Pachifukwa ichi, ndizomveka kupitiliza kafukufuku kuti tipeze zomwe zimayambitsa zowonongeka. Nthawi zina, kafukufuku amawulula zinthu zomwe, zikuwoneka, sizikukhudza mwachindunji kuthekera kwa mayi kutenga mimba. Choncho, makamaka amayi amakhala ndi funso - kodi kunenepa kwambiri kumakhudza mimba ndi kuvuta, ndipo zimachitika bwanji.
Ndizodziwika bwino kuti kupitirira kunenepa sikungokhala kosangalatsa, koma kungayambitsenso matenda osiyanasiyana. Njira yosavuta yodziwa kuti pali kulemera kwakukulu kwa mkazi ndi kuchotsa 110 kuchokera ku kukula kwa masentimita. Chiwerengero chopezeka ndicho kulemera kwa kukula uku. Kupitirira kulemera kwa chiwerengero choposa 20 peresenti kumakhala kovuta kwambiri. Pali ndondomeko yowerengera chiwerengero cha misala. Kuti mupeze chiwerengero cha misala a thupi, muyenera kugawaniza thupi mu kilogalamu ndi lalikulu la mamita mu mamita. Ngati ndondomekoyi ikupezeka pakati pa 20 ndi 25, ndiye kuti kulemera kwake kuli koyenera, pamwamba pa 25 - kulemera kwakukulu, pamwamba pa 30 - izi ndizo zizindikiro za kunenepa kwambiri.
Kudalira kotheratu kuti luso la mkazi kutenga mimba kulemera silo. Pali zitsanzo zambiri zomwe amayi omwe ali ndi kulemera kwakukulu amabereka ana angapo, ndipo alibe mavuto. Ndipo mosiyana, pamene akazi omwe ali ndi kulemera kwake kwa zaka sangathe kutenga mimba. Ndipo, ngakhale zili choncho, pali zifukwa zomveka zokhulupirira kuti kupezeka kwa kulemera kwakukulu kwa mkazi kungakhale chifukwa chosalephera. Pothandizira maganizo awa, pali mfundo zambiri.
Amayi olemera kwambiri, kusamba kwa msambo kumachitika kawirikawiri mothandizidwa ndi matenda a endocrine, omwe amachititsa kusabereka. Kawirikawiri kuchepa kwa kulemera kwakukulu ndi 10% kumapangitsa kuti nthawi zonse azipita kumwezi.
Kulemera kwakukulu kumasokoneza kuchuluka kwa mahomoni a chiwerewere mu thupi la mkazi, zomwe zimakhudza mimba ndi ovulation mwachindunji. Mwachitsanzo, mahomoni amtundu wa abambo (estrogens ndi progesterones) amachititsa kuti pakhale mavenda. Pochita ovulation, dzira limapsa. Ma progesterones amapanga thupi la mkazi kuti likhale ndi mazira okhwima, ma estrogens omwe amachititsa kuti progesterones ayambe kulamulira. Maselo a mafuta amachititsa kupanga ndi kukonzera chiwerengero chachikulu cha estrogens, zomwe zowonjezera zimatseka progesterones. Chotsatira chake, kutsekemera kumasokonezeka ndipo dzira silimapsa.
Zowonongeka m'mafuta, estrogens amasonyeza ubongo ku chikhotecho, chomwe chimapanga FSH (homlicle-stimulating hormone) ponena za kuchuluka kwake. Chotsatira chake, kupanga FSH kumachepetsedwa, komwe kumasokoneza mazira ndi mavuni.
Kuonjezerapo, kuchuluka kwa estrogen mu thupi la mkazi kumapangitsa kuti pakhale mapangidwe osiyanasiyana a zotupa, monga fibroids ndi uterine fibroids, zomwe nthawi zambiri zimayambitsa kusabereka.
Chotsatira china chosasangalatsa cha estrogen yochuluka mu thupi la mkazi yemwe ali ndi kulemera kwakukulu ndi endometriosis ya chiberekero (kuchuluka kwa mucous membrane ya chiberekero). Chifukwa cha matenda a mahomoni, uterine mucosa sakanidwa kwathunthu pa nthawi ya kusamba, zomwe zimakhudza kwambiri kuvutitsa, ndipo chifukwa chake zimayambitsa kusabereka.
Zotsatira za kulemera kwakukulu kwa mkazi zingakhale matenda monga polycystic ovary. Chiwawa cha mahomoni m'thupi la mayi chimapangitsa kuti pakhale ma ovoti okhwima omwe amakula, omwe amachititsanso kuswa kwa msambo. Mu polycystic ovaries amachititsa kuti mavitamini a androjeni apangidwe, zomwe zimachepetsa kuchepa kwa ovulation, kawirikawiri kutsekemera kumathera. Mazira a Polycystic amavomerezeka kwambiri kwa amayi atatha zaka 30, omwe ali kale ndi ana, ndipo amatha kupangitsa kuti azikhala osabereka.
Kuwonjezera pa matenda a mahomoni, kulemera kwakukulu kungayambitse zina kusintha kwa thupi mu thupi la mkazi wotsogolera ku kusabereka. Chofunika kwambiri ndi kugawa mafuta. Ngati mafuta amagawanika mofanana, sizowonongeka ndi zotsatirapo monga kusonkhanitsa matenda a mafuta m'madera ena a thupi la mkazi. Koma, mwatsoka, ambiri mwa mafuta amaikidwa mu amayi m'mimba ndi ntchafu. Pachifukwa ichi, magazi akuyenda m'dera lino la thupi akuphwanyidwa, ndipo chifukwa chake thupi limasweka m'mimba mwa mayi (m'chiberekero ndi m'mimba mwake). Matendawa angapangitse kupanga mapangidwe amtundu wa ziwalo, zomwe zimakhudza mwachindunji machitidwe awo, ndipo nthawi zambiri zimayambitsa kusabereka.
Zowopsa kwambiri ndi atsikana olemera kwambiri pa nthawi ya kutha msinkhu komanso mapangidwe a maubwenzi a mkazi wamtsogolo. Kuthetsa mahomoni m'nthawi imeneyi kungakhale ndi zotsatira zoopsa kwambiri. Kulemera kolemera pa nthawi yakucha ya msungwana kumaphwanya mahomoni. Mahomoni amachitanso kusintha thupi la mtsikana, zomwe zingathandize kuti mafuta asungidwe. Ndikofunika kuti muyambe kuyendetsa bwalo ili lovuta nthawi yakucha. Kuwonjezera apo, malinga ndi akatswiri, kulemera kochuluka kwa unyamata kumawathandiza kuyambitsa kusakaniza koyambitsa kugonana, ndipo m'tsogolomu, kusakhazikika kwa kusamba kwa mimba ndi kuphwanya njira ya ovulation.
Kodi kulemera kwakukulu kumakhudza kutenga mimba ndi ovulation? Pazochitika zonsezi n'zosatheka kunena pasadakhale. Pokonzekera kutenga mimba, ndibwino kuti thupi lanu likhale lokonzeka mokwanira. Ndipo kuchepetsa kulemera kwambiri, monga njira yopezera moyo wathanzi, ukhale pa malo oyamba pokonzekera kutenga mimba. Komabe, sizingakhale zovomerezeka kutaya thupi lanu ndi zakudya ndi maola ochepa panthawi yopanga mimba. Njira yochepetsera thupi iyenera kukhala yopepuka komanso yopweteka kwa thupi la mayi wamtsogolo.