Qhov paug tawm ntawm qhov chaw mos hauv tus poj niam tau pom thoob plaws hauv nws lub neej. Lawv qhov xwm txheej txawv tsis yog nyob ntawm lub hnub nyoog, tab sis kuj nyob ntawm hnub tshwj xeeb ntawm kev coj khaub ncaws. Los ntawm kev hloov mucous, nws muaj peev xwm paub txog ovulation, los txiav txim seb qhov kev hloov pauv pathological hauv tag nrho cov poj niam cev xeeb tub. Lawv tsuas yog tsim nyog txhawm rau txhawm rau tiv thaiv qhov chaw mos los ntawm ntau yam kab mob pathogenic los ntawm kev tsim kom muaj acidic ib puag ncig nyob rau ntawd, nrog rau kev tswj xyuas kev noj qab haus huv ntawm tag nrho cov kab mob. Hauv qab no koj tuaj yeem pom cov yam ntxwv ntawm cov hnoos qeev thaum lub sijhawm ovulation, nrog rau nws ntau yam thiab ua rau muaj kev hloov pauv.
Yog vim li cas xaiv
Txhua lub hlis, nyob rau hauv kev cuam tshuam ntawm poj niam cov tshuaj hormones hauv ib lub zes qe menyuam, ib lub qe yog npaj rau cov txheej txheem ntawm fertilization. Thaum lub sij hawm ovulation, lub qe no tawm ntawm nws cov follicle, tom qab ntawdtxav mus rau hauv lub uterine kab noj hniav los ntawm txoj hlab ntsha fallopian. Lub sijhawm no yog qhov zoo tshaj plaws siv rau kev xeeb tub. Tias yog vim li cas ntau yam kev hloov pauv ntawm lub cev tshwm sim hauv tus poj niam lub cev, uas pab txhawb cov txheej txheem no thiab ua rau muaj qhov tshwm sim ntawm fertilization. Ib qho kev hloov pauv no yog kev tsim cov qog nqaij hlav, hnoos qeev, thaum lub sij hawm ovulation.
Tsev cov hu ua cervical mucus tso cai rau cov spermatozoa nkag mus rau tus poj niam lub tsev menyuam sai dua, thiab tseem tsim kom muaj ib puag ncig zoo rau lawv.
Ntev npaum li cas yog kev faib
Cov kua nplaum pob tshab thaum lub sij hawm ovulation tsuas pom tau 2-3 hnub. Tom qab tso tawm ntawm lub qe, cov tshuaj hormone progesterone pib synthesized nyob rau hauv lub zes qe menyuam. Raws li kev cuam tshuam ntawm cov tshuaj hormones no, cov ntsiab lus ntawm lub ncauj tsev menyuam kwj dej ua ntau denser. Whitish tawm yog ib qho cim ntawm kev ua tiav ntawm ovulation. Qhov no yog qhov uas hnoos qeev los ntawm lub sijhawm ovulation.
Kev txiav txim siab ntawm ovulation los ntawm secretions
Yog tias tus poj niam siv daim ntawv qhia hnub ntawm kev tiv thaiv los ntawm qhov tsis xav tau fertilization, tom qab ntawd kev lees paub ntawm lub sijhawm ovulation los ntawm kev zais zais yuav pab nws txiav txim siab hnub hu ua txaus ntshai rau kev xeeb tub. Spermatozoa muaj peev xwm ciaj sia nyob rau hauv cov mucous secretions ntawm qhov chaw mos thiab nyob rau hauv lub ncauj tsev menyuam rau 5 hnub ua ntej tso ncaj qha ntawm oocyte, thiab ces txog tib lub hnub tom qab ntawd. Hnub no yog lub sijhawm zoo rau cev xeeb tub.
Creamy-whitish ntom mucus yog cov kua dej ntau tshaj, khov, elastic, noj daim ntawvqe dawb. Qhov no tshwm sim ncaj qha rau hnub ntawm ovulation, thiab rau 5 hnub tom qab nws.
Txawm li cas los xij, nws tsim nyog ua tib zoo saib xyuas qhov tseeb tias tsis yog tag nrho cov hnoos qeev tawm thaum lub sij hawm ovulation tuaj yeem yog qhov tseeb. Paub txog cov tsos mob ntawm pathology, tus poj niam tuaj yeem xav tias muaj kab mob hauv lub sijhawm, thiab tom qab ntawd sab laj nrog kws kho mob.
Yog li, saum toj no peb saib vim li cas cov hnoos qeev tawm thaum lub sijhawm ovulation. Tab sis dab tsi yuav tsum yog qhov qub? Ua li no, nws tsim nyog kawm cov yam ntxwv ntawm qhov tso tawm.
Slime yam ntxwv
Kev tso zis tawm ntawm lub ncauj tsev menyuam yog tsim los ntawm kev ua haujlwm tshwj xeeb ntawm cov qog nyob rau hauv lub ncauj tsev menyuam. Raws li kev cuam tshuam ntawm cov tshuaj hormones estrogen hauv thawj theem ntawm lub voj voog, tus nqi ntawm cov hnoos qeev no maj mam pib nce, nce mus txog 0.5 ml ib hnub twg thaum lub sijhawm oocyte nkag. Thaum lub sij hawm no, tus nqi ntawm cov dej nyob rau hauv nws nce, uas nyob rau tib lub sij hawm ua kom tsawg kawg yog ib nrab ntawm tag nrho cov ntim ntawm excretions. Qhov no yog vim li cas cov kua dej tawm thaum lub sij hawm ovulation.
Ib qho sib xyaw ntawm cov proteins (mucin thiab lwm yam peptides) thiab dej tsim hydrogel. Qhov no hydrogel yog tus cwj pwm los ntawm kev nce elasticity thiab ductility. Cyclic hloov pauv hauv ncauj tsev menyuam thaum lub sij hawm ovulation yog ib qho tseem ceeb heev uas txiav txim siab qhov kev vam meej nkag mus rau spermatozoa rau fertilization rau hauv tsev menyuam.
Norma
Dab tsi yuav tsum tau tso tawm? Raws li txoj cai, lawv yog lub teeb. Tab sis koj yuav tsum xyuam xim rau qhov tseeb hais tias thaum lub sij hawm ovulation, hnoos qeev nrog ntshav los yog pinkish me ntsis kuj tsis yog ib tug kos npe rau ntawm ib yam dab tsi. Gynecological pathologies.
Puas muaj pes tsawg hnub qhov tso tawm hloov pauv
Tam sim tom qab kev coj khaub ncaws tas, qhov zais cia yuav ntau meager, ntom. Kwv yees li 5 hnub ua ntej ovulation yav tom ntej, cov hnoos qeev maj mam pib nyias thiab dhau los ua cov nplaum, elastic. Tsuas yog ua ntej ovulation, lub ncauj tsev menyuam tawm ntawm lub qhov ntsaws tuab tig mus rau hauv "qe dawb", uas yog cov paug tawm pob tshab, elastic dua, uas ncab zoo rau ob peb centimeters.
Thaum ovulation, tsis muaj zog, cov qog ntshav liab tawm (1, 5-2 lub lis piam ua ntej kev coj khaub ncaws). Qhov no tshwm sim thaum lub qe loj hlob tawm ntawm follicle. Lub sijhawm no, qib ntawm cov tshuaj hormones estrogen nce, nrog rau kev tsis lees paub me ntsis ntawm cov ntaub so ntswg ntawm lub tsev menyuam - endometrium. Tag nrho cov no yog nrog los ntshav me me. Cov paib no tshwm sim nyob rau hauv yuav luag ib feem peb ntawm cov poj niam, thaum ua tus qauv tsis raug.
Yog tias ntau cov kua qaub liab tshwm thaum lub sijhawm ovulation, nws yuav tsum tau nco ntsoov tias qhov tshwm sim ntawm kev xeeb tub yog qhov txo qis, vim tias qhov tso tawm endometrium yuav txo qis qhov ua haujlwm ntawm lub tsev menyuam rau kev cog qoob loo ntawm lub qe fertilized.
Thaum tus poj niam muaj menyuam tsis ntev los no, nws yuav muaj xim liab tawm thaum rov ua kom ovulation.
Nyob rau tib lub sijhawm nrog kev hloov pauv ntawm cov hnoos qeev thaum lub sijhawm ovulation, cov duab uas zoo li tsis zoo, thiab yog li tsis suav nrog hauv tsab xov xwm, kev sib deev ncaj ncees tuaj yeem kuaj pom lwm yam tsos mob:
- yam ntxwvmob ntawm ntau yam localization;
- nce kub nce;
- kev sib deev muaj zog;
- mob thiab mob nyob hauv cov qog mammary.
Ovulation tsis mucus
Rau ntau tus poj niam, tsis muaj cov tsos mob sab nraud thiab kev hloov hauv lub cev tshwm sim thaum lub qe tawm ntawm zes qe menyuam. Qhuav ntawm qhov chaw mos yog ib qho teeb meem tshwm sim uas cuam tshuam nrog kev xav. Cov cim no tuaj yeem tshwm sim los ntawm qib qis ntawm cov tshuaj estrogen, nrog rau cov yam ntxwv ntawm tus poj niam lub cev.
Qhov tsis muaj hnoos qeev thaum lub sijhawm ovulation, ua ntej lossis tom qab lub sijhawm no, tsis tau txhais hais tias tsis muaj ovulation, thiab ntau dua li nws tsis txhais tau tias kev xeeb tub yog tsim. Txawm hais tias kev nkag mus ntawm spermatozoa rau hauv tsev menyuam yog qhov nyuaj dua, kev xeeb tub tseem ua tau, tshwj xeeb tshaj yog thaum lub sijhawm "fertile window" - 5 hnub tom ntej ua ntej thiab tom qab lub qe tawm ntawm zes qe menyuam.
Diagnosis
Cervical mucus characterization yog ib qho ntawm ntau txoj hauv kev siv los ntawm gynecologists los txiav txim lub sijhawm ovulation. Qhov extensibility ntawm secretions rau qhov no tau txiav txim siab siv cov tweezers tshwj xeeb, uas ntes cov hnoos qeev los ntawm qhov qhib sab nraud ntawm lub ncauj tsev menyuam thiab tom qab ntawd ncab nws. Thaum lub sij hawm ovulation, qhov luaj li cas ntawm divergence ntawm forceps nrog ib tug nruam xov ntawm mucus yuav tsum yog 8-12 cm. Nyob rau hauv lwm lub sij hawm ntawm lub voj voog, nws yog feem ntau tsis ntau tshaj 4 cm..
Qhov rhiab ntawm txoj kev kuaj mob no rau cov zais zis ib txwm tsis pub tshaj 50%. Tib lub ntsiab cai yuav siv rau txoj kev hauv tsev rau kev tshawb xyuas qhov chaw seem ntawm lub ncauj tsev menyuam hauv ncauj, thaum txoj kev ncaj ncees ntawm qhov chaw mos tawm ntawm tus ntiv tes. Nyob ntawm qhov nce ntawm qhov ntev ntawm cov kab nrib pleb tas li, ib tus tuaj yeem txiav txim siab lub sijhawm uas yuav zoo rau cov txheej txheem ntawm conception.
Yog hais tias thaum lub sij hawm ovulation lub resulting mucus yog muab tso rau hauv iav, qhuav, ces nyob rau hauv ntau yam magnification nyob rau hauv ib lub microscope, qhov paug yuav kis tau tus yam ntxwv qauv nyob rau hauv daim ntawv ntawm ib tug fern nplooj. Qhov no yog vim muaj cov ntsiab lus ntawm ntsev thiab mucin (mucilaginous protein) nyob rau hauv nws, uas crystallize nrog tsim kab txaij. Qhov kev kuaj mob no tsuas yog siv hauv qee qhov kev sim rov siv tau los txiav txim ovulation.
Txhawm rau ntsuas cov khoom ntawm lub ncauj tsev menyuam, cov kws tshaj lij siv cov txheej txheem tshwj xeeb. Qhov no system yog siv nyob rau hauv kev yug me nyuam thaum lub sij hawm kev soj ntsuam ntawm cov neeg mob los ntawm infertility. Lawv cov qhab nia ntawm 10 lossis ntau dua cov ntsiab lus yog cov qauv, tus lej tsawg dua yog qhov qhia txog kev hloov pauv pathological.
Cov yam ntxwv hauv qab no tau muab rau hauv tus account:
- Quantity: tsis muaj mucus - 0; 0.1 ml ntawm mucus - 1; 0.2 ml ntawm mucus - 2; 0.3 ml ntawm mucus los yog ntau tshaj - 3 ntsiab lus.
- Kev sib txuam ntawm cov hnoos qeev: viscous, ntom mucus - 0; tsis tseem ceeb - 1; dej muv - 2 points.
- Crystalization ntawm mucus: atypical mucus - 1; fern nplooj qauv nrog ceg ntawm qhov kev txiav txim thib 1 thiab thib 2 - 2; ceg ntawm tus qauv ntawm 3rd thiab 4th xaj - 3 ntsiab lus.
- Extensibility ntawm hnoos qeev thaum tuav nrog lub forceps: extensibility mus txog 1 cm - 0;extensibility ntawm 1 mus rau 4 cm - 1; extensibility ntawm 5 mus rau 8 cm - 2; extensibility ntawm 9 cm los yog ntau tshaj - 3 ntsiab lus.
Lwm yam ntsuas uas cuam tshuam rau "zoo" ntawm kev tso tawm thaum lub sij hawm ovulation:
- muaj cov kab mob tuag taus, cov hlwb epithelial thaum kuaj kab mob;
- acidity thaum lub sij hawm ovulation yuav tsum yog 7, 0-8, 0 (acidification ntawm ib puag ncig yuav immobilize spermatozoa, nws yog pom nyob rau hauv lub xub ntiag ntawm qhov chaw mos kab mob);
- cov tsos mob ntawm "cov menyuam kawm ntawv", uas yog qhov nthuav dav ua ntej theem ntawm ovulation ntawm lub tsev menyuam sab nraud mus txog 3 cm.
Pathological hloov pauv
Yuav ua li cas cov hnoos qeev thaum lub sij hawm ovulation yog tus qauv, peb txheeb nws tawm. Txawm li cas los xij, nws tus mob kuj tseem qhia tau qee qhov kev txhim kho pathologies. Qhov xwm txheej ntawm qhov tso tawm tau piav qhia feem ntau tsis hloov pauv hauv ib tus neeg mob rau ob peb lub voj voog ua ke. Qhov tsos ntawm cov tsos mob txawv txawv, xws li hnoos qeev xim av thaum lub sij hawm ovulation, yog vim li cas mus ntsib kws kho mob.
Bleeding
Cov paug tawm no yog tshwm sim los ntawm cov kab mob ntawm cov kab mob hauv cov menyuam yaus uas tsis muaj mob thiab mob. Xws li los ntshav intermenstrual feem ntau pom nrog uterine fibroids lossis endometrial polyps.
Lwm qhov laj thawj rau qhov sib xyaw ntawm cov ntshav:
- hormonal ntshawv siab;
- polycystic zes qe menyuam;
- hypothyroidism;
- thrombocytopathy, txo qis ntawm cov platelets hauv cov kab mob hematological;
- Yendometrial hyperplasia;
- cov kev mob tshwm sim tom qab noj qhov ncaujtshuaj tiv thaiv kab mob.
Ntshav nyob nruab nrab ntawm lub voj voog tuaj yeem yog qhov cim qhia ntawm ncauj tsev menyuam lossis mob qog noj ntshav, qhov chaw mos raug mob.
Raws li kev tawm xim av, lawv feem ntau tshwm sim los ntawm kev tso tawm cov khoom seem ntawm cov endometrium uas twb tsis lees paub lawm, nrog rau cov ntshav tom qab kev coj khaub ncaws. Thaum lub sij hawm ovulation, lub ncauj tsev menyuam softens, ces nws qhib, uas yuav pab ntxuav tag nrho cov kab noj hniav ntawm ntau yam khoom uas tsis tsim nyog. Pom qhov tso tawm luv luv thaum lub sijhawm ovulation yuav tsum tsis txhob thab tus poj niam yog tias lawv tsis tshua muaj.
Tsaus nti tawm tuaj yeem tshwm sim nrog cov kab mob hauv qab no:
- mob hnyav vascular fragility vim tsis muaj vitamin C lossis niaj hnub;
- mob siab mob siab;
- dysbiosis, kab mob hauv qhov chaw mos, candidiasis.
Qee zaum xim av tawm yog ib qho cim ntawm kev cog ntshav los ntshav. Nws yog tshwm sim los ntawm kev puas tsuaj rau cov phab ntsa ntawm lub endometrium nyob rau hauv cov kev tshwm sim ntawm kev taw qhia ntawm ib tug twb fertilized qe rau hauv nws. Koj tuaj yeem xav txog qhov tshwm sim no yog tias qhov kev sib tham zaum kawg tsis dhau 5 hnub ua ntej.
Yellow slime
Cov paug tawm no feem ntau cuam tshuam nrog cov kab mob vaginosis, uas yog ib qho mob thaum cov kab mob pathogenic pib ua rau hauv qhov chaw mos mucosa, uas tsis ua rau mob, tab sis ua rau muaj ntxhiab tsw, khaus., hlawv, teeb meem nrog conception.
Nrog rau kev loj hlob ntawm vaginosis, tsis txhob douche, siv tampons. Nws zoo duasiv cov ntaub so ntswg tshwj xeeb, ntxuav txhua hnub nrog dej ntws.
Cov hnoos qeev daj tuaj yeem nrog cov kab mob hauv qab no: chlamydia, candidiasis, gonorrhea. Cov paug tawm nrog cov ntxhiab tsw qab ntxiag, khaus, o, liab ntawm qhov chaw mos, kub hnyiab thaum tso zis, mob thaum sib deev. Yog muaj tej yam tshwm sim, yuav tsum muaj kev sab laj kws kho mob.
Kev zais cia
Thaum tus poj niam muaj qhov tsis xwm yeem, tawm qhov hnyav, nws kuj yuav tsum tau mus ntsib kws kho mob. Cov cim qhia no tsis cuam tshuam nrog ovulation thiab ua lub cim ntawm cov kab mob gynecological. Nyob rau hauv cov ntaub ntawv ntawm cov tsos ntawm mucous los ntshav thaum lub sij hawm cev xeeb tub, koj yuav tsum sab laj nrog kws kho mob, vim hais tias qhov no tej zaum yuav yog ib qho teeb meem thaum ntxov ntawm cov txheej txheem oncological.
Zoo kawg
Txhua tus poj niam yuav tsum paub qhov txawv ntawm qhov ib txwm liab liab tawm los ntawm los ntshav. Thaum tsis ntseeg, tus kws kho mob yuav tsum tau mus ntsib kws kho mob sai.
