Zvimwe Zvinokonzera Kusikana Kusafa

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Chii Chinokonzera Mukadzi Chifeve?

Pakati pe10 ne15% yehutano huchava nekushaya simba. Izvi zvinoreva kuti havazove nemimba shure kwegore rimwe chete rokuedza. Pakati pemhuri idzi dzisingabereki, anenge chikamu chimwe chete muzvitatu achawana zvinetso zvekuberekera kumativi edzimai, mumwe wechitatu achawana dambudziko kumunhu, uye vamwe vose vachawana matambudziko kumativi maviri kana kuti vachawana kuongororwa kwekusadudzira kusina kutsanangurwa.

Chii chinokonzera kusununguka kwevakadzi?

Muchirevo chakareruka, kusununguka kwevakadzi kunoitika apo imwe kana zvimwe zvinotevera zvinowanikwa ...

• Chimwe chinopera zvisina kunaka nekunyora
• Chimwe chinhu chinodzivisa mazai nehuta kubva musangano
• Chimwe chinhu chinodzivirira hutano hwakanaka kubva pakusikwa (Izvi zvinogona kukonzerwa nezvinetso kune rumwe rutivi.)
• Chimwe chinhu chinodzivirira kuiswa zvakanaka kwemukati

Ndezvipi zvinogona kuita kuti zvinetso izvi zvigone kubereka? Matambudziko akawanda, mamiriro ezvinhu, nemamiriro ezvinhu.

Hezvino 8 zvikonzero zvinokonzera kusabereka kwevakadzi, pamwe chete nezviratidzo zvavo zvakajairika, kuti dzinobata sei kubereka, nekusarudzwa kwekuita kurapa.

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Polycystic Ovarian Syndrome (PCOS)

Iwe unogona kunge wakanzwa nezve polycystic ovarian syndrome (PCOS.) PCOS ndiyo inowanzokonzera kusununguka kwevakadzi uye inokanganisa inofungidzirwa 8% yevakadzi.

Vakadzi vane PCOS vanogona kuva nepamusoro pemasero ehurumende, uye "mahomoni" evanhu. Izvi zvinogona kutungamirira kumatambudziko nemakwenzi uye zvisingadiwi vhudzi kukura.

Vakawanda asi kwete vese vakadzi vane PCOS vanorwa nesimba ravo. Vanogona kuonekwa kuti vane insulini yekudzivirira.

Pamusoro pe-ultrasound kubvunzurudzwa, mavha mavari evakadzi neCPOS angaratidza zviduku zveparesi-seyimbi dze cysts.

• Zvaunofanira Kuziva Pamusoro pePOSP

Zviratidzo zvinowanzoonekwa : kusina nguva kana kusipo kwekuenda kumwedzi, chigunwe, ganda rehuori, kusagadzikana kwebvudzi kukura, uye kuneta.

Kuti PCOS inokonzera sei zvinetso zvekubereka : PCOS inokonzera kusagadzikana kwehutano. Vamwe vakadzi vane PCOS havazombotauri. Kusaruramisa kweHormonal kunowedzerawo njodzi yekuparara.

Kurapa kwakarongeka : Vazhinji vakadzi vane PCOS vachabatwa nemishonga yekutanga yekuita zvinodhaka seClomid kana Femera (letrozole.) Kana izvi zvisingabudiriri, zvinodhaka zvakanyanya zvekuberekwa segonadotropin zvinogona kuedzwa zvakare.

Kana pasina imwe yeiyi inoshanda, IVF inogona kuedzwa zvakare.

Kana insulini ichiramba ichipo, kurapwa nechirwere cheshuga chinonzi metformin chinogona kukurudzirwa kusati kwaitwa kurapwa nemishonga inobereka.

Upenyu huri kurumbidza hunogona kusanganisira kushaya kurasikirwa, kugara uchirovedza muviri, uye kudya kwekudya.

• Nzira Yokuwana Sei Mucheche neCPOS

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Endometriosis

Inofungidzirwa kuti 1 mu10 vakadzi vanotambura ne endometriosis. Nokuti kuongororwa kwakaoma - hakugone kuonekwa neine kuongororwa ropa kana ultrasound - vakadzi vakawanda vanotambura vakanyarara.

Kuti unzwisise endometriosis, unofanira kuziva kuti endometrium chii. The endometrium ndiyo mhuka inokonzera chibereko. Inokura uye inokura kumwedzi kwega kwega, yekugadzirira chibereko chemukati.

Kana mimba isingaitiki, endometrium inoputsika, ichisiya muviri wako nekuenda kumwedzi.

Endometriosis ndiyo apo endometrium inokura kunze kwechibereko. (Izvi hazvifanirwe kuitika.) Vanogona kuumba pedyo nemashizha uye fallopian tubes, zvakakomberedza urinary uye mumatumbo, uye kunyange, zvisingawanzoitiki, mumapapu.

Izvo zvakagadziriswa pamagetsi zvinogona kukonzera marwadzo nekushaya.

Zviratidzo zvinowanzozivikanwa : kuenda kumwedzi kunorwadza, kurwadziwa kwepachivande kwete panguva yekuenda kumwedzi, uye kurwadziwa panguva yekuzvidzivirira uye / kana kunyura, kunyanya munguva yako.

Zvisinei, vamwe vakadzi havana kumbova nezviratidzo zvakajeka zve endometriosis . Chiratidzo choga chimwe chinhu chakashata chinogona kunge chisingaiti.

Izvozvo zvinopedzisira sei kukonzera zvinetso zvekubereka : endometrial deposits inogona kudzivirira mazai kubva pakusvika kumatope. Endometriosis inogonawo kukonzera zvinetso nehuvhu, kunyanya kana mapurostro emakemikari akaumbwa pamashizha.

Kunyangwe kana fallopian tubes yakajeka uye kuvharidzira kuri kuitika, kuputika kunokonzerwa ne endometriosis kunogona kukanganisa kuiswa kweutano hwemuviri. Hazvisi zvose maererano neendometriosis uye kubereka zvinonzwisiswa.

• Zvaunoda Kuziva Nezve Endometriosis
• Quiz: Uri pangozi ye Endometriosis here?

Kurapa kwakajairika : kurapwa zvishoma kunobva pakuve kwakanyanya kwe endometriosis. (Nenzira, kurwadziwa hakusi kujekesa kwekutsungirira. Iwe unogona kuva nekuguma kwemometometriosis nemarwadzo anotyisa, kana endometriosis yakasimba isina urombo hweplavic zvachose.)

Kugadziriswa kushandiswa kwemajoni endometrial kunogona kukurudzirwa kusati kubatwa kurapa kunoitika.

Kana pane zvinetso nehovulation, zvinodhaka zvinogona kuedzwa. Kana hutachiona huchidzivirirwa, mushonga weVIV unogona kudiwa.

Upenyu hunochinja sekudya uye kuita zvekurovedza zvinogona kukurudzirwa kuti ubatsire kutsungirira kurwadziwa, asi kune uchapupu hushoma huno huchabatsira pakuberekwa.

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Kusvibiswa Kwemakore-Nekuda

Hakusi zvikonzero zvose zvekushaya vana chirwere kana chirwere chisina kusimba. Utano hwakwegura ndechimwe chikonzero chinokonzera kusununguka kwevakadzi.

Kunyange zvazvo vose varume nevakadzi vakaderedza kubereka sezvavanenge vava kukwegura, uku kuderera kunowedzera kune vakadzi.

Zviratidzo zvinowanzoonekwa : kusununguka kwezera kwezera-kare hakune zviratidzo zvakajeka.

Izvo zvinokonzerwa nokusangana nekushaya simba zvinotanga kuwedzera zvakanyanya gore negore zvichibva pazera remakore makumi matatu uye zvinotonyanya kuziviswa pashure pemakumi mana.

Vamwe vakadzi vachave nezviratidzo, izvo zvinosanganisira kuchinja kumwedzi (kubuda ropa kunowedzera kuchena), kusinganzwisisiki maitiro, uye kuomeswa kwemadzimai (kuderera kwekervical mucus).

Inguva yakadini inokonzera matambudziko ekubereka : kunyange iwe uri kuhuvhuta, hutano hwehusi hunoderera paunenge wava nemakore. Ichi ndicho chikonzero vakadzi vane makore makumi maviri nematatu vari pangozi yakakura yokuva nekupererwa pamuviri kana kuva nemwana ane chirwere chinonzi genetic disorder.

Vamwe vakadzi vachabva vachinzwa kuvhiringidzika kusina kukwana, pamwe nekuderera kwehutano hweii.

• Ndezvipi Zvakaoma Kuwana Musikana Mushure me 35?

Kurapa kwakajairika : izvi zvakasiyana zvikuru. Vamwe vakadzi vachakwanisa kubata nemubatsiro wemishonga yakaderera seClomid. Vamwe vachatsvaga mishonga yakakura yekubereka uye zvichida kunyange IVF.

Chinovhiringidza chikuru chekusununguka kunoberekwa nezera ndechekuti kubereka zvinodhaka hazvisi kubudirira.

Semuenzaniso, apo IVF kubudirira kwemitengo yevheji yemakore makumi mapfumbamwe nemakumi matatu nemasere ndeye 38%, kubudirira kwehuwandu hwemakore anosvika makumi mana nemakore makumi mashanu chete chete.

• Ndezvipi Zvinyorwa Zvokubudirira zveVIV?

Izvi zvinokonzerwa nekuderedza mazai evhaan . Vamwe vakadzi vachadikanwa neii kana mubereki wemukomana kuti ave nemimba.

• 7 Zvinhu Zvaunoda Kuziva Kana Uri Kuedza Kuziva Pashure 35

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Thyroid Dysfunction

Utachiona hutano hunokosha hwegadziriro ye endocrine. Inowanikwa pamberi pehuro uye pamusoro pekorlarbone yako, chirwere chetrojeni chinoshandisa iodine kuti ibudise mahomoni ane utachiona. Aya mahomoni anoronga simba uye simba rekugadzira muviri mukati momuviri.

Hypothyroidism iyo apo chirwere chetachiona hachikwanisi kuburitsa zvakakwana mahomoni aya. Hyperthyroidism (inonyanya kukonzerwa nechimwe chinozivikanwa seCheves 'Disease) ndiyo apo gland rinokurudzira mahomoni echitendero.

Kunyange zvazvo chirwere chetachiona hachisi chikamu chekubereka, mahomoni ayo anoronga anogona kuva nemigumisiro yekubereka kwako.

Zviratidzo zvinowanzoonekwa : kune hypothyroidism, kuneta, kuwedzera kuwanda, kunowanzova kunotonhora, uye kuora mwoyo kune zviratidzo zvakajairika.

Mu hyperthyroidism, kushungurudzika, kutonhora nyore nyore, kuneta, kusuruvara, uye kurasikirwa kwemazuva ose kunogona kuitika.

• Zviratidzo zveTyroid Disorder

Vakadzi vane chirwere chetachiona vangangodaro vasina nguva.

Maitiro ehutachiona hunokonzera zvinetso zvekubereka : kana iwe une chando chetachiona kana kuti chisina kupindira, zvimwe mamiriro ezvinhu anogona kutungamirira kuhutano husina kunaka. Izvi zvinogona kukonzera dambudziko nekuzvitora.

Vaya vane matambudziko ehutachiona asina kutongerwawo vari pangozi yakanyanya yekuparara kwepamuviri uye kutadza kunoberekwa (kana vakawana pamuviri.)

Vakadzi vane utachiona husina kunaka vanogona kuvawo mungozi yakawanda yekuve nezvimwe zvirwere zvinobereka, kunyanya endometriosis.

Kurapa kwakananga : chero bedzi pasina humwe humwe hutano hwekubereka, kuongororwa, uye kurapwa kwehutano hwetachiona huchagadzirisa kufamba kwemwedzi kune vakadzi vazhinji.

Mushure mokunge mahomoni avo ari kutongerwa, vanogona kukwanisa kuzvitora ivo voga.

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Kuwedzera muviri

Kuwedzera muviri kunowanzoita kuti vanhu vasakwanisa kuzvidzivirira muvarume nevakadzi.

Maererano neAmerican Society of Reproductive Medicine, 6% yevakadzi vane chirwere chekushaya rubatsiro rwekutanga vanogona kutora mimba nekuda kwekuneta.

Mune zvimwe zviitiko, kuneta kunokonzerwa nekusaenzana kwehomoni. Semuenzaniso, zvose zvePCOS (kunyanya ne insulin kudzivisa) uye hypothyroidism zvinogona kutungamirira kumatambudziko ekuremera.

Zviratidzo zvinowanzoonekwa : kusinganzwisisiki kwemazuva, nguva refu dzisina kujairika, uye kubuda kunorema mukati memwedzi kunogona kuitika. Vamwe vakadzi vanogona kunge vachienda kumwedzi. Vamwe vakadzi vanozoonawo vhudzi risina kuchena.

Kuninipisa kunokonzera zvinetso zvekubereka : mafuta masero anobata basa mumutemo wehomoni. Kana pane masero akawanda emafuta, muviri unobereka isrogen yakawandisa.

Izvi zvinokonzera kubereka kwehutano. Zvakawanda zve estrogen zvinogona kuratidza kuti kubereka kunogadzirisa, zvichiita kuti matambudziko ekuvhenekera.

Kuvhiringidza kusina kukodzera kana kuvhara kunoita kuti mimba ive yakaoma mumadzimai akaoma.

• Chikonzero nei Zvinhu Zvako Zvokurema Kana Uri Kuedza Kuziva

Kurapa kwakajairika : kuora muviri kuburikidza nokudya uye kurovedza muviri inobatsira kurapa kwehupombwe hune simba.

Vanopfuura makumi manomwe kubva muzana vevakadzi vakanyanya kutapudza vanoita kuti uremu hwavo huve hutano hwakanaka huchazvimirira pachavo pasina hutano hwekubereka.

Kana pane kusaenzana kwehomoni kunokonzera kuwandisa kwekuremera kana kuita kuwanda kwakakwana kunorema zvakaoma, izvi zvinofanira kutarisirwa kutanga. Kana zvisina kudaro, chirongwa chekurasikirwa chinorema chingave chisingabudiriri kana zvakaoma zvikuru kuti zvibudirire.

Kana pane dzimwe dambudziko rekubereka, kuora kwekurema hakugone kukwana. Muchiitiko ichi, mishonga yekubereka inogonawo kudiwa.

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Kutanga kuitika Ovarian Insufficiency (Kusapera kweOvarian isati yatanga)

Kutanga kusati kwamboita mavharesi (POI) apo apo huwandu uye hutano hwemazai mumapapiro evhayasi zvakanyanya kusati zvasati zvava nemakore makumi mana. Zvinowanikwa mune zvisingasviki 1% zvevakadzi.

POI dzimwe nguva kunonzi kusakonzera kusina nguva (POF).

Iine POI, mazai ega ega haafaniri kupindura mishonga inobereka inokurudzira ovulation. Izvi zvinoita kuti zvive zvakaoma mamiriro ekurapa.

Zvimwe zvinoita zvinokonzera POI zvinosanganisira:

• Congenital kana mamiriro ezvinhu (seFragile X)
• Kuipa kwekuputira kune mavha mavari
• Toxin exposure (kufanana nekubva chemotherapy)
• Hazvizivikanwi - izvi ndezvechokwadi kune vazhinji vezviitiko

POI inoratidzika kuti inomhanya mumhuri. Kana mai vako kana mbuya vaine iyo, iwe uri pangozi.

POI inoratidzika seyo inobatanidza nedambudziko rimwe rega rega, kusanganisira utachiona husingaiti.

Zviratidzo zvizhinji zvinowanzoonekwa : nguva dzisiri kana dzisina nguva, kuoma kwemadzimai, kupisa kunopisa, kufungidzira kwepfungwa, nekushaya hope.

Vamwe vakadzi vane POI havaoni zviratidzo kunze kwekushaya vana.

Izvo zvinokonzera kukanganisa zvinokonzera matambudziko okubereka : huwandu uye huwandu hwemazai huri pasi. Vangasave vari kuputika zvachose, kana kuvhara kunogona kuve kusinganzwisisiki. Kana kuvharidzira kuchiitika, hutano hweii hunogona kuva hurombo. Izvi zvinoderedza zvinetso zvekuberekwa.

Vakadzi vane POI havasi ivo vashoma chete vanogona kuzvitora ivo pachavo, ivo vanowanzosangana nekukundikana kurapa kubereka.

• Mazai eOvarian: Chii Chaicho uye Chaizvo Chaizvo Chinoreva

Kurapa kwakajairika : kurapa kunoenderana nekuoma kwemamiriro acho. Mumamiriro ezvinhu akaoma, mishonga yekubereka, uye kurapwa kweVIV kunogona kubatsira mukadzi kuti ave nemimba.

Hazvibviri kuti vakadzi vane POI vape pamuviri mazai avo. Anofungidzirwa kuti 10% yevakadzi vachabata pamuviri kana pasina rubatsiro rwekuita zvinodhaka.

Nezvo zvakati, vakadzi vazhinji vane POI vanoda dhi kana mubereki wemukomana.

8 -

Kutanga Kupera / Kutanga Kuenda Kumwedzi

Kuenda kumwedzi kwepakutanga ndiko kwokuti kusvikorora kunoitika musati wava nemakore makumi mana.

Izvo zvakafanana asi asi hazvifananidzi nekusati kwasvika nguva isingawaniki (POI). Uine POI, iwe unogona kunge uchizora, uye pamuviri nemazai ako angave achigoneka.

Nenguva isati yapera, kuvhara kwapera kwapera. Iwe haugone kuzvitora iwe pachako kana ne mazai ako.

Kunyanya kuenda kumwedzi kunotanga kumhanya mumhuri. Inogonawo kuitika mushure mekurapa (semakemotherapy) kana kuvhiyiwa (sezvinoitwa pakubviswa kwekuvhara mazai.)

Mamwe mazamu uye zvirwere zvinotapukira zvinogona kutungamirira kumangwanani ekutanga kuenda kumwedzi.

Zviratidzo zvinowanzoonekwa : kusipo kwekuenda kumwedzi kwemwedzi inenge gumi nembiri, kupisa kunopisa, kuomeswa kwemadzimai, kufunganya kwemafungiro, uye kurara.

Kunyanya kunonoka kuenda kumwedzi kunokonzera zvinetso zvekubereka : vakadzi munguva yekumuka kwemwedzi havakwanisi kuvhara zvachose. Saka, havakwanisi kutora mazai avo.

Kurapa kwakapararira: IVF neii kana mubereki wemukomana ndiyo chete inorapwa.

Mishonga yemishonga haigone kushandiswa kuita kuti mazai mushure mekunge apera.

9 -

Hyperprolactinemia

Hyperprolactinemia inowanzozivikanwa asi inonyanya kuzivikanwa chikonzero chekusagadzikana kwevamwe mumadzimai.

Maererano neAmerican Society of Reproductive Medicine, 1 muvatatu vakadzi vane nguva dzisina kukwana asiwo dzimwe nhengo dzakanaka dzehutano dzine hyperprolactinemia.

Prolactin inonzi hormone inokura mazamu uye inobatsira kubereka mukaka wemvere. Prolactin mazinga akakura zvakanyanya panguva yekuzvitakura nekuyamwisa.

Hyperprolactinemia iyo apo maitiro eprolactin akakwirira, asi mukadzi haana pamuviri kana kunwisa.

(Cherechedzai: Varume vanogonawo kuwana hyperprolactinemia, uye inogona kukonzera kusagadzikana kwevarume .)

Zviratidzo zvinowanzoonekwa : kusvibiswa kwemasvike kubva kumazamu, kusina nguva kana kusipo nguva, zvepabonde zvinorwadza nekuda kwekudzika kwemadzimai, kusada kubvudzira bvudzi, uye acne.

Vamwe vakadzi vachava nemusoro kana maonero ekuona. Vamwe vakadzi havana zviratidzo zvakajeka.

Iko hyperprolactinemia inokonzera zvinetso zvekubereka : kazhinji, prolactin inosunungurwa paunenge uri nepamuviri kana kunyamwa.

Kunze kwekubatsira kubereka mukaka wemuviri, kukwirira kweprolactin kunopedza kubereka. Nenzira iyi, apo iwe unenge wakamwisa mukomana, iwe hauna kunyanya kubata nemwana.

(Kuzvidzivirira kwemazuva ekuenda kumwedzi panguva yekuyamwisa kunozivikanwa se lactational amenorrhea.)

Ne hyperprolactinemia, urongwa hwekubereka huri kubviswa pasina chikonzero chakanaka. Kuvhunga kunenge kusina kumira kana kumira zvachose, uye izvi zvinokonzera kusununguka.

Kurapa kwakajairika : kurapa kunoenderana nechikonzero che hyperprolactinemia.

Mishonga bromocriptine uye cabergoline ndiyo inowanzoshandiswa kuderedza mapuroteni eprolactin uye kudzorera nguva dzose.

Mimwe mishonga inogona kukonzera hyperprolactinemia. Kana iyi iri mamiriro ako, chiremba wako angakubvisa iwe kunetseka kwemishonga.

Vamwe vakadzi vanotora hyperprolactinemia nemhaka yehutano hwehutano. Kurapa utachiona hwehutachiona hunofanira kuderedza mapuroteni emuprolactin.

• 17 Zvingasarudzwa zveHercital Treatment

_Sources:

_{G. William Bates, MD Asina Kunaka Muviri Weight: Chimwe Chinhu Chinodzivirirwa Chekushaya Infertility. https://www.asrm.org/Abnormal_Body_Weight/}

_{Hyperthyroidism. MedlinePlus. https://www.nlm.nih.gov/medlineplus/hyperthyroidism.html}

_{Hypothyroidism. MedlinePlus. https://www.nlm.nih.gov/medlineplus/ency/article/000353.htm}

_{Hypothyroidism. MayoClinic. http://www.mayoclinic.org/diseases-conditions/female-infertility/expert-answers/hypothyroidism-and-infertility/faq-20058311}

_{Hyperprolactinemia (high prolactin levels). Chokwadi Sheet. ReproductiveFacts.org. https://www.asrm.org/FACTSHEET_Hyperprolactinemia_Prolactin_Excess/}

_{Krassas GE1, Poppe K, Glinoer D. "Basa reKiroid uye utano hwehupenyu hwevanhu." Endocr Rev. 2010 Oct; 31 (5): 702-55. doi: 10.1210 / er.2009-0041. Epub 2010 Jun 23. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2007.02752.x/full}

_{Kuenda kumwedzi: Kutanga Kusvika / Kutanga Kusvika Kumwedzi. WomensHealth.gov. http://womenshealth.gov/menopause/early-premature-menopause/}

_{Kupera kusina Ovarian Kusakwanisa. MedlinePlus. https://www.nlm.nih.gov/medlineplus/prematureovarianfailure.html}

_{Kutadza kusati kwatanga Ovarian (POF). American Society of Reproductive Medicine. https://www.asrm.org/FACTSHEET_Premature_Ovarian_Failure/}

_{Prolactinoma: Zvirwere uye Zviitiko. MayoClinic.org. http://www.mayoclinic.org/diseases-conditions/prolactinoma/basics/symptoms/con-20028094}

_{Priya DM1, Akhtar N1, Ahmad J2. "Kuwanda kwe hypothyroidism mumadzimai asina simba uye kuongororwa kwemaitiro ekurapa kwe hypothyroidism pakushaya simba." Indian J Endocrinol Metab. 2015 Jul-Aug; 19 (4): 504-6. doi: 10.4103 / 2230-8210.159058. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3657979/}

_{Yuk JS1, Park EJ, Seo YS, Kim HJ, Kwon SY, Paka WI. "Matenda Eguva Akabatana neEndometriosis: Chidzidzo cheMakore 3-Chidzidzo cheChikamu-Chikamu." Medicine (Baltimore). 2016 Mar; 95 (10): e2975. doi: 10.1097 / MD.0000000000002975. https://www.ncbi.nlm.nih.gov/pubmed/26962803}