Girma na follicles a rana sake zagayowar. Abin da ya zama girman da follicle ne al'ada

Mace jiki lokaci zuwa lokaci rearranged (na halitta cyclic canje-canje) saboda effects na hormones cewa sarrafa hadaddun sunadaran alaka ta haihuwa tsarin (tara gawarwakin bayar da hadi tsari). Domin ciki ya kamata a lura da ake bukata kafun - ci gaban da kuma al'ada ci gaban ovarian follicles, doguwar wani irin "kwantena" domin riga hadu qwai.

A fassarar da manufar "follicle"

Wannan kananan size anatomic mahaluži wanda yana da wani nau'i na gland shine yake, ko 'yar jakar cike intracavitary m. Ovarian follicles suke a cortical Layer. Su - babban tafki na sauka a hankali maturing na kwai.

Da farko, follicles isa a gwada yawa ji na biyu ovaries gagarumin dabi'u (200 -. 500 mn), kowanne daga abin da bi da bi qunshi wani ɗigon maniyyi cell. Duk da haka, domin lokaci na balaga, mata (30-35 years old) isa cikakken balaga kawai 400-500 kofe.

Ciki matakai juyin halitta follicles

Sun ci gaba a cikin pouches da kuma halin da grainy haifuwa granulosa Kwayoyin, wanda cika dukan kogo.

Sa'an nan, granulosa Kwayoyin nuna ruwa Firaministan da kuma Firaministan su, a lokaci guda directing wajen gefe rabo daga cikin follicle (aiwatar da cika ciki rami na follicular ruwa).

Amma ga follicle, kuma shi muhimmanci ƙara a size, kuma a juz'i na (zuwa diamita na 15-50 mm). A ciki - shi ne wani ruwa da salts, sunadaran da sauran abubuwa.

Waje, an rufe ta connective nama daina kai hare hare. Kuma cewa shi ne jihar da follicle aka dauke balagagge, da kuma kira shi graafovym kumfa (bayan Dutch anatomist da physiologist Rene De Graaf, wanda ya gano a 1672 da tsarin bangaren na kwai). Cikakke "kumfa" ya hana maturation na da abokan aiki.

Abin da size ya kamata da follicle?

Tare da farko na balaga (14-15 shekaru), shi kammala ta ci gaba. Dauke al'ada idan a lokacin follicular lokaci na hailar sake zagayowar zai fara a lõkacin, a duka biyu balagagge ovarian follicles da dama, kawai daya daga wanda ya kai wani babba size, wanda shi ne ya sa aka gane rinjaye. Sauran abubuwa suna hõre atresia (kuma baya da ci gaban). Su na rayuwa kayayyakin wanda shi ne estrogen - da mace jima'i hormone cewa rinjayar hadi, haihuwar jariri, kazalika da alli da metabolism.

The rinjaye follicle, da girma da wanda ake karu da wani talakawan of 2-3 mm kowace rana, a lokacin da ovulation kai ta al'ada diamita (18-24 mm).

Generative aiki a matsayin wani fifiko

A ciki gefen wani balagagge follicle sahu rabe epithelium, shi a cikinta (a cikin thickened rabo - da cumulus oophorus) ne balagagge, iya takin kwai. Kamar yadda aka ambata a sama, al'ada follicle size - 18-24 mm. A farkon da hailar sake zagayowar kiyaye ta protrusion (karo-kamar) a kan surface na kwai.

Bugu da ari follicle muhimmanci thinner bango, suna ɓuɓɓugar da shi katsewa. Saboda haka, a wuri graafova kumfa bayyana rawaya jiki - wani muhimmin endocrine gland shine yake.

Saboda jerin hormonal rashin daidaituwa wannan rata za a iya tsallake, dangane da wanda ya hadu da kwan ba saki daga gidan kwai da kuma ovulation faruwa. Wannan lokacin zai iya zama wata babbar hanyar rashin haihuwa, da kuma dysfunctional igiyar ciki na jini.

Follikulometriya: definition, damar

Wannan duban dan tayi bincike binciken, wanda shi ne samuwa ta hanyar da tracking aiwatar da follicle bunkasuwa. Mafi sau da yawa koma ga shi mata da rashin haihuwa ko hailar magudi. Dauke damar magudi ta wajen duban dan tayi zuwa waƙa da muhimmancin ovulation.

A farkon da hailar sake zagayowar, yana yiwuwa ya saka idanu kan aiwatar da ci gaban da endometrium, yayin da a wani baya mataki - juyin halitta daga cikin follicle. Saboda haka, yana yiwuwa domin sanin ainihin girman da follicles a rana sake zagayowar.

Lokacin da ake bukata follikulometriya?

Wannan bincike gwajin ba ka damar:

• sa na ovulation har zuwa wani takamaiman rana.
• follicle size kafin ovulation.
• bincika wasan kwaikwayon na follicular naúrar.
• shirya da jima'i da jariri.
• kafa mutunci haila sake zagayowar bulan.
• lissafi da mafi kyau duka rana domin ganewa na yaro.
• bi da ci gaba na mahara ciki.
• gane asali hailar cuta.
• don tantance mutum haƙuri ta hormonal auna.
• iko da kwarara daga dace magani.

Tamanin da matakin na follicle ci gaba da kuma Pathology

A farkon ta juyin halitta kudi a "al'ada" Halin - da follicle size a diamita na 15 mm. Bugu da ari, kamar yadda aka ambata a baya, shi ne ya karu da 2-3 mm per day.

Mutane da yawa mata suna sha'awar wannan tambaya: "Abin da yake da girman da follicle da ovulation?" Kullum dauke - game 18-24 mm. Sa'an nan da ayyukan marubuta luteum bayyana. A wannan yanayin, da jini dole ya karu progesterone matakan.

A guda duban dan tayi hana ikon gina wani cikakken hoto na ci gaba (maturation), da follicle, kamar yadda yana da muhimmanci musamman duba kowane mutum mataki.

Babban pathologies cewa karya maturation na follicles, su ne:

1. Atresia - involution neovulirovavshego follicle. Don zama daidai, bayan da ilimi, ya tasowa zuwa wasu nufi, sa'an nan kuma tsaya a nan, kuma regresses, haka ovulation bai faruwa.

2. dagewa - adana da cutar a lokacin da shi ne har yanzu aikin aiki a cikin cell ko nama al'adu na jiki fiye da abin da shi ne halayyar ga m kamuwa da cuta. A wannan yanayin, follicles kafa da kuma raya, kuma ta katsewa ba faruwa, sakamakon wani luteinizing hormone ba karu. Wannan nau'i na ilimin Halittar Jiki ilimi ne kiyaye har ƙarshen sake zagayowar.

3. follicular mafitsara - a irin aikin da ilimi, ana sarrafa a cikin kwai nama. A wannan halin da ake ciki neovulirovavshiysya follicle kuma ba a karya, shi ya ci gaba da zama, kuma shi ne mafi sau da yawa m accumulates da baya kafa mafitsara size sama 25 mm.

4. luteal - samuwar da ayyukan marubuta luteum, wanda aka kafa wani lokacin da babu katsewa na follicle kuma baya tasowa. Wannan halin da ake ciki shi ne zai yiwu idan akwai ya kasance wani baya karuwa a cikin darajar da LH ko ovarian rauni tsarin.

Girma follicles a sake zagayowar kwanaki

Daga cikin sosai farko kwanaki na gaba sake zagayowar da taimakon duban dan tayi za a iya gani cewa a cikin ovaries akwai da dama antral nazari ilimin Halittar Jiki Tsarin, wanda baya zai kara. Su karuwa ne saboda da tasiri na musamman a hormones uwar daga cikinsu da follicle-haramta motsa hormone (FGS) da kuma estradiol. Bayar da cewa su matakin na yarda da matsayin da abun ciki daga cikin wadannan abubuwa a cikin jini, wata mace ne mafi sau da yawa ba barga ovulation da anovulatory hawan keke faruwa ba fiye da sau biyu a shekara.

Antral follicles a cikin ovaries, wanda shi ne kananan size, dole ne su kasance ba, bisa ga shaidar da dokoki a duka gonads a wani adadin ba zuwa ƙetare tara guda. Yawanci, da diamita su ne ba fiye da 8-9 mm. Daga bisani shi antral follicles ƙarƙashin rinjayar Game da hormones ba Yunƙurin to irin wannan muhimmanci ilimin Halittar Jiki Tsarin matsayin rinjaye follicle, girman wanda ya wuce da diamita 2.5 sau.

A talakawan hailar sake zagayowar ne kwanaki 30. Wani wuri a rana ta goma na totality of antral follicles shaci rinjaye.

Sau da yawa marasa lafiya kiwata tambaya: "Ta yaya babban kasance cikin follicle a wannan mataki?" A zaman farko, da wuya ya follikulometrii size daban-daban daga cikin sauran (12-13 mm). Yana da daraja ƙarfafu da cewa wannan bincike duban dan tayi domin sanin girman follicles a rana sake zagayowar.

Har ila yau a ƙasa samun kwararrun za su iya ce ba daidai da yadda da yawa daga rinjaye follicles sun kafa. Mafi sau da yawa shi ne kawai daya (a dama ko hagu kwai). Duk da haka, a lokacin da haƙuri da aka jurewa musamman stimulating ovulation, wadannan follicles iya qunshi da dama, sakamakon wani mahara ciki, ba shakka, bayar da biyu ko fiye maturing rinjaye ilimin Halittar Jiki Tsarin.

Na biyu zaman da aka gudanar bayan kwanaki uku. A tafarkinsa likita:

• Yana tabbatar da gaban da rinjaye follicle.
• kayyade girman da follicle hailar hawan keke.
• gyaran gaba daya (idan wannan ya auku) komawa da baya daga cikin follicle.

Specialist hankali nazarin biyu ovaries na mata. Idan duba follicle size da rana sake zagayowar, a karo na biyu taro a diamita shi ne 17-18 mm. Yana yana da game da 13 rana.

A cikin uku zaman (transvaginal duban dan tayi) shi za a iya gani cewa girman da follicle kafin ovulation (da ganiya darajar) samu darajar 22-25 mm. Wannan ya nuna sananne ( 'yan sa'o'i) ta katsewa, sakamakon wani balagagge kwai shiga peritoneal rami sa'an nan za su shiga cikin fallopian tube. Aƙalla ashirin da hudu ta karɓi hadi, kuma baya mutu. Tafii da lura da cewa kwai fahimcin muhimmancin a sau kasa da cewa daga cikin maniyyi.

Akwai lokuta idan da rinjaye follicle tsiro a daban-daban kudi, kamar yadda wani sakamako na duban dan tayi zaman iya bukatar fiye da uku. Idan haƙuri, ya sha nanata rubuce ta komawa da baya, sa'an nan, kamar yadda mai mulkin, likita ya furta shi kullum follikulometriyu (9-10 rana sake zagayowar). Wannan zai bayyana farkon komawa da baya, sa'an nan kuma gano dalilin wannan sabon abu.

Saboda haka, wajibi ne mu tunatar da sake cewa girman da follicle a hawan keke zai yiwu a lokacin bincike duban dan tayi - follikulometrii. Yana ba za kawai saka idanu cikin shakka daga cikin maturation na da rinjaye shawara daga ilimin Halittar Jiki ilimi, amma kuma su gane Sanadin sabawa, inhibiting da haihuwa tsari (idan wani).

ruri daga ovulation

A wasu kalmomin, ta shigar da. Wannan hadadden iri-iri na warkewa hanyoyin, da manufar wanda - da ciki. Shi ne a bukatar a cikin zamani gynecology game da mace rashin haihuwa saboda dalilai da yawa.

Don fara ne fassara da ra'ayi na rashin haihuwa - wani yanayin a lokacin da wata mace a karkashin yana da shekaru 35 da shekaru ba zai iya zama da ciki domin watanni 12, batun da wani aiki jima'i rayuwa, kazalika da biyu (mata a kan 35 da kuma maza - 40), wanda ciki ba ya faruwa whiter watanni shida.

Alamomi da kuma contraindications domin kara kuzari

A shigar da ne da za'ayi a biyu lokuta:

• anovulatory rashin haihuwa.
• unexplained rasa haihuwa.

Babban contraindications ga wannan hanya ne:

• cuta na Fallopian shambura.
• rashin yiwuwar cikakken ganewar asali da duban dan tayi.
• namiji rashin haihuwa.
• follicular depletion na data kasance reserves.

Ruri daga ovulation ba za'ayi dogon lokacin da jiyya na rashin haihuwa matsaloli (a shekaru biyu).

Zane-zane na hanya

Sun nuna biyu ladabi:

• kiwon da mafi ƙarancin kashi.
• ragewan high allurai.

A cikin farko idan wani ba na farko shigar da magudi miyagun ƙwayoyi "Clomiphene" (nonsteroidal roba estrogen), wanda tubalan da estradiol rabe. A shirye-shiryen da aka sa'an nan soke kuma, da ita fararwa inji kishiya dangantaka: ƙãra kira na gonadotropin-sakewa hormone da kuma aiki saki luteinizing hormone. A karshen sakamakon wannan ne zai haifar da maturation na follicles. Saboda haka, zamu iya cewa yana nufin "Clomiphene" - wani nuna alama na ovulation.

A wannan magudi da daya kawai follicle maturation auku gaisuwa ovulation shigar da, Ina nufin ma an cire a matsayin alama daga mahara ciki da kuma related rikitarwa (misali, ovarian hyperstimulation ciwo).

Bayan wannan lokaci kamar yadda girman da follicles a lokacin ruri na farko kewaye kai diamita na 18 mm ( kauri daga cikin endometrium na 8 mm) sanya gwamnati triggers (kwayoyi da cewa mimic LH karuwa). Sa'an nan, bayan hCG gwamnati, ovulation auku a game da kwana biyu.

Na biyu makirci na magudi ne m farko don matan da suka yi low ovarian ajiye da kuma kananan yiwuwa sakamako na kananan allurai FSH.

Wajibi alamomi ga wannan magudi:

• Mata masu shekaru fiye da shekaru 35.
• FSH darajar kan 12ME / l (a kan rana 2-3 na sake zagayowar).
• ovarian girma zuwa 8 cubic mita. cm.
• secondary amenorrhea da oligomenorrhea.
• samuwan ma'amaloli a kan ovaries, jiyyar cutar sankara ko radiotherapy.

Bayyane sakamakon kamata bayyana a rana ta shida. Muhimmanci illa shafi cikin ovaries, tare da wannan Hanyar shigar da na ovulation - hadarin da hyperstimulation ciwo. A cikin taron cewa a gaba duban dan tayi za a saukar follicles a cikin ovaries cewa ne ya fi girma a diamita ya wuce 10 mm, likita gani wannan a matsayin wata alama da m jiyya na ciwo.

Control ultrasonography

Wajibi ne a tabbatar da ovulation da transvaginal duban dan tayi. Wannan shi ne kamar yadda muhimmanci kamar yadda ainihin monitoring. An riga an ambata, girman da follicle kafin ovulation (18-24 mm a diamita), amma ko da a lokacin da ake so kwantena size ba zai iya karya, kuma ba za su ripened ovum cikin kogon ciki. Control duban dan tayi aka yi kwanaki 2-3 bayan da ake zargin ranar ovulation.

A wannan zaman, likita zai duba yanayin ovaries ga alamun ovulation gudanar:

• rinjaye follicle ne ba ya nan.
• Tarin Marubuta luteum ne ba;
• akwai wasu ruwa a cikin sarari bayan ya zauna cikin mahaifa.

Yana da muhimmanci a lura da cewa idan da duban dan tayi m zai sarrafa a baya lokacin, ya ba gane da wani ruwa ko yellow jiki.

A karshe yana da daraja zai sake amsa tambaya: "Abin da yake da girman da follicle da ovulation?" Wannan rinjaye ilimin Halittar Jiki ilimi a lokacin da ovulation ore ga wani size of about 18 - 24 mm a diamita. Yana da daraja a tuna cewa girman da follicles da kuma endometrial canje-canje dangane da ranar da hailar sake zagayowar.