Kumvetsetsa nthawi komanso ngati mutayika ndi kofunikira pa kubereka komanso kutenga mimba. Azimayi ambiri samawombera piritsi . Azimayi ena samapezetsa magazi pogwiritsa ntchito njira zina zowononga mahomoni . Kuti mumvetse chifukwa chake, muyenera kudziwa zomwe zimachitika mukamapsa , nthawi zambiri zimapezeka, ndi chiani chomwe chimatanthauza.
Amayi ambiri amasokoneza mavuni ndi nthawi, PMS, kapena pakati. Kudziwa nthawi imene mumapanga mazira ndi gawo la njira zachilengedwe zowonetsera kuti musamakhale ndi pakati. Ndikofunikanso kukulitsa mwayi wanu kutenga pakati.
Zofunikira
Kuti mumvetsetse pamene mumagwedeza, yambani ndi matanthauzo ofunika:
- Kuvota : Kuwotcha kumatanthawuza nthawi yomwe dzira lokhwima (mwina mochulukirapo) limatulutsidwa ku ovary. Pa nthawiyi, dzira limapezeka kuti likhale ndi umuna ndi umuna-izi zimabweretsa pathupi.
- Nthawi Yamasiku : Kusamba kwanu kumayamba tsiku loyamba lakumapeto kwanu. Nthawi yanu imapezeka chifukwa cha kusintha kwa mahomoni pamene dzira lamasulidwa, silimeta, ndipo imamwalira. Mahomoni awa amauza thupi lanu kuti palibe mimba yomwe yachitika, choncho chiberekero chanu chimayamba kukonzekera tsiku lotsatira.
Kodi Ovulates Ndi Ndani?
Kusamba nthawi zambiri kumasonyeza kuti mwasankha.
Kutsekemera kumachitika pakati pa msambo wanu. Kotero mukakhala ndi nthawi, zikutanthauza kuti mukuyamba ulendo wanu wotsatira ndipo mwinamwake munavomereza nthawi yanu yoyamba. Iyi ndi malo amodzi omwe angakulowetseni muvuto. Amayi ambiri omwe sanakhale ndi nthawi kanthawi (chifukwa cha kupanikizika, kutaya pathupi, kuyamwitsa, kubereka, etc.) amagwiritsa ntchito nthawi yawo kuti adziwe kuti ali ndichonde (ovulating) kachiwiri .
Koma, ngati mwakhala mukugonana mosatetezeka musanafike nthawi ino, mukhoza kukhala pachiopsezo chokhala ndi mimba kuyambira mutakhalapo kale- musanayambirane nthawi yanu.
Ngati muli ndi magazi ochuluka kwambiri pamwezi, kusokonezeka, kapena kusasamba kwa msambo , mukhoza kapena simungakhale ovulating. Ngati izi zikugwiranso ntchito kwa inu, nkofunika kuti muyesetse kudziwa ngati mumapuma. Mungafunike kufunafuna thandizo la dokotala ndikuyesera magazi kuti mutsimikizire ngati mwavotera kapena muli ovulating.
Amayi ambiri amayamba kusamba masiku 28 mpaka 35. Zikuwoneka kuti pali kusiyana pakati pa akazi pakati pa zaka zapakati pa 20 ndi 40. Komabe, mukhoza kusintha kusiyana pakati pa zaka zisanu ndi zisanu zoyamba mutatha nthawi yanu komanso zaka khumi zisanafike kusamba ( kutseka kwa ulendo wanu). Kawirikawiri, kutalika kwa msambo wanu kumapitirira zaka zapakati pa 25 mpaka 30, kenako pang'onopang'ono madontho-ndicho chifukwa amayi omwe ali ndi zaka 40 akhoza kukhala ndifupikitsa.
Kuchepetsa ndi mapiritsi kapena kulera kwa Hormonal
Ngati mukugwiritsira ntchito njira yothandizira ana (makamaka njira yogwirizana yomwe ili ndi estrogen ndi progestin ) simukumeta. Yankho la ngati mukuyamwa piritsi ndilo ayi .
Mapiritsi a mapiritsi ndi njira zambiri za mahomoni zimakulepheretsani kuti mukhale ovulating. Lekani dzira kuti lisatulutsedwe mofanana ndi dzira, palibe kanthu kwa umuna kuti umere, ndipo palibe mwana.
Ngati mukugwiritsa ntchito mapiritsi kapena njira zowonetsera ma ARV simukuyenera kuyesa kuyendetsa ovulation chifukwa simukuthira. Mulibe "masiku ochuluka kwambiri" pakati pa mwezi. Simulinso pa chiopsezo cha mimba ndiye kuposa tsiku lina lililonse la mweziwo. Kwa inu omwe mumagwiritsira ntchito njira zamadzimadzi, zifukwa zomwe zimayambitsa kusamalidwa kwa pakhomo zimakhudza ngati mukuiwala kumwa mapiritsi , kusintha chigamba chanu , kapena ngati NuvaRing yanu ikugwa , ndi zina zotero.
Ndi njira izi, muyenera kuonetsetsa kuti pali ma hormoni okwanira m'thupi lanu kuti akulepheretseni kuyamwa. Ngati mumaphonya mapiritsi ambiri (makamaka sabata yoyamba ya piritsi pakutha kapena kumapeto kwa Sabata 3, kumene mumayenera kukhala ndi homoni yokwanira kuti muteteze ku Masabata 4 osapanga mavitamini), mukhoza kukhala pangozi kwa ovulating.
Kodi N'chiyani Chimachitika Pambuyo Pambuyo Pambuyo Panu?
Zomwe mukuchita masiku onse ndi nthawi yokha ya kusintha kwa ma hormonal yomwe imatulutsa mazira okhwima (oocyte). Mwezi uliwonse, zinthu zingapo zimapezeka m'thupi lanu, lomwe limagawidwa mozizwitsa ndi gawo la luteal.
Pulogalamu ya follicular imayamba ndi tsiku loyamba la nthawi yanu (yomwe imatengedwa tsiku la 1 lanu):
- Mankhwala otsika a estrogen ndi progesterone amathandiza ubongo wanu kupanga mahomoni otchedwa gonadotropin-release hormone (GnRH).
- GnRH idzayambitsa ntchentche kuti itulutse hormone yochititsa chidwi (FSH).
- FSH imachititsa kuti follicle yanu ikule, ndipo monga ikutero, imayambitsa kupanga estrogen zambiri.
- Mapuloteniwo amakula, makoma anu amayamba kukhala ouma (kukonzekera kuti muzitha kulowa) ndipo chiberekero chanu chimakhala chochepa kwambiri.
- Magulu anu a estrogen akuwonjezeka pa masiku khumi akutsatira ndipo nthawi zambiri amatha tsiku limodzi musanavundule (mu masiku 28, izi zimachitika pa Tsiku 13).
- Chilendo cha estrogen chimayambitsa kupitirira kwa luteinizing hormone (LH).
Pambuyo pa kuwonjezeka kumeneku, tsopano muli mu gawo lozungulira la ulendo wanu:
- Kuwonjezeka kwa ma LH kumapangitsa kuti pulogalamu ya mazira ikhale yowonjezera, ndipo mumatha maola 24 mpaka 36 kenako.
- Mukangoyenda (dzira limamasulidwa), limachoka kumbuyo kwa corpus luteum (yopanda pake).
- Progesterone yotulutsidwa kuchokera ku corpus luteum mutatha kuyamwa imayambitsa kutentha kwa thupi lanu (kutentha kwanu mukakhala pompano) 0,5 F.
- Ngati dzira silinali feteleza, miyendo yanu ya LH imayamba kuchepa ndipo imayambitsa corpus luteum kuyamba kuchepa ndi kutulutsa pang'ono progesterone ndi estrogen.
- Mankhwala otsika oterewa amachititsa kuti kutentha kwa thupi lanu kuchepetse, liwonetse ubongo wanu kuti uyambe kuyambiranso kachiwiri ndikuyambitsa chipinda cha uterine kuti chikhetse-motero chimayamba nthawi yotsatira.
Gawo loyambirira la ulendo wanu (follicular stage) lingakhale losiyana kwambiri ndi mkazi aliyense, kawirikawiri amakhala pakati pa masiku 14 ndi 21. Gawo lachiwiri la ulendo wanu (gawo la luteal) liri ndi nthawi yeniyeni yeniyeni-kuyambira tsiku limene mumapuma ndipo nthawi zambiri mumakhala masiku 14. Nthawi zambiri sichitha kusiyana ndi tsiku limodzi mwa munthu aliyense.
Tsiku Limene Mumapukuta
Kuti mudziwe nthawi yomwe mumapuma, muyenera kuwerenga masiku 15 kuchokera tsiku loyamba la nthawi yanu. Izi ndizotheka pamene kupitirira kwanu kwa LH kwachitika. Ndiye mungathe kuganiza kuti mutatha masiku 1/2 (maola 24 mpaka 36) kenako. Kwa ulendo wamasiku 28, izi zikanakhala nthawi ina pa Tsiku 14 kapena 15 (malingana ndi nthawi yomwe kuphulika kwa LH kumachitika). Kuti muwerenge pamene mutsegula, muyenera:
- Bwererani kuchokera tsiku la 1 lanu.
- Mukhale ndi zodalirika zomwe zimatha masiku angapo nthawi iliyonse.
- Dziwani kuti ichi si sayansi yeniyeni-zinthu zambiri, monga kupanikizika, matenda kapena kusokonezeka kwazinthu zachizoloŵezi, zingakhudze kapena zisokoneze kupanga kupanga mahomoni komwe mukufunikira kuti mupange.
- Zindikirani kuti si amayi onse omwe amawombera nthawi yomweyo mwezi uliwonse.
- Dziwani kuti si amayi onse omwe amawombera makamaka amayi omwe ali ndi nthawi yochepa yamasiku (osakwana masiku 25 kapena kuposa masiku 35).
- Kumbukirani-simukupiritsira mapiritsi (kapena pa mitundu yambiri ya ma ARV).
Chitsime:
> Welt CK. "Physiology ya kusintha kwabwino kwa msinkhu." Zaposachedwa. http://www.uptodate.com/contents/physiology-of-the-normal-menstrual-cycle.