PCOS a gynecology
Haka kuma cutar tana da wani suna - polycystic ovary syndrome (PCOS). Irin wannan taƙaitacce ana samuwa a cikin rahotanni na likita. Ciwon daji na Stein-Leventhal gynecology ya ɗauki, a matsayin wata alama na bayyanar cututtuka, yana nuna ɓarna a cikin aiki na ovaries, pancreas, adrenal cortex na hypothalamic-pituitary tsarin. Dangane da irin wadannan canje-canjen a cikin tsarin haihuwa, kai tsaye a kan ovaries, a cikin ciwo, an kafa nau'ukan da yawa, waɗanda suke cike da ruwa mai zurfi, da kuma kystes.
PCOS - asali na
Binciken cikakken jarrabawa da tsayin daka na mata da ciwo, ya ƙaddara irin wannan ci gaba, a matsayin insulin resistance. Nan da nan shi ne farkon lokacin ci gaba na ciwo na Stein-Levental. A cikin wannan yanayin, hankalin gawar mace zuwa insulin yana ragewa sosai. A cikin jinin, maida hankali ne na hormone yana ƙaruwa, wanda ya haifar da kyawawan kwayoyin androgens a cikin ovaries. A karkashin aikin su, tsarin da aiki na glandon jima'i na mace canza.
Tare da ciwo na Stein-Leventhal, saboda karuwa a cikin androgens cikin jini, mace tana lura da cin zarafi game da tafiyar da kwayoyin halitta, wanda yake nuna kansa a cikin lokacin da ba a ciki a cikin shirinta ba. Ƙananan kwasfa na ɓoye mai tsallewa yana raguwa, kwayar halitta tana da wuya kuma baya faruwa. A hankali, ya fara cika da ruwa, ya juya zuwa cikin wani cyst. Tare da kasancewa irin wannan tsari, yanayin bayyanar Stein-Levental yana tasowa. A sakamakon haka, ovaries na mace ta juya cikin gungu na kananan yara.
Gwajin PCOS
Kafin kammalawa da kuma bincikar "cutar Stein-Levental", likitocin sun tsara yawancin bincike. Daga cikin muhimmancin wannan shine:
- Duban dan tayi;
- gwajin jini don hormones;
- biochemistry na jini.
A lokacin gwajin jini don hormones tare da ciwo na Stein-Leventhal, an kafa tayi mai girma na hormone, androgens, ƙananan ƙaddamar da kwayar cutar a cikin lokaci na 2 na sake zagayowar. Don daidaito na wannan hanya, an bincika jinin sau uku a lokacin juyawa na juyawa: a lokaci guda, a cikin kwayar halitta, a cikin lokaci 2. Idan babu lokaci, ana gudanar da bincike tare da tsawon lokaci 7-10.
A cikin gwajin kwayar halitta a cikin ganewar asalin cutar, "Ciwo na Stein-Levental" ya jawo hankalin zuwa ƙaddamar da glucose da cholesterol - alamun alamun nakasassu, wanda ake ganinsa a cikin cutar polycystic. Sakamakon ƙarshe na "Ciwon Stein-Levental Syndrome" yana dogara ne akan bayanan dan tayi. Ya bayyana yawancin laifin, girman ɗayan mutane, don samar da magungunan maganin warkewa.
Ciwo na Stein-Levental - alamu
Kwayar cutar tana ci gaba da karuwa a cikin bayyanar cututtuka. Da farko dai, mace tana kulawa da rashin cin zarafin da ake yi a wasu hanyoyi daban-daban: canje-canje a cikin girma, tsawon lokaci, lokaci-lokaci na raguwa. Sau da yawa amenorrhea aka lura. Bugu da ƙari, yanayin ciwon Stein-Levental yana cikin:
- bayyanar yanayin halayen jima'i bisa ga nau'in namiji - gashi a ciki, kirji;
- karuwa a cikin girman ovaries;
- bayyanar ciwo a cikin ƙananan ƙananan baya, ƙananan yankin, a cikin ƙananan ciki;
- ƙãra jiki jiki, ƙwayar ciki (babban ciki);
- yanayi mai ma'ana;
- ƙara yawan karfin jini.
Daga cikin wadannan bayyanar cututtuka, ainihin siffanta yanayin ciwon Stein-Levental shine muscularisation. Dangane da ƙaddamarwa mai yawa na hormonal jima'i a cikin jini, sauye-sauye na jiki, saurin murya ya canza. Lokacin da ciwo ya karya Stein-Leventhal, bayyanar mace tana canzawa kuma tana kama da mutum. Girman bayyanar cututtuka ne saboda ƙaddamar da inrogens a cikin yarinyar yarinya, mataki na cutar.
Ciwo na Stein-Levental - jiyya
Bayan ganewar asali na "PCOS", an umarci magani ne daidai da mataki na cutar, alamar bayyanar, matsakaicin canji a cikin tsarin haihuwa. Akwai nau'i biyu na farfadowa:
- ra'ayin mazan jiya - ya shafi amfani da kwayoyin hormonal a cikin ciwo na Stein-Leventhal;
- m - ƙwayar cutar kyamarar cutar ta ovary, kuma tare da babban canji a cikin su - cikakken cire.
Yadda za a bi da PCOS?
Da farko dai, likitoci suna gwadawa sosai don tantance tarkon ciwon gland shine a cikin ciwon Stein-Levental. Lokacin da aka fitar da duban dan tayi, adadin lambobin da aka samo da kuma girmansu ana gyarawa. Lokacin da suke ƙananan, an tsara ka'idar hormone. Ya haɗa da:
- alƙawari na progestogen - Dydrogesterone, Progesterone. Sake mayar da aikin jima'i, sake zagayowar da ovulation;
- haɗe-haɗe da juna - Ovidon, Rigevidone;
- da kwayoyi da rage matakin androgens - Androkur, Veroshpiron.
Lokacin tsawon irin wannan cutar cutar Stein-Levental ciwon ya kai watanni shida. A wannan lokaci, mace ta lura da ingantaccen lafiyar lafiyarta, kusan kusan bacewar bayyanar cututtuka. Halin da ake yi na haɓakawa yana da ƙarfin hali, rashin ciwon ya ɓace. Bayan tsawon lokaci na hormone, rubuta wasu kwayoyi don tayar da hanyoyi, misali - Clomiphene.
Ana buƙatar sa hannu a cikin cututtukan Stein-Leventhal bayan rashin kulawa da kwayoyin hormonal. A cikin aiki, an sanya nau'i-nau'i-nau'i-nau'i a kan ovaries. Laparoscopy tare da PCOS ana yin sau da yawa. Irin wannan fasaha ya ɓace lokaci mai tsawo, yana da mummunar hali na traumatic, ana gudanar da shi a ƙarƙashin kula da kayan aikin bidiyo tare da babban ƙuduri.
PCOS - jiyya tare da mutane magunguna
Wannan hanyar farfadowa tana da kyau a cikin mata. Amma kafin yin maganin ciwo na polycystic ovaries tare da taimakon maganin gargajiya, kana buƙatar shiga ta hanyar shawara. Daga cikin girke-girke masu dacewa don ciwo na Stein-Levental, yana da daraja cewa:
- Kayan ado na ganye na goga mai ja - 1 teaspoon na tushen asalinsu ana zuba a cikin 200 ml, daga ruwan zãfi, jira 1 hour. Ɗauki minti 30 kafin abinci, sau 3 a rana. Duration na hanya ne kwanaki 10.
- Tincture a kan barasa ja Brush - 8 g Tushen zuba 500 ml vodka. Rasu kwana 7, sa a cikin duhu. Sha rabin teaspoon sau uku a rana. Ɗauki kwanaki 5-7.
- Tincture na mahaifa mahaifa - shirya bisa ga girke-girke na sama. Ɗauki 1/2 teaspoon, sau 3 a rana, 1 mako.
- Tushen licorice - 200 ml na ruwan zãfi an kara 1 teaspoon daga cikin tushen shuka. Nace awa daya. Ɗauki a lokacin rana. Duration na magani yana da kwanaki 14.
Abinci a PCOS
Matsayi mai muhimmanci shine aikin cin abinci na mace da ciwo na Stein-Levental. Gina ta abinci tare da PCOS ya zama daidai, daidaita. An shawarci likitoci su bi dokoki masu zuwa:
- don cin abinci tare da alamar glycemic low: nama, kifi, kaji, hatsin rai, sha'ir, lentils, Layer, gurasa gurasa; 'ya'yan itatuwa da kayan marmari: kiwi, apples, oranges, cucumber, tumatir.
- wani tsari na uniform na sunadarai ga carbohydrates;
- daidai, abinci mai raɗaɗi;
- samfurori tare da iyakar halayyar muhalli (girma da kansa);
- yawancin fiber na abinci don rage yawan cholesterol: 'ya'yan itatuwa,' ya'yan itatuwa masu sassauci, kayan lambu, 'ya'yan itatuwa.
PCOS - yadda za a yi ciki?
Dalilin matsaloli tare da zane a cikin PCOS shine babu watsuwa. Amma sabili da dangantaka ta kusa da rushewar tsarin hormonal, raguwa ɗaya daga cikin tsari ba shi da isa. Ƙunƙasar ƙwayar cutar ovarian ta hanyar maganin ciwo a cikin matakai 3:
- rage jiki nauyi;
- hormonotherapy;
- ƙarfafawar tsari na ovulation.
Mataki na karshe na magani ga ciwo na Stein-Leventhal shine lokacin da mace ta tsara shirinta na farko. A lokaci guda kuma, an cire magungunan rashin jahilci gaba ɗaya - an kori tubunan fallopian don lakabi. Idan babu tasiri, wahala a cikin kwarin gwiwa, likitoci sun bada shawara don yin aiki. Hanyoyin sakaci na ovary da aka lalace suna gyara yanayin, yayin da suke kare yiwuwar daukar ciki.
IVF a PCOS
Haɗuwa ta ƙananan jini idan akwai wani ciwon da aka gano yana ci gaba da zama a ƙarƙashin wasu yanayi. Cibiyar ta PCOS da ciki suna da matukar dacewa, mata da yawa suna sarrafawa wajen haifar da yaro bayan wani tsari na magani. Lokacin da ciki ba ya nan a baya na sakewa don fiye da shekaru 2, babu wani sakamako daga jiyya (aikin laparoscopy), akwai katsewa daga tubes na fallopian, - Ana bada shawarar ECO. An yi shi ne kawai bayan:
- gyaran maganin hormonal;
- normalization na matakai na rayuwa;
- asarar nauyi.