Njirayi imayendetsa bwino ntchito yachiberekero ndi mazira. Mu hypothalamus, zinthu zinazake zapadera zimapangidwira kuti alowe m'matumbo ndipo zimayambitsa kapangidwe ka mahomoni. Ndi kuthamanga kwa magazi, amafikira m'mimba mwake, komwe kumayambitsa mahomoni oyamba kugonana - progesterone, estrogen ndi kachigawo kakang'ono ka androgens, komwe kumayambitsa njira yokonzekera chiberekero ndi mazira a mimba. Mu njira zovuta zowonongeka, zolephera zingathe kuchitika, zomwe zimayambitsa kuswa kwa msambo. Chifukwacho chingakhale matenda a hormonal omwe amapezeka mu thupi la mkazi, kusowa kwa vitamini, matenda opatsirana, matenda osiyanasiyana a maganizo. Kusokonezeka kwa msambo kwa mtsikana nthawi zambiri kumagwirizana ndi kugwiritsidwa ntchito kwa zakudya zosiyanasiyana. Pofuna kupeza chiwerengero chochepa, asungwana amapezeka kuti ali ndi zakudya zowonongeka, zakudya zambiri zowononga zakudya zimapangitsa thupi kukhala ndi mavitamini ofunikirika kwambiri, zomwe zimapangitsa kuti munthu asagwire ntchito komanso aziphwanya msinkhu. 15% peresenti ya kulemera kwake ingayambitse kutha msinkhu kwathunthu.
Zizindikiro zikhoza kukhala zochuluka kwambiri kapena zochepa kwambiri kusamba, kusasinthasintha kwa msinkhu, kusamba, limodzi ndi ululu waukulu, kuchedwa msambo. Kusamba kumatha kusinthidwa masiku angapo. Kutalika kwazitali kwa kayendetsedweko ndi masiku 21, masiku apamwamba - masiku 33. Ngati pali kuchedwa kwa milungu iwiri, ndiye kuti chodabwitsa ichi mu mankhwala amatchedwa oligoovulation (ovulation rare). Mwezi wamakono womwe ukubwera mofulumizitsanso ndikusokonekera kwa msambo. Ngati mzimayi yemwe amadwala msambo nthawi zambiri amachepetsa kapena amachepetsa masiku oyendayenda, izi ndizovuta ndipo ndikofunika kutembenukira kwa mayi wamayi.
Zifukwa zomwe msungwana angakhale nazo zosayenerera pa nthawi ya kusamba zingakhale zosiyana kwambiri. Chifukwa chofala kwambiri ndi matenda osiyanasiyana ndi ziwalo za m'mimba. Choncho, choyamba, msungwana yemwe akukhala ndi ziphuphu amayenera kufufuza ndikuyesedwa kuti akhalepo wothandizira (chlamydia, mycoplasma, ndi uroplasm). Ngati vuto la kuswa kwa chiwerengerochi lachepetsedwa kuti likhalepo, ndiye kuti mankhwala oletsa kutupa nthawi yake amathandiza kuthana ndi matendawa. Kusintha mahomoni m'thupi la mayi kungathenso kumayambitsa zovuta zosiyanasiyana kuntchito ya ziwalo za m'mimba. Choyamba, mlingo wa mahomoni amafufuzidwa, umafufuzidwa ngati pakhala kusintha kulikonse kwa ntchito ya adrenal gland, chithokomiro chikufufuzidwa - kawirikawiri, chifukwa cha kuchepa kwa ntchito yake kapena mosiyana, ntchito yayikulu ingayambitse vuto kumaliseche. Matenda opatsirana, monga rubella ndi nkhuku, angakhudze chitukuko cha ma follicles m'mimba mwake, kuphwanya kwa msambo, kumachitika kale kuchokera kumayambiriro kwa kuyamba kwa msambo. Kawirikawiri atsikana samvetsera mavuto awa, ndipo vutoli limapezeka pambuyo pake. Kupsinjika kwakukulu ndi mikwingwirima yowopsya kungakhudze kusagwirizana kwa dongosolo lonse lachiwerewere lachikazi. Chofunika kwambiri pa chitukuko cha zochitikazo zimayesedwa ndi chibadwidwe, ngati vutoli linayesedwa ndi amayi pa mzere wa amayi, nkotheka kukhala cholowa chawo. Kusintha kwa nyengo, kungapangitse kuswa kwa msambo. Maphunziro ovuta kwambiri komanso zakudya zochepa zimayambitsa vutoli. Maphunziro olimbitsa thupi, zakudya zamakono, kuchepa kwa zinthu ndi mavitamini, zingayambitse mavuto okhudzana ndi kusamba. Matenda opatsirana pogonana amatsogolera ku zotupa, zomwe, popanda chithandizo, posakhalitsa zimakhala zosapitirira. Kuledzeretsa kwa thupi, komwe kumagwiritsidwa ntchito mowa, nicotine ndi mankhwala osokoneza bongo, kumasokoneza ntchito yoyang'anira ubongo, ndipo mosakayikira kumayambitsa kuswa kwa msambo.
Pofuna kubwezeretsa kugwira ntchito kwabwino kwa msambo, m'pofunika kudziwa zomwe zimayambitsa zenizeni ndikuyamba kuchokera kwa iwo kuti ayambe kumwa mankhwala.
Pofuna kudziwa kuti pali kuswa kwa msambo, pali ma laboratory ndi njira zothandizira. Kutumiza kwa magazi kufika pamimba ya mahomoni a chiwerewere aakazi, ultrasound ya ziwalo zouma, kudziwa momwe ziwalo za thupi zimagwirira ntchito, dziko la endometrium, ndi gawo la chitukuko cha follicles. Kuwombera, kuti atenge kafukufuku wake wa maselo a endometrial. Mafilimu a ubongo, kuchotsa kupezeka kwa zotupa za pituitary kapena hypothalamus. Mankhwala amasiku ano amaperekanso "hysterosalpinography" njira, momwe chojambulira chapadera chimayambira mu chiberekero cha uterine, ndipo chizoloŵezi cha ma falsipian tubes, makulidwe a endometrium, amawonetsedwa pazowunikira. Kuchiza, koikidwa ndi dokotala, kumadalira m'badwo wa wodwalayo, mawonekedwe a matenda ndi zifukwa zomwe zinayambitsa chitukuko chake. Nthawi zambiri chithandizo chachikulu ndi mankhwala a mahomoni. Pambuyo pa mankhwala oyamba ndi mahomoni, kafukufuku wachiwiri amachitidwa. Kawirikawiri, mankhwala amodzi a ma hormone ndi okwanira kuti ntchito za thupi lachikazi zizigwira ntchito moyenera, ngati mankhwalawo alibe mphamvu, mankhwala ndi mahomoni akubwerezedwa. Vitaminotherapy, chithandizo cha kuchepa kwachitsulo m'thupi ndi mankhwala a zitsamba zimagwiritsidwanso ntchito pochiza msinkhu wosasamba.
Ngati msinkhu wa msambo, pali zolakwa ndi mavuto, amafunikira kulankhulana ndi amayi azimayi, chifukwa kuyendera mwamsanga kwa dokotala kungachititse kuti chitukuko cha matenda osabereka komanso matenda ena oopsa a mimba akwaniritsidwe.