Ingabe ukuya esikhathini kwakho akufiki ngesikhathi? Kwezinye izinyanga kuba sekwephuzile ezinsukwini ezimbalwa? Noma akufiki nhlobo? Noma wopha kakhulu ngesikhathi sokuya esikhathini, noma kumane kume isikhashana? Abesifazane abaningi banalezi zinkinga. Esikhathini esiningi sicabanga ukuthi lokhu kuyinto evamile. Kodwa bewazi ukuthi noma ngabe uya esikhathini, ngezinye izikhathi enye yezinqubo ezibaluleke kakhulu okufanele zenzeke emzimbeni wakho, okungukukhiqizwa kweqanda, ingase ingenzeki. Yilokhu esikubiza ngokuthi ukukhiqizwa kweqanda. Namuhla, sizokhuluma ngalokhu ngendlela elula ongayiqonda.
Kalula nje, kuyini ukuvunguza?
Kalula nje, i-anovulation yilapho ama-ovari akho engakhiphi iqanda, okumele likhishwe kanye ngenyanga. Le nqubo, ebizwa ngokuthi i-ovulation, yenzeka kanye kuphela ngesikhathi sakho sokuya esikhathini. Yiqanda elikhishwa ngale ndlela elingahlangana nesidoda ukuze kudalwe ukukhulelwa.
Ngakho-ke, uma ukukhishwa kwamaqanda kungenzeki, awekho amathuba okukhulelwa. Lesi simo, esibizwa ngokuthi i-anovulation, siyimbangela eyinhloko yokungazali.
Cabanga ukuthi ama-hormone emzimbeni wethu afana ne-orchestra. Umculo omuhle udalwa kuphela uma zonke izinsimbi zomculo zidlala kahle futhi ngesigqi esifanayo. Uma i-violin eyodwa noma inyoka idlalwa endaweni engafanele, ingoma yonke izophazamiseka, akunjalo? Yilokho okwenzekayo. Le nqubo eyinkimbinkimbi ebizwa ngokuthi i-ovulation idinga ama-hormone amaningana ukuze asebenze ndawonye, ngokuvumelana okuphelele. Ngisho nokuntuleka okuncane noma ukweqisa kwe-hormone eyodwa kungaphazamisa lonke uhlelo futhi kuvimbele i-ovulation.
Inqubo ye-ovulation yenzeka kanjani?
Ukuvuthwa kweqanda kuvame ukwenzeka cishe ngosuku lwe-14 lomjikelezo wokuya esikhathini wezinsuku ezingu-28. Lokhu kungahluka ngezinsuku ezimbalwa kuye ngobude bomjikelezo.
1. Isiqalo: Lokhu kuqala ngokukhululwa kwehomoni ebizwa ngokuthi i-Gonadotropin-releasing hormone (GnRH) evela ku-hypothalamus ebuchosheni bakho.
2. Umlayezo: Le hormone ye-GnRH iya endlaleni ye-pituitary ebuchosheni bese iyitshela ukuthi ikhiphe amahomoni amabili abizwa ngokuthi i-Follicle-stimulating hormone (FSH) kanye ne-Luteinizing hormone (LH) .
3. Ukuvuthwa: Kusukela osukwini lwesi-6 kuya kolwesi-14 lomjikelezo wokuya esikhathini, ama-follicle kuma-ovari, okuyizikhwama ezincane eziqukethe amaqanda, aqala ukuvuthwa ngaphansi kwethonya le-hormone ye-FSH.
4. Ukukhululwa kweqanda: Phakathi kwezinsuku eziyi-10-14, yinye kuphela yalezi follicle evuthwa ngokuphelele futhi ibe nkulu. Njengoba usuku lwe-14 lusondela, izinga le-hormone ye-LH likhuphuka ngokushesha ngokuzumayo. Kungenxa yalokho kuqhuma kwe-LH ukuthi iqanda elivuthiwe ngokuphelele liqhume ku-follicle bese liphuma. Yilokhu esikubiza ngokuthi i-ovulation .
Manje usuyaqonda ukuthi le nqubo iyinkimbinkimbi kangakanani, nokuthi ibhalansi yama-hormone ibaluleke kangakanani.
Ziyini izimpawu zokuvuvukala?
Uma unaka kancane umzimba wakho kanye nomjikelezo wakho wokuya esikhathini, akunzima ukubona lezi zimpawu. Khumbula, ukuthola isikhathi sakho sokuya esikhathini akusho ukuthi usuvele ukhulelwe.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Izikhathi ezingajwayelekile | Uma inani lezinsuku zomjikelezo wakho wokuya esikhathini lishintsha njalo, njengezinsuku ezingu-25 ngenyanga kanye nezinsuku ezingu-40 ngokulandelayo, akujwayelekile. Umjikelezo ojwayelekile uyizinsuku ezingu-28, kodwa kuvamile ukuthi uhluke phakathi kwezinsuku ezingu-21 nezingu-35. Kodwa uma ushintsha kakhulu, kungaba yinkinga. |
| Ukopha ngokweqile noma okuncane | Ngokuvamile, uma iphedi limanziswa ngokuphelele ihora nehora amahora amaningana, lokho kuwukuphuma kwegazi okukhulu. Uma liba lincane nje bese liyeka ngemva kwezinsuku ezimbalwa, lokho nakho akuvamile. |
| Ukuyeka ngokuphelele ukuya esikhathini (i-Amenorrhea) | Ngisho noma ungakhulelwe, uma ungenayo isikhathi sokuya esikhathini izinyanga eziningana, kuyisibonakaliso esinamandla sokuphuma kweqanda. |
| Ukuntuleka koketshezi oluphuma esithweni sangasese sowesifazane 'olumhlophe ngeqanda' | Njengoba usondela ekuvuthweni, uketshezi lwakho lwesitho sangasese sowesifazane luzocaca futhi lunwebeke, njengamaqanda amhlophe aluhlaza. Lokhu kusiza isidoda ukuthi sidlule kalula. Uma ungaluboni lolu hlobo loketshezi, kungenzeka ukuthi awuvuthwanga. |
| Ukungalingani kokushisa komzimba okuyisisekelo | Lokhu izinga lokushisa lomzimba elilinganiswa ekuseni ngaphambi kokuvuka embhedeni. Ngemva kokuvuthwa kweqanda, izinga lokushisa lomzimba liyakhuphuka kancane. Uma ukukala lokhu nsuku zonke bese ukuqopha, ungalubona lolu shintsho. Uma kungekho ndlela ecacile enjalo, lokho futhi kuyisibonakaliso. |
Into ebalulekile ukuthi, nakuba kungase kubonakale njengokuya esikhathini, empeleni kungaba ukopha okubangelwa ukungalingani kwamahomoni ngaphandle kokukhishwa kwamaqanda. Lokhu kubizwa ngokuthi ukopha kwe-anovulatory .
Kungani ukukhishwa kwamaqanda kungenzeki? Yiziphi izizathu?
Isizathu esiyinhloko ukungalingani kwama-hormone esixoxe ngakho ekuqaleni. Kungaba nezici eziningana ezibangela lokhu.
1. I-Polycystic Ovary Syndrome (i-PCOS)
Lesi yisona sizathu esivame kakhulu nesiyinhloko sokuphuma kwegazi. Cishe abantu abangu-70% abane-anovulation bane -PCOS . Kulesi simo, izinga lama -androgens, abhekwa njengama-hormone wesilisa, liyakhula emzimbeni. Ngenxa yalokhu, ama-follicle kuma-ovari awakhuli njengeqanda elivamile, kodwa kunalokho aqoqana abe ama-cyst amancane. Ngakho-ke, iqanda alikhishwa.
2. Isisindo somzimba
- Ukukhuluphala ngokweqile: Lapho amaseli amafutha emzimbeni ekhula, nawo aqala ukukhiqiza ama-hormone. Lokhu kubangela amazinga e-androgen akhuphukile ikakhulukazi. Lokhu kufana nalokho okwenzeka ku-PCOS.
- Isisindo somzimba esiphansi kakhulu: Uma isisindo somzimba siphansi kakhulu (Body Mass Index - BMI), okungukuthi, uma sisezingeni lokungondleki kahle, indlala ye-pituitary ebuchosheni ayitholi izimpawu ezidingekayo zokukhiqiza ama-hormone e-FSH ne-LH adingekayo ukuze kuqalwe ukuvuthwa kweqanda.
3. Ukuzivocavoca ngokweqile kanye nokucindezeleka
- Ukuzivocavoca ngokweqile: Lesi simo singase senzeke nakubantu abafana nabadlali abavivinya umzimba ngokweqile amahora amaningi, usuku nosuku. Ukukhathala ngokweqile okuzwakala emzimbeni kuphazamisa ukusebenza kwesistimu yama-hormone.
- Ukucindezeleka ngokweqile: Ukucindezeleka ngokweqile okubangelwa izinto ezifana nokuhlolwa, izinkinga zomsebenzi, nezinkinga zomndeni kuthinta ngqo ukukhiqizwa kwehomoni ye-GnRH ebuchosheni. Lokhu kungaphazamisa lonke uchungechunge lwamahomoni.
4. Izinkinga ze-thyroid
Indlala yegilo, ebumbeke njengebhabhathane entanyeni yakho, ikhiqiza amahomoni athinta cishe yonke inqubo emzimbeni wakho. Uma amazinga ehomoni yegilo ephansi (i-hypothyroidism) , ibangela ukwanda kwehomoni ebizwa ngokuthi i-prolactin . I-Prolactin iyihomoni evame ukusiza omama abancelisayo ukuthi bakhiqize ubisi. Uma le homoni iphezulu, icindezela amahomoni i-FSH ne-LH, adingekayo ukuze kuphume amaqanda.
5. Ubudala
- Isikhathi sokuqala kokuya esikhathini:Imijikelezo yokukhipha isisu ivame kakhulu onyakeni wokuqala noma emibili ngemva kokuba intombazane encane iqale ukuya esikhathini, njengoba uhlelo lwayo lwama-hormone lungakazinzi.
- Isikhathi Sokunqamuka Kokuya Emuva: Njengoba usondela esikhathini sokunqamuka kokuya enkathini yokuguga eminyakeni yakho engama-40, ama-ovari akho ayayeka ukusebenza ngokwemvelo. Ungase ungavuthi futhi imijikelezo yakho yokuya esikhathini ingase ingabi njalo.
Yiziphi izinkinga ezingaba khona ngenxa yokuvutshelwa?
Lokhu akuyona nje inkinga yomjikelezo wokuya esikhathini. Uma ingelashwa isikhathi eside, ingaholela kwezinye izinkinga zempilo.
- Ukungazali: Lesi yisona sizathu esiyinhloko futhi abantu abaningi abafuna iseluleko sezokwelapha ngaso. Uma iqanda lingakhishwa, ukukhulelwa akunakwenzeka.
- I-Endometrial hyperplasia: I-hormone i-progesterone ikhiqizwa ngemva kokukhishwa kweqanda. Uma le hormone ilahlekile, ulwelwesi lwesibeletho (i-endometrium) luyaqina. Lokhu kungandisa ingozi yomdlavuza wesibeletho esikhathini eside.
- I-Osteoporosis: I-hormone i-estrogen ibalulekile emathanjeni aqinile. Uma amazinga e-estrogen ehla ngenxa yokungalingani kwama-hormone, amathambo angaba mancane futhi aphuke kalula.
- Isifo senhliziyo: Ukungalingani kwama-hormone, ikakhulukazi izimo ezifana ne-PCOS, kuhlotshaniswa nezinto ezifana nesifo sikashukela, i-cholesterol ephezulu, kanye nomfutho wegazi ophezulu, okwandisa ingozi yesifo senhliziyo.
Lesi simo sitholakala futhi selashwa kanjani?
Uma une-period engajwayelekile yokuya esikhathini, into yokuqala okufanele uyenze ukubona udokotela wakho . Uzokubuza ngomjikelezo wakho wokuya esikhathini kanye nendlela ophila ngayo. Ngemuva kwalokho, bazokuyala ukuhlolwa okumbalwa ukuze bathole imbangela eqondile.
- Ukuhlolwa kwegazi kwama-hormone: Lokhu kuhlola amazinga ama-hormone njenge-progesterone, ama-hormone e-thyroid, i-prolactin, i-FSH, kanye ne-LH.
- I-Ultrasound Scan: Lokhu kusiza ukuhlola isimo sama-ovari (ukuze kubonakale ukuthi kukhona yini izimpawu ezifana ne-PCOS) kanye nesimo sesibeletho.
Izindlela zokwelapha zincike embangela yokuphuma kwegazi kwakho.
1. Izinguquko zendlela yokuphila
Lezi ngokuvamile yizinto zokuqala ongazizama.
- Ukulondoloza isisindo esinempilo: Uma ukhuluphele ngokweqile, ukwehlisa isisindo kancane kungenza umehluko omkhulu. Uma ukhuluphele kancane, udinga ukukhulisa isisindo ngendlela enempilo. Kungcono ukufuna iseluleko kuchwepheshe wezokudla ngalokhu.
- Ukulawula ukucindezeleka: Izinto ezifana ne-yoga, ukuzindla, kanye nokuzivocavoca ngokuphefumula kungasiza ekunciphiseni ukucindezeleka.
- Ukulinganisela umzimba:Uma uvivinya umzimba ngokweqile, udokotela wakho angase akucebise ukuthi unciphise ukuqina kanye nokuvama kokuzivocavoca kwakho.
2. Ukwelashwa kwezokwelapha
Uma izinguquko zendlela yokuphila zodwa zingasizi, udokotela wakho uzokunikeza imithi.
- Ukwelapha isimo esiyisisekelo: Uma unenkinga ye-thyroid, ukuthatha imithi yayo kungasiza ukuvuthwa kweqanda lakho kubuyele esimweni esijwayelekile.
- Imithi Yokukhuthaza Ukuvuthwa: Kunemithi enganikezwa owesifazane ozama ukukhulelwa ukusiza ekuvuseni ukuvuthwa. I-Clomiphene citrate (Clomid) kanye ne -Letrozole (Femara) yimibili yemithi esetshenziswa kakhulu.
- Imijovo yama-hormone: Kwezinye izimo, ama-hormone afana ne- (HCG) kanye ne-(FSH) kungadingeka ukuthi anikezwe ngemijovo.
Kubaluleke kakhulu: Yonke le mithi kufanele isetshenziswe kuphela ngaphansi kokuqondisa kukadokotela. Ungalokothi uqale noma uyeke ukuthatha noma yimuphi wale mithi ngaphandle kokubonisana nodokotela wakho kuqala.
Labo abanethemba lokuba nezingane kodwa abangaphumeleli kulezi zindlela zokwelapha bangase basebenzise amasu anjenge -IVF noma i-IUI .
Kufanele ubonane nini nodokotela?
Uma unezinye zezimpawu ezilandelayo, bona udokotela wakho ngokushesha.
| Ingabe nawe unazo lezi zimpawu? | Okufanele ngikwenze |
|---|---|
| Umjikelezo wokuya esikhathini awujwayelekile kakhulu. Kwenzeka njalo ezinsukwini ezimbalwa, njalo ngenyanga. | Bona udokotela wakho ngokushesha. |
| Ukuya esikhathini kungaba nzima, kube lula kakhulu, noma kuhlale isikhathi esingaphezu kwesonto. | Bona udokotela wakho ngokushesha. |
| Kukhona ubuhlungu esiswini esingezansi noma endaweni ye-pelvic. | Bona udokotela wakho ngokushesha. |
| Uma ungaphansi kweminyaka engama-35, unyaka owodwa, noma ngaphezulu kweminyaka engama-35, izinyanga eziyisithupha, uma uke wazama ngaphandle kokusebenzisa izindlela zokuvimbela inzalo kodwa awukakhulelwa. | Nobabili wena nomlingani wakho kufanele nibone udokotela futhi nifune iseluleko. |
Ukukhipha isisu kungaba yisimo esicindezelayo nesicindezelayo kakhulu, ikakhulukazi kumuntu olindele umntwana. Kodwa khumbula, awuwedwa. Lesi yisimo esivame kakhulu. Futhi singelashwa ngempumelelo. Ngisho noma ungalindele umntwana, ukuthola lesi simo sokwelashwa kubaluleke kakhulu ukuze ugweme izinkinga zempilo zesikhathi esizayo. Ngakho-ke, naka umzimba wakho. Uma unomuzwa wokuthi kunenkinga, ungesabi ukukhuluma nodokotela. Uzokunikeza ikhambi elingcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuvukala kweqanda kuwukwehluleka kwesibeletho ukukhulula iqanda. Lokhu kuyimbangela enkulu yokungazali.
- Izimpawu eziyinhloko ukujikeleza kokuya esikhathini okungajwayelekile, ukopha okukhulu noma okuncane, kanye nezinyanga ngaphandle kokuya esikhathini.
- Lokhu kubangelwa kakhulu ukungalingani kwama-hormone njenge-PCOS, isisindo somzimba, ukucindezeleka okuphezulu, kanye nezinkinga ze-thyroid.
- Kubalulekile ukufuna iseluleko sezokwelapha ukuze uxilonge futhi welaphe lesi simo. Gwema ukuzelapha.
- Lesi simo singalawulwa ngempumelelo ngokushintsha indlela yokuphila kanye nokwelashwa okufanele.
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