Pane zvikonzero zvakawanda zvekusabereka kwevakadzi, pakati pavo:
• kusavapo kwehuputi (kusunungurwa kwe ovo kubva kune ovary);
• kutyora kwemafungu evha kuburikidza ne fallopian tube (fallopian), semugumisiro wekuti hazvikwanisi kusangana nemusero wesero;
• kukanganiswa kwechisimba kwechikwata chemudzimai wechikadzi pamurume wemukomana;
• kukanganisa kwekugadziriswa kwezai rinogadzirwa mumadziro emuviri.
Hormonal kusalingana
Ihwo hutachiona hwekuvharidzira hunoita nechetatu chezviitiko zvose zvekusabereka kwevakadzi. Kazhinji kacho dambudziko iri rinomuka kubva pakugadzirwa kwemahomoni maviri asina kukwana - follicle stimulating (FGP uye luteinizing (LH)) inodzora kuenda kumwedzi nekugadzirwa kwehuputi. Kusagadzikana kweHormonal kunogona kuva kuratidzwa kwehutano hwe hypothalamic hunodzora kubudisa mahomoni, kana kuti chirwere chepituitary chinokonzera kusunungurwa kwavo zvakananga Muhutano hwehutachiona hwemashure, vakadzi vanorayirwa hormone substitution therapy kana zvimwe zvinodhaka zvinoshanda mukusava nechibereko, somuenzaniso, clomif Chorionic gonadotropin zvinodhaka (hCG) inoshandiswawo kukurudzira ovulation, izvo zvinokonzera ovulation mune zvinopfuura 90% zvezviitiko, asi nokuda kwezvikonzero zvisingazivikanwi.
Pathology ye ovulation
Pane zvimwe zvakawanda zvinokonzera kukanganisa kwekuvhara kwevakadzi. Izvi zvinosanganisira:
• kupera kwenguva refu;
• kunyanya kuora kurasikirwa (semuenzaniso, anorexia);
• kuneta;
• Doro uye kushandisa zvinodhaka.
Mukuwedzera, kuderera kweii masero mumukadzi nekuda kwekuvhiringidzika kwemaawa panguva yekuvhiyiwa (somuenzaniso, kubviswa kwe-cysts), kuora kwemavara (shure kweradiootherapy), kana semugumisiro wekuguma kwemwedzi - zvepanyama kana kuti nguva isati yakwana. Kana murwere asingakwanisi kubereka mazai ake, nzira yega yekubuda ndiyo kushandiswa kwekubatsira kubereka vana.
Chirwere chemuviri uye chibereko chechirwere
Kuiswa kweii inoberekwa mujinga rechibereko chechibereko chinogona kukanganisa nekuvapo kwemazamu e-myoma - chiremara chetachiona chemuscular layer ye uterine rusvingo. Infertility inogona kukonzera uye kusagadzikana kubva kumuromo wechibereki (cervical) mucus. Mune zvimwe zviitiko, kukosha kwakakwana kwemukoko kunowanikwa munharaunda yemudumbu, mune dzimwe - inowedzera kusvibiswa; uye zvose zviri zviviri zvinonyanya kunetsa kutenderera kwemashure evanhukadzi zvepabonde pamwe nemugodhi wemudumbu. Kuti hutano huitwe, egg inogona kukwanisa kusununguka kuburikidza neutterine tube kusvika kune uterine cavity.
Kuvhirwa kwe fallopian tubes kunogona kukura nokuda kwezvikonzero zvakasiyana-siyana:
• utachiona hwekuzvarwa;
• kusungirira uye kupererwa mushure mekuvhiyiwa;
• zvipembenene zvakadai saSalpingitis uye zvirwere zvekupedzisira;
• Zvirwere zvepabonde, ectopic pamuviri munhoroondo;
• endometritis;
• chirwere chinoputika chemuviri wechipfuva.
Chikonzero chinowanzovhiringidza chekukuvadza kune fallopian tubes ndiko kuputika kwemuviri wepachiviri - chirwere chinotapukira chemavha mavari, mafiropian tubes uye chiberekero, chinogona kuva chakanyanya kana chisingaperi. Inonyanya kukonzera causative agent yechirwere ichi iparasite Chlamydia trachomatis. Kudzorerwa kwechiitiko che fallopian tubes kunoitwa nekubatsirwa kwemichina ye microsurgical kana chirwere chemalasi. Kana mukadzi asingakwanisi kuve nepamuviri mukati meimwe nguva, kuongorora kliniki uye laboratory inoitwa kuti iongorore chikonzero chekushaya vana.
Muedzo weivulation
Nzira yakajeka uye yakarurama yekusimbisa ovulation ndiyo kushandiswa kwepurojekiti yakakosha iyo inotarisa kuwedzera kwehutachiona hwemuteereri mumuguta musati watanga kuvhara. Muedzo unoitwa zuva rega rega kutanga mazuva maviri pamberi pekuverengwa pakati pekuenda kumwedzi.
Ultrasound kuongorora
Ultrasound scanning inoshandiswa kugadzirisa chinzvimbo chemavha mavari, uyewo kutarisa kuchinja muhutano hwemaovhesi vasati vashandura.