PCOS hauv gynecology
Tus kab mob no muaj lwm lub npe - tus kab mob ua qe menyuam yaus (PCOS). Cov ntawv luv luv no feem ntau pom muaj nyob hauv cov ntaub ntawv kho mob. Syndrome ntawm Stein-Leventhal gynecology suav hais tias, raws li ib cov symptomatic manifestations, qhia tias muaj kev cuam tshuam rau kev ua hauj lwm ntawm lub zes qe menyuam, txiav, adrenal cortex ntawm qhov hypothalamic-pituitary system. Tiv thaiv cov keeb kwm ntawm kev hloov hauv kev ua me nyuam, ncaj qha rau ntawm cov zes qe menyuam, nyob rau hauv cov hnoos qoob loo, muaj ntau yam kev loj hlob tuaj, uas muaj cov kua kab mob, thiab cov kua nplaum.
PCOS - qhov ua rau
Kev ntsuam xyuas thiab kev mus sij hawm ntev ntawm cov poj niam uas muaj lub npe, tau txiav txim siab yam xws li nws txoj kev loj hlob, li insulin kuj. Tam sim ntawd nws yog feem ntau pib qhov pib ntawm kev txhim kho ntawm Stein-Levental syndrome. Hauv qhov xwm txheej no, qhov kabmob ntawm cov pojniam kab mob rau insulin yog txo kom tsawg. Nyob rau hauv cov ntshav, cov concentration ntawm lub hormone nce, uas provokes ntev li ntawm secretion of androgens nyob hauv lub zes qe menyuam. Nyob rau hauv lawv qhov kev txiav txim, tus qauv thiab kev ua haujlwm ntawm kev sib daj sib deev ntawm ib tug poj niam hloov.
Nrog Stein-Leventhal Syndrome, los ntawm kev nce hauv androgens nyob rau hauv cov ntshav, tus poj niam pom ib qho kev ua txhaum ntawm tus txheej txheem ntawm ovulation, uas nws tus kheej tshwm sim nyob rau hauv ntev tsis muaj cev xeeb tub hauv nws txoj kev npaj. Lub plhaub txheej ntawm lub follicle thickens, ovulation yog nyuaj thiab tsis tshwm sim. Maj mam, nws pib sau nrog kua, tig mus rau hauv lub cyst. Nrog ntau qhov muaj xws li cov formations, tus kab mob Stein-Levental nthuav tawm. Yog li ntawd, lub zes qe menyuam ntawm ib tug poj niam tig mus ua ib pawg ntawm cov hlwv me me.
Kev kuaj PCOS
Ua ntej xaus thiab tshawb nrhiav "Stein-Levental tus kab mob", cov kws kho mob tau sau ntau cov kev tshawb fawb. Cov kev tshwj xeeb tseem ceeb yog:
- Ultrasound;
- kuaj ntshav rau cov tshuaj hormones;
- biochemistry ntawm cov ntshav.
Thaum kuaj ntshav rau cov hormone nrog Stein-Leventhal syndrome, qhov nce ntawm luteinizing hormone, androgens, yog tsim los, txo qis hauv cov concentration ntawm progesterone hauv theem 2 ntawm lub voj voog. Rau qhov tseeb ntawm hom no, cov ntshav tau kuaj peb lub sij hawm thaum lub sij hawm kev coj khaub ncaws: hauv 1 theem, hauv ovulation, hauv theem 2. Yog hais tias tsis muaj lub sij hawm ntev, qhov kev ntsuam xyuas yog ua tiav nrog ib lub caij nyoog ntawm 7-10 hnub.
Hauv kev ntsuam xyuas biochemical hauv kev kuaj mob ntawm cov kab mob, "Stein-Levental Syndrome" tau ua tib zoo saib xyuas cov xim qab zib thiab cov cholesterol - cov cim ntawm cov kab mob tsis haum, uas yog ib txwm pom nyob rau hauv tus kab mob polycystic. Qhov kawg ntawm "Stein-Levental Syndrome" yog nyob ntawm cov ntaub ntawv ultrasound. Nws qhia txog qhov sib thooj ntawm qhov ua txhaum cai, qhov loj ntawm cov koom haum ntawm tus kheej, thiaj li tsim kho cov tswv yim kho mob.
Stein-Levental Syndrome - cov paib
Tus kab mob no yog cov tsos mob ntawm kev mob qis. Thaum xub thawj, tus poj niam them nyiaj rau qhov ua txhaum cai ntawm lub cev ntas hauv ntau yam tshwm sim: cov kev hloov hauv qhov ntim, lub sij hawm ntev, qhov ua tiav ntawm kev qias neeg. Feem ntau amenorrhea yog sau tseg. Ntxiv nrog, Stein-Levental syndrome no yog:
- qhov tsos ntawm kev sib deev yam ntxwv raws li tus txiv neej hom - cov plaub hau ntawm lub plab, hauv siab;
- ib qho kev nce hauv qhov loj ntawm lub zes qe menyuam;
- qhov tsos ntawm qhov mob ntawm sab nraub qaum, thaj chaw hauv plab pelvic, nyob rau sab hauv plab;
- ntxiv lub cev hnyav, mob plab rog (plab loj);
- nquag mob siab;
- nce ntshav siab.
Ntawm cov tsos mob no, qhov tseem ceeb distinguishing feature ntawm Stein-Levental syndrome yog muscularisation. Tawm tsam cov keeb kwm ntawm kev loj ntawm cov poj niam txiv neej pw hauv cov ntshav, cov kev hloov hauv lub cev, lub sij hawm ntawm lub suab hloov. Thaum lub syndrome yog tawg Stein-Leventhal, qhov zoo li ib tug poj niam yog hloov thiab nws zoo li ib tug txiv neej. Qhov tseem ceeb ntawm cov tsos mob yog vim lub concentration of androgens nyob rau hauv tus ntxhais cov ntshav, theem ntawm tus kab mob.
Stein-Levental Syndrome - kev kho mob
Tom qab qhov kev kuaj mob ntawm "PCOS", kev kho yuav tsum tau kho raws li theem ntawm tus kab mob, symptomatology, qhov txawv ntawm qhov kev hloov hauv kev ua me nyuam. Muaj 2 yam kev kho mob:
- conservative - yuav siv cov tshuaj hormonal hauv Syndrome ntawm Stein-Leventhal;
- phais - tshem ntawm cov nqaij npuam ntawm lub zes qe menyuam, thiab nrog kev hloov loj hauv lawv - kev tshem tawm tiav.
Yuav ua li cas kho PCOS?
Thaum xub thawj, cov kws kho mob ua ib qho kev soj ntsuam los txiav txim siab seb qhov teebmeem ntawm lub caj pas hauv Stein-Levental syndrome. Thaum nqa tawm ultrasound, cov xov tooj ntawm muaj cysts thiab lawv cov ntau thiab tsawg yog tsau. Thaum lawv tseem me, kev kho cov tshuaj hormone yog tshuaj. Nws suav nrog:
- lub sij hawm ntawm progestogen - Dydrogesterone, Progesterone. Restore kev ua haujlwm ntawm kev sib deev, lub voj voog thiab kev yug;
- ua ke cov tshuaj tiv thaiv - Ovidon, Rigevidone;
- yeeb tshuaj uas txo qib ntawm androgens - Androkur, Veroshpiron.
Lub sijhawm ntev li ntawm txoj kev kho tus mob Stein-Levental syndrome no mus txog 6 lub hlis. Thaum lub sij hawm no, tus poj niam ntawv txhim kho txoj kev noj qab haus huv tag nrho, yuav luag tag nrho ntawm cov tsos mob. Cov poj niam cev xeeb tub zoo tshaj plaws, mob plab. Tom qab lub sij hawm ntawm txoj kev kho hormone, muab cov tshuaj siv los ua kom lub cev ovulatory, piv txwv li - Clomiphene.
Kev kho phais mob hauv lub Stein-Leventhal syndrome no tom qab tsis muaj kev kho mob nrog cov tshuaj hormonal. Hauv kev khiav hauj lwm, wedge-puab incisions yog ua rau ntawm cov zes qe menyuam. Laparoscopy nrog PCOS feem ntau tau ua tiav. Xws li cov txheej txheem tsis suav ntev lub sij hawm rov qab, muaj cov ua cim tsis tshua muaj teeb meem, yog ua raws li kev tswj cov khoom siv video nrog kev kho siab.
PCOS - kev kho mob nrog kev kho neeg pej xeem
Txoj kev kho tus mob no feem ntau yog cov poj niam. Tab sis ua ntej yuav kho tus mob syndrome ntawm tus mob polycystic nrog kev pab los ntawm cov tshuaj noj tshuaj, koj yuav tsum mus hauv kev sab laj. Ntawm cov zaub mov zoo rau Stein-Levental syndrome, nws tsim nyog sau cia:
- Decoction ntawm tshuaj ntsuab ntawm ib tug liab txhuam - 1 tablespoon ntawm crushed keeb kwm yog poured nyob rau hauv 200 ml ntawm boiling dej, tos 1 teev. Noj 30 feeb ua ntej noj mov, 3 zaug ib hnub twg. Ntev ntev yog 10 hnub.
- Tincture on cawv liab txhuam - 8 g ntawm keeb kwm pour 500 ml ntawm vodka. Txiav 7 hnub, muab tso rau hauv qhov chaw tsaus. Haus ib nrab ib teaspoon peb zaug ib hnub twg. Noj 5-7 hnub.
- Tincture ntawm borage uterus - npaj raws li daim ntawv qhia saum toj no. Noj 1/2 teaspoon, 3 zaug ib hnub, 1 lub lim tiam.
- Licorice paus - 200 ml ntawm boiling dej yog ntxiv rau 1 tablespoon ntawm keeb kwm ntawm cov nroj tsuag. Hais kom ib teev. Noj thaum nruab hnub. Qhov ntev ntawm kev kho yog 14 hnub.
Noj cov zaub mov hauv PCOS
Ib qho tseem ceeb yog ua los ntawm kev noj haus ntawm ib tug poj niam nrog Stein-Levental syndrome. Kev noj haus nrog PCOS yuav tsum yog, ntsuas. Cov kws kho mob tau qhia kom ua raws li cov cai hauv qab no:
- noj cov khoom noj uas muaj qis gllycemic: nqaij nyug, ntses, nqaij qaib, rye, barley, lentils, txheej, rye bread; txiv hmab txiv ntoo thiab zaub: kiwi, txiv apples, txiv kab ntxwv, dib, lws suav.
- ib qho piv ntawm cov nqaijrog rau carbohydrates;
- muaj tseeb, zaub mov feem ntau;
- cov khoom siv nrog ntau tus ecological compatibility (zus nws tus kheej);
- ib tug loj npaum li cas ntawm kev noj haus fiber kom txo cov cholesterol: txiv hmab txiv ntoo, txiv hmab txiv ntoo qhuav, zaub, bran berries.
PCOS - yuav ua li cas xeeb tub?
Qhov ua rau muaj teebmeem nrog lub tswvyim hauv PCOS yog qhov tsis tuaj yeem tawg. Tab sis vim txoj kev sib raug zoo nrog txoj kev cuam tshuam ntawm hormonal, ib stabilization ntawm cov txheej txheem ovulatory tsis txaus. Polycystic syndrome ntawm tus kabmob yug menyuam no tau txais kev saib xyuas hauv kev npaj plab me nyuam hauv 3 theem:
- poob lub cev hnyav;
- hormonotherapy;
- stimulation ntawm tus txheej txheem ovulation.
Qib kawg ntawm kev kho mob rau tus mob Stein-Leventhal syndrome yog thaum tus poj niam npaj ntxov ntxov. Nyob rau tib lub sij hawm, lub raj ntawm qhov ntxiv lawm tshuav yog tshem tawm ua ntej - lub plab hlaub ntaws raug kuaj xyuas seb puas muaj kev txwv. Thaum tsis muaj txiaj ntsim, nyuaj rau hauv kev xav, cov kws kho mob pom zoo kev phais mob. Ib nrab resection ntawm lub zes qe menyuam raug kho qhov teeb meem, thaum khaws cia tau cev xeeb tub.
IVF hauv PCOS
Kev siv tshuaj tua kab mob ntau dua thaum muaj ib qho mob txheeb xyuas uas raug txheeb xyuas tau raug tshwj xeeb los ntawm qee qhov kev mob. PCOS thiab cev xeeb tub yog tshaj cov ntsiab lus, ntau tus poj niam tswj hwm tus me nyuam tom qab kho mob. Thaum cev xeeb tub tsis tuaj yeem nyob hauv keeb kwm ntawm qhov muaj ntau tshaj 2 xyoos, tsis muaj kev cuam tshuam los ntawm kev kho mob (laparoscopy performed), muaj kev tiv thaiv ntawm cov hlab ntaws, - ECO pom zoo. Nws yog nqa tawm tsuas yog tom qab:
- kho tus mob hormonal;
- normalization ntawm cov txheej txheem metabolic;
- poob phaus.