Kuyini Ukujova kwe-Follicle-Stimulating Hormone kanye ne-Luteinizing Hormone? Izimpawu, Izimbangela, & Nokwelashwa Kwasekhaya

Ukujova kwe-Follicle-stimulating hormone (FSH) kanye ne-luteinizing hormone (LH) kuyimithi yokuzala esiza umzimba wakho ukuthi ukhiqize amaqanda noma isidoda. Lawa mahomoni afana nalawo agcinwa yigland yakho ye-pituitary ngokwemvelo, kodwa ngesimo sokujova ukuze kuthuthukiswe ukuzala lapho umzimba wakho udinga ukwesekwa okwengeziwe. Ungase uthole lezi zinjovo uma uzama ukukhulelwa futhi amazinga akho e-hormone yemvelo awahambisani ncamashi nalapho kufanele abe khona.

Kuyini Ukujova kwe-Follicle-Stimulating Hormone kanye ne-Luteinizing Hormone?

Ukujova kwe-FSH ne-LH kuyizinhlobo ezenziwe ngamanye zamahomoni alawula uhlelo lwakho lokuzala. Cabanga ngazo njengabasizi abanobumnene abakhuthaza ama-ovari akho ukuthi athuthukise amaqanda noma ama-testes akho ukuthi akhiqize isidoda. Le mithi iza njengempushana exutshwa noketshezi, bese ijovwa emsipheni wakho noma ngaphansi kwesikhumba sakho.

Udokotela wakho unquma lezi zinjovo lapho umzimba wakho ungenzi lawa mahomoni ngokwanele ngokwemvelo. Zisetshenziswa kakhulu ngesikhathi sokwelashwa kokuzala njenge-in vitro fertilization (IVF) noma i-intrauterine insemination (IUI). Umgomo uwukusiza izitho zakho zokuzala zisebenze ngempumelelo ukuze ukwazi ukukhulelwa.

Kuzizwa kanjani ukujova kwe-FSH ne-LH?

Abantu abaningi bachaza ukujova njengokuchofoza okusheshayo, okufana nokuthola umgomo. Inaliti incane futhi iyabhinqa, ngakho ukungakhululeki kumfushane futhi kulawuleka. Ungase uzwe ukushaya okuncane lapho inaliti ingena, kulandelwe ukucindezela okuncane njengoba imithi ingena esicutshini sakho.

Ngemuva kokujova, ungase uqaphele ukuba buhlungu okuthile noma ukulimala okuncane endaweni yokujova. Lokhu kujwayelekile ngokuphelele futhi kuvame ukunyama ngosuku olulodwa noma ezimbili. Abanye abantu abazizwa bengakhululekile nhlobo, kanti abanye bangase bazwe ubuhlungu obuthuntu amahora ambalwa.

Isici somzwelo singazizwa sinamandla kakhulu kunomuzwa ongokomzimba. Abantu abaningi bazizwa bekhathazekile ngaphambi kokujovwa kwabo kokuqala, okuyinto eqondakalayo ngokuphelele. Uma usujwayele umkhuba, iningi lithola ukuthi kuba lula kakhulu ukuphatha.

Yini ebangela isidingo sokujova kwe-FSH ne-LH?

Umzimba wakho ungase udinge lezi zibhamu zamahomoni lapho amahomoni akho emvelo okuzala engasebenzi kahle. Lokhu kungenzeka ngezizathu ezihlukahlukene, futhi ukuqonda imbangela kusiza udokotela wakho ukuthi akhethe indlela engcono kakhulu yokwelapha.

Nazi izizathu ezivamile zokuthi kungani ungase udinge lezi zibhamu:

• I-Polycystic ovary syndrome (PCOS) - ama-ovari akho awakhululi amaqanda njalo
• Ukungasebenzi kahle kwe-Hypothalamic - ingxenye yobuchopho bakho elawula amahomoni ayisebenzi kahle
• Izinkinga ze-Pituitary gland - igland ekhiqiza i-FSH ne-LH ngokwemvelo ayisebenzi kahle
• Ukwehla kokuzala okuhlobene nobudala - amazinga akho e-hormone ancipha ngokwemvelo njengoba ukhula
• Ukungazali okungachazeki - lapho odokotela bengakwazi ukuthola imbangela ethile yezinselelo zokuzala
• Ukungazali kwendoda - ukukhiqizwa kwamajusi amancane noma ikhwalithi emadodeni

Ngezinye izikhathi lezi zibhamu zisetshenziswa ngisho noma amazinga akho e-hormone ebonakala ejwayelekile. Lokhu kwenzeka ngesikhathi sezinqubo zokuzala ezisizwayo lapho odokotela befuna ukulawula ngokuqondile isikhathi sakho sokuzala noma ukwandisa inani lamaqanda ama-ovari akho akhiqizayo.

Yiziphi izimo ezisetshenziselwa ukwelapha ukujova kwe-FSH ne-LH?

Lezi zibhamu zamahomoni zelapha izimo eziningana ezihlobene nokuzala nezimo. Udokotela wakho uzobancoma ngokusekelwe ekuxilongweni kwakho okuthile kanye nemigomo yokuzala.

Izimo ezivamile kakhulu lezi zibhamu ezisiza ngazo zihlanganisa:

• I-Anovulation - uma ama-ovari akho engakhiphi amaqanda njalo noma nhlobo
• I-Hypogonadotropic hypogonadism - isimo lapho umzimba wakho ungakhiqizi amahomoni okuzala ngokwanele
• Ukukhuthazwa kwama-ovari okulawulwayo kwe-IVF - ukusiza ukukhiqiza amaqanda amaningi ukuze kutholakale ukwelashwa kokuzala
• I-Kallmann syndrome - isimo sezakhi zofuzo esithinta ukukhiqizwa kwamahomoni
• Imiphumela ye-Pituitary adenoma - lapho umdlavuza ongenangozi uthinta ukukhiqizwa kwamahomoni
• Ukushoda kokuvuthwa ezinganeni - lapho ukuthuthukiswa okujwayelekile kocansi kuhlehla kakhulu

Emadodeni, le mithi yokujova ingasiza ngezimo ezinjenge-hypogonadism, lapho amaduna engakhiqizi i-testosterone noma isidoda esanele. Zisetshenziswa futhi lapho amadoda enokungalingani kwamahomoni okuthinta ukuzala.

Ingabe izinkinga zokuzala zingaxazululeka ngaphandle kwemijovo ye-FSH ne-LH?

Ezinye izinselelo zokuzala zingathuthuka ngokwemvelo, kodwa lokhu kuncike ngokuphelele kulokho okubangela isimo sakho esithile. Uma unengcindezi yesikhashana, izinguquko zesibalo, noma izici zokuphila ezithinta amahomoni akho, lezi zingase zixazululeke zodwa ngesikhathi kanye nezinguquko ezinempilo.

Kodwa-ke, izimo ezinjenge-PCOS, ukushoda kwamahomoni ezofuzo, noma ukwehla kokuzala okuhlobene nobudala ngokuvamile kudinga ukungenelela kwezokwelapha. Uhlelo lwakho lokuzala lungase lungabuyeli emsebenzini omuhle ngaphandle kokusekelwa kwamahomoni, yingakho udokotela wakho encoma le mijovo.

Izindaba ezinhle ukuthi abantu abaningi babona ukuthuthuka okukhulu ngokwelashwa. Udokotela wakho uzoqapha impendulo yakho ngokucophelela futhi alungise uhlelo lwakho lokwelapha njengoba kudingeka ukuze akunike umphumela ongcono kakhulu.

Ungalungela kanjani imijovo ye-FSH ne-LH ekhaya?

Ukulungiselela le mijovo ekhaya kuhlanganisa izinyathelo eziwusizo nokulungela ngokomzwelo. Ithimba lakho lezempilo lizokufundisa indlela efanele yokujova, kodwa ukuba nomkhuba okhululekile kwenza inqubo ibe lula kakhulu.

Nansi indlela ongazilungiselela ngayo ngempumelelo:

• Lungiselela indawo ehlanzekile, ethule enokukhanya okuhle lapho ungenza khona imijovo yakho
• Gcina zonke izinto zakho zihlelekile esitsheni esisodwa noma endaweni eyodwa
• Zijwayeze inqubo yokujova nonesi wakho uze uzizwe uqiniseka
• Hlela izikhathi zokujova ezihambisana neshejuli yakho yansuku zonke
• Yiba nomuntu ozokusiza atholakale, ikakhulukazi ngemijovo yakho yokuqala embalwa
• Gcina ikhalenda lokwelashwa ukuze ulandelele izinsuku zokujova kanye nanoma yimaphi imiphumela emibi

Abantu abaningi bakuthola kuwusizo ukwenza okuthile okuphumuzayo ngaphambi komjovo wabo, njengokuphefumula okujulile noma ukulalela umculo ozolile. Khumbula ukuthi ukuzwa ukukhathazeka kuvamile ngokuphelele, futhi abantu abaningi bazizwa bekhululekile kakhulu ngale nqubo ngemva kokuzama okumbalwa.

Yini inqubo yokwelashwa yezokwelapha ngemijovo ye-FSH ne-LH?

Ukwelashwa kwakho kwezokwelapha kuzolandela uhlelo oluhlelwe ngokucophelela olwenzelwe wena nguchwepheshe wakho wokuzala. Le nqubo ngokuvamile iqala ngokuhlolwa okuyisisekelo ukuze kuhlolwe amazinga akho e-hormone kanye nempilo yakho yonke yokuzala.

Udokotela wakho uzonquma umthamo ofanele ngokuya ngeminyaka yakho, isisindo, amazinga e-hormone, kanye nemigomo yokwelashwa. Abantu abaningi baqala ngomthamo ophansi olungiswayo ngokusekelwe endleleni umzimba wakho osabela ngayo. Uzoba nokuqokwa okuvamile kokuqapha ngokuhlolwa kwegazi kanye ne-ultrasounds ukuze ulandelele inqubekela phambili yakho.

Ishejuli yokujova iyahlukahluka ngokuya ngohlelo lwakho lokwelashwa. Abanye abantu bajova nsuku zonke, kanti abanye balandela amaphethini ahlukene. Udokotela wakho uzokunikeza ikhalenda elinemininingwane elibonisa ngqo ukuthi uzothatha nini umjovo ngamunye nokuthi uzofika nini ukuze uvakashele ukuqapha.

Kuyo yonke inkathi yokwelashwa, ithimba lakho lezempilo lizobheka eduze izimpawu zokuthi umzimba wakho usabela kahle. Bazolungisa umthamo wakho wemithi uma kudingeka futhi bazokwazisa ukuthi kulindeleke nini ukuvuthwa kwamaqanda noma ezinye izigaba zokwelashwa.

Kufanele uxhumane nini nodokotela wakho mayelana nemijovo ye-FSH ne-LH?

Kufanele uxhumane nethimba lakho lokunakekelwa kwezempilo noma nini lapho unokukhathazeka mayelana nokwelashwa kwakho noma uhlangabezana nezimpawu ezingalindelekile. Bafuna ukuzwa kuwe futhi bangathanda ukubhekana nezinkinga ezincane ngaphambi kokuba zibe yizinkinga ezinkulu.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Ubuhlungu obukhulu besisu noma ukuqunjelwa okungathuthuki ngokuphumula
• Isicanucanu nokuhlanza okukuvimbela ukuthi ungadli noma uphuze
• Ukukhuluphala okungazelelwe okungaphezu kwamakhilogremu angu-1-1.5 ngosuku
• Ukuphefumula kanzima noma ukuphefumula ngokushesha
• Ikhanda elibuhlungu kakhulu noma izinguquko embonweni
• Izimpawu zokutheleleka ezindaweni zokujova njengokubomvu okwanda, ukufudumala, noma ubomvu

Futhi shayela uma ungaqiniseki ngobuchwepheshe bakho bokujova, uphuthelwa umthamo, noma unemibuzo mayelana neshejuli yakho yokwelashwa. Ithimba lakho lokunakekelwa kwezempilo likhona ukukusekela kulo lonke le nqubo, futhi akukho mbuzo omncane noma ongabalulekile.

Ziyini izici eziyingozi zezinkinga ngemijovo ye-FSH ne-LH?

Ngenkathi abantu abaningi bekubekezelela kahle le mijovo, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi benze izinqumo ezinolwazi mayelana nohlelo lwakho lokwelashwa.

Ungase ube nengozi enkulu uma une:

• I-PCOS - engakwenza uzwele kakhulu emithini yokuzala
• Umlando wangaphambilini we-ovarian hyperstimulation syndrome (OHSS)
• Ubudala obuncane (ngaphansi kweminyaka engu-35) - ama-ovari amancane avame ukuphendula ngokuqinile kuma-hormone
• Amazinga e-hormone aphezulu ngaphambi kokuqala ukwelashwa
• Ama-ovarian cysts amaningi noma ama-ovari andisiwe
• Umlando womndeni wamagazi noma ezinye izifo zokujiya kwegazi

Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha nezici eziyingozi ngaphambi kokuqala ukwelashwa. Bazolungisa umthamo wakho wemithi kanye neshejuli yokuqapha ngokuya ngesimo sakho ngasinye ukuze banciphise noma yiziphi izinkinga ezingaba khona.

Ziziphi izinkinga ezingase zibe khona zokujova i-FSH ne-LH?

Abantu abaningi baba nemiphumela emincane engathinteki futhi yesikhashana. Nokho, kubalulekile ukuqonda izinkinga ezingase zibe khona ukuze ukwazi ukuzibona kusenesikhathi futhi uthole ukunakekelwa okufanele.

Imiphumela emincane ejwayelekile ihlanganisa:

• Ukuphendula endaweni yokujova njengobubomvu, ukuvuvukala, noma ukuzwela
• Ukuqunjelwa kwesisu okuncane noma ukungakhululeki
• Ushintsho lwemizwa noma ukuzwela ngokomzwelo
• Ikhanda eliphendula emithini yokwelapha ubuhlungu engathengiswa ngaphandle kwemvume kadokotela
• Ukuzwela kwamabele okufana nalokho ongase ukuzwe ngaphambi kokuya esikhathini

Izinkinga ezingathi sína kodwa ezingavamile zingahlanganisa i-ovarian hyperstimulation syndrome (OHSS), lapho ama-ovari akho eba makhulu futhi abuhlungu. Ukukhulelwa okuningi (amawele, amathathu) nawo maningi ngemithi yokwelapha ukuzala. Udokotela wakho uzokuqapha ngokucophelela ukuze abambe noma yiziphi izinkinga kusenesikhathi futhi alungise ukwelashwa kwakho njengoba kudingeka.

Ingabe imijovo ye-FSH ne-LH iyasebenza ekwelapheni ukuzala?

Le mijovo yamahomoni isebenza kahle kakhulu kubantu abaningi abanezinkinga zokuzala. Amazinga empumelelo ayahlukahluka ngokuya ngesimo sakho esithile, iminyaka, nezinye izici, kodwa abantu abaningi bakhulelwa ngale ndlela yokwelapha.

Kwabesifazane abanezinkinga zokukhishwa kweqanda, le mijovo iphumelela ekubangeleni ukukhishwa kweqanda cishe kuma-80-90% amacala. Uma ihlanganiswe nezinye izindlela zokwelapha ukuzala njenge-IUI noma i-IVF, amazinga okukhulelwa angakhuthaza kakhulu, nakuba imiphumela yomuntu ngamunye ihluka kakhulu.

Ukusebenza kahle kuphinde kuncike ekubeni nezinto ezilindelekile eziyiqiniso nokulandela uhlelo lwakho lokwelashwa ngokucophelela. Udokotela wakho uzoxoxa ngesimo sakho esithile futhi akusize uqonde ukuthi impumelelo ingabukeka kanjani ezimweni zakho ezithile.

Yini imiphumela emibi yokujova i-FSH ne-LH engase iphuthelwe?

Ezinye izinto ezingahle zibe khona ezivela kulezi zibhamu zingazizwa zifana nezinye izimo ezivamile, okwenza ngezinye izikhathi kube nokudideka noma ukukhathazeka okungadingekile. Ukuqonda lezi zinto ezifanayo kukusiza ukuthi uxhumane kangcono nethimba lakho lokunakekelwa kwezempilo.

Ukuqunjelwa kwesisu nokungakhululeki kungase kuzizwe njengezinkinga zokugaya ukudla noma ama-cramps okuya esikhathini. Ushintsho lwemizwa lungase lubonakale njenge-PMS ejwayelekile noma ukucindezeleka ekuphileni kwansuku zonke. Ikhanda lingase libonakale lingahlobene nokwelashwa kwakho inzalo, ikakhulukazi uma uvame ukuba nekhanda.

Umehluko omkhulu yisikhathi - lezi zinto ezingahle zibe khona zivame ukuqala ezinsukwini ezimbalwa ngemva kokuqala ukujova kwakho futhi zivame ukwanda njengoba ukwelashwa kuqhubeka. Uma ungaqiniseki ukuthi izimpawu zihlobene yini nemithi yakho noma enye into, ngaso sonke isikhathi kungcono ukubheka nethimba lakho lokunakekelwa kwezempilo.

Imibuzo evame ukubuzwa mayelana nemijovo ye-FSH ne-LH

Umbuzo: Ngizodinga isikhathi esingakanani ukuthatha le mithi?

Imizuliswano eminingi yokwelashwa ihlala izinsuku eziyi-8-12, kodwa lokhu kuyahluka ngokuya ngempendulo yakho kanye nohlelo lokwelashwa. Udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa kwegazi kanye ne-ultrasounds ukuze anqume ubude obufanele besimo sakho esithile.

Umbuzo: Ngingakwazi yini ukuzivocavoca ngenkathi ngithatha le mithi?

Ukuzivivinya okulula kuya kokulingene kuvame ukuba kuhle, kodwa kufanele ugweme imisebenzi eqinile engase ibangele ukulimala kuma-ovari akho, ikakhulukazi njengoba ekhula ngesikhathi sokwelashwa. Ukuhamba, i-yoga ethambile, nokubhukuda ngokuvamile kuyizinketho eziphephile. Njalo hlola nodokotela wakho mayelana nemikhawulo yakho ethile yokuzivocavoca.

Umbuzo: Kwenzekani uma ngiphuthelwa umjovo?

Xhumana nethimba lakho lokunakekelwa kwezempilo ngokushesha uma uphuthelwa umthamo. Bazokunikeza imiyalelo ethile esekelwe ukuthi sekudlule isikhathi esingakanani ngemva komjovo wakho ophuthelwe nokuthi ukuphi emjikelezweni wakho wokwelashwa. Ungazami ukwenza umthamo ophuthelwe ngokuthatha imithi eyengeziwe.

Umbuzo: Ingabe le mithi ibuhlungu?

Abantu abaningi bachaza imijovo njengokuchatha okusheshayo, okufana nomgomo. Izinaliti zincane futhi zincanyana, ngakho-ke ukungakhululeki kuvamile ukuba kufushane futhi kulawuleke. Ungase uzwe ubuhlungu endaweni yokujova ngemva kwalokho, kodwa lokhu kuvamile ukuthi kuphele ngosuku olulodwa noma ezimbili.

Umbuzo: Ingabe umlingani wami angasisiza ngemijovo?

Yebo, imibhangqwana eminingi ikuthola kuwusizo lapho ozakwabo besiza ngemijovo, ikakhulukazi ezindaweni zokujova ezingafinyeleleki kalula. Ithimba lakho lezempilo lingakufundisa nobabili indlela efanele kanye nezinqubo zokuphepha ukuqinisekisa ukuthi imijovo inikezwa ngendlela efanele nangokuphepha.