Infertility kutadza kwevaviri kuita mwana. Tinotaura nezvekushaya mbereko kana kubereka apo vakaroorana vanogara pabonde uye vasingashandisi nzira dzokudzivirira kubata pamuviri vakakundikana kuita vana kwerinenge gore (kana kuti mwedzi mitanhatu kana mukadzi ava nemakore anopfuura 35).

Kuti mukadzi ave nepamuviri, mutsara wezviitiko unodiwa. Muviri wake, uye kunyanya maovari ake, anofanira kutanga aburitsa sero, irooocyte, iyo inofamba ichienda kuchibereko. Ikoko, pamberi pembeu, kubereka kunogona kuitika. Urume hunogona kurarama kwemaawa makumi manomwe nemaviri muchibereko chemukadzi uye zai rinofanirwa kusangana mukati memaawa makumi maviri nemana ekuzvara. Kutevera kusanganiswa kwemasero maviri aya, zai rinoumbwa uye rozoiswa muchibereko, umo rinozokwanisa kukura.

Kushaya mbereko kunogona kunetsa kune vakaroorana vanoda kuva vabereki asi vasingakwanise kudaro. Kusagona uku kunogona kuva nako migumisiro yepfungwa zvinokosha.

Kune akawanda marapirwo ekushaya mbereko anogona kuwedzera zvakanyanya mikana yevaviri yekuve vabereki.

Kuwanda

Kusabereka kwakanyanya zvakajairika sezvo zvaizonetsa pakati pe10% kusvika 15% yevakaroorana. Saka CDC (Centers for Disease Control and Prevention) Vanhu vekuAmerica vanosimbisa kuti anenge 1 pavakadzi gumi anganetseka kubata pamuviri. 10 kusvika 80% yevakadzi vanobata pamuviri mukati megore rimwe uye 90% mukati memakore maviri.

MuCanada, maererano neCanadian Infertility Awareness Association (ACSI), anoda kusvika 1 muvatanhatu vakaroorana haaizobudirira kubata mwana mu6.^makore gore rekumisa kubata pamuviri kwese.

MuFrance, maererano ne2003 national perinatal survey uye 2007-2008 epidemiological observatory yembereko, anoda kusvika 1 muvashanu vakaroorana angakanganiswa nekushaya mbereko mushure memwedzi gumi nemiviri pasina kudzivirira kubata pamuviri. Maererano neongororo yakaitwa, 5% yevakadzi vakabata pamuviri vachiri 12^ermwedzi isina kudzivirira kubata pamuviri uye 32%, kupfuura mwedzi mitanhatu gare gare (kusanganisira 6% mushure memwedzi gumi nemaviri uye 18% mushure memwedzi makumi maviri nemana)³.

Kunyange hazvo data iri kushaikwa, zvinoratidza kuti madzimai akawanda ari kunetsekana nekubata pamuviri uye kuti vari kutorawo nguva yakareba. Zvakatipoteredza kana kutapukira zvinogona kukonzera shanduko iyi. Overweight inosarudzwawo. Unofanirawo kuziva kuti mbereko inodzikira nezera. Zvino, vakadzi vakamirira 1 wavo^er mwana gare gare uye gare gare, izvo zvinogonawo kutsanangura kuti sei matambudziko ekushaya mbereko achiwanda.

Zvinokonzera

Zvinokonzeresa kushaya mbereko zvakasiyana-siyana uye zvinogona kubata varume, vakadzi kana vese vadiwa. Muchikamu chetatu chezviitiko, kushaya mbereko kunobata murume chete, mune chimwe chetatu kune mukadzi chete uye pakupedzisira, mune chetatu chasara, zvine chekuita nezvese.

Muvanhu

Kushaya mbereko kwemurume kunonyanya kukonzerwa nekugadzirwa kushoma (oligospermia) kana kusavapo zvachose (azoospermia) kwembeu mumbeu. Azospermia inogona kunge iri nekuda kwekushaikwa kwekugadzirwa muma testes kana kuvharika kwema ducts anoita kuti urume hufambe. The sperm inogona zvakare kuve isina kuumbwa (teratospermia) kana immobile (asthenospermia). Urume hunobva hwatadza kusvika paoocyte ndokupinda mairi. Munhu anogonawo kutambura kubvacumshots mangwanani. Anogona kuzobuditsa urume pakunakidzwa kudiki, kazhinji kunyangwe asati apinza mumwe wake. Dyspareunia (kurwadza kwepabonde kuvakadzi) kunogonawo kudzivirira kupinda. Kana zva'ejaculation dzorerazve, urume hunoendeswa kutundira kwete kunze. Zvimwe zvezvakatipoteredza, sekusangana nemishonga yezvipembenene kana kupisa kwakanyanya mumasaunas neJacuzzis, zvinogona kuderedza kubereka nekukanganisa kugadzirwa kwembeu. Matambudziko mazhinji akadai sekufutisa, kunwa doro zvakanyanya kana fodya zvinotadzisa murume kubereka. Chekupedzisira, mamwe marapirwo ekurwisa cancer senge chemotherapy uye radiotherapy dzimwe nguva anodzikamisa kugadzirwa kwesperm.

Mune vakadzi

Zvikonzero zvekushaya mbereko zvakare zvakawanda. Vamwe vakadzi vanogona kutambura kubvaovulation abnormalities. Ovulation inogona kunge isipo (anovulation) kana yehurombo. Nezvisizvo izvi, hapana oocyte inogadzirwa uye saka kubereka hakugone kuitika. The fallopian mhango, iyo iri pakati pema ovaries nechibereko uye inobvumira embryo kuti iende mu uterine cavity, inogona kuvharika (somuenzaniso, kana chiitiko salpingite, kuzvimba kwemachubhu kana dambudziko rekunamatira mushure mekuvhiyiwa). Mukadzi anogona kunge aine endometriosis, uterine fibroma kana polycystic ovary syndrome, iyo kusaenzana kwehomoni kunokonzera kuti cysts ioneke pamaovari uye inoratidzwa nekusarongeka kwenguva uye sterility. Mishonga, yakadai semishonga yegomarara, inogona kukonzera kushaya mbereko. Zvinetso zvethyroid uye hyperprolactinemia zvinogonawo kuve nemhosva. Uku kuwedzera kwehuwandu hweprolactin, hormone iripo panguva yekuyamwisa, inogona kukanganisa ovulation.

Kuongororwa

Muchiitiko chekushaya mbereko, zvakakosha kuedza kutsvaga chikonzero chayo. Miedzo yakasiyana-siyana inopiwa inogona kuva yakareba. Vanamazvikokota vanotanga nekutarisa mamiriro ese ehutano hwevaviri; vanotaurawo nezveupenyu hwavo hwepabonde. Muchinenge chikamu chimwe muzvitatu chezviitiko, kushaya mbereko kwevaviri kunoramba kusingatsananguriki.

Le Huhner bvunzo bvunzo inofanira kuitwa maawa mashoma mushure mekuita zvepabonde. Inotarisa kunaka kwe cervical mucus, chinhu chinogadzirwa nechibereko chinoita kuti urume hufambe zvakanaka uye husvike kuchibereko.

Muvanhu, imwe yezvidzidzo zvekutanga ndeyekuongorora zvinyorwa zveurume: nhamba ye spermatozoa, kufamba kwavo, kutaridzika kwayo, kukanganisa kwayo, nezvimwewo. Tiri kutaura nezvazvo. spermogram. Kana zvisizvo zvikaonekwa, ultrasound yenhengo dzakavandika kana karyotype inogona kukumbirwa. Vanachiremba vanoongororawo kana kubuda urume kuri normal. Kuongororwa kweHormonal, sekuedzwa kwe testosterone, kubva mumuenzaniso weropa kunowanzoitwa.

Mumadzimai, kushanda kwakakodzera kwenhengo dzekubereka kunotariswa. Chiremba anovawo nechokwadi chokuti kuenda kumwedzi kwakakwana. Kuongororwa ropa kutarisa huwandu hwehomoni huripo hunogona kuve nechokwadi chekuti mukadzi ari kubuda zvakanaka. A hysterosalpingography inobvumira kutaridzika kwakanaka kweuterine cavity uye fallopian tubes. Ongororo iyi inobvumira, nekuda kwejekiseni rechigadzirwa chakasiyana, kuona chero kuvharika mumachubhu. A laparoscopy, kuvhiyiwa kunoratidzira mukati medumbu uye naizvozvo mavhavha, fallopian tubes uye chibereko, zvinogona kurongerwa kana kushaya mbereko kuchifungidzirwa. Inogona kubatsira kuona endometriosis. A pelvic ultrasound inogona zvakare kuona kusagadzikana kwechibereko, machubhu kana mazai. Kuongororwa kweGenetic kungave kuri madikanwa kuti uone kwakabva genetic yekushaya mbereko.