PCOS na gynecology
Ọrịa ahụ nwere aha ọzọ - polycystic ovary syndrome (PCOS). A na - ahụkarị mkparị dị otú ahụ na akụkọ ahụ ike. Ọrịa nke Stein-Leventhal gynecology na-ewere, dị ka usoro nke ihe ngosi mgbaàmà, na-egosi nkwụsịtụ na-arụ ọrụ nke ovaries, pancreas, correx adrenal nke hypothalamic-pituitary usoro. Na nzụlite mgbanwe ndị dị otú ahụ na usoro ọmụmụ, ozugbo na ovaries, na ọrịa, a na-emepụta ọtụtụ nsị, nke jupụtara na mmiri mmiri, na nke cysts.
PCOS - ihe kpatara ya
Nnyocha zuru ezu na nlekọta na-adịte aka nke ụmụ nwanyị nwere ọrịa ahụ, kpebiri ihe dị otú ahụ nke mmepe ya, dịka nkwụsị insulin. Ozugbo ọ bụ mmalite nke mmepe nke ọrịa Stein-Levental. N'ọnọdụ a, mmetụta uche nke akụkụ ahụ nwanyi na insulin na-ebelata. Na ọbara, nsị nke hormone na-abawanye, nke na-eme ka nlekọta na-emebiga ihe ókè nke androgens na ovaries. N'okpuru ihe ha na-eme, ọdịdị na ịrụ ọrụ nke nwanyị na-enwe mmekọahụ na-agbanwe.
Na ọrịa Stein-Leventhal, n'ihi mmụba na androgens na ọbara, nwanyị na-ahụ mmebi nke usoro nlekota, nke gosipụtara n'onwe ya mgbe ọ na-enweghị afọ ime n'afọ ya. Mkpụrụ a na-esi n'èzí na-ebuwanye ibu, ntughari siri ike ma anaghị eme. Nke nta nke nta, ọ na-amalite ijupụta na mmiri, na-agbanye n'ime igwe. Site na ọnụnọ nke nzụlite dị otú ahụ, nrịta Stein-Levental amalite. N'ihi ya, ovaries nke nwanyị na-aghọ ụyọkọ nke obere cysts.
Nyocha PCOS
Tupu ikwubie ma chọpụta "ọrịa Stein-Levental", ndị dọkịta na-edepụta ọtụtụ ọmụmụ. Otu n'ime ihe dị mkpa dị mkpa bụ:
- Ultrasound;
- nyocha ọbara maka hormones;
- ọgwụ biochemistry nke ọbara.
Mgbe a na-anwale ọbara maka homonụ na ọrịa Stein-Leventhal, a na-eguzobe ọgwụ dị elu nke hormone na-agụnye ọgwụ, androgens, ọnụ ọgụgụ dị elu nke nkwụsị nke progesterone na phase 2 nke oge ahụ. Maka izi ezi nke usoro a, a na-enyocha ọbara ugboro atọ n'oge nlọchara anya: n'ime oge 1, na ịzụ nwa, na oge nke abụọ. Ọ bụrụ na enweghị oge, a na-eme nnyocha ahụ na oge nke 7-10 ụbọchị.
Na nyocha nke biochemical na nchoputa nke ọrịa ahụ, "ọrịa Stein-Levental" na-adọrọ uche gaa n'igosi glucose na cholesterol - ihe ịrịba ama nke metabolism, nke a na-ahụkarị na ọrịa polycystic. Nchoputa ikpeazụ nke "Ọrịa Stein-Levental" dabeere na data ultrasound. Ọ na-ekpughe ọnụọgụ nke mmebi ahụ, nha nke ụlọ mmadụ n'otu n'otu, iji zụlite usoro nke usoro ọgwụgwọ.
Ọrịa Stein-Levental - ihe ịrịba ama
Ọrịa a na - eji nwayọọ nwayọọ na - arịwanye elu na mgbaàmà. Ná mmalite, nwanyị na-eleba anya na mmebi nke oge ịhụ nsọ na ngosipụta dị iche iche: mgbanwe nke olu, oge, oge ịme ihe. A na-ahụkarị ụbụrụ amorrhea. Na mgbakwunye, ọrịa Stein-Levental na-apụta:
- ụdị ọdịdị dịka nwoke na nwanyị dị - ụdị ntutu dị n'ime afọ;
- mmụba nke ogo ovaries;
- ọdịdị nke mgbu na ala ala, mpaghara pelvic, na ala ala;
- ụba ahụ dị arọ, oké ibu abdominal (nnukwu afọ);
- ọnọdụ ịda mbà n'obi mgbe niile;
- mgbatị ọbara ka njọ.
N'ime ihe mgbaàmà ndị a, ihe kachasị dị iche iche nke ọrịa Stein-Levental bụ ịkpụ ọrụ. N'iburu na ebumnuche nke oke hormones nwoke na ọbara, mgbanwe nke ahụ, mgbanwe nke olu ahụ gbanwere. Mgbe ọrịa ahụ gbajiri Stein-Leventhal, ọdịdị nke nwanyị gbanwere na ọ dị ka nwoke. Ihụ nke mgbaàmà bụ n'ihi nrịba nke androgens na ọbara nwa agbọghọ ahụ, ọkpụkpụ nke ọrịa ahụ.
Ọrịa Stein-Levental - ọgwụgwọ
Mgbe nchoputa nke "PCOS", a na-agwọ ọgwụgwọ dịka usoro nke ọrịa, symptomatology, ogo nke mgbanwe na usoro ọmụmụ. E nwere ọgwụgwọ abụọ:
- onye na - agbanwe agbanwe - na - agụnye ọgwụ ọgwụ ọjọọ na Stein-Leventhal;
- nke ogwugwo - na - ebute ihe gbasara anụ ahụ emetụta nke ovary, na nnukwu mgbanwe na - ewepu ha.
Kedu esi emeso PCOS?
Na mbụ, ndị dọkịta na-eme nnyocha nyocha zuru ezu iji chọpụta ókè ọnya ahụ dị na ụkwara na Stein-Levental syndrome. Mgbe ị na-arụ ọrụ ultrasound, ọnụọgụgụ nke ọnụ ọgụgụ dị mma na nha ha dị. Mgbe ha dị obere, a na-ahazi ọgwụgwọ hormone. Ọ gụnyere:
- nhazi nke progestogen - Dydrogesterone, Progesterone. Weghachi omume mmekọahụ, okirikiri na ịkpụ nwa;
- jikọtara contraceptives - Ovidon, Rigevidone;
- ọgwụ ndị na-ebelata androgens - Androkur, Veroshpiron.
Oge nke ọgwụgwọ dị otú ahụ nke ọrịa Stein-Levental ọrịa ruru ọnwa isii. N'oge a, nwanyị ahụ na-ekwu na ọganihu na ahụike zuru oke, ọ fọrọ nke nta ka ọ bụrụ na ihe mgbaàmà ahụ apụla. Oge nkwụsị ụkwụ na-eme ka ahụ sie ike, akpịrị na-apụ n'anya. Mgbe oge ọgwụgwọ hormone, gwa ọgwụ ka ịme ka usoro ọgwụ ahụ, dịka ọmụmaatụ - Clomiphene.
A na-achọ ime ihe na Stein-Leventhal ọrịa mgbe a na-enweghị ọgwụgwọ ọgwụ ọjọọ. Na arụ ọrụ, a na-eme ihe nkedo dị ka mkpụrụ osisi na ovaries. A na-arụkarị Laparoscopy na PCOS. Usoro dị otú ahụ na-agụnye oge mgbake dị ogologo, nwere àgwà mkparịta ụka dị ala, na-eduzi n'okpuru akara nke ngwa vidio na nnukwu mkpebi.
PCOS - ọgwụgwọ na ọgwụ ndi mmadu
Usoro ọgwụgwọ a na-ahụkarị n'etiti ụmụ nwanyị. Ma tupu ị na-agwọ ọrịa ọrịa polycystic ovaries site n'enyemaka nke nkà mmụta ọgwụ, ị ga-aga site na nkwurịta okwu. N'ime ntụziaka ndị dị irè maka ọrịa Stein-Levental, ọ dị mkpa ịkọba ama:
- Decoction nke herbs nke ahịhịa uhie - 1 tablespoon nke gburu mgbọrọgwụ na-ele ihe na 200 ml nke esi mmiri, echere 1 hour. Were minit 30 tupu nri, ugboro atọ n'ụbọchị. Oge nke usoro ahụ bụ ụbọchị 10.
- Tincture na mmanya na-acha uhie uhie ahịhịa - 8 g nke mgbọrọgwụ wunye 500 ml vodka. Nagide ọnwụ 7 ụbọchị, itinye ebe gbara ọchịchịrị. Na-aṅụ ọkara otu teaspoon ugboro atọ n'ụbọchị. Were ụbọchị 5-7.
- Mmiri nke akpanwa nke mmiri - na-akwadebe dịka uzommeputa n'elu. Were 1/2 teaspoon, ugboro 3 n'ụbọchị, 1 izu.
- Akwukwo akwukwo - 200 ml nke mmiri esi etinye ya na 1 tablespoon nke mgboko osisi. Diri otu awa. Were n'ụbọchị. Ogologo oge ọgwụgwọ bụ ụbọchị 14.
Nri na PCOS
Ọrụ dị mkpa na-eri nri nke nwanyị nwere ọrịa Stein-Levental. Erimeri na PCOS kwesịrị ịbụ eziokwu, kwụ ọtọ. A gwara ndị dọkịta ka ha rube isi n'iwu ndị a:
- iri ihe oriri na mkpokọta glycemic dị ala: anu ehi, azụ, anụ ọkụkọ, rye, ọka bali, lentil, oyi akwa, nri rye; mkpụrụ osisi na akwụkwọ nri: kiwi, apụl, oranges, cucumber, tomato.
- otu ụdị edozi nke protein na carbohydrates;
- ezi nri nri;
- ngwaahịa ndị kachasị mma na gburugburu ebe obibi (etolitere onwe ya);
- nnukwu nri nke eriri nri iji belata cholesterol: mkpụrụ osisi, mkpụrụ osisi amị, akwụkwọ nri, mkpụrụ osisi tomato.
PCOS - esi enweta ime?
Ihe na-akpata nsogbu na imepụta na PCOS bụ enweghị nyocha. Ma n'ihi mmekọrịta chiri anya na nkwụsị nke usoro hormonal, otu nchikota nke usoro ovulatory adịghị ezu. A na-emeso ọrịa ovarian ovcystic ovarian na-eme atụmatụ ime n'afọ 3:
- okpukpu ahu;
- hormonotherapy;
- mkpali nke usoro uzo.
Ọgwụgwụ ikpeazụ nke ọgwụgwọ maka ọrịa Stein-Leventhal bụ mgbe nwanyị na-eche echiche ime nwa. N'otu oge ahụ, a naghị ewepu ihe na-akpata nsogbu nke infertility tupu oge eruo - a na-enyocha akpa ndị na-eme ka ọkpụkpụ na-eme ka ọkpụkpụ na-eleba anya. N'adịghị enwe mmetụta, ihe isi ike na-atụrụ ime, ndị dọkịta na-akwado ịdọ aka ná ntị. Njikọ nke ọma nke ovary ahụ mebiri emebi na-edozi ọnọdụ ahụ, ebe ọ na-echekwa ohere nke ịtụrụ ime.
IVF na PCOS
Mmekọahụ nke na-eme ka extracorporeal bụrụ ụdị ọrịa a chọpụtara dị ka ọnọdụ ụfọdụ. PCOS na afọ ime bụ okwu dakọtara, ọtụtụ ụmụ nwanyị na-achịkwa ịtụrụ nwa mgbe ọ gwọchara ya. Mgbe ime n'afọ na-anọghị n'azụ agbụrụ maka ihe karịrị afọ 2, ọ dịghị uru site na ọgwụgwọ (arụ ọrụ laparoscopy), enwere mmechi nke tubes na-emepụta, - ECO na-atụ aro ya. A na-eme ya naanị mgbe:
- mmezi nke ọrịa hormonal;
- normalization nke metabolic usoro;
- ọnwụ ọnwụ.