Pfupi Luteal Phase: Zvinokonzera, Zviratidzo, uye Kurapa

Zvemukati

• Mhedziso
• Chii chinokonzeresa pfupi luteal chikamu?
• Zviratidzo zveiyo pfupi luteal chikamu
• Kuongorora pfupi luteal chikamu
• Kurapa kwepfupi luteal chikamu
• Nharo nezve luteal phase kuremara
• Iko hakuna chibvumirano chekuti ungaziva sei LPD
• Iko hakuna humbowo hwakajeka hwekuti LPD inokonzeresa kushaya mbereko
• Pane humbowo hushoma nezve kugona kweLPD kurapwa
• Matanho anotevera
• Mubvunzo:
• A:

Mhedziso

Iyo ovulation kutenderera inoitika muzvikamu zviviri.

Zuva rekutanga renguva yako yekupedzisira rinotanga chikamu che follicular, uko follicle mune rimwe remazai ako inogadzirira kuburitsa zai. Ovulation ndipo panoburitswa zai kubva mudumbu kuenda muFallopian tube.

Chikamu chekupedzisira chenyu chinotenderera chinonzi chinonzi luteal phase, chinoitika mushure mekubuda. Chikamu che luteal chinowanzotora kubva. Munguva ino, muviri wako unogadzirira mukana wekubata.

Iyo follicle mune ovary yako yaive nezai usati ovulation yachinja kuita iyo corpus luteum. Basa rekutanga reiyo corpus luteum kusunungura iyo hormone progesterone.

Progesterone inokurudzira kukura kana kuomarara kwetambo yechibereko chako. Izvi zvinogadzirira chibereko pakuiswa kwezai rakauchikwa kana "embryo".

Chikamu che luteal chakakosha mukutenderera kwekubereka. Vamwe vakadzi vanogona kuve neiyo pfupi luteal chikamu, inozivikanwawo se luteal phase chirema (LPD). Nekuda kweizvozvo, zvinowedzera kuomera kubata pamuviri.

Chii chinokonzeresa pfupi luteal chikamu?

Chikamu chipfupi che luteal ndechimwe chinotora mazuva masere kana mashoma. Iyo hormone progesterone yakakosha pakuisirwa uye nhumbu inobudirira.Nekuda kweizvi, ipfupi luteal chikamu chinogona kubatsira mukushaya mbereko.

Kana chikamu chipfupi che luteal chikaitika, muviri haubudise progesterone yakakwana, saka iyo yemukati yemukati haina kukura zvakanaka. Izvi zvinoita kuti zviome kuti zai rakaiswa mudumbu.

Kana iwe ukava nepamuviri mushure mekuvhara, chikamu chiduku che luteal chinogona kukonzera kukurumidza kubuda kwepamuviri. Kuchengetedza nhumbu ine hutano, iyo uterine lining inofanira kuva gobvu zvakakwana kuti "embryo" izvisunge pachayo uye ikure kuva mwana.

Chikamu chipfupi che luteal chinogona zvakare kuve nekuda kwekutadza kweiyo corpus luteum.

Kana iyo corpus luteum ikasaviga progesterone yakakwana, yako uterine lining inogona kudurura pamberi peyakaiswa mazai ezai. Izvi zvinogona kukonzera kutanga kuenda kumwedzi.

LPD inogona zvakare kukonzerwa nemamwe mamiriro, akadai se:

• endometriosis, mamiriro ezvinhu apo nyama inowanzo kuwanikwa mukati mechibereko inotanga kukura kunze kwechibereko
• polycystic ovarian syndrome (PCOS), chirwere chinokonzera kukura kwemazai ane madiki cysts
• chirwere chetachiona, chakadai sekunyanyisa kushanda kana kuti utachiona husingashandi, Hashimoto's thyroiditis, uye kushomeka kweodini
• kufutisa
• anorexia
• kunyanyisa kurovedza muviri
• kuchembera
• kunetseka

Zviratidzo zveiyo pfupi luteal chikamu

Kana iwe uine pfupi luteal chikamu, unogona kusaziva kuti pane dambudziko. Muchokwadi, haungafungire nyaya dzekubereka kusvikira iwe usingakwanise kubata pamuviri.

Kana iwe uchinetseka kuve nepamuviri, chiremba wako anogona kuferefeta mberi kuti aone kana uine LPD. Zviratidzo zvinogona kusanganisira:

• kutanga pane zvakajairika zvekuenda kumwedzi
• kuona pakati penguva
• kutadza kubata pamuviri
• nhumbu

Kuongorora pfupi luteal chikamu

Kana iwe usingakwanise kubata pamuviri, kufunga chikonzero chiri padanho rekutanga kunatsiridza mikana yako yekubata. Taura nachiremba wako nezve kushaya mbereko.

Vanogona kuitisa bvunzo dzakasiyana kuti vaone kana kushaya mbereko kunokonzerwa nekapfupi luteal chikamu kana imwe mamiriro. Iwe unogona kunge uine kuongororwa kweropa kuti uone makwikwi ako emahormone anotevera:

• follicle-inosimudzira mahormone (FSH), iyo hormone inoburitswa neiyo pituitary gland inogadzirisa ovary basa
• luteinizing hormone, iyo hormone iyo inokonzera ovulation
• progesterone, iyo hormone inomutsa kukura kweiyo uterine lining

Uye zvakare, chiremba wako anogona kukurudzira endometrial biopsy.

Munguva yeiyo biopsy, idiki sampuro yako uterine lining inounganidzwa uye kuongororwa pasi pe microscope. Chiremba wako anogona kutarisa kuwanda kwetambo.

Vanogona zvakare kuraira pelvic ultrasound kuti iongorore hukobvu hwechibereko chako chechibereko. Iyo pelvic ultrasound muyedzo wekufungidzira unoshandisa mafungu ezwi kugadzira mifananidzo yemitezo munzvimbo yako yepelvic, kusanganisira yako:

• mazai
• chibereko
• wechibereko
• fallopian machubhu

Kurapa kwepfupi luteal chikamu

Kamwe kana chiremba wako aona chikonzero chinokonzera LPD yako, kubata kunogona kuitika. Muzviitiko zvakawanda, kurapa chikonzero kwakakosha mukuvandudza kubereka.

Semuenzaniso, kana ipfupi luteal chikamu chinoguma nekunyanyisa kurovedza muviri kana kushushikana, kudzikisira yako chikamu chezviitiko uye kudzidza kusagadzikana manejimendi kunogona kukonzera kudzoka kweyakajairwa luteal chikamu.

Matekiniki ekuvandudza kushushikana mazinga anosanganisira:

• kudzikisira zvisungo zvemunhu
• kufema kwakadzikama
• kufungisisa
• kurovedza muviri zvine mwero

Chiremba wako anogonawo kukurudzira kuwedzera munhu chorionic gonadotropin (hCG), inova nhumbu yekuzvitakura. Kutora ichi chinowedzera kunogona kubatsira muviri wako kuburitsa yakakwira nhanho yehomoni progesterone.

Chiremba wako anogonawo kukurudzira kutora mamwe progesterone zvinowedzera mushure mekuvhara. Izvi zvinobatsira yako uterine lining kukura kusvika padanho iyo inogona kutsigira kuiswa kwezai rakaberekwa.

Dzimwe nzira dzekuwedzera mukana wako wekubata pamuviri dzinosanganisira mishonga, yakadai seclomiphene citrate, iyo inosimudzira maovari ako kuti abudise mamwe follicles uye kusunungura mamwe mazai.

Haasi ese marapirwo anoshanda kumukadzi wese, saka uchafanirwa kushanda pamwe nachiremba wako kuti uwane mushonga unoshanda kana kuwedzera.

Nharo nezve luteal phase kuremara

Kune dzimwe nharo pamusoro peLPD, nevamwe nyanzvi vachipokana nebasa rayo mukushaya mbereko uye kunyangwe iripo.

Ngatitarisei izvi kumberi.

Iko hakuna chibvumirano chekuti ungaziva sei LPD

Iyo endometrial biopsy yakagara ichishandiswa sechinhu chekuongorora cheLPD. Nekudaro, zvidzidzo zvakapfuura zvakaratidza kuti mhedzisiro yebhiopsy haina kuenderana nechero kubereka.

Zvimwe zvishandiso zvekuongororwa kweLPD zvinosanganisira kuyera huwandu hweprogesterone uye kuongorora tembiricha yemuviri (BBT).

Nekudaro, kana imwe yeidzi nzira yakaratidza kuvimbika nekuda kwekusiyana kwemaitiro uye misiyano pakati pevanhu.

Iko hakuna humbowo hwakajeka hwekuti LPD inokonzeresa kushaya mbereko

Muna 2012, iyo American Society of Reproductive Medicine yakaburitsa chirevo maererano neLPD uye kushaya mbereko. Mune chirevo ichi, vakati parizvino hapachina humbowo hwakakwana hwekutsvagisa kuti LPD pachayo inokonzeresa kushaya mbereko.

Imwe yedzidzo ya2017 yakawana kuti yakasarudzika kutenderera ine pfupi luteal chikamu yaive yakajairika, nepo zvinodzokororwa kutenderera neiyo pfupi luteal chikamu zvaive zvisingawanzo. Yakagumisa kuti chikamu chipfupi che luteal chinogona kukanganisa kwenguva pfupi, asi kwete kwenguva refu, kubereka.

Chidzidzo che2018 mumadzimai ari kuita in vitro fertilization (IVF) akatarisa luteal chikamu kureba uye chiyero chekuzvarwa. Vakaona kuti pakanga pasina mutsauko pachiyero chekuzvarwa mumadzimai ane mapfupi, avhareji, kana marefu luteal zvikamu.

Pane humbowo hushoma nezve kugona kweLPD kurapwa

IAmerican Society of Reproductive Medicine yakakurukura dzakasiyana siyana marapirwo eLPD muna 2012. Vakataura kuti parizvino hapana kurapwa kwave kuchiratidzwa nguva dzose kugadzirisa nhumbu zvibereko mumadzimai ane masikirwo echisikigo.

A 2015 Cochrane ongororo yakaongorora kuwedzera pamwe ne hCG kana progesterone mukubatsira kubereka.

Yakawana kuti kunyangwe marapirwo aya anogona kutungamira mukuzvarwa kwakawanda kupfuura kwenzvimbo kana kusarapwa, humbowo hwekushanda kwavo hwakanga husingaenzanisike.

Clomiphene citrate zvakare dzimwe nguva inoshandiswa kurapa LPD. Nekudaro, pane izvozvi pane kushanda kwayo.

Matanho anotevera

Kutadza kubata pamuviri kana kusangana nepamuviri kunogona kushungurudza uye kuodza moyo, asi rubatsiro rwuripo.

Izvo zvakakosha kuti iwe urege kufuratira kufungira kwekubereka.

Nokukurumidza iwe paunotsvaga rubatsiro kubva kuna chiremba kuti uone chakakonzera, nekukurumidza iwe unogona kurapwa uye kubatsira kuwedzera mukana wako wekubata nhumbu ine hutano.

Mubvunzo:

Unogona sei kuziva kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitsvaga kurapwa?

- Anonymous murwere

A:

Zvakaoma kuziva kana iwe uri kusangana neyakafupiswa luteal chikamu sezvo iwe ungasave uine chero zviratidzo kana zviratidzo. Kana iwe uri kuyedza kuve nepamuviri uye uchinetseka, kana iwe uri kusangana nemisikanzwa, iwe unofanirwa kutaura nachiremba wako kuti uone kana zvakakodzera kuti uongororwe zvikonzero zvekushaya mbereko. Izvi zvinogona kusanganisira kuyedza luteal chikamu chirema.

- Katie Mena, MD

Mhinduro dzinomiririra maonero enyanzvi dzezvekurapa. Zvese zvirimo ndezvechokwadi zvine ruzivo uye hazvifanire kutorwa sezano rekurapa.