Ukuphuhliswa nokulondolozwa kokukhulelwa kunokwenzeka ngenxa yokusebenza ngokuqhelekileyo komzimba ophuzi - umgca wexeshana lwangaphakathi, owathi ngaphambi kweveki lama-20 kuvelisa okubizwa ngokuba yi-hormone-progesterone. Emva kolu xesha, le mishini ibelwe kwi-placenta.
Isenzo se progesterone siboniswa ekuqinisekiseni ukwandiswa okwaneleyo kwendlela yokusebenza ye-endometrium, emva kokuba ukucwiliswa kweqanda ukwenza "ukufika" okuchanekileyo kweqanda lomntwana kwiqanda le-uterine. Xa ukukhulelwa kwenzeka, umsebenzi we-hormone ukukhusela "ukulahlwa" kwembungu ngokulawula iziphambano zokhuseleko lwe-uterine ukwenzela ukukhusela ukuqala kokuya esikhathini. Ukongezelela, kuthintela ukuvuthwa okutsha. Ukuqonda umlinganiselo apho umzimba ophuzi uphilisa nomsebenzi wayo wokwakha ibhalansi ye-hormonal ngexesha lokukhulelwa, ubukhulu be-yellow "gland".
Umlinganiselo wamahomoni ovelisa umzimba ophuzi, ubeka ubungakanani bawo. Ngexesha elifanayo, utshintsho kwimvelaphi ye-hormonal lukhokelela ekubeni ngamaxesha ahlukeneyo wokukhulelwa abahlali rhoqo: kwiiyure zokuqala, umzimba ophuzi ukhula kuqala, kwaye kamva-kwiiveki ezingama-16 ukuya ku-20 zokukhulelwa-kuya kuba yincinci kwaye iphela ngokukhawuleza, ukunikezela amandla kwi-placenta, njengokuba khankanywe ngentla.
Ubukhulu obuqhelekileyo bomzimba ophuzi
Isiqhelo somzimba ophuzi ngexesha lokukhulelwa ngu-10-30 mm ububanzi. Ukugqithiswa kwimiba emininzi okanye ngaphantsi kwelo xabiso kubonisa izimo ezinjengokungaqiniseki okanye i-cyst yomzimba ophuzi, ofuna ukubuyiswa nokuqhelaniswa kwinqanaba leprogesterone kumzimba wesifazane. Ngoko, umzekelo, ukungahambi kakuhle komzimba okanye ukungafihli kwamaplanga kwenkqubo yokuzala umntwana kungakhokelela ekubeni ungathathi ngexesha elifanelekileyo ukuphelisa ukuxilongwa kokuntuleka komzimba ophuzi. Ukungaqiniseki kweprogesterone, ebonakaliswe ngumzimba omncinci (oya ku-10 mm ububanzi), unokuxhaswa kunye nokusetyenziswa kweprogesterone equkethe amalungiselelo (Dufaston, Utrozhestan).
I-cyst yomzimba ophuzi ngexesha lokukhulelwa ngumzimba onobunzima, ubungakanani bawo ububanzi buya kufinyelela kuma-6 cm. Akuyiyo ingozi ethile, kuba, nangona ubukhulu bayo bunjani, umzimba ophuzi uqhubeka uvelisa i-progesterone. Isimo se-cystic sinokuthi singabonakali okanye sineentlungu ezincinci kwisisu esisezantsi. Ngokuqhelekileyo, i-cyst kufuneka ichitheke yodwa, kodwa ke, ukwenzela ukuphepha iingxaki ezinokwenzeka (ukuphuma kwegazi, ukuxiliswa komzimba), ukubeka iliso kwimeko yayo kuyadingeka. Ngoko ke, ngexesha lokutshintshwa kwemisebenzi kwi-placenta, umzimba ophuzi udinga ukuhlolwa kwe-ultrasound.