Endocrine rashin haihuwa shine sakamakon cikar ƙwayar cuta na hormonal da ke haifar da jima'i ko jahilci a cikin mata. A cikin mutane, wannan alamar ta nuna ta hanyar cin zarafin kwayar jini da kuma rage yawan ingancin kwayar jini. Cikin zuciya na rashin haihuwa a cikin endocrine ya kasance cin zarafi a cikin aikin glandon thyroid, hypothalamic-pituitary system, gonads.
Tsara ta dacewa irin wannan cuta a cikin jiki yana kaiwa ga farawar ciki da ake bukata a cikin 70-80% na duk lokuta na rashin haihuwa. In ba haka ba, hanyar da ta dace don cimma nasarar kirkirar yarinya ita ce hanya ta hadewar in vitro. Za'a yanke shawarar zabi na hanyar rashin kula da rashin haihuwa ba bayan bayan cikakken bincike game da ma'aurata ba. Yana da muhimmanci ma'aurata su kammala binciken da kuma nazarin. Kuma tun da za a iya gano wasu dalilai na saɓani na ayyukan haihuwa, magani yakan fara ne tare da waɗannan dalilan da suke da muhimmancin gaske don tsarawa.
Far of endocrine infertility ya kamata a bambanta kuma zabi akayi daban-daban. Mahimmancin zabar hanyar magani shine: ƙananan haddasawa, tsawon lokaci na rashin haihuwa, kasancewar cututtukan cututtuka.
Insufficiency na luteal lokaci
Ɗaya daga cikin abubuwan da ke haifar da cin zarafi. Wannan alamun yana tare da rashin aiki na jiki mai launin rawaya, wanda ya haifar da canje-canje na secretory a cikin endometrium. A wasu kalmomi, irin wannan endometrium ba shi da dacewa don ginawa na ovum. Harkokin cututtuka na iya bunkasa don dalilai daban-daban: saboda rashin ciwon karoid, aikin hyperprolactinemia, ciwon kumburi na al'amuran, hyperandrogenism. Kusan koyaushe, farawa ta fara ne da yin amfani da estrogen-progestogen, wanda ke taimakawa wajen samar da kwayar halitta. Yawancin lokaci ana shirya takardun haɗin kai. Lokacin tsawon liyafar su ne haruffa 3-5. A nan gaba, zai yiwu a gudanar da maganin ta hanyar amfani da kwayar halitta ta hanzari.
Idan babu wani sakamako mai kyau, shirye-shiryen da ke dauke da hormones gonadotropic (manogon, humegon) suna cikin tsarin kulawa, kuma ana amfani da gonadotropin chorionic a kwayar kwayoyin halitta karkashin jagorancin duban dan tayi. Idan rashin isasshen lokaci na luteal ya haifar da hyperprolactinemia ko hyperandrogenism, to, an yi amfani da alkaloids ko kuma dexamethasone (norprolac, parlodel).
Ciwo na rukuni na yau da kullum
Wannan cututtuka na iya haifar da cututtuka na endocrin kamar hyperprolactinemia na marasa ciwon daji da ƙwayar tumo, cutar polycystic ovary, hyperandrogenism na asalin halitta, dumpfunction hypothalamic-pituitary, kazalika da ciwo na resistant ovaries ko ciwon daji na ovaries. Dalilin magani ga irin wannan cuta shine don ƙarfafa kwayar halitta. A game da ciwo na polycystic ovary, ana haifar da sakamako na hanawa, sa'an nan kuma an karfafa motsa jiki ta mace ta hanyar amfani da gonadotropin ko ciwon haɗin daji. Tsawon farfajiya tare da hormones shine tsawon haruffa 3-5. Idan ba'a samu sakamako mai kyau ba, za a yi amfani da tsaka-tsakin ta hanyar yin gyare-gyaren kafa, mai cin gashin ganyayyaki na mace, da kuma na lantarki na ovaries. Ana gudanar da waɗannan ayyukan ta hanyar laparoscopic access.
Tare da ciwo na ovaries da farko tare da ci gaba da tsirrai na ovaries, ƙarfin farfadowa bai dace ba. Saboda haka, ana yin nazarin rashin kulawa ta hanyar amfani da ƙwayoyin masu ba da taimako a kan tushen farfadowa, wadda aka samu ta hanyar gabatar da hakorar in vitro da kuma fasahar canja wuri a cikin aikin likita.
A cikin maganin likita akwai ra'ayi cewa za'a iya sa ran samun nasara 100% a cikin maganin rashin haihuwa wanda ba a iya gano shi ba tare da maganin ilimin lissafin da aka gano daidai da kuma a lokuta da ake haifar da ɓarkewar kwayar halitta ta hanyar guda ɗaya cikin iyali. Amma a cikin aikin wannan alamar yana da ɗan ƙananan kuma yana da kusan 60-70%.