Ukuvuthwa - ukukhululwa kweqanda kungena emgodini wesisu kusukela ku-ovary emva kokuphuka kobuciko. Ngaphandle kokuvuthwa, ukuqala kokukhulelwa akunakwenzeka, ngakho-ke kubalulekile ukugqugquzela i-ovulation. Izindlela zokwelapha nezidakamizwa ezikhuthaza ukuvuthwa, udokotela ukhetha, kuye ngezizathu zokungabikho. Ukuzibeka, zihlelwe ukuthi zihlolwe ama-hormone futhi ziqhubekele ukuhlolwa kwe-ultrasound. I-Ultrasound iqalwa ngosuku lwesishiyagalombili lomjikelezo futhi yenziwa njalo ezinsukwini ezintathu ngaphambi kokuvuthwa noma ukuqala kokuya esikhathini.
I-ovulation ivuselela kanjani?
Amalungiselelo okuvuselela i-ovulation aqukethe izinhlobo ezimbili zamahomoni:
- i-horlicone-stimulating hormone (FSH);
- Ukuqondisa i-hormone (LH).
Kungenxa yabo ukuthi i-follicle ikhula nokuvuthwa kwenzeka. Kumalungiselelo aqukethe ama-hormone anjalo, ukukhathazeka:
- I-Clostilbite (evame ukusetshenziswa kakhulu);
- I-Pureghon;
- I-Menogon;
- I-Gonal;
- abanye.
I-Klostilbegit isiza ukukhiqiza kokubili izinhlobo zamahomoni (i-FSH ne-LH). Isidakamizwa siqala ukuthatha ngosuku lwe-5 lomjikelezo futhi kuthatha izinsuku ezingu-9 ezihlanganisa ithebulethi eli-1. Uma i-klostilbegit ngesizathu esithile ayifanele, ungayifaka esikhundleni sesinye isidakamizwa. Isibonelo, ukugqugquzelwa kwe-ovulation kungenziwa nge-puregon. Iqukethe kokubili izinhlobo zamahomoni, kodwa ibhekisela enhlobonhlobo yemithi ehlukile. Ukwamukelwa kwe-Puregon, njenge-menogonas, kuqala ngosuku lwesibili lomjikelezo bese kuphela ngemva kwezinsuku ezingu-10. Ukukhuthazwa ngalezi zidakamizwa kufaneleka kokubili ukusabalalisa kwemvelo nokufakelwa. Omunye umuthi yi-Gonal. Ukukhuthazwa kwe-ovulation yi-cholera kuqala ngehora elingu-1 lomjikelezo (uma umjikelezo wokuya esikhathini ungaphuliwe). Isikhathi sokwelashwa sinqunywa yi-ultrasound noma ngezinga lokuhlushwa kwe-estrogen egazini.
Ngemuva kwezidakamizwa, i-ultrasound inqunyiwe, eyenziwa izikhathi eziningana ngaphambi kokuqinisekisa ukuthi izintambo zifinyelele usayizi oyifunayo. Isinyathelo esilandelayo ekuvuseleleni ukuvuthwa yi-injection ye-hCG. Kudutshulwe isikhathi 1, futhi ku-ovulation yosuku kwenzeka.
Ngaphezu kwalokho, uma izidakamizwa ziveza umphumela omuhle futhi ukukhulelwa sekufikile, ukulungiswa kweprogesterone kunqunyelwe ukugcinwa kwayo. Imithi enjalo njenge-utrozhestan kanye ne-dyufaston ayifuni nje ukugqugquzela i-ovulation, kodwa kunalokho ingabavimbela. Yingakho esigabeni sokuqala somjikelezo abaqokwe.
Noma yiziphi izindlela nemithi yokugqugquzela i-ovulation ayifakiwe, kufanele aqokwe udokotela futhi emva kokuhlolwa!