Ukuqala kokukhulelwa kubangela izinqubo eziningana zezinto eziphilayo ezinomzimba wesifazane ezidingekayo ukuze kulondolozwe futhi kuphumelele ukuthuthukiswa kwe-fetus. Enye yezinqubo ezidingekayo kulokhu umzimba ophuzi.
Iyini umzimba ophuzi?
Umzimba ophuzi ungumgogodla we-endocrine wesikhashana otholakala kwelinye lama-ovari. Yakhiwa kusuka e-follicle ekhishwa iqanda, futhi umsebenzi wayo oyinhloko ukukhiqizwa kwamahomoni, ngokuyinhloko i-progesterone, eyabangela ukuthuthukiswa kokukhulelwa. Umzimba ophuzi ukhiwa njalo lapho kuqhuma i-ovulation, kepha ekupheleni komjikelezo uqhubeka futhi wehliswa, i-ovary ilungiselela umjikelezo omusha nokuvuthwa okusha. Uma ukukhulelwa kuqediwe, umzimba ophuzi uzoba nomthelela ekuthuthukiseni kwawo emavikini angu-10-12 alandelayo, bese kuthi i-placenta ithathe umsebenzi wokukhiqiza i-progesterone.
Umzimba ophuzi - uphawu lokukhulelwa
Ukuba khona komzimba ophuzi kwelinye lama-ovari kungabhekwa njengento eyengeziwe yokukhulelwa. Kodwa kuphela ngokubambisana nezinye izimpawu. Ukuthi ngaphandle kokukhulelwa esibelethweni, ngezizathu ezihlukahlukene, kune-cyst yomzimba omzimba ophuzi, ongatholakala futhi kwi-ultrasound. I-yellow body cyst njengesibonakaliso sokukhulelwa angeke iphawulwe ngesikhathi sesifundo, ngakho-ke lesi sici akufanele sithembele. Umzimba ophuzi awuthinti ngesikhathi sokukhulelwa futhi awuzibonakali nganoma iyiphi indlela.
Kwezinye izimo, uma i-ovulation ivele ngokushesha kuma-ovarie amabili, imizimba emibili ephuzi ibonakala ngesikhathi sokukhulelwa. Uma ukukhulelwa kokubili amaseli kuphumelele, amawele azozalwa. Kodwa-ke, umzimba ophuzi onomabili ungaba owodwa, ngoba amawele kokubili ayingqayizivele futhi i-raznoyaytsevye.
Ukungondleki kokukhulelwa
Ukusebenza komzimba ophuzi kuyinkimbinkimbi enkulu, engasongela ukuphazamiseka kokukhulelwa. Phakathi kwezibonakaliso - ukuphuma kwe-smearing, ukuphuma kwegazi, ithoni, inqola yeqanda le-fetal, elitholwe yi-ultrasound. Ukusebenza komzimba ophuzi ekukhulelweni, okuqinisekisiwe ngezifundo ezikhethekile, kuhlanganise nokuhlaziywa kwamazinga ama-hormone egazi, kulungiswa ngosizo lwezokwelapha izidakamizwa. Owesifazane okhulelwe unqunywe i-hormone progesterone, noma kunalokho i-analogue yakhe yesitshalo ngendlela ifomu. Ngokungeniswa okulungile nokubalwa ngokucophelela, uma kungekho ezinye izizathu zokuphazanyiswa, ukukhulelwa kuvame ukukhula futhi kuphelile ngokubeletha. Ungaphazamisi ukungabi khona komzimba ophuzi phakathi nokukhulelwa kwe-ultrasound, okungeke kuhlolwe ngaso sonke isikhathi kumadivaysi aphansi okuxazululwa, futhi ukulahlekelwa kwe-hormone kuqinisekiswe udokotela.
Amacala okudlwengula
Ngeshwa, hhayi njalo ukukhulelwa kungaqhubeka kahle, kunezimo ezinzima. Ngakho-ke, umzimba ophuzi okhulelwe nge-ectopic uveza izinga eliphansi kakhulu lamahomoni, okuvumela ukuba usolise ukukhubazeka kokuqala - okwanele ukudlulisa ukuhlolwa kwegazi ku-hCG kabili futhi ukulandelela ukuguqulwa kokukhula kwawo,
Umzimba ophuzi ophelelwe ukukhulelwa ngokuvamile awuyekile ukukhiqiza ama-hormone, uma ukuhlolwa kwegazi kuphindaphindiwe, ukwehla kwezinga lamahomoni kuyaphawulwa, i-ultrasound ayibonakali izimpawu zokukhulelwa.
Umzimba ophuzi ovary ukukhulelwa unomthelela oqondile. Kungenxa yokuthuthukiswa kombungu kanye nokwakhiwa kwe-placenta. Yingakho i-ultrasound ekukhulelweni komzimba ophuzi, njengombuso, bheka, futhi ekuhlaziyeni kwembula izinga le-progesterone. Ukukhulelwa komzimba ophuzi, uma kungumbuzo we-cyst, kungenzeka futhi, ngoba ukuvuthwa kungase kwenzeke kwenye i-ovary.