Kashi na karshe na haila, lokacin luteal yana taka muhimmiyar rawa a cikin haihuwar mace ta hanyar ba da izini, a yayin hadi, dasa kwai da kula da ciki. Yaya abin yake? Yaushe ya kamata a tallafa masa? Wasu abubuwan bayani.

An raba zagayowar haila zuwa matakai daban -daban, masu mahimmanci don samar da oocyte da kuma kiyaye ciki bayan hadi:

• lokacin follicular yana ɗaukar kwanaki 14 daga ranar farko na hailarku ta ƙarshe. A wannan lokacin, dacyte da yawa sun lulluɓe a cikin kumburin mahaifa, sel wanda yayi kama da ƙaramin jakar, ya fara girma a ƙarƙashin rinjayar hormone pituitary (FSH). Daya daga cikinsu ne za a kora.
• zub da jini: A cikin waɗannan awanni 24 zuwa 48, waɗanda ke nuna tsakiyar sake zagayowar ƙwayar mahaifa, ɓarkewar hormone luteinizing (LH) yana ƙaruwa sosai. Matsayinsa: don haifar da ruɓewar follicle da fitar da balagagge. Wannan shi ake kira kwanciya ovular ko ovulation. A cikin awanni bayan ovulation, oocyte yana tafiya zuwa bututun fallopian inda yake jira kafin a yi masa….
• lokacin luteal shine ya zama sashi na ƙarshe na zagayowar mahaifa. Wannan lokacin tsakanin ovulation da lokacin na gaba yana tsakanin kwanaki 12 zuwa 14. A lokacin luteal kuma a ƙarƙashin tasirin ɓarna na hormonal, ƙwayar ƙwayar ƙwayar ƙwayar cuta tana canzawa zuwa gland wanda ke ɗauke da sunansa daga launin sa: jikin rawaya. Wannan corpus luteum muhimmin abu ne a cikin tsammanin samun ciki na gaba. Lallai, ta hanyar ɓoye isrogen da progesterone, yana shirya rufin mahaifa (endometrium) don karɓar kwai a yayin haɗuwa. A saboda wannan dalili ne yake yin kauri sosai yayin wannan sashi na biyu na sake zagayowar har zuwa rana ta 20.

Bayan ovulation sabili da haka yayin lokacin luteal, yanayi biyu na yiwuwa:

Oocyte ya hadu.

 A wannan yanayin, amfrayo zai zauna a cikin endometrium kimanin kwanaki 8 bayan hadi. Shigarwa ne. Yawancin hormones sannan suna taka muhimmiyar rawa:

• HCG hormone, ko gonadotropin chorionic, yana ɓoye don corpus luteum ya ci gaba da aikinsa na tsawon watanni 3. Wannan sinadarin “hormone” ne wanda ake “dubawa” a gwajin ciki kuma yana ba ku damar sanin ko kun yi ciki.
• estrogen da progesterone rufin jikin mutum yana ɓoye shi don kula da ciki. Wannan samar da sinadarin hormonal yana ci gaba da wanzuwa na 'yan makonni har sai mahaifa ta shirya don tabbatar da musayar gas da abinci mai gina jiki tsakanin uwa da yaro.

Oocyte ba taki bane.

 Idan babu hadi, oocyte baya yin gida a cikin endometrium kuma corpus luteum baya samar da progesterone. Tare da desimpregnation na hormonal, ƙananan tasoshin endometrium suna ƙuntatawa kuma membran mucous ya fashe yana haifar da zubar jini. Waɗannan su ne ƙa'idodi. Tsarin follicular ya sake farawa.

Alamar da ta fi ba da shawara na lokacin luteal shine ƙara yawan zafin jiki. Wannan saboda samar da sinadarin progesterone ta corpus luteum na sa jiki ya yi ɗumi da kusan 0,5 ° C. Bayan faɗuwar zafin jiki a lokacin ovulation (mafi ƙarancin lokacin "zafi" na sake zagayowar), zafin jiki ya kasance kusan 37,5 ° C (a kan matsakaita) a duk wannan ƙarshen sake zagayowar. haila.

Wani sifa mai ban mamaki na lokacin luteal: juyin halittar ci. Lallai, samar da hormonal yana da, bisa ga wasu binciken, yana da tasiri kan cin kalori yayin sake zagayowar. Ƙasa yayin lokacin juzu'i, zai ƙaru musamman a cikin yanayin pre-ovulatory da a ƙarshen luteal lokaci. A cikin tambaya: ɓarna a cikin progesterone da estrogen, wanda zai nuna raguwar samar da serotonin (hormone na jin daɗi) sabili da haka sabon abu na “rama abinci” inda mata za su fifita carbohydrates, alli da magnesium.

Matakin luteal shine abin lura na musamman a cikin matan da ke da wahalar samun juna biyu ko kuma sun sha wahalar zubar da ciki. Maganin layi na farko shine don gudanar da binciken haihuwa da kuma gano yuwuwar ɓarkewar ovulation, musamman ta hanyar lura da hanyoyin zafin jiki da / ko yin gwaje-gwajen hormonal da duban dan tayi.

 Idan ana zargin rashin haihuwa, ana iya ba da shawarar motsawar ovarian a wasu lokuta. Yana cikin tsarin waɗannan dabaru na taimako don haihuwa (kuma musamman IVF da IVF ICSII) cewa goyon baya ga lokacin luteal yana da mahimmanci. Lallai, ta hanyar tayar da ƙwai don samun ƙwai da yawa (kafin haɓakar in vitro), ana haifar da ɓarna na lokacin luteal. Jikunan rawaya da yawa ta hanyar motsawa ba sa iya samar da isasshen sinadarin progesterone, wanda zai iya kawo cikas ga shigar da amfrayo (s). Sabili da haka, ana sanya magani don inganta kula da ciki. Sannan an fifita ƙwayoyin guda biyu:

• progesterone, yawanci ana gudanar da farji,
• gonadotropin-sakewa hormone (GnRH) agonists wanda ke haɓaka samar da GnRH, hormone wanda ke haɓaka ci gaban corpus luteum.