Ngaba ixesha lakho alifiki ngexesha? Kwezinye iinyanga lifika emva kweentsuku ezimbalwa? Okanye alifiki kwaphela? Okanye uphuma igazi elininzi ngexesha lakho, okanye lihlala ixesha elifutshane? Abafazi abaninzi baneengxaki ezinjalo. Uninzi lwexesha sicinga ukuba oku kuqhelekile. Kodwa ubusazi na ukuba nokuba unexesha lakho, ngamanye amaxesha enye yezona nkqubo zibalulekileyo ekufuneka zenzeke emzimbeni wakho, okukuqanda amaqanda, isenokungenzeki. Oku sikubiza ngokuba yi-anovulation ngokwezonyango. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-anovulation?
Ngamafutshane, i-anovulation iyenzeka xa ama-ovari akho engakhuphi iqanda, elimele ukuba likhutshwe kanye ngenyanga. Le nkqubo, ebizwa ngokuba yi-ovulation, yenzeka kube kanye kuphela ngexesha lomjikelo wakho wokuya exesheni. Liqanda elikhutshwa ngale ndlela elinokudibana nesidoda ukuze kuvele ukukhulelwa.
Ngoko ke, ukuba i-ovulation ayiveli, akunakwenzeka ukuba ukhulelwe. Le meko, ebizwa ngokuba yi-anovulation, yeyona nto ibangela ukungazali.
Khawuthelekelele ukuba iihomoni emzimbeni wethu zifana ne-orchestra. Umculo omnandi wenziwa kuphela xa zonke izixhobo zomculo zidlala ngokufanelekileyo nangesingqi esifanayo. Ukuba i-violin enye okanye inyoka idlalwa kwindawo engafanelekanga, yonke ingoma iya kuphazamiseka, akunjalo? Yiyo loo nto kunjalo. Le nkqubo inzima ebizwa ngokuba yi-ovulation ifuna inani leehomoni ukuze zisebenze kunye, ngokuvumelana ngokugqibeleleyo. Nokuba ukungabikho kancinci okanye i-hormone engaphezulu kunokuphazamisa yonke inkqubo kwaye kuthintele i-ovulation.
Inkqubo ye-ovulation yenzeka njani?
Ukuvuthwa kweqanda kudla ngokwenzeka malunga nosuku lwe-14 lomjikelo weentsuku ezingama-28 wokuya exesheni. Oku kunokwahluka ngeentsuku ezimbalwa kuxhomekeke kubude bomjikelo.
1. Isiqalo: Oku kuqala ngokukhululwa kwehomoni ebizwa ngokuba yiGonadotropin-releasing hormone (GnRH) kwi-hypothalamus esebuchotsheni bakho.
2. Umyalezo: Le hormone ye-GnRH iya kwi-pituitary gland ebuchotsheni ize iyixelele ukuba ikhuphe iihomoni ezimbini ezibizwa ngokuba yi -Follicle-stimulating hormone (FSH) kunye ne-Luteinizing hormone (LH) .
3. Ukuvuthwa kweqanda: Ukususela ngomhla wesi-6 ukuya kowe-14 womjikelo wokuya esikhathini, iifollicles ezikwii-ovari, ezingamaqhekeza amancinci anamaqanda, ziqala ukuvuthwa phantsi kwempembelelo yehomoni ye-FSH.
4. Ukukhululwa kweqanda: Phakathi kweentsuku ezili-10-14, inye kuphela kwezi follicle evuthwa ngokupheleleyo ize ibe nkulu. Njengoko usuku lwe-14 lusondela, inqanaba lehomoni ye-LH likhula ngokukhawuleza ngequbuliso. Kungenxa yoko kunyuka kwe-LH apho iqanda elivuthiweyo ngokupheleleyo liphuma kwi-follicle lize liphume. Oku sikubiza ngokuba yi-ovulation .
Ngoku uyaqonda ukuba le nkqubo inzima kangakanani, kwaye ibaluleke kangakanani ibhalansi yeehomoni.
Zithini iimpawu zokuqho ...
Ukuba unika ingqalelo encinci emzimbeni wakho nakwimijikelo yakho yokuya exesheni, akunzima ukuqaphela ezi mpawu. Khumbula, ukuba sexesheni akuthethi ukuba ukhulelwe.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Amaxesha angaqhelekanga | Ukuba inani leentsuku kumjikelo wakho wokuya exesheni liyatshintsha rhoqo, njengeentsuku ezingama-25 ngenyanga enye kunye neentsuku ezingama-40 ezilandelayo, ayiqhelekanga. Umjikelo oqhelekileyo yimihla engama-28, kodwa kuqhelekile ukuba utshintshe phakathi kweentsuku ezingama-21 kunye nama-35. Kodwa ukuba iyatshintsha kakhulu, inokuba yingxaki. |
| Ukopha kakhulu okanye okuncinci | Ngokwesiqhelo, ukuba iphedi imanziswe ngokupheleleyo iiyure ezininzi, oko kuthetha ukopha kakhulu. Ukuba incinci nje ize ime emva kweentsuku ezimbalwa, oko akuqhelekanga. |
| Ukuyeka ngokupheleleyo ukuya exesheni (i-Amenorrhea) | Nokuba awukhulelwanga, ukuba awunayo inyanga kangangeenyanga eziliqela, luphawu oluqinileyo lokukhupha isisu. |
| Ukungabikho kokuphuma kolwelo olumhlophe 'lweqanda' kwisini | Njengoko usondela ekukhutshweni kweqanda, ulwelo lwakho oluphuma kwilungu lobufazi luya kucaca kwaye lunwebeke, njengamaqanda amhlophe aluhlaza. Oku kunceda isidoda sihambe ngokulula. Ukuba awuboni olu hlobo lolwelo oluphuma kwilungu, usenokungabi yiqanda. |
| Ukungalungelelani kobushushu bomzimba obusisiseko | Olu lubushushu bomzimba obulinganiswa kusasa ngaphambi kokuba uvuke ebhedini. Emva kokuvuthwa kweqanda, ubushushu bomzimba bunyuka kancinci. Ukuba ulinganisa oku yonke imihla uze ukurekhode, ungalubona olu tshintsho. Ukuba akukho ndlela icacileyo enjalo, olo luphawu. |
Into ebalulekileyo kukuba, nangona kunokubonakala ngathi kusexesheni, kusenokwenzeka ukuba kukopha okubangelwa kukungalingani kwamahomoni ngaphandle kokukhutshwa kweqanda. Oku kubizwa ngokuba kukopha kweqanda .
Kutheni i-ovulation ingenzeki? Zithini izizathu?
Isizathu esiphambili kukungalingani kwamahomoni esithethe ngawo ngaphambili. Kunokubakho izinto ezininzi ezibangela oku.
1. I-Polycystic Ovary Syndrome (i-PCOS)
Le yeyona nto ixhaphakileyo neyona iphambili yokuqho ...
2. Ubunzima bomzimba
- Ukutyeba kakhulu: Xa iiseli zamafutha emzimbeni zisanda, ziqala ukuvelisa iihomoni. Oku kubangela ukunyuka kwamanqanaba e-androgen ngokukodwa. Oku kufana noko kwenzeka kwi-PCOS.
- Ubunzima bomzimba obuphantsi kakhulu: Ukuba ubunzima bomzimba buphantsi kakhulu (iBody Mass Index - BMI), oko kukuthi, ukuba bukwinqanaba lokungondleki kakuhle, i-pituitary gland engqondweni ayifumani zimpawu zifunekayo zokuvelisa ii-hormone ze-FSH kunye ne-LH ezifunekayo kwi-ovulation.
3. Ukuzilolonga kakhulu kunye noxinzelelo
- Ukuzilolonga ngokugqithisileyo: Le meko inokwenzeka nakubantu abafana nabadlali abazilolonga ngokugqithisileyo iiyure ezininzi, imihla ngemihla. Ukudinwa okugqithisileyo okuviwa ngumzimba kuphazamisa ukusebenza kwenkqubo yeehomoni.
- Uxinzelelo olugqithisileyo: Uxinzelelo olugqithisileyo olubangelwa zizinto ezifana neemviwo, iingxaki zomsebenzi, kunye neengxaki zosapho zichaphazela ngokuthe ngqo ukuveliswa kwehomoni ye-GnRH engqondweni. Oku kunokuphazamisa lonke uchungechunge lweehomoni.
4. Iingxaki ze-thyroid
I-thyroid gland, emile okwebhabhathane entanyeni yakho, ivelisa iihomoni ezichaphazela phantse yonke inkqubo emzimbeni wakho. Xa amanqanaba ehomoni ye-thyroid ephantsi (i-hypothyroidism) , ibangela ukwanda kwehomoni ebizwa ngokuba yi-prolactin . I-Prolactin yihomoni edla ngokunceda oomama abancancisayo ukuba bavelise ubisi. Xa le hormone iphezulu, icinezela iihomoni ze-FSH kunye ne-LH, ezifunekayo ekuvuthweni.
5. Ubudala
- Ixesha lokuqala kokuya exesheni:Imijikelo yokukhupha amaqanda ixhaphakile kunyaka wokuqala okanye emibini emva kokuba intombazana iqalile ukuya exesheni, njengoko inkqubo yayo yehomoni ingekaqini.
- Ixesha lokuya exesheni: Njengoko usondela kwixesha lokuya exesheni xa uneminyaka engama-40, ama-ovari akho ayayeka ukusebenza. Usenokungavuthi kwaye imijikelo yakho yokuya exesheni isenokuba yinto engaqhelekanga.
Ziziphi iingxaki ezinokwenzeka ngenxa yokuqholwa kweqanda?
Oku akusiyongxaki nje yomjikelo wokuya exesheni. Ukuba ayinyangwa ixesha elide, inokukhokelela kwezinye iingxaki zempilo.
- Ukungazali: Esi sesona sizathu siphambili kwaye sisizathu abantu abaninzi abafuna ingcebiso ngogqirha ngaso. Ukuba iqanda alikhutshelwanga, ukukhulelwa akunakwenzeka.
- I-Endometrial hyperplasia: I-hormone ye-progesterone iveliswa emva kokukhutshwa kweqanda. Xa le hormone ilahlekile, ulwelo lwesibeleko (i-endometrium) luyaqina. Oku kunokunyusa umngcipheko womhlaza wesibeleko kwixesha elide.
- I-Osteoporosis: I-hormone i-estrogen ibalulekile kumathambo aqinileyo. Ukuba amanqanaba e-estrogen ehla ngenxa yokungalingani kwamahomoni, amathambo anokubhitya aze aphuke lula.
- Isifo sentliziyo: Ukungalingani kwamahomoni, ingakumbi iimeko ezifana ne-PCOS, kukwanxulunyaniswa nezinto ezifana nesifo seswekile, i-cholesterol ephezulu, kunye noxinzelelo lwegazi oluphezulu, nto leyo enyusa umngcipheko wesifo sentliziyo.
Ifunyanwa njani le meko kwaye inyangwa njani?
Ukuba unesijikelezo sokuya exesheni esingalawulekiyo, into yokuqala omawuyenze kukubona ugqirha wakho . Uza kukubuza ngomjikelo wakho wokuya exesheni kunye nendlela ophila ngayo. Emva koko, baza kuyalela iimvavanyo ezimbalwa ukuze bafumane unobangela ochanekileyo.
- Uvavanyo lwegazi lweehomoni: Olu vavanyo luvavanya amanqanaba ehomoni afana ne-progesterone, iihomoni ze-thyroid, i-prolactin, i-FSH, kunye ne-LH.
- I-Ultrasound Scan: Oku kunceda ukujonga imeko yamaqanda (ukubona ukuba kukho naziphi na iimpawu ezifana ne-PCOS) kunye nemeko yesibeleko.
Iindlela zonyango zixhomekeke kwisizathu sokuqholwa kweqanda lakho.
1. Utshintsho kwindlela yokuphila
Ezi zizinto zokuqala omele uzizame.
- Ukugcina ubunzima obusempilweni: Ukuba utyebile kakhulu, ukunciphisa umzimba kancinci kunokwenza umahluko omkhulu. Ukuba utyebile kancinci, kufuneka utyebe ngendlela esempilweni. Kungcono ukufuna ingcebiso kwingcali yokutya ukuze ufumane oku.
- Ukulawula uxinzelelo: Izinto ezifana neyoga, ukucamngca, kunye nokuzilolonga ngokuphefumla zinokunceda ekunciphiseni uxinzelelo.
- Ukulinganisela umthambo:Ukuba uzilolonga ngokugqithisileyo, ugqirha wakho unokukucebisa ukuba unciphise ubukhali kunye nokuphindaphindwa kokuzivocavoca kwakho.
2. Unyango lwezonyango
Ukuba utshintsho lwendlela yokuphila lodwa aluncedi, ugqirha wakho uza kukunika amayeza.
- Ukunyanga imeko engundoqo: Ukuba unengxaki ye-thyroid, ukuthatha amayeza ayo kunokunceda ukuvuthwa kweqanda lakho kubuyele esiqhelweni.
- Amayeza Okukhuthaza Ukuvuthwa: Kukho amayeza anokunikwa umfazi ozama ukukhulelwa ukunceda ekuvuseleleni ukuvuthwa. I-Clomiphene citrate (Clomid) kunye ne -Letrozole (Femara) zezinye zezona zisetyenziswa kakhulu.
- Iinaliti zehomoni: Kwezinye iimeko, iihomoni ezifana ne (HCG) kunye ne (FSH) zinokufuneka zifakwe ngeenaliti.
Kubaluleke kakhulu: Onke la mayeza afanele asetyenziswe phantsi kweliso likagqirha. Ungaze uqale okanye uyeke ukuthatha naliphi na kula mayeza ngaphandle kokubonisana nogqirha wakho kuqala.
Abo bangaphumeleliyo ngolu nyango kwaye benethemba lokuba nabantwana banokusebenzisa iindlela ezifana ne- (IVF) okanye i-(IUI) .
Ufanele uye nini kugqirha?
Ukuba unezinye zeempawu ezilandelayo, bonana nogqirha wakho ngaphandle kokulibazisa.
| Ngaba nawe unazo ezi mpawu? | Kwenziwe ntoni |
|---|---|
| Umjikelo wokuya exesheni awuqhelekanga ngendlela engaqhelekanga. Kwenzeka rhoqo emva kweentsuku ezimbalwa, qho ngenyanga. | Bona ugqirha wakho ngoko nangoko. |
| Ukuya exesheni kunokuba nzima, kube lula kakhulu, okanye kuthathe ixesha elingaphezu kweveki. | Bona ugqirha wakho ngoko nangoko. |
| Kukho intlungu kwisisu esisezantsi okanye kwindawo ye-pelvic. | Bona ugqirha wakho ngoko nangoko. |
| Ukuba ungaphantsi kweminyaka engama-35, unyaka omnye, okanye ngaphezulu kweminyaka engama-35, iinyanga ezintandathu, ukuba ukhe wazama ngaphandle kocwangciso lokuzalwa kwaye awukakhulelwa. | Nobabini wena neqabane lakho nifanele nibonane nogqirha nize nifumane ingcebiso. |
Ukuqhomfa kungaba yimeko ebangela usizi nebangela usizi, ingakumbi kumntu olindele umntwana. Kodwa khumbula, awuwedwa. Le yimeko eqhelekileyo kakhulu. Kwaye inganyangwa ngempumelelo. Nokuba awulindelanga umntwana, ukufumana le meko kubaluleke kakhulu ukuze uphephe iingxaki zempilo kwixesha elizayo. Ngoko ke, nikela ingqalelo emzimbeni wakho. Ukuba uvakalelwa kukuba kukho ingxaki, ungoyiki ukuthetha nogqirha. Uya kukunika isisombululo esifanelekileyo.
Umyalezo Wokuya Ekhaya
- Ukuqho ...
- Iimpawu eziphambili kukungahlali ixesha elide, ukopha kakhulu okanye kancinci, kunye neenyanga ngaphandle kokuya exesheni.
- Oku kubangelwa ikakhulu kukungalingani kwamahomoni afana ne-PCOS, ubunzima bomzimba, uxinzelelo oluphezulu, kunye neengxaki ze-thyroid.
- Kubalulekile ukufumana iingcebiso zonyango ukuze uxilonge kwaye unyange le meko. Kuphephe ukuzinyanga.
- Le meko idla ngokulawulwa ngempumelelo ngokutshintsha indlela ophila ngayo kunye nonyango olufanelekileyo.
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