ʻO nā ovarian follicle nā ​​hale i loko o nā ovaries a pili i ka ovulation.

Kūlana. Aia nā follicle ovarian i ka wahi cortical o nā ovaries. ʻElua i ka helu, ʻo nā ovaries wahine a i ʻole nā ​​gonad nā gland i loko o ka pelvis liʻiliʻi, ma ka hope o ka uterus1. Hoʻopili pū lākou i nā paipu fallopian, nona nā ʻaoʻao i palena iā lākou e hana i hale pavilion. Ovoid i ke kinona a 3 a 4 cm ka lōʻihi, ʻo nā ovaries he 2 mau ʻāpana:

• Ma ka periphery o ka ovary ka ciia kortical, kahi i loaʻa ai nā follicle ovarian;
• I waenakonu o ka ovary ka wahi o ka iwi kuamoʻo, i hana ʻia me nā mea hoʻopili a me nā kīʻaha koko.

'ole. Loaʻa i kēlā me kēia follicle ovarian kahi oosit, a laila e lilo i ovum. Hoʻololi ke ʻano o nā ovarian follicle e like me ka pae o ke oʻo (2) (3):

1. Primordial follicle: kuhikuhi ia i kahi follicle ovarian nona ka hoʻomaka ʻole ʻana o ka oʻo. Kūlike kēia ʻano follicle i ka mea i ʻike nui ʻia ma ka wahi cortical.
2. ʻO ka follicle mua: Kūlike ia i ka pae mua o ka hānau ʻana o ka follicle kahi e ulu ai ka oosit a me nā hunaola e hoʻopuni ana iā ia.
3. Follicle lua: Ma kēia pae, he mau papa o ka epithelium e hana a puni ka oosit. Hoʻomau ka ulu o ka hope. Lawe nā hunaola follicular i ka inoa o nā hunaola granular.
4. ʻO ka follicle lua kiʻekiʻe: Hoʻokumu ʻia kahi papa o nā hunaola a puni ka follicle, e hana ana i ka follicular theca. I kēia manawa, hūnā ka oocyte i kahi mea e hana ana i kahi membrane mānoanoa, ka zona pellucida. Hōʻiliʻili pū kekahi wai translucent ma waena o nā hunaola granular.
5. ʻO ka follicle ovarian makua a i ʻole ka follicle a De Graaf: ʻO ka wai i hōʻiliʻili ʻia ma waena o nā hui cellular granular a hui a hana i kahi kō, ʻo ka follicular antrum. Ke hoʻomau nei e hoʻopihapiha me ka wai, ulu ka lua e hoʻokaʻawale hope loa i ka oosit i hoʻopuni ʻia e kāna capsule cell, i kapa ʻia ʻo corona radiata. Ke hiki i ka follicle i kona ana kiʻekiʻena, mākaukau ia no ka hoʻopili ʻana.
6. Corpus luteum: I ka wā o ka ovulation, kipaku ʻia ka oocyte ʻoiai e hiolo ka follicle. Hoʻonui ka nui o nā hunaola e hoʻopiha i ka hakahaka i waiho ʻia e ka oocyte. Hoʻololi kēia mau pūnaewele a lilo i mau ʻāpana luteal, e ala ana i kahi follicle i kapa ʻia ʻo ka corpus luteum. ʻO ka hope he hana endocrine e synthesizing i loko o kekahi progesterone, kahi hormone i pili i ka hanana o ka momona o ka ovum.
7. ʻO ke kino keʻokeʻo: pili kēia pae hope i ka hoʻohaʻahaʻa huina o ka follicle.

ʻO ka awelika o 28 mau lā, pili ka pōʻaiapuni i nā phenomena āpau e ʻae ana i ke oʻo ʻana o kahi hua i loko o ka ovary. Mālama ʻia kēia mau phenomena e nā kaʻina hana hormonal like ʻole a mahele ʻia i ʻelua ʻelua (2) (3):

• Pae Follicular. Hana ʻia ia mai ka lā 1 a i ka 14th o ka pōʻaiapuni ovarian a hoʻopau i ka wā o ka ovulation. I kēia wā, hoʻomaka a makua kekahi mau ʻōmole ovarian primordial i oʻo. Hoʻokahi wale nō o kēia mau ovarian follicle i hōʻea i ka pae De Graaf follicle a kūlike i ka follicle ke kuleana no ka kipaku ʻia ʻana o ka oocyte i ka wā o ka ovulation.
• Pae Luteal. Hana ʻia ia mai ka 14th a i ka 28th day of the cycle a kūlike i ka hoʻohaʻahaʻa o ka follicle. I loko o kēia wā, hoʻololi nā ovarian follicles i mau kino melemele a keʻokeʻo.

ʻO ka maʻi o Ovarian. Hiki ke ʻike ʻia nā ʻōpala malignant (cancerous) a i ʻole benign (non-cancerous) i ka ovary, kahi i loaʻa ai nā follicle ovarian (4). Hiki i nā ʻōuli ke hoʻopili me ka pelvic discomfort, menstrual cycle pilikia a i ʻole ʻeha.

ʻO Ovarian Cyst. Kūlike ia i ka hoʻomohala ʻana o kahi ʻeke ma waho a i ʻole i loko o ka ovary. He loli ke ʻano o ka cyst ovarian. Hoʻokaʻawale ʻia nā ʻano ʻelua o nā cist:

• Hoʻoholo pinepine nā cista hana maʻamau (1).
• Pono e mālama ʻia nā cist organic i hiki iā lākou ke alakaʻi i ka hōʻoluʻolu ʻole, ʻeha, a i kekahi mau hanana ka ulu ʻana o nā hunaola maʻi ʻaʻai.

ʻO keʻano maʻamau. Kaukaʻi ʻia i ka pathology diagnose a me kona evolution, hiki ke hoʻokō ʻia kahi hoʻopili lāʻau ma ke ʻano he ʻoki laparoscopic ma kekahi mau hihia o nā ovarian cista.

Chemotherapy. Kaukaʻi ʻia i ke ʻano a me ke kahua o ka maʻi ʻaʻai, mālama pū ʻia me ka chemotherapy me ka chemotherapy.

Ke kaulike. ʻO ka mea mua, hana ʻia kahi hoʻokolohua hoʻokolohua e ʻike a loiloi i nā ʻōuli i ʻike ʻia e ka mea maʻi.

ʻImi hoʻokolohua kiʻi. Kaukaʻi ʻia i ka pathology i manaʻo ʻia a i hōʻoia ʻia paha, hana ʻia paha kekahi mau loiloi hou e like me kahi ultrasound a i ʻole x-ray.

Laparoscopy. ʻO kēia hoʻokolohua kahi ʻenehana endoscopic e ʻae ana i ke komo i ka lua o ka ʻōpū, me ka wehe ʻole o ka paia o ka ʻōpū.

Ninaninau ʻaʻano. Hiki ke hana i nā hoʻāʻo ʻana i ke koko e ʻike ai, no kekahi laʻana, kekahi mau hōʻailona tumo.

ʻO ke kumu, nā ovaries wale nō i koho i nā ʻōhua kahi i hana ʻia ai nā hua i nā holoholona oviparous, no laila ke kumu etymological Latin: ovum, hua manu. Hāʻawi ʻia ka huaʻōlelo ovary e ka hoʻohālikelike i nā gonad wahine i nā holoholona viviparous, a laila kapa ʻia ʻo nā testes wahine (5).