Paikikala Menstrual: ka pae luteal
ʻO ke kaʻina hope loa o ka pōʻai menstrual, ke ʻano nui o ka pae luteal i ka momona o ka wahine ma ka ʻae ʻana, i ka hanana o ka momona, ka hoʻokomo ʻana o ka hua manu a me ka mālama ʻana o ka hāpai keiki. Pehea e holo nei? Āhea ia e kākoʻo ʻia ai? Kekahi mau mea o ka wehewehe.
ʻO ka pae luteal i ka pōʻaiapuni ovarian: ʻo ka pae hope loa o ka pōʻaiapuni
Hoʻokaʻawale ʻia ka pōʻai menstrual i mau ʻāpana, pono no ka hana ʻana o ka oosit a me ka mālama ʻana o ka hāpai keiki ma hope o ka hoʻoulu ʻana.
- ka pae follicular hala ma kahi o 14 mau lā mai ka lā mua o kāu kau hope. I kēia wā, ua uhi ʻia kekahi mau oocytes i kā lākou ovarian follicle, kahi huna e like me kahi ʻeke liʻiliʻi, hoʻomaka e oʻo ma lalo o ka mana o ka pituitary hormone (FSH). E kipaku ʻia hoʻokahi wale nō o lākou.
- lʻovulation: I loko o kēia 24 a 48 mau hola, e hōʻailona ana i ka waena o ka pōʻaiapuni ovarian, hoʻonui nui ka huna ʻana o ka hormone luteinizing (LH). ʻO kāna kuleana: e hoʻokumu i ka haki o ka follicle a me ka kipaku ʻia ʻana o ka oocyte makua. Kapa ʻia kēia kapa ovula kau ʻana a i ʻole ovulation. I nā hola ma hope o ka hoʻoipoipo ʻana, hele ka oocyte i ka paipu fallopian kahi e kali ai ma mua o ka momona ... a i ʻole ka haki ʻana.
- pae luteal ʻo ia ka ʻāpana hope o ka pōʻaiapuni ovarian. ʻO kēia wā ma waena o ka ovulation a me ka wā aʻe aʻe ma waena o 12 a me 14 mau lā. I ka wā o ka luteal a ma lalo o ka hopena o ka impregnation hormonal, hoʻololi ʻia ka follicle ovarian i gland i lawe ʻia kona inoa mai kāna pigmentation: ke kino melemele. ʻO kēia corpus luteum kahi mea nui i ka manaʻolana o kahi hāpai o ka wā e hiki mai ana. ʻOiai, ma ka hūnā ʻana i ka estrogen a me ka progesterone, hoʻomākaukau ia i ka uhi o ka uterus (endometrium) e loaʻa ai ka hua manu i ka hanana o ka momona. ʻO kēia ke kumu e mānoanoa ai ia i kēia ʻāpana ʻelua o ke kaapuni a hiki i ka lā 20.
ʻO ka pae luteal ma hope o ka hoʻouluulu ʻana ... ʻaʻole paha
Ma hope o ka hoʻohālikelike a no laila i ka wā o ka luteal, hiki i ʻelua mau hanana:
Hoʻomaʻamaʻa ʻia ka oocyte.
I kēia hihia, hoʻonohonoho ka embryo i ka endometrium ma kahi o 8 mau lā ma hope o ka momona. He implantation ia. Pāʻani kekahi mau homona i ke kuleana nui:
- ka hormone HCG, a i ʻole chorionic gonadotropin, hūnā ʻia no laila e hoʻomau ka corpus luteum i kāna hana no 3 mau mahina. ʻO kēia hormone i "loiloi ʻia" i ka hōʻike hāpai a hāʻawi iā ʻoe e ʻike inā ua hāpai ʻoe.
- estrogen a me progesterone hūnā ʻia e ka corpus luteum i mea e mālama ai i ka hāpai keiki. Hoʻomau kēia hana hormonal no kekahi mau pule a hiki i ka manawa o ka placenta e mākaukau ai e hōʻoia i ke kūpikipiki a me nā hoʻololi nutrient ma waena o ka makuahine a me ke keiki.
ʻAʻole momona ka oosit.
Inā ʻaʻohe hoʻouluulu, ʻaʻole pūnana ka oosit ma ka endometrium a hana hou ʻole ka corpus luteum i ka progesterone. Me ka desimpregnation hormonal, haki nā moku liʻiliʻi o ka endometrium constrict a me ka membrane mucous e hana ana i nā hemorrhages. ʻO kēia nā lula. Hoʻomaka hou ka pae follicular.
Nā ʻōuli o ka pae luteal
ʻO ka hōʻailona hōʻailona o ka pae luteal ka hoʻonui ʻana i ka mahana o ke kino. ʻO kēia no ka mea o ka hana ʻana o ka progesterone e ka corpus luteum e hoʻomehana ai ke kino ma kahi o 0,5 ° C. Ma hope o ke kulu ʻana o ka mahana i ka manawa o ka hoʻoipoipo (ʻo ka manawa liʻiliʻi "wela" o ke kaapuni), koe ka mahana o ke kino ma kahi o 37,5 ° C (ma ka awelika) a puni kēia pae hope o ke pōʻaiapuni. menstrual.
ʻO kekahi hiʻohiʻona hou aʻe o ke ʻano luteal: ka ulu ʻana o ka makemake. ʻOiaʻiʻo, loaʻa i kahi hana hormonal, e like me kekahi mau noiʻi, kahi mana i ka loaʻa ʻana o ka calorie i ka wā o ka pōʻaiapuni. Ma lalo o ka manawa follicular, e hoʻonui pono ia i ka ma mua o ka ovatory a me ka hopena o ka luteal. I ka nīnau: ka impregnation i ka progesterone a me ka estrogen, kahi e hōʻike ai i ka hōʻemi o ka hana ʻana o ka serotonin (ka hōmona o ka leʻaleʻa) a no laila kahi hanana o ka "uku pānaʻi" kahi e makemake ai nā wahine i nā huehue, calcium a me ka magnesium.
Infertility: ke koʻikoʻi o ke kākoʻo ʻana i ka pae luteal
ʻO ke kaʻina luteal ke kumuhana o ka nānā kūikawā i nā wahine i paʻakikī i ka hāpai ʻana a i ʻole nā pilikia i hana pinepine ʻole ʻia. ʻO ka hopena o ka lālani mua e hoʻokō i kahi nānā ʻana i ka momona a ʻike i kahi maʻi ovulation kūpono, i ka nānā ʻana i nā aniani wela a me / a i ʻole ka hana ʻana i nā hoʻokolohua hormonal a me kahi ultrasound pelvic.
Inā kuhi ʻia ka subfertility, e paipai ʻia ka hoʻoulu ovarian i kekahi mau hihia. Aia ia i loko o ke kiʻina o kēia mau ʻenehana o ke kōkua i ka hānau ʻana (a ʻoi aku paha ʻo IVF a me IVF ICSII) ʻo ka kākoʻo no ka pae luteal ka hoʻoholo. ʻOiai, ma ka hoʻoulu ʻana i nā ovaries e loaʻa i nā hua he nui i hiki (ma mua o ka hoʻouluulu vitro), hoʻokomo ʻia kahi malformation o ka pae luteal. ʻAʻole hiki i nā kino melemele i hoʻonui ʻia e ka hoʻonāukiuki ke hana i ka progesterone lawa, i hiki ke hoʻoweliweli i ka implantation o nā embryo (s). No laila, kau ʻia kahi lāʻau e hāpai i ka mālama ʻana o ka hāpai keiki. A laila ʻoluʻolu ʻelua mau molekiola:
- progesterone, lawelawe pinepine ʻia i ka wahine,
- gonadotropin-hoʻokuʻu aku i ka hormone (GnRH) agonists e hoʻonāukiuki i ka hana o GnRH, kahi hormone e hāpai i ka ulu ʻana o ka corpus luteum.