Ukuqonda ukuba kwaye nini na ukukhupha kubalulekile ekukhuseleni nokukhulelwa. Uninzi lwabasetyhini aluhambisi xa bepilisi. Amanye amabhinqa awanamsebenzi xa usebenzisa ezinye iindlela zokulawulwa kokuzalwa kwe- hormonal . Ukuqonda ukuba kutheni, kufuneka ukwazi ngokukodwa oko kwenzekayo xa utyhila , kwenzeka kaninzi kangakanani, kunye nantoni na i-ovulation ithetha.
Abasetyhini abaninzi badibanisa i-ovulation ngexesha labo, i-PMS, okanye ukukhulelwa. Ukwazi xa uhamba ngeyona nto inxalenye yendlela yokucwangcisa intsapho yokukhusela ukukhulelwa. Kwakhona kubalulekile ukwandisa ithuba lakho lokukhulelwa.
I siseko
Ukuqonda xa uhamba, qalisa ngeenkcazelo eziphambili:
- Ukuvuthwa : i-ovulation ibhekisela kwixesha leqanda elivuthiweyo (mhlawumbi ngaphezulu) kukhutshwa kwi-ovary yakho. Ngeli xesha, iqanda lifumaneka ukuba lizaliswe ngumntu-oku kuholela ekukhulelweni.
- Ixesha lokuya esikhathini: Ukuhamba kwakho kwexesha kuya kuqala ngosuku lokuqala lwenyanga. Ixesha lakho livela ngenxa yenguqu ye-hormonal eyenzekayo xa iqela likhutshiwe, lucetywanga, kwaye lifa. Ezi hormone zixelela umzimba wakho ukuba akukho khulelwe, ngoko ke ubele lwakho luqala ukugalela umbane walo ukulungiselela usuku olulandelayo lwe-ovulation.
Ngubani Ovulates?
Ukuba nexesha lokuya esikhathini kunesibonakaliso sokuba uye wavula.
Ukuvuthwa ngokuqhelekileyo kwenzeka ngokuphakathi kwimijikelezo yakho yokuya esikhathini. Ngoko xa unethuba, kuthetha ukuba uqala umjikelezo wakho ozayo kwaye mhlawumbi uvezwe ngexesha lomjikelezo wakho wangaphambili. Le yindawo enye enokukufumana enkingeni. Abaninzi abasetyhini abangenayo ixesha ngexesha elithile (ngenxa yokuxinezeleka, ukukhulelwa kwesisu, ukuncelisa, ukuzala, njl.) Sebenzisa amaxesha abo ukuqinisekisa ukuba bavelisa (ovulating) kwakhona .
Kodwa, ukuba unesondo esingakhuselekanga ngaphambi kwesi sihlandlo, unokuba ngumngcipheko wokukhulelwa ukususela ekubeni ubuya kuvelela- ngaphambi kokuba ixesha lakho liqhubeke.
Ukuba unako ukuphuma kwegazi kwinyanga yonke, imiba yokungasebenzi, okanye imijikelezo engekho yimihla, ungenza okanye ungabi yi-ovulating. Ukuba oku kusebenza kuwe, kubalulekile ukuba uzame ukugqiba ukuba kwaye nini na. Unokufuna ukufumana uncedo lugqirha kwaye ube neengxaki zegazi ukuqinisekisa ukuba uye wavotela okanye uhamba.
Uninzi lwabafazi bexesha lokuhamba kwimihla yokugqibela kweentsuku ezingama-28 ukuya kwi-35. Kubonakala ngathi kukho ukuhamba okuncinane kumjikelezo phakathi kwabasetyhini abaneminyaka engama-20 nangama-40. Kodwa, unokuba nobunzima bezinto ezijikelezayo kwixesha eli-5 ukuya kweyisixhenxe emva kokuba uqala ukufumana ixesha lakho kunye neminyaka eyi-10 edluleyo ngaphambi kokumisa umva ( ukuyeka umjikelo wakho). Ngokuqhelekileyo, ubude bakho bexesha lokuhamba ukuya kwimizuzu uhamba malunga neminyaka eyi-25 ukuya kwe-30 kwaye emva koko uhla lwe-slows-ke kutheni amabhinqa angama-40 angama-cycles.
Ukuvuthwa kunye nePilisi okanye ukuKhulelwa kweHormonal
Ukuba uthembela ngokusetyenziswa kokukhulelwa kwe-hormonal (ngokukodwa indlela yokudibanisa equle zombini i- estrogen kunye neprogesin ) awuyikuvutha. Impendulo enoba uyayifaka kwi pilisi ayikho .
Amahomoni kwipilisi kunye neendlela ezininzi ze-hormone ziyakumisa ukuba u-ovulating-yintoni eyenza ukuba iindlela zokulawula ukuzalwa ziphumelele. Yeka iqanda ekukhutshweni ngokulinganayo ayikho iqanda, akukho nto yokuba isidoda sizalise, kwaye akukho ntsana.
Ukuba usebenzisa ipilisi okanye iindlela zokulawula ukuzalwa kwama-hormone akudingeki uzame ukulandelela i-ovulation ngenxa yokuba awuyikuvutha. Awunawo "iintsuku ezivumileyo" phakathi kwenyanga. Awunasengozini yokukhulelwa ke kunanoma yimuphi umhla wenyanga. Kulabo abasebenzisa iindlela ze-hormonal, izinto ezinobungozi zokungaphumeleli kokukhulelwa komzimba ziyakwenza ntoni xa ukhumbula ukuthabatha iipilisi , utshintshe i-patch yakho , okanye ukuba i- NuvaRing yakho iphantsi , njl.
Ngale ndlela, kufuneka uqinisekise ukuba kukho i-hormone eyaneleyo emzimbeni wakho ukukuyeka ukuhamba. Ukuba uphoswa iipilisi ezininzi (ngokukodwa ngeveki yokuqala yepilisi yepilisi okanye ekupheleni kweveki 3, apho kufuneka ube nehomoni eyaneleyo eyakhelwe ukukhusela kwi-Week 4 engenakho i-hormone), usenokuba yingozi ye-ovulating.
Yintoni Eyenzekayo Kuye Emva Kwakho?
Umjikelezo oqhelekileyo wokuhamba ukuya kwimihla ngumjikelezo ochanekileyo weenguqu ze-hormone ezivelisa iqanda elivuthiweyo (i-oocyte). Ngenyanga nganye, uthotho lweziganeko zenzeka emzimbeni wakho, olwahlula ngokwezobugcisa kwisigaba sobuqili kunye nesigaba esilandelayo.
Isigaba sesilandeleko siqala ngosuku lokuqala lwenyanga yakho (okubhekwa ngoSuku 1 lomjikelezo wakho):
- Amanqanaba e-estrogen kunye neprogesterone anceda ubuchopho bakho buvelise i-hormonone-ukukhupha i-hormone (GnRH).
- I-GnRH iya kusebenze i-pituitary gland ukukhulula ihomoni ye-follic-stimulating hormone (FSH).
- I-FSH ibangela ukuba ulandelelwano lwakho lukhule, kwaye njengoko lukwenza, lubangela ukuveliswa kwe-estrogen.
- I-follicle ikhula, iindonga zakho zinyama ziba zikhulu kakhulu (ukulungiselela ukutshalwa kwendlela enokwenzeka) kwaye i-mucus yakho yomlomo iba yincinci kwaye ilula.
- Amanqanaba akho e-estrogen akhula ngaphezu kweentsuku ezili-10 ezizayo kwaye ngokuqhelekileyo unyuke olunye usuku ngaphambi kokuba uguqe (kumjikelezo weentsuku ezingama-28, oku kwenzeka ngoSuku 13).
- Le ntlanzi ye-estrogen iqala i-hormone ye-luteinizing (LH).
Emva kokuba kuqhutywe le ndawo, ngoku uyingxenye yesigxina somjikelezo wakho:
- Amanqanaba okwandiswa kwe-LH ayifumanisa isilumko se-ovari, kwaye uza kuvula iiyure ezingama-24 ukuya kuma-36 kamva.
- Emva kokuba uvula (iqanda likhishwa), lishiya ngasemva kwe-corpus luteum (i-follicle engenanto).
- Iprogesterone ekhutshwe kwi-corpus luteum emva kokuba i-ovulate iza kubangela ukunyuka kwamaqondo okushisa emzimbeni (ubushushu bakho xa uphumle ngokupheleleyo) kwi-0.5 F.
- Ukuba iqanda lingazalwanga, amazinga akho e-LH aqala ukuncipha kwaye enze ukuba i-corpus luteum iqale ukuhlaziya nokuvelisa i-progesterone encinane kunye ne-estrogen.
- La mazinga e-hormone aphantsi enza ukuba izinga lokushisa lomzimba wakho linciphise, bonisa uphawu lwakho lobuchopho ukuba uqale umjikelezo wonke kwakhona kwaye uqalise umbane we-uterine ukuba uchithe-ngaloo ndlela uqala ixesha lakho elizayo.
Esi siqingatha sokuqala somjikelezo wakho (isigaba senkundla) singahluka kakhulu kumfazi ngamnye, ngokuqhelekileyo sihlala phakathi kweentsuku ezili-14 neye-21. Isiqingatha sesibini somjikelezo wakho (isigaba sogqithiso) sinexesha elichanekileyo-eliqala ngosuku ovuthayo kwaye luhlala luhlala kwiintsuku ezili-14. Ngokuqhelekileyo ayifani ukuhluka ngaphaya komhla kumntu ngamnye.
Usuku Oluhluphayo
Ukuchonga xa utyumba, kufuneka ubale iintsuku ezingama-15 ukusuka ngosuku lokuqala lwenyanga yakho. Oku kunokwenzeka xa ukuqhubela kwe-LH yakho kwenzeka. Emva koko unokucinga ukuba uza kuvula i-1 1/2 iintsuku (iiyure ezingama-24 ukuya kuma-36) kamva. Ngomjikelezo weentsuku ezingama-28, oku kuya kuba yinto ethile ngomhla we-14 okanye ngo-15 (kuxhomekeke kwixesha lokunyuka kwe-LH kwenzeka). Ukubala xa uza kuvula, kufuneka:
- Bala ubuya kwiSuku 1 lomjikelezo wakho.
- Yenza imijikelezo ethembekileyo egcina ixesha elifanayo leentsuku nganye.
- Qaphela ukuba oku akusiyo inzululwazi echanekileyo-ezininzi izinto ezinjengexinzelelo, ukugula okanye ukuphazanyiswa kweziqhelo eziqhelekileyo, kunokuchaphazela okanye ukuphazamisa ukuveliswa kwehommone efunekayo ukuba uqhube.
- Qonda ukuba akusibo bonke abafazi abaza kuvula ixesha elifanayo nyanga zonke.
- Yazi ukuba akubona bonke abafazi abavuthayo-ingakumbi abasetyhini abanemijikelezo emfutshane yokuhamba esikhathini (iintsuku ezingama-25 okanye ngaphezulu kweentsuku ezingama-35).
- Khumbula-awuyikuvuthwa kwipilisi (okanye kwiindlela ezininzi zokulawula ukuzalwa kwe-hormonal).
Umthombo:
> Welt CK. "I-Physiology yomjikelezo oqhelekileyo wokuya esikhathini." Isemgangathweno. http://www.uptodate.com/contents/physiology-of-normal-stormal-cycle.