Uphawu umfundi e zabesifazane

Lisho ukuthini igama elithi "nge-ovulation", yilowo nalowo wesifazane uyazi. Kodwa akuzona zonke omele wobulili bubuhle ujwayelene izimpawu, lokusho inqubo kwezitho zangasese. Lapho ladies empilweni yakho kuza isikhathi ukuthi lihlotshaniswa isifiso okukhulelwa ingane, uqala ukutadisha le nkinga, futhi uma nje ebamba isisu akusebenzi - umdlalo kuthatha wezifo zabesifazane, owesifazane uchaza imininingwane ekubaleni isikhathi nge-ovulation. Phakathi nalesi sikhathi ladies baziswa umqondo omusha - "uphawu umfundi" e zabesifazane.

umjikelezo wokuya esikhathini uwubufakazi

I menstrual cycle (MC) Yilowo nalowo muntu wesifazane libhekene izici ngamunye. Isikhathi ngasinye MC ihlala Lady zingakapheli izinsuku 23-35 ngaphambi ukukhiqizwa kwamaqanda.

Ukuqala iphuzu reference we umjikelezo wokuya esikhathini uwubufakazi - ngosuku lokuqala lwenyanga, okuthatha ezintathu izinsuku eziyisikhombisa. Mayelana 80% abesifazane ibhekene yokuthi abazizwa nobuhlungu obukhulu esiswini aphansi phakathi nezinsuku zokuqala zokuya esikhathini. Lezi izinhlungu zibangelwa hormone ezisiza ukwenqaba le mucosa lesizalo.

Inqubo belungiselela ukukhiqizwa kwamaqanda isikhathi

Ukuqala umjikelezo wokuya esikhathini uwubufakazi kulandele odala hormone follicle emnandi (FSH). Lokhu i-hormone livela indlala ngokuthi indlala pituitary. Le ndlala itholakala ngasesinqeni se ubuchopho.

Ngamunye the follicle (Bubbles wesibeletho nomoya) kuhlanganisa iqanda etholakala isimo unripened. FSH i-hormone kuthinta esigabeni sokuqala nokuvuthwa a follicle olulodwa. Kule nqubo, uqala ukukhiqizwa kwe-estrogen hormone. Njengoba nokuvuthwa follicle kwandisa izinga estrogen emzimbeni. eyodwa kuphela follicle evelele enanini eliphelele. Lokhu follicle Iqanda ukuvuthwa.

Izinga estrogen okuqukethwe umzimba kusiza ukugeleza izakhi negazi ulwelwesi lwamafinyila wesibeletho kwesibeletho. Okwamanje sokukhulelwa, iqanda uzothola izinto ludingeka ekuthuthukisweni evamile fetus. I-estrogen, okuyinto okusezingeni eliphezulu, kuthinte ukwanda isikhwehlela Vitreous (ecacile, kancane olumhlophe, ngokwahlukana okunamathelayo). Lokhu isikhwehlela kusiza isidoda ukuhambisa kalula eduze mucosa wesibeletho, nihlale khona, izinsuku ezimbalwa esimweni esisebenzayo.

nge-ovulation umjikelezo

Kwenyuka kwemtfwalo amazinga estrogen emzimbeni kuholela ukwanda ovulatory ka luteinizing i-hormone (LH). Amazinga aphakeme LH kuthinta inqubo follicle ukudabuka, egcwele evelele. Ngemva ukudabuka we follicle ngeke avuthwa esibelethweni olunceleka tube fallopian. Le nqubo ibizwa ngokuthi yi-ovulation.

Phakathi kwabesifazane, kukhona umbono oyiphutha wokuthi inkathi nge-ovulation kwenzeka ngosuku lwe-14 MC, kodwa nje isilinganiso. Nge-ovulation e-90% amacala zenzeka ngakolunye izinsuku umjikelezo. Ngaphezu kwalokho, nge-ovulation - inqubo engazinzile. Kusukela umjikelezo ukuze umjikelezo, le nkathi iqala ngezinsuku ezahlukene, hhayi aletha ukuzwa emzimbeni.

izindlela ukuxilongwa

imithi gynecological ngu-80% esekelwe izifundo endocrinological. Ngakho-ke, i-esibophezelayo we zokuzala uhlelo imisebenzi zisekelwe ukuhlaziywa izinguquko isimo hormone nezinqubo kubangelwa hormone emzimbeni yabesifazane. Inani lama-hormone kunqunywa ukuhlaziya egazi noma omchamo. Ukuze sithole umsebenzi ezikhiqiza amaqanda, ukuhloniphana ka ukuhlola obusebenzayo :

1. cwaningo colpocytologic. Lokhu test isetshenziswa ukunquma ukuxilonga kanye nezinkinga imizimba yabesifazane obhekene ukuzala. Uhlaziyo ikhomba:

• ukopha ezingadingekile esibelethweni, ukungazali nokunye;
• ekuqaleni nge-ovulation.

Lolu cwaningo olwenziwa kusetshenziswa pipette noma spoon ekhethekile. Material elise ohlangothini odongeni sangasese, insimbi eqoqwe futhi ibekwe endaweni onqenqemeni laboratory ingilazi, okwenza smear emincane. Ngemva uqoqa smear womile futhi namabala.

2. Ukuhlolwa Vitreous isikhwehlela izakhiwo (Umfundi uphawu futhi "Fern") ichaza:

• viscosity kane, okuyinto incike inani amaprotheni ion;
• ukunwebeka ukufinyelela 14 cm periovulyatorny isikhathi;
• crystallization (isimo isikhwehlela emva iphele phezu ingilazi).

Uketshezi namandla yezokubona of uketshezi wesibeletho ukushintsha, belinganisa ngesisekelo imihlola, ngokuthi "uphawu Fern" futhi "Umfundi uphawu." Indlela zokuxilonga is esekelwe sokunquma nangohlobo lwezinto isikhwehlela kule ingaphakathi wesibeletho.

3. Ukunqunywa lokushisa lomzimba basal. Indlela evumela ukunquma umphumela progesterone phakathi nendawo thermoregulatory ngokwandisa lokushisa. Uma umsebenzi Corpus luteum kwimodi ejwayelekile - inkathi posleovulyatsionny umzimba lokushisa iyakhula.

4. luhlolo histological we scrapings we endometrium. Kuyasiza ukunquma izimbangela ukungazali, ukungasebenzi kokuya esikhathini, amenorrhea, nokunye.

Ukuthola uphawu umfundi

Phakathi nomjikelezo wokuya esikhathini, wesibeletho kanye isikhwehlela wesibeletho ukushintsha. Izinguquko - isivivinyo Indlela ukusebenza gonads zesifazane (amaqanda).

Lapho kuqala usuku lwesihlanu lomjikelezo zangaphandle ukuvulwa wesibeletho kwembuleka. Lokhu kwenzeka ngaphambi kokuba isikhathi lapho iqanda esefinyelele ukuvuthwa egcwele. Lapha kungabonwa le isikhwehlela wesibeletho, okuyinto ubalekela emva nge-ovulation (20-21 usuku th MC).

Okwamanje of ububanzi esiphezulu umsele wesibeletho (8-9 ngosuku MTS) yakha elachitheka, okuyinto iqondiswa umsebe wokukhanya livele libe nombala kanye ungathi umfundi. Ngakho-ke, lesi simo sibizwa ngokuthi "umfundi uphawu" e zabesifazane (isithombe 3).

Stage lo mkhuba "umfundi"

Uphawu umfundi ihlukaniswe yaba amazinga amane. degree ngamunye inquma ububanzi we wesibeletho canal futhi ngobuningi lwamafinyila uketshezi:

1. (-) - uphawu umfundi ezimbi (ukungabi khona isikhwehlela e wesibeletho kwesibeletho).

2. (+) - omuhle ababuthakathaka (canal wesibeletho kuyinto strip emincane noma iphuzu wadala KULETHA lwengilazi).

3. (++) - omuhle uphawu umfundi (ukuvula i-canal kuya ku-20 mm).

4. (+++) - rezkopolozhitelny (ukuvulwa-30 mm ngokusinikeza inala wesibeletho isikhwehlela uketshezi).

Endabeni izimpawu umfundi lonke umjikelezo wokuya esikhathini uwubufakazi ababuthakathaka, liwubufakazi isimo ongaphakeme estrogen.

Ukuze sithole saturation umzimba ukucacisa isikhwehlela estrogen ukungezwani. Ngenxa yale njongo isampula esithathwayo kunquma lwengilazi isikhwehlela kuyaqina (ngamanye amazwi, ke Olwandisekayo). Ubude ejwayelekile amaphaphu uhla 6 kuya kwezingu-8 cm - likhuluma ngokuphela eziningi ezanele estrogen emzimbeni.

Sokungabi bikho okuncane uphawu umfundi inkulumo mayelana ekunciphiseni izinga estrogen, futhi amanani ezinkulu ka wesibeletho isikhwehlela izingcingo ukuze bayothola ukwelashwa multi-ntathu izifo kwezitho zesifazane.

Ukulungiselela ekupheleni nge-ovulation

Ukuguquguquka kwempilo follicle ukhululeka amaqanda ukuze kwesibeletho we ezihambayo, ngema-awa lange-24. Kwaba izinsuku ngaphambi ukukhiqizwa kwamaqanda futhi nge-ovulation day uqobo - isikhathi lalibe nesiqalo esihle sokuba owesifazane eqeda ukubamba. Ngemva Ukuvalwa nge-ovulation of follicle iqala i-hormone ukukhululwa enesihloko esithi "progesterone". Lokhu i-hormone silungiselela ulwelwesi lwamafinyila ekwamukelweni iqanda eselivundisiwe. follicle uqobo iqala ukusika futhi ukukhululwa kwe-estrogen, ngalesikhatsi kuchutjekwa nekwenta ukwaba progesterone. Le nkathi kungenziwa libhekene abesifazane ukozela, ukucasuka causeless, emizweni okubuhlungu webele, nokunye. isimo esinjalo izothatha njengoba nje follicle kuyehla kube amazinga evamile futhi ukukhiqizwa kwama-hormone izoyenqaba ngangokunokwenzeka.

Umsebenzi ihlela zabo bonke hormone ubonise isimo umzimba belungiselela ngenyanga ezayo noma ngesikhathi sokukhulelwa:

Ukugcwaliswa nge-ovulation

Iqanda avundiswa bazanamathela ulwelwesi lwamafinyila we ngalo ingaphakathi wesibeletho ezinsukwini ezingu-7 ngemva kokukhulelwa. ukukhiqizwa hormone sokukhulelwa hCG (human chorionic gonadotropin) iqala ngamadijithi kwakwakhe. Lokhu i-hormone esiza umsebenzi follicle ezingenalutho, idala hormone ezidingekile ukuze uvimbele Iqanda kwenqatshwa, kuze kube yileso sikhathi, kuze kube-placenta.