Kwemakore akawanda achimirira pamuviri, nokukurumidza kana kuti gare gare, vakaroorana vanotanga kuongororwa kwekushaya vana. Chimwe chezvinhu zvinodzivisa kubata pamuviri ndechokushaya kushanda mubasa remaovha. Kuongororwa kwe- multifollicular ovaries haisi chirwere, asi ikozvino mamiriro ezvinhu apo hapana yevamwe mapundu follicles akambokura achiita. Muchiitiko ichi, chiremba anoratidza kukurudzira kuvhara.
Multifollicular kuchinja mune mavha mavari
Multifollicular mazai maiva nemaitiro emashizha, umo mune kuwedzera kumwecheteko munenge ma 7 follicles (a sac umo mazai anobva). Iyi nhamba yekuwedzera ndeyekugara uye haina kudzivirira kubata pamuviri. Asi kana kuchinja kuitika mumashizha e-ovari - kuwedzera kune 12 follicles panguva imwechete - shanduro yakawanda inokura kuva mazamu mashizha, uye chii-mhinduro dzinotaura ivo pachavo. Iko kupesana kwekuenda kumwedzi, kuneta uye kunyange kuputika kwemakumbo pachiso. Pakusvibiswa kwakadaro kunokosha kupa zvidzidzo, zvakasarudzwa nachiremba uye kuenda kune imwe nzira yekurapwa.
Multifollicular ovaries uye ovulation
Kukurudzira ovulation muhutano hwakawanda hwemavha mavari, avo vakaroorana vanozoongorora miedzo inobatsira: ultrasound yemakumbo emakumbo, maitiro e fallopian tubes uye kugamuchirwa kwechiremba kuti akwanise kutakura fetus. Zvadaro vanopfuura miedzo: HIV, syphilis, hepatitis B uye C, smear uye smear oncocytology (mukadzi chete anopa mukati).
Uye mushure mekunge pane zvese uye zvose zvinopfuurira, gynecologist inogadza nzira yekukurudzira kuputika kwemazii akawanda. Chii ichi?
Mitemo yekukurudzira:
- Medicamentous. Zvose izvi miedzo uye miedzo, yataitaura pamusoro apa. Pachikonzero chezvinhu zvose izvi, chiremba anoita mhedziso pamusoro penzira yekushandiswa kweii (IVF kana nenzira yakasikwa). Uyewo mishonga inodiwa inorayirwa (Klostilbegit kana Puregon).
- Zvinoreva vanhu. Kubvuma kwemishonga yemishonga (boron uterus, mashizha ebvuku tsvuku uye masikati).
- Zvakanaka uye kunyanya mavhithamini akangwarira nyora. Vadhakwa zvose panguva yekukurudzira uye, kunyanya kukosha, panguva yekuzvitakura.
Kukurudzirwa kweiiiiiiiiiiiiiiii mazai einoitwa nenzira inotevera:
- Kukura kwe follicles kunoongororwa. Panguva ino, tora Klostilbegit. Uyewo ita yekutanga ye-ultrasound.
- Itai jekiseni reHCG. Inodiwa kuchengeta follicle kukura muhukuru uye huwandu.
- Mushure maro, ovulation inotanga. Pakarepo chiremba anorayira progesterone kuti achengetedze muviri wejasi wemashizha.
Kana sechikonzero chezviito izvi kunoitika kuvhara, mukadzi anowana mukana wekuita pamuviri mukutanga.