Ukumelana syndrome yamaqanda: iimpawu, unyango, uthintelo

ukumelana yamaqanda syndrome likwimo ubuncinane ndabugqala ngezifo ababhinqileyo. esi sifo kakhulu kaninzi kubonwa kwiminyaka 25-35. Luphawulwa ukungabikho esikolweni ithutyana sexesheni ezinamazinga ephakamileyo hormone yebhinqa gonadotropic.

definition

Kakuhle eli sifo kuxhomekeke yokuba zamaqanda ayeke ukwenza umsebenzi wabo ngqo. Amaninzi, isifo siqhubela phambili kwaye iphela nge ukuya exesheni. Faka ngezifo ebonakaliswa inzalo kunye nokungabikho sexesheni. Ngelo xesha esi sigulo badla iifom ezahlukeneyo amenorrhea. Kweli xesha amanqanaba overvalued of gonadotropins le yebhinqa, ngenxa yokuba umzimba usazama ukuba usebenzise zamaqanda. Noko ke, abazange aqale emsebenzini, njengoko wabalaselisa mali engonelanga dlala kunye estrogen. Ngokuba lixesha lokuqala wathetha ngalo mba ngo-1959, xa izazinzulu uchaze iimpawu zesi sifo kwe maqanda enganyangekiyo. Sekunjalo, isihloko kuba namhlanje ezihlaba kakuhle, kunye nezizathu imbonakalo okwangoku echazwe ngokupheleleyo.

iintlobo

Zonyango iincwadi reference akukho uhlobo ngokucacileyo le ngezifo. Nangona ezinye iingcali lunee ezintathu sifo:

1. yofuzo of iziphene unit follicular.
2. Automicheskaya imbonakalo nemvelo - ngalo mzuzu omzimba ukuvimbile FSH receptor uvakalelo.
3. Xa ukusetyenziswa cytotoxic kunye neziyobisi immunosuppressive.

iimpawu

syndrome enganyangekiyo yamaqanda zingaqondwa kuchongwa yi ezi zifo apha:

• amanani aphezulu LH (luteinizing ihomoni) kunye FSH (follicle ekuvuseleleni hormone) kunye estradiols zigungxulwe;
• amenorrhea - ukungabi sexesheni;
• kwamanani mucosal lobufazi kunye womntu obhinqileyo;
• yamaqanda kunye nenani elikhulu zoboya kunye ubungakanani eqhelekileyo obhityileyo endometrium zesibeleko;
• ukudluliselwa izifo kakhulu wentsholongwane egazini kunye noxinzelelo;
• sexesheni uqala ukuba engagunyaziswanga uze shwaka zizonke.

Uphuhliso esi sifo ngokuqhelekileyo kwenzeka emva kweminyaka emi-5-10 ukusuka kumjikelo wokuqala. Zonke Abaphenduli waphawula ukuba ukufikelwa entloko kwenzeka ebusuku ngexesha lasemini. obuhlungu esiswini kuvela ngokuzenzekelayo, kungekho naziphi na izizathu kuyo. Amaninzi, abafazi abaye enganyangekiyo yamaqanda syndrome, ibuhlungu sexesheni kunye Kukudandatheka iingxaki.

Xa ukubona ugqirha isigulane iza izikhalazo yobuhlungu emazantsi kunye nokungabikho sexesheni emva amagciwane, ukuhlolwa kunye nocazululo ibonisa rhoqo ukuba wathabatha sulfonamides kukuninzi, leyo enokukucaphukisa imbonakalo uxilongo.

izizathu

Ekuhambeni kwexesha lethu, izinto eziphembelela akuseko ngezifo, akukaqondwa kakuhle. Kodwa kukho ingcamango yokuba mthombo anokubakho sifo utshintsho yemfuza kwi follicle site receptor. izazinzulu ezininzi athi ukumelana yamaqanda syndrome, iimpawu zazo ezahlukahlukeneyo ingacaci, ngokufuthi bachatshazelwa izifo ezifana:

• alopecia;
• thyroiditis komzimba (ukudumba nobubovu lengqula);
• myasthenia gravis (buthathaka kwezihlunu nokudinwa);
• diabetes;
• purpura thrombocytopenic;
• amagciwane (mumps kakhulu);
• igazi komzimba.

Imiba ephambili ziquka uphuhliso yezizathu:

• zokukhanya in Oncology;
• ukusetyenziswa immunosuppressive kunye neziyobisi cytotoxic;
• usebenzela zamaqanda.

Ngaphandle lonke lo nesifo yemiphunga nezengekho sarcoidosis kwenzeka ukulahleka izihlunu ovarian, nto leyo ngokufuthi ekhokelela kuphuhliso ngezifo. Esi sifo kungaba yemfuza kwindalo yaye zenzeka emva luxinzelelo olungamandla kunye perenagruzok luvo isigxina.

ekuxilongweni

Symptomatology kwesifo ngokusondeleyo ezinxulumene abanezigulo ezifana dyscrasia gonad kunye nokungaphumeleli ovarian. Ngoko ke, kuphela xa izikhalazo ukufunda ezimanyanisiweyo data laboratory evela zophononongo kumiselwa ubukho besi sifo. Kwiimeko ezininzi, ngexesha lokuhlolwa lokuqala kunokubonwa eliqhelekileyo ngumkhuba 'umfundi' ezintle, mastopathy of fibrocystic uhlobo ukugqitywa phambi kwiinwebu lobufazi kunye womntu obhinqileyo, kunye hyperemia yayo libizwe. Xa ultrasound, laparoscopy kunye neemviwo yamanina waphawula ukwehla kancinci ubungakanani wesibeleko. Ukuze uqinisekise i ukumelana yamaqanda syndrome, oogqirha, amisele inkqubo biopsy of epididymis. Kuba ekufumanekeni iiseli parenteral kunye pyramidal lwenziwa zoviwo histological. Ukuba uthatha uxilongo hormone, kunokwenzeka ukuba awunakucwangcisa umphakamo ka LH kunye FSH kwi plasma yegazi, nto leyo edla phezulu, abe engalubambi ungqamane eqhelekileyo. Ukutyhilwa xi aphantsi estradiol. Kwi iimvavanyo hormone ekhethekileyo ingqalelo senziwe, waqaphela ukuba maxa kwisampula yokuqala ibonisa rhoqo gestogen ezintle ezilandelayo - negative.

therapy

yezonyango kudla kakhulu inxaxheba umba ofana ovarian syndrome-enganyangekiyo ngamachiza. Unyango usoloko luyathandabuzeka, njengoko uhlobo imbonakalo sifo ayiqondwa ngokupheleleyo. banikwa Ngokuqhelekileyo HRT (hormone therapy) kunye uqeqesho estrogen. Isiseko iinkqubo kukuba ukubuyisela sexesheni, lisibekele umgangatho iihomoni gonadotropic.

Amaxesha amaninzi, oogqirha amisele iziyobisi ezifana "Trisekvens", "ojingayo", "Klim", "Premella-cycle", "klimonorma", "Divina", "Klimodien" "Livial" yaye "Kliogest". Ngenxa yobume kwekhosi kunyaka ngamnye isigulane kufuneka zingenele ultrasound zangasese. Ukulawula igazi test, lipoproteins kunye cholesterol kunceda lokubumba okanye ukwazi kwanonyango entsha ekuqaleni. izifundo densitometry ngenxa nga ukuphelisa kwamathambo.

Njengoko ngokunjalo amayeza zidibene ngempumelelo engaqhelekanga:

• ubambe ultraphonophoresis intravaginal kunye celiac;
• yeholide;
• kummandla lokugqojozwa nezamkeli ovarian;
• vitamin E.

Idatha kwi iziphumo zolu nyango luyathandabuzeka kakhulu. Kodwa oogqirha kunjalo uphawula ukwanda kwinani yokumpompoza exesheni kunye zoboya LH iyasebenza yaye FSH. Estrogen baqale avuke egazini. Emva kokuba ukubuyiselwa sexesheni ovulation oluqhelekileyo kaninzi ayenzeki, uze uzale umntwana umguli enjalo ingaba yi IVF (in vitro).

Ukuza kuthi ga ngoku, zuza akukaqondwa kakuhle kakhulu, kutheni kukho exhathisayo isizalo syndrome. amenorrhea Hypergonadotrophic - isifo kakhulu, kwaye ngalo mzuzu akukho uluhlu inkosi zezincomo zothintelo kunye nonyango yayo. Eyona echanekileyo ithathwa ukuphelisa izinto ezingalunganga yaye kunyaka ngamnye ludlulele uhlolo, ingakumbi xa kukho uphazamiseko sexesheni.

ethnoscience

Isoloko isetyenziswa kwanonyango umbala. Kufuneka uwave ivithamin E, nto leyo ifumaneka kukutya ezifana hazelnuts, peanuts, intsholongwane ingqolowa kunye walnuts. Icandelo ukubuya Umjikelo kokuba sexesheni lecithin, equlethwe ezinemidumba, amaqanda kunye cauliflower, yaye njengoko yaziwa, libonisa kukungabi enganyangekiyo isizalo syndrome. Unyango amayeza esizwe kunye amayeza esintu na isiphumo iyavumelana kakhulu nezinyangayo.

Amaninzi, oku imirhumo eengcambu iipropati iintlungu kunye nomjikelo kakuhle nezilawulwa:

1. Soqulunqo ubume kufuneka ugalelwe no-30 iigrem amagqabi intlama, ingcambu valerian, no-40 iigrem camomile. Ubunzima uzilungiselele obegalelwe amanzi abilayo kwaye osetyenziselwa iglasi enye ekuseni nangokuhlwa.
2. Nokuhlanganiswa namaqunube viburnum kunye ubobo inceda yamaqanda, kuba oku kufuneka athathe iiglasi ezimbalwa ngosuku.
3. Ukuphucula exesheni wadla iperi cloves begalikhi.

nenzalo

Inqanaba lokuqala lonyango kuquka normalizing inkqubo yonyango, eyile-hlengiso esinobubovu lengqula, adrenal kunye nonyango seswekile.

Okulandelayo, kufuneka uchithe:

• spermogrammu iqabane (3 amaxesha iiveki ezisi-7) ukuze kupheliswe into ukungachumi eyindoda;
• ehosalpigografiyu (opredeljaemost tubes);
• uvavanyo postcoital - ukuqinisekisa ukungabikho ukungachumi ngumzimba;
• hysteroscopy (on iimviwo ngezifo intrauterine).

Okulandelayo, isicelo iziyobisi, nto leyo aqalile ukuvuselela zoboya, uze emva koko uyaqhubeka ukwamkela imbonakalo ovulation. syndrome ukumelana yamaqanda kwaye ukhulelwe kakhulu ehambelanayo, njengoko ngo-60-70% yamatyala ukungachumi zingaphunyezwa ngoncedo iziyobisi.

ukuvimbela

Ukususela namhlanje yesilungu ayikhange iphicothwe inkqubo ukuvela isifo, kuye kube nzima kakhulu ngokukodwa amanyathelo ezithile ezinokuthi zibe negalelo kuthintelo yayo. Nangona iingcali ezininzi abonisa ukuba ukusebenzisa amayeza zinetyhefu kangangoko kwaye babhenele kwimiphumo radiation. Cebisa ukuba baphile ubomi obusempilweni kunye nexesha ukunyanga izifo yamanina, ukuze akabonakalanga enganyangekiyo isizalo syndrome.

Uthintelo siyifumana yokuba kweziphene kakhulu engephi sexesheni kufuneka ukutyelela ugqirha bangenele zonke zoviwo eziyimfuneko. Oku kuya kunceda iyaluthintela uphuhliso ezimbi ezahlukeneyo silondoloze impilo yoomama.

Imiphumela and Outlook

I ingxaki ephambili umjikelo ukuphazamiseka zingachumi ezo kakhulu nzima unyango. Kananjalo kwandisa umngcipheko ukwakheka kwezifo ezinxulumene-ubudala, njengoko senziwa ukunqongophala estrogen, kwaye kungenzeka ukuba ukuphuhlisa ezinezigulo zesibeleko.

Outlook kakhulu entle, kwaye umsebenzi sexesheni ngokuqhelekileyo ubuyisela.