{"id":253,"date":"2020-07-05T10:49:18","date_gmt":"2020-07-05T08:49:18","guid":{"rendered":"https:\/\/fortea.sytes.net\/pun\/?page_id=253"},"modified":"2022-09-28T10:14:28","modified_gmt":"2022-09-28T08:14:28","slug":"fertilitat-femenina","status":"publish","type":"page","link":"https:\/\/fortea.sytes.net\/pun\/fertilitat-femenina\/","title":{"rendered":"Fertilitat femenina"},"content":{"rendered":"\t\t
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Fertilitat femenina<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Inici<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Es considera una infertilitat quan una dona no es queda embarassada despr\u00e9s de tenir relacions sexuals sense protecci\u00f3 durant 1 any. La infertilitat afecta el 8-15% de les parelles en edat reproductiva i en els \u00faltims 50 anys ha augmentat molt la incid\u00e8ncia, sobretot per la voluntat de retardar la maternitat de les dones.<\/p>

Els motius de la infertilitat s\u00f3n la mala qualitat del esperma (35%), la disfunci\u00f3 en l\u2019ovulaci\u00f3 de la dona (20%), el mal funcionament de les trompes de Fal\u00b7lopi (30%), la mucosa cervical anormal (5%), i causes desconegudes (10%). Aproximadament un 30-40% dels casos, la infertilitat \u00e9s masculina i un 60-70% femenina.<\/p>

La infertilitat prim\u00e0ria, es defineix quan una dona no ha estat mai embarassada i la infertilitat secund\u00e0ria quan pr\u00e8viament hi ha hagut embar\u00e0s, independentment de si ha arribat a concebre.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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CICLE MENSTRUAL<\/strong><\/p>

La fertilitat de la dona s\u2019inicia al cervell\u00a0 amb les hormones FSH (Hormona fol.liculstimulant) i LH (Hormona Lute\u00efnitzant). Aquestes hormones viatgen a trav\u00e9s de la sang cap al sistema genital femen\u00ed,\u00a0 i aporten l\u2019estimulaci\u00f3 qu\u00edmica necess\u00e0ria perqu\u00e8 els ovaris inici\u00efn el cicle menstrual i que aquest es dugui a terme de manera correcte.<\/p>

La\u00a0 durada d\u2019un cicle menstrual normal \u00e9s de 28 dies.\u00a0\u00a0 El dia 1 del cicle \u00e9s el primer dia de la menstruaci\u00f3 i l\u2019\u00faltim dia del cicle, \u00e9s el dia abans de l\u2019arribada de la propera menstruaci\u00f3. El cicle menstrual est\u00e0 dividit en dues fases, la primera \u00e9s la fase fol\u00b7licular i la segona la fase l\u00fatea.<\/p>

Fase Fol\u00b7licular<\/u><\/strong><\/p>

La fase fol\u00b7licular \u00e9s del dia 1 al dia 14 del cicle.\u00a0 La hip\u00f2fisis comen\u00e7a a produir les hormones FSH y LH per estimular el creixement de nous fol\u00b7licles a l\u2019ovari.<\/p>

A partir del dia 7 de cicle, alguns d\u2019aquest fol\u00b7licles creixen m\u00e9s que els altres i comencen a produir quantitats d\u2019estr\u00f2gens. D\u2019aquests fol\u00b7licles, un d\u2019ells ha de madurar fins a convertir-se en l\u2019\u00f2vul.<\/p>

Els estr\u00f2gens tenen diferents funcions:<\/p>

  • Ajudar a cr\u00e9ixer l\u2019endometri, que albergar\u00e0 el fetus en cas d\u2019embar\u00e0s.<\/li>
  • Crear moc f\u00e8rtil per poder conduir l\u2019esperma cap a l\u2019interior de l\u2019\u00fater en cas necessari.<\/li>
  • Induir la secreci\u00f3 d\u2019hormona LH, responsable de produir l\u2019ovulaci\u00f3 a la propera fase.<\/li><\/ul>

    Despr\u00e9s de la menstruaci\u00f3, l\u2019endometri, la part interna de l\u2019\u00fater que durant el sagnat s\u2019ha redu\u00eft, torna a cr\u00e9ixer i a augmentar el seu gruix.<\/p>

    Fase L\u00fatea<\/u><\/strong><\/p>

    El dia 14 es produeix l\u2019ovulaci\u00f3 gr\u00e0cies a l\u2019hormona LH, l\u2019\u00f2vul \u00e9s expulsat de l\u2019ovari i es dirigeix cap a les trompes de Fal\u00b7lopi, on es pot trobar amb l\u2019esperma (si aquest ha estat introdu\u00eft) i fecundar, en cas contrari es dirigir\u00e0 cap al \u00fater per ser expulsat en la propera menstruaci\u00f3.<\/p>

    En aquesta fase l\u2019endometri secreta subst\u00e0ncies per si hi ha l\u2019arribada d\u2019un embri\u00f3, fase\u00a0 on\u00a0 predomina la progesterona, hormona que t\u00e9 les seg\u00fcents\u00a0 funcions:<\/p>

    • Ajudar a implantar l\u2019embri\u00f3 a l\u2019\u00fater en cas d\u2019embar\u00e0s.<\/li>
    • Estimular la producci\u00f3 de nutrients per si hi ha hagut embar\u00e0s.<\/li>
    • Mantenir inhibida la producci\u00f3 de FSH del cervell, i aix\u00ed no crear nous fol\u00b7licles<\/li><\/ul>

      Al final de la fase l\u00fatea, en cas d\u2019embar\u00e0s es mant\u00e9 la producci\u00f3 de progesterona durant els nou mesos, per\u00f2 en cas contrari aquesta hormona baixa de tal manera que es descama l\u2019endometri, \u00e9s expulsat a trav\u00e9s de la menstruaci\u00f3, i es torna a iniciar un nou cicle.<\/p>

      TCB<\/strong><\/p>

      La Temperatura Corporal Basal (TCB) \u00e9s la temperatura que registra el cos d\u2019una dona en el moment en que es desperta al mat\u00ed, quan el cos est\u00e0 totalment descansat i el metabolisme est\u00e0 en un nivell basal.\u00a0 La TCB en la fase fol\u00b7licular es relativament baixa i augmenta despr\u00e9s de l\u2019ovulaci\u00f3 degut a l\u2019acci\u00f3 de la\u00a0 progesterona i s\u2019ha de mantenir elevada durant la fase l\u00fatea.<\/p>

      MOC CERVICAL<\/strong><\/p>

      El nivell m\u00e0xim d\u2019estr\u00f2gens a la fase\u00a0 fol\u00b7licular estimula la producci\u00f3 de moc cervical o flux vaginal uns sis dies abans de l\u2019ovulaci\u00f3. La quantitat i la qualitat d\u2019aquest moc cervical, ens indica l\u2019estat de la fertilitat femenina.\u00a0 Encara que hi ha diferents tipus, un moc el\u00e0stic, lliscant i anomenat \u201cde clara d\u2019ou\u201d, \u00e9s l\u2019indicat de mostrar-nos que existeix un millor grau de fertilitat. Una vegada s\u2019ha produ\u00eft l\u2019ovulaci\u00f3 i amb l\u2019acci\u00f3 de la progesterona el flux tendeix a desapar\u00e8ixer.<\/p>

      TRACTAMENT DE LA INFERTILITAT FEMENINA<\/strong><\/p>

      \u00c9s imprescindible tenir un informe ginecol\u00f2gic que ens mostri l\u2019estat de l\u2019aparell genital femen\u00ed, l\u2019exist\u00e8ncia d\u2019alguna disfunci\u00f3 anat\u00f2mica o alguna anomalia m\u00e9s considerable con poden ser miomes, una endometriosis, el SOP (S\u00edndrome de l\u2019ovari poliqu\u00edstic), o l\u2019estat de les trompes de Fal\u00b7lopi, i tamb\u00e9 \u00e9s de suma import\u00e0ncia una anal\u00edtica, sobretot de les hormones FSH, LH i antimulleriana.<\/p>

      En un tractament de la fertilitat femenina, per tal que es produeixi l\u2019embar\u00e0s, primer hem de poder avaluar qualsevol par\u00e0metre que pugui estar desajustat de tots els mostrats anteriorment.\u00a0 Estudiarem com \u00e9s el seu cicle menstrual, la seva menstruaci\u00f3 i la seva ovulaci\u00f3.\u00a0\u00a0 Li farem agafar la TBC cada mat\u00ed i les observarem en cada una de les fases.\u00a0 Tota aquesta informaci\u00f3 juntament amb una valoraci\u00f3 global des de la MTX, ens donaran les pautes per saber el cam\u00ed que haur\u00e0 de tenir el tractament de la pacient.<\/p>

      Un treball de la infertilitat femenina des de la perspectiva de la MTX t\u00e9 diverses avantatges:<\/p>

      • Al realitzar el diagn\u00f2stic, estem buscant la causa del desequilibri i no quedar-nos exclusivament amb els s\u00edmptomes externs.<\/li>
      • Al tenir una visi\u00f3 hol\u00edstica i global del cos, tamb\u00e9 podem harmonitzat altres trastorns que aparentment no semblen estar relacionats, com problemes digestius, insomni, estat d\u2019\u00e0nim, mal de cap…<\/li>
      • El tractament mai \u00e9s invasiu ni agressiu i promou el bon estat de salut de la pacient.<\/li><\/ul>

        El tractament de la infertilitat femenina dif\u00edcilment tindr\u00e0 una durada\u00a0 de setmanes, habitualment s\u00f3n tractaments a partir de quatre o cinc mesos com a m\u00ednim i poden allargar-se fins a m\u00e9s d\u2019un any, ja que no busquem l\u2019embar\u00e0s immediat sin\u00f3 l\u2019harmonitzaci\u00f3 global de la dona. Tot i aix\u00ed \u00e9s habitual notar canvis ja des de la primera menstruaci\u00f3, i aix\u00ed poder ella mateixa comprovar com el seu cos es va equilibrant.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Fertilitat femenina Es considera una infertilitat quan una dona no es queda embarassada despr\u00e9s de tenir relacions sexuals sense protecci\u00f3 durant 1 any. La infertilitat afecta el 8-15% de les parelles en edat reproductiva i en els \u00faltims 50 anys ha augmentat molt la incid\u00e8ncia, sobretot per la voluntat de retardar la maternitat de les […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-253","page","type-page","status-publish","hentry"],"yoast_head":"\nFertilitat femenina | Punt Salut<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fortea.sytes.net\/pun\/fertilitat-femenina\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fertilitat femenina | Punt Salut\" \/>\n<meta property=\"og:description\" content=\"Fertilitat femenina Es considera una infertilitat quan una dona no es queda embarassada despr\u00e9s de tenir relacions sexuals sense protecci\u00f3 durant 1 any. 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