I-ovarian depletion syndrome ibhekisela kwizifo zentsholongwane eziphazamisa ukukhulelwa komzimba . Esi sifo sikhula kwabasetyhini beminyaka yobudala. Makhe siqwalasele ngokungakumbi iinkcukacha ezifana nokunyuka kwe-ovarian, ukunyanga kwembonakalo yayo, siza kwahlula iimpawu eziphambili kunye nezizathu.
Yintoni "ukungondleki kwesondlo"?
Igama elithi "ukuphelelwa komzimba ovariyo" kwi-gynecology isetyenziselwa ukuchonga ubunzima beempawu ezibonakaliswe ukwanda kwinqanaba le-gonadotropin, ukungabikho kwenyanga kunye nokuncipha kwi-concentration ye- estrogens . I-Pathology ivela kubasetyhini beminyaka yobudala ababesetyenziselwa ukuhamba esikhathini esiqhelekileyo. Esi sifo sinamanye amagama - ukuphuma kwesigxina kwangaphambili, ukuphela kwesigxina sexesha, ukungakwazi ukusebenza kwama-ovari. Ubunzima bokuvela kwesi sifo phakathi kwabasetyhini abaneminyaka yobudala bokuzala, ngu-1.6%. Ukunciphisa kokuqala kwama-ovari kungakhula kwiminyaka eyi-20-25.
Izizathu zokunciphisa i-Ovarian
Ukugqithiswa kwangaphambili kwezi-ovari, ezibangela ukuba kunzima ukuzinzisa, kubonakaliswe ukuphulwa komsebenzi wokuzala. Xa uhlalutya izizathu ezinokubangela ukukhubazeka, oogqirha baqhubela phambili ukuphazamiseka kwemvelaphi ye-hormonal, eyona ndlela ibangela ukuba kuphuhliswe inkqubo yokuzala. Phakathi kwezinye izizathu zesifo kufunekakile ukuba uqaphele:
- ubufebe, i-chromosomal engafanelekiyo evela kumama ukuya kwintombi (hypoplasia yama-ovari);
- ukuphendula ngokuzenzekelayo, kuhambisane nokubunjwa kwama-antibodies kwiisishu ze-ovariya emzimbeni;
- ukuphazanyiswa komsebenzi wamaziko wengqondo, olawula umsebenzi weentlobano zesini;
- izifo ezithathelwanayo, ezihamba kunye nokutshatyalaliswa kwezicubu zomzimba we-ovarian - isifo se-streptococcal , i-rubella;
- isondlo esingenamthetho, beriberi;
- iimeko ezinzima;
- umphumo wesimo se-tatogenic emzimbeni kwinqanaba lokuphuhliswa kwe-intrauterine (ukusetyenziswa kwamachiza akhulelweyo, imikhwa emibi, ukuchasana nemisebe ye-ionizing).
Ukhathala kwe-Ovarian - iimpawu
Iimpawu zokungondleki kwe-ovari zinezinto eziqaqambileyo, ngoko ke lona mfazi unokukwazi ukuzimela ngokuzimela. Into yokuqala isigulane esiphawulayo yi-amenorrhea ngokukhawuleza, eyenzeka iminyaka engama-36-38 ngaphambili. Ngokuqhelekileyo kulandelwa ukuphuma kwesikhatho esincinci, okungekho nto, ekugqibeleni igxile. Kufuneka kuqatshelwe ukuba i-amenorrhea inokuthabatha uhlobo lwe-cyclic - kwimijikelezo ethile, i-ovulation iyenzeka, ngoko kwenzeka ukuba ukhulelwe.
Ukongezelela kokuphulwa komjikelezo, isifo se-ovarian ukungondleki sihamba kunye nemibonakaliso yezityalo. Ziyinto eqhelekileyo kubasetyhini beminyaka yobudala besilisa, xa umsebenzi wokuzala uphela. Ukuphuhliswa kwezi zilandelayo zibonakaliso kumakhosikazi obudala bokuzala kubonisa i-SII:
- zamatye;
- khulisa;
- buthathaka;
- ukucaphuka;
- ukuphazamiseka kokulala;
- intloko;
- ukungcola.
Isifo sesondlo sokungondleki kwe-ovari sihamba kunye nokunciphisa kwi-concentration ye-estrogens. Oku kubangele ukukhathazeka kwegazi. Isifo sesondlo sokungondleki kwesimo se-ovari, iimpawu zazo zikhankanywe ngasentla, ziyabangela:
- utshintsho olushushu
- i- coltitis ;
- ukunciphisa amathambo;
- iingxaki ze-urrogenital system - ukuvuthwa rhoqo, ukungahambisani nokuvuthwa kwamanzi;
- kuncipha ngobuninzi beengqungquthela, ukugqithwa kwesibindi somlenze wesibeleko (esinqunywe nge-ultrasound).
I-Ovarian Depletion Syndrome - unyango
Ngaphambi kokuba uphathe iSII, oogqirha baqhuba uviwo olubanzi. Kuquka ukwenza i-ultrasound ye-pelvis encinci, ukuhlolwa kwegazi kuma-hormone. Emva kokuxilongwa kwimiqathango yonyango. Injongo yokulungiswa kweengxaki ze-vegetative-vascular disorders, ukuphuculwa kwenhlalakahle jikelele, ukupheliswa kwezifo zentliziyo. Iziphumo ezintle zonyango ziyabonwa xa usebenzisa izidakamizwa ze-hormone, ezenza unyango lwama-hormone. Izidakamizwa zikhethwe ngugqirha ngabanye, i-dosage, ukuphindaphinda kunye nobude bolawulo kubonisiwe.
Ngaba kunokwenzeka ukuphilisa ukungondleki kwe-ovarian?
Uphulo lwe-SII lujolise ekuphuculeni impilo yonke, ukuphelisa i-pathologies eyongezelelweyo. Ukupheliswa ngokupheleleyo kwesi sifo akunakwenzeka. Ukusetyenziswa kweziyobisi kunokuxhasa umsebenzi weengcingo zesini. Ulwaphulo lomhlaba kunye nama-hormone luqhutyelwa kude kube nokuqala kokuphuma komntu. Oku kunciphisa umngcipheko wokuhlaselwa kwezifo ze-urogenital, ezihlala zikhula ngokubhekiselele kwimvelaphi yokungabikho kwe-estrogen kumzimba wesetyhini.
Ukuchithwa kwe-Ovarian - iziyobisi
Ngokuphuhliswa kwesifo se-ovarian ukungondleki kwamabhinqa amancinci, oogqirha ekwenzeni unyango baqeshane i-ethinyl estradiol ne desogestrel, gestodenum okanye i-norges. Ezi zixhobo ze-hormonal zilinganisa ngokupheleleyo ukusebenza okuqhelekileyo kwegonads. Kubafazi abadala, oogqirha bancoma inhlanganisela ye-estradiol kunye ne-dydrogesterone. Izidakamizwa ezinama-hormone zithathwa ngomlomo, zilawulwe nge-intramuscularly. Kwi-SII, unyango kunye nama-hormone lwenziwa ngokucwangciswa kwesikimu esimiselweyo. I-Estrogens isetyenziswe rhoqo kwiintsuku ezili-14:
- 17-estradiol;
- i-estradiol encane;
- isriol succinate;
- estrone sulfate.
Ngokuqhelekileyo usebenzisa iindlela ezidibeneyo. Ngaloo ndlela, i-Ovarium Compositum xa i-ovari isiphelile iyakunceda ukunciphisa imbonakalo yentleba, kwaye iphucula impilo yesigulane. Ngoncedo lonyango, ngokuqhelekileyo kunokwenzeka ukubuyisela ngokupheleleyo ukusebenza kweentlobano zesini. Ngenxa yoko, isilwanyana sisetyenziswe ukuba loo mfazi ufuna ukukhulelwa, ukubuyisela i-ovulation, umjikelezo. Phakathi kwezinye iindlela zokulungisa unyango:
- Divina;
- Klimen;
- Femoston.
Ukhathala kwe-Ovarian - unyango kunye nezilwanyana zomntu
Isifo sesondlo sokungondleki kwesantya sexesha esingaqaliyo singakulungiswa ngokufumana amanyathelo omntu. Ukusetyenziswa kwabo kunceda ukunciphisa iimpawu. Ukutya ezininzi iivithamini E, kuququzelela inkqubo yesifo. Iqulethe:
- iigqabi;
- i hazelnuts;
- i-walnut;
- ihlume i ngqolowa.
Umyalelo osebenzayo we-SII yiqoqo leemithi zonyango.
Ukunyuswa kwamagciwane
Izithako:
- Ingcambu ye-valerian i-30 g;
- amagqabi eepermermint - 30 g;
- I-pharmacy ye-Chamomile - 40 g;
- amanzi - 500 ml.
Ukulungiselela, sebenzisa:
- Iitrob ziphantsi, zityhala ngamanzi abilayo.
- Ukunyusa 1 iyure.
- Thatha ingilazi, kusasa nangokuhlwa, emva kokutya.
Ukunyuka kwama-ovari kunye nokukhulelwa
Ukugqithiswa kwangaphambili kwimiqulu ye-ovari kuyakuba ngumqobo kwinkqubo yokukhulelwa. Xa lesi sifo senzeke ukuxolelwa ngokukhawuleza - umjikelezo wokuya esikhathini uyazivuselela, ukukhulelwa kuya kwenzeka. Kwiimeko ezininzi, ibhinqa idinga unyango. I-ovulation eqhubekayo, eyenza sikwazi ukukhulelwa umntwana, ibonakala kwi-5-10% yezigulane.
Ndiyakwazi ukukhulelwa kwe-ovarian exhaustion?
Nangona ufumaniswe ngokuthi "i-ovarian depletion syndrome", ukukhulelwa kunokwenzeka, kodwa ngokuphindaphindiweyo kuphela emva kwekhosi ekhethekileyo. Imizamo yokuzimela yokukhulelwa ayifaki iziphumo. Ukungabikho kwenkqubo ye-ovulatory kukuthintela ukuqala kokukhulelwa. Ngokuqhelekileyo ithuba elilodwa lokuba umama abe ngumama lufakwe kwi-vitro fertilization.
IVF yokunyuka kwamaqanda
I-syndrome yoxinzelelo lwe-ovarian ekuqaleni iba ngumqondiso kwi-IVF. Kule meko, ukukhethwa kweqanda kwibhinqa ukwenzela ukuba utyalo oluthe gqithiso luhlale lukhona. Kungenxa yoko, kuyafuneka ukuba usebenzise iseli ngesini somnikeli. Ukufakela umquba kwenziwa ngedoda yecalingani, iqabane lomguli. Emva kokuchumisa, iqanda lifakwe kwisigodlo se-uterine. Ngokuphunyezwa ngokuphumelelayo, inkqubo yokukhulelwa iqala.