Nyob rau hauv txoj hauj lwm no koj tuaj yeem nrhiav tau cov lus teb rau cov lus nug feem ntau ntawm cov ntxhais uas npau suav txog kev xeeb tub: yuav ua li cas thiaj paub txog ovulation? Muaj qee lub sij hawm thaum ob niam txiv tau koom nrog kev sib deev, tab sis qhov tshwm sim ntev tsis tuaj. Yuav ua li cas nyob rau hauv qhov teeb meem no? Tau kawg, koj tuaj yeem sau npe rau cov txheej txheem kim kim thiab sim nrhiav seb yog vim li cas nyob ntawd. Tab sis tej zaum nws yog vim koj nyuam qhuav sib deev thaum tsis ncaj ncees lawm?
Raws li koj paub, kev xav tau tsuas yog thaum lub sijhawm tso qe ntawm lub hauv paus. Cov txheej txheem no hu ua ovulation. Niaj hnub no peb yuav tham txog yuav ua li cas kom paub txog ovulation tsis tsuas yog nrog kev pab los ntawm cov kws tshwj xeeb, tab sis kuj ntawm koj tus kheej, nyob rau hauv tsev.
Thaum ua tau fertilization
Ua ntej peb saib tag nrho cov kev ua tau, peb muab me ntsis kev paub txog cov txheej txheem ntawm fertilization ntawm qe thiab cov txheej txheem ntawm ovulation. Nws tseem ceeb heev uas yuav tau taw qhiahais tias lo lus nug ntawm yuav ua li cas paub txog ovulation kuj tsim txom cov poj niam uas nrhiav kom tsis txhob xeeb tub.
Txhawm rau teb cov lus nug tseem ceeb, koj yuav tsum tau paub me ntsis txog poj niam lub cev. Ovulation tshwm sim yuav luag txhua lub hlis yog tias tus ntxhais muaj hnub nyoog me nyuam thiab noj qab nyob zoo. Raws li txoj cai, qhov tshwm sim ntawm cev xeeb tub yog siab tsuas yog ob hnub hauv ib hlis. Cov hnub no poob rau hauv nruab nrab ntawm kev coj khaub ncaws. Nov yog cov kwv yees kwv yees:
- 28-hnub voj voog - ovulation tshwm sim rau hnub 12;
- 35-hnub voj voog - hnub 17.
Yuav tsum nco ntsoov tias txhua leej txhua tus muaj lub cev, koj yuav tsum ua tib zoo mloog koj lub cev, ces koj yuav tsis tuaj yeem nco lub sijhawm ovulation.
Qhov no yog dab tsi?
Tam sim no peb yuav qhia koj me ntsis txog qhov ovulation yog dab tsi. Lub tswv yim no tseem ceeb heev rau cov ntxhais uas npau suav ntawm cev xeeb tub. Cov txheej txheem ntawm ovulation yog qhov tseem ceeb heev thaum npaj cev xeeb tub. Tom qab tag nrho, yog tias nws tsis tshwm sim, ces cev xeeb tub yog tsis yooj yim sua.
Muab nws luv luv thiab hauv cov lus siv tau, ovulation yog txheej txheem ntawm tawm hauv cov follicle ntawm lub qe loj hlob thiab npaj-rau-fertilize qe. Nws kav li ob peb feeb xwb, sai li sai tau thaum lub qe paub tab nkag mus rau hauv lub plab kab noj hniav, cov txheej txheem ovulation tau txiav txim siab tiav.
Qe qe tau tso rau hauv kev loj hlob ntawm fetus hauv cov ntxhais, muaj txog ib lab ntawm lawv. Ua ntej puberty, qe yog nyob rau hauv ib tug dormant lub xeev. Txawm li cas los xij, qee tus ntawm lawv tuag yam tsis tau tos lub sijhawmtawm ntawm lub follicle. Los ntawm lub sij hawm ntawm thawj coj khaub ncaws, tus ntxhais muaj txog 300 txhiab follicles. Ntawm tus lej no, tsuas yog kwv yees li 500 ovulate thaum lub sijhawm ua me nyuam tag nrho.
Txhawm rau teb cov lus nug ntawm yuav ua li cas thiaj paub txog ovulation, nws yog ib qho tsim nyog los qhia meej qhov tseeb tias ovulation yuav tsis tshwm sim txhua lub hlis. Txawm li cas los xij, muaj qee zaus thaum ob peb follicles ripen thiab tawg ib zaug. Yog tias qhov no tshwm sim, ces muaj ntau yam kev xeeb tub.
Methods
Los ntawm tshooj no koj tuaj yeem kawm paub txog ovulation koj tus kheej lossis nrog kev pab los ntawm cov kws tshaj lij. Hauv tag nrho, ob peb txoj hauv kev tuaj yeem paub qhov txawv:
- kuaj mob ultrasound;
- kuaj ntshav;
- xeem nrawm;
- mloog kev xav;
- saib qhov chaw mos;
- Basal kub charting method.
Qhov tseeb tshaj plaws yuav raug lees paub los ntawm ntau txoj hauv kev paub txog ovulation ib zaug. Txawm li cas los xij, qee qhov ntawm lawv tuaj yeem tsoo koj lub hnab nyiaj hnyav. Piv txwv li, yog tias koj mus rau ultrasound scan txhua txhua hnub los yog siv cov kev ntsuam xyuas ceev. Qhov kev xaiv raug tshaj plaws yog xam cov hnub kwv yees ntawm ovulation siv cov txheej txheem daim ntawv qhia hnub, paub meej lossis tsis lees paub koj cov kev suav nrog siv daim ntawv xeem.
YUltrasound
Nyob rau hauv seem no, koj yuav kawm paub txog ovulation los ntawm ultrasound. Kev kuaj ultrasound yog ua nyob rau hauv ntau qhov xwm txheej, los ntawm kev tshawb nrhiav qhov ua rau lub voj voog tsis xwm yeem thiab xaus nrog kev kuaj mob ntxiv.
ultrasoundtxhawm rau taug qab ovulation, gynecologist yuav sau ntawv yog tias muaj teeb meem hauv qab no:
- mob lub sijhawm;
- lawv tsis tuaj;
- thaum stimulating qe maturation;
- hauv kev kho lossis kuaj mob tsis muaj menyuam;
- yog tus poj niam tab tom npaj rau IVF txheej txheem;
- rau cov txiaj ntsig tsis zoo ntawm cov tshuaj hormones;
- yog tus poj niam npaj cev xeeb tub tom qab rho menyuam, nchuav menyuam thiab lwm yam;
- rau xaiv cov tshuaj tiv thaiv kab mob.
Ntau tus neeg txaus siab rau lo lus nug: ultrasound ua li cas los txiav txim ovulation? Nyob rau hauv tag nrho muaj peb txoj kev xeem:
- transvaginal;
- transrectal;
- transabdominal.
Thawj ob txoj hauv kev yog sab hauv, qhov kawg yog sab nraud. Qhov kev xaiv tshaj plaws yog transvaginal. Txoj kev transrectal tshuaj xyuas cov nkauj xwb, thiab txoj kev transabdominal tshuaj xyuas cov poj niam cev xeeb tub.
Nws twb tau hais tias feem ntau yog txoj kev transvaginal. Thaum lub sij hawm tus txheej txheem, lub sensor yog ntxig ncaj qha mus rau hauv qhov chaw mos. Kev kuaj ultrasound los ntawm txoj kev no yog ua tsis pub dhau 30 feeb, tus poj niam tsis muaj qhov mob thaum lub sijhawm no.
Qhov zoo ntawm qhov kev xeem no yog tias tsis tas yuav npaj rau nws. Koj yuav tsum tau da dej thiab tso koj lub zais zis. Koj yuav tsum nqa hnab looj tes nrog koj.
kuaj ntshav
Yuav ua li cas mus txog ovulation manifest nws tus kheej? Yuav ua li cas paub nws siv txoj kev kuaj? Hauv seem no, koj yuav pom cov lus teb rau cov lus nug no.
Raws li koj paub, kev coj khaub ncaws tsis tuaj yeem yog tsis muaj kev koom tes ntawm ntau cov tshuaj hormones. Cov tseem ceeb yog: FSH, LH, progesterone. Wb tham me ntsis txog lawv txhua tus.
Follicle-stimulating hormone, tseem hu ua FSH, txhawb kev loj hlob ntawm cov follicles uas nyob hauv zes qe menyuam. Yog hais tias cov ntsiab lus ntawm cov tshuaj hormones ntau tshaj qhov siab tshaj plaws, ces lub follicle tsuas yog tawg, yog li tso lub qe. Hauv qhov no, ovulation tshwm sim. Ces qhov concentration maj mam txo.
Tom ntej ntawm peb cov npe yog luteinizing hormone. Nws yog nws leej twg tab tom sim txheeb xyuas qhov kev sim qhia rau ovulation. Nws yog ib qho tseem ceeb kom paub tias hnub ua ntej ovulation, tus nqi ntawm cov tshuaj hormones no nce li ntawm kaum npaug. Yog tias koj txiav txim siab mus kuaj ntshav rau cov tshuaj hormones los txiav txim ovulation, koj kuj yuav tsum paub tias nws tseem ceeb tsis yog tsuas yog muaj cov ntshav, tab sis kuj muaj qhov sib piv nrog FSH. Qhov piv txwv no yuav tsum yog qee yam zoo li no: LH: FSH=1.5: 2.0. Nrog rau lub voj voog tsis tu ncua, qhov kev tshuaj xyuas no yuav tsum tau ua rau hnub 3-8 thiab 19-21 hnub ntawm lub voj voog. Nyob rau tib hnub, FSH kuj tau muab. Yog tias lub voj voog tsis sib xws, ces ovulation yuav tsum tau saib xyuas los ntawm kev tshuaj xyuas txhua hnub ntawm 8th mus rau 18th hnub ntawm lub voj voog.
Qhov kawg peb tau hais yog progesterone. Nws tseem hu ua lub cev xeeb tub cov tshuaj hormones. Nws tau txais lub npe zoo li yog vim li cas, tag nrho cov ntsiab lus yog tias progesterone yog tsim los ntawm corpus luteum thiab tiv thaiv tus menyuam hauv plab los ntawm nchuav menyuam. Nws qhov tsis muaj peev xwm ua rau muaj menyuam tsis taus.
Txoj kev no ntawm kev txiav txim siab ovulation pab tsis tau tsuas yog txiav txim siab hnub tseeb ntawm nws qhov pib, tab sis kuj txheeb xyuas qhov tsis txaus ntawm cov tshuaj hormones. Nws yog qhov zoo dua los muab kev kuaj ntshav rau cov tshuaj hormones nrog kev kuaj ultrasound, yog li cov txiaj ntsig yuav raug ntau dua.
Tam sim no peb thov kom txheeb xyuas qhov zoo thiab qhov tsis zoo ntawm txoj kev no. Cov ntaub ntawv no tuaj yeem tau txais los ntawm cov lus hauv qab no.
| txiaj ntsig | Flaws |
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Test strips
Tam sim no peb yuav tham txog lwm txoj hauv kev. Yuav ua li cas paub txog ovulation nrog lub voj voog tsis xwm yeem? Qhov tseeb, qhov no tsis yog yooj yim ua. Koj tuaj yeem siv sijhawm ntau thiab nyiaj txiag, mus rau tom tsev kho mob rau kev kawm ntev. Tsis tu ncua mus kuaj ultrasound, kuaj ntshav thiab lwm yam. Muaj txoj kev pheej yig dua.
Cov ntxhais feem ntau siv cov kev ntsuam xyuas los txiav txim siab cev xeeb tub, tab sis ob peb tus neeg paub tias muaj cov ntawv xeem zoo sib xws rau kev txiav txim siab ovulation. Qhov kom zoo dua ntawm txoj kev no yog tias koj tuaj yeem ua qhov kev xeem hauv tsev, ntawm koj tus kheej thiab tsis muaj nqi khoom siv zog.
Tus nqi rau cov kev xeem no nthuav tawm txawv ntawm 30 rubles rau 1.5 txhiab. Qhov tshwm sim yog siab heev, txog 90%.
Tam sim no me ntsis txog txoj kev thov. Ua ntej koj yuav tsum txiav txim siab rau hnub. Nrog lub voj voog tsis tu ncua, rho tus lej "17" los ntawm nws qhov ntev, tom qab ntawd koj yuav tau txais hnub ntawm lub voj voog, hauvmus kuaj. Rau lub voj voog tsis sib xws, siv qhov ntev ntawm lub xyoo luv tshaj nyob rau hauv ib nrab xyoo dhau los thiab rho tawm 17.
Rules:
- tsis txhob haus 4 teev ua ntej kev xeem;
- tsis txhob mus chav dej 2 teev;
- ua raws cov lus qhia tshwj xeeb rau koj qhov kev xeem;
- tsis txhob siv cov zis thaum sawv ntxov;
- Rau cov txiaj ntsig tau tseeb dua, los so 2-3 zaug hauv ib hnub (lub sijhawm zoo tshaj plaws yog 10 teev sawv ntxov txog 10 teev tsaus ntuj).
Kev xav
Nyob rau hauv seem no, koj yuav kawm paub txog ovulation los ntawm kev xav. Nws yog ib qho tseem ceeb kom nkag siab tias koj yuav tsis tuaj yeem hnov cov txheej txheem ntawm tearing lub follicle. Qhov laj thawj yog nyob rau hauv qhov tseeb tias nws tsis muaj paj hlwb xaus. Tab sis lub qe pib txav mus los ntawm cov hlab ntsha fallopian vim yog lawv cov contractions, uas tuaj yeem cuam tshuam rau lub cev thiab lub siab lub ntsws.
Yog li, yuav ua li cas paub txog ovulation los ntawm kev xav? Cov tsos mob hauv qab no yuav tshwm sim:
- mob me me hauv thaj tsam zes qe menyuam, nws tuaj yeem muaj qhov sib txawv (mob, txiav, stabbing, cramping, thiab lwm yam), nws kav li 1-2 hnub;
- mob tom qab ovulation (qhov no yuav qhia tau tias yog mob, koj yuav tsum tau teem sij hawm nrog gynecologist);
- hnub ua ntej ovulation, ib tug ntxhais tuaj yeem ua rau lub siab zoo;
- kev sib deev nce;
- kev xav txhim kho, kev ntseeg tus kheej yog hnov.
Ntawm no yuav tsum tau sau tseg tias txhua tusLub cev yog tus kheej, cov cim qhia yuav txawv. Txhawm rau txiav txim siab ovulation, koj yuav tsum ua tib zoo mloog koj lub cev.
Kev xaiv
Nyob rau hauv seem no, peb yuav qhia koj yuav ua li cas paub txog ovulation los ntawm secretions. Nws yog ib qho tseem ceeb rau txhua tus ntxhais kom paub tias lub tsev me nyuam zais ib qho hnoos qeev tshwj xeeb uas pab cov phev muaj sia nyob thiab txav mus los ntawm qhov chaw mos. Yog hais tias ib tug ntxhais mob siab rau nws lub cev, ces nws paub yuav ua li cas paub txog ovulation los ntawm secretions.
thawj zaug tom qab kev coj khaub ncaws yog lub sijhawm hu ua qhuav. Thaum lub sij hawm lub sij hawm no, muaj suab tsis muaj paug, raws li muaj ib tug me me theem ntawm estrogen. Tej zaum yuav muaj paug, tab sis lawv yog tuab heev, qhov no yog qhov tsim nyog rau kev tsim ntawm lub ncauj tsev menyuam ntsaws. Yuav tsum tau kom tsis txhob muaj kab mob thiab phev nkag mus rau hauv lub tsev menyuam.
Tsis ntev ua ntej hnub ntawm ovulation, cov tshuaj estrogen pib nce, cov hnoos qeev ntawm ncauj tsev menyuam yuav nyias thiab nplaum ntau dua. Tom qab ntawd, nws tau txais ib qho kev ntxhib los mos. Cov kev tso tawm no suav hais tias yog ib txwm muaj yog tias muaj qee yam raug:
- tso tawm zoo li jelly, muaj xim pob tshab;
- lawv tau pom tsawg;
- tsis muaj ntxhiab;
- tsis muaj qhov phem rau ntawm daim tawv nqaij;
- tsis khaus;
- tsis mob;
- no kub.
Raws li lub qe loj tuaj, qhov xwm txheej ntawm lub ncauj tsev menyuam hloov pauv. Ib hnub thiab txog li 2 hnub tom qab ovulation, lawv tau txais kev sib xws zoo li cov qe dawb. Tsis tsim nyogtxhawj yog tias qhov tso tawm tau dhau los ua ntau, qhov no suav tias yog tus qauv.
Nws tseem yuav tsum tau qhia meej tias qhov kev tso tawm thiab nws lub sijhawm yog tus kheej rau txhua tus.
Calendar method
Tam sim no peb yuav qhia lwm txoj hauv kev paub txog ovulation yam tsis muaj kev sim. Yav dhau los, daim ntawv qhia hnub tsis tu ncua tau siv rau lub hom phiaj no. Lub ntsiab ntawm txoj kev yog raws li nram no: nco ntsoov cim txhua hnub ntawm kev coj khaub ncaws rau lub sij hawm ntev. Kom tau txais qhov tseeb dua, lawv feem ntau txheeb xyuas txij li 6 lub hlis mus rau ib xyoos.
Nws tseem yog ib qho tseem ceeb uas yuav tau taw qhia tias qhov tshwm sim ntawm kev txiav txim siab hnub tseeb ntawm ovulation siv cov txheej txheem daim ntawv qhia hnub tsawg heev. Nws ua haujlwm li cas? Sau cov hnub pib ntawm 12 lub sijhawm kawg, tom qab ntawd siv txoj kev Ogino-Knaus. Thawj tus qauv: A \u003d B - 18; tus qauv thib ob: C \u003d D - 11. A yog qhov pib ntawm lub sijhawm zoo rau kev xav, B yog lub sijhawm luv luv, C yog qhov kawg ntawm lub sijhawm zoo, D yog lub sijhawm ntawm lub voj voog ntev tshaj plaws.
ntsuas qhov ntsuas kub basal
Nyob rau hauv nqe lus no, koj yuav kawm paub yuav ua li cas paub txog hnub ovulation siv ntawv, cwj mem thiab ntsuas kub ib txwm. Txoj kev no yog qhov tseeb dua nrog kev hwm rau daim ntawv qhia hnub. Txhawm rau xam hnub ntawm ovulation, koj yuav tsum txheeb xyuas daim ntawv kom tsawg kawg 3 lub voj voog.
Rau lub hom phiaj no, qhov kub thiab txias yog ntsuas los ntawm ib qho ntawm cov hauv qab no:
- hauv qhov ncauj;
- hauv qhov quav;
- hauv qhov chaw mos.
Vim qhov kub yuav tsum tau noj txhua hnub(txawm tias thaum cev xeeb tub), qhov kev xaiv zoo tshaj plaws yog ntsuas hauv qhov quav.
Rau kev suav, koj yuav tsum ua raws li cov lus pom zoo hauv qab no:
- ntsuas kub txhua hnub;
- yog tias koj siv qhov ncauj, ces tus pas ntsuas kub yuav tsum khaws cia hauv qab tus nplaig tsawg kawg yog 5 feeb, thaum daim di ncauj nruj nreem;
- yog tias koj siv qhov chaw mos lossis qhov quav, ces koj yuav tsum tau ntxig li 3 centimeters thiab ntsuas qhov kub li 4 feeb;
- siv tib lub ntsuas kub ib txwm;
- ntsuas qhov ntsuas kub thaum sawv ntxov, tsis txhob sawv ntawm txaj;
- sau qhov tshwm sim hauv daim ntawv tshwj xeeb.
Nyeem kab ntawv
Nyob rau ntu dhau los, koj tau kawm paub yuav ua li cas thiaj paub txog ovulation hauv tsev siv tus ntsuas kub. Tam sim no me ntsis txog yuav ua li cas nyeem daim ntawv qhia tau.
Txij li thawj hnub ntawm kev coj khaub ncaws, qhov kub thiab txias hauv nruab nrab ntawm lub voj voog nws txo qis. Nws yog ib qho tsim nyog los saib rau ovulation nyob ib ncig ntawm lub sijhawm no. Nws tuaj yeem lees paub los ntawm kev dhia ntawm 0.2 txog 0.6 degrees. Tom qab qhov kev poob qis no, qhov kub thiab txias yuav nyob ntawm theem no mus txog 2 lub lis piam. Hnub ua ntej ntawm kev coj khaub ncaws, kub poob. Hnub ntawm ovulation yog suav tias yog hnub uas qhov kub thiab txias yog qhov qis tshaj ua ntej dhia.
Tam sim no koj tuaj yeem twv tau yooj yim hnub ntawm ovulation. Lub sijhawm zoo tshaj plaws rau kev xeeb tub yog ob hnub ua ntej dhia thiab hnub tom qab nws.
