Zvinotaridza sekuti zvese zvinhu zvakarongeka zvine hutano, kune mumwe wako futi, uye kuchine imwe bhande pabvunzo. Nezve izvo zvingave zvakakodzerwa, anodaro mukwikwidzi wezvekurapa sainzi, mubatanidzi purofesa weyakazvimirira endocrinology kuDhipatimendi reEndocrinology, FUV Moscow Regional Research Clinical Institute. MF Vladimirsky (MONIKI), endocrinologist Irena Ilovaiskaya.
Avhareji zera remukadzi weRussia anova amai kekutanga arikuramba achiwedzera uye akatodarika iwo makore makumi maviri nematanhatu. Izvi zvinoenderana nechishuwo chekusimbisa mamiriro emari uye kuvaka basa. Asi ikozvino dzidzo yakagamuchirwa, pane basa rakanaka uye rakatsiga, shamwari yehupenyu yakavimbika iri padyo, yakagadzirira kugovana mufaro wekuva mubereki, asi nhumbu yaunoda haina kuuya. Uye ichi chikonzero chekubata wako endocrinologist uye umubvunze angangoita mashanu akakosha mibvunzo.
1. Ko tsika dzakaipa, kunyanya kuputa, zvinokanganisa mukana wekutora nhumbu here?
Maiwe, iyi haisi ngano, asi inyaya yekurapa. Kuputa fodya chinhu chine simba mukukanganisa kubereka: chiitiko chekushaya mbereko pakati pevakadzi vanosvuta chakakwirira zvakanyanya kupfuura kune vasingasvuti, nepo gumi muzana yevakadzi vezera rekubereka munyika medu vanosvuta. Pasi pesimba reicicine, kubereka kwemukadzi kunoderera, uye kuchembera kwemazai kunowedzera. Nemudzanga wega wega uchipfungairwa, mikana yekubata nhumbu yakabudirira uye mikana yekumira kwekutanga kuenda kumwedzi ichiwedzera. Kana iwe uchiri kubudirira kuve nepamuviri, saka matambudziko anogona kunge atove panguva yekuzvitakura. Uye zvakare, mwana anogona kuzvarwa asina simba, aine boka rezvakatsauka zvakasiyana izvo zvinogara naye kweupenyu hwese.
"Mukadzi ari kuronga kuita nhumbu anofanira kurega kusvuta inokwana 3-4 mwedzi, uye zvinokwanisika gore risati ratarisirwa kubata pamuviri," anodaro endocrinologist Irena Ilovaiskaya.
2. Handina matambudziko ehutano, ndinorarama hupenyu hune hutano, asi nhumbu haiitike neimwe nzira. Kugara uchinetsekana pabasa kungakanganisa kubereka zvakanyanya here?
Vakadzi vemazuvano vanokoshesa kubereka kwemhedzisiro yehupenyu hwakabatikana, kuita kwakanyanya uye kushushikana kubasa. Mumamiriro ezvinhu akadaro, muviri pachawo, uyo uri kurwira kupona, unodzima ese ese mabasa, kusanganisira kubereka. Izvo zvinoitika zve "nguva yehondo amenorrhea" inozivikanwa - kukundikana kwekuenda kumwedzi kana kusavapo kwakakwana kwekuenda kumwedzi nekuda kwekutyisa kwakanyanya, kushanda nesimba, kudya kwakashata uye kushushikana kunogara kuripo. Ikozvino, zvakadaro, chazove chimiro chenguva yerunyararo zvakare.
"Tiri kuramba tichisangana nekushushikana kwekushaya mbereko - kana pasina matambudziko ehutano, asi nhumbu haina kuitika. Uye zvinowanzoitika seizvi: nekukurumidza kana vaviri vakamira kuzvinetsa nekunetseka, kubvunzana navanachiremba uye bvunzo, vanomira "kuyedza" uye, semuenzaniso, vanoenda kuzororo kuti vazvipe ivo mukana wekufema wakadzikama, zvese zvinoshanda! Naizvozvo, kune vakadzi vasina matambudziko ehutano, asi vasingakwanise kubata nhumbu, tinokurudzira kugadzirisa mararamiro avo - kudzivisa mitambo yakawandisa uye mitoro yebasa, kufamba zvakanyanya, kuyemura zvakasikwa, kutamba nevana vadiki - "tune" muviri wavo kuti ubate pamuviri uye zvinotevera kuva amai, ”anodaro Irena Ilovaiskaya.
3. Zvichida zvakakodzera kuti uongororwe zvakadzama musati wabata pamuviri?
“Ini handisi mutsigiri wekunyorera vanhu vane hutano hwakanaka vasina hunhu husina kutsarukana kana hutachiona hwezvirwere, pasina zvichemo, bvunzo dzakadzama. Mumamiriro ezvinhu akadaro, hunhu hwemunhu hunowanzoratidzwa - ivo pachavo havasi dambudziko kana chirwere, asi chokwadi chekuonekwa kwavo chinogona kukonzera kusagadzikana kusiri iko uye kukonzeresa mamwe matambudziko epfungwa kana murwere akagadziriswa hutano, ”anosimbisa Irena Ilovaiskaya.
Kana mukadzi akasarudza kuve amai, anofanira kutanga ashanyira gynecologist. Achagadzira algorithm yekuongorora uye nekurudzira vanachiremba nyanzvi: unofanirwa kushanyira endocrinologist, cardiologist, allergist, uye kupasa kumwe kuyedzwa. Kubva pamhedzisiro yeiyo yakaunganidzwa anamnesis, iwe ungatofanira kutaura neye geneticist nevamwe vanyanzvi. Zvakanakisisa pane zvese, kana ramangwana baba vemwana vakaita bvunzo dzekurapa zvakafanana, chiremba anozonyora runyorwa rwake rweyedzo uye nyanzvi.
4. Ndivanaani vangangove vabereki vanofanirwa kutanga kunetsekana nekusakwanisa kuva nevana?
Kana vese vabereki-kuve-vane hutano uye vane hupenyu hwekuita bonde vasina kubata pamuviri, vanachiremba vanoona nguva yakadai segore rekarenda. Iwe haufanire kuvhunduka mune ino mamiriro, pamwe, "nyeredzi hadzisati dzaumba", asi zvakadaro, mushure megore rekuyedza kubata mwana mukushayikwa kwezviri pachena zvekurapa matambudziko, zvakakodzera kuti uwedzere kuongororwa. Zvichida kune latent endocrinological kusagadzikana.
“Nhasi itsika yekumbomisa kuitwa kwehurongwa hwekubereka, zvisinei, vanhu vakuru, nguva inotora kuti ubate nhumbu zvinobudirira. Pakati pemakore makumi maviri nemakumi matatu, mukana wepamuviri mukati megore re "kuyedza" i20 muzana, uyezve inodonha kusvika ku30 muzana. Chiitiko chakakosha - makore makumi matatu nemashanu ekuberekwa: kubereka kunodzikira zvakanyanya, kwete mumadzimai chete, asi nevarume, uye mukana wekusagadzikana kwemajini mumwana unowedzerawo. Naizvozvo vabereki venguva yemberi pazera rino vanokurudzirwa kuti vaone chiremba mushure memwedzi mitanhatu, kuti vasapedze nguva yakakosha, ”anopa zano Irena Ilovaiskaya.
5. Iko kuvapo kwezvirwere zveendocrine kunokanganisa hutano hwekubereka here?
Endocrine kushaya mbereko ndechimwe chezvinhu zvakanyanya kukonzera kushaya mbereko kwevakadzi. Endocrine zvinhu zvinogona kukonzera kusagadzikana kwehomoni, semuenzaniso, kuwedzerwa kugadzirwa kweprolactin negland pituitary kunotungamira mukukanganisa kwehurongwa hwekubereka, uye kukanganisika kwekuenda kumwedzi kunogona kuitika. Nekudaro, kana kuenda kumwedzi kukaitika kanopfuura kamwe chete mazuva makumi matatu nemasere kusvika makumi mana, ipapo pane chikonzero chakakomba chekuongororwa kwehomoni. Semuenzaniso, unogona kupa ropa kuti uone huwandu hweprolactin.
“Endocrine zvinhu zvinoratidzwa zvakare mukutyora ovulation. Kana, zvinoenderana nezvakabuda mukuongororwa, mukadzi ane ovulation isingawanzo kana kuti asipo zvachose, chiremba achapa bvunzo yakakodzera, zvinoenderana nemhedzisiro yekusarudzika kwemumwe munhu. Nekuda kweizvozvo, ovulation inongoitika ichadzoreredzwa kana inogona kusimudzirwa. Kurapa kwakadai kunogona kutora kubva pamwedzi yakati wandei kusvika pagore, asi mhedzisiro - mwana akamirira akamirirwa kwenguva yakareba - akakosha nguva uye simba rakashandiswa, ”Irena Ilovaiskaya ane chokwadi.