Tus poj niam lub cev tseem yog qhov paub tsis meej rau kev tshawb fawb. Tab sis muaj cov ntsiab lus uas tau kawm ntev. Tsuas yog tsis yog txhua tus pej xeem paub txog lawv. Niaj hnub no peb yuav xav txog qhov ncua sij hawm ntawm kev coj khaub ncaws. Nws yog dab tsi? Vim li cas nws thiaj tuaj yeem tshwm sim? Thiab yuav ua li cas nrog cov phenomenon sib xws? Peb yuav tsum xam tag nrho cov no thiab tsis yog ntxiv mus. Qhov tseeb, nws tsis yog qhov nyuaj. Tshwj xeeb yog poj niam ua tib zoo saib xyuas nws lub cev.
Kev coj khaub ncaws thiab nws tsim
Kev coj khaub ncaws yog dab tsi? Thiab thaum twg nws tshwm sim?
no yog hu ua poj niam. Hauv cov neeg lawv hu ua hnub tseem ceeb. Ib tug poj niam los ntshav thaum lub sij hawm nws lub sij hawm. Nws tsis muaj teeb meem rau kev noj qab haus huv. Hnub tseem ceeb yog lub cim ntawm qhov tseeb tias lub qe hauv lub cev tsis tau fertilized.
Lub caij coj khaub ncaws yog lub sijhawm ntev ntawm qhov pib ntawm ob lub sijhawm "hnyav". Thaum lub sij hawm no, lub qe loj hlob, tawm hauv lub follicle, taug kev los ntawm cov hlab ntsha fallopian, fertilization los yog tuag ntawm poj niam cell.
Raws li, yog tias kev xeeb tub tsis tshwm sim, kev tuag ntawm lub qe tshwm sim. Lub sijhawm no xausces los npaj rau hnub tseem ceeb.
Phase ntawm lub voj voog txhua hli
Yuav txiav txim kom raug qhov ncua sij hawm ntawm kev coj khaub ncaws, nws yog ib qho tseem ceeb kom nkag siab tias cov theem twg cov poj niam cev xeeb tub yuav tsum mus dhau ib zaug lossis lwm qhov.
Lub voj voog txhua hli muab faib ua 4 theem. Namely:
- menstrual los ntshav;
- follicular;
- ovulatory;
- luteal.
Raws li twb tau hais lawm, thawj lub qe matures nyob rau hauv lub follicle. Lub sijhawm no kav txog 14 hnub. Tom ntej no los ovulation - lub sij hawm thaum tus poj niam cell tawm thiab mus los ntawm lub cev. Qhov no yog lub sijhawm zoo tshaj plaws los xeeb tub. Ovulation kav ntev txog 48 teev.
Yog tsis muaj fertilization, lub cev mus rau theem luteal. Qhov no yog ib qho mob uas lub qe tuag, thiab lub cev npaj rau hnub tseem ceeb. Lub voj voog tshiab pib nrog kev coj khaub ncaws tom ntej. Tab sis yuav ua li cas yog tias muaj kev ncua?
Poberty
Tsis muaj lus teb meej rau lo lus nug no. Nws tag nrho nyob ntawm qhov xwm txheej uas qhov sib txawv ntawm lub voj voog ib txwm tshwm sim.
Kev coj khaub ncaws qeeb feem ntau tshwm sim hauv cov hluas. Cov ntxhais thawj zaug ntsib cov hnub tseem ceeb thaum lub sij hawm puberty. Muaj hormonal restructuring ntawm lub cev, thiab lub voj voog tsuas yog tsim.
Raws li, ob peb xyoos tom qab thawj zaug kev coj khaub ncaws, ib tug hluas nkauj yuav muaj kev ncua sijhawm rau hnub tseem ceeb lossis kev coj khaub ncaws ntxov. Qhov xwm txheej tsis xav tau kev saib xyuas kho mob thiab ua tiavnormal.
rau cov menyuam yug tshiab
Puas muaj kev ncua sij hawm ntawm kev coj khaub ncaws tom qab yug menyuam? Yog, thiab qhov no kuj yog ib txwm.
Qhov yog tom qab yug me nyuam, tus poj niam tau ntsib nrog kev hloov kho lub cev hnyav. Thaum xub thawj, yuav tsis muaj hnub tseem ceeb. Thiab tom qab lawv rov pib dua, "dhia" ntawm lub voj voog yog ua tau. Nws yog lengthens los yog shortens. Qhov xwm txheej no tuaj yeem kav ntev li ob peb xyoos tom qab yug menyuam.
Ib qho tseem ceeb: qee tus ntxhais tsis muaj kev coj khaub ncaws thaum lub sijhawm lactation. Qhov no tshwm sim yog heev. Yog hais tias ib tug poj niam muaj nws lub sij hawm thaum pub niam mis rau tus me nyuam, lawv yuav tsim nyob rau hauv lactation + txog 1.5-2 xyoo ntxiv tom qab nws tso tseg.
Hormon tsis ua haujlwm
Kev coj khaub ncaws qeeb (mob khaub thuas) yog ib qho teeb meem ntawm ntau tus poj niam thiab cov ntxhais ntawm txhua lub hnub nyoog. Tab sis yog vim li cas qhov no tshwm sim?
Ntau zaus ua rau hnub tseem ceeb tsis tu ncua yog hormonal tsis ua haujlwm. Nws yog ua kom ovulation los yog ncua nws. Thiab yog li ntawd, kev coj khaub ncaws tuaj ntxov / lig tshaj hnub kawg, feem.
Yog tias koj xav tias tsis ua haujlwm hormonal, koj yuav tsum sab laj nrog kws kho mob. Tus kws kho mob tshwj xeeb yuav sau ntau yam kev xeem kom paub meej qhov xwm txheej. Nws muaj peev xwm hais tias qee yam kab mob lossis kab mob yog qhov ua rau cov tshuaj hormone tsis ua haujlwm.
Txhua yam zoo
Yog vim li cas thiaj ncua kev coj khaub ncaws txawv. Thiab ntawm lawv koj tuaj yeem tsis meej pem. Tshwj xeeb yog tias koj tsis saib xyuas koj lub cev.
Nws nyob deb ntawm ib txwm tsim nyog kom ntshai yog hnub tseem ceebtuaj sai los yog tom qab. Lub ntsiab lus yog tias txawm tias tus poj niam noj qab haus huv tuaj yeem muaj qhov sib txawv ntawm tus qauv.
Qhov no txhais tau hais tias cov hnub tseem ceeb yuav tuaj ntxov me ntsis los yog cuam tshuam tus ntxhais me ntsis tom qab lub sijhawm. Qhov sib txawv ntawm 5-7 hnub nyob rau hauv ib qho kev taw qhia lossis lwm qhov yog suav tias yog qhov qub.
Txawm li cas los xij, ntau zaus, teeb meem ntawm kev coj khaub ncaws ua rau ib tug ntxhais xav tias qhov tsis zoo. Lwm yam xwm txheej twg tuaj yeem ntsib hauv kev xyaum?
"Txoj hauj lwm txaus nyiam", los Tsis ntev kuv yuav dhau los ua niam
Lub sijhawm tsis nco qab qhia li cas? Cev xeeb tub yog qhov uas cov poj niam xav tias thaum hnub tseem ceeb yog lig lossis tsis tuaj.
Lub voj voog kev coj khaub ncaws zoo zoo nres tam sim tom qab kev xeeb tub. Lub qe fertilized txuas mus rau lub tsev menyuam, thiab tom qab ntawd kev loj hlob ntawm fetus pib. Cov poj niam lub hlwb tshiab tsis paub tab. Ovulation tsis tshwm sim thiab lub caij nyoog tsis tuaj.
Txhawm rau txiav txim siab cev xeeb tub, nws yog qhov zoo dua los kuaj hauv tsev thiab mus ntsib kws kho mob gynecologist. Kev tshawb fawb pom zoo kom ua tiav rau 1-3 hnub ntawm kev ncua. Txwv tsis pub, koj yuav ntsib cov txiaj ntsig tsis tseeb.
Ib qho tseem ceeb: qee zaum tus ntxhais muaj kev coj khaub ncaws thaum cev xeeb tub. Qhov no tshwm sim hauv thawj peb lub hlis twg. Nws yog qhov zoo dua mus ntsib kws kho mob nrog cov teeb meem sib raug.
Kuaj tsis zoo tab sis cev xeeb tub
Koj puas nco koj lub sijhawm? Puas yog qhov kev xeem tsis zoo? Qee tus ntxhais ntseeg tias qhov xwm txheej zoo li no yog qhov lav qhov tsis muaj cev xeeb tub. Puas yog?
Tsis tag li. Tus poj niam pom taucov txiaj ntsig tsis zoo ntawm kev kuaj cev xeeb tub yog tias qhov kev kuaj tsis zoo lossis tag sijhawm. Tsis tas li ntawd, thawj hnub ntawm ncua hnub tseem ceeb, qib ntawm hCG hauv cov zis feem ntau qis dhau. Thiab yog vim li cas qhov kev kuaj cev xeeb tub qhia ib kab.
Txhawm rau tshem tawm "qhov xwm txheej txaus nyiam", koj yuav tsum rov ua qhov kev sim rau 5-7 hnub ntawm kev ncua sijhawm. Yog tias koj tsis xav tos, koj yuav tsum ua ultrasound thiab pub ntshav rau kev tshuaj xyuas hCG.
Ectopic cev xeeb tub
Poj niam lub sijhawm 5 hnub lig thiab qhov kev kuaj tsis zoo? Yog tias muaj kev xeeb tub, koj yuav tsum maj nrawm nrog nws qhov kev kuaj mob. Vim li cas?
Qhov khoom yog tias qee zaum cov ntxhais hnov qhov kev kuaj mob tsis txaus ntseeg - cev xeeb tub ectopic. Hauv qhov no, lub sijhawm yuav tsis tuaj, thiab kev kuaj cev xeeb tub yuav pom qhov tshwm sim tsis zoo, lossis nws yuav pom lub strip thib ob, tab sis nws cov xim yuav dim.
Qhov no yog vim qhov tseeb tias thaum tus menyuam mos nyob sab nraud ntawm lub tsev menyuam, qib hCG tsis nce sai npaum li thaum nws nyob hauv txoj haujlwm uterine. Lub cev xeeb tub ectopic yog qhov txaus ntshai rau tus poj niam thiab yuav luag tag nrho hauv kev nchuav menyuam lossis rho menyuam. Thiab yog li ntawd, koj yuav tsum tsis txhob yig mus ntsib tus kws tshaj lij.
Tseem ceeb: tsis muaj leej twg muaj kev nyab xeeb los ntawm kev xeeb tub ectopic. Cov kws kho mob tseem tsis tuaj yeem hais meej raws li qhov xwm txheej no "qhov xwm txheej txaus ntshai" tshwm sim. Tab sis cov ntxhais noj qab haus huv nyob hauv ib puag ncig zoo tsis tshua muaj mob.
Late "hnubX"
Koj puas nco koj lub sijhawm? Puas yog qhov kev xeem tsis zoo? Yog tias tus ntxhais muaj kev ntseeg siab hauv nws txoj kev noj qab haus huv, tej zaum nws ovulation tuaj tom qab lub sijhawm. Qhov no ua rau ncua sij hawm ntawm kev coj khaub ncaws.
Qhov tseeb, "Hnub X" cuam tshuam los ntawm ntau yam. Piv txwv li, kev xav poob siab lossis kev ntxhov siab hnyav. Overloading lub cev kuj tsis zoo rau ovulation. Thiab qee zaum nws tuaj sai dua los yog tom qab vim yog hormonal tsis ua haujlwm lossis tus qauv sib txawv.
Raws li txoj cai, lig ovulation tshwm sim ib zaug. Txoj kev yooj yim tshaj plaws los kuaj xyuas nws yog raws li daim ntawv ntsuas kub basal. Thaum "Hnub X", BT nce mus rau 37-37.5 degrees Celsius, thiab tom qab ntawd nyob ntawm 36.8 txog 37.2 degrees.
No ovulation
ncua koj lub sijhawm rau ib lub lim tiam yog ua rau muaj kev txhawj xeeb. Tshwj xeeb tshaj yog tias tus poj niam tau tiv thaiv kev sib deev.
Txawm li cas los xij, hnub tseem ceeb tsis tu ncua yuav tsum tsis txhob ua rau koj ntshai. Txawm tias ib tug hluas nkauj noj qab nyob zoo ntsib nrog tsis muaj ovulation. Cov txheej txheem no hu ua anovulation.
Feem ntau, qhov tsis muaj ovulation tuaj yeem pom txog li ob zaug hauv ib xyoos. Nrog rau qhov tshwm sim ntau zaus, koj yuav tau mus ntsib kws kho mob kom kho.
Ib qho tseem ceeb: nrog anovulation, kev coj khaub ncaws ncua sijhawm 1 lub hlis lossis ntau dua. Nws tag nrho yog nyob ntawm lub sijhawm ntawm lub voj voog. Tom qab ob lub hlis tas los, cov hnub tseem ceeb tseem yuav los.
Nyob hauv cov poj niam laus
Tam sim tom qab yug me nyuam, lub cev pib tsim. Qhov no yog ib txoj kev uas yuav tsum tau zam. Nws yog hu ualoj hlob. Nyob rau ib lub sij hawm zoo, ib tug neeg pib laus, thiab tom qab ntawd nws npaj txhij rau kev yug me nyuam.
Txawm li cas los xij, qee lub sijhawm lub cev pib tsis loj hlob, tab sis mus rau hnub nyoog. Cov txheej txheem hauv lub neej tau hloov pauv qee yam. Thiab cov ntxhais tshaj 40 xyoo tau ncua sij hawm.
Vim li cas qhov no tshwm sim? Feem ntau lig kev coj khaub ncaws yog ib qho cim ntawm kev laus thiab qhov pib ntawm menopause. Lub cev tsuas yog tso tseg tsis tsim cov qe rau fertilization. Thiab yog li kev coj khaub ncaws ua ntej "dhia" thiab tom qab ntawd nres tag nrho.
Ib qho tseem ceeb: nyob rau hauv lub suab ntawm lub neej niaj hnub no, txawm tias cov poj niam hnub nyoog 30-35 tuaj yeem raug kev txom nyem los ntawm kev laus. Yog li ntawd, nws yuav tsis muaj peev xwm txiav txim siab nws tus kheej. Kuv yuav tau mus ntsib kws kho mob gynecologist thiab xeem tag nrho cov kev ntsuam xyuas los ntawm nws.
Kab mob thiab lub voj voog
ncua sijhawm? Puas yog qhov kev xeem tsis zoo? Yog hais tias ib tug poj niam xav txog qhov ua rau deviations nyob rau hauv lub voj voog txhua hli, ib tug yuav tsum tsis txhob hnov qab txog tej yam xws li kab mob.
Thaum muaj mob, lub cev pib ua haujlwm txawv dua li yav dhau los. Tag nrho nws lub zog yog tsom rau kev ntxiv dag zog tiv thaiv kab mob thiab tawm tsam tus kab mob. Yog li ntawd, cov hnub tseem ceeb tuaj lig.
Nws ua raws tias txawm tias tus mob khaub thuas tuaj yeem dhau los ua lub zog rau kev kho lub voj voog txhua hli. Tom qab tag nrho rov qab los, cov txheej txheem hauv kev kawm yuav rov qab mus rau qhov qub.
Tseem ceeb: STDs kuj cuam tshuam rau kev coj khaub ncaws. Yog hais tias ib tug ntxhais muaj kab mob "raws li gynecology", kev coj khaub ncaws yuav rov zoo li qub tom qab ua tiav chav kawm tiav.kho nrog rov zoo.
ncua sij hawm ntev (2 lub hlis lossis ntau dua) nrog kev kuaj cev xeeb tub tsis zoo yog qhov ua rau muaj kev txhawj xeeb loj. Tom qab tag nrho, qee zaum kev coj khaub ncaws tuaj yeem qhia pom muaj cov kab mob zais lossis mob ntev.
Feem ntau, kev coj khaub ncaws hloov pauv tshwm sim nrog cov qog thiab mob qog noj ntshav. Cov kab mob ntawm endocrine thiab genitourinary systems, nrog rau cov txheej txheem inflammatory kuj cuam tshuam rau hnub tseem ceeb.
Cov kab mob ntau tshaj plaws yog:
- ovarian dysfunction;
- polycystic;
- multifollicular zes qe menyuam;
- endometriosis;
- uterine fibroids;
- mob ntawm lub tsev menyuam thiab nws cov appendages;
- teeb meem rau lub raum;
- thyroid disorders.
Txawm li cas los xij, tsuas yog kev ntsuam xyuas dav dav yuav pab txheeb xyuas tus kab mob. Nws tsis tuaj yeem kuaj xyuas koj tus kheej raws li cov paib thiab cov paib.
Khoom noj khoom haus thiab kev ua neej
Kev coj khaub ncaws qeeb tsis raug txiav tawm vim kev noj zaub mov tsis txaus lossis kev ua neej tsis zoo. Nws nyuaj rau ntseeg, tab sis txawm tias kev noj haus tuaj yeem ua rau ovulation ntxov lossis lig.
tus cwj pwm phem yog lwm yam uas ua rau lub cev tsis zoo. Yog tias koj haus cawv, haus luam yeeb lossis yeeb tshuaj, cov hnub tseem ceeb tuaj yeem hloov kho. Lub voj voog tawg, ovulation tuaj ntxov / tom qab hnub kawg.
Kev rog lossis dystrophy feem ntau cuam tshuam tsis zoo rau hnub tseem ceeb. Lub voj voog rov zoo li qub tam sim tom qab kho qhov hnyav.
Lwm yam xwm txheej
Peb tau kawm txog cov ntsiab lus tseem ceeb uas cuam tshuam nrog kev tuaj txog tsis raws sijhawm ntawm los ntshav txhua hli. Tab sis, raws li twb tau hais lawm, muaj ntau txoj hauv kev rau kev txhim kho cov xwm txheej. Thiab koj tuaj yeem xav txog lawv tsis tas li.
Nrog rau lwm yam, tus poj niam lub cev tsis muaj zog tuaj yeem cuam tshuam raws li cov xwm txheej hauv qab no:
- kev nyuaj siab;
- kev ntxhov siab ntxhov siab (nrog rau qhov zoo);
- kev nyuaj siab;
- kev ntxhov siab ntawm lub cev, puas siab puas ntsws lossis kev puas siab puas ntsws;
- siv qee yam tshuaj;
- abbortion;
- kev kho kom tsis muaj menyuam;
- noj tshuaj hormonal;
- siv cov tshuaj tiv thaiv qhov ncauj (tshwj xeeb yog tias lawv xaiv tsis raug);
- mus ncig ua si;
- acclimatization lossis hloov pauv huab cua tam sim.
Qhov tseeb, qhov ua rau ncua sij hawm cev xeeb tub muaj ntau yam. Thiab tsis yog txhua tus ntawm lawv tuaj yeem kuaj tau yooj yim. Qee lub sij hawm koj yuav tsum mus dhau ntau tus kws kho mob thiab dhau ntau qhov kev sim kom paub meej qhov xwm txheej.
Sim txwv ntawm kev ncua
Ib ob peb lo lus hais txog yuav ua li cas hauv qee kis nws tuaj yeem xav tias yuav tuaj txog tsis raws sijhawm ntawm hnub tseem ceeb. Xav txog ntau qhov xwm txheej.
Ib tug ntxhais yuav ntsib cov tsos mob ntawm lub sijhawm tsis nco:
- Daim ntawv ntsuas kub Basal tsis qhia txog ovulation. Qhov phem tshaj plaws yog thaum BT tsis muaj lub sijhawm. Cov ntsiab lus cim rau ntawm nws yog chaotic txheej kub. Ib daim duab zoo sib xws tshwm sim nrog anovulation.
- Qav, qaug zog, ntuav, los ntshav me ntsis ntawm qhov chaw mos (ntau zaus - ntshav smears) qhia tias cev xeeb tub. Qee zaum muaj mob hauv zes qe menyuam.
- Mob hauv plab plab thiab lub cev kub siab rau ob peb hnub yuav qhia tau tias muaj mob lossis mob. Feem ntau - teeb meem nyob rau hauv lub genitourinary system thiab qog.
- Kev loj hlob ntawm cov plaub hau, qhov hnyav nce thiab cov tawv nqaij tawv zuj zus yog cov cim ntawm PCOS.
Tej zaum, lwm qhov, koj tsuas yog mus tom tsev kho mob thiab kuaj. Zoo dua nres ntawm:
- kuaj ntshav dav dav;
- hCG kawm;
- ultrasound;
- mus ntsib kws kho mob endocrinologist, kws kho mob urologist, gynecologist.
Txhua lwm yam kev xeem yuav raug sau los ntawm tus kws tshaj lij tshwj xeeb. Feem ntau koj yuav tsum pub ntshav rau ntau yam tshuaj hormones thiab ua tomography. Mus ntsib kws kho mob puas siab ntsws thiab noj zaub mov kuj yuav tsis yog superfluous.
