The khama la follicle ndi

Osokonekera uterine magazi monga gulu mokwanira yaikulu ya magazi pa anovulatory mkombero. Iwo saonetsa ovulation, ndi corpus luteum palibe. amakwiya awo chokhumudwitsacho ndi khama la follicle lapansi. Iwo n'chiyani yaitali esitirojeni kanthu.

The khama la follicle ndi wofanana ndi kukwaniritsa follicles chimodzi kapena zingapo ena kusasitsa. Komabe, palibe ovulation ndi mapangidwe a corpus luteum. Kutalika kwa follicle pa nthawi yomweyo ndi miyezi ingapo ndipo limodzi ndi kupanga ndalama kwambiri mahomoni estrogenic.

Kukwaniritsa ngati boma ukhoza kwa masiku asanu ndi atatu. Pambuyo kuti detects kusintha khalidwe regressive ndi kuchepetsa misinkhu esitirojeni mu thupi. Mahomoni kuchepa amakwiya matenda owononga endometrium ndi magazi ofanana ndi magazi kusamba. The khama yaitali follicle udzachitika osakaniza akuchedwa wa menses (nthawi zina mpaka milungu ingapo) ndi magazi katundu kwa nthawi yaitali. Komanso boma limodzi enaake glandular hyperplasia wa endometrium lapansi. Mtundu wa magazi nthawi zambiri wapezeka mu preklimaktericheskom ndi zaka ana.

Zaumbanda magazi ranges ku asanu peresenti khumi a milandu onse. Zidzachitika pa kusasitsa chosakwanira zachilengedwe kugonana ndi kusakhazikika kwa kuzungulira kusamba. Kwa atsikana khumi ndi zinai anovulatory mkombero amakhala ngati 60% ya milandu zaka khumi ndi zisanu ndi ziwiri - 43% ndi kwa zaka 18 mpaka 20 - 27%.

Follicle atresia limodzi ndi kupanga yaitali estrogens. Komabe, chiwerengero chawo ndi ochepa. Wopitiriza esitirojeni okhutira kuti amakhala ndi nsonga amakwiya hyperplasia wa endometrium lapansi. Pamene kusintha izi wapezeka mtima kamvekedwe, zomwe zimayambitsa chisokonezo mu makope endometrial magazi ndi zochitika za necrosis. Childs, akuchedwa kuzungulira mu chikhalidwe ichi ndi cholimba kuposa zimene ayende follicle khama.

Mu zonsezi kuzindikiridwa anovulatory magazi, kumachitika kawirikawiri pambuyo akuchedwa kusamba, amene ukhoza masiku angapo mpaka masabata asanu ndi limodzi kapena asanu ndi atatu kapena miyezi ingapo. Pamene pali zambiri kulimbikira katundu magazi, koma iwo ali wamfupi.

Kupeza Vuto anovulatory magazi ikuchitika kuganizira malo matenda ndi maphunziro endocrine. Khama yodziwika ndi kutentha woyambira pansipa 37º, mkulu (50-100 mg / tsiku) estrogens. Anasonyeza pamlingo wochepa wa pregnanediol.

Atresia limodzi ndi otsika woyambira kutentha zonse. Pankhaniyi, pali excretion zolimbitsa timafunika ndi utachepa excretion pregnandiol.

The zosiyanasiyana matenda wapangidwa ndi organic matenda chikhalidwe uterine (khansa uterine, khansa khomo lachiberekero, etc.), ndi matenda wamba (chiwindi matenda, magazi, ndi zina hemorrhagic diathesis). Odwala amene amapezeka khama follicle chithandizo wapatsidwa, cholinga choti magazi asiye kutuluka (poyamba gawo chithandizo) n'kulola kusamba yachibadwa (wachiwiri sitepe mankhwala). Ntchito sitepe yoyamba imakhala amachiyambitsadi hyperplastic secretory kusintha endometrium lapansi. Gawo lachiwiri la mankhwala ali ntchito popewa magazi kobwereza ndi mu m'zinthu achire komanso kukondoweza ovulation.