Iqondo le progesterone litshintsha njani ngexesha lokukhulelwa kwizigaba zalo zokuqala?
Le hormone inendima ebalulekileyo kwinkqubo yokukhulelwa nokuzala komntwana. Kubaluleke kakhulu ngexesha lokufakelwa kweqanda lomntwana kwi-endometrium ye-uterine. Ukongeza, i-progesterone ithintela impilo yowesifazane okhulelweyo, ngokukodwa inkqubo yakhe yeentlanzi, ilungiselela umzimba ngokuzala nokusalela.
Uxanduva lokuvelisa i-progesterone kwiinkcenkceshelo ezifunekayo ngokukodwa yi-ovaries kunye neengqungquthela ze-adrenal. Kule meko, umgangatho we-progesterone ye-hormone egazini ayizinzile, kwaye iyahluka, kuxhomekeke kwimeko. Kodwa ekuqaleni kokukhulelwa, ukuguquka okunjalo akufanele kube, kwaye izinga le hormone kufuneka lifanane nexesha lokukhulelwa.
Ngokunyuka kwithuba, kukho ukunyuka kokuxinwa kwe-hormone. Ingqungquthela yokuwa kwayo iiveki zokugqibela zokuzala umntwana. Ngoko, umzekelo, kwiiveki ezi-5 ukuya kweye-6, ngokuqhelekileyo ukuxinwa kweprogesterone kufuneka kube yi-18.57 i-nmol / l, kwaye sele sele iveki ye-37-38 ilingana no-219.58 i-nmol / l.
Ukuchonga izinga le-hormone ngexesha lokukhulelwa, sebenzisa itafile ekhethekileyo, e dwelisa yonke imigangatho yokuxinwa kweprogesterone, ngokoqobo kwiiveki zokuqala ukuya ekuzalweni ngokwaso.
Yintoni enokuthi iphresterone engaphantsi ibonise ngexesha lokukhulelwa kwinqanaba lokuqala?
Okokuqala, ukuba emva kokuhlalutya kubonakala ukuba inqanaba leprogesterone liphantsi kunelo elimiselweyo, oogqirha baqikelela ukuba ulo hlobo luyisongelo lokupheliswa kokukhulelwa. Into leyo kukuba i-progesterone inoxanduva lokukhuthaza ukukhula kwesibeletho ngokwawo, ukukhusela ukuphambana kwangaphambi kwayo. Ngoko ke, ukuba ingxinano yayo iphantsi, kunokwenzeka ukuphuhlisa ukukhupha isisu, kunye nempendulo kumbuzo wabamama abancinci: "Ngaba i-progesterone ingaphakamisa ukukhulelwa?" Ilungile. Ngomhla kamva, ukubeleka kwangaphambi kwexesha kunokuvela.
Ukongezelela, ukwehla kwinqanaba le hormone kungabangelwa ukuphulwa okunjengoku:
- ukulahlwa kophuhliso lomntwana;
- ukukhulelwa okungaphuculwanga;
- ukukhulelwa kwe-ectopic.
Ukungaqhelekanga okuchazwe ngasentla kuchaza ukuba kutheni inqanaba leprogesterone liwela ngexesha lokukhulelwa.
Ngokuqhelekileyo, i-progesterone ephantsi ijongwa ekupheleni kokukhulelwa, edla ngokuqhagamshelana ne-perenashivaniem.
Yintoni enokubakho ubungqina obuninzi (ukwanda) kweprogesterone ekukhulelweni?
Ngokuqhelekileyo kwenzeka ukuba emva kokuvavanywa, kwi-trimester yokuqala yokukhulelwa, kubonakala sengathi i-progesterone iphakanyisiwe, kodwa ayikho impawu ebonakalayo. Umzekelo wolu hlobo unokuba:
- phuhliso lweepentecenta;
- ukuhluleka kwezintso;
- iingxaki zomsebenzi we-adrenal;
- ukukhulelwa okubanzi.
Yintoni endiyifunayo xa ndidlula uvavanyo lwezinga leprogesterone?
Ukufumana iziphumo ezithembekileyo zohlalutyo, kuyimfuneko ukuqwalasela inani leempawu ezinokuthi zithintele iikhomputha ze-hormone.
Okokuqala kukho konke okuyimfuneko ukutsho ukuba ukuthatha amayeza athile, ngokukodwa ngamachiza e-hormonal, anokuchaphazela kakubi umphumo wohlalutyo. Kule meko, umphumo wokutsala ukuthatha loo mayeza unokugcinwa emva kweenyanga ezi-2-3. Ngoko ke, akukho mfuneko ukuba uxelele ugqirha obona ukukhulelwa.