Lub hauv paus ntawm txoj kev kub hauv paus yog qhov ua haujlwm ntawm progesterone rau cov thermal receptors ntawm cov hypothalamus, uas ua rau nce hov ntawm qhov kub siab hauv theem ob ntawm kev coj khaub ncaws. Kev tshawb fawb tias muaj kev cuam tshuam ntawm progesterone qhov ntsuas kub ntawm qhov quav, nyob hauv kev txo hwj chim ntawm estrogens - txo tsawg. Yog tias peb tham txog qhov kev txhais ntawm cov ntaub ntawv no rau qhov teem hnub ntawm ovulation, cov kws kho mob paub hais tias hnub ntawm ovulation yog hnub "ua ntej pib ntawm kev loj hlob ntawm cov cim ntsuas kub." Basal ntsuas kub ua ntej yuav tsis pom tias yog ib qho kev txhim khu kev txhim kho lub sij hawm ntawm ovulation (qhov sib txheeb ntawm cov kev hloov hauv cov zes qe menyuam thiab cov kev hloov hauv basal tsuas yog 40%). Cov txheej txheem ua haujlwm zoo rau kev kuaj "hauv tsev": nws yuav pab npaj rau cev xeeb tub uas muaj kev paub tseeb tias tsis muaj kev coj khaub ncaws puag ncig.
Dab tsi yog ovulation?
Ovulation yog theem ntawm lub cev ntas, tawm ntawm ib lub cev qis rau hauv plab kab noj hniav. Nyob rau hauv cov poj niam uas muaj peev xwm xeeb yug, ovulation tshwm sim txhua txhua hnub 21-35 hnub. Periodicity yog saib xyuas los ntawm follicular hormone ntawm lub qe qe menyuam thiab gonadotropic hormones ntawm pituitary caj pas. Ovulation ua rau cov thinning ntawm cov nqaij mos ntawm zes qe menyuam thiab cov txuam nrog cov kua nplaum follicular. Tas mus rau txhua tus poj niam qhov atherosclerosis ntawm ovulation hloov tom qab 40 xyoo, tom qab rho menyuam thiab kev yug menyuam. Nyob rau hauv lub climacteric thiab nrog qhov pib ntawm cev xeeb tub, ovulation ceases. Cov kev mob tshwm sim ntawm cov tsos mob ntawm tus kabmob: yog mob plab zuj zus hauv plab zuj zus, txo qis BT rau hnub ntawm ovulation thiab nws nce mus ntxiv, nce qhov qog ntawm qhov chaw mos, ntxiv rau qib progesterone hauv cov ntshav. Kev tsis tau ntawm ovulation tuaj yeem ua tau los ntawm kev mob ntawm tus qau, kev ntxhov siab, kev mob ntsig, kev qog ntawm cov thyroid caj pas / adrenal cortex. Anovulation yog tshwm sim los ntawm uterine ntshav, scanty menstruation, amenorrhoea.
Cov cim qhia ntawm fertility (lub peev xwm los xeeb tub)
Thaum pib ntawm lub voj voog, qhib lub ncauj tsev me nyuam kaw qhov ntsaws, hom hnoos qeev. Maturation ntawm lub qe ua rau ntse nce nyob rau hauv cov concentration ntawm estrogens, nyob rau hauv tus ntawm cov qog ntawm lub ncauj tsev me nyuam pib nquag tsim mucus. Thaum thawj theem, cov hnoos kheev hnyuv yog khov, nyob rau hauv ib qho thib ob nws yog nplua thiab pob tshab - qhov no yog tshwm sim los ntawm ib qho kev hnov ntawm noo noo ntawm qhov chaw mos ntawm qhov chaw mos. Fetal hnoos zoo li lub nqaij qe dawb, nws yog nplua nuj nyob rau hauv cov as-ham uas xav tau rau cov phev kom txav mus rau hauv lub tsev menyuam. Txoj kev yoojyim yog qhov ua tau, yog tias muaj kev ua haujlwm. Tsis yooj yim sua yog tias nws tsis yog. Ib qho tseem ceeb ntawm kev sib txawv ntawm fertility yog kev hloov hauv txoj hauj lwm thiab sib luag ntawm lub ncauj tsev menyuam. Ua ntej ovulation, nws khov, qhuav, qis hauv qhov chaw mos. Thaum lub plab ovulatory, lub ncauj tsev menyuam ua moist, mos, tsa mus rau saum.
Yuav pab dab tsi los txiav txim siab kub hauv paus:
- muaj cov kab mob ntawm cov poj niam deev;
- txawm tias ovulation tuaj lawm;
- "Nyuaj siab" (qhov siab tsis zoo ntawm kev xeeb tub) thiab "nyab xeeb" (muaj menyuam hauv plab (tsis muaj menyuam hauv plab);
- Txhawm rau paub seb qhov kev xav tau tshwm sim nyob rau hauv rooj plaub ntawm cov poj niam cev tsis tab seeb lossis nws ncua;
- sij hawm pib ua pojniam;
- muaj qhov txawv txav txawv hauv lub voj voog.
Basal kub yog qhov kub ntawm cov ntshav ntawm cov kab mob tsis zoo. Nws yuav tsum ntsuas nyob rau hauv lub qhov quav, vim hais tias nws muaj kev txawv txav rau ntawm qhov kev ua ntawm lub zes qe menyuam. Vim lub peculiarities ntawm lawv cov ntshav, cyclical fluctuations yog intensified tshwj rau tus rectally. Lub ntsiab txhais ntawm ovulation yog raws li ntsuas ntawm qhov ntsuas kub ntawm cov ntshav hauv cov hlab ntsha ntawm cov qog, yog li koj tsis tuaj yeem teev qhov kub ntawm qhov chaw mos los yog qhov ncauj kab noj - qhov no yog qhov tsis zoo.
Kev ntsuas kub hauv paus ua ntej txhua hli: daim phiaj
Feem ntau, BT lub sij hawm zoo li "flying seagull": hauv thawj ib nrab qhov kub siab tshaj 37.0 degrees, hauv qhov thib ob - siab tshaj 37.0 degrees. Cov poj niam cev xeeb tub yog 5 hnub, qhov txo qis ntawm BT ua ntej lub hli yuav siv 4 hnub, qhov nce ntawm nruab nrab ntawm lub voj voog yog 3 hnub, qe qwj rau hnub 15, hnub "muaj kev phom sij" rau lub tswv yim 9-21, qhov sib txawv ntawm cov zauv thib ob thiab thawj theem yog ntau dua 0.4 degrees .
Lub sij hawm zoo rau lub voj voog ntawm ib tug poj niam muaj peev xwm ua tau rau fertilization:
- los ntawm thawj hnub ntawm kev coj khaub ncaws thiab kom txog rau thaum kawg ntawm lub hli pib ntawm qhov kub pes tsawg los ntawm 37.0 degrees mus rau 36.2-36.6 degrees;
- kom txog thaum nruab nrab ntawm lub voj voog, BT yog nyob rau hauv qhov ntau ntawm 36.2-36.6 degrees;
- hauv qee zaum, ua ntej ovulation, vim yog qhov pib ntawm luteinizing hormone peak, BT decreases los 0.1 degree;
- theem ob ntawm lub voj voog yog qhov tshwm sim los ntawm kev ntsuas kub ntawm 37.0-37.4 degrees (tseem ceeb tsis tau zoo);
- 14 hnub ua ntej lub hli tom ntej, cov kev tuaj yeem tshwm sim thiab BT nce mus rau 37.3 degrees;
- 2 hnub ua ntej qhov kub thiab txias kub ib hlis zuj zuj zuj zus thiab pib txij thaum qaub ncaug nce mus txog 36.7-36.8 degrees;
- qhov tsis sib xws ntawm qhov nruab nrab BT Performance index thawj thiab thib ob yuav tsum yog 0.4-0.5 degrees.
Cov cai tswjfwm txog kev ntsuas kev ntsuas kub:
- Nws yog ntshaw ntsuas BT ntawm 6-7 thaum sawv ntxov, ntawm ib zaug (ntxiv / rho tawm ib teev);
- siv tus pas ntsuas kub hauv mercury, tus ntsuas hluav taws xob ua rau cov kev nyeem tsis sib thooj;
- waking up, tsis tau zaum, tsis tau txaj, koj yuav tsum nkag rau tus pas ntsuas kub mus rau hauv qhov quav ntawm qhov tob ntawm 4-4.5 centimeters;
- Thaum npaj cov sij hawm, nws raug nquahu kom ua tib zoo kho tej yam uas yuav ua rau muaj kev kub ntxhov: ib qho kab mob nrog kev hloov kub, siv dej cawv, siv tshuaj tua kab, thiab pw tsis txaus. Nws yog ib qho tseem ceeb heev uas yuav tau saib xyuas cov kev hloov ntawm ncauj tsev menyuam thiab ntshav ntws.
Yog hais tias qhov kub qhov kub ua ntej pib lub hli ntxiv - qhov ua rau:
- 36.9 nyob rau hauv thawj theem ntawm lub voj voog. Yog vim li cas cov lus dag hauv cov ntsiab lus qis ntawm cov tshuaj no, qhov kev ua yuam kev ntawm lub zes qe menyuam. Tsis muaj poj niam pw ua ke - cov qe tsis siav - tus poj niam yog barren hauv qhov voj voog;
- 37,1 / 37,2 tiv thaiv qeeb hauv kev qeeb hauv cov poj niam cev xeeb tub. Tej yam tshwm sim ntawm kev xeeb tub;
- 37.3 ua ntej lub hli. Qhia tias muaj kab mob kis mob lossis mob tsom;
- BT stubbornly tuav ntawm theem 37.1-37.5. Tej yam kabmob phem - muaj kev muaj feem ntau ntawm kev xeeb menyuam ectopic.
Yog hais tias kub qhov kub ua ntej lub hli txo - qhov ua rau:
- nyob rau theem ob, qhov kub siab pib ntawm qhov pib (txo qis tshaj 37.0 degrees) 1-2 zaug. Qhov no yog ib qho qhia tseeb ntawm kev tuag ntawm lub qe;
- ib tug thawj hauv BT ua ntej kev hnyav ntev li 3 hnub lossis ntau dua. Qhov teeb meem no yog taw rau lub qe "qaug", uas nws tsis ua hauj lwm rau impregnate;
- tiv thaiv cov keeb kwm yav dhau los ntawm kev qeeb hauv kev qeeb ib ce, qhov qab nplooj zeeg hauv qab ntawm 37.0 degrees. Qhov no qhia tias tsis zoo ntawm lub zes qe menyuam.
Variants ntawm theem qis tsiab raws theem ntawm BT lub sijhawm
- Qhov kub kub indices (36.9 thiab 37.5) nyob rau hauv ob theem nrog sib txawv ntawm 0.4 degrees yog hyperthermal lub xeev, uas yog ib tug neeg feature.
- Tsis tshua muaj pes tsawg tus kub (36.1 thiab 36.5) nyob rau hauv ob theem, thaum tswj lub divergence ntawm 0.4 degrees, yog ib txwm.
- Kev ntsuas kub li niaj zaus nyob rau theem ob (37.1-37.4), siab (36.8) - nyob hauv thawj. Ib qho povthawj ntawm tsis muaj estrogen, uas yuav tsum tau ua yog tias cev xeeb tub yog npaj rau yav tom ntej.
- Basal kub ntawm thawj theem nyob rau hauv tus qauv (36,4-36,5), thib ob - qis dua tus qauv (36,8-36,9). Pom tau tias tsis muaj peev xwm ntawm lub cev daj, uas tau ua tiav nrog progesterone.
Thaum koj xav tau kev mus ntsib tus kws kho mob ginecologist tom qab ntsuas kub hauv qab:
- basal temperature charts ovulate yog absent thaum lub sij hawm 3-4 coj mus qaum;
- tiv thaiv ib tug keeb kwm ntawm ob peb mus nrog cov ovulation ntshiab thiab kev sib deev hauv lub neej, kev xeeb tub tsis tshwm sim;
- qhov muaj cov kab ntev ntev tshaj 35 hnub, luv tshaj 21 hnub;
- siab BT ntau tshaj 18 hnub nyob rau hauv lub thib ob theem thaum tsis muaj menyuam;
- nce / tsis tshua muaj puv npo hauv kev hloov txhua hli.
Basal kub ua ntej kev pleev xim rau cov kws kho mob kom paub cov teeb meem kev mob plawv, muab tus kab mob zoo, sau txoj cai kho. Rau hnub tim, tus qauv BT yog tus pheej yig thiab pheej yig, tab sis kuj yog qhov tseem tsis txaus siab. Tsis txhob txhawj txog vim tias ploj los yog cov ntawv kawm ntxiv nyob rau daim duab ntawm qhov kub ntawm qhov kub, nws tsis tuaj yeem siv rau kev kuaj mob thiab kev kho mob. Thaum twg muaj kev tsis txaus siab nws yog qhov yuav tsum tau mus rau tus kws kho mob tus pojniam, tsis yog yuav tsum tau koom nrog nws tus kheej.