Ehara i te toto noa iho tō huringa paheketanga. He tukanga tino whakamiharo, he uaua hoki. I ia marama, ka whakarite tō tinana mō tētahi oranga hou, he pēpi. He wāhanga tino marino, engari he mea nui o tēnei haerenga. Ka kiia e mātou ko te Corpus Luteum. Kāore pea koe i rongo mōna. Engari he mea nui mō te haputanga angitu. Nō reira, me titiro tātou ki te aha tēnei Corpus Luteum ngaro, āna mahi, me ngā raruraru ka puta mai i a ia.
He aha te Corpus Luteum?
Ko te Corpus Luteum he puranga pūtau rangitahi e puta mai ana i roto i tō ovary. Ka puta mai i ia huringa paheketanga, engari he poto noa te wā e mau ana. Ina koa, ka puta mai i muri i te tukunga o te hua manu mai i tō ovary (whakaputa uri).
Ko tāna mahi matua he hanga i tō kōpū hei wāhi hauora, haumaru hoki mō te tipu o te pēpi. Hei mahi i tēnei, ka whakaputahia e te Corpus Luteum tētahi homoni e kiia nei ko te progesterone . Mā tēnei homoni e whakarite te kōpū mō te haputanga. Kātahi, ina mutu taua hiahia, ka memeha te Corpus Luteum, ka ngaro atu. Ka hangaia he mea hou i te huringa paheketanga e whai ake nei.
He aha tonu te mahi a te Corpus Luteum?
Ko te wāhanga matua, ko te mea tino nui o tēnei ko te whakaputa i ngā homoni e hiahiatia ana mō te hapūtanga. Hei mārama tika ki tēnei, me mōhio koe ki ngā wāhanga o tō huringa paheketanga. Me titiro ngāwari tātou ki tēnei.
| Te wāhanga o te huringa paheketanga | He aha te mea e tupu ana? |
|---|---|
| Wāhanga Tuatahi (Wāhanga Follicular) | E 14 ngā rā te roa o tēnei. Ka puta ngā hua manu i roto i ngā pēke iti e kiia nei ko ngā follicle i roto i ō ovaries. I muri i ētahi rā, ka nui ake tētahi o ēnei follicle i ētahi atu, ā, ka puta he hua manu kua tino pakari i roto. Ka mimiti ngā follicle kē atu, ka ngaro. |
| Wāhanga Tuarua (Wāhanga Whakatō) | Mā te homoni luteinizing (LH) i roto i te tinana ka tukuna te hua manu kua pakeke mai i taua follicle tuatahi. Ka kiia tēnei ko te ovulation. Koinei te wāhanga poto rawa o tō huringa. |
| Wāhanga tuatoru (Wāhanga Luteal) | E 14 ngā rā te roa o tēnei. I muri i te wehenga atu o te hua manu i te follicle, ka hangaia te Corpus Luteum mai i ngā pūtau o te follicle e toe ana. Kia oti te hanga, ka whakaputahia e ia ngā homoni estrogen me te progesterone. Engari ko tana mahi matua ko te hanga progesterone. Mā tēnei progesterone ka matotoru te pakitara o tō kōpū, ka kī i ngā uaua toto, ā, ka rite ki te moenga mō te whānautanga mai o te pēpi. |
Ka aha te Corpus Luteum mēnā kāore e hapu?
Whakaarohia, i muri i te tukunga o te hua manu, kāore e tūtaki ki te parāoa, arā, kāore e hapu. Kātahi ka tupu:
Tata ki te 10 ngā rā i muri i te whakaputanga o te hua manu, ka mōhio te Corpus Luteum "kua oti taku mahi." Nā te mea kāore e whiwhi i te tohu (te homoni HCG) e puta mai ana mēnā kua hapu. Nō reira ka mimiti haere, ka tīmata te memeha. Kātahi ka heke te taumata o te homoni progesterone i roto i te tinana. Nā te korenga o te progesterone, kāore e hiahiatia te pakitara kōpū i matotoru hei whakauru i te pēpi. Koinā te mea ka riro i a koe hei paheketanga, arā, hei wai paheketanga.
Ka aha mēnā ka hapu koe?
Whakaarohia kua whakamomonatia he hua manu e te parāoa (hapūtanga). Kātahi, ina whakatōkia te kukune hou ki roto i te kōpū, ka puta he homoni e kiia nei ko te HCG (Human Chorionic Gonadotropin) . Koinei te mea e tirohia ana e te whakamātautau hapūtanga.
Ka tohu tēnei homoni HCG ki te Corpus Luteum, me te mea, "E, kaua e mutu te mahi, he pēpi kei konei, me hanga tonu te progesterone."
Nō reira, ka haere tonu te Corpus Luteum ki te whakaputa i te progesterone. Ka haere tonu tēnei mō te 12 wiki pea, arā, ko te toru marama tuatahi o tō hapūtanga. Kia tae ki te 12 wiki pea, kua nui te whanaketanga o te whenua hei tango i te mahi whakaputa i te progesterone e hiahiatia ana e te pēpi. Kātahi ka mutu te mahi a te Corpus Luteum. Ka mimiti, ka memeha, ka ngaro.
He aha ngā raruraru e pā ana ki te Corpus Luteum?
I te nuinga o te wā, he tukanga noa tēnei o te tinana, te hanga me te pakaru. Engari i ētahi wā ka puta he raruraru iti. E rua ngā āhuatanga matua e kitea ana.
1. Te Hanganga o te Pūkahukahu o te Kōpuku
2. Te ngoikore o te mahi a te Corpus Luteum (Luteal Phase Defect)
1. He aha te Corpus Luteum Cyst?
I ētahi wā, ko te Corpus Luteum, e tika ana kia memeha, ka tipu tonu, kaua e memeha. Ina tupu tēnei, ka kī tonu i te wai, ka puta he puku, he whētero rānei.
- He maha ngā wā kāore ēnei e kino, kāore hoki he mamae.
- I te nuinga o te wā, ka kitea ēnei e te tākuta mā te tūpono noa, i te wā e tirotirohia ana koe, i te wā rānei e mahia ana he karapa.
- Ka puta pea ēnei ahakoa kei te hapu koe, kāore rānei.
- Mena kei te hapu koe, ka memeha noa iho i te toru o ngā marama o te haputanga.
- Ki te kore koe e hapu, ka memeha noa iho i roto i ētahi wiki.
Heoi, he tino onge te mamae me te kore whakamarie o tēnei pukupuku.
Ngā tohu ka puta mai i te pukupuku:
- Mamae o raro o te puku.
- Te āhua nei kua kī tō puku.
- Te mamae i te wā e tūtae ana, e mimi ana rānei.
- Te mamae o te tuara o raro.
- Te mamae i te wā o te moe tāne me te wahine (dyspareunia).
- He turuturu toto, he rite ki te maturuturu, i te mea ehara i te wā o tō paheketanga.
Mena ka pāngia koe e te mamae nui, kāore rānei te mamae e memeha i muri i ētahi wiki, me toro atu koe ki tō tākuta.
2. Te ngoikore o te mahi a te Corpus Luteum (Luteal Phase Defect)
Ka puta tēnei ina kore e nui te progesterone e whakaputaina e te Corpus Luteum hei whakamātotoru i te arai o te kōpū. Kāore rānei te tinana e whakamahi tika i te progesterone e whakaputaina ana e ia. Ka uaua pea te hapu.
He uaua ki te tautuhi i tētahi take mō tēnei, engari he maha ngā āhuatanga e whakanui ake ana i te mōrearea:
- Kei a koe ngā mate hauora pēnei i te Anorexia Nervosa, te Endometriosis, te Polycystic Ovary Syndrome (PCOS rānei).
- He tiketike rawa, he iti rawa rānei te taupū papatipu tinana (BMI).
- Te nui rawa o te whakakori tinana.
- Kei raro i te ahotea e kore e taea te manawanui.
He aha ngā whakamātautau e mahia ana hei tautuhi i ēnei āhuatanga?
He maha ngā wā ka kitea ngā kōpū o te Corpus Luteum i te wā e tirotirohia ana, e matawaihia ana rānei i te wā e hapu ana. Heoi, ki te uaua koe ki te hapu, tera pea ka whakapae tō tākuta kei te mahi tonu te corpus luteum, ā, ka whakahau ia i ngā whakamātautau pēnei i:
- Whakamātautau ultrasound transvaginal: Ka taea e tēnei te ine i te matotoru o te pakitara o tō kōpū.
- Ngā whakamātautau taumata homoni: Ka tirohia ngā taumata o te FSH, LH, me te progesterone.
Kia maumahara, he mea noa te kite i te Corpus Luteum i runga i te matawai. Ehara i te mea he raruraru kei reira.
He aha ngā maimoatanga?
Mena he tino mamae, he nui rānei te rahi o te kōpū whēkau, ā, ka raru pea, ka whakatau pea tō tākuta kia tangohia mā te pokanga. Heoi , i te nuinga o te wā, ka memeha noa iho ēnei kōpū, ā, kāore e hiahiatia he maimoatanga.
Mena kāore te corpus luteum e whakaputa ana i te progesterone i te nui (Luteal Phase Defect), ka tohua pea e tō tākuta he homoni pēnei i te HCG, te clomiphene citrate rānei. Ka whakaoho ēnei i te corpus luteum ki te whakaputa i te progesterone. Tērā pea ka kīia atu ki a koe kia tangohia tika ngā tāpiringa progesterone.
Me kōrero koe ki tō tākuta mō tētahi o ēnei, ā, me whakatau ko tēhea te mea pai mōu.
Ka taea te pupuri i te hauora o te Corpus Luteum?
Ina hoki, nā te mea kei te hangaia e koe he Corpus Luteum hou i ia marama, kāore he mea hei manukanuka. Engari, he mea nui kia ngana ki te pupuri i te taurite o ō taumata homoni whānui. Ko te rongo pai ko te noho ora hauora ka āwhina i te pupuri i ō homoni kia pai te āhua.
- Kia pai tō moe, kia marino.
- Whakakorikori tinana i ngā wā katoa, engari kaua e nui rawa.
- Kai i tētahi kai hauora, taurite hoki. Kia tino whakaurua te pūmua me te ngako pai ki roto.
- Akohia ngā huarahi hei whakahaere i te ahotea. Ka taea e te ahotea nui te whakararu i te kore taurite o ngā homoni.
He mahi nui tā te Corpus Luteum i roto i tō hapūtanga. Ka whakaputahia e ia te progesterone, e hanga ana i tētahi taiao hauora mō te tipu o tētahi kukune iti i roto i te kōpū. Nō reira, kua mārama pea koe i nāianei ki te hiranga o te pupuri i te hauora o ō homoni kia tika ai te mahi a tēnei mahi nui ina tae ki te wā.
Karere Tangohia ki te Kāinga
- He wāhanga noa, rangitahi hoki o tō huringa paheketanga te Corpus Luteum.
- Ko tana mahi matua he whakaputa i te homoni progesterone hei whakarite i te kōpū mō te hapūtanga.
- Ki te hapu koe, ka noho tonu tēnei mahi tae noa ki te wā e tangohia ai te mana o te whenua whānau (tata ki te 12 wiki).
- Ki te kore e hapu, ka memeha, koia te take ka tīmata ai te paheketanga.
- Ka puta pea ngā whēkau Corpus Luteum i ētahi wā, engari kāore e kino, ka memeha noa iho. Ki te mamae nui koe, tirohia he tākuta.
- Mena kei te raru koe i te haputanga, tera pea he raruraru kei te mahi a te Corpus Luteum te take. Kōrero ki tō tākuta mō tēnei.
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