Kunezizathu eziningi zokungabikho kwamantombazane, phakathi kwazo:
• ukungabi khona kwe-ovulation (ukukhululwa kwe-ovum kusuka ovary);
• ukwephula ukuhamba kweqanda nge-tube fallopian (fallopian), ngenxa yalokho okungeke kwenzeke ukuhlangabezana nesilwane sesilwane;
• ithonya elinamandla lomkhuhlane wesibeletho sowesifazane wesilisa lomlingani;
• ukwephulwa kwenqubo yokufakelwa kweqanda elikhuliswe emgqeni wesibeletho.
Ukungalingani kwe-hormonal
I-pathology of ovulation inesibopho se-third of all cases of infertility. Ngokuvamile le nkinga ibangelwa ukukhiqizwa kwamahomoni amabili okwanele - i-follicle stimulating (FGP neLuteinizing (LH)) elawula umjikelezo wesimiso kanye nenqubo yokuvuthwa. Ukungalingani kweHormonal kungaba ukubonakaliswa kwengculazi ye-hypothalamic elawula ukwenziwa kwamahomoni, noma i-pituitary gland enesibopho sokukhululwa ngokuqondile Esikhathini sokukhubazeka kwesimiso se-hormonal, abesifazane baqokwe ukwelapha esikhundleni se-hormone noma ezinye izidakamizwa eziphumelela ekunganeni, isibonelo, i-clomif Isidakamizwa se-chorionic gonadotropin (hCG) sisetshenziselwa ukugqugquzela i-ovulation, okubangela ukuvuthwa kwamacala angaphezu kwezingu-90%, kodwa ngezizathu ezingaziwa.
Ukukhubazeka kwe-ovulation
Kunezinye izimbangela eziningi eziholela ekuphukeni kokuvuthwa kwabesifazane. Lokhu kufaka:
• ukucindezeleka isikhathi eside;
• ukulahlekelwa isisindo ngokweqile (isibonelo, i-anorexia);
• ukukhuluphala;
• Utshwala nokusetshenziswa kabi kwezidakamizwa.
Ngaphezu kwalokho, ukuchithwa kwamaqanda amaqanda kumfazi ngenxa yokulimala kwama-ovari ngesikhathi sokuhlinzwa (isibonelo, ukususwa kwe-cysts), ukulimala kwemisebe (emva kwe-radiotherapy), noma ngenxa yokumisa esikhathini sokuphila - kokuphila noma ngaphambi kwesikhathi. Uma isiguli singakwazi ukukhiqiza amaqanda ayo, indlela kuphela yokuphuma ukusetshenziswa kobuchwepheshe bokuzala bokusiza.
Ukukhubazeka komzimba nomlomo wesibeletho
Ukwakhiwa kweqanda elikhushulelwe embranini yesikhumba esibelethweni kungase kugwenywe ukutholakala kwamaconsi e-myoma - isisu esinomzimba esiyingqimba se-muscular of the uterine wall. Ukungafanisi kungabangela kanye nezimo eziphuthumayo kusuka emcimbini wesibeletho (umlomo wesibeletho). Kwezinye izimo, inani elingenamkhawulo we-mucus likhonjiswe emgodini womlomo wesibeletho, kwezinye - i-viscosity eyanda; futhi zombili zicindezela kakhulu ukudlula kwamangqamuzana omzimba wesilisa emgqonyeni wesibeletho. Ukuze ukukhulelwa kwenzeke, iqanda kufanele likwazi ukuhamba ngokukhululekile ngokusebenzisa i-tube uterine eya emgodini wesisu.
Ukwakhiwa kwamatayipi angama-fallopian kungaqala ngezizathu ezihlukahlukene:
• isici sokuzalwa;
• Ukunamathela nokuqedwa ngemuva kokuhlinzwa;
• izifo ezinjenge-salpingitis kanye nokutheleleka kwe-postpartum;
• Izifo ezithathelwana ngocansi, ukukhulelwa kwe-ectopic emlandweni;
• i-endometritis;
• Izifo ezivuthayo ezithombeni zomzimba.
Isizathu esivame kakhulu somonakalo kumabhubhu we-fallopian ukuvuvukala kwezitho zomzimba - isifo esithathelwanayo sama-ovari, ama-tubespian tubes kanye nesisu, okungaba nzima noma okungapheliyo. I-agent causative evame kakhulu yalesi sifo yi-parasite Chlamydia trachomatis. Ukubuyiselwa kobuchwepheshe be-tublopian tubes kwenziwa ngosizo lwe-microsurgical technologies noma ukuhlinzwa kwala laser. Uma owesifazane engakwazi ukukhulelwa esikhathini esithile, isifundo somtholampilo kanye nelabhoratri senziwa ukuze kuhlolwe imbangela yokungasebenzi.
Ivivinyo lokuvota
Indlela elula kakhulu futhi enembile yokuqinisekisa ukuvuthwa yi-ovulation ukusetshenziswa kwesistimu ekhethekile yokuhlola eyenza ukwanda kwezinga lokumisa i-hormone emcimbini ngaphambi nje kokuvuthwa. Uhlolo luqhutshwa nsuku zonke kusukela ezinsukwini ezingu-2-3 ngaphambi kwebanga elibhaliwe lokujikeleza kokuya esikhathini.
Ukuhlolwa kwe-Ultrasound
Ukuskena kwe-ultrasound kusetshenziselwa ukunquma isimo se-ovari, kanye nokuqapha izinguquko ku-follicle yama-ovari ngaphambi kokuvunguza.