The ho phehella ha ba follicle le

Dysfunctional uterine mali kenyeletsa sehlopha ka ho lekaneng khōlō ea tsoa mali ka anovulatory potoloho. Ba teng ntle ho ovulation, ea polokelo luteum ke le siyo. qholotsa bona tse khopisang le ho phehella ba follicle le. Ba ne ba boetse bo hlahe nako e telele estrogen bananeng bohato.

The ho phehella ha ba follicle e tšoauoa ka katleho ya follicles le 'ngoe kapa ho feta tse itseng le nonofo ya mmele. Leha ho le joalo, ha ho na ovulation le sebopeho sa polokelo luteum. The nako ya follicle le ka nako e tšoanang ke likhoeli tse 'maloa le e tsamaea le ho hlahisa palo e khōlō ea li-hormone estrogenic.

Finyella joalo boemong ba ho ka ba teng ka ho tloha matsatsi a supileng ho tse robeli. Ka mor'a hore e iphumanela ho liphetoho tsa tlhaku regressive le fokotsa maemo estrogen bananeng 'meleng. Hormonal fokotseha qholotsa maloetse a senyang a endometrium le tsoa mali tšoanang le mali matsatsing. The ho phehella ka nako e telele ya follicle le nka sebaka hammoho le ho lieha ya menses (ka linako tse ling ho fihlela ho libeke tse 'maloa) le mali o boima bakeng sa nako e telele. Ho phaella moo, puso e tsamaea cystic glandular hyperplasia tsa endometrium ena. mofuta ona wa mali e hangata ka ho fetisisa lemoha ka preklimaktericheskom le lilemo mike mike.

Mike mike mali ranges ho tloha tse hlano ho ba etsang liphesente tse leshome ba maemong 'ohle. Ba etsahala nakong ea le nonofo ya mmele ea fella ea tlhaho ea ho kopanela liphate le ho se tsitse ho ea matsatsing. Bakeng sa banana ba leshome le metso e ho metso e mene anovulatory potoloho e tšoauoa ka ho 60% ya maemo a ho lilemo tse leshome le metso e mehlano ho lesomesupa - 43% le tloha ka ba lilemo tse 18 ho ea ho 20 - 27%.

Follicle atresia tsamaea le tlhahiso ea nako e telele ea estrogens. Leha ho le joalo, palo ea tsona e batlang e le tse nyenyane. Tsoelang pele estrogen bananeng dikahare e tšoauoa ka litlhōrō tse qholotsa hyperplasia tsa endometrium ena. Ha phetoho ena e hlokometse vascular molumo, e leng e etsa hore e ea khathatsoa ka ajoa endometrial mali le ketsahalo e ea necrosis. Ka tloaelo ho, ho lieha sekgoqetsane boemong ena ke tsoarellang ho feta tseo e tsamaea le follicle phehella.

Liprofinseng bobeli tsejoa anovulatory mali, le hlaha hangata ka mor'a lieha matsatsing, e leng e ka ba teng ka matsatsi a 'maloa' me ho fihlela ho libeke tse tseletseng kapa tse robeli kapa likhoeli tse seng kae. Ha ho na le ho feta bo phehellang boima tsoa mali, empa ba ile ba ba e khutsoanyane.

Diagnosing anovulatory mali o etsoang ho tsoa ho nahana ka mabaka a tsa tleleniki le lithuto tsa endocrine. Ho phehella ha tšoauoa ka mocheso basal tlase 37º, phahameng (50-100 mg, / ka letsatsi a) estrogens. Ena e senola maemo tlaase ea pregnanediol.

Atresia tsamaea le tlaase basal mocheso kamehla. Tabeng ena, ho na le ke excretion itekanetseng tsa estrogen bananeng, le fokotseha excretion pregnandiol.

The khethollo ea ba fumanoe e entsoeng ka manyolo mafu mofuta uterine (bakeng sa kankere uterine, kankere cervical, joalo-joalo), le mafu a tloaelehileng le sebelisoang malapeng (lefu sebete, mali, le tse ling tse hemorrhagic diathesis). Bakuli ba fumanoa ho phehella follicle kalafo o fuoa, sepheo sa ho thibela ho tsoa mali (pele sethaleng kalafo) le ho tsosolosa ho ilela khoeli ho tloaelehile (bobeli mohato phekolo). Mosebetsi oa ho mohato oa pele le bopilwe ka qalisa hyperplastic secretory ntlafalo ka endometrium ena. Mohato oa bobeli oa kalafo o na le mosebetsi oa ho thibela tsoa mali iphetang le ka lipotoloho tsa ho hlaphoheloa le tlhotlheletso ovulation.