Iyi nzira inotungamirira kushandiswa kwechirwere chechibereko uye mavhai. Mu hypothalamus, zvinhu zvakasikwa zvinoumbwa zvinopinda gland pituitary uye zvinokonzera kushandiswa kwehomoni. Nekuyerera kweropa, vanopinda mazai evanhu, apo kubudiswa kwehomoni dzepabonde kunotanga - progesterone, estrogen uye chikamu chiduku che androgens, chinoita kuti chirongwa chekugadzirira chibereko chepabonde chekuvhara. Mumamiriro ezvinhu akaoma aya, kutadza kunogona kuitika, izvo zvinotungamirira mukuputsa kwekuenda kumwedzi. Chikonzero chinogona kuva hutachiona hwehomoni huri mumuviri wemukadzi, kushaya vitamini, zvirwere zvinotapukira, kushungurudzika kwakasiyana siyana kwepfungwa. Kusvibiswa kwekuenda kumwedzi musikana kunowanzobatanidzwa nekushandiswa kwekudya kwakasiyana-siyana. Mukutsvaga chimiro chakareruka, vasikana vanozviwana ivo kubva pane zvekudya zvinowanzogadzirwa, zviyamupinyi zvakawanda zvekudya zvinoderedza muviri wemavithamini anokosha zvakanyanya uye inotsvaga zvinhu, izvo zvisingatauri zvinotungamirira kusakosha uye kuputsa kwekuenda kumwedzi. 15 - yezana kurasikirwa nekurema kunogona kutungamirira pakuguma kwekuguma kwemwedzi.
Zviratidzo zvingave zvakanyanya kana zvisingacharegi kuenda kumwedzi, kusagadzikana mumhepo, kuenda kumwedzi, pamwe nekurwadziwa kwakanyanya, kunonoka pakuenda kumwedzi. Kuenda kumwedzi kunogona kuchinjwa nemazuva mashoma. Izvo zvishoma paurefu hwemhepo ndeyemazuva makumi maviri nemaviri, huwandu - mazuva makumi matatu. Kana pane kuchereka kwemasvondo maviri, zvino chiitiko ichi mumishonga chinonzi oligoovulation (rare ovulation). Kunyanya kunonoka kuuya kwegore negore zvakare kunopesana kwekuenda kumwedzi. Kana mukadzi anogara achienda kumwedzi kamwe anowedzera kana kuderedza kuenderera mberi kwemazuva, ichi chinetso chakakomba uye zvakakosha kudzokera kune gynecologist.
Zvikonzero nei musikana angave asina kukanganisa mukuenda kumwedzi anogona kunge akasiyana chaizvo. Chikonzero chinonyanya kukanganisa zvirwere zvakasiyana siyana uye zvirwere zvezvikamu zvepachiviri. Nokudaro, pakutanga, musikana anotambura nekuputsika kwepurogiramu anofanira kuongororwa uye kuongororwa kwekuvapo kweaiti (chlamydia, mycoplasma, uye uroplasm). Kana dambudziko rekuputsika kwemugadzirirwo rakaderedzwa kusvika pakuvapo kwezvirwere, ipapo chirwere chinopesana nehupachimara panguva yakakodzera chichabatsira kubvisa matambudziko aya. Kuchinja mahomoni mumutumbi wemukadzi kunogona kutungamirira kune zvakasiyana-siyana zvinokonzerwa nebasa remukati mairi. Chokutanga pane zvose, uwandu hwemhomoni hunoongororwa, hunotaridzirwa kana pave nekuve nekushandurwa mune basa rekudzivirira gland, chirwere chetachiona chinenge chichitsvakurudzwa - kazhinji, nekuda kwekuderera kwebasa rayo kana zvakasiyana, basa rakakwirira rinogona kukonzera matambudziko mumwedzi. Zvirwere zvinoparadzirwa, zvakadai se rubella uye chickenpox, zvinogona kukanganisa kukura kwezvipembenene mumapapiro omukati, kukanganisa kwakadaro kwekuenda kumwedzi, kunoitika kare kubva pakutanga kwekutanga kwekuenda kumwedzi. Kazhinji vasikana havateereri matambudziko aya, uye dambudziko iri rinowanikwa munguva pfupi. Kushushikana kwakasimba uye kuora mwoyo zvinogona kukanganisa kusakosha kwehukadzi hwepabonde hwose. Basa rinokosha mukugadzirisa kwehutano hwemhirizhonga inotambidzwa nehutano, kana dambudziko iri raitambudzwa nevakadzi pamubereki wemwana, zviri nyore kuti ive nhaka. Kuchinja kwemamiriro okunze, kunogona kukonzera kukanganisa kwemwedzi. Kudzidziswa zvakanyanya uye kudya kwakakwana kunogona kukonzera kukanganisika kwemhepo. Kudzidzisa zvakakwana kunongororwa, kudya kwekoriori yakaderera, kusakosha kwezvinhu uye mavhithamini, kunogona kutungamirira kumatambudziko ane chokuita nekuenda kumwedzi. Zvirwere zvinotapurirwa zvepabonde zvinotungamirira kumaperembudzi, izvo, pasina kurapwa, nokukurumidza zvisingagumi. Kunyorerwa kwemuviri, kunobatanidza nekushandisa doro, nicotine uye zvinodhaka, zvinokanganisa basa rinotungamirira reuropi, uye zvinongotungamirira kukanganisa kwemwedzi.
Kuti udzorere zvakajairika kushanda kwekuenda kumwedzi, zvinokosha kuziva zvikonzero zvaro zvechokwadi uye kutanga kubva kwavari kutanga utano.
Kuti uwane hupombwe hwekuenda kumwedzi, kune ma laboratory uye nzira dzekushandisa. Kuendeswa kweropa kusvika kumazinga evanhukadzi vemakemikironi evanhukadzi, mazamu ezvimiti zvepachiviri, kuti aone humwe hutano hwemagetsi, nyika ye endometrium, uye chikamu chekugadzirwa kwe follicles. Kunyora, nechinangwa chekutora chirevo chake chekuongorora kwemasero endometrial. Mifananidzo yehuropi, kusabvisa kuvapo kwemakumbo epituitary kana hypothalamus. Mishonga yemazuva ano inopawo "hysterosalpinography" nzira, umo kushandiswa kwakasiyana-siyana kunoshandiswa muuterine cavity, uye maitiro e fallopian tubes, kureba kwe endometrium, inoratidzwa pamutambo. Mishonga, yakagadzwa nachiremba, inobva pane zera remurwere, maitiro echirwere uye zvikonzero zvakakonzera kukura kwayo. Kazhinji kazhinji kunyanya kurapwa kwema hormone therapy. Mushure mokutanga kwekurapwa kwemishonga nemahomoni, kechipiri kuongororwa kunoitwa. Kazhinji, imwe hormone therapy inokwana kuti basa remuvirikadzi richashanda sezvinofanira, kana kurapwa kusina basa, kurapwa nemahomoni kunodzokororwa. Vitaminotherapy, kurapwa kwehutachiona hwehutachiona hwehutachiona uye chirwere chemishonga chinoshandiswawo mukurapa kwekusiya kumwedzi.
Kana iri kumwedzi kwekumuka kwemusikana, pane kukanganisa uye zvinetso, iye zvino anoda kubvunzurudza neye gynecologist, sezvo kushanya kusingatarisirwi kuna chiremba kunogona kutungamirira kukura kwekushaya vana uye zvimwe zvirwere zvakakomba zvezvirwere.