I-Secondary ibizwa ngokuthi i-infertility, lapho owesifazane engakwazi ukukhulelwa futhi emva kokukhulelwa okwenzekile kakade. Lokhu kungaba ukubeletha nokuphumelela komntwana ophilile, ukukhulelwa kwesisu, ukukhulelwa kwe-ectopic noma ukukhipha isisu.
Ukwelashwa kwesibili kwabesifazane
Abasengozini kakhulu kule sifo ubulili obuhle, ikakhulukazi emva kweminyaka engama-35. Ngokuvamile ukungenwa kwesifo sokubeletha kutholakala kubesifazane abaneminyaka ephakathi nendawo abanezinguquko ze-chromosomal ezisongela nezifo ezingathí sina zesifo somzimba kanye nengozi yokuzalwa kwengane engaphansi. Izibalo zibonisa ukuthi ukuhlukumeza okungahle kwenzeke kwenzeke kakhulu kunabesifazane abasha.
Izimbangela zokungazalwa kwezinga lesibili zingasebenza njengezinye izifo:
- Ukusebenza komgogodla we-thyroid, lapho isikhumba segilo sikhiqiza inani elikhulu lamahomoni, okuholela ekusebenziseni ukungasebenzi kwe-pituitary gland function. Ngenxa yalokho, isizinda se-hormonal kanye nomjikelezo wokuya esikhathini sephukile, kukhona ingozi ye-uterine fibroids nama-polycystic ovaries, okwenza kube nzima ukuthwala izithelo.
- Izifo ezithathelwanayo: ukuvuvukala komlomo wesibeletho, amashubhu we-fallopian, ama-cysts ama-ovari.
- Izinkinga emva kokukhishwa okungekho emthethweni noma ukukhipha isisu. Kulesi simo, i-endometrium ingonakaliswa ngendlela engafaneleki, futhi ngisho neqanda elikhulelwe alinamathele odongeni lwesibeletho. Ukuxilongwa kokungazalwa kungenziwa kokubili ngemuva kokusebenza, futhi emva kweminyaka embalwa.
- Ukulimala nokulimala ezithombeni. Ukungenzi lutho kuleli cala kwenzeka ngenxa yokunamathela okufihliwe, izibazi, ama-polyps. Basuswa kalula ngokuhlinzwa.
Ukwelashwa kwesibili kwamadoda
Emadodeni, futhi, ukungabi namandla kwezinga lesibili kutholakala ukuthi, uma ukukhulelwa sekuvele kwenzeka, kodwa okwamanje akukwenzeki nhlobo. Izizathu zingahluka:
- ukuvuvukala kwezitho zangasese;
- ukubhema, ukuphuza utshwala;
- ukuphazamiseka kokujikeleza;
- ukushisa nokunye.