Emzimbeni wesifazane, izinguquko eziguquguqukayo zenzeka njalo, ezilawulwa amahomoni akhe. Ngenxa yalokhu, isigamu esihle somuntu sinethuba lokuba umama. Kodwa ngenxa yalokhu kuyadingeka ukuthi ku-ovaries yayo i-ovulation kwenzeka, iseli lamaqanda lakhula futhi lakhulelwa ngesidoda. Esigabeni sokuqala somjikelezo ovary owesifazane unezinhlobo eziningana zokuvuthwa, kodwa kuphela eyodwa yazo ifinyelela esayizi elungile, elibizwa ngokuthi likhulu. Kungenxa yokuthi iqanda livuthwa. Khona-ke kukhona ukuphuka, umzimba ophuzi uhlala ku-ovary, futhi uketshezi ku-pelvis encane. Emgodini we-fallopian, isitho socansi sowesifazane singena, okungukuthi, ukuvuthwa kwenzeka.
Ukukhulelwa kokubeletha okwesikhathi eside abesifazane ngokuvamile bathola ukudluliselwa kwabesifazane ngokwemigodi ye-folliculometry. Lokhu kubizwa ngokuthi i-ultrasound, elandela ukuvuthwa kwe-follicles ku-ovary, ukubonakala kokuqhakazila nokuqhekeka kwayo, okungukuthi, kukhona ukuqapha kwe-ovulation. Kodwa ngezinye izikhathi owesifazane uthola ukuthi unesimo "sokuphikelela kobuciko", okuzwakala kudideka kakhulu futhi kwesabisa iziguli. Leli yigama lokuqhutshwa kobuciko, obuvuthisa ubukhulu obudingekayo, kodwa ukuphuka kwawo futhi, ngenxa yalokho, ukuvuthwa akukwenzeka. Ngakho-ke, leli qanda alinakukhulelwa futhi ukukhulelwa okulinde isikhathi eside akukwenzeka. I-follicle ephikisanayo ikhona izinsuku ezingu-7-10 zomjikelezo wokuya esikhathini, bese kuphuma ukuphuma esikhathini. Kukhona amacala uma owesifazane enesibindi sokubambezeleka esikhathini sokuya esikhathini (kuze kube yizinyanga eziyi-1.5). I-follicle ngokwayo ivame ukungena ngaphansi kwe-cyst.
Ukuphikelela kwe-Follicle: Izimbangela
Njengoba umsebenzi wokubeletha ulawulwa yi-hormone, ukungalingani kwabo okuholela ekubukeni kwesifo esinzima njengokuphikelela kobuciko obukhulu. Isigaba sokuqala somjikelezo wesifazane silawulwa yi-estrogens, ngenxa yokuthi ukukhula nokuvuthwa kwe-follicles ku-ovary kwenzeka. Kuwesifazane onempilo onokuvuthwa kobuciko kanye nokuqala kwe-ovulation, izinga le-estrogen kufanele liyeke, futhi izinga lokumisa i-hormone kufanele likhuphuke. Khona-ke i-follicle evelele iqhuma, futhi i-ovule ihlela emgodini we-fallopian. Futhi uma ama-hormone engasethiwe ezingeni elifanele, ukuphikelela kobuciko obuvuthiwe buqala. Ngendlela, le nkinga ifana nokuphikelela komzimba ophuzi, lapho izinga lokumisa i-hormone landa. Umzimba ophuzi ukhona isikhathi eside, bese uphinde ube yi-cyst.
Izimpawu zobuphili bokuphikelela
Odokotela bangakwazi ukubona inkinga ngezimpawu ezilandelayo:
- amazinga e-estrogen aphakanyisiwe namazinga anciphisisiwe we-progesterone egazini;
- Ukutholwa kwe-follicle ne-ultrasound isikhathi eside;
- Ukungabikho kwezibonakaliso eziyinhloko zokuvuthwa kwegazi: umzimba ophuzi nomswakama endaweni yangaphakathi.
Ngaphezu kwalokho, izimpawu zokuphikelela kobuciko zihlanganisa ukuya esikhathini njalo izinyanga eziningana kanye nokuchichima ngokweqile uma kwenzeka.
Ukuphikelela kwe-Follicle: Ukwelashwa
Abesifazane abanalesi sifo banqunywe, okokuqala, izidakamizwa ezikhuthaza ukwakhiwa kwe-hormonal evamile
- i-progesterone, i-rotol noma i-norkolut engakapheli izinsuku eziyi-9 ngaphambi kokuya esikhathini esikhathini esiyizinsuku ezingu-5-7;
- izidakamizwa ezivimbela i-estrogens: i-clostilbegite, i-clomid, i-tamoxifen kusukela osukwini lwesihlanu kuya kwesishiyagalolunye womjikelezo wezinyanga ezimbalwa.
Futhi, ukwelashwa okungewona ukwelashwa kunikezwa ngendlela yokugqugquzela izitho zomzimba nge-electrostimulation, i-ultrasound, ukuhlunga kwegazi kanye nokwelashwa kwama-laser.
Ukuqapha kwenyanga kuyadingeka ngendlela ye-folliculometry kanye nokulethwa kwezivivinyo ze-hormone ukuqapha impumelelo yokwelashwa.