusiwo tsina le dzinukpɔkpɔ ɖesiaɖe me.
• Estrogen: Esia tsoa fugboe si le tsitsim gbɔ eye wònaa vidzidɔa ƒe akpa si le tsitsim hafi ɖea fugboea.
• (Luteinizing hormone - LH): Lãmetsi siae nana azi dona, si fia be azi aɖe dona tso lãkusi me.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu awɔ ultrasound scan hã atsɔ adzidze wò vidzidɔa ƒe titrime . Ne lãkusia le sue la, ate ŋu afia be progesterone ƒe agbɔsɔsɔ le lãme na wò alo be progesterone mele dɔ wɔm nyuie le wò ŋutilã me o.

Aleke woawɔ ada luteal phase ƒe nɔnɔme madeamedzi sia?

Ðewohĩ èle eŋu bum be, "Enyo, azɔ nukae woate ŋu awɔ atsɔ ada esia?" Enɔ te ɖe wò nɔnɔmea dzi ŋutɔ kple ne èle mɔ kpɔm na vidzĩ alo mèle mɔ kpɔm na vidzĩ o.

Ne wò taɖodzinue nye be yeadzi vi la, wò ɖɔkta ateŋu aɖo aɖaŋu na wò be nàzã atike aɖewo atsɔ ada ``Luteal Phase Defect'' sia. Le kpɔɖeŋu me:

• (Clomiphene citrate) aloAtikewo abe amegbetɔ ƒe dzinukpɔkpɔ ƒe gonadotropin (hMG) ene. Esiawo wɔa dɔ to lãkusi siwo le azigolowo me ƒe tsitsi me.
• Lãmetsiŋusẽ aɖe si woyɔna be (HCG - human chorionic gonadotropin) . Esia dzia `(Progesterone)` ƒe wɔwɔ ɖe edzi le ovulation megbe.
• Progesterone ƒe kpeɖeŋutɔtikewo. Esiawo ate ŋu ava le atikekui siwo woano, atike siwo wodona ɖe lãme na ame, alo atike siwo wotsɔna tsia lãme na ame ƒe nɔnɔme me.

Ɣeaɖewoɣi la, wò ɖɔkta aɖo aɖaŋu na wò hã be nàtrɔ agbenɔnɔ , abe nuteɖeamedzi dzi ɖeɖe kpɔtɔ kple lolo si sɔ me léle ɖe asi ene.

Nu vevitɔe nye be ne nɔnɔme bubu aɖe le ŋuwò (e.g., lãkusi ƒe kuxi aɖe) si le ŋusẽ kpɔm ɖe wò luteal cycle dzi la, zi geɖe la, dɔléle ma dada ate ŋu akpɔ Luteal Phase Defect hã gbɔ.

Ðe wòhiã be woawɔ IVF ne Luteal Phase Defect aɖe le eŋua?

Àte ŋu anɔ eŋu bum be, "Ne `(Luteal Phase Defect)` le ŋunye la, ɖe wòhiã ŋutɔŋutɔ be mawɔ `(IVF)` (in vitro fertilization)a?"

Ao, menye sedziwɔwɔe wònye o. Ne fufɔfɔ le kuxi me tom na wò alo fuɖeɖe le ŋuwò enuenu la, wò ɖɔkta akpe ɖe ŋuwò nàkpɔ atike nyuitɔ kekeake siwo nàte ŋu azã na wò nɔnɔmea. IVF nye tiatia ɖeka ko.

Ðe mate ŋu adzi vi ne Luteal Phase Defect le ŋunye gɔ̃ hã?

Esia nye nyabiase si le ame geɖe si. Ŋuɖoɖoae nye be: Ẽ, àte ŋui keŋkeŋ! Nyɔnu geɖe siwo ƒe luteal phase kpuie, alo ``Luteal Phase Defect'', fɔa fu dzidzedzetɔe. Nu vevitɔe nye be nàgblɔ wò ɖɔkta faa ahagblɔe anukwaretɔe tso mɔkpɔkpɔ siwo le asiwò be yeadzi vi ŋu. Emegbe ate ŋu abu wò lãmesẽ ŋutinya kple nɔnɔme si me nèle fifia ŋu eye wòanya atikewɔwɔ nyuitɔ kekeake na wò.

Nukae nye vevitɔ kekeake si míedi be míatsɔ ayi aƒemee tso ŋutinya sia me?

Enyo, eyata esiawoe nye nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me.

Ne èsusu be yeƒe progesterone ƒe agbɔsɔsɔ le sue, alo ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò be Luteal Phase Defect le ye ŋu la, taflatse ƒo nu kple wò ɖɔkta godoo. Ðewohĩ vɔvɔ̃ koe le ŋuwò, alo ne kuxi aɖe ŋutɔŋutɔ li la, àte ŋu akpɔ egbɔkpɔnu kaba.

Dzɔgbenyuietɔe la, ne èle fufɔfɔ tsim le Luteal Phase Defect ta la, atikewɔwɔ geɖe li egbea siwo ate ŋu akpe ɖe ŋuwò. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàtia atike nyuitɔ kekeake le wò lãmesẽ ƒe nɔnɔme kple vidzidzi ƒe mɔkpɔkpɔ nu.

Eyata, mègatsi dzi o, ƒo nu kple wò ɖɔkta tso nusi le susu me na wò ŋu. Ne ènya nu nyuitɔ eye nèxɔ atike nyuitɔ la, masesẽ be nàɖo wò drɔ̃ea gbɔ o!

`Luteal Phase Defect, Progesterone, Fuɖeɖe, Dzinukpɔkpɔ, Vidzidɔ, Ovulation