Jwayelekile usayizi wesibeletho kwabesifazane ngaphambi futhi emva kokubeletha

Ukuzalwa impilo entsha - kuba umcimbi obalulekile yonke wesifazane. Uma kokukhulelwa kwenzeka, futhi umzimba luzoqala Iqanda elivundisiwe, zonke izitho zomzimba kanye izinhlelo ukuqala kabusha global. izinguquko eziningi ngaphansi kwezitho zobulili, kusukela kuzo wonke inkathi sokukhulelwa luyokhula nokuthuthukisa umntwana. Izakhiwo ukuthi abahileleke ngokuqondile inqubo nokugcina wengane ezikhiqiza amaqanda. Basuke ehlaselwe isimo abesifazane kwasekuqaleni. Phakathi nenkathi yokukhulelwa okushintsha olingene ka ezikhiqiza amaqanda, umsebenzi wabo-hormone, kanye nekhono ukukhiqiza amaseli ubulili besifazane.

umsebenzi wesibeletho kwabesifazane

Ezikhiqiza amaqanda ukwenza umsebenzi obalulekile - ukukhiqiza iqanda. Nyanga zonke emzimbeni womuntu wesifazane asitholayo uchungechunge izinguquko cyclical, ngenxa lapho kokukhulelwa sezivuma njalo ngenyanga.

umsebenzi wesibeletho:

1. Kutfutfukiswa amaqanda. Le nqubo kwenzeka phakathi ngamunye umjikelezo wokuya esikhathini. Phuma ukulungele zalisa amaseli besifazane ngokujwayelekile kwenzeka ngosuku lwe-14 kusukela ekuqaleni. Phakathi nalesi sikhathi kancane siguqula olingene ezikhiqiza amaqanda e abesifazane. Zalisa iqanda eyabonakala kuphela ngesikhathi nge-ovulation, ngakho izindlela ezikhethekile sibalo athuthukile.
2. umsebenzi kwama-hormone. Phakathi umjikelezo ezivezwa amahomoni zesifazane main - estrogen futhi progesterone. Engxenyeni yokuqala kukhona ukuthuthukiswa estrogen adingekayo oocyte nokuvuthwa, okwesibili - progesterone, okuyinto buyasiza ekulondolozeni ukukhulelwa ngesikhathi sokukhulelwa.

Isakhiwo kanye evamile usayizi kwesibeletho futhi ezikhiqiza amaqanda ngaphambi kokuzalwa

Kwesibeletho futhi ezikhiqiza amaqanda zitholakala ngaphakathi ukhalo. Ngaphezu kulezi zitho, kukhona ingemuva, isinye, amashubhu fallopian, futhi engxenyeni engenhla sangasese. Kwesibeletho usesikhundleni ephakathi wamathumbu futhi kwesinye, ngokuvamile Ubukhulu bayo yilezi: obuphelele - 8 cm, ububanzi - 4 cm, isisindo - 50-70 cm Le amaqanda zitholakala nhlangothi zombili umzimba kwesibeletho, amashubhu fallopian ngoba .. On palpation we ezihlobene siphumputha e projection we sokunene nesobunxele iliac esifundeni. Ngokuvamile, awayona palpable (ngaphandle izintokazi Imizimba asthenic). Jwayelekile wesibeletho abesifazane nulliparous Ubukhulu: obuphelele - 4.5 cm ububanzi - 2,5, ukujiya - 2 cm.

Izinguquko esibelethweni kanye esibelethweni ngesikhathi sokukhulelwa

Phakathi sokukhulelwa izitho zesifazane zangasese babhekana nezinguquko enkulu. Kwesibeletho ngesikhathi sokukhulelwa period luyanda 36-40 cm ubude bese uba izikhathi 20 mkhulu ngesisindo (1 kg). imisipha Imicu yotshani wakhe zinwetshwe, futhi ifinyelela iqophelo "izici" zalo.

Usayizi ovamile we amaqanda ngesikhathi sokukhulelwa ingaphezu kwe Ubukhulu yabo koqobo amamilimitha angu ezimbalwa, njengoba kule nkathi igazi ligeleze ezithweni kwezitho zangasese luyanda, ngenxa yini Hyperplasia zabo kancane. Umsebenzi estrogen, futhi amaqanda okwamanje engekho, futhi ngosuku lokuqala endaweni progesterone - main i-hormone nenzalo umzimba female.

isikhathi Kwangemva Kokubeletha kanye nezinguquko ezihambisana naso

Kwangemva Kokubeletha nkathi izinsuku 42, okungukuthi amasonto 6. Kukholakala ukuthi phakathi nalesi sikhathi yomzimba wowesifazane has ukuthola ukusuka nenkathi yokukhulelwa nokubeletha, futhi ukuza esimweni saso sokuqala. Emva kokuzalwa impilo entsha ubuyisela zonke izinhlaka futhi izinhlelo, umama ululama ngalé mancane futhi kalula. Yokutakula kwenzeka zenhliziyo (ubalekela esinomhlapho kwegazi, okuyinto nakanjani umama nengane), kwehle Izinga lokuphefumula, uyalulama ukuchama evamile. Imisipha anterior udonga besisu futhi floor kwezitho zangasese amasonto kancane kancane phezu 6-8 ubudala zithole ithoni.

Jwayelekile usayizi amaqanda kanye kwesibeletho emva kokubeletha

Izinguquko ezinkulu zenzeka esibelethweni, njengoba ekukhulelweni ifinyelele usayizi esikhulu kakhulu. Ngesonto lokuqala, esezele usayizi wakhe lehla ngamaphesenti izikhathi 2, bese kuyehla ngumuntu ikota ekupheleni amasonto 6 kokuthola osayizi wangaphambili. Esikhathini esiyiminyaka kwangemva kokubeletha, inqobo nje uma lowo wesifazane engathandi ukuncelisa ingane, amaqanda emavikini ambalwa wabuyela imisebenzi yabo yangaphambili kanye nosayizi, okungukuthi, aqala ukukhiqiza i-estrogen bese ukulungiselela umzimba okwesikhathi kokukhulelwa entsha. Uma umama Udla ingane ubisi lwebele, i- "stop" i-hormone umsebenzi ihlala izinyanga ezimbalwa.

ultrasound okhalo kungokwemvelo

Ultrasonography abesifazane ngaphambi ukulethwa eyodwa yezindlela eziyinhloko ukuxilongwa pathologies izifo zabesifazane ezifana ukuvuvukala, ekwandeni izicubu hyperplastic (polyp, izinhlumba) kanye oncopathology umthondo. Ngaphezu kwalokho, iphethini echo kwesibeletho futhi ezikhiqiza amaqanda likhomba menstrual cycle isigaba ngaphansi kwezimo ezivamile (uma owesifazane enempilo), esiza ukunquma esifanelekile ukuhlela sokukhulelwa.

On ultrasound okhalo kwabesifazane ukunquma usayizi yabo, inani follicle, isakhiwo, ukujiya kanye kwabantu into zihlolwe. Jwayelekile wesibeletho ultrasound Ubukhulu: ububanzi - 30 mm, nobubanzi - 25 mm ubukhulu - 15 mm. Abantu bakholelwa izinto kancane amagugu nedatha encike esigabeni lomjikelezo futhi iqembu engu-isiguli. Usayizi wokugcina esibelethweni kuyinto phakathi umjikelezo wokuya esikhathini, okungukuthi, izinsuku ngaphambi nje kokuba nge-ovulation, ngoba ngalesi sikhathi follicle main safinyelela ukukhula omkhulu kunayo yonke futhi usulungele ukuhamba. Usayizi ejwayelekile amaqanda e abesifazane esikhathini menopause kancane esingaphansi engu zokuzala, ngoba umsebenzi wakhe yaphela Iqanda nokuvuthwa kwenzeka.

Ultrasound umthondo ngesikhathi sokukhulelwa

Ukukhulelwa okushintsha hhayi kuphela umsebenzi obusebenzayo ezikhiqiza amaqanda, kodwa isithombe sabo echo. Lapho uqala uvakashele emtholampilo ngokuzalwa impilo entsha njalo wezifo zabesifazane leluleka abesifazane ukuba ibhekane ocwaningweni ultrasound kwezitho okhalo. Ultrasound ekukhulelweni ekuseni wenziwa transvaginal. Lolu cwaningo kusivumela ukulinganisa kwasendaweni eside (sokukhulelwa evamile ungunina, okungukuthi, iqanda avundiswa unamathele umzimba kwesibeletho), inani izithelo, kanye khona noma ukungabi khona izinkinga.

Usayizi ovamile amaqanda womuntu wesifazane "e" kukhuphuke ngo-a kwangu ambalwa. Ngaphezu kwalokho, kukhona izinguquko iyunithi follicular kwezitho zokuzala (owodwa ukukhula follicle is hhayi waphawula, they are bonke okufanayo "non-asebenzayo" nesimo). udonga esibelethweni kulinganiselwe uqweqwe ngenxa luningi liningi igazi. Kwesibeletho kungokoqobo izinguquko ezinkulu, ezincike isikhathi sokukhulelwa. Isonto ngalinye kwenzeka futhi ukwandisa imisipha Imicu yotshani yayo eqine, ifinyelela kusayizi waso omkhulu phambi ukulethwa.

Ultrasound ukuhlola ezikhiqiza amaqanda ngesikhathi kwangemva kokubeletha

amasonto 6-8 emva kokubeletha US kungabonwa olingene ka ezikhiqiza amaqanda, okuyinto babenethuba ebeletha. Ngokushesha ngemva kokuzalwa umntwana ukukhanya value abo uhlala kancane ephakeme, baqala alulame ekupheleni amaviki 3. Uma owesifazane breastfeeds, izinguquko isigaba ezikhiqiza amaqanda amagugu okwamanje kungukuthi uyalandelwa. Ekuqaleni umjikelezo ovulatory, amaqanda baqale ukwandisa kancane ngenxa ekukhuleni follicle.