Ukuqonda ukuthi noma nini uma uvula isisindo kubalulekile ekukhulelaneni nokukhulelwa kanye nokukhulelwa. Abaningi besifazane abavuthisi uma bephepheni. Abanye besifazane nabo abavuni lapho besebenzisa ezinye izinhlobo zokulawulwa kokuzalwa kwe-hormonal . Ukuze uqonde ukuthi kungani, udinga ukwazi kahle okwenzekayo uma uvunguza , ukuthi kwenzeka kaningi kangakanani nokuthi yikuphi okushiwo yi-ovulation.
Abaningi besifazane badidanisa ukuvuthwa nge-time, PMS, noma ukukhulelwa. Ukwazi uma uvula i-ovulate yingxenye yendlela yokuhlela umndeni yemvelo ukugwema ukukhulelwa. Kubalulekile futhi ekwandiseni ithuba lakho lokukhulelwa.
Okuyisisekelo
Ukuqonda uma uvula, qala ngezincazelo eziyisisekelo:
- Ukuvota : ukuvuthwa kubhekisela esikhathini lapho iqanda elivuthiwe (mhlawumbe ngaphezulu) likhishwa ku-ovary yakho. Ngalesi sikhathi, iqanda liyatholakala ukuze litshalwe umuthi-lokhu kuholela ekukhulelwe.
- Isikhathi sokuya esikhathini: Isikhathi sakho sokuya esikhathini siqala ngosuku lokuqala lwenyanga yakho yokuya esikhathini esizayo. Isikhathi sakho senziwa njengomphumela wezinguquko ze-hormonal ezenzeka lapho iqanda likhishwe, aligculwanga futhi lifa. Lawa ma-hormone athi umzimba wakho awukho ukukhulelwa okwenzekile, ngakho-ke isisu sakho siqala ukukhipha ubhedu ukuze silungiselele usuku olulandelayo lokuvota.
Ubani Ovulates?
Ukuba nenqubo yokuya esikhathini ngokuvamile kuyisibonakaliso sokuthi uhambisile.
Ukuvuthwa ngokuvamile kwenzeka phakathi nomjikelezo wakho wokuya esikhathini. Ngakho uma unenkathi, kusho ukuthi uqala umjikelezo wakho olandelayo futhi kungenzeka ukuthi uvulwe phakathi nomjikelezo wakho wangaphambilini. Le yindawo eyodwa engakungena enkingeni. Abesifazane abaningi abangakabi nesikhathi esithile (ngenxa yokucindezeleka, ukweqa isisu, ukubeletha, ukubeletha, njll) sebenzisa izikhathi zabo ukuze banqume ukuthi bavundile (ovulating) futhi .
Kodwa, uma ubuye ucansi olungavimbelwe ngaphambi kwalesi sikhathi, ungase ube engozini yokukhulelwa ngoba ngabe usuvele uvalile- ngaphambi kokuba isikhathi sakho siqale.
Uma unesifo esiningi ngokweqile ngenyanga, izinkinga zokungabi nabantwana, noma imijikelezo engavamile yokuya esikhathini , kungenzeka noma ungahle ukhishwe. Uma lokhu kusebenza kuwe, kubalulekile ukuthi uzame ukunquma ukuthi uma uvula nini futhi nini. Kungase kudingeke ufune usizo lodokotela futhi uphinde uhlolwe igazi ukuze uqinisekise ukuthi uke wavotela noma uvusa.
Iningi labesifazane besifazane esikhathini sokugcina kwezinsuku ezingu-28 kuya kwezingu-35. Kubonakala sengathi kunokuhluka okuncane komjikelezo phakathi kwabesifazane abaneminyaka engama-20 no-40. Kodwa, ungase ube nokushintshashintsha komjikelezo omkhulu phakathi neminyaka emihlanu kuya kweyisikhombisa emva kokuba uqale isikhathi sakho kanye naseminyakeni eyishumi edlule ngaphambi kokuya esikhathini sokuya esikhathini ( ukuyeka komjikelezo wakho). Ngokuvamile, ubude besikhathi sakho sokuhamba esikhathini sikhombisa cishe eminyakeni engu-25 kuya kwezingama-30 bese kuthi kancane kancane amaconsi-yingakho abesifazane ema-40s angase abe nemijikelezo emifushane.
Ukuvuthwa kanye nePilisi noma Ukukhulelwa KwamaHormonal
Uma usebenzisa ngokuvumelana nokwelashwa kwe-hormonal (ikakhulukazi indlela yokuhlanganiswa equkethe kokubili i- estrogen ne- progestin ) awukhiphi. Impendulo yokuthi ngabe uvula iphilisi cha cha .
I-hormone epilisi futhi eziningi zalezi zindlela ze-hormonal zikuvimbela ukuba u-ovulating-yilokho okubenza kube izindlela zokulawula ukubeletha okuphumelelayo. Misa iqanda ekukhululweni lingalingani neqanda, akukho lutho lokuthi insimu ikhule, futhi ayikho ingane.
Uma usebenzisa iphilisi noma izindlela zokulawula ukubeletha kwe-hormonal akudingeki uzame ukulandelela i-ovulation ngoba awuhambisi. Awunayo "izinsuku eziningi ezivundile" phakathi nenyanga. Awusengozini yokukhulelwa ke kunanoma yimuphi omunye usuku lwenyanga. Kulabo abasebenzisa izindlela ze-hormonal, izici ezingozini zokuhluleka kokukhulelwa komzimba zihlobene uma ukhohlwa ukuthatha amaphilisi , shintsha i-patch yakho , noma uma i- NuvaRing yakho iphuma , njll.
Ngalezi zindlela, kudingeka uqiniseke ukuthi kukhona ama-hormone anele emzimbeni wakho okukuvimbela ekuvuthweni kwe-ovulation. Uma uphelelwa amaphilisi amaningi (ikakhulukazi phakathi nesonto lokuqala lepilisi yepilisi noma ekupheleni kweviki 3, lapho udinga ukuba nehomoni elanele eyakhiwe ukuze ikuvikele ngeviki elingenayo i-hormone 4), ungase ube engozini for ovulating.
Kwenzekani Kuze Futhi Ngemva Kokuvotela?
Umjikelezo wakho ojwayelekile wokuya esikhathini ungumjikelezo ovumelanisiwe wezinguquko ze-hormone ezenza ukhiqizwe iqanda elivuthiwe (i-oocyte). Inyanga ngayinye, uchungechunge lwezehlakalo lwenzeka emzimbeni wakho, ohlukaniswe ngokweqile kwisigaba se-follicular kanye nesigaba se-luteal.
Isigaba se-follicular siqala ngosuku lokuqala lwenkathi yakho (okubhekwa njengeSuku 1 lomjikelezo wakho):
- Amazinga aphansi e-estrogen ne- progesterone asiza ubuchopho bakho bukhiqize i-hormonone (GnRH) ye-gonadotropin-release.
- I-GnRH izobe isebenzise i-pituitary gland ukuze ikhulule i-hormone-evuselela i-hormone (FSH).
- I-FSH ibangela ukuthi u-follicle wakho ukhule, futhi njengoba kunjalo, kubangela ukukhiqizwa kwe-estrogen engaphezulu.
- I-follicle ikhula, izindonga zakho ze-uterine ziba zikhulu kakhulu (ukulungiselela ukufakelwa okukhona okungenzeka) futhi umsizi wakho wesibeletho uba mncane futhi ulula.
- Izinga lakho le-estrogen likhuphuka ngaphezu kwezinsuku ezingu-10 ezizayo futhi kuvame ukuphakama ngosuku olulunye ngaphambi kokuba uvule (emjikelezweni wosuku lwama-28, lokhu kwenzeka ngoSuku 13).
- Le nsipho ye-estrogen iqala ukuqhuma kwe-hormone lithini (LH).
Ngemuva kwalokhu kuqhuma kwenzeka, manje usesiqenjini se-luteal somjikelezo wakho:
- Amazinga akhuphuka we-LH athola i-follicle yama-ovari, futhi uzokhipha amahora angama-24 kuya kwangu-36 kamuva.
- Uma ususa (iqanda likhishwa), lishiya ngemuva kwe-corpus luteum (i-follicle engenalutho).
- I-progesterone ekhishwe ku-corpus luteum ngemuva kokuthi uguqule izothuthukisa izinga lokushisa lomzimba (ukushisa kwakho uma uhlala ngokugcwele) ka-0.5 F.
- Uma iqanda lingakhuliswa, amazinga akho e-LH aqala ukwehla futhi abangela ukuba i-corpus luteum iqale ukuhlehlisa futhi ikhiqize i-progesterone ne-estrogen encane.
- Lawa mazinga e-hormone aphansi enza ukuba izinga lokushisa lomzimba wakho linciphise, ubonise ubuchopho bakho ukuthi uqale umjikelezo wonke futhi uphethe umbhede we-uterine ukuze uchithe-ngaleyo ndlela uqala isikhathi sakho esilandelayo.
Le ngxenye yokuqala yomjikelezo wakho (isigaba se-follicular) ingahluka kakhulu kowesifazane ngamunye, ngokuvamile uhlala phakathi kwezinsuku ezingu-14 no-21. Ingxenye yesibili yomjikelezo wakho (isigaba se-luteal) ngokuvamile sinomngcele wesikhathi esicacile-kuqala ngosuku ovula ngalo futhi ngokuvamile luhlala izinsuku ezingu-14. Ngokuvamile akufani neze okungaphezu kosuku kumuntu ngamunye.
Usuku Owuvuthayo
Ukuze unqume ukuthi uhamba nini, udinga ukubala izinsuku ezingu-15 emuva kusukela ngosuku lokuqala lwenkathi yakho. Lokhu kungenzeka uma ukuqhuma kwakho kwe-LH kwenzekile. Khona-ke ungacabanga ukuthi ngabe ukhiphe izinsuku ezingu-1 1/2 (amahora angu-24 kuya kwangu-36) kamuva. Ngomjikelezo wosuku lwezinsuku ezingu-28, lokhu kuzoba isikhathi esithile ngoSuku 14 noma ngo-15 (kuye ngokuthi isikhathi sokuqhuma kwe-LH kwenzeka kanjani). Ukubala ukuthi uzokhipha nini, udinga uku:
- Bala emuva kusuka ku-Day 1 womjikelezo wakho.
- Yenza imijikelezo ethembekile egcina inombolo efanayo yezinsuku njalo.
- Qaphela ukuthi lokhu akuyona isayensi eqondile-izici eziningi, njengokucindezeleka, ukugula noma ukuphazanyiswa kwemizila evamile, zingathinta noma zivimbele ukukhiqizwa kwe-hormone okudingeka ukuba ukhiphe.
- Qonda ukuthi akubona bonke abesifazane abazokhipha isikhathi esifanayo njalo ngenyanga.
- Yazi ukuthi akubona bonke abesifazane abavuthayo-ikakhulukazi abesifazane abanemijikelezo emifushane yokuya esikhathini (ezinsukwini ezingaphansi kwezinsuku ezingu-25 noma ngaphezulu kwezinsuku ezingama-35).
- Khumbula-awuketshezi iphilisi (noma ngezinhlobo eziningi zokulawula ukuzalwa kwe-hormonal).
Umthombo:
> Welt CK. "I-Physiology ye-cycle evamile yokuhamba esikhathini." Kusesikhathini. http://www.uptodate.com/contents/physiology-of-the-normal-menstrual-cycle.