PCOS mune gynecology
Denda rine rimwe zita-polycystic ovary syndrome (PCOS). Tsanangudzo yakadai inowanzowanikwa munhoroondo dzezvehutano. Syndrome of Stein-Leventhal gynecology inofunga, sechiratidzo chezviratidzo zvinoratidza zviratidzo, zvinoratidza kukanganiswa kwekushanda kweivhai, pancreas, adrenal cortex ye hypothalamic-pituitary system. Mukurwisana nemamiriro ezvinhu akadaro muhutano hwekuberekwa, zvakananga pane mazai mavari, mu syndrome, mazamu akawanda akaumbwa, ayo akazadzwa nes serous fluid, uye maitiro e-cysts.
PCOS - zvikonzero zve
Kunyatsoongorora nekuongororwa kwenguva refu kwevakadzi vane syndrome, vakagadzirisa chinhu ichocho chekusimudzirwa kwayo, sekushandiswa kwe insulin. Nenguva isipi inowanzova kutanga kwekusimudzirwa kweStein-Levental syndrome. Mumamiriro ezvinhu aya, kunzwisisika kwehupenyu hwechikadzi kune insulin yakaderedzwa zvakanyanya. Muropa, kuwedzera kwehomoni kunowedzera, izvo zvinokuvadza zvakanyanya kuvhara kwe androgens mu mavha mavari. Pasi pechiito chavo, chimiro nekushanda kwezvirwere zvepabonde zvemukadzi zvinoshanduka.
Ne Stein-Leventhal syndrome, semugumisiro wekuwedzera kwe androgens muropa, mukadzi anoona kutyora kwezviitiko zvekuvhara, izvo zvinoratidzika pakuvapo kwenguva refu kwekuita pamuviri mukuronga kwake. Iko gomba rekunze re follicle rinowedzera, ovulation yakaoma uye haiiti. Zvishoma nezvishoma, zvinotanga kuzadza nehutachiona, kutendeuka kuva cyst. Nehuwandu hwehupo hwekuita kwakadai, Stein-Levental chiratidzo chinokura. Somugumisiro, mazai emukadzi anova musango wekrisiti duku.
PCOS miedzo
Asati apedzisa uye kuongorora "Stein-Levental's disease", vanachiremba vanopa zvidzidzo zvakawanda. Pakati peizvi zvakakosha ndeizvi:
- Ultrasound;
- kuongorora ropa kune mahomoni;
- biochemistry yeropa.
Munguva yeropa rekuongorora mahomoni ane Stein-Leventhal syndrome, imwe yakakwirira yemaroni, uyerogens, inogadziriswa, kuderedzwa kwehuwandu hweprogesterone muchikamu chechipiri chemuviri. Nokururama kweiyo nzira, ropa rinoongororwa katatu panguva yekuenda kumwedzi: muchikamu chekutanga, mukuvhura, muchikamu chechipiri. Kana pasina nguva, kuongororwa kunoitwa pamwe nekanguva kwemazuva 7-10.
Muchiedza chezvinyorwa chemasikirwo muhutano hwehutachiona, "Stein-Levental syndrome" inotarisa kuwandisa kweglucose uye cholesterol - zviratidzo zvekushaya simba metabolism, iyo inowanzoonekwa mu polycystic disease. Kuguma kwekutsvaga kwe "Stein-Levental Syndrome" kunobva pane data ultrasound. Inoratidzira kuwanda kwehupombwe, ukuru hwemamwe masangano, kuitira kukudziridza mazano ekurapa maitiro.
Stein-Levental Syndrome - zviratidzo
Chirwere chacho chinoratidzwa nekuwedzera kuwedzera kwezviratidzo. Pakutanga, mukadzi anotarisa kudarika kwekuenda kumwedzi mukuratidzwa kwakasiyana-siyana: kuchinja muhuwandu, nguva, periodicity of excretions. Kazhinji amenorrhea inozivikanwa. Mukuwedzera, Stein-Levental syndrome inozivikanwa ne:
- chimiro chechipiri chekuita zvepabonde maererano nemhando yemurume - bvudzi riri pamimba, chifuva;
- kuwedzera kwehukuru hweivhai;
- kuonekwa kwemarwadzo muzasi kumucheto, nzvimbo yeplvic, mudumbu rezasi;
- kuwedzera muviri, kurema kwepamuviri (gomba guru);
- kazhinji kuora mwoyo mamiriro;
- kuwedzerwa ropa.
Pakati pezviratidzo izvi, chinonyanya kukosha cheStein-Levental syndrome is muscularisation. Mukurwisana nemamiriro ehukuru hwemadzimai evanhukadzi mune zveropa, muviri unoshanduka, chirevo chezwi chinoshanduka. Apo chirwere chinoputsika Stein-Leventhal, kuonekwa kwomukadzi kunoshandurwa uye anotaridzika semurume. Kuoma kwezviratidzo kunokonzerwa nekukanganiswa kwe androgens muropa remusikana, danho rechirwere.
Stein-Levental Syndrome - kurapwa
Pashure pekuongororwa kwe "PCOS", kurapwa kunorayirirwa maererano nesero rechirwere, zviratidzo zvehutachiona, chiyero chekuchinja mumutambo wekubereka. Kune marudzi maviri ekurapa:
- yakachengetedza - inosanganisira kushandiswa kwemishonga inormonal in the syndrome of Stein-Leventhal;
- kubhabhatidza - kusagadzikana kwezvinhu zvakakanganiswa zvehutachiva, uye nechinje chikuru mukudzingwa kwavo.
Nzira yekurapa PCOS?
Pakutanga, vanachiremba vanodzidza zvakadzama kuti vaone kuwanda kwechirwere cheglandani muStein-Levental syndrome. Paunenge uchiita ultrasound, nhamba yemakrisiti anowanikwa uye masimba awo akaiswa. Pavanenge vashoma, hormone therapy inorayirwa. Inosanganisira:
- kusarudzwa kweprogestogen - Dydrogesterone, Progesterone. Dzorera basa repabonde, kufamba uye kuvhara;
- kubatanidza mishonga yekudzivirira - Ovidon, Rigevidone;
- zvinodhaka zvinoderedza huwandu hwe androgens - Androkur, Veroshpiron.
Nguva yehutano hwakadaro hwechirwere Stein-Levental syndrome inosvika mwedzi mitanhatu. Munguva ino, mukadzi wacho anocherechedza kuvandudzwa kwehutano hwehutano, anenge achinyangarika zvachose zviratidzo. Kuenda kumwedzi kunogadzirisa, kusuruvara kunonyangarika. Mushure memakore ekurapa mahomoni, ipai madhiragi ekukurudzira maitiro ekuraira, somuenzaniso - Clomiphene.
Kupindira kwokupindira muStin-Leventhal syndrome inotarisirwa mushure mekushaiwa kurapwa nemishonga inodhaka. Mune opera, kusungirirwa kwemakumbo kwakagadzirwa pamashizha. Laparoscopy nePCOS inowanzoitwa. Nzira yakadaro isingabatanidzi nguva refu yekudzikinura, ine urombo hunonyadzisa, inoitwa pasi pekutonga kweiyo mavhidhiyo nemagariro akakwirira.
PCOS - kurapwa nemishonga yevanhu
Iyi nzira yerapi inowanzoonekwa pakati pevakadzi. Asi usati wagadzirisa chirwere che polycystic ovaries nekubatsirwa nemishonga yemagariro, unoda kuenda kuburikidza nekubvunzurudza. Pakati pemakereke anobudirira ye Stein-Levental syndrome, zvakakodzera kuziva:
- Kugadziriswa kwemishonga yebhuruu tsvuku - 1 puniji yemidzi yakapwanyika inodururwa mu 200 ml yemvura inodziya, kumirira awa imwe. Tora maminitsi makumi matatu tisati tadya, katatu pazuva. Nguva yedzidzo yacho mazuva gumi.
- Tincture pawaini tsvuku tsvuku - 8 g yemidzi inopa 500 ml yevodka. Simbisai mazuva manomwe, muchiisa munzvimbo ine rima. Inwa hafu yejasipuni katatu pazuva. Tora mazuva 5-7.
- Tincture yemuviri unotapira - unogadzirira maererano nepeji iri pamusoro apa. Tora 1/2 teasponi, katatu pazuva, 1 vhiki.
- Licorice midzi - 200 ml yemvura inyorera inowanikwa ku 1 kiyiyo yepuni yemidzi yemiti. Simbisa awa. Tora masikati. Nguva yekurapa mazuva 14.
Kudya muPCOS
Basa rinokosha rinowanikwa nekudya kwemukadzi ane Stein-Levental syndrome. Zvokudya zvinovaka muviri neCPOS zvinofanira kunge zvakarurama, zvakaenzana. Vanachiremba vanorayirwa kuti vateerere mitemo inotevera:
- kudya zvokudya nechezasi glycemic index: nyuchi, hove, huku, rye, bhari, lentiyumu, yakasara, rye chingwa; michero nemiriwo: kiwi, apuro, machero, cucumber, tomato.
- chiyero cheyunifomu cheproteine kusvika kumakhahydrates;
- chakarurama, zvokudya zvishoma;
- mishonga ine huwandu hwehutano hwakanaka (yakakura pasina);
- huwandu hwehutachiona hwekudya kuderedza cholesterol: michero, michero yakaomeswa, miriwo, bran berries.
PCOS - sei kutora pamuviri?
Chinokonzera matambudziko nekubata pamuviri muCPOS ndiko kusavapo kweivulation. Asi nekuda kwehukama hwepedyo nekuvhiringidzwa kweHommonal system, kumwe kugadziriswa kwehutori hwekutora hakugone. Polycystic ovarian syndrome inorapwa mukuronga kwekuita pamuviri muzvikamu zvitatu:
- kuyerwa kwemuviri;
- hormonotherapy;
- kushungurudzwa kwehutano hwekuvhunga.
Chikamu chekupedzisira cherapi yeStein-Leventhal syndrome ndechekuti mukadzi anoronga kubata pamuviri. Panguva imwecheteyo, tube inokonzera kusununguka yakanyanyiswa zvachose zvisati zvaitika - ma fallopian tubes anoongororwa kuti aite. Mukusavapo kwechiitiko, kuoma pakubata pamuviri, vanachiremba vanokurudzira kupindira kwokuvhiya. Kusarudzwa kweruzhinji rwechirwere chinoparadzaniswa chinogadzirisa mamiriro acho ezvinhu, nekuchengetedza mikana yekuita pamuviri.
IVF mu PCOS
Extracorporeal fertilization kana pakaitika chirwere chinoratidzika chinoshandiswa kune mamwe mamiriro ezvinhu. PCOS uye pamuviri zvinowirirana, vakadzi vazhinji vanogona kutora mwana mushure mokurapa. Kana pamuviri musipo mushure mekuzora kwemakore anopfuura 2, hapana chinokonzerwa nekurapa (laparoscopy yakaitwa), kune kuvhiringidzika kwemafuro, - ECO inokurudzirwa. Inoitwa kunze kwekunge:
- kururamisa zvirwere zvehomoni;
- kushandiswa kwemagetsi ekugadzirisa;
- kuora muviri.