Zvinokonzera kusununguka kwemurume zvinogona kuva kuputsa kwepermatogenesis, sechikonzero chechirwere chinoputika, tsvina, zvirwere zvinotapukira muhucheche (kunyanya mumaputi), urogenital zvirwere (gonorrhea), kuvapo kwecryptorchidism, varicocele, uye kudhakwa nedoro kana makemikari. Mukukosha kwekukura kwekusagadzikana kwevarume ndeye herpes simplex virusi uye chlamydial hutachiona, umo munhu unogona kutakura utachiona mumadzimai echikadzi. Infertility inowanikwawo nezvirwere zvinokanganisa zvechiropa, mafungiro, mapapu, endocrine pathology (chirwere cheshuga mellitus, Itenko-Cushing chirwere).
Dzimwe nguva kusununguka kunowanzoitwa nekuda kwekukurudzirwa kwemukadzi kune mumwe murume wemurume.
Muchiitiko chacho apo pane kuchinja mu spermogram, murume anotumirwa kune unyanzvi hwezvepabonde kana anoregiologist.
Kana zviyero zvose zvepermogram zvikaitika, ipapo kuongorora kwomukadzi kunotanga.
Zvinokonzera kukonzera kusakwana kune vakadzi ndezvi:
- Kuita zvechisimba zve ovogenesis uye kusavapo kweivulation - 35-40%;
- Pipe zvinhu -20-30%;
- Zvirwere zvemuviri wechipfu - 15-25%;
- Zvinokonzerwa nemusana-2%.
Kuongororwa kwevanhukadzi kusununguka nhema, kutanga kune dzose, mukufananidza kugadzirwa kweamnesis (zera, basa, simba rekukuvadza zvinhu mukugadzirwa, zvirwere zvinotapudzwa, tsika dzakaipa). Tactically inotarisa mamiriro ehupfungwa ehupenyu, kubereka vana, zvinoreva kuti kunyanya kusununguka kunowanzokonzerwa nekugadziriswa, uye yechipiri ndiyo migumisiro yezvinotapira zvinopisa.
Kazhinji pane zvisiri izvo, chikonzero chekusununguka kwevakadzikadzi kune zvirwere zvegermocrine zvinosangana nehutachiona ovogenesis uye chirongwa chekuvhura. Kusabatwa kunobata vakadzi vane marudzi akasiyana-siyana e hyperpolaktinemia, hyperandrogenism, uye polycystic ovary syndrome. Nhamba yakawanda yezviitiko zvekushaya vana ndeyekukonzera kwekupedzisira kwemasikirati emakona mavari, zvakare, zvinetso izvi zvinogona kuva zvose zvepakutanga uye zvechipiri, mugumisiro wekutsvaira kuputika. Muchivharo, maitiro emakwikidzi akavhiringidzika, kutengesa kana kuperesa kwekutsvaga kwehutori hwechikamu nehutsika hwakatsetseka luteal hunoitika. Nokusava nekusununguka kwekwakagadziriswa, kusagadzikana kwekuenda kumwedzi kunowanzoonekwa: amenorrhea - kusakwana kwese kwekuenda kumwedzi, hypomenstrual syndrome - kubudiswa panguva yekuenda kumwedzi kushoma uye uterine ropa.
Zvimwe zvinokonzera peritoneal infertility ndezvekubatanidza maitiro mudiki mapepa, ayo anoita kuti kubvongodzwa kwemashupiti pave nekuchengetedza maitiro avo. Tubal kusabereka kunokonzerwa nezvinetso zveatomical uye zvinoshanda mu fallopian tubes.
Kuvhirwa kwe fallopian tubes kazhinji kunowanikwa mushure megonorrheal salpingitis, kunyange zvazvo inogonawo kuva nemigumisiro yekusagadzikana kwemasimba pasina. Kuvhiringidza kunogona kukonzera kwete chete kubvisa kubvisa, asiwo dystrophic inoshandiswa mumadziro ayo, kutyora kwe-peristalsis ye tube. Nekukosha kwekuti kubuda kwekushaya mwana kunobvisa pamuviri, sezvo kunokonzera kupisa kwemukati mumuchembera yemubereki pamwe nekushandurwa kwemazstrophic inogadzirisa kuiswa kweii.
Uyewo, kusununguka kunogona kuitika semugumisiro wokuputika kwemukati uteri-endocervicitis. Iyo inodzivisa kufambira mberi kwepermatozoa muuterine cavity.
Maitiro emusana ekusava nekushaya simba anokonzerwa nekubuda kwemaanti antisperm mumurume kana mukadzi, hazviwanzoitiki. Iyo inowanzoita 2% pakati pemhando dzose dzekushaya vana. Pakati pemadzimai ose ane chikonzero chisina kutsanangurwa chekushaya vana, kuongororwa kunotevera kwe20-25% kunoratidzira zvirwere kumunhu. Kazhinji antispermanye antibodies inoumbwa nevarume kupfuura vakadzi. Chikonzero cheizvi chinogona kuva vasectomy, testicular kukanganisa mu orchites, kukuvara, zvirwere zvepabonde. Nechimiro chekushaya vana, nzira yakanakisisa ndiyo intrauterine insemination.
Ruzhinji rwevakadzi vane kusununguka vane zvinetso zvakasiyana-siyana zvepfungwa yekusimudzira pfungwa: manzwiro ekuderera, kusurukirwa, kutarisira kwakanyanya kune imwe nguva yekuenda kumwedzi uye mamiriro ezvinhu anonyangadza pakutanga. Iyo yakaoma yezviratidzo izvi ndiyo inonzi "pamuviri kutarisira syndrome". Kuzvidya mwoyo kwakanyanya kune vakaroorana vaviri ndiko kudiwa kwekuongororwa nekupfuurira kushandiswa kwezvirongwa zvechiremba uye rwiyo rwehupenyu hwepabonde, tsanangudzo yenguva yekuputika mumukadzi ane maitiro ekushanda uye kushandiswa kweiyo nguva chaiyo yekuita pamuviri. Dzimwe nguva chikumbiro chakasimba chemukadzi muhukama hwepedyo panguva dzakadaro chinogona kutungamirira kukundikana kwebasa kwemurume uye zvimwe zvakakanganisika zvehutu. Kunyanya kunokanganisa hutano hwe potency kuongororwa kweperm pathology. Iyi nhau inotungamirira kusava nesimba mune inopfuura hafu yevarume, uye nguva yakawanda yekuitika kwayo inobva pane zvakaitwa nemumwe wako.
Kune mukadzi, kudikanwa kwekuisa pasi pehutano hwepabonde nemigumisiro yekuongororwa kwehutano hwekushanda kunokonzerawo mamiriro ezvinhu anorwadza, uko kwete chete kungoita zvepfungwa, asiwo nhengo dzenzira yebonde, kunyanya fallopian tubes. Kuputika kwavo, antiperistaltic inogona kusimuka, iyo inopesana nokupfuura kwemasero epabonde kunyange kana vakapfuura nepakati pematope. Nokudaro, dzimwe nguva chishuvo chikuru chemukadzi kuva nemimba chinova muvengi wake. Nhamba dzakawanda dzakarondedzerwa apo kubata kwenguva refu kwakamirira kuitika mushure mokunge mukadzi akasarudza kurega zvachose kurapwa, akarega kuenzanisa kutengesa kwepasi uye akacherechedza nguva yeivulation inotarisirwa. Izvi zvinoitikawo kana vaviri vakaroorana vanorasikirwa netariro yevana vavo uye vanogamuchira mwana.