Lub cev lub cev ntawm txhua tus poj niam yog lub caij nyoog poj niam, uas ua kom nws txoj kev ua me nyuam ua haujlwm. Muaj peb lub sij hawm nyob rau hauv nws - maturation ntawm dominant follicle, ovulation, tsim ntawm lub corpus luteum. Qhov pib ntawm lub voj voog yog suav tias yog thawj hnub ntawm kev coj khaub ncaws. Hauv thawj theem, kev cuam tshuam ntawm cov tshuaj estrogen tau pom, qhov siab tshaj plaws uas ua rau kev tso tawm ntawm cov qe mus rau hauv lub plab kab noj hniav, tom qab ntawd cov ntsiab lus ntawm progesterone nce.
Lub tswvyim ntawm "ovulation"
Nyob rau hauv ib txwm coj khaub ncaws, ovulation tshwm sim 13-15 hnub txij li thawj hnub ntawm kev coj khaub ncaws. Qhov tshwm sim ntawm cov txheej txheem no yog kev thauj mus los ntawm lub qe npaj rau fertilization rau hauv lub raj mis. Lub sijhawm ntawm ovulatory theem yog li ib teev, lub peev xwm xeeb tub kav ib hnub. Lub sij hawm ovulatory yog qhov txawv, thaum lub sij hawm tawm ntawm tus poj niam kab mob ntawm tes yog ua tau. Lub cev, tus poj niam tsis ovulate tam sim noxav tias, nws tsuas yog ua tau los xam nws nrog lub voj voog tsis tu ncua. Tab sis kev tshawb fawb tshawb fawb tau txheeb xyuas qhov ua rau muaj tus mob thaum tus poj niam rub nws rov qab tom qab ovulation.
Ovulation diagnostic method
Muaj ntau ntau txoj hauv kev los txiav txim siab qhov muaj ovulation muaj rau txhua tus poj niam.
- daim ntawv ntsuas kub basal yog tus nqi ntawm qhov kub ntawm qhov so, ntsuas thaum lub caij coj khaub ncaws nrog lub ntsuas cua mercury hauv qhov quav thaum sawv ntxov ntawm txhua hnub tam sim tom qab pw hauv txaj. Ib qho cim ntawm kev tso tawm ntawm lub qe yog qhov kub thiab txias thaum lub sij hawm ovulatory;
- voj voog ntawm kev kuaj kev ua haujlwm - ib qho tsos mob ntawm "tus menyuam kawm ntawv" (qhib ntawm lub ncauj tsev menyuam hauv qab kev cuam tshuam ntawm poj niam txiv neej cov tshuaj hormones hauv thawj theem ntawm kev coj khaub ncaws; txoj kev tshawb no yog nqa tawm thaum kuaj xyuas cov kab mob hauv nruab nrog cev. nyob rau hauv daim iav), "fern" (crystallization ntawm lub ncauj tsev menyuam mucus, uas yuav taug qab nyob rau hauv ib tug microscope), stretching ntawm qhov chaw mos tawm nrog lub siab tshaj plaws concentration ntawm estrogenic cov tshuaj hormones;
- daim ntawv qhia hnub - ovulation tshwm sim kwv yees li ntawm nruab nrab ntawm lub voj voog (ntawm 28 hnub - hnub 14, ntawm 30 hnub - hnub 15);
- kuaj ultrasound ntawm lub tsev menyuam, nws cov appendages nrog folliculometry peb zaug ib lub voj voog - theem ntawm kev loj hlob, ovulation, secretion. Cov cim qhia ntawm ovulation yog qhov ploj ntawm cov follicle tseem ceeb, cov kua dej hauv Douglas qhov chaw;
- kev ntsuas ovulation - ua ntej ntawm txhua qhov thaumNws yog ib qho tsim nyog los xam qhov kwv yees hnub ntawm kev tawg ntawm cov follicle tseem ceeb, ntxiv thiab rho tawm 2-3 hnub txhua (piv txwv li, nrog 28-hnub voj voog, ovulation yuav tsum nyob rau hnub 14, tom qab ntawm qhov no, tus poj niam yuav ua cov kev ntsuam xyuas. 12, 13, 14, 15, 16). Cov kev ntsuam xyuas no yog ua raws li kev ntsuas tus nqi ntawm cov tshuaj luteinizing hauv cov zis, qhov concentration uas nce mus rau qhov siab tshaj plaws ib hnub ua ntej ovulation.
Lub tswvyim ntawm "ovulatory syndrome"
Qee zaum hauv cov poj niam tom qab ovulation rub lub nraub qaum rov qab, lawv hnov qhov tsis xis nyob hauv zes qe menyuam, nchuav, mob ntawm cov qog mammary, tawm ntawm qhov chaw mos. Cov tsos mob no qhia tias muaj cov tsos mob ntawm ovulatory syndrome. Qhov no yog ib tug mob tom qab ib tug me me concentration ntawm cov ntshav nkag mus rau hauv lub plab kab noj hniav tom qab tso tawm ntawm lub qe los ntawm dominant follicle. Lub rupture ntawm zes qe menyuam daim nyias nyias, tom qab txav ntawm cov kab mob ntawm tes los ntawm cov hlab ntsha fallopian yog nrog los ntawm qhov mob ntawm sab ntawm ovulation, yog qhov ua rau rub qhov mob hauv plab thiab sab nraub qaum. Tsis tas li ntawd, theem ntawm cov tshuaj hormones progestogen hauv cov ntshav nce, cov xwm txheej tau tsim rau kev cog qoob loo ntawm cov qe fertilized rau hauv phab ntsa ntawm lub tsev menyuam, uas tej zaum yuav yog vim li cas rub rov qab thaum cev xeeb tub. Progesterone yog tsim los ntawm lub npe hu ua corpus luteum (lub follicle los ntawm cov qe menyuam tawm).
Vim li cas rub lub qis rov qab tom qab ovulation? Mob tom qab ovulation tsis yog ib txwm ib tug pathology, nws yuav piav tau los ntawm lub siab rhiab heev ntawm ib tug poj niam. Ntxiv nrog rau qhov kev xav tsis zoo, kuj tseem muaj kev hloov pauv ntawm kev tso tawm los ntawmCev xeeb tub kwj dej rau cov laj thawj hauv qab no:
- liquefaction vim yog qhov kev txiav txim ntawm cov tshuaj hormones tso tawm thaum lub sijhawm tawg ntawm lub hauv paus (txog tam sim no, cov hnoos qeev yog tuab, npog lub uterine os);
- npaj qhov chaw mos rau cov phev thauj;
- hnoos qeev tshwj xeeb hauv nruab nrab ntawm lub voj voog ovulatory yog tso tawm ntau, tuab, khov;
- suav nrog cov xim brownish - tus qauv, ci, liab - kab mob.
Kev mob ib txwm raug txiav txim siab yog:
- mob ntev tsis tshaj ob hnub;
- moderate siv pom;
- qhov tshwm sim ib txhij tsis xis nyob hauv cov qog mammary, raug rau lub sijhawm no cov mucous tawm ntawm qhov chaw mos;
- kev qaug zog, hloov pauv ntawm saj, hnov tsw pom, insomnia, tsis ua haujlwm, chim siab, tsis txaus ntseeg.
Ib tug poj niam rub nws qis rov qab tom qab ovulation: ua rau, yam tseem ceeb
Physiologically, ib tug poj niam yuav hnov mob thaum lub sij hawm ovulation, uas yuav kav ib lub sij hawm, thiab muaj ib co lus piav qhia rau qhov no. Tus poj niam rub nws qis rov qab tom qab ovulation rau cov laj thawj hauv qab no:
- Kev cev xeeb tub.
- Kab mob - cystitis, adnexitis, zes qe menyuam, colitis.
- Kev ua haujlwm ntawm kev coj khaub ncaws - algomenorrhea.
- Kab mob ntawm qhov chaw mos - chlamydia, trichomoniasis, gonorrhea, mycoplasmosis.
- Kev ua txhaum ntawm kev ncaj ncees ntawm cov phab ntsa ntawm zes qe menyuam, txoj hlab ntaws.
Kev cev xeeb tub
Qhov feem ntau yog vim li cas rub lub nraub qaum rov qab tom qab ovulation yog cev xeeb tub,txwv tsis pub - lub sij hawm ntawm kev txuas ntawm lub embryo mus rau phab ntsa ntawm lub tsev menyuam (rupture ntawm cov ntshav capillaries). Qhov kev siv zog, raws li tau hais los saum no, nyob ntawm tus poj niam qhov mob qhov pib - qhov pib qis dua, qhov mob ntev dua, tom qab ntawd ploj mus thiab tuaj yeem rov tshwm sim ib txhij nrog kev coj khaub ncaws qeeb.
Txog kev xeeb tub, ntxiv rau rub lub nraub qaum tom qab ovulation, qhia tias:
- rhiab ntawm cov qog mammary, lawv nce;
- ntshav los ntawm qhov chaw mos hauv qhov tsis muaj zog;
- subfebrile lub cev kub ib pliag.
Ovulatory syndrome tom qab raug mob rau ntawm zes qe menyuam
Tom qab ovulation, nws tuaj yeem rub thaj tsam zes qe menyuam, qis rov qab vim raug mob rau cov phab ntsa ntawm cov hlab ntsha, zes qe menyuam, ligaments. Kev mob yog stabbing, aggravated los ntawm tej load.
Ua rau kev puas tsuaj rau lub tsev menyuam appendages:
- hnyav hnyav tom haujlwm;
- kev sib deev;
- nqa khoom hnyav;
- favorable factor - kev ntxhov siab (ua rau muaj kev nce hauv cov tshuaj hormones, tom qab ntawd cov ntaub so ntswg hloov pauv).
Qhov laj thawj tseem ceeb ntawm pathology yog txiav txim siab los ntawm kev kuaj ultrasound ntawm lub tsev menyuam thiab nws cov appendages.
Ovarian cyst thiab mob tom qab ovulation
Ib benign neoplasm ntawm zes qe menyuam ntawm ib puag ncig zoo li hu ua cyst. Nws yog ib hom kab mob ntawm poj niam qhov chaw mos. Lub cyst yog ntim nrog serous kua.
Thaum lub sij hawm ovulatory kev coj khaub ncaws nyob rau hauv cheeb tsamqhov chaw ntawm qhov torn follicle, follicular cyst tshwm, nws kuj tuaj yeem txhim kho ntawm qhov chaw ntawm corpus luteum nyob rau hauv lub thib ob ib nrab ntawm lub voj voog. Feem ntau nws tsis tshwm sim nws tus kheej hauv txhua txoj kev, thiab thaum muaj cov txheej txheem inflammatory tshwm sim, nws rub lub zes qe menyuam thiab qis rov qab tom qab ovulation. Nws yog ib qho tsim nyog yuav tsum tshem tawm cov neoplasms, vim tias lawv tuaj yeem tawg nrog qhov tshwm sim ntawm kev khaus ntawm peritoneum (peritonitis), mob plab, uas yuav tsum tau ua haujlwm txuas ntxiv ntawm cov plab hnyuv siab raum. Yog tias qhov mob tshwm sim rau 3 hnub lossis ntau dua, koj yuav tsum nrhiav kev pab kho mob los ntawm kws kho mob gynecologist.
Cov txheej txheem mob ntawm cov kab mob genitourinary
Qhov no yog qhov ua rau muaj qhov tshwm sim ntawm qhov rub rov qab tom qab ovulation hauv cov poj niam uas muaj hnub nyoog yug me nyuam. Nyob rau tib lub sijhawm, cov kab mob microbial nkag mus rau hauv cov phab ntsa ntawm lub cev, sib faib ua ke, zais cov khoom pov tseg, lwj, uas ua rau tsis xis nyob hauv plab plab (cystitis), hauv thaj tsam lumbar ntawm sab ntawm pathology (pyelonephritis, glomerulonephritis).
Symptomatic ntawm cov kab mob ntawm cov zis:
- lub cev kub;
- mob thaum tso zis;
- qhov pom ntawm qhov tsaus nti hauv cov zis;
- ntshav tso zis.
Nrog rau kev txhim kho ntawm o ntawm uterine appendages lossis uterus, qhov mob kis mus rau coccyx, pob tw, sab nraub qaum; qhov mob yog mob, tawm tsam.
teeb meem plab hnyuv thiab ovulatory syndrome
Cov ntxhais niaj hnub, cov poj niam, thaum mob tshwm sim, tsis mus cuag kws kho mob, tab sis tshem tawm ntawm lawv tus kheej nrog tshuaj ntau duaua yuam kev loj, vim nws tuaj yeem cuam tshuam cov duab tseem ceeb ntawm tus kab mob, uas cuam tshuam rau kev kuaj mob, kev kho mob ntawm cov kab mob pathological. Yog tias koj rub koj sab nraub qaum ib lub lis piam tom qab ovulation, koj tuaj yeem xav tias muaj kab mob hauv plab - colitis.
Cov poj niam muaj hnub nyoog txog 36 xyoo. Yog vim li cas rau qhov kev mob tshwm sim hauv ib lub lis piam tom qab ovulation yog dulling ntawm cov tsos mob ntawm colitis thaum lub sij hawm ovulatory lub sij hawm vim yog cov poj niam cov tshuaj hormones.
Malignant txheej txheem ntawm kev ua me nyuam
Cov poj niam uas muaj hnub nyoog yug me nyuam yog qhov ua rau mob qog noj ntshav ntawm qhov chaw mos. Raws li kev txheeb cais, yog tias tom qab ovulation lub plab hauv plab thiab sab nraub qaum raug rub rau 15 lossis ntau hnub, mob qog noj ntshav tau kuaj pom hauv ib tus poj niam ntawm 10,000.
Cov cim tseem ceeb ntawm cov txheej txheem malignant nyob rau hauv qhov chaw mos:
- Npaj paug qhov chaw mos.
- ntshav thiab hnoos qeev los ntawm lub ncauj tsev menyuam.
- Hloov lub cev kub yam tsis muaj laj thawj pom.
- Kev poob phaus.
- Kev qaug zog, mob taub hau.
- Txoj kev nyuaj siab, neuroses.
- Disabled.
Nws yog ib qho tsim nyog rau txhua tus poj niam yuav tsum nco ntsoov tias mob qog noj ntshav hauv thawj theem tsis tshwm sim nws tus kheej li cas, yog li nws yuav tsum tau mus kuaj mob gynecologist tsawg kawg ib xyoos ib zaug, dhau tag nrho cov kev xeem yuav tsum tau ua, smears, xyuas cov qog mammary.
Kab mob appendicitis tom qab qe tso
Nov yog ib qho mob phais mob ntawm cov kab mob ntxiv uas yuav tsum tau phais tam sim. Cov tsos mob tseem ceeb ntawm cov kab mob pathology no yog mob hauv qhov projection ntawm lub cev -txoj cai iliac. Nws yuav tsum nco ntsoov tias tseem muaj txoj cai uterine appendages. Yog li ntawd, yog tias tom qab ovulation, lub plab thiab sab nraub qaum raug rub, nws yog ib qho tsim nyog yuav tau ua qhov kev kuaj mob sib txawv ntawm appendicitis nrog ovulatory syndrome. Nyob rau hauv cov txheej txheem inflammatory ntawm lub appendix, ib tug poj niam coj ib tug yam ntxwv txoj hauj lwm nyob rau hauv txaj - ntawm nws sab laug nrog khoov, ob txhais ceg rub mus rau nws lub plab ("fetal txoj hauj lwm"). Yog xav tias mob plab, analgesics yog contraindicated.
Txhawm rau paub qhov txawv ntawm cov tsos mob ntawm ovulatory syndrome los ntawm lwm yam kab mob uas tuaj yeem ua rau mob nraub qaum tom qab ovulation, cov ntxhais raug qhia kom khaws lawv cov kev coj khaub ncaws, ntsuas qhov kub thiab txias, thiab tshuaj xyuas cov hnoos qeev hauv tsev menyuam. Thaum thawj cov tsos mob ntawm tus txheej txheem pathological, tam sim ntawd sab laj tus kws kho mob thiab tsis txhob noj tshuaj rau tus kheej, vim tias koj tuaj yeem nco tau tus mob hnyav, uas yuav ua rau muaj teeb meem loj. Nyob rau tib lub sijhawm, nws yuav tsum nco ntsoov tias ib lub lim tiam rub lub qis rov qab tom qab ovulation thaum muaj mob, thiab nyob rau hauv cov ntaub ntawv ntawm ovulatory syndrome - ob los yog peb hnub.
