Madokotala amagawana mitundu iwiri ikuluikulu ya kusabereka kwa amayi - oyambirira ndi apamwamba. Mtundu woyamba ndi kusowa kwa mwayi wokhala ndi pakati panthawi yonse ya moyo. Kusabereka kwachikondwerero - izi ndi zotayika kumulera mwana chifukwa chochotsa mimba, kutaya pathupi, ectopic mimba kapena kubadwa koyamba.
Ndili ndi zaka, akazi amakhala ndi chonde, ndiko kuti, kutha kutenga pakati kumagwa mofulumira. Pofika zaka makumi atatu ndi zisanu, amayi 25% mwa amayi onse ndi physiologically infertile. Kuchokera zaka 18 mpaka 30 - zaka zapakati, pamene mimba ili yabwino kwambiri. Kupereka zifukwa zosiyanasiyana pa kubadwa kwa mwana, mkaziyo amadziwonetsera yekha kuopsa kokhala opanda ana kapena kukhala ndi mwana pokhapokha mwa njira zovuta zothandizira kuti athetsere kusamalidwa kwachiwiri kwachiwiri. Ndi zaka zomwe zimachitika m'mimba mwa mazira oyambitsa ma chisawawa zimayambitsa matenda, kuthetsa kusabereka komanso kuonjezera mwayi wakubadwa kwa mwana wakuthupi komanso woganiza bwino. Kuperewera kwa amayi osakonzekera kumawonjezeka kwambiri kufika zaka 35.
Kusokonezeka kwa chithokomiro cha chithokomiro
Kuwonjezeka kwa mavitamini a chithokomiro kumapangitsa kuti pakhale mahomoni oyenerera kuti pakhale chiberekero cha pituitary. Ndi gawo ili la ubongo lomwe limakhudza kuchuluka kwa mahomoni m'magulu a amai. Ngati mahomoni amapangidwa mocheperapo kuposa zomwe anauzidwa (kapena zambiri), ndiye kuti akuphwanya mobwerezabwereza. Pali chiopsezo chachikulu cha matenda owopsa - endometriosis, matenda a polycystic ovary ndi uterine myoma. Kuyamba kwa mimba ndi kukhala ndi mwana wathanzi wathanzi kumakhala kovuta kwambiri.
Kukhazikitsa ntchito za chithokomiro kumapangitsa kukhala ndi pakati mosavuta komanso kenako kubala mwana wathanzi. Koma mankhwala ena pamene ali ndi mimba ayenera kuvomerezana ndi dokotala.
Matenda achilengedwe
Mzimayi, kuthekera kwa nthawi yaitali kutha kutenga pakati kumayambitsidwa ndi matenda owopsa awa:
- kutupa kwa mazira ndi mazira, chiberekero ndi umaliseche;
- endometriosis kawirikawiri imatsogolera kukhumudwa chimodzi kapena ziwiri panthawi imodzi;
- polycystic ovary;
- myoma mu chiberekero;
- Kutaya magazi mopanda ntchito
Mavuto pambuyo pochotsa mimba
Kuchotsa mimba panthawi yochotsa mimba kungawononge kwambiri chapamwamba chapamwamba cha endometrium. Motero mapuloteni amatha kuphuka, koma mu chiberekero sakumangirizidwa. Chigamulochi chikuphatikiza ngati chovuta. Kuyenerera ("pansi pa nthaka") mimba ndi kupweteka kochotsa mimba m'makliniki kumabweretsa zovuta zambiri. Chiwerengero cha chiopsezo chimakhalabe ndi ntchito yodziwa bwino, zaka zambiri za madokotala. Chotsatira chake, mkazi amatha kutenga pakati.
Kuvulala kwa ziwalo zoberekera
Zovulala zosiyanasiyana zapereineal, mavuto opatsirana pambuyo pake, zipsera zosasinthidwa, zomatira kapena mapuloteni onse ndi chimodzi mwa zifukwa zomwe zimayambitsa kusabereka. Komabe, zifukwa izi nthawi zambiri zimathetsedwa bwino. Njira ya mankhwala imalola mkazi kukhala mosavuta kuti akhale mayi wathanzi.
Zakudya zosayenera
Mdani wamakono wa mimba ndi zakudya ndi anorexia. Kusadziletsa kungayambitsenso ku: matenda opweteka thupi, kumwa mowa mopitirira muyeso komanso mosavuta, zakudya zoperewera.
Zamoyo zosagwirizana
Izi zimapangidwira maanja omwe alibe ana pambuyo pa chaka kapena ambiri omwe amakhala pamodzi - peresenti 20 peresenti. Komabe, palibe zifukwa zachipatala zomwe sizichitika mimba, madokotala sangathe kuthandizira chinachake. Izi ndizochitika, pamene zimachitika, mimba sizimachitika kwa zaka, ndipo kenako chozizwitsa chikuchitika ndipo mwana wathanzi amabadwa.
Kuchiza kwa matenda a endocrine kumaphatikizapo normalization ya adrenal ndi chithokomiro ntchito ndi kugwiritsa ntchito mankhwala omwe amachititsa ovulation. Mankhwala a chorionic gonadotropin amathandizanso. Kuphatikizanso, njira zosiyanasiyana zopaleshoni zimabweretsa zotsatira zabwino - mphero yothandizira kapena cautery ovarian. Pokhala ndi kachilombo kosabadwa kwa amayi, chiberekero cha m'mimba chotchedwa endometriosis, choyimira thupi pamtunda, ziwalo za tubal, mapuloteni ndi zina zotupa za chiberekero zingagwirizanenso.