Le nkqubo ilawula ukusebenza ngokuqhelekileyo kwe-uterus nama-ovari. Kwi-hypothalamus, kwenziwa izinto ezikhethekileyo ezifake i-pituitary gland kwaye zenze i-hormone synthesis synthesis. Ngokuphuma kwegazi, bafikelela kuma-ovari, apho ukuveliswa kwe-hormone yesondo kuqala - i-progesterone, i-estrogen kunye nxalenye encinci ye-androgens, eyenza inkqubo yokulungiselela i-uterus kunye nama-ovari okuchumisa. Kule ndlela yolawulo oluyinkimbinkimbi, ukungaphumeleli kunokwenzeka, okukhokelela ekuphuleni komjikelezo wesini. Isizathu esinokuba sisifo se-hormonal esenzeka emzimbeni wowesifazane, ukungabikho kwe-vitamin, izifo ezithathelwanayo, iintlungu ezahlukahlukeneyo zengqondo. Ukugqithiswa komjikelezo wesini kwintombazana kudla ngokudibana nokusetyenziswa kwezidlo ezahlukileyo. Ekusukelekeni kwesibalo esincinci, amantombazana azifumana kwisimo sokutya esiqhelekileyo, izithintelo ezininzi zokutya zithintela umzimba onobaluleke kakhulu kwiivithamini kunye nezinto ezilandelelanayo, ezikhokelela ekungabikho kwemisebenzi kunye nokuphulwa komjikelezo wesini. I-15% yexabiso lokulahlekelwa kwexabiso lingakhokelela ekupheleni kokuphela kwesimo.
Iimpawu zininzi okanye zinqabile kakhulu ukuya esikhathini, isisigxina somjikelezo, ukuhamba kwakhe, ukuhamba kunye nentlungu enzima, ukubambezeleka kwimihla. Umjikelezo wesini unokutshintshwa iintsuku eziliqela. Ubude obuncinane bomjikelezo lunemihla engama-21, ubuninzi beentsuku ezingama-33. Ukuba kukho ukulibaziseka kweeveki ezingaphezu kwe-2, ke le ngqungquthela kwiyeza kuthiwa yi-oligoovulation (i-ovulation engavamile). Ukufika ngokukhawuleza kwenyanga rhoqo kwakhona kukuphulwa komjikelezo wesini. Ukuba ibhinqa elihamba rhoqo ngokuya esikhathini liya kwandula okanye linciphise iintsuku zokujikeleza, le ngxaki enkulu kwaye kuyimfuneko ukuba iphendule kwi-gynecologist.
Izizathu zokubangela ukuba intombazana ibe nezitenxo kwisigidi sokuya esikhathini kunokungafani. Isizathu esona siqhelekileyo sisifo kunye nezifo ezahlukahlukeneyo zesitho seplavic. Ngoko ke, okokuqala, intombazana ejongene nokuphulwa komjikelo kufuneka ihlolwe kwaye ivivinywe ukuba kukho i-agent (chlamydia, mycoplasma, kunye ne-uroplasm). Ukuba ingxaki yokwephulwa komjikelo iyancitshiswa ukuya kubakho bentsholongwane, kwaye unyango olusesikweni lokulwa novulo luya kunceda ukulahla le ngxaki. Ukutshintsha imvelaphi ye-hormones kumzimba wowesifazane kunokukhokelela ekusebenziseni izinto ezahlukeneyo kumsebenzi wezitho zeplavic. Okokuqala, i-hormone ihlolwe, ihlolwe ukuba ngaba kukho nayiphi na utshintsho kwimisebenzi ye-adrenal gland, i-thyroid gland iphandwa - ngokuqhelekileyo, ngenxa yokunciphisa umsebenzi wayo okanye ngokuphambeneyo, umsebenzi ophezulu ungabangela iingxaki kwisantya sokuya esikhathini. Izifo ezishiyiweyo, ezinjenge-rubella kunye nenkukhu, zingathintela ukuphuhliswa kwezintlupheko kwii-ovari, ukuphulwa okunjalo kwimijikelezo yokuya esikhathini, kuvele kususela kumjikelezo wokuqala wokuqala kwexesha. Ngokuqhelekileyo amantombazana akayikuqwalasela le ngxaki, kwaye le ngxaki ifunyaniswa kamva. Iingcinezelo ezinamandla kunye neemeko ezixinzelelekileyo zingathintela ukungasebenzi kweenkqubo zesini zesini. Inendima ebalulekileyo ekuphuhliseni iziphazamiso zomjikelezo udlalwa yindlalifa, ukuba le ngxaki ibhekene neengxaki kubantwana besifazane kumgca womama, kunokwenzeka ukuba lilifa layo. Ukutshintsha imeko zemozulu, kunokubangela ukuphulwa komjikelezo wesini. Uqeqesho olunzulu kunye nokutya okunqongopheleyo kunokubangela ukuhluleka komjikelezo. Uqeqesho olunzulu lwama-regimens, ukutya okuphantsi kweekhalori, ukungabikho kwezinto kunye nevithamini, kunokukhokelela kwiingxaki ezinxulumene nokuya esikhathini. Izifo ezithunyelwa ngokwesini zikhokelela kwiinkqubo ezivuthayo, ezithi, ngaphandle kwonyango, kungekudala ziba zihlala zingapheliyo. Ukuxiliswa komzimba, okuxhamla nokusetyenziswa kotywala, i-nicotine kunye nezinto ezidakayo, kuphazamisa umsebenzi olawulayo wengqondo, kwaye ngokuqinisekileyo kukhokelela ekuphuleni komjikelezo wesini.
Ukubuyisela ukusebenza ngokuqhelekileyo kokuya esikhathini, kuyimfuneko ukuchonga izizathu zayo eziyinyaniso kwaye uqale kuzo ukuqala unyango.
Ukuze uhlolisise ukuphulwa komjikelezo wesini, kukho iindlela zelabhoratri kunye nezixhobo. Ukunikezelwa kwegazi ukuya kwinqanaba lama-hormone eesini zesini, i-ultrasound yeenxalenye ze-pelvic, ukuchonga isimo se-genitourinary organ, isimo se-endometrium, kunye nesigaba sophuhliso lwee-follicles. Ukucoca, ngenjongo yokuthatha uviwo lweengcali ze-endometrial. Iingcamango zengqondo, ukukhupha ubukho beentlungu ze-pituitary okanye i-hypothalamus. Iyeza zanamhlanje zinikeza inkqubo "ye-hysterosalpinography", apho umgangatho ocacileyo olwahlukileyo usungulwa kwisigxina se-uterine, kwaye ubuchule beembalo ze-fallopian, ubukhulu be-endometrium, buboniswa kwi-monitor. Unyango, oqeshwe ngugqirha, kuxhomekeke kwiminyaka yesigulane, uhlobo lwesifo kunye nezizathu ezibangela ukuphuhliswa kwayo. Uninzi lwamaxesha amaninzi unyango oluphambili lonyango lwe-hormone. Emva kwekhosi yokuqala yokunyanga ngama hormone, uviwo lwesibini lwenziwe. Ngokuqhelekileyo, unyango olulodwa lwe-hormone lwanele ukuba imisebenzi yomzimba wesetyhini iya kusebenza njengoko kufanelekile, ukuba unyango alunayo impembelelo, unyango kunye nama-hormone luphindaphindiwe. I-Vitaminotherapy, unyango lwe-anemia kunye neyeza zonyango zisetyenziselwa ukunyangwa kweenxeba.
Ukuba umjikelezo wesisombululo wentombazana, kukho ukuphulwa kunye neengxaki, kufuneka ukuba uthathethwano kunye nomgulane wezilwanyana, ekubeni ukutyelela ngokungalindelekanga ugqirha kunokukhokelela ekuphuhliseni ukungabikho kwempilo kunye nezinye izifo ezinzulu zesifo somzimba.