Shortananan Luteal Phase: Dalilin, Alamun, da Jiyya

Wadatacce

• Bayani
• Menene ke haifar da gajeriyar larura?
• Bayyanar cututtuka na ɗan gajeren lokaci
• Binciko gajeren lokaci na luteal
• Jiyya don gajeren lokaci na luteal
• Rigima game da lahani na lokacin luteal
• Babu yarjejeniya kan yadda za'a gano cutar LPD
• Babu wata hujja bayyananniya cewa LPD yana haifar da rashin haihuwa
• Akwai iyakantattun shaidu kan ingancin magungunan LPD
• Matakai na gaba
• Tambaya:
• A:

Bayani

Tsarin kwayar halitta yana faruwa a matakai biyu.

Ranar farko ta lokacinka na karshe zai fara aiki, inda wata kwaya a daya daga cikin kwanyinka ke shirin sakin kwai. Al'aura shine lokacin da aka saki kwai daga kwan mace zuwa cikin bututun Fallopian.

Partarshen ɓangaren sake zagayowar ku ana kiran sa luteal phase, wanda ke faruwa bayan ƙwan ƙwai. Lokaci na luteal yawanci yana daga. A wannan lokacin, jikinku yana shirya don yiwuwar samun ciki.

Tsarin da ke cikin kwayayen ku wanda ya kunshi kwan kafin kwayayen ya canza zuwa kwayar cutar luteum. Aikin farko na corpus luteum shine sakin kwayar hormone progesterone.

Progesterone yana kara girma ko kaurin murfin mahaifa. Wannan yana shirya mahaifa don dasawa daga ƙwai ko amfrayo.

Lokaci na luteal yana da mahimmanci a zagayen haihuwa. Wasu mata na iya samun ɗan gajeren luteal lokaci, wanda aka fi sani da larurar maɓallin luteal (LPD). A sakamakon haka, yakan zama da wuya a yi ciki.

Menene ke haifar da gajeriyar larura?

Wani ɗan gajeren lokaci na luteal shine wanda yake ɗaukar kwanaki 8 ko ƙasa da haka. Hormone progesterone yana da mahimmanci don dasawa da ciwan ciki.Saboda wannan, wani ɗan gajeren lokacin luteal na iya taimakawa ga rashin haihuwa.

Lokacin da gajeran luteal lokaci ya faru, jiki baya fitar da isassun kwayar halitta, don haka murfin mahaifa ba ya bunkasa yadda ya kamata. Wannan yana da wahala ga kwan da ya hadu ya zauna a mahaifa.

Idan kun yi ciki bayan kwan mace, wani ɗan gajeren lokacin luteal na iya haifar da ɓarin ciki da wuri. Don ci gaba da samun ciki mai kyau, rufin mahaifa dole ne ya zama isa sosai ga amfrayo don haɗa kansa da haɓaka cikin jariri.

Hakanan gajeren luteal lokaci na iya kasancewa saboda gazawar corpus luteum.

Idan corpus luteum bai fitar da isasshen progesterone ba, rufin mahaifa zai iya zubewa kafin a saka kwai ya hadu. Wannan na iya haifar da sake zagayowar al'ada.

Hakanan LPD na iya haifar da wasu yanayi, kamar:

• endometriosis, yanayin da nama wanda aka saba samu a cikin mahaifa zai fara girma a wajen mahaifa
• polycystic ovarian syndrome (PCOS), cuta ce da ke haifar da faɗaɗa ƙwai da ƙananan ƙwayoyi
• cututtukan thyroid, kamar su overactive ko rashin aiki thyroid, Hashimoto’s thyroiditis, da iodine rashi
• kiba
• rashin abinci
• yawan motsa jiki
• tsufa
• damuwa

Bayyanar cututtuka na ɗan gajeren lokaci

Idan kana da gajeriyar hanyar larura, ƙila ba za ka fahimci akwai matsala ba. A zahiri, baku tsammanin zargin al'amuran haihuwa har sai kun kasa ɗaukar ciki.

Idan kuna samun matsala wajen samun ciki, likitanku na iya bincika gaba don ganin kuna da LPD. Kwayar cutar na iya haɗawa da:

• kafin lokacin al'ada na al'ada
• tabo a tsakanin lokaci
• rashin samun juna biyu
• zubar da ciki

Binciko gajeren lokaci na luteal

Idan ba za ku iya samun ciki ba, gano asalin abin shi ne matakin farko don inganta ƙimarku na ɗaukar ciki. Yi magana da likitanka game da rashin haihuwa.

Zasu iya gudanar da gwaje-gwaje iri-iri don tantance ko rashin haihuwa yana haifar da gajeren lokacin larura ko kuma wani yanayin. Wataƙila kuna da gwajin jini don bincika matakanku na abubuwan hormones masu zuwa:

• hormone mai motsa jiki (FSH), wani sinadarin hormone wanda kwayar cuta ta pituitary gland ke fitarwa wanda yake daidaita aikin kwai
• luteinizing hormone, hormone da ke haifar da kwayayen ciki
• progesterone, sinadarin hormone wanda ke motsa girman rufin mahaifa

Bugu da ƙari, likitanku na iya bayar da shawarar nazarin halittu na zamani.

A lokacin biopsy, ana tattara karamin samfurin abin da ke cikin mahaifa kuma a binciki su ta hanyar microscope. Likitan ku na iya duba kaurin layin.

Hakanan zasu iya yin odar duban duban dan tayi don binciken kaurin layin mahaifar ka. Duban duban dan tayi gwaji ne na daukar hoto wanda yake amfani da igiyar ruwa don samar da hotunan gabobin jikin ku, ciki har da ku:

• ovaries
• mahaifa
• bakin mahaifa
• bututun mahaifa

Jiyya don gajeren lokaci na luteal

Da zarar likitan ku ya gano ainihin dalilin LPD ɗin ku, ɗaukar ciki na iya yiwuwa. A lokuta da yawa, magance dalilin shine mabuɗin don inganta haihuwa.

Misali, idan wani gajeren luteal lokaci ya haifar da matsanancin motsa jiki ko damuwa, rage matakin aikin ku da kuma koyon sarrafa danniya na iya haifar da dawowar lokacin luteal na yau da kullun.

Hanyoyi don inganta matakan damuwa sun haɗa da:

• rage wajibai na mutum
• zurfin motsa jiki
• tunani
• matsakaiciyar motsa jiki

Hakanan likitan ku na iya bayar da shawarar karin gonadotropin na mutum (hCG), wanda shine hawan ciki. Shan wannan ƙarin zai iya taimaka wa jikinku ya ɓoye matakin mafi girma na progesterone na hormone.

Hakanan likitan ku na iya ba da shawarar ɗaukar ƙarin abubuwan progesterone bayan yin ƙwai. Wannan yana taimaka wa murfin mahaifa ya girma zuwa wani matsayi inda zai iya tallafawa dasawar wani kwai mai haduwa.

Sauran hanyoyin da zasu kara samun damar daukar ciki sun hada da magunguna, kamar su clomiphene citrate, wanda ke karawa ovaries din ku damar samarda karin follicles da kuma sakin wasu kwai.

Ba duk jiyya ke aiki ga kowace mace ba, don haka dole ne kuyi aiki tare da likitan ku don nemo mafi inganci magani ko kari.

Rigima game da lahani na lokacin luteal

Akwai wasu rikice-rikice game da LPD, tare da wasu ƙwararrun masanan da ke yin tambaya game da rawar da take takawa a cikin rashin haihuwa har ma da gaske akwai shi.

Bari mu kara duba wannan.

Babu yarjejeniya kan yadda za'a gano cutar LPD

An daɗe ana amfani da biopsy na endometrial a matsayin kayan aikin bincike na LPD. Koyaya, binciken da ya gabata ya nuna cewa sakamakon kwayar halitta ba shi da alaƙa da haihuwa.

Sauran kayan aikin don gano cutar LPD sun haɗa da auna matakan progesterone da lura da yanayin zafin jiki na asali (BBT).

Koyaya, babu ɗayan waɗannan hanyoyin da aka tabbatar da abin dogara saboda bambancin sharudda da bambance-bambance tsakanin mutane.

Babu wata hujja bayyananniya cewa LPD yana haifar da rashin haihuwa

A cikin 2012, Americanungiyar Amfani da Magunguna ta Amurka ta fitar da sanarwa game da LPD da rashin haihuwa. A cikin wannan bayanin, sun ce a halin yanzu babu isassun shaidun bincike don tallafawa cewa LPD da kanta na haifar da rashin haihuwa.

Studyaya daga cikin binciken 2017 ya gano cewa keɓaɓɓiyar zagaye tare da gajeren luteal lokaci ya kasance gama-gari, yayin da maimaita sake zagayowar tare da gajeren luteal lokaci ba safai ba. Ya ƙare da cewa ɗan gajeren lokaci na luteal na iya shafar ɗan gajeren lokaci, amma ba lallai ba ne na dogon lokaci, haihuwa.

Nazarin 2018 game da matan da ke yin ingin in vitro (IVF) ya kalli tsayin lokacin luteal da ƙimar haihuwa. Sun gano cewa babu wani bambanci a yanayin haihuwar mata masu gajere, matsakaita, ko dogaye.

Akwai iyakantattun shaidu kan ingancin magungunan LPD

Americanungiyar Amfani da Magunguna ta discussedasar ta Amurka ta tattauna game da magunguna daban-daban na LPD a cikin 2012. Sun bayyana cewa a halin yanzu babu wani magani da ake ci gaba da nunawa don inganta sakamakon ciki a cikin mata masu hawan keke na halitta.

Binciken 2015 Cochrane yayi nazari akan ƙarin haɓaka tare da hCG ko progesterone a cikin taimakon haifuwa.

Ya gano cewa kodayake waɗannan jiyya na iya haifar da ƙarin haihuwa fiye da wuribo ko babu magani, babban hujja game da ingancinsu bai cika ba.

Hakanan ana amfani da citrate Clomiphene a wasu lokuta don magance LPD. Koyaya, a halin yanzu akwai kan inganci.

Matakai na gaba

Rashin ikon yin ciki ko fuskantar ɓarin ciki na iya zama takaici da sanyin gwiwa, amma ana samun taimako.

Yana da mahimmanci kada ku yi watsi da zato na haihuwa.

Da zaran ka nemi taimako daga likita don gano musabbabin abin, da sannu zaka iya karbar magani kuma zai taimaka ka kara damar samun cikin cikin lafiya.

Tambaya:

Yaya zaku iya faɗi idan kuna fuskantar ɗan gajeren luteal kuma kuna buƙatar neman magani?

- M mara lafiya

A:

Yana da wuya a san idan kuna fuskantar gajartar luteal lokaci saboda ƙila ba ku da alamu ko alamu. Idan kuna kokarin yin ciki da samun matsala, ko kuma kuna fuskantar ɓarin ciki, ya kamata ku yi magana da likitanku don ganin ko ya dace a gwada dalilan rashin haihuwa. Wannan na iya haɗawa da gwaji don lahani na luteal.

- Katie Mena, MD

Amsoshi suna wakiltar ra'ayoyin masana likitan mu. Duk abubuwan da ke ciki cikakkun bayanai ne kuma bai kamata a ɗauki shawarar likita ba.