Amayi nthawi zambiri amakumana ndi kuphwanya kwa msambo . Kuchepetsa kuchuluka kwa mphulupulu, msinkhu, nthawi zonse kumasonyeza kusagwira ntchito m'thupi. Tiyeni tiwone mwatsatanetsatane matendawa monga polycystic ovary, kudziwa zomwe zimayambitsa, zizindikiro, mayendedwe a nkhondo.
Mazira a Polycystic - amachititsa
Choyamba, tiyenera kukumbukira kuti ma polycystic ovary ndi matenda a chikhalidwe cha endocrine. Zimagwirizananso ndi kuphwanya ntchito yachinsinsi ndi yobereka ya kugonana. Malingana ndi chiwerengero, pafupifupi 15% mwa amayi a msinkhu wobereka amapezeka. Kuti timvetse zomwe zimayambitsa matendawa, tidzakambirana momwe chitukukochi chikuyendera, kufotokozera mwachidule maonekedwe a thupi la gonads azimayi.
Choncho, mu ovary wa mkazi wathanzi, ma follicles 5-6, momwe maselo a kugonana ali, mwezi wakucha. Koma pa nthawi imodzi yokha yokolola ndi ovulates (bursts) kwathunthu. Imakhala ndi dzira lothandiza kwambiri. Zina zonse zomwe zimakhudzidwa ndi mahomoni zimayamba kusintha. Ngati vutoli limakhala losasinthasintha, estrogen ndi androgen yochulukirapo, komanso progesterone yaying'ono, mapuloteni osasintha sagonjetsa, koma kupanga mapepala omwe amadzaza ndi madzi.
Zinthuzo zikubwerezedwa mwezi uliwonse. Chotsatira chake, mazira ochuluka amadzazidwa ndi cysts. Madokotala kwa nthawi yaitali amaphunzira chikhalidwe cha matenda ngati a polycystic ovary, zifukwa za chitukuko sichikhoza kukhazikitsidwa. Zina mwa ziphunzitso zowonjezereka za matenda, ndizofunika kuwonetsa:
- Kuchepetsa chiopsezo cha minofu ku hormone insulin, zomwe zimapangitsa kuti chiwerengero chake chizikhala chopanda pake. Chotsatira chake, ma gonads aakazi amabala kwambiri maantirogeni , omwe amachititsa kuthetsa ntchito ya ovulator.
- Kupanda ntchito kwa hypothalamic-pituitary system, zomwe zimapangitsa kuti ntchito yosabereka ikhale yovuta.
- Kutupa njira mu mazira.
- Kulephera kwa grenal adrenal yomwe imabweretsa androgens.
Kuonjezerapo, njira yowonjezera yakukula kwa matenda angakhale:
- mavuto;
- njira zodzipangira;
- matenda opatsirana.
Mazira a Polycystic - zizindikiro
Kawirikawiri zizindikiro za ma polyystic ovari zimabisika. Chifukwa cha ichi, amayi amapita kukaonana ndi dokotala kale ndi kutchula mawonetseredwe a chisokonezo, pakati pawo:
- Kutha msambo. Ndi polycystic ovaries, kuchedwa kawirikawiri kumalembedwa. Pachifukwa ichi, nthawi ya kuchepa kwa msambo ikhoza kukhala yosiyana, ndipo zimadalira kukula kwa matenda, mlingo wa zilonda za kugonana. Kawirikawiri kuchedwa kumachokera kwa masabata awiri mpaka miyezi ingapo.
- Zomwe zimapweteka, zowawa m'mimba ya m'mimba, m'madera ochepa komanso m'mimba. Kupweteka sikunatchulidwe, kuli ndi khalidwe losakhala lachikhalire.
- Kuchulukanso kwa mankhwala osokoneza bongo. Akazi amazindikira kuti khungu, tsitsi kumutu kumakhala mafuta.
- Kuthamanga kwa ziphuphu .
- Manja otupa kwambiri, maonekedwe a tsitsi pa chifuwa ndi chifuwa. Izi zimachitika chifukwa cha kuchuluka kwa magazi m'magazi a mahomoni ogonana.
- Kuwonjezeka kofulumira ndi kofunika kulemera kwa thupi. Mankhwala amtundu wa Adipose amapezeka m'chiuno chifukwa cha kuphwanya thupi kuti likhale ndi shuga, kuchuluka kwa insulini m'magazi.
- Palibe kusintha kwa kutentha kwa basal. Chigawochi sichimasintha nthawi yonseyi, zomwe zimatsimikizira kuti palibe ovulation.
- Mavuto ndi pathupi.
Ululu wa polycystic ovary
Poyang'anira matendawa, amayi nthawi zambiri amafunsa azimayi ngati ovariya akudwala ndi polycystosis. Dokotala amamuyankha iye, koma amachenjeza kuti ndi kukula kochepa kwa maonekedwe, ululu ukhoza kukhala palibe. Ambiri mwa odwala omwe ali ndi matenda omwewa amamva chisoni kwambiri m'mimba pamunsi, kumbuyo. Pa nthawi yomweyo, chikhalidwe cha chitukuko cha matenda opweteka sichimvetsetsedwa bwino. Madokotala amakhulupirira kuti kupweteka kumapwetekedwa ndi kukula kwakukulu kwa mazira ambiri, omwe amayamba kukanikiza ziwalo za m'mimba.
Mwezi uliwonse ndi polycystosis wa losunga mazira
Kuyankhula za zizindikiro za ma polymystic ovaries mwa amayi, madokotala amaika msambo poyamba. Chifukwa chachikulu chomwe amachedwetsa matendawa ndi kuchepa kwa mahomoni ogonana. Choncho n'kofunikira kuti mahomoni oyambitsa follicle-stimulating ndi luteinizing ayambe kukhala ochepa. Mapuloteni samapsa bwino, samakhala - kuvuta sikuchitika ndipo palibe mwezi uliwonse.
Zinthu zofunika pa gawo lachiwiri la mkombero zimapangidwa mosakwanira zowonjezera. Chifukwa chaichi, pali kuchedwa kwa msambo. Amatha masiku 14. Pa zolakwitsa zowonongeka, kusintha kwa kugonana kwa kugonana, mwezi uliwonse kungakhale kopanda miyezi 2-3 ndi zina. Kawirikawiri, nthawi yomweyo kuchedwa kumakhala chifukwa cholankhulana ndi azimayi, kupeza matendawa.
Kuzindikira kwa polycystic ovary
Kupezeka kwa "polycystic ovary" kumapangidwira pamaziko a zotsatira zovuta. Zikuphatikizapo:
- Kafukufuku wambiri wodwala - dokotala amatsimikizira mtundu wa thupi, osaphatikizapo kulemera kwakukulu, amayesa chivundikiro cha khungu ndi tsitsi;
- kukayezetsa mu mpando wachikazi;
- Kachilombo ka pakhosi kakang'ono - kamakhala maziko a zowonetsera, pazenerala dokotala amachititsa kukula kwa endometrium, cysts, kuwonjezeka kwa kukula kwa chikho 2-3 nthawi;
- mayesero a ma laboratori - poyesa kuchuluka kwa mahomoni amtundu wa chifuwa, mazira m'magazi, mlingo wa shuga, chidziwitso cha mankhwalawa chimatsimikiziridwa.
Kodi kuchita polycystic losunga mazira?
Pofufuza kuti adziwe "polycystic ovary", mankhwala amayamba ndi kuthetsa zomwe zimachitika. Kukhazikitsidwa kwa zoterezi kumachitika mwazidziwitso. Malinga ndi zotsatira zake, ndondomeko ya njira ya chithandizo cha mankhwala imapangidwira, monga:
- mankhwala;
- kusintha;
- kumamatira ku zakudya.
Kodi ma polycystic ovary angachiritsidwe?
Madokotala amanena kuti n'zotheka kuchiza ma polycystic ovary ngati mzimayi nthawi yomweyo amafuna thandizo. Pachifukwa ichi, chithandizo cha matenda oterowo nthawi zonse. Kuloledwa kwa mankhwala osokoneza bongo - osachepera miyezi isanu ndi umodzi. Nthawi ndi nthawi, nkofunika kubwereza maphunziro kuti mukhale ndi mahomoni omwe mukufunikira. Koma, monga momwe zimasonyezera, sizingatheke kuthetseratu matendawa. Mankhwalawa amathandiza kuchepetsa mawonetseredwe a polycystic ovaries, kuti akwaniritse zolinga zomwe akufuna - kuti akonzekere mwana.
Mankhwala otchedwa Polycystic ovary - mankhwala, kukonzekera
Monga tanenera pamwambapa, maziko a mankhwala ndi mahomoni. Kusankhidwa kwawo kumapangidwa payekha, poyesa kafukufuku. Zina mwazochidziwitso zoyenera kuzidziwa Dyufaston - ndi polycystic mazira ambiri amatchulidwa. Kupatula ngati ikogwiritsidwa ntchito:
- Jess;
- Janine;
- Yarina.
Ngati kuchepa kwa glucose kumachepa, madokotala amapereka mankhwala a shuga. Metformin mu polycystic ovaries imagwiritsidwa ntchito mwachindunji pa cholinga ichi. Mlingo ndifupipafupi za phwando zimayikidwa payekha. Amachepetsa insulini m'magazi. Zotsatira zake, zotsatira zowonongeka za hormone iyi pa ziwalo za kugonana zimachepa.
Vitaminotherapy imaphatikizidwanso nthawi yovuta kudwala matenda otere monga polycystic ovary. Zakhazikitsidwa kuti mavitamini monga:
- E;
- C;
- B.
Odwala a polycystic - mankhwala ndi mankhwala ochiritsira
Kugwiritsa ntchito mankhwala am'mawa ndiwothandizira kwambiri ku mankhwala aakulu. Musanawagwiritse ntchito, funsani dokotala. Zina mwazogwira ntchito mu polycystosis, ndizofunikira kutchula izi:
- Brush wofiira. Mankhwalawa amabwezeretsanso mahomoni. Amachepetsa kuchuluka kwa mahomoni ogonana. Kaburashi wofiira ndi polycystic mavava amagwiritsidwa ntchito ngati:
- tincture: 80 g mizu imatsanuliridwa ndi 0,5 malita a mowa wamphamvu, alola iwo kwa mlungu umodzi mumdima, malo ozizira, kutenga hafu ya supuni ya tiyi, katatu patsiku, maphunziro - masabata awiri;
- Msuzi: 1 supuni ya supuni 1 kutsanulira 200 ml ya madzi otentha, imatsutsani ola limodzi, mutenge theka la ola musanadye, 50-70 ml, katatu pa tsiku, imwani osachepera mwezi umodzi.
- Chiberekero chabora. Mankhwala omwe amagwiritsidwa ntchito pochiza matenda a amai. Mapuloteni a Polycystic amachiritsidwa ndi zomera izi: 80 magalamu a zitsamba, onjezerani 500 ml ya mowa wamphamvu, insani masiku asanu ndi awiri, mutenge hafu ya supuni ya supuni, musanadye katatu patsiku, imwani masabata awiri.
- Mzu wa Licorice. Gwiritsani ntchito mawonekedwe a kulowetsedwa: mizu ya supuni 1 imatsanulira 200 ml ya madzi otentha, imatsutsa ora, yotengedwa masana, m'zigawo zing'onozing'ono. Njira ya mankhwala ndi mwezi.
Kudya kwa polycystic mazira
Poyankha funso kuchokera kwa odwala zokhudza momwe angachiritse odwala a polycystic ovary, madokotala amasonyeza kuti ayenera kutsatira malamulo ndi malangizo. Ntchito yofunika kwambiri mu matenda imasewera zakudya. Pachifukwa ichi, madokotala amalimbikitsa kudya zakudya ndi chiwerengero chochepa cha glycemic index:
- nyama zonenepa;
- nsomba;
- nkhuku mazira;
- mkate;
- mphodza;
- nyemba (nandolo, nyemba);
- tchizi;
- mankhwala opangira mkaka;
Zipatso ziyenera kupezeka pa zakudya. Kukonda kumaperekedwa kwa:
- maapulo;
- malalanje;
- mphesa;
- kiwi zipatso;
- chitumbuwa;
- maula.
Pakutha chakudya, malamulo otsatirawa amatsatira:
- kuchuluka kwa chiwerengero cha mapuloteni kwa chakudya;
- Zakudya zochepa - Zakudya 5-6;
- zamakono zamagetsi.
Laparoscopy ya polycystic ovary
Kugwiritsidwa ntchito ndi ovary polycystic kumasonyezedwa ndi mankhwala opanda mankhwala. Pogwira ntchitoyi, madokotala amalimbikira kudya kudya kwa mahomoni a miyezi isanu ndi umodzi, zomwe sizinabweretse zotsatira (chiwerengero cha ziphuphu zinawonjezeka, zinakula kukula). Njira yothandizira opaleshoni imachitidwa ndi njira yaparuscopic. Ubwino wa njira iyi ndi:
- kuchepa kwachisokonezo;
- kuchepetsa chiopsezo cha zovuta (kumangiriza ndondomeko, kutuluka magazi mkati, kutupa - kumakhala kochepa nthawi zambiri);
- kuchira mwamsanga;
- zabwino zokongoletsa.
Mazira a Polycystic ndi mimba
Ndili ndi matendawa, kumakhala kovuta chifukwa cha kusowa kwa njira yophimba. Kuti normalize kayendetsedwe ka HIV, mayi ayenera kuchita mankhwala otchedwa hormone, omwe amatha miyezi 6. Ngati palibe chochitika, opaleshoni imaperekedwa. Mimba pambuyo pa laparoscopy ya mazira ochuluka ndi polycystic matenda imapezeka mkati mwa 2-3 nthawi ya kusamba (ngati palibe matenda ogonjetsa).
Ndingathe kutenga mimba ndi polycystic mavairasi?
Ndi polycystic ovaries, mukhoza kutenga mimba pokhapokha mukamatsatira mwatcheru kuchipatala. Zikuphatikizapo:
- kutenga mankhwala a hormonal;
- kukonza kulemera;
- kuchotsedwa kwa matenda a chiberekero.
Ziyenera kunyalidwa m'maganizo kuti ma polycystic ovary panthawi yomwe ali ndi mimba yayamba kale, angapangitse mavuto:
- magazi;
- mimba yokha;
- mimba ikufalikira;
- kubadwa msanga.
Momwe mungapezere mimba ndi polycystic losunga mazira?
Kuvunda ndi polycystic mazira amayamba kukhala osasintha. Chifukwa cha ichi, zochita zonse za madokotala zimalimbikitsa kukhazikika kwake. Mayiyo adakalipo kuti asamayang'ane maudindo a zachipatala, kutenga mankhwala oyenera. Pofuna kuwonjezera mwayi wokhala ndi pakati, m'pofunika kukhazikitsa tsiku la ovulation mothandizidwa ndi mayesero apadera. Kugonana panthawiyi kudzabweretsa zotsatira zomwe zayembekezeredwa kwa nthaŵi yaitali.
IVF ndi polycystic ovary
Cholinga cholimbana ndi matendawa, amayi amafunsa madokotala ngati n'zotheka kuchita IVF m'ma polycystic ovaries. Madokotala amavomereza. Ndi mu vitro feteleza, kukakamiza kwa ovulation kumachitika - mu polycystic mavairasi palibe. Pambuyo pake, kuika mazira opangira mazira okhwima mu laboratori kumachitika. Mu thupi la mkazi amamera kale kachilombo kamene kamakhala ndi umuna. Kukhazikitsa kumabwera ndipo mimba imayamba. Mayi wodwala akuyang'aniridwa.