Nyob rau hauv ib tug poj niam lub cev, kev hloov ntawm cyclical tas li, uas yog tswj los ntawm nws cov tshuaj hormones. Ua tsaug rau qhov no, zoo nkauj ib nrab ntawm tib neeg muaj lub sijhawm los ua ib leej niam. Tab sis rau qhov no nws yog tsim nyog hais tias nyob rau hauv nws ovaries ib ovulation tshwm sim, lub qe cell matured thiab fertilized nrog cov phev. Nyob rau thawj theem ntawm lub voj voog nyob rau hauv lub zes qe menyuam muaj ntau lub hauv paus ripening, tab sis tsuas yog ib qho ntawm qhov loj me me, uas yog hu ua hom thawj. Nws yog nyob rau hauv nws hais tias lub qe ripens. Tom qab ntawd nws muaj ib qho tawg, lub cev daj nyob hauv lub zes qe menyuam, thiab kua hauv lub me pelvis. Nyob rau hauv lub plab raj lub plab, txoj kev sib deev ntawm ib tug pojniam nkag mus, uas yog, cov qoob loo yuav siv qhov chaw.
Kev npaj muaj cev xeeb tub rau pojniam ntev yog feem ntau tau txais kev xa los ntawm cov kws kho mob mus rau folliculometry. Yog li ntawd hu ua ultrasound, uas tracks maturation ntawm follicles nyob rau hauv ovary, cov tsos ntawm tus tseem ceeb thiab nws rupture, uas yog, muaj kev saib xyuas ntawm ovulation. Tab sis qee zaus ib tug poj niam tau kuaj pom tias "mob ntsws follicle", uas suab ntxias thiab ntshai rau cov neeg mob. Qhov no yog lub npe rau kev txuas ntxiv ntawm lub follicle, uas ripens mus rau qhov loj me me, tab sis nws rupture thiab, yog li ntawd, ovulation tsis tshwm sim. Yog li, lub qe tsis fertilized thiab lub cev ntev-awaited cev xeeb tub tsis tshwm sim. Cov kab mob pheej ntsws tshwm sim rau 7-10 hnub ntawm kev coj khaub ncaws, ces pib los ntshav qaub ncaug. Muaj qee zaum muaj thaum tus poj niam muaj qeeb qeeb hauv kev qoj cev (txog 1.5 hli). Lub follicle feem ntau yog degenerates rau hauv ib lub cyst.
Follicle Persistence: Ua rau
Vim tias qhov kev ua ntawm childbearing yog tswj los ntawm cov tshuaj hormones, nws yog lawv tsis txaus uas ua rau cov tsos ntawm xws li ib tug pathology loj li persistence ntawm cov follicle dominican. Thawj theem ntawm cov poj niam voj voog yog tswj hwm los ntawm estrogens, ua tsaug rau qhov kev loj hlob thiab kev loj hlob ntawm cov hauv paus hauv cov zes qe menyuam tshwm sim. Nyob rau hauv ib tug poj niam noj qab haus huv nrog lub maturation ntawm lub follicle thiab qhov pib ntawm ovulation, qib estrogen yuav tsum txo, thiab theem ntawm luteinizing hormone yuav tsum sawv. Tom qab ntawd ces yog qhov tseem ceeb tshaj plaws ntawm cov tshuaj nplaum tawg, thiab cov ovule descends rau hauv lub raj xa pa. Thiab yog hais tias cov tshuaj hormones tsis tau teem rau qib kom zoo, qhov persistence ntawm cov paub tab lawm. Los ntawm txoj kev, qhov teeb meem yog zoo li lub persistence ntawm lub cev daj, nyob rau hauv uas theem ntawm luteinizing hormone yog nce. Lub cev daj muaj sia nyob ntev, thiab tom qab ntawd tseem ua rau lub cyst degenerates.
Cov tsos mob ntawm kev mob ntsws
Cov kws kho mob tuaj yeem paub txog qhov teeb meem ntawm cov tsos mob nram qab no:
- cov tshuaj estrogen kom ntau thiab txo theem ntawm progesterone hauv cov ntshav;
- Nrhiav kom tau lub noob qoob loo nrog ultrasound rau ib lub sijhawm ntev;
- Hla ntawm cov cim tseem ceeb ntawm kev zom khoom: lub cev daj thiab kua hauv qhov chaw sab nrauv.
Tsis tas li ntawd, cov tsos mob ntawm kev mob ntsws follicle muaj xws li poj niam cev xeeb tub rau ntau lub hlis thiab nws ntau dhau heev thaum nws tshwm sim.
Follicle Persistence: Kev Kho Mob
Cov poj niam nrog no pathology yog kws kho mob, nyob rau hauv thawj qhov chaw, cov tshuaj uas txhawb kev tsim cov tshuaj hormonal
- progesterone, rotol lossis norkolut intramuscularly 9 hnub ua ntej qhov kev xav tau ua poj niam hauv 5-7 hnub;
- yeeb tshuaj uas suppress estrogens: clostilbegite, clomid, tamoxifen los ntawm tsib mus rau cuaj hnub ntawm lub voj voog rau ob peb lub hlis.
Tsis tas li ntawd, kev kho mob tsis muaj tshuaj yog muab los ntawm kev ua kom muaj zog ntawm lub cev pelvic los ntawm electrostimulation, ultrasound, gynecological massage thiab laser therapy.
Kev saib xyuas txhua lub hlis yuav tsum muaj nyob rau hauv daim ntawv ntawm folliculometry thiab kev xa tshuaj mus kuaj ntawm hormone los soj ntsuam txoj kev kho mob zoo.