Sklerokistoz ovaries: he aha te mea te reira, take, tohu, te tātaritanga, maimoatanga, hopearaa

Tata e rima ōrau o te wā katoa o mate gynecological, pāngia taote "sklerokistoz ovarian". He aha te mea te reira, e kore te mea katoa wahine ano, kia tokomaha kite he tātaritanga o te pākoko rite te rerenga kōrero. I roto i te meka, e pā ana ki te toru o te hunga e kua kitea tenei māuiuitanga, ratou tamariki e taea kore e whai. Ko nga etahi i tūponotanga tiketike ki te ora, me te hoatu whanau ki te tamaiti hauora.

He Sklerokistoz ovaries ingoa tetahi - Stein-Leventhal syndrome, no te mea i whakaahuatia reira te tuatahi e rua rata mātai American - Irving Stein me Maykl Levental. tupu tenei i roto i te 1935. Neke atu i te waru tekau nga tau i muri mai i ata ako te pathogenesis o te mate, whakawhanakehia tikanga o te maimoatanga me te tātaritanga, engari tae noa nei e kore e kaiputaiao i mohio ki nga take katoa mo tona takanga.

Ki te hoatu koe he tātaritanga matekiri a te hiahia tino koe ki te whai tamariki, e kore te mahi hepohepo. I roto i tēnei tuhinga ka tamata tatou ki te korero ki nui e pā ana ki sklerokistoz ovarian me nga tikanga o te fekuki ki reira nga mea katoa.

Kia pehea te he ovaries hauora

Hei mahino pai pehea ki te ana ovaries sklerokistoz me te hapū, e hiahia ana koe ki te mohio me pehea ki te hanga i enei tinana, me pehea e mahi ratou, ki te mea kahore he mate i roto ia ratou. Ko te ovaries Ko nga whekau whakaputa uri wahine takirua. Ka taea te māngai ratou i roto i te puka o peke taketake ki tonu i te mea roro. kapi katoa taiepa kura kākano kei ki te apa o te kiko tūhonohono mātotoru i runga ko reira he apa o te uho. He ia he hanganga matatini, me te nui. Ko roto i tenei paparanga e hanga e follicles - te āhuatanga motuhake hanganga i roto i nei te oocyte whakawhanake. E huaina follicles tuatahi, i roto i te nui o e pā ana ki tetahi ki te e rua miriona whakatakotoria i roto i te tinana o ia kotiro te kukune i tetahi atu taahiraa. I roto i te ora, i te wā paari me te wā mutu o te menopause, e āta pau ratou, a kihai i mea hou i hanga. Na reira, ko te haora mai, ina rere ratou kararehe ki waho.

Tenei tata kore puta i roto i nga wahine o te whanautanga tamariki tau, kia kore e taea e te take o te pākoko hei te kore o follicles. Ko tētahi atu mea, ko te e i roto i to ratou koinei te āta ētahi wā e haere he mea. Na e ratou ki te kupu hoki i te meka e kore e te hapūtanga e hiahiatia ana puta. Ano, ko te whanaketanga rerekē o follicles i roto i te ōrau kotahi rau o take arata'i ki te mate gynecological, i mahue kāore i roto i nga wahine faarahi te mōrea o te Thrombosis, thrombophlebitis, mate huka, whakaeke ngakau, pukupuku mārere i roto i te repe mammary.

Ka rite ki puta whēwhē ovarian me pehea pā ana te reira ki te hapūtanga

A, no te riro kōtiro pakeke i roto i to ratou tinana ngā i roto i te tukanga mahi o te matuatanga o follicles tuatahi i kahore ano rite moe. Tenei tukanga e tonu wahi i roto i huringa. I roto i ia huringa o "ara" ki pā ana ki 15 follicles. e raro i te mahi o FSH taiaki whakaputaina e te repe, kua tīmata ratou ake i roto i te tupu, te whakanui ake i roto i te whānui i te 50 ki te 500 microns. I roto i tenei wā, i hanga te inu follicular te reira, me te nui rawa o ratou puta kōhao. riro tenei ruahuru ngoi, faarahi ki 20 mitamano, kua tupu te. Roto te tere te whanake i te reira hua manu. Ko te toenga o te ruahuru i te rōpū o "oho" tetahi i muri i te tahi atu mate, me te memeha. Ki te haere katoa kia rite ki te tikanga i roto i te tinana wahine ngā te i roto i te mahi o te pūnaha endocrine. Ko te hua whakaputaina e te hormones estrogen, progestins, me androgens, e whakaawe i runga i te matuatanga atu o te ruahuru tino. I raro i te mana o te luteinizing taiaki (lyuteotropina, lutropin, haapotohia rite LH), ko reira pakaru, rau te reira i te hua ki te pūkano, a ka tahuri ia ki te luteum ngä me āta resorbed.

Ki te kore e te whati puta, he fanau te hua manu kore e tukua, me te wahi o te ruahuru puta whēwhē ovarian here-rahi. Ko te hunga o te "oho" follicles kihai i i i wa ki mate, ka tahuri ki cysts, anake iti. Whēwhē, i hanga i te ruahuru, ētahi wā tupu ki te rahi (40-60 mm), engari e kore e taea e ratou whakaatu. Anake i roto i te wā torutoru, amuamu tūroro o te mamae i roto i te ovaries. Kia te wahine he hanga noa o hormones, reira āta memeha. Ki te mea kua whakahokia te wahine kano, e wātea ana i te wa o ovarian whēwhē follicular o hapūtanga e kore e pokanoa, engari ki te i tupu te whēwhē ki te rahi o 90 mitamano, me hāparapara nekehia atu te reira.

Ko te take o te mate

e matau ana Scientists i roto i ngā kōrero i te whakapakoko sklerokistoz ovaries. e kore e pai te whakapumautia nga take mo tenei āhuatanga, i reira he whakapae anake. Ka rite ki i roto i te whanaketanga noa o te ruahuru me ovum putanga reira hormones He wāhi nui, te take matua o sklerokistoz whakaaro disorders hormonal ovarian, a i roto i te ngā i te kore i roto i te huarahi o te estrogen kōtuitanga. Tohutoroa ki nga take e whai ake nei o te tāne i hormonal:

• whakapapa;
• abnormalities i roto i te hanganga ira;
• raruraru i roto i te pūnaha rapae o-ovarian;
• whētuki;
• fifi i muri i materoto;
• hopuhopu, me te gynecological mate;
• fifi i muri i hoatu whanau;
• huri nga mahi o te uho adrenal.

tohu haumanu

Kia aroha mai, anake te timatanga o te wā paari ki te ite i ovaries te kotiro sklerokistoz. Tohu i roto i tenei wā lubricated me te nuinga ngā i roto i te huringa paheketanga. Ko e taea tenei āhuatanga e maha atu take e kore e pā ana ki te mate o te ovaries, ki raro ki te kai tōtika, me te karere disorders rawakore. Hoki e rua tekau, ki te mōrahi o rua tekau ma rima nga tau te kotiro puta tohu motuhake ake o te sklerokistoz ovarian. Ko te matua, ko te tonu te takahi o eke pahikara me te āhua o te paheketanga (96 ōrau o tūroro). Te nuinga ite roa roa marama (e pā ana ki te hawhe atu ranei) ranei nui iti rawa o ngā tīwharawhara (syndrome hypomenstrual). He nui iti pea ki te amuamu e pā ana ki te roa o te manawanui, me te marama nui.

Ētahi atu tohu suggestive o sklerokistoz ovarian e whai ake nei:

• hirsutism (i roto i te āhua 90 ōrau o tūroro kitea rohe hairiness huri noa te kōmata, hoki, puku, me te kauwae runga ake te ngutu);
• taumaha (70 ōrau o tūroro);
• moremore me hakihaki ki runga ki te mata (puta i roto i kore ake atu i te 40 ōrau o ngā take);
• etahi huringa i roto i te hanganga tinana;
• arā o te pūnaha io;
• syndrome asthenic;
• whakarahi ovarian (kitea i roto i te rata mātai tirohanga).

I tua atu, kia wheako etahi wahine tohu e te hunga noa ki maha mate: te mamae i roto i te puku o raro, ahuatanga, rohirohi haa.

rangahau taiwhanga

I runga i te pūtake o tohu waho o sklerokistoz ovarian whakapae noa, ka hanga te tātaritanga whakamutunga kei muri i ngā whakamātautau atu. Enei e:

• tātari i runga i te testosterone toto (kia tapeke i te whānuitanga o te 1.3 ng / mL, wahine noa ki te 41 tau - i roto i 3.18 ng / ml, a ki runga ki te 59 tau - kaua e nui ake 2.6 ng / ml);
• tātaritanga o te susceptibility o te kūhuka i te huka toto, me pāhare;
• kolpotsitogramma (rauemi tangohia i te whakaaturanga anga matou raraunga tara, kahore he ranei kano, me te ōrite tau o te manawanui kuputohu kolpotsitogrammy me te wā o tona huringa paheketanga);
• hāro o te endometrium (homai he tohu o maumaui o te ovaries);
• whakahaere huringa pāmahana basal;
• Etahi tātari i runga i hormones thyroid, rapae o, ovaries (LH, FSH, PSSG, prolactin, cortisol, 17-hydroxyprogesterone);
• faaotiraa o te excretion estrogen.

Na e taea takitahi te manawanui kawe i te whakamātautau ohie ki te whakapae i cysts ovarian. Tenei ka rapua e te karu (e wātea ana i pharmacies). I roto i te ata, tika whakaara ake a tonu kua kahore, kua kai, me te inu, e hiahia ana koe ki te hoatu i te topata o tona huware ki runga ki te wahi o te taiwhanga karaihe, me te hoatu i te reira ki te maroke. I roto i kano faarahi tonu te taumata o estrogen, i roto i te tahuri ketia te hanganga o te huware. Ki te he kano, e waiho he tauira huware i roto i te karu i roto i te puka o rau aruhe, a ki te kahore he kano, - i roto i te puka o ngā.

tātaritanga pūmārō

Ka rite ki te tikanga, tātaritanga tika, me te papû o tūroro whakahaeretia te tirohanga matatini mā ngā pūrere hauora.

Ko te tikanga tino ngawari, me te tino mamae kore ko te tātaritanga ultrasound o sklerokistoz ovarian. Ko te tukanga ko te transabdominal (i roto i te puku), transvaginal (te tikanga tino kōrero), ultrasound transrectal (whakamana anake i ngā kōtiro rawa taitamariki me nga wahine ruhiruhia).

Mā te ultrasound whakatau te rahi ovarian, āhua, hanganga, maha o follicles roto ratou, nei diameter - 8 mm, te aroaro ngaro ranei o te ruahuru tino, te aroaro ngaro ranei o kano, te aroaro o cysts i te kura kākano.

Ko tētahi atu momo o te rangahau - hau pelveogramma whakaatu rahi rerekē o nga ovaries me kōpū.

Ko tētahi o nga momo uaua tino o te tātaritanga he laparoscopy. Kei te whakamana te reira i roto i te hōhipera i raro i rehunga whānui. Ko te hātepe o te whai ake: taote manawanui hanga he poka o te taiepa peritoneum me tomo ki te taputapu, te pupuhi hāorarua hau waro i roto i te tikanga ki te hanga i te rōrahi i roto i te peritoneum me pai tūhura okana. I tua atu, whakaurua te tinana manawanui te laparoscope, e whakaatu ana i runga i te mata te āhua o te ovaries. Laparoscopy - te tikanga tika tino o te tātaritanga, engari i muri i te wahine me te wā whakanohonoho.

maimoatanga tūpato o te sklerokistoz ovarian

I muri i te tātaritanga äta i roto i nuinga o te wā i whakaritea te wahine te therapy tarukino tuatahi. Ko tōna whakaaro - ki te whakahoki huringa mate wahine noa me te kano ki te tīmata anō. Ko te sklerokistoz hamani whakatau tahi rata mātai ovarian ki te tafe'anga.

I roto i te aroaro o te mōmona, te taahiraa matamua manawanui i roto i te maimoatanga he ki te taumaha mate. Tai i whakaritea kai, faaohipa whaihua.

Ko te wāhanga tuarua - te whakanui ake i te tirohanga o te taiāki. Whakaritea "Metformin" e hiahia ana koe ki te tango i 3-6 marama.

Ko te toru o wāhanga - whakaongaonga o kano. A haamata maimoatanga ki te rongoā māmā - "clomiphene". Ko te akoranga tuatahi, ko te ki te riro hoki te po i roto i te horopeta o 50 mg, timata mai i 5 ra o te huringa mō te 5 ra karapīpiti. Ki te kahore he hua (paheke), "Clomiphene" tango i te marama. Ki te a ka kore te whiwhi tenei pānga, i nui haere te horopeta ki 150 mg ia ra.

Ko te wā i muri mai (i roto i te ngaro o akiaki pai) - Tuhinga o raau taero "menogon". Kei te whakahaerea te reira i intramuscularly, a i muri i te whakaoti i te werohanga akoranga "Horagona". "Menogon" taea whakakapi "Menodinom" ranei "Menopur".

I muri whakaoti i te akoranga katoa, mahi matū toto, ka tautapa "Utrozhestan" ranei "Djufaston" e hāngai ana i runga i te tātaritanga o te hua (ki te kore nui o te LH taiki).

I roto i te whakarara, tamata i te tākuta ki te tango i te wahine he hirsutism, i roto i te hononga ki nei whakaritea ai, "Ovosiston" me "Metronidazole".

tua whakahauanga ki te akoranga ko te huaora.

ovaries Sklerokistoz: te maimoatanga o tikanga hāparapara

Ki te i roto i nga marama e toru i muri i kore te kano puta therapy tarukino, whakaritea te wahine te pokanga. Kei te kawea te reira i roto i na maha ngā tikanga. E tetahi ki te whakamahi tei runga i te tohu mana ovarian.

I te wā reira, te whai ake ngā mahi:

• cysts moxibustion te whakamahi i te taiaho;
• demedulyatsiya (tango kura kākano i roto i tona wahi waenganui);
• resection poro (tango o te wāhanga kura kākano o te wahi i pangia i roto i te puka o te poro);
• decortication (tango rata apa Tunica puta follicles ovarian me patia te ngira te taha sutured);
• galvanocautery (wāhi whakangaromanga o te kura kākano i roto i tona mara, e hua rawa nui taiki).
• kāniwha (hanga ratou taote te hohonu o te 1 cm i roto i nga wahi i reira follicles tiaho kia taea tukua ratou i roto i te matuatanga o te hua manu iho).

matapae

Women e whakaae i runga i tetahi tikanga e whakaarohia ana mō ngā rata, hiahia i roto i te kotahi pātai: te reira taea ki te riro hapu ia ovaries sklerokistoz? whakaatu tatauranga e kahore maimoatanga, pāngia pākoko te i roto i te 90% o te wā. Drug therapy "clomiphene" whakapiki i mahi ovarian i roto i 90% o tūroro, engari puta te hapūtanga i% 28 anake o ratou. Heoi, kia rite ki te tahi mau hua pai kia rite tiketike rite 80%.

Te kore o "Clomiphene" hua - te reira anake whai hua i te timatanga o te mate pokanga e whai ake nei ranei hei adjuvant.

Maimoatanga o te raau taero atu kaha, pērā i "gonadotropins", rite ki tatauranga, i te iti rawa arata'i ki kano i 28% o tūroro, te mōrahi - 97%. Ko te kupu hapu i 7 ki te 65% o te wahine.

Ki te tukinotia sklerokistoz ovarian hāparapara, kitea nga hua pai ki e pā ana ki te auau rite taua o te therapy momo. E ai ki ngā tatauranga, i muri i te pokanga i runga i te ovaries i te whai wāhi ki te tiki hapu tiki 70-80% o te wahine.

Reviews

Hoki nga wahine tokomaha, whiwhi aitua ratou atamira tātaritanga "sklerokistoz ovarian". He tino rerekē arotake o tūroro i runga i te maimoatanga. Te tangata i āwhina pire ki te tangata - mahi, a kua kore te tangata hapūtanga puta, noa 'tu eaha tikanga e tangohia.

He he ano hoki te wahi iti o te tūroro pūrongo tīmatanga o ratou hapūtanga, kahore tetahi maimoatanga, ahakoa kahore te tātaritanga o "kura kākano sklerokistoz" i kiriata. kia tika ki te āhuatanga takitahi o te tangata ia enei hua whakahē, me te kore e tangohia rite te täkupu.

Ko te whakapai ake o te hauora i muri i te maimoatanga, tuhituhi ratou i roto i te arotake, te nuinga o te wahine. Anake kua korerotia i te torutoru tūroro e kua tonu o ratou marama atu mo te wa poto, i muri nei i hiahiatia ano ratou ki te tango i hormones.

Na hopea, i reira te mea he wahi o arotake i roto i nei mamae wahine i te ahua o ratou mamae wā roa-i roto i te rohe o nga ovaries me te peritoneum i muri i te maimoatanga ki te pokanga.