I ka manaopaa o ka follicle

Dysfunctional uterine kahe ana ke koko loaʻa i ka pono nui pūʻulu o kahe ana ke koko ma anovulatory kalapona. Ka mea ana ole ovulation, ke kino luteum mea kahi e. Lākou kūpono 'ka hoʻonāukiukiʻana a me ka manaopaa o ka follicle. Ka mea, i ka hopena, mai lōʻihi-manawa estrogen hana.

I ka manaopaa o ka follicle ua wehewehe aku ma ka e piʻi like ana o kekahi a oi follicles kekahi maturation. Eia naʻe,ʻaʻole hoʻi he ovulation a me ka ho okumu ana o ke kino luteum. Ka lōʻihi like 'ole o ka follicle i ka mea ia manawa mea he mau mahina, a ua ukali ia e ka? Iecaianoaaiiie o ka nui dala o estrogenic hormones.

Ka hoʻokō 'ia o ka moku'āina hiki mau maiʻehiku i ewalu lā. Ma hope iho e huai ae loli o ka regressive ano a me ka hoemi estrogen pae i loko o ke kino. Hormonal emi hoʻonāukiukiʻana mai o luku kāna hana o ka endometrium, a kahe ana ke koko like i menstrual kahe ana ke koko. Ke hooloihi ae i manaopaa o ka follicle i wahi ma ka hui pu ana, me ka lohi o ka menses (i loko o kekahi manawa mai i kekahi mau pule) a kaumaha kahe ana ke koko no ka lōʻihi wā. Eia hou kekahi, moku'āina ua pu cystic glandular hyperplasia o ka endometrium. Kēiaʻano o ke kahe ana ke koko ka loa pinepine 'akomi i ka preklimaktericheskom a me nā' ōpio makahiki.

Nā 'ōpio kahe ana ke koko papa koa mai ka elima a hiki i ka umi pakeneka o na hihia a pau. Lakou hana ana i ka mea kāpili maturation o ka moe ano me ka instability o ka menstrual pōʻaiapuni. No kaikamahine he umikumamalua i ka umikumamaha anovulatory kalapona ua wehewehe aku me ka 60% o ka manawa o ka umikumamalima a hiki i nā makahiki - 43%, a mai ka 18 a hiki i 20 makahiki - 27%.

Follicle atresia pu e hooloihi ae i? Iecaianoaaiiuo o estrogens. Eia naʻe, i ko lakou helu, kŘpa a uuku. Ana estrogen maʻiʻo i ua wehewehe aku ma kuahiwi hoʻonāukiukiʻana mai o hyperplasia o ka endometrium. A pau keia loli ua 'akomi i vascular leo, i kumu no ka haunaele ma ka holo endometrial kahe ana ke koko a me ka hanana o necrosis. Nō kāu, i ka lohi loop i loko o keia ano, ua oi mau nō ma mua o ka poe i pili ana i follicle manaopaa.

Ma nā Hawaii hōʻike 'anovulatory kahe ana ke koko, ia lŘlŘ IeAUPIIe, IAa IO hope, a i ka eono a ewalu pule a me kekahi mau mahina i ka menstrual' ole, i hiki mau mau lā. I ka loaʻa nō oi paakiki kaumaha kahe ana ke koko, akā, ua pōkole mea.

Diagnosing anovulatory kahe ana ke koko ua lawe mai e noonoo pono lapaʻau kūpono a me ka endocrine haʻawina. Manaopaa wehewehe aku ma basal wela ma lalo 37º, kiʻekiʻe (50-100 mg / lā) estrogens. Kēia hōʻike haʻahaʻa pae o ka pregnanediol.

Atresia pu ma ka haʻahaʻa basal ikaika ana wela. Ma keia hihia, aia no he lōpū excretion o estrogen, a ua hoʻemi excretion pregnandiol.

Ke differentiation o kaʻike, ua i me ka ke aloha ano uterine maʻi (uterine Ka maʻi 'aʻai, cervical Ka maʻi' aʻai, etc.), a me na maʻi (akepaa maʻi, ke koko, a me nā hemorrhagic diathesis). E hoomanawanui i ka poe i diagnosed manaopaa follicle lapaʻau ua haawi mai ai, pahuna e kahe ana ke koko ana (mua ke kahua lapaau) a me ka hoihoi hou ana i maʻamau menstruation (i ka lua o ka anu u Inc). I ka hana o kaʻanuʻu mua oia i ka triggering hyperplastic secretory hou 'i loko o ka endometrium. I ka lua o ka pae o ka lapaau i ka hana o ka pale recurrent kahe ana ke koko a me ka mea i loko o ke ola pōʻaiapuni a me ovulation stimulation.