Emva kokukhulelwa komntwana, imvelaphi ye-hormone kwindodakazi iguquka kakhulu. Oku kuyimfuneko ukugcina ukukhulelwa kunye nophuhliso oluqhelekileyo lomntwana. Iprogesterone iqaliswa kuqala ngumzimba ophuzi emva kokuvuthwa, kwaye kamva lo msebenzi usenziwa ngumgca wengane. Indima yehomoni yilungiselelo lomzimba wesifazane ngokukhulelwa kunye nokuzalwa komntwana. Ngenxa yempembelelo yeprogesterone, iindonga ze-uterus zinyuka kwaye zitshintshe isakhiwo sawo, zilungiselela ukufumana nokugcina iqanda elikhulelweyo. Emva kokukhulelwe, i-hormone iyakuchukumisa ukupheliswa kwesisindo ngexesha lokukhulelwa, ukwanda kweentlanzi zamathambo kunye nokulungiswa kwengqondo yowesifazane ngokuzalwa komntwana. Ngako oko, ixabiso leprogesterone liphezulu ngokwaneleyo. Iingcali zincoma ukubeka esweni iinguqu zayo. Oku kuya kunceda itafile, apho umgangatho weprogesterone ngexesha lokukhulelwa limiselwe iiveki. Kwiimeko zokuphuka, umbuzo uphendululwa ngokubambisana nogqirha kwaye unyango oluyimfuneko lubekwe.
Uluhlu lweprogesterone ekukhulelweni
Njengoko kunokubonwa etafileni, isiqhelo se progesterone ekukhulelweni kokuqala, i. kwi-1 trimester, ikhula rhoqo. Uhlobo olufanayo lubonakala ngakumbi.
Ukuba ukukhulelwa kweprogesterone kuphezulu kunokuba kuqhelekileyo, kunokuthetha ukungasebenzi kakubi kwimpilo kamama (isifo sikashukela, umsebenzi weentso, iimbande ze-adrenal) okanye ekuphuhlisweni komntwana. Kule meko, ugqirha uya kunika iimviwo ezongezelelweyo kwaye acetyise imirhumo yonyango, ngokuhambelana nokuxilongwa.
Ngokuqhelekileyo imeko ejongene nayo iyabonakala. Ukuba ngexesha lokukhulelwa, i-progesterone ingaphantsi kweqhelekileyo, ingaba uphawu:
- Iisongelo zokukhulelwa kwesisu;
- iinkqubo ezivuthayo;
- ukukhulelwa, ukubambezeleka okanye ukukhulelwa kwe-ectopic;
- ukuphuculwa kophuhliso lomntwana.
Amayeza e-Hormonal, anqunywe yiengcali, lawula umgangatho weprogesterone kwigazi lomfazi. Ngako oko, ukukhulelwa okuninzi ngamanqanaba akwaneleyo weprogesterone ekugqibeleni ugqiba ngokukhuselekileyo. Kubalulekile ukuchonga ingxaki ngexesha kwaye ulandele iingcebiso zegqirha. Ukuba unikwe ukuba uphathwe esibhedlele, ungakhathazeki kwaye uhambe phantsi kweliso lweengcali.
Xa ukuchithwa kwezinto ezibonakalayo kubaluleke kakhulu ukulawula izinga leprogesterone egazini. Xa i-IVF isoloko emzimbeni womfazi ayanele ngokwale hormone (mhlawumbi le yinye yezizathu zokubuyela kule ndlela yokukhulelwa). Ngoko ke, iziyobisi ezifanelekileyo zimiselwe phambi kwe-IVF nangemva.
Kungakhathaliseki indlela yokuchumisa, umntu akufanele athathe inyango. Ugqirha kuphela oya kumisela amayeza athile kumlinganiselo ofunekayo kuwe. Njengomthetho, iziyobisi zonyango zivela kwimvelaphi yemvelo, ngoko zikhuselekileyo kwimpilo yomama nomntwana.