Emva kokukhulelwa kwengane, isizinda se-hormonal owesifazane sishintsha kakhulu. Lokhu kuyadingeka ukugcina ukukhulelwa kanye nentuthuko evamile yentuthuko. I-progesterone ikhiqizwa okokuqala ngomzimba ophuzi emva kokuvuthwa, futhi ngokuhamba kwesikhathi lo msebenzi uwenziwa nge- placenta yengane. Indima ye-hormone yilungiselelo lomzimba wesifazane ukukhulelwa nokuzalwa kwengane. Ngenxa yomphumela we-progesterone, izindonga zesisu sezikhukhula futhi zishintsha isakhiwo sawo, zilungiselela ukuthola nokugcina iqanda elikhulelwe. Ngemuva kokukhulelwe, i-hormone ibuye ithinte ukuqedwa kokuya esikhathini lapho ukhulelwa, ukwanda kwezinhlayiya ze-mammary kanye nokulungiswa kwengqondo yowesifazane ekuzalweni kwengane. Ngakho, inani leprogesterone liphakeme ngokwanele. Ochwepheshe batusa ukuqapha izinguquko zayo. Lokhu kuzosiza itafula, lapho inqubo ye-progesterone ngesikhathi sokukhulelwa inqunywe amasonto. Ezimweni zokuphutha, umbuzo uxazululwa ngokuhlanganyela nodokotela kanye nokwelashwa okudingekayo kunqunywe.
Ithebula le-progesterone ekukhulelwe
Njengoba kubonakala kusukela etafuleni, umkhuba we-progesterone ekukhulelweni kokuqala, okungukuthi. ngo-1 trimester, ikhula njalo. Umkhuba ofanayo ubonakala ngaphezulu.
Uma ukukhulelwa kwe-progesterone kuphakeme kunokwejwayelekile, kungasho ukungasebenzi emzimbeni kamama (isifo sikashukela, umsebenzi wezinso, izigulane ezithandwayo) noma ekuthuthukiseni i-fetus. Kulolu daba, udokotela uzohlinzekela ukuhlolwa okungeziwe futhi aphakamise umuthi wokwelapha, ngokuhambisana nokuxilongwa.
Ngokuvamile isimo esihlukile siyabonakala. Uma ngesikhathi sokukhulelwa, i-progesterone ingaphansi kwejwayelekile, ingaba uphawu:
- Ukwesatshiswa kokuphuma kwesisu;
- izinqubo zokuvuvukala;
- iqhwa, ukubambezeleka noma ukukhulelwa kwe-ectopic;
- ukuphuza ukuthuthukiswa kwe-fetus.
Imithi yamaHormonal, enqunywe ochwepheshe, ilawula izinga le-progesterone egazini labesifazane. Ngakho-ke, ukukhulelwa okuningi ngamazinga angenele we progesterone ekugcineni kugcina ngokuphepha. Kubalulekile ukukhomba inkinga ngesikhathi futhi ulandele izincomo zodokotela. Uma unikezwa ukuphathwa esibhedlela, ungakhathazeki futhi uhambe ngaphansi kokuqondiswa kochwepheshe.
Lapho ukudluliselwa kokufakelwa kubalulekile ngokukhethekile ukulawula izinga le-progesterone egazini. Uma i-IVF ivame ukuhlala emzimbeni wesifazane akwanele kule hormone (mhlawumbe lokhu kwakungenye yezizathu zokuphendukela kule ndlela yokukhulelwa). Ngakho-ke, izidakamizwa ezifanele zishiwo ngaphambi kwe-IVF nangemva kwalokho.
Kungakhathaliseki indlela yokukhulelwa, umuntu akufanele ahlanganyele ekuziphatheni. Udokotela kuphela ozobeka imithi ethile emithini edingekayo kuwe. Njengomthetho, izidakamizwa zemithi zivela emvelo, ngakho ziphephile impilo yomama nengane.