I-Ovulation 101: Funda kabanzi ngemijikelezo, ama-calculator, kanye nokukhulelwa

Imfundo Yezempilo Izinkinga Zomama

I-ovulation iyingxenye yomjikelezo wabesifazane wokuya esikhathini lapho ama-ovari ekhipha iqanda. Ukwazi ukuthi yini i-ovulation, isikhathi se-ovulation, nokuthi ungayilandelela kanjani kuyindlela enhle yokuhambisana nomzimba womuntu. Ukwazi ukuthi bavuthwa nini kungasiza abesifazane gwema ukukhulelwa noma ubasize bakhulelwe. Ake sibheke izisekelo ze-ovulation kanye nama-FAQ mayelana nokuhlelwa komndeni.

Umjikelezo we-ovulation: Kwenzeka nini ukukhiqizwa kweqanda?

I-ovulation ivela kanye ngenyanga kwabesifazane. Nawu umugqa wesikhathi womjikelezo wokuya esikhathini omaphakathi:

• Ukuya esikhathini (izinsuku 1-7): Ukuchithwa kolwelwesi lwesibeletho
• Isigaba esilandelayo (izinsuku 1-14): Ama-follicles akhula abe amaqanda avuthiwe
• I-ovulation (izinsuku 14-15): Kudedelwa iqanda elivuthiwe bese liya esibelethweni ukuze livundiswe
• Isigaba se-Luteal (izinsuku ezingu-16-28): Iqanda liyavundiswa futhi umzimba ukhiqiza iprogesterone ukuxhasa ukukhulelwa kusenesikhathi, noma iqanda alivundiswa futhi ulwelwesi lwesibeletho luyawohloka

Ukuya esikhathini kanye nesigaba sokulandelwa

Umjikelezo wokuya esikhathini omaphakathi usebenza kumjikelezo wezinsuku ezingama-28, ngosuku lokuqala lwenkathi yokumaka usuku lokuqala, kanye nosuku lokuqala lwenkathi elandelayo lokumaka usuku lwama-28. Ingxenye yokuqala yomjikelezo wowesifazane ibizwa nge-follicular phase. Phakathi nalesi sigaba, amazinga e-estrogen ayakhuphuka, kanti indlala yepituitary ikhipha i-follicle-stimulating hormone (FSH), evumela izintambo ezimbalwa ukuba zikhule zibe amaqanda avuthiwe. Kodwa-ke, kukhululwa iqanda elilodwa kuphela ngesikhathi sokukhulelwa kweqanda.

Ukuvuthwa

I-ovulation yenzeka cishe emasontweni amabili ngemuva kosuku lokuqala lomjikelezo wokuya esikhathini. Ngakho-ke uma inkathi iphawula usuku lokuqala lomjikelezo wokuya esikhathini, lokhu kusho ukuthi usuku lokuvuthwa lwaluyoba cishe ngosuku lwe-14, maphakathi nomjikelezo wokuya esikhathini.

Ngesikhathi sokukhulelwa kweqanda, iqanda lihamba liye phansi ngeshubhu futhi liye esibelethweni, lapho lingavundisa khona. Owesifazane angakhipha amaqanda kanye kuphela ngomjikelezo owodwa, kepha kungenzeka ukuthi akhiphe iqanda elilodwa eqandeni ngalinye. Uma lokhu kwenzeka futhi owesifazane ekhulelwa, bazoba namawele angafani. (Amawele afanayo aqhamuka eqandeni elilodwa elihlanganisiwe elihlukaniswa libe amakhophi alo afanayo.)

Lesi sikhathi se-ovulatory yisikhathi esihle kakhulu sokukhulelwa. Noma isikhathi sokuvuthwa sifushane, sithatha cishe amahora angama-12 kuye kwangama-24, abesifazane basengakhulelwa uma beya ocansini usuku olulodwa kuya kwezinhlanu ngaphambi kwe-ovulation. Isidoda singaphila emgqeni wokuzala wesifazane izinsuku ezimbalwa. Uma engazange enze ucansi olungavikelekile ngaphambi kokuvuthwa noma phakathi nalokho, owesifazane ngeke akwazi ukukhulelwa kuze kube yisikhathi esilandelayo lapho evuthisa khona.

OKUSHIWO: Isikhathi sothando kakhulu sesonto

Isigaba seLuteal

Isigaba se-luteal silandela i-ovulation, sihlala cishe izinsuku eziyi-14, futhi siphela ngosuku lokuqala lomjikelezo wowesifazane wokuya esikhathini. Uma iqanda livundiswa, umzimba uzoqhubeka nokukhiqiza iprogesterone futhi ulwelwesi lwesibeletho luzokweseka ukukhulelwa kusenesikhathi. Uma iqanda lingavundisi, likhishwa esibelethweni ngosuku lwama-28 lomjikelezo wokuya esikhathini ngokuqala kwesikhathi sokuya esikhathini lapho ulwelwesi lwesibeletho luphalaza. Isikhathi esimaphakathi sowesifazane sihlala izinsuku ezintathu kuya kweziyisikhombisa.

Izibali ze-ovulation: Ungakulandelela kanjani i-ovulation

Ubuchwepheshe bakamuva benze ukulandela nge-ovulation kwaba lula kakhulu. Kunezinketho eziningi zabesifazane nemibhangqwana efuna ukukhulelwa noma ukugwema ukukhulelwa ngokulandela i-ovulation.

Nazi ezinye izindlela zokulandela umkhondo we-ovulation:

• Ikhalenda lendabuko
• Ovulation wokubala
• Uhlelo lokusebenza lokulandelela umjikelezo wokuya esikhathini
• Ukuhlolwa kwe-ovulation
• Izilinganiso zokushisa komzimba okuyisisekelo
• Ukulandela umkhondo wokukhiqizwa komlomo wesibeletho

Indlela engcono kakhulu yokuthola ukuthi i-ovulation izokwenzeka nini, ikakhulukazi kowesifazane ozama ukukhulelwa, ukusebenzisa ama-kits predictor kits, okuwukuhlolwa komchamo okuthola i-luteinizing hormone (LH) -homoni eqala ukuvuthwa, kusho U-Eric Flisser , MD, udokotela wezifo zabesifazane oqinisekisiwe webhodi ku Abalingani Bemithi Yokuzala baseNew York . Imvamisa, lapho kutholakala ukuhlolwa okuhle, i-ovulation izokwenzeka emahoreni angama-24 kuye kwangama-48.

Khuluma ne-OB-GYN yakho ukuze ufunde kabanzi mayelana nokuthi ungalandelela kanjani i-ovulation nezindlela ezahlukahlukene zokulandela ngomkhondo.

Ingabe i-ovulation ukuphela kwesikhathi lapho ungakhulelwa khona?

Usuku oluhle kakhulu lokukhulelwa usuku lokukhulelwa kweqanda noma usuku olulandelayo — imvamisa izinsuku eziyi-14 kanye ne-15 zomjikelezo wokuya esikhathini. Kodwa-ke, abesifazane basengakhulelwa efasiteleni labo elivundile, okuwusuku lokuvuthwa kanye nezinsuku ezinhlanu ngaphambi kwalo (izinsuku eziyi-10-15). Isidoda singahlala emgudwini wokuzala izinsuku eziningi. Abesifazane ngeke bakwazi ukukhulelwa ngemuva kokuvuthwa kuze kufike umjikelezo olandelayo.

Wazi kanjani ukuthi uvuthisa amaqanda?

Ubuhlungu be-ovulation kuvame ukuba yisibonakaliso sokuqala kwabesifazane abaningi ukuthi bavuthisa amaqanda. Nazi ezinye izimpawu ze-ovulation:

• Ubuhlungu besisu esingezansi obenzeka kuphela ohlangothini olulodwa
• Ukubona
• Amabele wamathenda
• Ukukhuphuka kocansi
• Ukuqhakaza
• Khuphuke kancane ukushisa komzimba
• Ubuhlungu obuphansi emuva
• Umuzwa ophakeme wephunga

Uma kungekho kulezi zimpawu ezikhona, abesifazane basengazi ukuthi ngabe bavuthiswa yini ngokusebenzisa ikhalenda le-ovulation, ikiti ye-ovulation predictor, noma ngokulandela umjikelezo wabo wokuya esikhathini ngezinye izindlela.

Ubuhlungu be-ovulation

Ubuhlungu be-ovulation kwesinye isikhathi buyabizwa ubuhlungu obuphakathi , evela kumagama esiJalimane athi middle and pain ngenxa yokuvela kwawo maphakathi nomjikelezo wokuya esikhathini. I-ovulation ebuhlungu ingaba uphawu lokuthi umzimba ukulungele ukukhulelwa. Kodwa-ke, ukungabi nobuhlungu be-ovulation akusho ukungabi nabantwana kowesifazane. Abesifazane abaningi basuke bengenazimpawu lapho bevula amaqanda.

I-ovulation ebuhlungu yenzeka kwabesifazane abaningi, kepha ukuzwa ubuhlungu akusho ukuthi kukhona okungahambi kahle. Ubuhlungu be-ovulation bujwayelekile futhi benzeka ngenxa yokuthi umzimba usebenza kanjani. Ngaphambi kokuba iqanda likhishwe esibelethweni, liyakhula futhi lingadala ukuthi i-ovary ikhulise, okungadala ubuhlungu ohlangothini olulodwa lwesisu. Iqanda elikhishiwe lihamba ne-follicular fluid negazi elincane, elingacasula isisu futhi lidale ubuhlungu.

Nazi ezinye izimpawu abesifazane abangaba nazo lapho bevula amaqanda:

• Ubuhlungu obubuhlungu noma obubukhali obuphansi besisu
• Ubumnene besifuba
• Ukubona
• Ukuqhakaza
• Ubuhlungu obuphansi emuva

Nanka amanye amakhambi okudambisa ubuhlungu be-ovulation:

• Sebenzisa iphedi yokufudumeza
• Thatha okugeza okufudumele
• Zama imishanguzo yezinhlungu zasesithenjini njenge-ibuprofen

Ubuhlungu besisu, ukubona, noma ezinye izimpawu ezingapheli emva kwezinsuku ezimbalwa kungadinga ukunakekelwa okuthile kwezokwelapha. Umhlinzeki wezokunakekelwa kwempilo angabheka izimo zezempilo ezingaphansi ezingadala ukuthi lezi zimpawu ziphikelele noma zibe zimbi kakhulu.

I-ovulation engajwayelekile

Wonke umuntu uzobhekana nokuvuthwa ngokwehlukile, kepha ukuvuthwa okungajwayelekile kungaholela ezinkingeni zokuzala nokungakwazi ukukhulelwa. Nazi ezinye izimo ezingaphansi ezingathinta impilo yabesifazane:

• Amashubhu we-fallopian alimele noma avinjelwe
• Izinkinga zokuvuthwa njenge-polycystic ovarian syndrome ( I-PCOS ) noma ukungasebenzi kahle kwe-hypothalamic
• I-Endometriosis
• Ukungajwayelekile kwesibeletho
• Izinkinga zomlomo wesibeletho
• Ukukhiqizwa okweqile kwe-hormone prolactin ngendlala ye-pituitary

Ungayenza kanjani i-ovulation

I-OB-GYN ingumuntu ongcono kakhulu ongacela izeluleko zezokwelapha ukuthi yini okufanele uyenze ngokulandelayo uma kukhulunywa ngezinkinga zokuvuthwa okungajwayelekile noma izinkinga zokuzala. Angasiza ekutholeni noma yiziphi izimbangela eziyisisekelo futhi angancoma uhlelo lokwelashwa olubandakanya okukodwa noma okuningi kokulandelayo:

• In vitro fertilization (IVF)
• Ukuhlinzwa kwe-fallopian tube
• Ukuhlinzwa kwe-Hysteroscopic
• Ukufakwa ngaphakathi kwe-intrauterine
• Izinguquko zokuphila njengokuzivocavoca umzimba nokudla ukudla okunempilo
• Ukukhuthaza i-ovulation ngezidakamizwa zokuzala

Nazi ezinye izidakamizwa zokuzala ezivame ukubekwa i-OB-GYN yakho engase ikunikeze noma zincome ukuthi zenze i-ovulation:

Izidakamizwa ezivamile zokuzala
	I-Serophene (i-clomiphene citrate)	I-Femara (letrozole)	I-Menopur (menotropin)	I-Glucophage (metformin HCl)
Isebenza kanjani	Kwandisa ukukhiqizwa kwamahomoni kwe-FSH ne-LH	Ikhuthaza i-ovulation ngokwandisa ukukhiqizwa kwamahomoni kwe-FSH	Ukufakwa kwe-FSH ne-LH ukukhuthaza i-ovulation ngaphambi kwe-IVF	Kuthuthukisa ukumelana ne-insulin, okungadala i-ovulation
Okuqhamuka uma udla imishanguzo	Ukucasuka kwesisu, ikhanda elibuhlungu, isisa sebele	Ukushisa okushisayo, ukulahleka kwezinwele, ubuhlungu bemisipha, ubuthakathaka	Indawo yokujova, ukuqunjelwa, ikhanda	Ukuhlanza, isifo sohudo, ukunambitheka kwensimbi emlonyeni
Umthamo ojwayelekile	Ithebhulethi engu-1, 50 mg kanye ngosuku ngezinsuku ezi-5 eziqala ngosuku lwesi-5 lomjikelezo wokuya esikhathini	Ithebhulethi engu-1, 2.5 mg kanye ngosuku, izinsuku ezi-5 (ngezinsuku ezi-3-7 zomjikelezo wokuya esikhathini) ngasikhathi sinye nsuku zonke	Amayunithi angama-75 ajovwe ngaphansi kwesikhumba njengokuyalelwa ngudokotela	Ithebhulethi engu-1, 1,000 mg ka-2-3 ngezikhathi zokudla
Izindleko	$ 30- $ 40 nge Ikhuphoni le-SingleCare	$ 17- $ 70 nge Ikhuphoni le-SingleCare	$ 400- $ 420 nge Ikhuphoni le-SingleCare	$ 4– $ 20 nge Ikhuphoni le-SingleCare