Odokotela babelana ngezinhlobo ezimbili eziyinhloko zokungabi nabesifazane abangenalutho - okuyisisekelo nesekondari. Uhlobo lokuqala ukungabi nethuba lokukhulelwa phakathi nesikhathi sokuphila. Ukwelashwa kwesibili - lokhu kuyindlela elahlekile yokukhulelwa ingane ngenxa yokukhipha isisu, ukukhulelwa kwesisu, ukukhulelwa kwe-ectopic noma ukuphumelela kokuzalwa kokuqala.
Ngenkathi yobudala, abesifazane bazala, okungukuthi, ikhono lokukhulelwa liwa ngokushesha. Ngeminyaka engamashumi amathathu nanhlanu, ama-25% kubo bonke abesifazane basuke bengenasifo somzimba. Kusukela eminyakeni engu-18 ukuya kwezingama-30 - iminyaka yemvelo, lapho ukukhulelwa kuhamba kahle kakhulu. Ukuhlehlisa izizathu ngezizathu ezihlukahlukene zokuzalwa kwengane, lona wesifazane uzibeka engozini yokuhlala ephelele ngaphandle kwezingane noma ekwazi ukubeletha ingane kuphela ngokusebenzisa izinqubo zokwelapha eziyinkimbinkimbi ezenzelwe ukwelashwa kokubeletha okwesikhashana. Njengoba iminyaka eguquguqukayo ama-ovaries chromosomal ishintshela okwenzeka ekuholeni izifo, ukuqedela ukungasebenzi futhi kwandisa amathuba okuzalwa kwengane engokwenyama nengqondo. I-miscarriage engalindelekile yanda kakhulu eminyakeni engama-35.
Ukusebenza komzimba wegciwane
Ukwandiswa kokukhiqizwa kwe-hormone ye-thyroid kuphazamisa ukukhiqizwa kwe-hormone okudingekayo ekukhulelweni kwe-pituitary gland. Yile ngxenye yobuchopho echaphazela ukukhiqizwa kwamahomoni kuleso sigaba socansi besifazane. Uma ama-hormone akhiqizwa kancane kunalokho okushiwo (noma ngaphezulu), khona-ke bephule umjikelezo ojwayelekile wokuya esikhathini. Kukhona ingozi ephezulu yesimo esiyingozi - endometriosis, i-polycystic ovary syndrome kanye ne-myoma ye-uterine. Ukuqala kokukhulelwa kanye nokubhekwa kwe-fetus enempilo ephelele kuyobe sekuvinjelwa kakhulu.
Ukumiswa kwemisebenzi ye -roid kwenza kube lula ukukhulelwa kalula futhi kamuva ubelethe ingane enempilo ngokuphelele. Kodwa imithi ethile ngesikhathi sokukhulelwa kuyodingeka ivumelane nodokotela.
Izifo ezithathelwanayo
Kuwesifazane, ukungakwazi ukukhulelwa isikhathi eside kubangelwa yizifo ezilandelayo eziyingozi:
- ukuvuvukala kwama-ovari nama-tublopian tubes, umlomo wesibeletho kanye nesisu;
- i-endometriosis ivame ukuholela ekuvinjweni kwesisodwa noma ezimbili ngesikhathi esisodwa esisodwa;
- i-polycystic ovary;
- i-myoma esibelethweni;
- ukuphuma kwegazi okungahambi kahle
Izinkinga ngemuva kokukhipha isisu okungaphumeleli
Ukukhipha isisu ngesikhathi sokukhipha isisu kungalimaza kakhulu ingqimba engenhla ye-endometrium. Ngakho-ke izintambo zivuthiwe zivuthwe, kodwa ngesibindi azihlanganisiwe. Leli cala lihlelwa njengeyinkimbinkimbi. Ukungavumelekile ("ngaphansi komhlaba") ukukhipha izisu nokungaphumeleli ukukhipha izisu emitholampilo kudala izinkinga eziningi. Iphesenti yengozi ihlala ngisho nangomsebenzi weminyaka eminingi, oneminyaka eminingi yokusebenza odokotela. Ngenxa yalokho, owesifazane ubhekene nokungakwazi ukukhulelwa okulandelayo.
Ukulimala ezithombeni zobulili
Ukulimala okuhlukahlukene kwe-perineal, izinkinga eziqhubekayo emva kokusebenza, izibazi ezingaphenduliwe, ukunamathela noma ama-polyps yizona zonke zezimbangela zokungasebenzi. Nokho, lezi zizathu ngokuvamile zixazululwe ngokuphepha. Inkambo yokwelapha ivumela owesifazane ukuba abe umama wezingane ezinempilo kalula.
Ukudla okungalungile
Isitha samanje sokukhulelwa siyadla futhi i-anorexia. Ukungahambi kahle kungabangela nokuthi: izifo eziqeda umzimba, ukuphuza ngokweqile nokumane nje, ukungondleki ngokwanele.
Ukungalingani kwezinto eziphilayo
Lokhu kuxilongwa kwenzelwa imibhangqwana engenazo izingane ngemuva konyaka noma ngaphezulu ehlala ndawonye - kuphela ngamacala angu-20%. Kodwa-ke, azikho izizathu zezokwelapha okungezona okwenzekayo kokukhulelwa, odokotela bamane abanamandla okusiza okuthile. Yilokho okwenzeka lapho kwenzeka, ukukhulelwa akukwenzeka iminyaka, bese kwenzeka isimangaliso futhi kuzalwa umntwana onempilo.
Ukwelashwa kwe-endocrine infertility kuhlanganisa ukujwayelekile kwemisebenzi ye-adrenal kanye ne -roid nge ukusetshenziswa kwezidakamizwa ezikhuthaza ukuvuthwa. Ukujova kwe-gonadotropin ye-chorionic nakho kuyasiza. Ngaphezu kwalokho, amasu ahlukahlukene okuhlinzeka ngokuholela emiphumeleni emihle - ukuthengiswa kwemali noma i-cautery ye-ovari. Ngenkathi kukhona ukungabikho komuntu wesifazane wesifazane, i-endometriosis yesitho sowesifazane, inqubo yokubamba iqhaza emzimbeni esifundeni sezindiza, izici ze-tubal, ama-polyps nezinye izifo zesisu zingase zihlotshaniswe.