Gawo Luteal lalifupi: Zoyambitsa, Zizindikiro, ndi Chithandizo

Zamkati

• Chidule
• Nchiyani chimayambitsa gawo lalifupi luteal?
• Zizindikiro za gawo lalifupi luteal
• Kuzindikira gawo lalifupi laluteal
• Chithandizo cha gawo lalifupi luteal
• Mikangano yokhudza luteal phase defect
• Palibe mgwirizano wokhudza momwe mungadziwire LPD
• Palibe umboni wowoneka bwino wosonyeza kuti LPD imayambitsa kusabereka
• Pali umboni wochepa pakuthandizira kwamankhwala a LPD
• Masitepe otsatira
• Funso:
• Yankho:

Chidule

Kutuluka kwa ovulation kumachitika m'magawo awiri.

Tsiku loyamba la nthawi yanu yomaliza limayamba gawo lotsatira, pomwe khungu m'modzi mwa mazira anu limakonzekera kutulutsa dzira. Kutulutsa dzira ndi nthawi yomwe dzira limatulutsidwa kuchokera mchiberekero kupita mu chubu cha Fallopian.

Gawo lomaliza la kuzungulira kwanu limatchedwa gawo luteal, lomwe limachitika pambuyo pa ovulation. Gawo luteal nthawi zambiri limakhala. Munthawi imeneyi, thupi lanu limakonzekera mwayi wokhala ndi pakati.

Pulogalamu yomwe mumakhala m'mimba mwanu yomwe munali dzira lisanafike ovulation isintha kukhala corpus luteum. Ntchito yayikulu ya corpus luteum ndikutulutsa progesterone ya mahomoni.

Progesterone imalimbikitsa kukula kapena kukulitsa kwa chiberekero cha chiberekero chanu. Izi zimakonzekeretsa chiberekero kuti chikhadzike dzira kapena mluza.

Gawo luteal ndilofunikira pamachitidwe oberekera. Amayi ena amatha kukhala ndi gawo luteal lalifupi, lotchedwanso luteal phase defect (LPD). Zotsatira zake, zimakhala zovuta kutenga pakati.

Nchiyani chimayambitsa gawo lalifupi luteal?

Gawo lalifupi luteal ndi lomwe limatenga masiku 8 kapena kuchepera. Hormone progesterone ndiyofunikira pakukhazikika ndikuyembekezera bwino.Chifukwa cha ichi, gawo lalifupi luteal litha kubweretsa kusabereka.

Gawo luteal lalifupi likachitika, thupi silimatulutsa progesterone yokwanira, chifukwa chake chiberekero cha chiberekero sichimakula bwino. Izi zimapangitsa kuti zikhale zovuta kuti dzira la umuna likhazikike m'chiberekero.

Ngati mutakhala ndi pakati mukatha kutulutsa dzira, gawo lalifupi luteal limatha kubweretsa kuperewera koyambirira. Pofuna kukhala ndi pakati pathupi, chiberekero cha chiberekero chiyenera kukhala chokulirapo mokwanira kuti mluza uzidziphatika yekha ndikukhala mwana.

Gawo lalifupi luteal litha kukhalanso chifukwa cholephera kwa corpus luteum.

Ngati corpus luteum siyimatulutsa progesterone yokwanira, matumba anu a chiberekero amatha kukhetsa musanafike dzira la umuna. Izi zitha kuyambitsa msambo koyambirira.

LPD itha kuchititsanso chifukwa cha zinthu zina, monga:

• endometriosis, vuto lomwe minofu yomwe imapezeka mkati mwa chiberekero imayamba kukula kunja kwa chiberekero
• polycystic ovarian syndrome (PCOS), matenda omwe amayambitsa thumba losunga mazira okhala ndi zotupa zazing'ono
• Matenda a chithokomiro, monga chithokomiro chopitirira muyeso kapena chosagwira bwino ntchito, Hashimoto's thyroiditis, komanso kuchepa kwa ayodini
• kunenepa kwambiri
• matenda a anorexia
• kuchita masewera olimbitsa thupi mopitirira muyeso
• kukalamba
• nkhawa

Zizindikiro za gawo lalifupi luteal

Ngati muli ndi gawo lalifupi luteal, mwina simungazindikire kuti pali vuto. M'malo mwake, mwina simungaganize zovuta zobereka mpaka mutha kulera.

Ngati mukuvutika kutenga pakati, dokotala wanu akhoza kufufuza kuti muwone ngati muli ndi LPD. Zizindikiro zimaphatikizapo:

• kale kuposa nthawi yanthawi yonse yakusamba
• kuwonekera pakati pa nyengo
• kulephera kutenga pakati
• kupita padera

Kuzindikira gawo lalifupi laluteal

Ngati simungathe kutenga pakati, kuzindikira chomwe chikuyambitsa ndiye gawo loyamba lakukweza zovuta zakubereka. Lankhulani ndi dokotala wanu za kusabereka.

Amatha kuyesa zosiyanasiyana kuti adziwe ngati kusabereka kumayambitsidwa ndi luteal phase kapena vuto lina. Muyenera kuti mudzayezetsa magazi kuti muwone kuchuluka kwama mahomoni otsatirawa:

• hormone yolimbikitsa (FSH), timadzi timene timatulutsidwa ndimatumbo a pituitary omwe amayang'anira kugwira ntchito kwa ovary
• luteinizing hormone, hormone yomwe imayambitsa kuyamwa
• progesterone, mahomoni omwe amalimbikitsa kukula kwa chiberekero cha chiberekero

Kuphatikiza apo, dokotala wanu angakulimbikitseni za biopsy ya endometrial.

Pakati pa biopsy, kachilombo kakang'ono ka chiberekero chanu kamasonkhanitsidwa ndikuyesedwa pansi pa microscope. Dokotala wanu amatha kuwona kukula kwake.

Akhozanso kuyitanitsa ultrasound ya m'chiuno kuti ayang'ane makulidwe a chiberekero chanu. Pakhosi la ultrasound ndimayeso ojambula omwe amagwiritsa ntchito mafunde akumveka kuti apange zithunzi za ziwalo mdera lanu, kuphatikizapo:

• thumba losunga mazira
• chiberekero
• khomo pachibelekeropo
• machubu

Chithandizo cha gawo lalifupi luteal

Dokotala wanu atazindikira chomwe chimayambitsa LPD yanu, kutenga pakati kungakhale kotheka. Nthawi zambiri, kuthana ndi vutoli ndikofunikira pakuthandizira chonde.

Mwachitsanzo, ngati gawo lalifupi luteal limadza chifukwa chakulimbitsa thupi kwambiri kapena kupsinjika, kuchepa kwa magwiridwe antchito anu ndikuphunzira kusamalira kupsinjika kumatha kuyambitsa kubwerera kwa gawo luteal.

Njira zopewera kupsinjika ndi monga:

• kuchepetsa udindo wanu
• kupuma kozama
• kusinkhasinkha
• kuchita masewera olimbitsa thupi

Dokotala wanu angakulimbikitseninso chowonjezera cha chorionic gonadotropin (hCG), yomwe ndi mahomoni oyembekezera. Kutenga chowonjezera ichi kumatha kuthandizira thupi lanu kutulutsa mahomoni apamwamba a progesterone.

Dokotala wanu angakulimbikitseninso kutenga ma progesterone owonjezera pambuyo pa ovulation. Izi zimathandiza kuti chiberekero chanu chikule mpaka kufika poti chitha kuthandizira kuyika dzira la umuna.

Njira zina zokulitsira mwayi wanu woyembekezera ndi monga mankhwala, monga clomiphene citrate, yomwe imathandizira mazira anu kuti apange ma follicles ambiri ndikumasula mazira ambiri.

Sizithandizo zonse zomwe zimagwirira ntchito mayi aliyense, chifukwa chake muyenera kugwira ntchito limodzi ndi dokotala kuti mupeze mankhwala othandiza kapena othandizira.

Mikangano yokhudza luteal phase defect

Pali mikangano ina yokhudza LPD, pomwe akatswiri ena amakayikira zomwe zimayambitsa kusabereka ngakhale atakhaladi.

Tiyeni tiwone izi mopitilira.

Palibe mgwirizano wokhudza momwe mungadziwire LPD

Biopsy ya endometrial idagwiritsidwa ntchito ngati chida chodziwitsira cha LPD. Komabe, kafukufuku wakale adawonetsa kuti zotsatira za biopsy sizogwirizana kwenikweni ndi chonde.

Zida zina zowunikira LPD zimaphatikizapo kuyeza kuchuluka kwa progesterone ndikuwunika kutentha kwa thupi (BBT).

Komabe, palibe imodzi mwanjira izi yomwe yatsimikiziridwa kuti ndiyodalirika chifukwa cha kusiyanasiyana kwa njira ndi kusiyana pakati pa anthu.

Palibe umboni wowoneka bwino wosonyeza kuti LPD imayambitsa kusabereka

Mu 2012, American Society of Reproductive Medicine idatulutsa chikalata chokhudza LPD komanso kusabereka. M'mawu awa, adati pakadali pano palibe umboni wokwanira wofufuza wothandizira LPD mwawokha umayambitsa kusabereka.

Kafukufuku wina wa 2017 adapeza kuti kuzungulira kwakanthawi kochepa kokhala ndi luteal kunali kofala kwambiri, pomwe mayendedwe obwereza omwe amakhala ndi gawo lalifupi luteal anali osowa. Idanenanso kuti gawo lalifupi luteal limatha kukhudza kubereka kwakanthawi, koma osati kwanthawi yayitali.

Kafukufuku wa 2018 mwa azimayi omwe ali mu vitro feteleza (IVF) adayang'ana kutalika kwa gawo luteal ndi kuchuluka kwa kubadwa. Adapeza kuti panalibe kusiyana kulikonse pakubadwa kwa azimayi omwe ali ndi magawo ofupikira, apakatikati, kapena ataliitali.

Pali umboni wochepa pakuthandizira kwamankhwala a LPD

American Society of Reproductive Medicine idakambirana za mankhwala osiyanasiyana a LPD mchaka cha 2012. Adanenanso kuti pakadali pano palibe chithandizo chomwe chakhala chikuwonetsedwa mosalekeza kuti chikwaniritse zotsatira za mimba mwa azimayi omwe ali ndi zochitika zachilengedwe.

Ndemanga ya 2015 ya Cochrane idayesa kuphatikiza ndi hCG kapena progesterone pakuthandizira kubereka.

Inapeza kuti ngakhale mankhwalawa atha kubweretsa kubadwa kwina kuposa placebo kapena chithandizo chamankhwala, umboni wonse wothandiza kwawo sunali wodziwika.

Clomiphene citrate nthawi zina amagwiritsidwanso ntchito pochiza LPD. Komabe, pakadali pano pali mphamvu yake.

Masitepe otsatira

Kulephera kutenga pakati kapena kupita padera kumatha kukhumudwitsa komanso kukhumudwitsa, koma thandizo lilipo.

Ndikofunika kuti musanyalanyaze kukayikira kwa chonde.

Mukangopeza thandizo kwa dokotala kuti mupeze chomwe chikuyambitsa, musanalandire chithandizo ndikuthandizani kukulitsa mwayi wokhala ndi pakati.

Funso:

Mungadziwe bwanji ngati mukumva luteal gawo lalifupi ndipo mukufuna kupeza chithandizo?

- Wodwala Wosadziwika

Yankho:

Ndizovuta kudziwa ngati mukufupikitsidwa luteal gawo chifukwa mwina simungakhale ndi zisonyezo. Ngati mukuyesera kutenga pakati ndikukhala ndi vuto, kapena mukukumana ndi vuto la kupita padera, muyenera kuyankhula ndi dokotala kuti muwone ngati kuli koyenera kukayezetsa zomwe zimayambitsa kusabereka. Izi zitha kuphatikizira kuyesa kwa vuto luteal phase.

- Katie Mena, MD

Mayankho akuyimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.