He nui ka poʻe e kali ana i kahi keiki, ʻeā? Akā i kekahi manawa, ʻoiai ke ʻano o kā lākou hoʻāʻo ʻana, ua lohi loa ka hoʻokō ʻana i kēlā moeʻuhane. Loaʻa paha iā ʻoe kahi pilikia like? A i ʻole inā hāpai ʻoe, ʻaʻole ia e mau? ʻO kekahi kumu no kēia he kūlana i kapa ʻia ʻo 'Luteal Phase Defect' i loko o kou kino. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a maʻalahi, ʻae?
He aha kēia hemahema o ka pae Luteal?
I ka ʻōlelo maʻalahi, ʻo ia hoʻi ma hope o ka hoʻokuʻu ʻana o kāu mau ovaries i kahi hua manu (ua kapa ʻia kēia kaʻina hana ʻo '(Ovulation)'), ʻaʻole lawa ka hana a kou kino i ka hormone '(Progesterone)'. E noʻonoʻo e like me kā mākou hoʻomākaukau maikaʻi ʻana i ka lepo ma mua o ke kanu ʻana i kahi mea kanu, ʻo kēia hormone '(Progesterone)' ka mea e hoʻolilo ai i ka papa o loko o kou uterus (ʻo ia hoʻi, '(Uterine Lining)') e like me ka lepo momona.
He mea nui kēia uhi ʻōpū olakino a mānoanoa no ka hua manu i hoʻoulu ʻia (ʻo ia hoʻi, kahi hua manu i hui pū me ka sperm) e hoʻokomo i loko o kēia uhi ʻōpū a ulu a lilo i embryo. No laila, i ka wā e hāʻule ai nā pae progesterone, ʻaʻole e mānoanoa pono kēia uhi o loko o ka ʻōpū. A laila, emi iho kona hiki ke hoʻomau i ka hāpai ʻana.
Akā eia ka mea. ʻAʻohe manaʻo like ma waena o nā kauka a me nā loea olakino hānau hou e pili ana i ka pehea e ʻike pololei ai a mālama i kēia `(Luteal Phase Defect)`. ʻO ia hoʻi, aia nā manaʻo like ʻole e pili ana i nā ʻano o ka ʻike ʻana a me ka mālama ʻana. Eia nō naʻe, ua ʻike maʻamau ʻia he mea nui loa ka pae o ka hormone `(Progesterone)` no ka hāpai ʻana. Inā pilikia ʻoe i ka hāpai ʻana i kahi keiki, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka hāpai a i ʻole ka loea hānau.
No laila, he aha kēia 'luteal phase'?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha ka `Luteal Phase`?" He maʻalahi ia. He ʻāpana ia o kāu pōʻaiapuni menstrual mahina. I ka pololei, ʻo ka luteal phase ka manawa e hoʻomaka ana ma hope o ka hoʻokuʻu ʻia ʻana o kahi hua manu (`(Ovulation)`) a mau a hiki i kou hoʻomaka ʻana e loaʻa i kāu mau menstruations.
ʻO ka maʻamau, ʻo ka pae luteal o ke kanaka olakino e mau ana ma waena o 12 a me 14 mau lā .
Kokoke loa i ka hoʻomaka ʻana o kēia pae luteal, hoʻokuʻu ʻia kahi hua manu mai kekahi o kāu mau ovaries a hele i lalo o ka Fallopian tube. ʻO kēia ka manawa e hoʻomaka ai ka piʻi ʻana o ka hormone progesterone. No ke aha mai? E like me ka mea i ʻōlelo ʻia ma mua, hoʻomākaukau ia i ka uhi o ka uterus no ka hāpai ʻana.
- Inā hui pū kēia hua me kahi sperm (ua hoʻomomona ʻia), hoʻokomo ʻia i loko o ka paia o ka ʻōpū, a hāpai, e hāpai nō ʻoe.
- A i ʻole, inā ʻaʻole i hoʻomomona ʻia ka hua manu, hāʻule nā pae hormone, a laila e hoʻokahe ʻia ka uhi mānoanoa o ka ʻōpū a kipaku ʻia i ka wā menstruation.
No kekahi poʻe, he pōkole paha kēia pae luteal.ʻO ke ʻano kēia, hoʻomaka ka menstruation i 10 mau lā ma hope o ka ovulation. No kekahi poʻe, hiki ke lōʻihi kēia. ʻO ke ʻano kēia, ʻaʻole paha e hoʻomaka ka menstruation a hiki i kahi o 17 mau lā ma hope o ka ovulation.
Pehea e pili ai kēia hemahema luteal i ka hānau keiki?
ʻO kēia ka mea nui loa. Inā loaʻa iā ʻoe kahi `(Luteal Phase Defect)`, hiki iā ia ke paʻakikī i ka hāpai ʻana, a inā hāpai ʻoe, hiki ke paʻakikī ke mālama iā ia . ʻO ka hapa nui o ka manawa, ʻo ke kumu nui o kēia, ʻo ia ka haʻahaʻa o ka hormone `(Progesterone).` Ma muli o kēia, ʻaʻole hiki i ka uhi o ka ʻōpū ke ʻae maikaʻi i ka hāpai ʻana.
Hiki ke hana ʻia kēia e:
- ʻAʻole paha hiki iā ʻoe ke hāpai.
- A i ʻole, inā hāpai ʻoe, e nalowale paha ia ma hope o kekahi mau lā (kapa mākou i kēia he hāʻule ʻana o ka hāpai keiki ).
Ke hoʻopaʻapaʻa nei nā kānaka noiʻi inā he kumu o ka hānau ʻole ʻana ka Luteal Phase Defect a i ʻole he hōʻailona o ka hānau ʻole ʻana. No laila, inā pilikia ʻoe i ka hāpai ʻana, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
He aha nā pilikia o ka Luteal Phase Defect?
ʻO nā pilikia nui ʻelua o kēia "Luteal Phase Defect" ʻo ia ka hānau ʻole ʻana a me ka hāʻule ʻana o ka hāpai keiki .
No ka mea, i ka wā e loaʻa ai kahi `(Luteal Phase Defect)`, ʻaʻole mānoanoa pono ka uhi o ka ʻōpū. I mea e hoʻokomo ai kahi hua manu a ulu a lilo i embryo (ʻo ia hoʻi, no ka ulu ʻana o kahi hua manu i hoʻoulu ʻia i pēpē), pono e mānoanoa ka uhi o ka ʻōpū a pono e hana ʻia kahi ʻano olakino.
He aha nā hōʻailona o kahi hemahema o ka Luteal Phase?
Hoʻomaopopo wale ka poʻe he nui he Luteal Phase Defect ko lākou ke loaʻa iā lākou nā pilikia e hāpai ai a i ʻole ke loaʻa hou iā lākou nā hāʻule ʻana. ʻO nā hōʻailona ʻē aʻe:
- Nā kiko (nā kulu koko liʻiliʻi) i ka wā o ka menstruation, e like me ka wā e kokoke ana ʻoe e loaʻa i kou menstruation.
- Ka piʻi mālie ʻana o ka mahana kino basal (BBT). (ʻAʻole ana nā kānaka a pau i kēia, akā inā ʻoe kekahi e mālama ana iā ia, e ʻike paha ʻoe.)
- ʻO ka menstruation pinepine, a i ʻole kahi manawa pōkole ma waena o nā menstruations (ʻo ia hoʻi, ʻaʻole iʻoi aku ma mua o 21 mau lā ka mamao o ka menstruation).
- Inā ʻoe e mālama i kāu ovulation, e ʻike paha ʻoe ʻo ka manawa mai ka ovulation a hiki i kou wā he 10 mau lā a i ʻole ka liʻiliʻi.
He aha nā kumu o ka Luteal Phase Defect?
He mea paʻakikī i nā kauka ke haʻi pololei i ke kumu o kēia. Akā ua maopopo he pili ia i ka hormone `(Progesterone)`. Aia ʻelua mau kumu hiki:
1. ʻAʻole paha e hana ana kou kino i ka progesterone lawa.
2. A i ʻole, i loko o kou ʻōpūʻAʻole paha e pane pono ka papa o loko i ka hormone `(Progesterone).`
ʻOiai ke kumu, ʻo ka hopena hope loa, ʻaʻole i ulu pono ka uhi o ka ʻōpū.
He pōkole ka pae luteal o ka nui o ka poʻe me ka "Luteal Phase Defect". ʻO ia hoʻi, hoʻomaka ko lākou wā i loko o 10 mau lā o ka ovulation. ʻAʻole maopopo loa i nā loea ke kumu o ka pōkole o nā pae luteal o kekahi poʻe. Eia nō naʻe, ua ʻike ʻia kekahi noiʻi he pōkole ka pae luteal o nā wahine puhipaka ma mua o ka poʻe puhi ʻole. Hiki i ka puhipaka ke hōʻemi i ka hiki o kou kino ke hana i ka "Progesterone."
Eia kekahi, ʻo kekahi mau kūlana olakino e hoʻopilikia ai i nā pae progesterone hiki ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi Luteal Phase Defect. Eia kekahi laʻana:
- ʻO ka Endometriosis
- ʻO ka maʻi ʻōpū polycystic (PCOS)
- Momona
- Kaumaha nui
- Hoʻoikaika kino nui
- nā maʻi ʻai, no ka laʻana, ʻo Anorexia
- Nā kūlana thyroid
- Nā maʻi e pili ana i ka pituitary gland
Pehea e ʻike ai inā loaʻa iā ʻoe kahi Luteal Phase Defect?
ʻO kēia kahi e lilo ai i mea paʻakikī iki. No ka mea, ʻaʻohe hoʻāʻo hoʻokahi a i ʻole nā kumu kikoʻī e ʻike pololei ai i kēia "Luteal Phase Defect".
Eia nō naʻe, hiki i kāu kauka ke kauoha i kekahi mau hoʻāʻo koko e nānā i kāu mau pae hormone:
- Progesterone: ʻO kēia ka hormone nui ke kuleana no ka ulu ʻana o ka uhi o ka ʻōpū ma hope o ka ovulation.
- (Hormone hoʻoulu Follicle - FSH): ʻO kēia hormone ke kumu o ka ulu ʻana o nā follicles i loko o kāu mau ovaries i kēlā me kēia pōʻaiapuni menstrual.
- Estrogen: Hana ʻia kēia e ka follicle e ulu ana a hoʻomānoanoa i ka uhi o ka ʻōpū ma mua o ka ovulation.
- (Luteinizing hormone - LH): ʻO kēia hormone ke kumu o ka ovulation, ʻo ia hoʻi, ka hoʻokuʻu ʻia ʻana o kahi hua manu mai kahi follicle.
Eia kekahi, hiki i kāu kauka ke hana i kahi scan ultrasound e ana i ka mānoanoa o kou uhi uterine . Inā lahilahi ka uhi, hiki iā ia ke hōʻike i nā pae progesterone haʻahaʻa a i ʻole ʻaʻole hana pono ka progesterone i loko o kou kino.
Pehea e hoʻōla ai i kēia kīnā o ka pae luteal?
Ke noʻonoʻo nei paha ʻoe, "ʻAe, he aha ka mea hiki ke hana ʻia e mālama ai i kēia?" Pili nui ia i kou kūlana a inā paha ʻoe e kali ana i kahi pēpē.
Inā ʻo kāu pahuhopu ka loaʻa ʻana o kahi pēpē, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e mālama ai i kēia "Luteal Phase Defect". Eia kekahi laʻana:
- (Clomiphene citrate) a i ʻoleNā lāʻau lapaʻau e like me nā gonadotropins menopausal kanaka (hMG). Hana kēia mau mea ma ka hoʻoulu ʻana i ka ulu ʻana o nā follicles i loko o nā ovaries.
- He hormone i kapa ʻia ʻo (HCG - human chorionic gonadotropin) . Hoʻonui kēia i ka hana ʻana o `(Progesterone)` ma hope o ka ovulation.
- Nā mea hoʻohui Progesterone. Hiki ke hele mai kēia mau mea ma ke ʻano o nā pila waha, nā inikini, a i ʻole nā suppositories.
I kekahi manawa, e ʻōlelo pū kāu kauka i nā loli o ke ʻano o ka nohona , e like me ka hōʻemi ʻana i ke kaumaha a me ka mālama ʻana i ke kaumaha olakino.
ʻO ka mea nui, inā he maʻi ʻē aʻe kou (e like me ka pilikia thyroid) e hoʻopilikia nei i kāu luteal cycle, ʻo ka mālama ʻana i kēlā ʻano hiki ke hoʻoponopono pinepine i ka Luteal Phase Defect.
He mea pono anei ka hana IVF inā he hemahema o ka Luteal Phase?
Ke noʻonoʻo nei paha ʻoe, "Inā loaʻa iaʻu kahi `(Luteal Phase Defect)`, pono maoli anei iaʻu e hana i ka `(IVF)` (in vitro fertilization)?"
ʻAʻole, ʻaʻole ia he mea koi. Inā pilikia ʻoe i ka hāpai ʻana a i ʻole ua loaʻa pinepine ʻoe i nā hāʻule ʻana o ka hāpai ʻana, e kōkua kāu kauka iā ʻoe e ʻike i nā koho lapaʻau maikaʻi loa no kou kūlana. ʻO IVF kekahi koho wale nō.
Hiki iaʻu ke loaʻa kahi keiki inā loaʻa iaʻu kahi Luteal Phase Defect?
He nīnau kēia a ka poʻe he nui. ʻO ka pane: ʻAe, hiki loa iā ʻoe! He nui nā wahine me kahi luteal phase pōkole, a i ʻole "Luteal Phase Defect", i loaʻa nā hāpai holomua. ʻO ka mea nui loa, ʻo ia ke wehe a me ka ʻoiaʻiʻo me kāu kauka e pili ana i kou mau manaʻolana no ka loaʻa ʻana o kahi pēpē. A laila hiki iā ia ke noʻonoʻo i kou mōʻaukala olakino a me ke kūlana o kēia manawa a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
He aha ka mea nui a kākou e makemake ai e lawe i ka home mai kēia moʻolelo?
ʻAe, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai.
Inā manaʻo ʻoe ua haʻahaʻa kou pae progesterone, a inā paha he kānalua iki kou he Luteal Phase Defect kou, e ʻoluʻolu e kamaʻilio me kāu kauka. Malia paha ua makaʻu wale ʻoe, a inā he pilikia maoli, hiki paha iā ʻoe ke loaʻa koke kahi hopena.
ʻO ka mea pōmaikaʻi, inā he lohi kou hāpai ʻana ma muli o ka Luteal Phase Defect, nui nā lāʻau lapaʻau i loaʻa i kēia lā e hiki ke kōkua. E hiki i kāu kauka ke kōkua iā ʻoe e koho i ka lāʻau lapaʻau maikaʻi loa e pili ana i kou kūlana olakino a me nā manaʻolana hānau.
No laila, mai hopohopo, e kamaʻilio me kāu kauka e pili ana i kou manaʻo. Inā ʻike ʻoe i ka mea kūpono a loaʻa iā ʻoe ka lāʻau kūpono, ʻaʻole ia he mea paʻakikī ke hoʻokō i kāu moeʻuhane!
`ʻO ke kīnā o ka Luteal Phase, Progesterone, Miscarriage, Menstrual Cycle, Uterus, Ovulation
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