Isisu sokumelana nomzimba - yintoni, iimpawu, iziphumo

Eli gama elithi "ingqungquthela yokugqala" lisetyenziselwa rhoqo kwi-gynecology. Ngaphantsi kweso siqhelo ukuqonda ngokukhawuleza, ukupheliswa kwexeshana kweentlobano zesini zesini. Inkqubo yokwenza unyango olongezelelweyo lwenkqubo yokuzala iyenziwa. Makhe siqwalasele ngokubanzi iinkqubo ezifanelekileyo zokuphunyezwa kwayo, amalungiselelo, iimpawu zesigxina somsebenzi.

Ukufakelwa kweMpahla yokuHluma

Ukunyuka kwexesha lokunyuka kwamathuba emzimbeni kwabasetyhini kuhambelana nokunciphisa ngokukhawuleza kwi-concentration ye-estrogens. Kule meko, intombazana isilungisa ukusekwa kwemimiselo ethile efakazela ukupheliswa kwenkqubo yokuzala. Isidingo sokwenyulwa okunjalo kubangelwa ubunzima benkqubo yokwelapha kwezi zifo ezifana:

• fibroma;
• myoma;
• endometriosis.

Yintoni yokubangela ukusilela kwesikhashana?

Kukho iindlela eziliqela zokubangela ukunyuka kwexesha. Ukukhetha kwabo kusekelwe kwiziphumo zophando kunye ne-anamnesis: ngaba zikhona iinkqubo ezingapheliyo kwinkqubo yokuzala, ukuvutha. Ukuthetha malunga nendlela yokwenza isithuba sokumisa umva, oogqirha babiza ezi ndlela zilandelayo zenkqubo:

1. Ukuphanda. Eyona ndlela inamandla kakhulu. Injongo ifumaneka ngokususa ngokupheleleyo i-ovaries (ovariectomy). Isetshenziselwa izicubu ezinobungozi zesini, isisu, umdlavuza webele. Inkqubo ayinakuphikiswa ngokupheleleyo - umfazi akakwazi ukuba nabantwana.
2. Radial. Ngale ndlela, ukuphela komsebenzi wokuzala kunye nomsebenzi wee-ovane ufezekiswa ngenxa yomsindo we-radiological of the glands. Kusetyenziswa ekonyango kwezicubu ezimbi kwi-uterus nakwii-ovari. Utshintsho olwenzeka kwiingcambu zesini ngokwazo luyabonwa njengenxalenye yokubuyiswa kwakhona: ukubuyiswa kokuzala kunokuvela, kodwa kungekho rhoqo.
3. Zixutywe. Indlela eqhelekileyo isetyenziswa njengenxalenye yonyango oluyinkimbinkimbi. Kule meko, iziyobisi, iimpawu ezifanayo ze-hormonal of origin origin. Emva kokupheliswa kwenkqubo yokusebenza kweentlobano zesini zesimo sebhinqa zibuyiselwe ngokupheleleyo.

Isisu sokumelana nomzimba - iimpawu

Inkqubo yenziwa ngokuthe ngcembe. Njengoko i-hormone iqokelele, intombazana inokubona ukuba imbonakalo ehambelana nokuqaliswa kwesigxina somzimba wayo. Phakathi kwazo:

1. Ukunyanzeliswa kwenkqubo ye-psycho-vegetative. Into yokuqala ukuba isigulane sivakalelwa kukuba kuvela kwintswelo yexesha lokutshisa. Ubume bawo bunokuhluka ukusuka kwiimeko ezingamanye ukuya kumaxesha angama-20 ngosuku. Ngelo xesha, kuphela i-20% yabasetyhini abayeke ukuva ngo-nyaka, abanye-bajamelana neminyaka eyi-3-5.
2. Izifo zengqondo. Ukuchaphazela umsebenzi wesistim somnyoba. Kubonakala ekunyuseni ukwanda, ukwethuka, ukuphazamiseka kokulala, ukutya, ukunciphisa i-libido.
3. I-Estrogen isweleko. Esi sibonakaliso, sihamba kunye ne-climax, sibonakaliswe ngoluhlobo olusenyukayo lobundlobongela, ukubonakala kokubamba kwindawo yesini. Ngexesha lezesondo, uvakalelo olubuhlungu lubonakalayo, okubangelwa ukuhlanganiswa okuphantsi kweengqungquthela zendawo yokulala, i-lubrication.
4. Ukuncipha kwengqondo. Kwafunyaniswa ukuba ii-estrogens zithintela iinkqubo zokuxilonga kwiingqondo. Nangona amantombazana amancinci aphethwe yintsilelo yokukhubazeka, ngokuphindaphindiweyo-ixesha elifutshane, kwiimviwo.

Ukulungelelaniswa kwexesha lokufakelwa komzimba

Ukuze kuqaliswe isigulane kulo mbuso, i-gonadotropin abachasayo isetyenziswa. Ukusetyenziswa kwexesha elide kwezi zinto kukuvimbela ukuhlanganiswa kwe-hormone ye-pituitary kunye ne-follicle-evuselela. Ngenxa yoko, i-estradiol incitshiswa kwigazi. Xa uqhuba ukusetyenziswa, iilenki ezilandelayo kwi-climax yokufakelwa zisetyenziswa:

• Lucrin;
• Buserelin;
• Diferelin.

Ukulungiswa kubonakaliswe nentshukumo ende, ngoko imfuneko yesicelo sosuku ngalunye ayikho. Idiza elilawulwayo leziyobisi livumelekile kwiiyure ezingama-24-72. Kule meko, i-regimen yonyango yenziwe ngokwayo. Ukongeza, ezi nkqubo zilandelayo zingasetyenziselwa inkqubo:

• iigestagens - Norkolut;
• i-antigonadotropins - iDanazol.

Phuma kwimiqathango yokumelana nosuku

Amantombazana anenkqubo enjalo, abahlala benomdla kumbuzo wendlela yokusinda kwintlanzi yokugqibela, kuya kwenzeka ntoni emva kokuphela kokuthatha amayeza. Kubalulekile ukuba uqaphele ukuba ixesha elifunekayo lokubuyiselwa kweentlanzi zesondo azifani ngazo zonke. Ukuqala kwakhona komsebenzi kubonisa ukuqala kokuhamba kwexesha. Ukumiswa komntu emva kokuba amahomoni anexesha elingalinganiyo. Ukukhutshwa kwezinto ezixhomekeke kwiiveki ezi-10 ukuya kwe-16 emva kokusetyenziswa kokugqibela kwesilwanyana ngendlela yeenjini. Ukuba bekulawulwa ngasese - iiveki ezi-4-10.

Ukuphuma kwimiqathango yokumelana nokuphuma kwesisu - iimpawu

Akusoloko umfazi enokuqonda ukuba uphume ngokupheleleyo kweli lizwe. Kufuneka kuqatshelwe ukuba uphawu oluphambili lwento enjalo njengendlela yokuphuma kwintlanzi yokugqibela, - i-ovulation, ijongwa emva kweeveki eziyi-8-14. Kule meko, ezi zilandelayo ziyakubonwa:

• isimo sengqondo sitshintsha;
• ukwanda kwamaqondo okushisa;
• ukwanda kwimiqulu yokukhulelwa kwamanzi;
• ukuvuvukala kweengcambu zentloko.

Ukumelana nokuphumula komzimba - iziphumo

Le meko ilawulwa ngokupheleleyo ngamagqirha, oko kukuthi, umzimba awukwazi ukushiya isisu sokumisa. Kwimeko yezifundo ezingakhethiweyo, ukungagcinwa kweemeko kunye nemiyalelo yonyango, iingxaki zingenzeka. Ngokwenza oko, oku akunqabile. Ezi ziquka:

• i-atresia ye-olican follicles - ukutshatyalaliswa kweeseli zentsholongwane ezingaphelelanga ukukhula;
• impembelelo yendawo yokusebenza yamathambo e-endometrium - iiseli ziphuhlisa. Ngenxa yoko, kunzima ukubuyisela umjikelezo wesini.

Ngaba ndiyakwazi ukukhulelwa kwesisu?

Lo mbuzo unomdla kwimantombazana enobomi bokuziphatha ngokwesini. Oogqirha bachaza ukuba ukukhulelwa, ngaphandle kokushiya isisu sokumelana nomzimba, akunakwenzeka. Inkqubo yokuzala injalo kwimeko yokuba i-ovulation ayikho. Ukuxinwa kweziyobisi kugcinwa kwinqanaba elithile, elikhuphe ngokupheleleyo le nkqubo. Kodwa ngexesha elifanayo kubalulekile ukuba ukhumbule ukuba emva kokuphela kokuthatha amayeza kufuneka unakekele ukukhulelwa.

Ukukhulelwa emva kokuphuma kwesisu

Ukubuyiselwa kokuya esikhathini emva kokuphuma kwesigxina kwimizuzu engama-4 ukuya kwe-10 emva kokupheliswa kokusetyenziswa kweziyobisi ze-hormone. Ngokuphathelele ucwangciso lokukhulelwa, lunokufika kwiinyanga ezili-3-4. Kubalulekile ukuthatha le ngqalelo, sebenzisa imithi yokukhusela ukukhusela isisu esingathandekiyo. Oogqirha bancomela ukusebenzisa iindlela zokukhawulela, ukuphelisa iipilisi ze-hormonal. Oku kuya kunceda ukunciphisa umthwalo kwinkqubo yokuzala. Ucwangciso lokukhulelwa lulawulwa ngugqirha oqwalasela umgangatho womzimba, uqhuba iimvavanyo kumazinga e-hormone, uhlola iinkqubo ze-ovulatory, kwaye uhlola nge-ultrasound.