Sekuyisikhathi eside elinde ukukhulelwa, ngokushesha noma ngokuhamba kwesikhathi, imibhangqwana iqalisa inhlolovo yokungasebenzi. Esinye sezici ezivimbela ukukhulelwa yiyona ukungasebenzi emisebenzini yama-ovari. Ukuxilongwa kwama- ovaries we- multifollicular akuyona isifo, kodwa sekuvele isimo lapho kungekho khona izintambo eziningi zokuvuthwa ezikhulayo. Kulesi simo, udokotela ubonisa ukuvuthwa kwe-ovulation.
Izinguquko eziningi ezinamaqanda
Ama-ovaries amaningi ahlanganisa ama-ovarie, lapho kunyuke khona ngesikhathi esisodwa kuma-follicles angaba ngu-7 (i-sac lapho iqanda livuthwa khona). Le namba yokwanda iyinhlangano evamile futhi ayivimbeli ukukhulelwa. Kodwa uma izinguquko zenzeka emaqanda amaqanda - ukwanda kwama-follicles angu-12 ngesikhathi esifanayo - isakhiwo se-multifallicular sikhula sibe ama-ovaries amaningi, futhi yikuphi - imiphumela ikhuluma ngokwabo. Lokhu ukwephulwa komjikelezo wokuya esikhathini, ukukhuluphala kanye nokuqhuma kwamaphambo ebusweni. Kuphulwa okunjalo kuyadingeka ukunikeza izivivinyo, okhethwe udokotela futhi ufunde ukwelashwa.
Ama-ovaries amaningi kanye ne-ovulation
Ukugqugquzela ukuvuthwa kwe-ovulation in isakhiwo se-multifollicular ama-ovaries, abashadile bahlolwa ngokusemthethweni: ama-ultrasound of the glands, ama-tubes of tublopian kanye nokwamukela umuthi wekhono lokuthwala ingane. Khona-ke badlula ukuhlolwa: i-HIV, i-syphilis, i-hepatitis B no-C, isifo smear kanye nesimiso se-oncocytology (owesifazane kuphela onika).
Futhi emva kokubili kokubili futhi bonke badlula, umama wezifo ukhetha indlela yokugqugquzela ukuvuthwa kwama-ovaries amaningi. Kuyini lokhu?
Izinhlobo zokuvuselela:
- I-Medicamentous. Zonke lezo zivivinyo kanye nokuhlolwa, okukhulunywe ngabo ngenhla. Ngokusekelwe kulo lonke lolu datha, udokotela wenza isiphetho mayelana nendlela yokusetshenziswa kweqanda (IVF) noma ngendlela yemvelo). Futhi nemithi edingekayo imisiwe (Klostilbegit noma Puregon).
- Izindlela zabantu. Ukwamukelwa kwamakhambi okwelapha (u-boron uterus, amaqabunga ebrashi elibomvu kanye ne-sage).
- Kuhle kanye namavithamini aqaphele kakhulu abhale. Baphuza kokubili ngesikhathi sokugqugquzela futhi, okubaluleke kakhulu, ngesikhathi sokukhulelwa.
Ukukhuthazwa kwama-ovaries ama-multifollicular kwenziwa kanje:
- Ukukhula kwama-follicle kuhlolwe. Kulesi sigaba, thatha i-Klostilbegit. Futhi yenza i-ultrasound yokuqala.
- Yenza umjovo we-hCG. Kuyadingeka ukugcina u-follicle ukukhula ngobukhulu nobuningi.
- Ngemuva kwalo, ukuvuthwa kuqala kuqala. Ngokushesha udokotela ubeka i-progesterone ukulondoloza umzimba ophuzi wama-ovari.
Uma ngenxa yilezi zenzo kwenzeka ukwehla, owesifazane uthola ithuba lokukhulelwa emjikelezweni wokuqala.