Ukuzalisekisa umsebenzi obalulekileyo kwimpilo yomama womsebenzi womama, ubunzima bomama obulumko bubonelele yonke into: ukulungiselela iqanda lokuchumisa - ukuvuthwa, ukuqala kokukhulelwa - ukufakelwa, kunye nokuphuhliswa nokugcinwa kwezilwanyana ezisisigxina - umzimba ophuzi. Ingqungquthela ephuzi yokhuseleko lwangaphakathi, olujongene nokuveliswa kwe-estrogen kunye neprogesterone - i-hormone yokukhulelwa "inqanda" ukukhutshwa kwamaqanda amtsha ukuze kuphephe ukuqala kokuya esikhathini.
Umzimba ophuzi lukhuni lwexeshana, kwiiveki ezingama-18-20 umsebenzi wokubonelela imvelaphi ye-hormonal yokukhulelwa okuqhelekileyo idlulela kwi-placenta. Konke kulungile, kodwa ngamanye amaxesha kwenzeka ukuba ibhinqa elifuna ukuba ngumama ayikwazi ukukhulelwa okanye ayikwazi ukugcina ukukhulelwa. Isizathu salokhu kudla ngokusilela ngokwaneleyo komzimba ophuzi (ukungaqiniseki kweprogesterone).
Okokuqala, siya kuqonda oko kunokubangelwa ukungafaneleki komsebenzi womzimba ophuzi:
- i-pathologies ye-hormonal ye-ovaries, njenge-polycysticosis, ukuchithwa kwe-cystic ye-ovarian tissue, i-oncology, ukuhluleka kwe-ovarian ngenxa yokuhlinzwa okanye unyango;
- pathologies zofuzo (i-chromosome rearrangements);
- i-pathologies ye-pituitary gland ebangelwa iimpembelelo zofuzo, i-oncology, ukulimala;
- iintsholongwane zezinye izitho kunye neenkqubo zomzimba (hyperprolactinaemia, ukungaphumeleli kwindlala, ukungazi kakuhle, njl njl).
Ukuntuleka komzimba ophuzi kubonakala njani ngexesha lokukhulelwa?
Ukungabikho komzimba ophuzi kunempawu ezilandelayo, ezihambelana nomnye:
- ukuphulwa komjikelezo wokuya esikhathini ngenxa yokungakwazi ukuvelisa i-progesterone kwimali efunekayo, ngokubhekiselele kuyo, i-endometrium ayinyuli kwaye umjikelezo uqhubeka;
- ubunzima bokufaka iqanda elixutywe ngobuncitye libe yinqwelwana elincinci le-endometrium kwesi sizathu esingentla.
- ukuba kuyenzeka nokuba kufakwa, inqanaba elingaphantsi le progesterone liholele ekuphumuleni (ukukhulelwa kwesisu) okubangelwa ukuphambana okukodwa kwesibeletho.
Indlela yokuphatha ukungabikho kwe-corpus luteum?
Njengoko sibona, ukusilela ukusebenza komzimba ophuzi-ukugula okufuna unyango oluyimpoqo, oluyisongelo lokwenene lwesisu somntwana. Yaye nangona kwi-trimesters yokuqala okanye yesibini yokukhulelwa kwakungabikho ukukhulelwa kwesisu, kwisithathu kwisifo esi sithintela ukuphuhliswa kwe-placental insufficiency.
Ukungakwazi ukusebenza komzimba ophuzi kunikeza unyango olulungelelanisiweyo lweemodemoni ezikhuselekileyo kunye nomxholo weprogesterone. Ezi ziquka "i-Utrozhestan" (kwiifomsile), "Dufaston" (kwiipilisi), iprogesterone yemvelo (kwi-ampoules, esetyenziswa rhoqo esibhedlele), iifositories okanye i-suppositories kunye neprogesterone. Ukuze kuphephe imiphumo engathandekiyo, kubandakanywa nokupheliswa kwe-ovulation, ukuqeshwa kunye nokulinganisa iziyobisi kufuneka kwenziwe ngugqirha oqeqeshiwe ngokuzimeleyo.
Njengengxenye yonyango, ukubeka esweni rhoqo ukuqala kwe-ovulation ngeendlela ze-ultrasound, iimvavanyo ze-ovulation ekhaya, kunye nokuhlolwa kwegazi nge-progesterone kuyafuneka.
Ewe, umzimba ophuzi ococekileyo, ukukhusekisa kwangaphambili kunye nokulondolozwa kokukhulelwa okufunayo!