Kev ua haujlwm ntawm tus poj niam lub cev xeeb tub qee zaum ua rau nws tsis xis nyob. Ntxiv nrog rau lub sijhawm mob uas cuam tshuam nrog uterine cramps thaum lub sij hawm endometrial detachment, kuj muaj qhov mob ntawm zes qe menyuam thaum lub sij hawm ovulation.
Lawv tsis tshua muaj, tab sis qee tus poj niam tau txais qee qhov tsis yooj yim. Tsis tas li ntawd, muaj lwm yam, zoo li cov yam ntxwv ntawm ovulation. Yog tias qhov mob hnyav heev, ces koj yuav tsum sab laj nrog kws kho mob, vim qhov no yuav yog ib qho kev qhia ntawm pathology.
Yuav ua li cas thaum koj ovulate
Luteinizing hormone yog lub luag haujlwm ncaj qha rau kev tsim cov qe thiab qhov pib ntawm ovulation. Yog tsis muaj nws, conception tsuas yog ua tsis tau. Lub luag haujlwm tseem ceeb sib npaug yog ua los ntawm estrogen, uas yog lub luag haujlwm rau kev ntxiv dag zog rau cov ntaub so ntswg ntawm lub tsev menyuam. Nws yog tsim nyog rau kev loj hlob thiab kev noj haus ntawm tus me nyuam hauv plab thaum cev xeeb tub.
Nws yog ib qho tseem ceeb heev kom paub tseeb tias muaj dab tsi tshwm sim thaum lub sij hawm ovulation nyob rau hauv ib tug poj niam lub cev, thiab cov cim qhia tau pom. Ua ntej ovulation, tus nqi ntawm cov tshuaj hormones pib maj mam nce thiab mus txog nws lub ncov nyob rau hauvfollicular theem.
Progesterone pib qhib thaum lub qe tawm. Nws lub luag hauj lwm yog kom loosen lub uterine txheej, uas yuav tsum tau kom ruaj ntseg tus me nyuam hauv plab. Cov tshuaj hormones no predominates nyob rau hauv lub cev thaum cev xeeb tub, txij li thaum nws deficiency feem ntau ua rau muaj kev phom sij heev, mus txog rau qhov nchuav menyuam. Nyob rau hauv tus poj niam lub cev, txhua yam yog sib cuam tshuam, yog li ntawd hormonal ntshawv siab thaum lub sij hawm ovulation thiab cev xeeb tub ua rau muaj kev phom sij heev.
Cov tsos mob ntawm ovulation
Cov poj niam uas xav cev xeeb tub thiab muaj menyuam yuav tsum paub tseeb tias cov tsos mob, cov tsos mob thiab kev xav ntawm ovulation yog dab tsi. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tau kawm yuav ua li cas xam cov sij hawm. Thaum lub sijhawm no, tej zaum yuav muaj qee qhov mob hauv thaj tsam zes qe menyuam. Tsis tas li ntawd, kuj tseem muaj lwm yam cim, kev xav thiab cov tsos mob ntawm ovulation, uas yuav tsum tau muab xam rau:
- nce kev sib deev;
- highlighting uncharacteristic xim;
- pom cov hnoos qeev los ntawm lub ncauj tsev menyuam.
Txawm li cas los xij, cov tsos mob zoo li no tsis yog ib txwm pom. Tsis tas li ntawd, cov cim qhia no tuaj yeem qhia txog kab mob, thiab tsis yog ovulation.
Txoj hauv kev raug tshaj plaws los txiav txim siab lub sijhawm zoo rau kev xeeb tub yog ntsuas koj lub cev kub ntawm lub cev. Koj yuav tsum ua lawv txhua tag kis sawv ntxov tom qab sawv ntxov, thiab tom qab ntawd sau rau hauv phau ntawv sau thiab ua ib lub sijhawm.
Mob hauv zes qe menyuam thaum lub sij hawm ovulation tsis tas qhia tias muaj qee yam kab mob. Ntau tus poj niam muaj tus cwj pwm rub tawm ntawm lub plab hauv plab ib hlis ib zaug.qhov chaw ntawm lub plab, feem ntau ntawm ib sab xwb.
Kev tsis xis nyob yog vim qhov tseeb tias thaum thawj theem ntawm lub voj voog, cov follicle tseem ceeb hauv lub zes qe menyuam. Nws yog ib lub tshuaj ntsiav ua los ntawm cov ntaub so ntswg uas muaj qe.
Raws li cov tshuaj hormones tsim los ntawm cov qog pituitary, cov hauv paus hniav loj tuaj thiab ncav cuag txoj kab uas hla ntawm 2 cm ntawm ovulation. Cov npuas o no pib ua rau cov ntaub so ntswg nyob ze, uas ua rau mob. Nrog rau kev tso tawm ntawm lub qe thiab tsim cov corpus luteum, qhov tsis xis nyob yuav ploj mus.
Lwm qhov ua rau mob ntawm zes qe menyuam thaum lub sij hawm ovulation yog cov txheej txheem ntawm rupture ntawm follicular membrane nws tus kheej. Nws yog ib qho mob heev thiab muaj qhov sib txawv me me rau ntawm qhov chaw ntawm zes qe menyuam, uas cov ntsiab lus tawm thiab txav mus rau hauv lub plab kab noj hniav. Lub qe ces nkag mus rau hauv cov hlab ntsha thiab pib nws txoj kev mus rau lub tsev menyuam.
Nquag, qhov mob ntawm zes qe menyuam tshwm sim ntawm ib sab nkaus xwb, tsis tau hais lus txaus. Feem ntau nws yog txoj cai zes qe menyuam uas mob, vim nws cov hlab ntsha thiab lub paj hlwb muaj ntau haiv neeg sib piv nrog rau sab laug. Lub luag haujlwm tseem ceeb kuj tau ua los ntawm qhov tseeb tias nws nyob ntawm ib sab ntawm daim ntawv ntxiv. Muaj physiological thiab pathological ua rau mob. Thawj suav nrog xws li:
- ncab ntawm zes qe menyuam capsule;
- dej nkag mus rau hauv lub peritoneum;
- nce contraction ntawm cov hlab ntsha fallopian.
Nyob rau hauv lub xub ntiag ntawm concomitant gynecological pathologies, qhov mob tuaj yeem muaj zog heev, ntse,leej twg yuam kom lawv noj tshuaj kho mob.
Yog tias plab plab mob heev thaum lub sij hawm ovulation, ces qhov no tej zaum yuav yog ib tug kos npe rau ntawm ntau yam kev mob. Hauv qhov no, koj yuav tsum tau mus ntsib kws kho mob sai sai.
Ua rau mob tom qab ovulation
Vim li cas lub zes qe menyuam mob thaum lub sijhawm thiab tom qab ovulation yog qhov txaus siab rau ntau tus poj niam, vim lawv raug kev txom nyem los ntawm qhov tsis xis nyob. Thaum lub qe yog fertilized los ntawm ib tug phev, lub fetus yog tsim. Lub zygote nkag mus rau hauv lub tsev menyuam, txuas rau nws cov phab ntsa, uas ua rau muaj kev hloov pauv hauv keeb kwm hormonal. Tag nrho cov txheej txheem no tuaj yeem nrog qhov mob hauv plab plab thiab hauv thaj tsam lumbar rau 1-2 hnub.
Thaum tsis muaj fertilization, feem ntau tsis muaj mob. Qee lub sij hawm yuav muaj kev tsis xis nyob me ntsis vim muaj zog ntxiv ntawm cov hlab ntsha fallopian. Txawm li cas los xij, yog tias tus poj niam muaj mob hauv zes qe menyuam tom qab ovulation ntau tshaj 2 hnub thiab qhov mob hnyav, ces koj yuav tsum mus ntsib kws kho mob, vim qhov no tuaj yeem ua rau muaj ntau yam kab mob.
Tus cwj pwm thiab mob hnyav
Mob hauv zes qe menyuam thaum lub sij hawm ovulation hauv cov poj niam yog xav txawv. Ib tug neeg xav tias tsuas yog ib qho kev nruj me ntsis ntawm lub plab hauv plab, uas yuav luag tsis cuam tshuam rau kev ua haujlwm thiab lub neej. Rau lwm tus, sab nraub qaum rub thiab mob, nrog rau thaj tsam ntawm cov pob txha pubic ntawm ib sab.
Tsis tshua muaj, tsis xis nyob tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm throbbing cramping mob uas tshwm sim ntawm ib sab thiab nyob rau ob peb feeb, ces dhau.
Ib txhia poj niam, tshwj xeeb tshaj yog cov uas tsis tau yug,Qhov mob tuaj yeem muab rau qhov chaw mos, uterus thiab perineum. Teb cov lus nug seb puas tuaj yeem tso tawm thaum lub sij hawm ovulation, peb tuaj yeem hais kom paub tseeb tias lub sijhawm no viscous, ntau tawm tawm tshwm, raws li lub tsev menyuam npaj rau kev xeeb tub thiab cev xeeb tub.
Cov cim qhia ntawm pathology
Muaj ntau yam ua rau mob zes qe menyuam thaum lub sij hawm ovulation, thiab qee qhov ntawm lawv qhia txog cov kab mob pathology. Ua ib qho kev ntsuam xyuas dav dav tso cai rau koj txheeb xyuas cov kab mob thiab cov kab mob uas ua rau tsis xis nyob. Tsuas yog tom qab ntawd tuaj yeem xaiv qhov kev kho mob uas xav tau.
Ib qho ntawm feem ntau ua rau mob yog cov txheej txheem inflammatory hauv cov hlab ntsha, uas feem ntau tshwm sim thaum muaj kab mob nkag mus. Ib qho laj thawj sib npaug yog kab mob pelvic inflammatory.
Yog tias muaj mob hnyav ntawm lub zes qe menyuam thaum lub sijhawm ovulation, qhov no yuav yog ib qho kev tshwm sim ntawm kev loj hlob ntawm endometriosis. Nyob rau hauv tas li ntawd, lub puab txheej ntawm lub uterine mucosa extends tshaj lub cev mus rau hauv lub plab kab noj hniav, zes qe menyuam, hnyuv.
Thaum cov pob txha tawg, cov kua dej tuaj yeem ua rau kev loj hlob ntawm zes qe menyuam, uas tuaj yeem ua rau mob hauv plab. Qee lub sij hawm nws tshwm sim tias lub qe fertilized tsis ncav cuag lub uterine kab noj hniav, tab sis txuas mus rau lub raj. Qhov no pathology yog hu ua ectopic cev xeeb tub, uas provokes mob hnyav, spasms thiab los ntshav. Tsis tas li ntawd, qhov mob tuaj yeem cuam tshuam nrog cov teeb meem hauv lwm yamlub cev.
Thaum mus ntsib kws kho mob
Yuav ua li cas txiav txim siab seb ovulation tau tshwm sim thiab thaum twg yuav tsum tau tham nrog kws kho mob tshwj xeeb - txhua tus poj niam yuav tsum paub meej, tshwj xeeb tshaj yog tias nws raug mob hnyav. Qee zaum mob thiab tsis xis nyob cuam tshuam nrog txoj kev ua neej ib txwm muaj. Cov tsos mob tsis zoo nyob rau hauv nruab nrab ntawm kev coj khaub ncaws yog qhia nyob rau hauv ib tug deterioration nyob rau hauv kev noj qab nyob zoo, muaj zog excitability, mob, nervousness.
Nco ntsoov nrog tus kws kho mob gynecologist yog tias muaj cov tsos mob xws li:
- kub;
- mob siab;
- xeev siab thiab mob taub hau;
- mob plab;
- kiv taub hau;
- tshwm sim ua pa luv;
- tso zis tsis zoo.
Qhov no yuav yog ib qho kev tshwm sim ntawm ntau yam pathologies, uas yog ib qho tseem ceeb heev uas yuav tsum tau kuaj xyuas thiab kho kom raws sijhawm.
Diagnostics
Thaum hu rau tus kws kho mob gynecologist txog qhov tshwm sim ntawm qhov mob hnyav thiab lwm yam tsos mob tsis zoo thaum lub sijhawm ovulation, nws yuav tsum tau kuaj xyuas kom meej txhawm rau txiav txim siab qhov ua txhaum cai.
Thawj zaug, tus kws kho mob sau ib qho anamnesis, txiav txim siab lub sijhawm ntawm qhov mob thiab qhov zaus ntawm nws qhov tshwm sim, thaj chaw ntawm thaj chaw, nrog rau cov tsos mob uas twb muaj lawm. Tsis tas li ntawd, nws tseem ceeb heev kom paub cov tshuaj twg tus poj niam siv. Tsis tas li ntawd, qhov kev xeem yuav tsum suav nrog:
- tshuaj ntsuam;
- kuaj ntshav;
- kuaj mob ultrasound;
- laparoscopy.
Tsuas yog tom qab kuaj pom meej, koj tuaj yeem xaiv txoj kev kho.
Yuav ua li cas kom koj tus kheej zoo
Yog tias qhov tshwm sim ntawm qhov mob thaum lub sijhawm ovulation tsis yog pathological, ces koj tuaj yeem yooj yim koj txoj kev noj qab haus huv ntawm koj tus kheej siv cov txheej txheem yooj yim, uas yog:
- muab cua sov so;
- da dej so kom txaus;
- haus tshuaj tua kab mob.
Yog tias cev xeeb tub tsis tau npaj rau lub sijhawm no, koj yuav tsum sab laj nrog kws kho mob txog kev siv tshuaj tiv thaiv kab mob hormonal. Cov tshuaj no thaiv ovulation thiab pab tshem tawm qhov tsis xis nyob.
Ua kom mob ntshav siab, ua kom nrawm nrawm ntawm lub neej, kev ntxhov siab, uas yog vim li cas nws yog qhov tseem ceeb los tiv thaiv koj tus kheej los ntawm cov teeb meem tsis zoo. Kev so thiab kev thaj yeeb yuav pab kom kov yeej kev mob.
Tshuaj
Yog tias tsis muaj qhov tseeb tias qhov mob yog qhov tshwm sim ntawm ovulation, nws yog qhov zoo dua tsis txhob noj tshuaj rau tus kheej, vim qhov no tsuas yog ua rau muaj kev noj qab haus huv xwb. Cov tsos mob zoo li no yuav qhia tau tias muaj kab mob, yog li koj yuav tsum tau mus ntsib kws kho mob gynecologist.
Txhawm rau tshem tawm qhov mob, koj yuav tsum noj tshuaj antispasmodic, tshwj xeeb, xws li Spazmalgon, Spazgan, No-Shpa. Tsis tas li ntawd, cov tshuaj kho mob tau pom zoo. Lawv pab tshem tawm qhov mob thiab mob. RauCov tshuaj xws li Naproxen, Ibuprofen, Indomethacin, Ketoprofen.
da dej sov nrog cov tshuaj ntsuab thiab cov roj tsw qab tau ua pov thawj lawv tus kheej zoo heev. Qhov no yuav pab kom txo tau qhov contraction ntawm lub tsev menyuam thiab cov hlab ntsha, thiab tshem tawm qhov mob. Nws yuav tsum tau muab sau tseg tias nyob rau hauv lub postoperative lub sij hawm thiab nyob rau hauv lub chav kawm ntawm kis kab mob, da dej tsis pab.
prophylaxis
Yog tias ib tug poj niam ib txwm los yog feem ntau muaj mob zes qe menyuam thaum lub sij hawm ovulation, ces nws yeej yuav tsum tau txo nws txoj kev ntxhov siab thiab lub cev. Yog tias ua tau, nws yog qhov zoo tshaj plaws los siv lub sijhawm no pw ntawm koj lub plab.
Kom ua kom koj zoo dua, koj tuaj yeem siv lub tshuab cua sov, tab sis tsuas yog tias qhov kev xav tsis zoo tsis yog qhov cim ntawm qhov mob. Yog tias qhov mob hnyav thiab ua rau tsis xis nyob, yuav tsum tau ntsib kws kho mob, leej twg yuav sau cov tshuaj uas xav tau.
Txhawm rau tiv thaiv qhov tshwm sim ntawm qhov mob, nws raug nquahu kom taug kev ntau li ntau tau hauv huab cua ntshiab, thiab haus dej sov kom ntau. Yog tias qhov mob tas mus li thiab rov ua dua txhua hli, yuav tsum tau kho.
