Kukho izizathu ezininzi zokusweleka kwabantwana, phakathi kwazo:
• ukungabikho kwe-ovulation (ukukhululwa kwe-ovum ukusuka kwi-ovary);
• ukuphulwa kwendlu yeqanda kwi-tube fallopian (fallopian), ngenxa yoko akunakwenzeka ukuhlangabezana nesilwanyana sesilwanyana;
• Impembelelo enobudlova yesikhumba sombeleko wesifazane kwindoda yomlingani;
• ukuphulwa kwenkqubo yokufakelwa kweqanda elichumayo eludongeni lwesisu.
Ukungalingani kweHormonal
Ukukhubazeka kwe-ovulation kukuxanduva malunga neyesithathu kuzo zonke iimeko zokungabikho kwabantwana abasetyhini. Ngokuqhelekileyo le nkinga ibangelwa ukuveliswa okwaneleyo kwamahomoni ama-hormone - i-follicle stimulating (FGP kunye neLuteinizing (LH)) elawula umjikelezo wesini kunye nenkqubo yokwenza i-ovulation. Ukungalingani kwe-hormonal kungabonakalisa ingxaki ye-hypothalam elawula ukuveliswa kwama-hormone, okanye i-pituitary gland ejongene nokukhululwa kwayo Kwi-pathology yemvelaphi ye-hormonal, abasetyhini banqunywe i-hormone yonyango endaweni okanye ezinye iziyobisi eziphumelelayo ukungabikho komntwana, umzekelo, i-clomif I-chorionic gonadotropin drug (hCG) isetyenziselwa ukukhuthaza i-ovulation, ebangela ukuba i-ovulation ibe ngaphezu kwe-90% yamatyala, kodwa ngenxa yezizathu ezingaziwa.
I-Pathology of ovulation
Kukho ezinye ezininzi izizathu ezibangela ukuphulwa kwe-ovulation kubasetyhini. Ezi ziquka:
• uxinzelelo olude;
• ukulahlekelwa kwesisindo esiphezulu (umzekelo, i-anorexia);
• ukukhuluphala;
• Utywala kunye nokusetyenziswa kakubi kweziyobisi.
Ukongezelela, ukuchithwa kwamaseli eqanda kumfazi ngenxa yokulimala kwe-ovari ngexesha lotyando (umzekelo, ukususwa kwe-cysts), umonakalo we-radiation (emva kwe-radiotherapy), okanye ngenxa yesigxina sokuziyeka komzimba - okanye umzimba. Ukuba isigulane asikwazi ukuvelisa amaqanda akhe, indlela yokuphela yindlela yokusetyenziswa kobuchwepheshe bokuzala bokuncedisa.
I-pathology yomzimba kunye nomlomo wesibeleko
Ukufakelwa kweqanda elichumayo kwi-membrane ye-uterus inokuthi ikhutshwe ngobungqina be-noma - isisu esinobunzima se-muscular layer of wall uterine. Ukungabi nantoni kunokubangela kunye neemeko ezivela kumlomo wesibeleko (umlomo wesibeleko). Kwezinye iimeko, inani elingekhoyo le-mucus liyabonakala kwinqanawa yomlomo wesibeleko, kwezinye - ukwanda kwe-viscosity; kwaye zombini zinzima kakhulu ukuhamba kweeseli zesini zesini kunye nomsele wentsholongwane. Ukuze ukuchumisa kwenzeke, iqanda kufuneka likwazi ukuhamba ngokukhululekile ngokusebenzisa ityhubhu ye-uterine ukuya kwi-uterine cavity.
Ukuqandwa kwamathambo e-fallopian kunokukhula ngezizathu ezahlukeneyo:
• isiphene sokuzalwa;
• Ukunamathela kunye nokutsala emva kokuhlinzwa;
• izifo ezifana ne-salpingitis kunye nezifo zokuhamba emva kwesithuba;
Izifo ezithathelwana ngesondo, ukukhulelwa kwe-ectopic kwimbali;
• i-endometritis;
• Izifo ezivuthayo ezithombeni zeplavic.
Iyona nto ibangela umonakalo kwizibilini ze-fallopian ukuvuvukala kwimizimba ye-pelvic-isifo esithathelwanayo se-ovaries, i-fallopian tubes kunye nesisu, esinokuba sisigxina okanye esingapheliyo. Igosa eliqhelekileyo le-causative lesi sifo yi-parasite uClamydia trachomatis. Ukubuyiselwa kobuchwephesha bee-tublopian tubes zenziwa ngoncedo lwezobuchwepheshe zobuchwepheshe okanye uphando lwala laser. Ukuba umfazi akakwazi ukukhulelwa ngexesha elithile, isifundo seklinikhi kunye nelabhoratri senziwa ukuxilonga imbangela yokungasebenzi.
Uvavanyo lokuvuthwa
Indlela elula kakhulu kunye nechanekileyo yokuqinisekisa i-ovulation yindlela yokuvavanya inkqubo ekhethekileyo eyenza ukwanda kwinqanaba le-hormone yokucwangcisa kumchamo nje ngaphambi kokuvutha. Uvavanyo luqhutywa rhoqo imihla ngemihla kwiintsuku ezingama-2-3 ngaphambi kokubalwa okuphakathi komjikelezo wesini.
Uvavanyo lwe-Ultrasound
Ukutshekisha kwe-Ultrasound kusetyenziselwa ukuchonga isimo se-ovari, kwakunye nokubeka iliso utshintsho kwi-follicle ye-ovari ngaphambi kokuba kuqhutywe i-ovulation.