Vanachiremba vanobatana maviri makuru emhando dzevakadzi vasina kubereka - primary and secondary. Rudzi rwekutanga ndiko kusakwanisa kwemukana wekuva nepamuviri mukati mehupenyu hwose. Secondary infertility - ichi ndicho chakakanganisika kukwanisa kubata pamuviri nekuda kwekubvisa pamuviri, kubvisa pamuviri, ectopic pamuviri kana kutadza kuberekwa kwekutanga.
Nezera, vakadzi vanobereka, ndiko kuti, kukwanisa kutora pamuviri kunowira nokukurumidza. Pakazosvika makumi matatu neshanu, 25% yevakadzi vose vane physiologically infertile. Kubvira pamakore makumi mapfumbamwe nemakumi matatu (makumi matatu nemakore makumi matatu nemana) - nguva yepanyama, apo pamuviri unonyanya kukwana. Kusarudzira zvikonzero zvakasiyana-siyana kuberekwa kwomwana, mukadzi wacho anozvitsvakira pangozi yekugara asina vana kana kukwanisa kubereka mwana chete kuburikidza nehutano hwakaoma huri kuitwa kuitira kubata kwenguva refu kuchikoro. Nemakore ari mumadzimai emuviri mavari chromosomal kuitika kunotungamirira kune zvirwere, kupedzisa kusununguka uye kuwedzera mukana wekuberekwa kwemuviri wemumuviri uye mupfungwa. Izvo zvisingadikanwi kutora pamuviri zvakanyanya kuwedzera kusvika makore 35.
Unyanzvi hwehutachiona hweganda
Kuwedzera kwehutachiona hwehomoni inoderedza kubudisa mahomoni anodiwa pakubereka kweplandishi gland. Icho chikamu ichi choropi chinokanganisa kukwidziridzwa kwemahomoni mune zvepabonde revakadzi. Kana mahomoni achibudiswa zvishoma pane izvo zvakatemerwa (kana kupfuura), ipapo zvinokanganisa zvinowanzoitika kumwedzi. Kune ngozi yakawanda yehutachiona hwemamiriro ezvinhu - endometriosis, polycystic ovary syndrome uye uterine myoma. Kutanga kwepamuviri uye kubereka kwehuzere hwakakwana hutano hwakanaka huchazovhiringidzwa zvikuru.
Nemaitiro ehutachiona anoita kuti zvive nyore kuti tive nepamuviri nyore nyore uye zvichizoberekera mwana ane utano hwakakwana. Asi mamwe mishonga panguva yekudzivirira ichafanirwa kubvumirana nachiremba.
Zvirwere zvechirwere
Mukadzi, kusagona kukwanisa kubata kwenguva refu kunowanzokonzerwa nehutachiona hunotevera:
- kuvhuvhuta mazai uye fallopian tubes, chiberekiti uye vagin;
- endometriosis kazhinji inotungamirira kukuvhiringidza kweimwe kana maviri panguva imwechete fallopian tubes;
- polycystic ovary;
- myoma muchibereko;
- kusagadzikana kusina kukwana uterine kubuda ropa
Matambudziko mushure mekubudirira kubvisa pamuviri
Kugadzira panguva yekubvisa pamuviri kunogona kukuvadza zvakanyanya nzvimbo yakakwirira ye endometrium. Nokudaro zvipuka zvinogona kuibva, asi muchibereko hazvibatanidzi. Iyi nyaya inoratidzika seyakaoma. Usina kukodzera ("pasi pevhu") kubvisa pamuviri uye kusabudirira kubvisa pamuviri mumakiriniki kunokonzera kuwanda kwematambudziko. Iko yehuwandu hwehungwaru inoramba iine nebasa rekuziva, makore akawanda ekuchidzira vanachiremba. Somugumisiro, mukadzi anotarisana nekushaya simba kwekuita kwekuita pamuviri.
Kukuvadza kune nhengo dzepabonde
Kukuvara kwakasiyana-siyana kwepineineal, zvinopfuurira zvinetso zvemashure, zvinopomerwa zvisingaiti, kusungirira kana mapuropiti ndeimwe yezvikonzero zvinokonzerwa nekushaya mwana. Zvisinei, zvikonzero izvi zvinowanzogadziriswa zvakachengeteka. Nzira yekurapa inoita kuti mukadzi ave nyore kuva amai vane utano hwakanaka.
Zvisina kunaka kudya
Mhandu yemazuva ano ekudzivirira ndiyo kudya uye anorexia. Infertility inogonawo kutungamirira kune: zvirwere zvinopedza muviri, kunwa doro kusingaperi uye kusadya kwakakwana.
Biological incompatibility
Izvi zvinowanikwa kune vakaroorana vasina vana shure kwegore kana kupfuura vanorarama pamwe chete - mune 20% chete yemhosva. Zvisinei, hapana zvikonzero zvezvechiremba zvekusati kuitika kwekuzvitakura, vanachiremba havana simba rekubatsira chimwe chinhu. Iyi ndiyo mamiriro apo,, zvinoitika, pamuviri hauitike kwemakore, uye zvino chishamiso chinoitika uye mwana ane utano anozvarwa.
Kurapa kwekusagadzikana kwe endocrine kunosanganisira kugadziriswa kweAdrenal uye utachiona hunoshanda nekushandiswa kwezvinodhaka zvinokurudzira ovulation. Injections ye chorionic gonadotropin inobatsirawo. Mukuwedzera, nzira dzakasiyana-siyana dzokuvhiya dzinotungamirira kumigumisiro yakanaka - wedge resection kana cavariery ovarian. Nekuvapo kwechipiri chechikadzi kusagadzikana, endemicriosis yegital, chirwere chekudzivirira chechipatara mumharadzano, tubal zvinokonzera, mapuropiti uye zvimwe zvirwere zvechibereko zvinogona kuiswawo.