Mu kapangidwe ka infertility 50-60% ndi tubal-peritoneal chinthu - kulepheretsa mapaipi chifukwa kutupa. Chifukwa china cha kusabereka nthawi zambiri chachitidwa opaleshoni mu zotupa za cystic ovarian, pamene atsikana atachotsedwa. Tsopano ntchito zochepa zogwiritsidwa ntchito zopweteka kwambiri zimachitika, zomwe sizili zovuta kwambiri ndi ndondomeko yomatira.
Mosakayikira, chithandizo cha kusabereka kwa amayi ndi chomwe chidzakhalebe chongoganizira za sayansi yobereka yobereka zokhudzana ndi kugwiritsidwa ntchito kwa mavitamini ovulation, opaleshoni yotsiriza, in vitro fertilization. Koma kodi njirazi zimagwiritsidwa ntchito pokhapokha ngati zipangizo zamakono komanso zamakono zimakonzedwa? Mwinamwake, iwo akhoza kukhala ogwirizana mu chithandizo cha mitundu ina ya kusabereka.
Ngakhale kuti zathandiza kuti zipangizo zamakono zikhale zothandiza (kubwezeretsanso ma pipeni, mavitamini, mavitamini, ndi zina zotero), zaka zaposachedwapa zakhala zikukhudzidwa ndi njira zamakono zomwe zimagwiritsidwa ntchito povuta kwa amayi osabereka. Izi zikuphatikizapo mankhwala a zitsamba, mankhwala othandizira anthu, mankhwala opangira mavitamini, kupaka minofu komanso mankhwala othandizira. Ngati zaka 10-20 zapitazo, kukonzekera mankhwala kumakhalapo pakati pa mankhwala osokoneza bongo, masiku ano chiwerengero cha kukonzekera kwa zitsamba zomwe zimagwiritsidwa ntchito pazomwe zimagwiritsidwa ntchito pazomwe zimagwiritsidwa ntchito m'thupi zimafikira 50%. Mtengo wawo umakhala ndi maonekedwe abwino a thupi la umunthu kwa zinthu zachibadwa zowonongeka, zochepa za zotsatira zake komanso kuthekera kwa ntchito yaitali. Amagwiritsa ntchito mankhwala osokoneza bongo kuchokera ku zomera zomwe zimakhala ndi antibacterial - sage, yarrow, eucalyptus, chamomile, wort St. John's, calendula, etc. Zitsamba zamadzi za zomerazi zimatengedwa mkati, komanso ngati ulimi wothirira, zitsulo ndi zitsulo.
Chimodzi mwa zifukwa zomwe zimachititsa kuti amayi azikhala opanda chiberekero ndizovuta kwa mazira. M'zochitika za katswiri wa amai, matenda otupitsa amadzimadzi amapezeka kawirikawiri pamtundu wa hypomenorrhea. Vutoli likhoza kuthetsedwa pogwiritsa ntchito phytoestrogens. Mitengo yomwe imakhala ndi ndondomeko yambiriyi imaphatikizapo: Mbewu za makangaza, klopogon (tsimitsifuga), red clover, rhubarb, sage, snakehead, hops, mpheta, dzira, chikasu, soya, celandine, lumbago ndi soy.
Njira yabwino yothetsera kusagonjetsedwa pakadali pano ndi njira yoperekera mavitamini a phytospores. Pali kusangalatsa kwa gawo loyamba la kusamba ndi chithandizo cha zitsamba, zomwe zimakhala ndi zotsatira zotchedwa estrogen (monga mathithi, ziboda, clover oregano, udzu wa udzu). Dokotala amalembera milandu komanso oductions ovulation kuyambira 1 mpaka 14th (udzu wogona, udzu wakuda-capped). Ulamuliro wa gawo lachiwiri umapezeka ndi chithandizo cha zitsamba ndi gestagenic. Iwo amalembedwa kuyambira 15 mpaka 26 tsiku lachisambo. Zokonda zimaperekedwa ku udzu wa St. John's wort, yarutke, aira, mizu ya nettle, munda wodula. Mitengo yowatchulidwa imagwiritsidwa ntchito poyerekeza ndi monochais kapena pamisonkhano.
Panthawi ya hypermenorrhea, zotsatira zabwino kwambiri zimaperekedwa ndi mankhwala oledzeretsa a masamba a rasipiberi. Zolemba izi za phytotherapeutists zimayenera kuwerengedwa ndi kuphunzira mosamalitsa. Pochizira matenda opatsirana aakulu, munthu sayenera kuiwala za kugwiritsiridwa ntchito kwa odwala - eleutherococcus, magnolia mpesa, zamanichi, levzei, aralia Manchurian, ndi zina. Amaonjezera chitetezo cha thupi ndipo amachititsa kuti antibacterial agents azigwira ntchito.
Kusabereka kwa amayi kumatha kukhalanso poyambitsa chinsinsi cha estrogen, pamene chithunzi cha endometriosis chimapangidwa. M'mabuku achilendo amalangiza pochiza njira ya chikhalidwe cha amayi osabereka mwa mawonekedwe okonzekera kuchokera ku vitex yopatulika. Olemba nkhaniyi amagwiritsa ntchito calendula, celandine kuphatikizapo uterotonic (kutulutsa chiberekero) kumatanthauza.
Pambuyo pochotsa mimba, njira ya phytotherapy, kuphatikizapo mankhwala omwe ali ndi antimicrobial effect ndi zilonda za machiritso: calendula, nettle, chingwe, nkhumba, ndi zina zotero, ziyenera kuchitika mosalephera.
Kusamala kwakukulu pa chithandizo cha njira za amayi osapatsirana ayenera kuperekedwa ku chikhalidwe cha chithokomiro, komanso dysbiosis. Kugonana kwa chiwerengero cha chiberekero cha m'matumbo a microplora kumabweretsa kusowa kwa mavitamini, mchere, kumatsegula njira ya tizilombo toyambitsa matenda. Pankhaniyi, ndibwino kuti tigwiritse ntchito mankhwala a probiotics: bifidobacterin, lactobacterin ndi zomera zochiza: mankhwalawa, alder masango, yarrow, malo otsetsereka, okwera njoka, ndi zina zotero.
Zochitika zambiri za amayi omwe akudwala matenda a hormonal infertility ndi concomitant hypothyroidism zasonyeza kuti kugwiritsa ntchito zitsamba zomwe zimapangitsa kuti ntchito ya chithokomiro ipite patsogolo (chisoso, chisoso, nettle, plantain, European zucchus, etc.), makamaka kubwezeretsa ntchito yobereka ya amayi.