Izizathu zokungabikho kwindoda kungabikho ukuphulwa kwe-spermatogenesis, ngenxa yesifo esibangeleyo, ukuxhatshazwa, izifo ezithathelwanayo ebuntwaneni (ikakhulukazi ama-mumps), ukusulelwa kwe-urogenital (i-gonorrhea), ubukho be-cryptorchidism, varicocele, nokuxiliswa kotywala okanye i-agent agents. Kubaluleke kakhulu ekuphuhlisweni kokungabikho kwindoda kwintsholongwane ye-herpes simplex kunye nosulelo lwe-chlamydial, apho isityalo singakwazi ukuthwala intsholongwane kumalungu omzimba wesini. Ukungabikho kwesifo kubangelwa nezifo ezikhubazayo zesibindi, izintso, imiphunga, isifo se-endocrine (isifo sikashukela, isifo se-Itenko-Cushing).
Ngamanye amaxesha ukungabikho kwengqondo kubakho ngenxa yesondlo senkosikazi kumntu othile wesilisa.
Kwimeko apho kukho utshintsho kwi-spermogram, umntu udluliselwa kwi-sexopathologist okanye i-andrologist.
Ukuba zonke iiparameter ze-spermogram ziqhelekile, ngoko uviwo lomfazi luqala.
Izizathu ezibalulekileyo zokungabikho kwamabhinqa kuba:
- Ukuphulwa kwe-ovogenesis nokungabikho kwe-ovulation - 35-40%;
- Imiba yombhobho -20-30%;
- Izifo zamalungu omzimba - 15-25%;
- Izizathu ze-immunological - 2%.
Ukuxilongwa kweentombi zokungabikho kwamabhinqa, okokuqala, ekuqokelelweni olufanelekileyo lwe-anamnesis (ubudala, ubugcisa, impembelelo yezinto ezinobungozi kwimveliso, izifo ezithintekayo, imikhwa emibi). Ukucwangcisa ngokukhawuleza izimo zobomi bezesondo zobomi, umsebenzi wokuzala abantwana, oko kuthetha ukuba ukungabikho komntwana kubangelwa ukuba kusetyenziswe i-infantilism, kwaye isibini isiphumo sokudluliswa kweenkqubo.
Ngokuphindaphindiweyo, imbangela yabantwana abangabantwana abangenasifo se-infertility zezifo eziphethwe yi-ovogenesis engenokukhubazeka kunye nenkqubo yokukhupha i-ovulation. Ukungabikho kokuchaphazeleka kunokuchaphazela abafazi ngeendlela ezahlukeneyo ze-hyperpolaktinemia, hyperandrogenism kunye ne-polycystic ovary syndrome. Inani elikhulu leemeko zokungabikho kwengxaki kubangelwa ukuphulwa komsebenzi we-endocrine wama-ovari, ngaphezu koko, ezi ngxaki zingabini eziziiprayimari nezesekondari, umphumo wokugqithisa. Kwii-ovari, iinkqubo ze-cyclic ziphazamiseka, ukuhlanjululwa okanye ukunciphisa ukukhula komfuyo ngesigaba esingaphansi kwesigxina kwenzeka. Ngenxa yokungabikho kwemvelaphi ye-endocrine, imvelaphi yokuhamba kwimizi idlalwa rhoqo: i-amenorrhea - ukuphela kokungena kwenyanga, i-hypomenstrual syndrome - ukukhutshwa ngexesha lokuhamba kwexeshana kwaye kuncinci ukuphuma kwamanzi.
Izimbangela ze-peritoneal infertility ziinkqubo zokunamathela kwi-pelvis encinci, ebangela ukuhluthwa kwezibhulo ngelixa begcina ubuchule babo. I-tubal yokungabikho kwengqondo ngenxa yeengxaki ze-anatomiki kunye nokusebenza kwii-tublopian tubes.
Ukuvalwa kwemibhobho ye-fallopian ngokuphindaphindiweyo kwenzeka emva kwe-gonorrheal salpingitis, nangona ingaba yiphumo lenkqubo yokuvuvukala. Iinkqubo ezivuthayo zingabangela ukuba kubekho ukukhutshwa kwe-tubal kuphela, kodwa kunye neenguqu ezinokuguqulwa kwindonga, ukuphulwa kwe-peristalsis ye-tube. Kubaluleke kakhulu ekuveleni kokungabikho kokukhulelwa komzimba, kubangelwa ukuba kubangele iinkqubo zokuvuvukala kwi-membrane ye-uterus ngeentsholongwane ezilandelayo ezikhusela ukufakelwa kweqanda.
Kwakhona, ukungabikho kwengqondo kunokwenzeka ngenxa yokuvuvukala kwe-cervix uteri-endocervicitis. Ithintela ukuqhubela phambili kwe-spermatozoa kwisigxina se-uterine.
Uhlobo lokungabikho komzimba olubangelwa ngumzimba lubangelwa ukuvela kwama-antibodies antisperm kwindoda okanye ibhinqa, akunqabile. Ubuninzi be-2% phakathi kwazo zonke iintlobo zokungabikho. Phakathi kwazo zonke izibini ezinezizathu ezingabonakaliyo zokungapheli, ukuhlolwa okulandelayo kwengu-20-25% kutyhila i-antibodies ukuya kwidoda. Ngokuqhelekileyo i-antitispermanye antibodies yenziwe ngamadoda kunabesifazane. Isizathu sale nto sinokuba yi-vasectomy, umonakalo we-testicular kwi-orchites, ukulimala, ukusulelwa kwesifo somzimba. Ngalolu hlobo lokungabikho komntwana, indlela eyona ndlela iphumelelayo i-intrauterine insemination.
Ininzi yabasetyhini abangenabantwana abanenkathazo ehlukahlukeneyo yeengqondo zengqondo: ukuvakalelwa, ukungabi nantoni, ukulindela kwesinye ixesha ukuya kwimihla kunye neemeko ezinobungozi ekuqaleni kwayo. Ubunzima beempawu zibizwa ngokuthi "ukulinda ukukhulelwa kwesifo". Inkxalabo enkulu kumtshato wesibini esitshatileyo kuyimfuno yokuhlola kunye nokuphunyezwa ngokugqithisileyo kweengcebiso zogqirha kunye nesingqimba sobomi bezesondo, inkcazo yexesha lokuvuthwa kwindoda ebhinqa eneemvavanyo zokusebenza kunye nokusetyenziswa kwexesha elithile lokukhulelwa. Ngamanye amaxesha isicelo esinyanisekileyo sowesifazane ngokusondelana ngamaxesha athile kunokukhokelela ekuhlulekeni kokusebenza komntu kunye nezinye izinto ezingenzi kakuhle. Ingakumbi ngokuchaphazelekayo iyichaphazela imeko yokuxilongwa kwamathambo okudalwa kwezilwanyana. Ezi ndaba zikhokelela ekungaphelelweni ngaphezu kwesigamu samadoda, kwaye ukuphindaphinda kwesimo salo kuxhomekeke ekuphenduleni komlingane.
Kwimfazi, imfuneko yokuthobela ubomi besondo kwimiphumo yokuvavanya ukuxilongwa komsebenzi nayo yimeko exinzelelekileyo, engagcini nje kuphela ingqondo yeengqondo, kodwa kunye neenxalenye zesiganeko sokuzalwa, ikakhulukazi izigulane zokuziphatha. I-spasm yabo, i-antiperistaltic inokuvela, eyona iphulaphula ukungahambi kakuhle kweeseli zesini nangona zidlula kwii-tubes. Ngoko ke, ngamanye amaxesha umnqweno omkhulu womfazi wokukhulelwa uba ngutshaba lwakhe. Amaninzi amaninzi achazwe xa ukukhulelwa okude kulindeleke kwenzeka emva kokuba ibhinqa ithe yagqiba ukuyeka ngokupheleleyo unyango, yayeka ukulinganisa ukushisa okusemgangathweni kunye nokubeka iliso ixesha lokulinda. Oku kwenzekayo xa isibini esitshatileyo silahlekelwa yithemba kubantwana babo kwaye sithatha umntwana.