I-PCOS kwintlobo yesifo somzimba
Esi sifo sinelinye igama-i-polycystic ovary syndrome (i-PCOS). Isicatshulwa esinjalo sifumaneka kwiingxelo zonyango. I-Syndrome ye-Stein-Leventhal ye-gynecology ibona, njengesiqhelo sembonakaliso ebonakaliso, ebonisa ukuphazamiseka ekusebenzeni kwama-ovari, i-pancreas, i-correl ye-hypothalamic-pituitary system. Ngokuchasene nemvelaphi yenguqu enjalo kwinkqubo yokuzala, ngokuthe ngqo kwi-ovaries, kwi-syndrome, kuvela imida emininzi, egcwele i-serous fluid, kunye ne-cysts ifom.
I-PCOS - izizathu ze
Uviwo oluqhelekileyo kunye nokulandelelana kwexesha elide labasetyhini abane-syndrome, bazimisele njengento ebalulekileyo yokuphuhliswa kwayo, njengobungqina bokungabikho kwe-insulin. Ngokukhawuleza kudla ngokuqala ukuphuhliswa kwe-Stein-Levental syndrome. Kule meko, uvelwano lwasemzimbeni wesetyhini kwi-insulin luyancipha. Egazini, ukuxinwa kwe-hormone kwanda, okubangela ukuba i-androgens ibe yimfihlo kakhulu kwi-ovari. Ngaphantsi kwezenzo zabo, isakhiwo kunye nokusebenza kwezigulane zesondo zomfazi ziguquka.
Nge-stin-Leventhal syndrome, ngenxa yokunyuka kwama-androgens egazini, umfazi ubona ukuphulwa kweenkqubo ze-ovulation, ezibonakalisa ekungabikho kwexesha elide lokukhulelwa ekucwangciseni kwakhe. Igobolondo langaphandle le-follicle linyusa, i-ovulation inzima kwaye ayikho. Kancinci, iqala ukuzalisa ngokukhawulekayo, iphendukele kwi-cyst. Ngenxa yobuninzi bee-formations, i-Stein-Levental uphawu ikhula. Ngenxa yoko, i-ovaries yowesifazane iphenduka iqela lama-cysts amancinci.
Iimvavanyo zePCOS
Ngaphambi kokugqiba kunye nokuxilonga "isifo se-Stein-Levental", oogqirha banika izifundo ezininzi. Phakathi kokubaluleka okubalulekileyo kukuba:
- Ultrasound;
- ukuhlolwa kwegazi ngamahomoni;
- biochemistry yegazi.
Ngexesha lokuvavanywa kwegazi ngamahomoni nge-Stein-Leventhal syndrome, izinga eliphakamileyo le-hormone ye-luteinizing, kunye ne-androgens, isungulwa, ukuncipha kwi-concentration ye progesterone kwisigaba sesi-2 somjikelezo. Ukuchaneka kwale ndlela, igazi lihlolwa kathathu ngexesha lokuhamba kwimizi: kwisigaba se-1, kwi-ovulation, kwisigaba sesi-2. Ukuba akukho zikhathi, uhlalutyo lwenziwe ngexesha leentsuku ezingama-7-10.
Kwimvavanyo yezinto ezinokwenziwa kwengqondo kwi-diagnosis ye-disorder, "iStein-Levental syndrome" ingqalelo kwingqwalaselo ye-glucose kunye ne-cholesterol - iimpawu zokukhubazeka kwemetabolism, ehlala igcinwe kwi-polycystic disease. Ukugqatswa kokugqibela kwe "Stein-Levental Syndrome" kusekelwe kwidatha ye-ultrasound. Ibonisa ukuphindaphindwa kobugqwetha, ubungakanani bezinto ezizimeleyo, ukuze kuphuhliswe amacandelo ezinyathelo zokwelapha.
Stein-Levental Syndrome - iimpawu
Esi sifo sibonakaliswe ukwanda kweminye impawu. Ekuqaleni, ibhinqa libeka ingqalelo ukuphulwa komjikelezo wesini kwimimangaliso eyahlukeneyo: utshintsho kwimiqulu, ubude, ixesha lokuhamba. Ngokuqhelekileyo i-amenorrhea iyaqaphela. Ukongeza, i-Stein-Levental syndrome ibonakaliswe ngu:
- ukubonakala kweempawu zesondo zesibini ngokubhekiselele kwindoda yesilisa - iinwele kwisisu, esifubeni;
- ukwandiswa ngobukhulu bama-ovari;
- ukubonakala kwentlungu kwi-back back, kwindawo ye-pelvic, kwisisu esezantsi;
- ukwanda komzimba, ukukhuluphala kwesisu (isisu esisisigxina);
- Iimeko ezidandathekayo;
- kunyusa uxinzelelo lwegazi.
Phakathi kwezi zibonakaliso, inkalo ebalulekileyo yeStein-Levental syndrome i-muscularisation. Ngokuchasene nemvelaphi yenkxalabo enkulu yama-hormone wesini egazini, utshintsho lomzimba, isiqulatho sezwi siyashintsha. Xa i-syndrome iphukile i-Stein-Leventhal, ukubonakala komfazi kuguqulwa kwaye ubukeka njengomntu. Ubunzima beempawu zibangelwa ukuxinwa kwe-androgens kwigazi leentombazana, isigaba sesifo.
Stein-Levental Syndrome - unyango
Emva kokuxilongwa "kwe-PCOS", unyango lubekwe ngokuhambelana nesigaba sesifo, isifo se-symptomatology, izinga lokutshintsha kwenkqubo yokuzala. Kukho iintlobo ezimbini zonyango:
- olulondolozayo-luquka ukusetyenziswa kweziyobisi ze-hormone kwi-syndrome ye-Stein-Leventhal;
- ugqirha-ukuchithwa kwezicubu ezichaphazelekayo ze-ovary, kunye neenguqu enkulu ekukhutshweni kwazo ngokupheleleyo.
Indlela yokuphatha i-PCOS?
Ekuqaleni, oogqirha baqhuba uviwo olubanzi ukujonga ubungakanani besilonda se-Stein-Levental syndrome. Xa uqhuba i-ultrasound, inani lama-cysts akhona kunye nobukhulu bawo buyilo. Xa bebancinci, unyango lwe-hormone lubekwe. Iquka:
- ukuqeshwa kweprogestogen - Dydrogesterone, Progesterone. Ukubuyisela umsebenzi wesini, umjikelezo kunye nokuvuthwa;
- i-contraceptive ehlangeneyo - i-Ovidon, iRigevidone;
- iziyobisi ezinciphisa izinga le-androgens - Androkur, Veroshpiron.
Ubungakanani bonyango olunjalo lwesifo iStein-Levental syndrome lufikelela ezintandathu kwiinyanga. Ngeli xesha, eli bhinqa lichaza ukuphucula kwimpilo yonke, phantse ukuphela kweempawu. Umjikelezo wokuya esikhathini uyazinqanda, ubuhlungu buyaphela. Emva kwexesha le-hormone therapy, misela izidakamizwa ukuvuselela inkqubo ye-ovulatory, umzekelo - i-Clomiphene.
Ingenelelo lokuphanda kwi-Stein-Leventhal syndrome iyadingeka emva kokungabikho unyango kunye neziyobisi ze-hormone. Ekusebenzeni, ukucwangciswa kwemigqomo kwenziwe kwii-ovari. I-Laparoscopy ne-PCOS idlalwa rhoqo. Olu hlobo lwakubandakanyi ixesha elide lokuphulukana, elinomlinganiselo ophantsi wobulali, luqhutywa phantsi kokulawulwa kwezixhobo zevidiyo kunye nesisombululo esiphezulu.
I-PCOS - unyango kunye nezilwanyana zomntu
Le ndlela yonyango iyaqhelekileyo phakathi kwabasetyhini. Kodwa ngaphambi kokuba unyango lwe-polycystic ovaries ngoncedo lwamayeza emveli, kufuneka uhambe ngokubonisana. Phakathi kweendlela zokupheka ezisebenzayo ze-Stein-Levental syndrome, kuyafaneleka ukuphawula:
- Ukunqunyulwa kwemifuno ye-brush ebomvu- isipuni se-1 seengcambu ezichotshoziweyo zithelelwa kwi-200 ml yamanzi abilayo, linda iyure eli-1. Thatha imizuzu engama-30 phambi kokutya, amaxesha amathathu ngosuku. Ixesha lexesha lemizuzu eyi-10.
- I-Tincture kwi-brush ebomvu yotshwala - 8 g yeengcambu uthele i-500 ml ye-vodka. Ukunyanzelisa iintsuku ezi-7, ukubeka endaweni emnyama. Phuza isiqingatha sepasipuni kathathu ngosuku. Thatha iintsuku ezingama-5-7.
- I-tincture ye-borage uterus - ilungiselela ngokwe-recipe apha ngasentla. Thatha 1/2 isipuni, amaxesha amathathu ngosuku, iiveki 1.
- Ingcambu ye-Licorice - i-200 ml yamanzi abilayo yongezwa kwi-1 isipuni sesipambulelo sesityalo. Ukunyanzelisa iyure. Thatha emini. Ubude bonyango lunemihla engama-14.
Ukutya kwi-PCOS
Inendima ebalulekileyo idlalwe kukutya komfazi ophethe i-Stein-Levental syndrome. Ukutya kunye ne-PCOS kufuneka kuchaneke, kulungelelanise. Ogqirha bayacetyiswa ukuba bahambelane nale mithetho elandelayo:
- ukutya ukutya ngesalathisi esincinci se-glycemic: yenkomo, intlanzi, iinkuku, rye, ibhali, i-lentils, isitya, isonka sesonka; izithelo kunye nemifuno: i-kiwi, iipulo, ii-oranges, ikhukhamba, i-tomato.
- umlinganiselo ofanayo weeprotheni kwi-carbohydrates;
- ezichanekileyo, ukutya okuqhekeza;
- iimveliso ezinokubambisana okuphezulu (ukukhula ngokuzimela);
- isixa esikhulu sefayibha yokutya ukunciphisa i-cholesterol: izithelo, izithelo ezomileyo, imifuno, ier berries.
I-PCOS - indlela yokukhulelwa?
Isizathu seengxaki zokukhulelwa kwi-PCOS kukungabikho kwe-ovulation. Kodwa ngenxa yobudlelwane obusondeleyo kunye nokuphazamiseka kwenkqubo ye-hormonal, ukuzinza kokusebenza kwenkqubo ye-ovulatory akukwanele. I-Polycystic ovarian syndrome iphethwe ekucwangciseni ukukhulelwa kwizigaba ezi-3:
- ukunyuka komzimba;
- hormonotherapy;
- ukukhuthazwa kwenkqubo yokuvuthwa.
Isigaba sokugqibela sonyango se-Stein-Leventhal syndrome yinto apho ibhinqa liceba ukukhulelwa kwangaphambili. Ngexesha elifanayo, i-tube factor of infertility ayinakunyuswa ngokupheleleyo kwangaphambili - ii-tublopian tubes zihlolwe ukuba zenzeke. Ukungabikho komphumo, ubunzima bokukhulelwa, oogqirha bancoma ukungenelela okucwangcisiweyo. Ukubuyisana ngokukhawuleza kwendawo yokuvuthwa okonakalisiweyo kulungisa imeko, ngelixa ligcina ithuba lokukhulelwa.
IVF kwi-PCOS
Ukuchumisa okungaphezulu kwimeko ye-syndrome echongiweyo isetyenziswe phantsi kweemeko ezithile. I-PCOS kunye nokukhulelwa ziyimigangatho ehambelanayo, abaninzi baninzi abafazi bakwazi ukukhulelwa umntwana emva kwexesha lokunyanga. Xa ukhulelwe engekhoyo kwimvelaphi yokugcoba iminyaka engaphezu kwe-2, akukho mphumela ephuma kwonyango (i-laparoscopy eyenziwa), kukho ukuphazamiseka kwee-tublopian tubes, -I-ECO icetyiswa. Yenziwa kuphela emva kokuba:
- ukulungiswa kweengxaki ze-hormonal;
- ngokuqhelekileyo iinkqubo zokuxilisa;
- ukulahleka kwesisindo.