Progesterone wapamwamba kapena wotsika: tanthauzo lake ndi choti muchite
Zamkati
- Pomwe kuyesa kwa progesterone kumafunika
- Kodi milingo ya progesterone ikutanthauzanji
- 1. Progesterone yapamwamba
- 2. Progesterone yotsika
- Momwe mungakonzekerere mayeso
- Momwe Mungakonzere Mipata ya Progesterone
- Zotsatira zoyipa zamankhwala
- Momwe mungakulitsire ma progesterone mwachilengedwe
- Malingaliro a progesterone
Progesterone ndi mahomoni, opangidwa ndi thumba losunga mazira, omwe ali ndi gawo lofunikira kwambiri pakukhala ndi pakati, kukhala ndi udindo wowongolera msambo wamayi ndikukonzekera chiberekero kuti chilandire dzira la umuna, kuti lisachotsedwe ndi thupi.
Nthawi zambiri, kuchuluka kwa progesterone kumawonjezeka pambuyo pokhala ovulation ndikukhalabe okwera ngati pali pathupi, kotero kuti thupi limasunga makoma a chiberekero kuti asakule ndikupanga mimba. Komabe, ngati palibe mimba, thumba losunga mazira limasiya kutulutsa progesterone ndipo chifukwa chake, mzere wa chiberekero umawonongeka ndikuchotsedwa mwachilengedwe kudzera kusamba.
Chifukwa chake, kuchepa kwa mahomoni amtunduwu kumatha kubweretsa zovuta kubereka kwa mayi woyesera kutenga pakati, kapena zovuta zoyipa, monga ectopic pregnancy kapena kuchotsa mimba, mwa mayi wapakati.
Pomwe kuyesa kwa progesterone kumafunika
Mayeso a progesterone nthawi zambiri amawonetsedwa kwa azimayi omwe ali ndi:
- Mimba zowopsa;
- Kusamba kosasamba;
- Zovuta kutenga pakati.
Kuyesaku kumachitika nthawi zambiri asanayambe kubereka, koma kungakhale kofunikira kubwereza pafupipafupi, ngati mayi wapakati ataya kutsika kwakanthawi pakati paulendo uliwonse.
Ngakhale atha kugwiritsidwa ntchito ali ndi pakati, mayeso amtunduwu samatsimikizira ngati ali ndi pakati, mayeso olondola kwambiri komanso oyesedwa ndi HCG. Onani momwe ziyenera kuchitidwira komanso nthawi yoyenera.
Kodi milingo ya progesterone ikutanthauzanji
Magulu a Progesterone amatha kuyesedwa kudzera pakuyezetsa magazi komwe kumazindikira kuchuluka kwa mahomoni pa ml ya magazi. Kuyesaku kuyenera kuchitika patatha masiku 7 kuchokera ovulation, ndipo itha kuwonetsa zotsatirazi:
1. Progesterone yapamwamba
Mulingo wa progesterone amawerengedwa kuti ndiwokwera kwambiri pomwe mtengo wake umaposa 10 ng / mL, zomwe zimachitika nthawi ya ovulation, ndiye kuti dzira lokhwima limatulutsidwa ndi ovary. Kuwonjezeka kumeneku pakupanga kwa mahomoni kumathandizira kukonzekera chiberekero ngati ali ndi pakati, ndikusungidwa nthawi yonse yoyembekezera, kupewa kuchotsa mimba, mwachitsanzo.
Chifukwa chake, kuchuluka kwa progesterone nthawi zambiri kumakhala chizindikiro chabwino kwa iwo omwe akufuna kutenga pakati, chifukwa amalola dzira la umuna kumamatira pamakoma a chiberekero ndikuyamba kukula, osasamba kapena kutulutsa dzira latsopano. Kuphatikiza apo, kuchuluka kwa mayi wapakati kumawonetsanso chiopsezo chochepa chopita padera.
Komabe, ngati milingo ikadali yokwera, ngakhale mkaziyo asanalandire umuna, zikhoza kukhala chizindikiro cha mavuto ena monga:
- Zotupa zamchiberekero;
- Kugwiritsa ntchito kwambiri ma adrenal glands;
- Khansa yamatenda ovary kapena adrenal.
Zikatero, adokotala amatha kuyitanitsa mayeso ena amwazi kapena ultrasound kuti awone ngati pali zosintha zomwe zingatsimikizire kupezeka kwamavutowa.
Kuonetsetsa kuti milingo ya progesterone ndi yolondola, mayiyo sayenera kumwa mapiritsi a progesterone mkati mwa milungu inayi asanayezedwe.
2. Progesterone yotsika
Mtengo wa progesterone ukakhala wochepera 10 ng / mL, kupanga kwa hormone iyi kumawoneka ngati kotsika. Pazochitikazi, mkazi amatha kukhala ndi vuto lakutenga pakati, popeza kuchuluka kwa progesterone sikokwanira kukonzekeretsa chiberekero kuti chikhale ndi pakati, ndipo kusamba kumachitika ndikuchotsa dzira la umuna. Amayi awa nthawi zambiri amafunika kugwiritsa ntchito zowonjezera ma progesterone kuti athe kuwonjezera mwayi wokhala ndi pakati.
Mukakhala ndi pakati, ngati kuchuluka kwa progesterone kwakhala kukucheperachepera pakupita kwa milungu, zikutanthauza kuti pali chiopsezo chachikulu chokhala ndi ectopic pregnancy kapena kuchotsa mimba, chifukwa chake, ndikofunikira kuyambitsa chithandizo choyenera kuti mupewe zovuta .
Amayi omwe ali ndi progesterone yotsika amatha kukhala ndi zizindikilo monga kunenepa, kupweteka mutu pafupipafupi, kusintha kwamisala modzidzimutsa, kudya pang'ono, kusamba mosakhazikika kapena kuwotcha, mwachitsanzo.
Momwe mungakonzekerere mayeso
Kukonzekera mayeso a progesterone ndikofunikira kwambiri kuti zitsimikizire kuti zotsatira zake ndi zolondola komanso kuti sizikukhudzidwa ndi zinthu zina. Chifukwa chake, kukayezetsa ndikulimbikitsidwa:
- Kusala kudya kwa maola atatu mayeso asanachitike;
- Adziwitseni dokotala za mankhwala onse zomwe zikutengedwa;
- Lekani kugwiritsa ntchito mapiritsi a progesterone, monga Cerazette, Juliet, Norestin kapena Exluton;
- Pewani kuchita X-ray mpaka masiku 7 kale;
Kuphatikiza apo, ndikofunikanso kuyezetsa patatha masiku 7 kuchokera ovulation, popeza ndi nthawi yomwe milingo imakhala yayitali kwambiri. Komabe, ngati dokotala akuyesa kuyesa kuchuluka kwa progesterone kunja kwa ovulation, kuti awone ngati akukhalabe okwera nthawi yonseyi, kungakhale koyenera kuyesa musanayende, mwachitsanzo.
Momwe Mungakonzere Mipata ya Progesterone
Chithandizo chothandizira kukonza ma progesterone nthawi zambiri chimachitika pokhapokha kuchuluka kwa mahomoni ndikotsika kuposa momwe zimakhalira, ndipo kumachitika pogwiritsa ntchito mapiritsi a progesterone, monga Utrogestan, makamaka kwa azimayi omwe akuvutika kutenga pakati. Mwa amayi apakati omwe ali pachiwopsezo chotenga padera, progesterone nthawi zambiri imalowetsedwa kumaliseche ndi mayi wobereka kapena mayi.
Komabe, asanayambe kulandira chithandizo, adotolo akuyenera kubwereza mayeso kuti atsimikizire zotsatira zake ndikupatula zina zomwe zingachepetse kuchuluka kwa progesterone, monga kudya kale kapena kukhala gawo lina la msambo, mwachitsanzo.
Nthawi zambiri, kuyamwa kwa mankhwala amtunduwu kumachitika masiku 10 motsatizana ndipo pambuyo pa tsiku la 17 la msambo, kuyambiranso nthawi iliyonse. Kutalika kwa chithandizo ndi kuchuluka kwa mankhwala kuyenera kuwerengedwa bwino nthawi iliyonse, ndipo chitsogozo kuchokera kwa dokotala ndikofunikira.
Zotsatira zoyipa zamankhwala
Kugwiritsa ntchito mahomoni, monga progesterone, kumatha kubweretsa zovuta zina m'thupi monga kunenepa, kutupa kwakukulu, kusungika kwamadzimadzi, kutopa kwambiri, kusapeza bwino m'chigawo cha m'mawere kapena kusamba kosalekeza.
Kuphatikiza apo, azimayi ena amathanso kukhala ndi njala, kupweteka mutu pafupipafupi, kutentha thupi komanso kuvutika kugona. Mankhwalawa ayenera kupewedwa mwa anthu omwe ali ndi matenda opatsirana, kukhumudwa, khansa ya m'mawere, kutuluka magazi kumaliseche kunja kwa msambo kapena matenda a chiwindi.
Momwe mungakulitsire ma progesterone mwachilengedwe
Popeza progesterone ndi timadzi tomwe timapangidwa ndi thupi, pali zinthu zina zomwe zitha kuchulukitsa thupi, monga:
- Khalani ndi tiyi yamatope, thyme kapena oregano;
- Lonjezerani kudya zakudya zokhala ndi vitamini B6, monga chiwindi, chiwindi kapena nsomba;
- Tengani chowonjezera cha magnesium, motsogozedwa ndi katswiri wazakudya;
- Amakonda zakudya zokhala ndi mapuloteni ambiri;
- Idyani zakudya zokhala ndi ndiwo zamasamba, zipatso ndi ndiwo zamasamba akuda, monga sipinachi;
Kuphatikiza apo, kukonda zakudya zachilengedwe kumathandizanso pakupanga progesterone, popeza mankhwala omwe amagwiritsidwa ntchito pazakudya zomwe zimaphatikizidwa amatha kusokoneza thupi kutulutsa mahomoni.
Malingaliro a progesterone
Mitengo ya progesterone m'magazi imasiyanasiyana kutengera msambo komanso gawo la moyo wa mayi, pokhala:
- Kuyamba kwa msambo: 1 ng / mL kapena zochepa;
- Pamaso ovulation: osakwana 10 ng / ml;
- 7 mpaka 10 patatha masiku ovulation: kuposa 10 ng / mL;
- Pakati pa msambo: 5 mpaka 20 ng / ml;
- Trimester yoyamba ya mimba: 11 mpaka 90 ng / mL
- Trimester yachiwiri ya mimba: 25 mpaka 90 ng / ml;
- Wachitatu trimester wa mimba: 42 mpaka 48 ng / ml.
Chifukwa chake, pakakhala kusintha kwa phindu, zotsatira zake ziyenera kuyesedwa ndi dokotala kuti amvetsetse zomwe zingasinthe zotsatira zake, kuyamba chithandizo ngati kuli kofunikira.