PCOS m'mabanja a amai
Matendawa ali ndi dzina lina - polycystic ovary syndrome (PCOS). Tsatanetsatane imeneyi nthawi zambiri imapezeka mu malipoti a zachipatala. Matenda a ziwalo za Stein-Leventhal amawona, monga chizindikiro cha zizindikiro, kusonyeza kusokonezeka kwa kayendetsedwe ka mazira a m'mimba mwake, mapasitiki, adrenal cortex ya hypothalamic-pituitary system. Posiyana ndi kusintha kwa njira zoterezi, mwachindunji m'mimba mwake, m'matenda, timapanga timadzi timene timadzala ndi serous madzi, ndi mawonekedwe a kansalu.
PCOS - zomwe zimayambitsa
Kufufuza mwakuya komanso kuyendetsa nthawi yaitali kwa amayi omwe ali ndi matenda, adatsimikiza kuti chitukukocho, monga insulin kukana. Nthawi yomweyo nthawi zambiri zimayambira pa chitukuko cha matenda a Stein-Levental. Pachikhalidwe ichi, mphamvu ya chiwalo chachikazi ku insulin yachepa. M'magazi, kuchuluka kwa mahomoni kumawonjezereka, komwe kumapangitsa kuti chisokonezo chochuluka cha androgens mu mazira. Pansi pazochita zawo, momwe zimakhalira komanso kugwirira ntchito kwa kugonana kwa amayi.
Ndi matenda a Stein-Leventhal, chifukwa cha kuwonjezeka kwa androgens m'magazi, mayi amawona kuphwanya njira zowonongeka, zomwe zimawonetsa kuti nthawi yayitali sakhala ndi pakati pakukonzekera kwake. Chigoba chakunja cha follicle chimatulutsa, kuvuta kwake ndi kovuta ndipo sikuchitika. Pang'onopang'ono, imayamba kudzaza ndi madzi, kusandulika mu khungu. Pomwe pali maonekedwe ambiri, zizindikiro za Stein-Levental zimayamba. Chotsatira chake, mazira a mkazi amayamba kukhala timango tating'ono ting'onoting'ono.
Mayeso a PCOS
Asanamalize ndi kupeza "Matenda a Stein-Levental", madokotala amapereka maphunziro ambiri. Mwa zina zofunika kwambiri ndi izi:
- Ultrasound;
- kuyesa magazi kwa mahomoni;
- biochemistry ya magazi.
Pakati pa kuyezetsa magazi kwa mahomoni ndi matenda a Stein-Leventhal, kuchuluka kwa mahomoni a luteinizing, androgens, amakhazikika, kuchepa kwa progesterone mu gawo lachiwirilo. Kuwona molondola kwa njirayi, magazi amafufuzidwa katatu pa nthawi ya kusamba: mu gawo limodzi, mu chiwindi, mu gawo 2. Ngati palibe nthawi, kufufuza kumachitika ndi nthawi ya masiku 7-10.
Kuyezetsa magazi m'thupi mwachangu, "Stein-Levental syndrome" amasonyeza kuti shuga ndi cholesterol zimakhala zovuta kwambiri, zomwe zimapezeka nthawi zambiri m'matenda ambiri. Chidziwitso chomaliza cha "Stein-Levental Syndrome" chimachokera ku deta ya ultrasound. Zimasonyeza kuchulukana kwa kuphwanya, kukula kwa mabungwe, kuti apange njira zamachiritso.
Stein-Levental Syndrome - zizindikiro
Matendawa amadziwika ndi kukula kwa zizindikiro. Poyambirira, mkazi amamvetsera kuphwanya kwa kusamba kwake mu mawonetseredwe osiyanasiyana: kusintha kwa voliyumu, nthawi, nthawi yowonjezereka. Kawirikawiri amenorrhea amadziwika. Komanso, matenda a Stein-Levental amadziwika ndi:
- maonekedwe a zachiwerewere zachikhalidwe molingana ndi mtundu wamwamuna - tsitsi pamimba, chifuwa;
- kuwonjezeka kwa kukula kwa thumba losunga mazira;
- maonekedwe a ululu m'munsi, kumbuyo kwa mimba;
- kulemera kwa thupi, kumimba kwa m'mimba (mimba yaikulu);
- mikhalidwe yowonongeka kawirikawiri;
- kuwonjezeka kwa magazi.
Zina mwa zizindikirozi, chinthu chodziwika kwambiri cha Stein-Levental syndrome ndi muscularisation. Polimbana ndi mahomoni akuluakulu amtundu wamagazi mumagazi, thupi limasintha, mawu ake amatha kusintha. Matendawa atathyola Stein-Leventhal, maonekedwe a mkazi amasinthidwa ndipo amawoneka ngati munthu. Kuwopsa kwa zizindikiro kumabwera chifukwa cha kulemera kwa androgens m'magazi a mtsikana, siteji ya matenda.
Stein-Levental Syndrome - mankhwala
Pambuyo pozindikira kuti "PCOS", chithandizochi chimaperekedwa motsatira ndondomeko ya matenda, symptomatology, kukula kwa chiberekero. Pali mitundu iwiri ya mankhwala:
- Zosamala - zimaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo m'matenda a Stein-Leventhal;
- opaleshoni - kusakanikirana kwa ziwalo za ovary, ndipo ndi kusintha kwakukulu kwao - kuchotsa kwathunthu.
Kodi mungasamalire bwanji PCOS?
Poyambirira, madokotala amayesetsa kufufuza bwinobwino kuti azindikire kuchuluka kwa ululu wa matenda a Stein-Levental syndrome. Pogwiritsa ntchito ultrasound, chiwerengero cha makasitomala omwe alipo ndi kukula kwake akukhazikika. Akakhala ang'onoang'ono, mankhwala a mahomoni amaikidwa. Zikuphatikizapo:
- kusankhidwa kwa progestogen - Dydrogesterone, Progesterone. Bweretsani ntchito yogonana, kuzungulira ndi kuvuta;
- Zokambirana zapadera - Ovidon, Rigevidone;
- mankhwala omwe amachepetsa mlingo wa androgens - Androkur, Veroshpiron.
Kutha kwa mankhwala otere a matenda a Stein-Levental akufika miyezi isanu ndi umodzi. Panthawiyi, mayiyo akuwona kusintha kwa thanzi lathunthu, pafupifupi zizindikiro zowonongeka kwathunthu. Kusamba kumachepetsa, kupweteka kumatha. Pambuyo pa mankhwala a mahomoni, perekani mankhwala kuti athandize ndondomeko ya ovulatory, mwachitsanzo - Clomiphene.
Kuchita opaleshoni mu matenda a Stein-Leventhal kumafunika pambuyo poti palibe mankhwala ndi mankhwala osokoneza bongo. Pa opaleshoni, maonekedwe opangidwa ndi mphete amapangidwira pa ma thumba losunga mazira. Laparoscopy ndi PCOS nthawi zambiri zimachitika. Njira yotereyi imakhala yopanda kupuma kwa nthawi yayitali, imakhala yovuta kwambiri, imayang'aniridwa ndi zipangizo zamakanema.
PCOS - mankhwala ndi mankhwala owerengeka
Njira imeneyi ndi yofala pakati pa akazi. Koma musanayambe kuchiza matenda a polycystic ovaries mothandizidwa ndi mankhwala a zamankhwala, muyenera kupitiliza kukambirana. Zina mwa maphikidwe ogwira mtima a Stein-Levental syndrome, ndiyenela kukumbukira:
- Decoction wa zitsamba za wofiira burashi - 1 supuni ya wosweka mizu amatsanulira 200 ml madzi otentha, dikirani 1 ora. Tengani mphindi 30 musanadye, katatu patsiku. Nthawi ya maphunziroyo ndi masiku khumi.
- Tincture pa mowa wofiira burashi - 8 g wa mizu kutsanulira 500 ml ya mowa wamphamvu. Limbikirani masiku 7, ndikuyika m'malo amdima. Imwani hafu ya supuni ya tiyi katatu patsiku. Tengani masiku 5-7.
- Tincture wa borage chiberekero - amakonzekera molingana ndi pamwambapa Chinsinsi. Tengani 1/2 supuni ya tiyi, katatu patsiku, sabata imodzi.
- Muzu wa licorice - 200 ml ya madzi otentha umaphatikizidwira supuni imodzi ya mizu ya mbewu. Imani ola limodzi. Tengani masana. Nthawi ya chithandizo ndi masiku 14.
Kudya mu PCOS
Ntchito yofunika kwambiri imasewera ndi chakudya cha mayi yemwe ali ndi matenda a Stein-Levental. Zakudya zabwino ndi PCOS ziyenera kukhala zolondola, zogwirizana. Madokotala akulangizidwa kuti azitsatira malamulo awa:
- Kudya zakudya zokhala ndi chidziwitso chochepa: njuchi, nsomba, nkhuku, rye, balere, mphodza, wosanjikiza, mkate wa mkate; Zipatso ndi ndiwo zamasamba: kiwi, maapulo, malalanje, nkhaka, phwetekere.
- chiŵerengero chofananamo cha mapuloteni kuti azikhala;
- choyenera, chakudya chochepa;
- Zogulitsa zomwe zimakhala zogwirizana ndi zachilengedwe (zodzikulira);
- kuchuluka kwa zakudya zowonjezera kuchepetsa cholesterol: zipatso, zipatso zouma, masamba, nthambi za bran.
PCOS - momwe mungatenge mimba?
Chifukwa cha mavuto omwe ali ndi pakati pa PCOS ndi kusowa kwa ovulation. Koma chifukwa cha ubale wapamtima ndi kusokonezeka kwa mahomoni, njira imodzi yowonjezera yowonjezera si yokwanira. Matenda a Polycystic ovarian amathandizidwa pokonzekera mimba mu magawo atatu:
- kulemera kwa thupi;
- chithandizo;
- zokopa za njira ya ovulation.
Gawo lomaliza la chithandizo cha matenda a Stein-Leventhal ndi pamene mayi akukonza msanga. Panthawi imodzimodziyo, chubu chokhala ndi infertility sichinatchulidwepo kale - zikhomo zimayang'aniridwa kuti zichitike. Ngati palibe vuto, vuto la pathupi, madokotala amalimbikitsa opaleshoni yopititsa patsogolo. Kugwirizanitsa kagawo ka ovary owonongeka kumakonza vutoli, komabe kusunga mwayi wokhala ndi mimba.
IVF mu PCOS
Udzu wambiri pakakhala vuto linalake limakhala pansi pazifukwa zina. PCOS ndi kutenga pakati ndizogwirizana, amayi ambiri amatha kulera mwana atatha mankhwala. Pamene mimba ilibe kumbuyo kwa kudzoza kwa zaka zopitirira 2, palibe zotsatira kuchokera kuchipatala (laparoscopy), kulimbika kwa mazira a falsipi, - ECO ikulimbikitsidwa. Ikuchitika kokha pokhapokha:
- kukonzanso matenda a hormonal;
- chizoloŵezi cha njira zamagetsi;
- kulemera.