Isu tose tinoziva mamiriro ezvinhu apo zvishuvo zvedu hazvina kufanana nezvatinokwanisa. Nezvo zviri nyore kuyananisa, kana iri mubvunzo wezvinhu zvepfuma. Asi kana zvasvika pakubereka vana, zvinetso zvekuberekwa zvinokonzera kushungurudzika mupfungwa mupfungwa, uye kuonekwa kwe "kusununguka" kunoita semutsara. Kazhinji kacho, varume nevadzimai vanotambura kusakwana kwechipiri chechipiri. Chii chinokonzera mazwi aya? Chii chinonzi infertility? Ikushaya vana 2 degrees of treatment?
Urongwa hwekushaya vana
Vanachiremba vanoparadzanisa kusununguka muzvidzidzo nepamusoro, zvakakwana uye zvakaenzana. Infertility 1 degree (primary) zvinoreva kuti murume kana mukadzi haana kumbokwanisa kuve nemwana, kurarama hupenyu hwepabonde nguva dzose nevamwe vakasiyana. Pamusoro pekushaya ruzivo rwemadhigirii maviri (yechipiri) zvinonzi, panguva yehupenyu hwemukadzi kamwechete kamwe paive nepamuviri (hazvina basa kana akapedza nekuberekwa kana kwete), uye murume wacho anogona kamwechete kubata mwana. Panguva imwecheteyo, vane matambudziko nekuberekwa. Kusiyana nemafungiro akapararira pamusoro pechiratidzo che "kusabereka 3 (4 nevamwe) degree" mukurapa hahupo.
Kuongororwa kwe "kusagadzikana zvachose" kunoitwa kana murwere ane hutachiwana kana akawana zvirwere zvisingaenderani nemimba, somuenzaniso, kusavapo kwenhengo dzepabonde. Nekusagadzikana kwepedyo, izvo zvinokonzera matambudziko nemimba zvinoraramira muzvirwere zvekuberekwa, kana mukusava nemunhu wemukomana.
Chii chinotungamirira kukusafa?
Chikonzero chinowanzoitika chekushaya vana 2 degrees, zvose mumadzimai nevarume, zvinetso zvehomoni. Panguva imwecheteyo, chirongwa chekutsvaga kwemasero epabonde chikavhiringidzika, chisingafadzi pakuberekwa uye pamuviri, kuchinja kunowanikwa munhengo dzinobereka. Infertility uye thyroid zvinobatanidzwawo, kana kuti, pane kukanganisa mubasa rake: zvose hyper-and hypothyroidism yejeni yeganda inotungamirira kusakona kwehomoni.
Madzimai, kusununguka kwechipiri kunowanzoitika mushure mokubvisa pamuviri uye kubatana kwechirwere. Kuguma kwekudzivirira kwekuita pamuviri munhanho dzakawanda kunotungamirira kukurudzirwa kwezvirwere zvinoputika zvechibereko uye zvikamu zvaro, kusanganisira endometriosis uye, pakupedzisira, kusagadzikana.
Zvimwe zvinokonzera kusabereka kwevakadzikadzi kwechipiri chechipiri zvinogona kuva:
- kunonoka mukubereka kubva pamakore (mushure memakore makumi matatu);
- ectopic pamuviri uye masimba;
- kugadziriswa kwemawere ane tambo;
- uterine myoma;
- polycystic ovary;
- yapfuura simba rakaoma;
- kunonoka kumwedzi, kuvhara kwekushaya zvokudya zvinovaka muviri;
- autoimmune diseases;
- kushushikana uye kusagadzikana.
Infertility 2 digiri muvarume vanoitika nekuda kwezvikonzero zvinotevera:
- kushungurudzika uye zvirwere (kusanganisira zvinotapukira) zvenhengo dzomuviri;
- kemikemikari kana kusvibiswa kwemhepo;
- kutora mamwe mishonga (antibiotics, mahomoni);
- miitiro yakaipa (kusvuta, doro, zvinodhaka);
- zvinhu zvinokuvadza kushanda, mamiriro ezvinhu akaipa ekupoteredza;
- mararamiro asina kukwana, kusagadzikana kwezvokudya;
- kuora mwoyo, kuora mwoyo.
Secondary infertility - nzira yekurapa sei?
Usati watanga kurapwa kwechipiri kuberekwa, zvakakosha kusimbisa chikonzero chechirwere. Kuti vaite izvi, vose vakaroorana vanotora miedzo uye vanoongororwa. Sezvo wakagamuchira ruzivo pamusoro pemamiriro ezvinhu ehomoni uye maitiro ekuberekwa kwevarwere, chiremba anorayira kurapwa kwomumwe munhu. Vose vakaroorana vanokurudzirwa kuti vaite tsika yekudya, kushanda nekuzorora, kudzivisa mupfungwa mupfungwa, kusiya tsika dzakaipa. Nekushaya simba kwechirwere chiremba achanyora nezvekugadzirira kwekusimudzira maitiro ehomoni.
Zvine migumisiro yakaipa yepermogram, kuora kwehuta kuvakadzi, kusagadzikana kwematope kunoshandiswa kuisa insemination (kuiswa kwebonde zvakananga mumuviri), IVF, ICSI. Uye nehutachiwana hwakakomba uye kupera kwezvinyorwa zvekuvhara mahara, vanachiremba vanoratidza kushandisa mapurogiramu ekupa.