He rerekē te huringa o tō paheketanga? Kāore pea koe e whakaputa hua ana (Anovulation).

Kāore ō paheketanga e puta i te wā tika? I ētahi marama ka roa mō ētahi rā? Kāore rānei e puta mai? He toto nui tōu i a koe e paheketanga ana, he mutu noa rānei mō tētahi wā poto? He maha ngā wāhine e pāngia ana e ēnei momo raruraru. I te nuinga o te wā ka whakaaro mātou he mea noa tēnei. Engari i mōhio koe ahakoa ka pā mai tō paheketanga, i ētahi wā ka kore pea tētahi o ngā tukanga tino nui e tika ana kia puta i roto i tō tinana, arā, ko te ovulation. Koinei te mea e kiia nei e tātou e te hauora ko te anovulation. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.

He aha te anovulation?

Ki te kī ngāwari, ko te anovulation te wā kāore ō ovaries e tuku i te hua manu, e tika ana kia tukuna kotahi i te marama. Ko tēnei tukanga, e kiia nei ko te ovulation, ka puta kotahi noa i roto i tō huringa paheketanga. Ko te hua manu ka tukuna i tēnei ara ka taea te hono atu ki te parāoa hei hanga i te haputanga.

Nō reira, ki te kore te whakaputanga o te hua manu e puta, kāore he tūponotanga o te haputanga. Ko tēnei āhuatanga, e kiia nei ko te anovulation, te tino take o te kore tamariki.

Whakaarohia he rite ngā homoni o roto i tō tātou tinana ki tētahi ōkestra. Ka hangaia he puoro ataahua ina tika te whakatangitangi o ngā taonga puoro katoa, ā, i roto i te manawataki kotahi. Ki te whakatangihia tētahi vaiorine, tētahi nakahi rānei ki te wāhi hē, ka whakararuraruhia te waiata katoa, tika? Koia te āhua. Ko tēnei tukanga uaua e kiia nei ko te ovulation me whai i ētahi homoni kia mahi tahi, kia tino ōrite. Ahakoa he iti noa te korenga, te nui rawa rānei o tētahi homoni, ka taea te whakararuraru i te pūnaha katoa, ā, ka ārai i te ovulation.

Me pēhea te tukanga o te ovulation?

Ko te tikanga ka puta te whakaputanga o te hua manu i te 14 o ngā rā o te huringa paheketanga e 28 ngā rā te roa. Ka rerekē pea tēnei mō ētahi rā i runga i te roa o te huringa.

1. Te tīmatanga: Ka tīmata tēnei me te tukunga o tētahi homoni e kiia nei ko te homoni tuku-Gonadotropin (GnRH) mai i te hypothalamus i roto i tō roro.

2. Karere: Ka haere tēnei homoni GnRH ki te repe pituitary i roto i te roro, ka kī atu ki a ia kia tukuna ngā homoni e rua e kīia nei ko te homoni whakaoho-follicle (FSH) me te homoni Luteinizing (LH) .

3. Te whakaputanga o ngā hua manu: Mai i te 6 ki te 14 o ngā rā o te huringa paheketanga, ka tīmata te pakari o ngā follicle i roto i ngā ovaries, arā, he pēke iti kei roto ngā hua manu, i raro i te mana o te homoni FSH.

4. Te Tukunga o te hua manu: I waenganui i ngā rā 10-14, kotahi anake o ēnei follicle ka tino pakeke, ka nui haere. I te tata mai o te rā 14, ka piki tere te taumata o te homoni LH. Nā taua pikinga LH ka pakaru te hua manu kua tino pakeke i te follicle ka puta mai. Koinei te mea e kiia nei e tātou ko te ovulation .

Kua mārama koe inaianei ki te uaua o tēnei tukanga, me te hiranga o te taurite o ngā homoni.

He aha ngā tohu o te anovulation?

Ki te aro nui koe ki tō tinana me tō huringa paheketanga, ehara i te mea uaua ki te kite i ēnei tohu. Kia maumahara, kāore i te kī tonu kua puta he hua manu i te wā e pāngia ana koe e te paheketanga.

He aha te korenga o te whakaputanga o te hua manu e puta? He aha ngā take?

Ko te take matua ko te kore taurite o ngā homoni i kōrerotia i mua ake nei. He maha ngā āhuatanga ka whai wāhi ki tēnei.

1. Te Mate Pūkahukahu Polycystic (PCOS)

Koinei te tino take o te anovulation. Tata ki te 70% o te hunga whai anovulation he PCOS . I roto i tēnei āhuatanga, ka piki ake te taumata o ngā androgens, e kiia ana he homoni tāne, i roto i te tinana. Nā tēnei, kāore ngā follicles i roto i ngā ovaries e tipu pērā i te hua manu noa, engari ka kohia hei cysts iti. Nō reira, kāore te hua manu e tukuna.

2. Taumaha tinana

• Momona: Ina piki ake ngā pūtau ngako i roto i te tinana, ka tīmata hoki rātou ki te whakaputa i ngā homoni. Ka piki ake ngā taumata o te androgen i tēnei. He rite tonu tēnei ki te mea e tupu ana i roto i te PCOS.
• Taumaha tino iti: Mena he tino iti te taumaha o te tinana (Body Mass Index - BMI), arā, mena kei te taumata kore kai pai, kāore te repe pituitary i roto i te roro e whiwhi i ngā tohu e tika ana hei whakaputa i ngā homoni FSH me LH e hiahiatia ana mō te whakaputa uri.

3. Te nui rawa o te whakakori tinana me te ahotea

• Te whakakori tinana nui rawa: Ka pā anō hoki tēnei āhuatanga ki ngā tāngata pēnei i ngā kaitākaro e whakakori tinana nui ana mō ngā hāora, i ia rā, i ia rā. Ka whakararuraru te ngenge nui e pāngia ana e te tinana i te mahi a te pūnaha homoni.
• Te ahotea nui rawa: Ko te ahotea nui rawa e puta mai ana i ngā whakamātautau, ngā raruraru mahi, me ngā raruraru whānau ka pā tika ki te whakaputanga o te homoni GnRH i roto i te roro. Ka taea e tēnei te whakararuraru i te mekameka homoni katoa.

4. Ngā raruraru o te tairoi

Ko te repe tairoiti, he rite te āhua ki te pūrerehua i roto i tō kaki, ka whakaputa i ngā homoni e pā ana ki te nuinga o ngā tukanga i roto i tō tinana. Ina iti te taumata o te homoni tairoiti (hypothyroidism) , ka piki ake te homoni e kiia nei ko te prolactin . Ko te prolactin he homoni e āwhina ana i ngā whaea whāngai u ki te whakaputa waiū. Ina teitei te homoni nei, ka pehia e ia ngā homoni FSH me te LH, e hiahiatia ana mō te whakaputa uri.

5. Tau

• Te wā o te tīmatanga hou o te paheketanga:He mea noa ngā huringa kore-whakaputa ira i te tau tuatahi, i ngā tau e rua rānei i muri i te tīmatanga o te paheketanga o te kōtiro, nā te mea kāore anō kia tau te pūnaha homoni o tana tinana.
• Te Wā Whakatāne: I a koe e whakatata atu ana ki te wā whakatane i ō tau 40, ka mutu te mahi a ō ovaries. Tērā pea kāore koe e whakaputa hua, ā, ka rerekē pea ō huringa paheketanga.

He aha ngā raruraru ka puta mai i te anovulation?

Ehara tēnei i te mate paheketanga anake. Mēnā kāore e rongoatia mō te wā roa, ka ara ake pea ētahi atu raruraru hauora.

• Te kore tamariki: Koinei te take matua, ā, koinei te take e rapu tohutohu ai te tini tāngata ki te taote. Ki te kore e tukuna he hua manu, kāore e taea te hapu.
• Te hyperplasia Endometrial: Ka puta te homoni progesterone i muri i te whakaputanga o te hua manu. Ina ngaro tēnei homoni, ka matotoru te arai o te kōpū (endometrium). Ka taea e tēnei te whakanui ake i te mōrearea o te mate pukupuku kōpū i te wā roa.
• Osteoporosis: He mea nui te homoni estrogen mō te kaha o ngā wheua. Mēnā ka heke ngā taumata estrogen nā te kore taurite o ngā homoni, ka angiangi ake ngā wheua, ā, ka ngāwari ake te whati.
• Mate ngākau: Ko ētahi o ngā kore taurite o ngā homoni, inā koa ko ngā mate pēnei i te PCOS, e hono ana ki ngā mea pēnei i te mate huka, te cholesterol tiketike, me te toto toto tiketike, e whakanui ana i te mōrearea o te mate ngākau.

Me pēhea te tātaritanga me te rongoā mō tēnei mate?

Mena he rerekē te huringa paheketanga o tō tākuta, ko te mea tuatahi me mahi e koe ko te toro atu ki tō tākuta . Ka pātai atu ia ki a koe mō tō huringa paheketanga me tō āhua noho. Kātahi ka whakaritea he whakamātautau hei rapu i te tino take.

• Ngā whakamātautau toto mō ngā homoni: Ka whakamātauhia ngā taumata o ngā homoni pēnei i te progesterone, ngā homoni tairoi, te prolactin, te FSH, me te LH.
• Matawai Ultrasound: Mā tēnei ka āwhina i te tirotiro i te āhua o ngā ovaries (kia kite mēnā he tohu pēnei i te PCOS) me te āhua o te kōpū.

Ko ngā tikanga maimoatanga e whakawhirinaki ana ki te take o tō anovulation.

1. Ngā huringa āhua noho

Koinei ngā mea tuatahi hei whakamātau i te nuinga o te wā.

• Te pupuri i te taumaha hauora: Ki te taumaha rawa koe, he nui te rerekētanga mā te whakaiti i tō taumaha. Ki te iti rawa tō taumaha, me whakapiki ake tō taumaha i runga i te huarahi hauora. He pai ake te rapu tohutohu i te tohunga kai mō tēnei.
• Te whakahaere i te ahotea: Ka taea e ngā mahi pēnei i te yoga, te whakaaroaro, me ngā mahi manawa te āwhina i te whakaiti i te ahotea.
• Te mahi taurite:Mena kei te nui rawa tō whakakori tinana, ka tohutohu pea tō tākuta kia whakaitihia te kaha me te auau o tō whakakori tinana.

2. Maimoatanga hauora

Ki te kore e āwhina ngā whakarerekētanga o te momo noho anake, ka tohua he rongoā e tō tākuta.

• Te rongoā i te mate taketake: Mena he rite tō raruraru ki te tairoi, mā te tango rongoā ka āwhina pea i tō whakaputanga hua ki te noho noa.
• Ngā Rongoā Whakaoho i te Whakaputa Hua: He rongoā kei te wātea hei hoatu ki te wahine e ngana ana ki te hapu hei āwhina i te whakaputa hua. Ko te Clomiphene citrate (Clomid) me te Letrozole (Femara) ētahi o ngā rongoā e whakamahia whānuitia ana.
• Werohanga homoni: I ētahi wā, me werohanga ngā homoni pēnei i te (HCG) me te (FSH) .

Ko te hunga e tumanako ana ki te whānau tamariki engari kāore i angitu i ēnei maimoatanga, ka taea e rātou te whakamahi i ngā tikanga pēnei i te IVF , te IUI rānei.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe tētahi o ngā tohu e whai ake nei, me toro atu ki tō tākuta i mua i te wā.

He tino mamae, he tino whakararuraru hoki te anovulation, inā koa mō te tangata e hapu ana. Engari kia mahara, ehara i te mea ko koe anake. He mate tino noa tēnei. Ā, he maha ngā wā ka taea te rongoā angitu. Ahakoa kāore koe e hapu ana, he mea tino nui te rongoā i tēnei mate hei karo i ngā raruraru hauora a meake nei. Nō reira, kia aro ki tō tinana. Ki te kite koe he raruraru kei roto, kaua e wehi ki te kōrero ki te tākuta. Māna koe e whakarato ki te otinga pai rawa atu.