Umjikelezo wokuphefumula ungumjikelezo owodwa wesigaba sokuya esikhathini, obonakala ukungabi khona kwe-ovulation phambi kokuphuma kwesikhashana okufana nokuphuma esikhathini. Ngokungafani nomjikelezo wesisu ovulisayo, i-follicle ye-ovary, efinyelele esiteji sokuvuthwa, ayikhiphi iqanda emgodini wesisu. Ngenxa yalokho, i-follicle ibuyele ekuthuthukiseni ukuthuthukiswa (i-atresia), okuholela ekunciphiseni izinga lamahomoni nokuthuthukiswa kokuphuma esikhathini.
Umjikelezo wokuphefumula - izimpawu
Ngezinye izikhathi umjikelezo ophuzizayo ungase ungaphumi ngokweqile nomjikelezo ojwayelekile, kodwa kwezinye izimo kungabangela ushintsho kumlingisi wesimiso. Ngenxa yokuthi umjikelezo wokuya esikhathini uyaqhubeka ngaphandle kokwakheka komzimba ophuzi, kanti isigaba esiphambanayo asiveli emva kwe-secretory, ukugcoba kungahambisana nokungabikho kokuya esikhathini, ukubonakaliswa okungajwayelekile noma ukuphuma kwamanzi amaningi. Futhi, ukuba khona komjikelezo wokugcoba kuqinisekiswa yi-graph monophasic yokushisa okuyisisekelo, okuhlala njalo kulo lonke umjikelezo wesimiso. Ngaphezu kwalokho, ukungabi khona kwezinguquko ekukhuculweni kwabesifazane phakathi komjikelezo kungabuye kube uphawu lomjikelezo ovuzayo.
Umjikelezo wokuphefumula - izimbangela
- izifo ze-hormonal (i-prolactin eyengeziwe, i-testosterone, njll);
- i-genetic pathology;
- i-polycystic ovary;
- ukungasebenzi kwama-ovari;
- ukubambezeleka ekuthuthukiseni ucansi;
- ukwephulwa komsebenzi ohlelweni lokuzala;
- isikhathi sokujikeleza esikhathini esencane;
- ukuphuma esikhathini.
Ngokuvamile, ukugcoba kwenzeka ngesikhathi sokuvuselelwa komzimba - isikhathi sokukhulelwa, isiphetho. Kulezi zimo, umjikelezo wokugcoba unomlingiswa wemvelo futhi awudingi ukwelashwa. Ngaphezu kwalokho, njengento engokwemvelo ingabonwa ngesikhathi sokukhulelwa kanye ne-postpartum lactation. Kulaba besifazane abaneminyaka yobudala bokubeletha, lezi zinkinga zingenzeka ngenxa yokucindezeleka okuqhubekayo, ukungondleki, izifo ezithile noma ukudakwa. I-pathological isimiso lapho umjikelezo ovuzayo uthatha uhlamvu oluhlelekile, kanye nokuphuma kwegazi. Ukungabi khona kwe-ovulation kungabangela owesifazane ukuba athuthukise ukungabi nesifo esibuhlungu.
Indlela yokunquma umjikelezo ovulekile?
Enye yezindlela ezinembile kunazo zonke zokunquma ukuvuthwa yizinga lokushisa okuyisisekelo. Nge-ovulation evamile ngaphansi kwethonya le-hormone yomzimba ophuzi we-progesterone, izinga lokushisa emathunjini amakhulu elikhuphuka liya kuma-37-37.2 degrees, eliphikelela kuze kube sekuqaleni kokuya esikhathini. Ngenxa yokungabikho komzimba ophuzi phakathi nomjikelezo ovuzayo, ukushisa okuyisisekelo akuhlali kushintshiwe. Futhi, izibonakaliso zokugcoba zingabonakala njengomphumela wokucwaninga ngegazi ezingeni lama-hormone obulili besifazane ngezigaba ezahlukahlukene zomjikelezo wesimiso. Ukwengeza, ukuxilongwa kungenziwa ngesisekelo sokuhlolwa kwe-ultrasound engaphumelela noma ngenxa yokuphulukiswa kwe-mucosa ye-uterine nokuhlolwa kwe-scrapings.
Umjikelezo wokuphefumula - ukwelashwa
Ukuphazamiseka kokujikeleza kokuya esikhathini kunesifo sengculazi kanye ne-endocrinologists. Ukukhetha indlela yokwelashwa kuxhomeke emibhalweni yokuhlolwa, ubude besifo, iminyaka yesiguli kanye
- Yeka ukuphuma kwegazi (uma kukhona);
- ukuqokwa kwezidakamizwa ze-hormonal ukulungiswa okuhle kwama-hormonal disorders kanye nokubuyiselwa komjikelezo ojwayelekile wokuya esikhathini;
- Amalungiselelo okuvuselela i-ovulation anqunyelwe ukubuyisela ukuzala.
Ngaphandle kokwelashwa okuyisisekelo, udokotela ongena khona angakwazi ukubeka izinqubo ze-physiotherapy, ezibandakanya ukwelapha udaka nokusikhipha umzimba.