1 -
Mene ne ke haifar da rashin amfani da mata?Daga tsakanin 10 zuwa 15% na ma'aurata zasu fuskanci rashin haihuwa. Wannan yana nufin ba za suyi aiki ba bayan akalla shekara guda na gwaji. Daga cikin waɗannan ma'aurata, marar kashi ɗaya bisa uku zasu gano matsalolin haihuwa a kan matar, wani na uku zai sami matsala a gefen mutum, kuma sauran zasu sami matsala a bangarorin biyu ko kuma samun samo asali na rashin haihuwa.
Mene ne ke haifar da rashin haihuwa?
A mafi sauƙi na sharudda, macewar haihuwa tana faruwa a yayin da daya ko fiye daga cikin wadannan ke faruwa ...
- Wani abu ba daidai ba ne da kwayar halitta
- Wani abu ya hana yarin da sperm daga gamuwa
- Wani abu ya hana daukar ciki mai kyau daga halitta (Wannan zai iya haifar da matsala a kowane gefe.)
- Wani abu ya hana yin gyaran kafa mai kyau na amfrayo
Menene zai iya haifar da matsalolin haihuwa na haihuwa? Da yawa cututtuka, yanayi, da kuma yanayi.
A nan akwai matsaloli 8 na rashin haihuwa, tare da mafi yawan cututtuka da suka fi sani, yadda suke tasiri amfanin ciki, da kuma yadda za a iya samun magani.
2 -
Polycystic Ovarian Ciwo (PCOS)Kwanan ka ji labarin cutar ciwon magunguna na polycystic (PCOS.) PCOS wata sanadiyar matsalar rashin haihuwa ce ta mace kuma tana rinjayar kimanin kashi 8% na mata.
Mata da PCOS na iya zama mafi girma fiye da al'ada na al'ada da kuma hormones "namiji". Wannan zai iya haifar da matsaloli tare da kuraje da kuma rashin gashin gashi maras so.
Mutane da yawa amma ba dukan mata da PCOS ke gwagwarmaya da nauyin su ba. Ana iya bincikar su tare da gwajin insulin.
Bayan binciken jarrabawa, ovaries mata da PCOS na iya nuna nau'i-nau'i masu tsinkaye na kystes.
Mafi yawan alamun bayyanar cututtuka : wanda bai dace ba ko rashin haɗuwa da haɗari, ƙwayar cuta, fata mai laushi, ciwon haɓaka mai haɗari, da kiba.
Yadda PCOS ke haifar da matsalolin haihuwa : PCOS yana haifar da jima'i. Wasu mata da PCOS ba za suyi koyi ba. Ƙasar rashin daidaituwa ta haɓaka kuma tana ƙara haɗarin rashin haɗuwa.
Magance na yau da kullum : Mafi yawan mata da PCOS za a bi da su tare da magungunan ƙwayoyi na farko kamar Clomid ko Femera (letrozole.) Idan wannan ba ya ci nasara ba, za'a iya gwada magungunan ƙwayoyi irin su gonadotropins gaba.
Idan babu ɗayan waɗannan ayyuka, IVF za'a iya gwadawa gaba.
Idan har yanzu insulin resistance ba shi da kyau, za a iya ba da shawarar yin maganin magungunan miyagun ƙwayoyi ta metformin kafin magani tare da kwayoyin haihuwa.
Bayanan shawarwari na gida zasu iya haɗawa da asarar nauyi, motsa jiki na yau da kullum, da kuma canjin abinci.
3 -
EndometriosisAn kiyasta cewa 1 cikin 10 mata suna shan wahala daga endometriosis. Saboda ganewar asali yana da rikitarwa - ba za'a iya gano shi tare da gwajin jini mai sauƙi ba ko duban dan tayi - mata da yawa suna fama da shi.
Don fahimtar endometriosis, kana buƙatar sanin abin da endometrium yake. Endometrium shine nama wanda ya sanya cikin mahaifa. Yana yalwatawa kuma yana tsiro kowace juyi, yana shirya cikin mahaifa don amfrayo.
Idan ciki bai faru ba, ƙarsometrium ya rushe, barin jikinka ta hanyar haila.
Endometriosis shine lokacin da endometrium ke tsiro a waje da mahaifa. (Wannan ba zai taba faruwa ba). Suna iya zama kusa da ovaries da tubes na fallopian, a kusa da sashin urinary da gastrointestinal, har ma, a cikin lokuta masu wuya, a cikin huhu.
Ƙididdigar endometrial na iya haifar da zafi da rashin haihuwa.
Mafi yawan bayyanar cututtuka : cututtuka mai zafi mai zafi, jin zafi ba tare da lokacin haila ba, da kuma ciwo a lokacin raunin da / ko urination, musamman ma a lokacinka.
Duk da haka, wasu mata basu da wata alamar bayyanar endometriosis . Alamar daya kawai wani abu ba daidai ba ne na iya zama rashin haihuwa.
Ta yaya endometriosis zai haifar da matsaloli na haihuwa : adibasan endometrial zai hana kwayar daga samun jigilar fallopian. Endometriosis kuma zai iya haifar da matsaloli tare da kwayar halitta, musamman idan lambun endometrial ya zama a kan ovaries.
Ko da yake ana iya ganin tubes na fallopian kuma an yi amfani da kwayoyin halitta, ƙonewa da lalacewa ta hanyar endometriosis na iya tsoma baki tare da gina jiki na amfrayo. Ba kome ba game da endometriosis da haihuwa.
- Abin da Kayi Bukatar Sanin Endometriosis
- Tambaya: Shin kuna da Hadarin don Endometriosis?
Magance na yau da kullum : magani a wani bangare ya dogara ne akan yadda mai tsanani shine endometriosis. (A hanyar, zafi ba shine mai cikakken hangen nesa ba. Zaka iya samun mummunan cutometriosis tare da mummunan ciwo, ko mummunan cutometriosis ba tare da jin zafi ba.)
Za a iya ba da izinin cirewa na ƙarancin endometrial kafin a yi amfani da maganin haihuwa.
Idan akwai matsalolin kwayar cutar, za'a iya gwada kwayoyi masu amfani da takin gargajiya . Idan an katange shafunan fallopian, ana iya buƙatar magani na IVF .
Canje-canje na rayuwa kamar cin abinci da motsa jiki na iya bada shawara don taimakawa wajen magance ciwo, amma akwai kananan shaida wannan zai taimaka tare da zane.
4 -
Abubuwan da suka shafi shekarun haihuwaBa kowane dalili na rashin haihuwa ba shine wata cuta ko rashin lafiya. Hawan tsufa yana da ma'anar matsalar rashin haihuwa.
Duk da yake maza da mata sun rage karuwanci yayin da suka tsufa, wannan ƙuƙwalwar da aka fi sani a cikin mata.
Mafi yawan bayyanar cututtuka : shekarun haihuwa ba tare da bayyanar ba.
Matsalar da ke fuskantar rashin haihuwa ya fara karuwa a kowace shekara yana farawa tun yana da shekaru 35 kuma ya kara da cewa bayan 40.
Wasu mata suna da alamun bayyanar cututtuka, wanda ya haɗa da canje-canje a haila (zubar da jini ya zama mai haske), rawanin da ba daidai ba, da kuma busassun iska (ƙananan ƙwayar magunguna).
Yaya shekarun da ke haifar da matsalolin haihuwa : koda idan kana yin laushi, ƙwayar kwai zai sauko kamar yadda kake da shekaru. Wannan shine dalilin da yasa mata fiye da shekaru 35 suna fuskantar haɗarin rashin ciwo ko haifuwa da yaron da ke cikin kwayar halitta.
Wasu mata kuma za su fuskanci jima'i ba tare da izini ba, ban da ƙananan kwai.
Magani na yau da kullum : wannan ya bambanta sosai. Wasu mata za su iya yin aiki tare da taimakon magunguna marasa amfani irin su Clomid. Wasu za su buƙaci magungunan ƙwayoyi masu karfi da yiwuwar har ma IVF.
Babban matsala tare da rashin haihuwa wanda ya shafi shekarun haihuwa shine cewa kwayoyin haihuwa ba su da tasiri.
Alal misali, yayinda kudaden IVF na matsakaicin mai shekaru 31 yana da kashi 38 cikin dari, yawan nasarar da aka samu ga ɗan shekara 43 mai shekaru 43 ne kawai 10%.
Wannan shi ne saboda rage yawan ovarian . Wasu mata zasu buƙaci kwai ko mai bada tallafin amfrayo don yin ciki.
5 -
Damarar ThyroidKaroid yana da muhimmanci gland na tsarin endocrine. Located a gaban wuyansa kuma kawai sama da collarbone, da thyroid gland shine yake amfani da aidin don samar da takamaiman hormones thyroid. Wadannan hormones suna samar da makamashi da metabolism cikin jiki.
Hypothyroidism shine lokacin da glandar thyroid ba ya samar da isasshen waɗannan kwayoyin. Hyperthyroidism (mafi yawancin abin da aka sani da cututtukan Graves) shi ne lokacin da glandon ya ci gaba da haifar da hormonal thyroid.
Kodayake glandwar thyroid ba wani ɓangare na tsarin haihuwa ba, halayen da yake da shi zai iya tasiri akan haihuwa.
Mafi yawan bayyanar cututtuka : domin hypothyroidism, gajiya, riba mai yawa, sau da yawa sanyi, da kuma ciki ne na kowa bayyanar cututtuka.
A cikin hyperthyroidism, damuwa, samun sauƙi saukewa, gajiya, rashin barci, da kuma asarar nauyin haɗari na iya faruwa.
- Kwayoyin cututtuka na maganin Thyroid
Mata masu fama da maganin karoid suna iya samun lokaci maras lokaci.
Yadda yaduwar maganin kawo yana haifar da matsaloli na haihuwa : ko kana da wani karkashin ko kuma mai cike da ƙwayar cuta , ko dai halin da ake ciki zai iya haifar da jarabawar jahiliyya. Wannan na iya haifar da matsala tare da samun ciki.
Wadanda ba tare da maganin matsalolin thyroid suna cikin haɗarin haɗari da rashin haihuwa (idan sun yi ciki.)
Mata masu fama da ciwon maganin ka na iya zama a kara yawan hadarin samun ciwon cututtuka, musamman endometriosis.
Magance na yau da kullum : idan har babu wani ƙarin matsalolin haihuwa, ganewar asali, da kuma maganin matsalar maganin thyroid za su tsara haɗuwa a cikin mafi yawa mata.
Bayan an tsara jimmonan su, za su iya yin tunani akan kansu.
6 -
KibaKiba shine mawuyacin dalilin haifuwar rashin haihuwa a cikin maza da mata.
A cewar Cibiyar Harkokin Tsarin Harkokin Kasuwancin Amirka, kashi 6 cikin 100 na matan da ba su haihuwa ba, ba za su iya yin ciki ba saboda ƙudan zuma.
A wasu lokuta, kiba ne sakamakon rashin daidaituwa na hormonal. Alal misali, duka PCOS (musamman tare da gwagwarmayar insulin) da hypothyroidism na iya haifar da matsaloli masu nauyi.
Mafi yawan bayyanar cututtuka : jigilar bazuwar lokaci, lokaci mai ban sha'awa, da kuma zub da jini a lokacin haila yana iya faruwa. Wasu mata na iya ɗaukar hawan hawan su ta ƙare. Wasu mata za su fuskanci ciwon haɓaka mara kyau.
Yaya yawan ƙari yakan haifar da matsaloli na haihuwa : ƙwayoyin kitsoyin suna taka rawar gani a ka'idojin hormonal. Lokacin da yawancin kwayoyin mai, jiki yana haifar da isrogen ester.
Wannan yana shafi tsarin haihuwa. Mafi yawan isrogen zai iya sigina tsarin haihuwa don rufewa, yana haifar da matsalolin kwayoyin halitta.
Rashin jima'i ko jinsin halitta yana haifar da ƙwaƙwalwar ganewa a cikin mata masu girma.
Magani na yau da kullum : asarar hasara ta hanyar abinci da motsa jiki shine magani mai mahimmanci ga rashin haihuwa.
Fiye da kashi 70 cikin dari na matan da ke karɓar nauyin nauyin su zuwa matakin da ya fi lafiya zasuyi aiki a kansu ba tare da magani ba.
Idan akwai rashin daidaituwa na hormonal da ke haifar da gajartaccen nauyin abu mai mahimmanci ko yin nauyin nauyin al'ada ba da wuya, wannan ya kamata a bi da farko. In ba haka ba, shirin hasara na asara zai iya yi nasara ko kuma ya fi wuya a cimma.
Idan akwai wasu matsaloli na haihuwa, asarar nauyi bazai isa ba. A wannan yanayin, ana iya buƙatar rigakafin haihuwa .
7 -
Farfesa Ovarian Insufficiency (Farfesa Ovarian Lalacewa)Kirancin jima'i na farko (POI) shine lokacin da yawa da ingancin qwai a cikin ovaries sun kasance masu raunana a gaban shekaru 40. Yana faruwa a kasa da 1% na mata.
Ana kira POI a wasu lokuta da rashin gazawar jaririn da ba a daɗe ba (POF).
Tare da POI, ovaries bazai iya amsa maganin ƙwayoyi masu amfani da ƙwayoyi ba wanda ke motsa ovulation. Wannan ya sa ya zama mawuyacin halin da za a bi.
Wasu yiwuwar haddasawa na POI sun hada da:
- Yanayin yanayi ko yanayi (kamar Fragile X)
- M rauni ga ovaries
- Rawanin taxin (kamar daga chemotherapy)
- Ba'a sani ba - wannan gaskiya ne ga mafi yawan lokuta
POI alama yana gudana cikin iyalai. Idan mahaifiyarka ko kaka ta sami shi, kana cikin haɗari.
POI kuma yana da alaƙa da haɗuwa da wasu ƙwayoyin cuta, ciki har da dysfunction thyroid.
Mafi yawan bayyanar cututtuka : rashin bi da bi ko lokuta ba ya nan, raƙuman iska, fitila mai zafi, sauya yanayi, da rashin barci.
Wasu matan da ba su da POI ba su da alamar cututtuka ba tare da rashin haihuwa ba.
Ta yaya POI ke haifar da matsalolin haihuwa : ƙimar da yawa na qwai suna da ƙasa. Zai yiwu bazai yin watsi da kome ba, ko kwayoyin halitta na iya zama bazara. Idan kwayar halitta tana faruwa, nau'in kwai zai iya zama mara kyau. Wannan ya rage yawan kuskuren zane.
Mata da POI ba kawai sun iya yin la'akari da kansu ba, sun fi dacewa su fuskanci kulawar haihuwa.
Magani na yau da kullum : magani yana dogara ne da tsananin yanayin. A cikin yanayi mai mahimmanci, magungunan ƙwayoyi, da kuma IVF iya taimakawa mace ta haifa.
Ba shi yiwuwa ga mata da POI su yi ciki da nasu qwai. An kiyasta kimanin kashi 10 cikin 100 na mata zasuyi tare da ko ba tare da taimakon magunguna ba.
Da wannan ya ce, mata da yawa da POI suna buƙatar samfur ko mai bada tallafin amfrayo.
8 -
Farko / Early MenopauseMutuwar jima'i ne lokacin da mazaunawa ke faruwa a gaban shekaru 40.
Yana kama da amma ba daidai ba ne da rashin isawan ovarian da ba a taba ba (POI). Tare da POI, har yanzu ana iya yin magana, kuma ciki tare da qwai naka yana iya yiwuwa.
Tare da bawan ciki ba tare da jimawa ba, jima-jita ya gama ƙare. Ba za ku iya yin tunani akan kansa ba ko da qwai naku.
Ma'aikata na farko suna kokarin gudu a cikin iyalai. Haka kuma zai iya faruwa bayan magani (kamar chemotherapy) ko tiyata (kamar a cirewar ovaries).
Wasu cututtukan kwayoyin halitta da cututtuka na kamfanoni na iya haifar da menopause.
Mafi yawan bayyanar cututtuka : rashin haɗuwa da haɗari a cikin watanni 12, ƙuƙwalwa mai zafi, busassun iska, saurin yanayi, da matsaloli na barci.
Yaya farkon mazaopause ke haifar da matsalolin haihuwa : mata a farkon mazaune ba za su iya koyi ba. Sabili da haka, ba za su iya yin juna biyu da nasu ba.
Magunguna na yau da kullum : IVF tare da yarinya ko mai bada amfrayo ne kawai magani akwai.
Dokar haihuwa ba za a iya amfani dashi don tayar da ovaries ba bayan farkon mazauna.
9 -
HyperprolactinemiaHyperprolactinemia wani ƙira ne wanda ba a sani ba amma maras sanannun dalilai na jinsi marayu a cikin mata.
A cewar Cibiyar Harkokin Tsarin Harkokin Kasuwancin {asar Amirka, 1 a cikin 3 mata da wa] anda ba su da wa] ansu lokuta, amma in ba haka ba, bisirin lafiya suna da hyperprolactinemia.
Prolactin wani hormone ne wanda yake tasowa ƙirjinta kuma yana taimakawa wajen samar da madara madara. Matakan gyaran ƙwayar suna da kyau yayin da ake ciki da kuma nono.
Hyperprolactinemia ne a lokacin da matakan prolactin sun yi girma, amma mace bata da ciki ko nono.
(Lura: Maza za su iya samun hyperprolactinemia, kuma zai iya haifar da rashin haihuwa .)
Mafi yawan bayyanar cututtuka : juyayi fita daga ƙuƙwalwa, rashin daidaito ko lokuttan da ba a nan ba, jima'i mai jima'i saboda rashin iska, rashin ci gaban gashi, da kuraje.
Wasu mata zasu sami ciwon kai ko matsalolin hangen nesa. Wasu mata ba su da alamun bayyanar.
Ta yaya hyperprolactinemia ke haifar da matsaloli na haihuwa : yawanci, ana saki prolactin lokacin da kake ciki ko nono.
Bayan taimakon taimaka wa madara nono, manyan matakan prolactin rufe tsarin haihuwa. Wannan hanya, idan kana da jaririn jariri, kai ma za ka yi ciki tare da wani jariri.
(Halin da ake yi na haila a lokacin yaduwa yana da masaniya mai suna amenorrhea.)
Tare da hyperprolactinemia, an cire tsarin tsarin haihuwa ba tare da dalili ba. Ovulation zama wanda bai bi ka'ida ko doka ba ko gaba daya tsaya a nan ba, kuma wannan sa rashin haihuwa.
Magance na yau da kullum : magani yana dogara ne akan hanyar hyperprolactinemia.
Magungunan magunguna da cabergoline sun fi amfani da su don rage matakan prolactin kuma su sake dawo da watannin yau da kullum.
Wasu magunguna na iya haifar da hyperprolactinemia. Idan wannan shine halinku, likitanku na iya cire ku daga maganin maganin.
Wasu mata suna fuskantar hyperprolactinemia saboda matsalar matsalar thyroid. Yin maganin batun maganin thyroid zai rage matakan prolactin.
Sources:
G. William Bates, MD Nau'in Jiki Mai Mahimmanci: Ƙari Mai Kyau Daga Ciki. 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 (matakan high prolactin). Fact Sheet. ReproductiveFacts.org. https://www.asrm.org/FACTSHEET_Hyperprolactinemia_Prolactin_Excess/
Krassas GE1, Poppe K, Glinoer D. "Ayyukan thyroid da kiwon lafiyar mutum." Endocr Rev 2010 Oktoba; 31 (5): 702-55. Doi: 10.1210 / er.2009-0041. Agusta 2010 Jun 23. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2007.02752.x/full
Menopause: Farko / Farfesa Menopause. LadiesHealth.gov. http://womenshealth.gov/menopause/early-premature-menopause/
Karshen Kayan Farko na Farko. MedlinePlus. https://www.nlm.nih.gov/medlineplus/prematureovarianfailure.html
Kwafi na Farko na Farko (POF). Ƙungiyar Amurkan Cibiyoyin Harkokin Ciniki. https://www.asrm.org/FACTSHEET_Premature_Ovarian_Failure/
Prolactinoma: Cututtuka da Yanayi. MayoClinic.org. http://www.mayoclinic.org/diseases-conditions/prolactinoma/basics/symptoms/con-20028094
Priya DM1, Akhtar N1, Ahmad J2. "Yaduwar yawancin hypothyroidism a cikin mata marasa amfani da kimantawa da amsa ga maganin hypothyroidism akan rashin haihuwa." Indiya ta 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, Park WI. "Cututtukan Ƙunƙwasa Suna Haɗaka da Endometriosis: Nazarin Tsarin Kasa na Shekaru 3". (Medicine (Baltimore). 2016 Mar; 95 (10): e2975. Doi: 10.1097 / MD.0000000000002975. https://www.ncbi.nlm.nih.gov/pubmed/26962803