Feem ntau cov neeg tsis muaj zog ib nrab ntawm tib neeg ua tib zoo saib xyuas lub xeev ntawm lawv cov poj niam noj qab haus huv. Thaum cov tsos mob txawv txawv tshwm sim, cov poj niam tam sim ntawd maj mus rau tus kws kho mob thiab mus rau qhov tsim nyog kuaj. Txawm li cas los xij, tsuas yog qee qhov them nyiaj rau lub sijhawm ntawm kev coj khaub ncaws. Thiab heev nyob rau hauv vain. Nws qhov nce lossis, qhov sib txawv, qhov txo qis tuaj yeem tshwm sim los ntawm kev ua haujlwm ntawm zes qe menyuam. Nws yog qhov pathology uas yuav tau tham hauv kab lus.
zes qe menyuam ua haujlwm yog dab tsi?
lo lus no yog hais txog kev cuam tshuam ntawm kev ua haujlwm hormonal ntawm zes qe menyuam. Nyob rau hauv lub xub ntiag ntawm no pathology, lawv tsis ua hauj lwm tag nrho - zus tau tej cov tshuaj hormones thiab kab mob hlwb.
Tus mob no nrog rau kev coj khaub ncaws tsis xwm yeem thiab cov tsos mob ntawm lwm yam tsos mob. Ovarian dysfunction yuav tsum tsis txhob ignored. Nws tuaj yeem ua rau muaj menyuam tsis taus thiab lwm yam tshwm sim tsis zoo, uas yuav tau tham hauv qab no.
Kev phom sij ntawm zes qe menyuam yog dab tsi?
Nrog rau qhov teeb meem no, poj niam lub cev tsis tuaj yeem tsim qe. Yog li ntawd, cov lus teb rau cov lus nug uas nquag nug los ntawm cov neeg mob yog nws muaj peev xwm xeeb tub nrog dysfunctionzes qe menyuam, yuav, hmoov tsis, yuav tsis zoo. Txawm hais tias nws tsim nyog sau cia tias kev kho raws sijhawm tuaj yeem tshem tawm qhov teeb meem no.
Yog tias cov tsos mob ntawm zes qe menyuam tsis ua haujlwm raug tsis quav ntsej rau lub sijhawm ntev, tus kab mob yuav mob ntev. Tsis tas li ntawd, muaj lwm yam tsis zoo yuav tshwm sim, xws li:
- uterine fibroids;
- mastopathy;
- endometriosis;
- kev muaj menyuam.
Nws tau raug pov thawj tias kev ua haujlwm ntawm zes qe menyuam ua rau muaj kev pheej hmoo ntawm cov kab mob oncological (mob qog noj ntshav, mob qog noj ntshav mis). Tshwj xeeb tshaj yog yuav tsum yog cov poj niam uas muaj hnub nyoog tshaj 40 xyoo, txij li thaum nws yog nyob rau lub hnub nyoog no uas lub ntuj extinction ntawm lub gonads tshwm sim.
Cas of disease development
Ntau yam sib txawv tuaj yeem ua rau zes qe menyuam ua haujlwm tsis zoo.
- Cov txheej txheem mob hauv tsev menyuam (endometritis, cervicitis), nws cov appendages (salpingoophoritis, adnexitis) thiab zes qe menyuam (oophoritis). Qhov kev pheej hmoo ntawm cov kab mob no nce ntxiv nrog kev tsis ua raws li cov cai ntawm kev nyiam huv, hypothermia, txo kev tiv thaiv, mob khaub thuas, kev ua txhaum cai thiab nquag douching ntawm qhov chaw mos.
- STDs.
- Congenital lossis kis tau cov kab mob endocrine (obesity, ntshav qab zib, adrenal lossis thyroid kab mob). Tag nrho cov ntawm lawv yog nrog los ntawm hormonal tsis txaus, uas kuj cuam tshuam rau qhov chaw mos.
- Kab mob ntawm zes qe menyuam thiab tsev menyuam. Tshwj xeeb, nws tuaj yeem yog fibroma, qog ntawm zes qe menyuam,adenomyosis, endometriosis, lub cev thiab mob qog noj ntshav thiab lwm yam.
- Kev raug mob taub hau thaum lub caj pas pituitary tshwm sim.
- Kev ntxhov siab thiab ntxhov siab, uas tshwm sim los ntawm kev ua haujlwm hnyav ntawm lub cev lossis kev puas siab puas ntsws, kev ntxhov siab, kev faib tawm tsis raug ntawm lub sijhawm ua haujlwm thiab so.
- Abortion. Rau ntau dua, qhov no siv rau kev rho menyuam tawm thaum cev xeeb tub thawj zaug. Thaum lub sijhawm no, lub cev pib rov tsim kho kom tus poj niam muaj lub sijhawm los ris lub fetus. Kev cuam tshuam ntawm qhov kev txhim kho no tuaj yeem ua rau zes qe menyuam thiab ua rau muaj menyuam tsis taus.
- Kev tso IUD tsis raug. Nws yog ib qho tseem ceeb kom nco ntsoov tias xws li ib tug ntaus ntawv tsuas yog yuav tsum tau ntsia yog tsis muaj contraindications. Nyob rau yav tom ntej, peb yuav tsum tsis txhob hnov qab txog kev kuaj xyuas tsis tu ncua.
- Cov khoom siv sab nraud. Cov no suav nrog kev hloov pauv huab cua, hluav taws xob raug mob, kev tiv thaiv ntau dhau, kev siv tshuaj kho mob.
Qee zaum, tsuas yog kev coj khaub ncaws tsis zoo tuaj yeem ua rau lub zes qe menyuam tsis ua haujlwm.
Endocrinological ua rau tus kab mob
Lub zes qe menyuam tsis ua haujlwm yog raws li kev tswj hwm ntawm lub cev hypothalamic-pituitary. Nws yog anterior pituitary caj pas uas yog lub luag haujlwm rau qhov sib piv ntawm qib ntawm cov tshuaj hormones xws li prolactin, luteinizing (LH) thiab follicle-stimulating (FSH). Kev txo qis hauv qib ntawm progesterone thiab nce ntawm cov tshuaj estrogen ua rau muaj kev coj khaub ncaws tsis zoo, tsis muaj theem.corpus luteum thiab anovulation (tsis muaj ovulation).
Nyob ntawm cov txheej txheem pathological
Ovarian dysfunction tau muab faib ua peb hom:
- juvenile;
- reproductive;
- climacteric.
Kev ua haujlwm tsis zoo rau menyuam yaus tshwm sim thaum nws tseem hluas. Feem ntau nws tsis ua rau muaj kev phom sij loj, vim cov ntxhais tseem tsis paub txog kev tswj hwm endocrine thiab nws yuav siv sij hawm qee lub sij hawm rau kev coj khaub ncaws kom ruaj khov.
Ovarian dysfunction nyob rau hauv lub sij hawm xeeb tub tej zaum yuav qhia tau hais tias kev loj hlob ntawm lwm yam kab mob los yog yuav luag tsis muaj ntxiv lawm tshob. Nws yuav tsum tau kev kho mob, uas peb yuav tau them tshwj xeeb rau tom qab.
Climacteric zes qe menyuam tsis ua haujlwm yog ib txwm muaj rau cov poj niam laus. Qhov no yog ib tug natural extinction ntawm lub functions ntawm cov qog ua kua mis. Cov txheej txheem no muaj lwm lub npe - menopause. Feem ntau nws tshwm sim thaum muaj hnub nyoog 45-55 xyoo. Cov kev hloov ntawm zes qe menyuam muaj nuj nqi yog irreversible. Qee qhov xwm txheej, cov tsos mob tshwm sim tuaj yeem tshwm sim thaum cev xeeb tub:
- tawm hws ntau dhau;
- kev pw tsaug zog;
- nquag tso zis;
- ntau dhau dryness ntawm mucous daim nyias nyias ntawm qhov chaw mos thiab daim tawv nqaij;
- kub flashes nrog reddening ntawm daim tawv nqaij;
Koj tuaj yeem tshem lawv nrog kev pab kho tshuaj hormone. Thaum tsis muaj contraindications, nws yog nqa tawm txhua tsib xyoos. Kev kho tshuaj hormone ntuj raug txwv thaum:
- varicose leeg nrogkev pheej hmoo ntawm thromboembolism;
- kab mob endometriosis ntawm phab ntsa ntawm lub tsev menyuam;
- kab mob ntawm lub raum, siab, gallbladder thiab endocrine system;
- ntshav txhaws.
Tab sis txawm nyob rau hauv cov xwm txheej zoo li no, tsis txhob poob siab, vim muaj lwm txoj kev kho mob. Qhov no tej zaum yuav yog bioidentical hormone therapy, phytohormones lossis estrogen receptor modulators. Qhov tsuas yog qhov tsis zoo ntawm cov tshuaj no yog tias lawv muaj cov txiaj ntsig tsawg dua.
Cov tsos mob ntawm cov txheej txheem pathological
Cov cim qhia meej ntawm zes qe menyuam tsis ua haujlwm yog:
- kev coj khaub ncaws tsis xwm yeem, lawv qhov kev siv ntau dhau lossis, qhov sib txawv, tsis txaus, los ntshav ntawm lub sijhawm.
- Mob hauv qab lossis hauv plab plab (rub, cramping lossis dull) thaum lub sijhawm xav tau ovulation, premenstrual los yog coj khaub ncaws.
- Tsis muaj peev xwm xeeb tub lossis nchuav menyuam.
- Acyclic uterine los ntshav. Lawv tuaj yeem ua tau ntau yam: tsis tshua muaj (ntau tshaj 30 hnub), nquag (tsawg dua 21 hnub), lub sijhawm ntev (ntau tshaj 7 hnub), muaj ntau (cov ntshav poob ntau dua 150 milliliters).
- mob hnyav premenstrual syndrome. PMS yog nrog los ntawm kev chim siab ntau dhau los lossis, qhov sib txawv, tsis txaus ntseeg, nrog rau kev qaug zog.
- tsis muaj sijhawm ntau dua 6 lub hlis.
- Cov tsos mob ntawm anemia: kev qaug zog, tawv nqaij daj, tsis qab los noj mov, kiv taub hau, tachycardia.
Nyob rau hauv rooj plaub no, muaj tag nrho lossis ob peb lub cim nyob rau tib lub sijhawm yog qhov xaiv tau. Qhov laj thawj nrhiav kev pab los ntawm tus kws tshaj lij yog qhov muaj tsawg kawg yog ib qho ntawm lawv!
Nyob hauv cov xwm txheej tsawg dua, kev ua haujlwm ntawm zes qe menyuam muaj lwm yam tsos mob:
- pob txha hauv zes qe menyuam;
- plaub hau loj hlob thoob plaws lub cev (hirsutism);
- pob txuv;
- txo qis libido;
- hnyav nce.
Lawv feem ntau tshwm sim rau cov neeg mob uas coj khaub ncaws tsawg dua yim zaug hauv ib xyoos.
Txoj kev kuaj mob
Txhawm rau kuaj xyuas thiab sau tshuaj kho rau ntawm zes qe menyuam, koj yuav tsum tau hu rau gynecologist thiab endocrinologist. Txhua tus kws tshaj lij no yuav ua lawv tus kheej hom kev tshawb fawb, cov txiaj ntsig uas yuav ua rau nws muaj peev xwm txiav txim siab qhov muaj tus kab mob.
Thaum tus kws kho mob gynecologist tau teem sijhawm, ob peb cov txheej txheem hauv qab no yuav raug ua:
- kev xeem ntawm lub rooj zaum;
- kev coj noj coj ua ntawm qhov chaw mos rau flora;
- PCR tsom xam;
- histological kuaj ntawm endometrium ntawm uterine kab noj hniav.
Tus kws kho mob endocrinologist yuav sau cov kev tshawb fawb uas yuav pab kom muaj kev xav txog keeb kwm hormonal ntawm tus neeg mob:
- estrogen;
- Yprolactin;
- Yprogesterone;
- LG;
- FSH;
- Ythyroid hormones;
- Yadrenal hormones.
Yog tias tsim nyog, lwm yam kev tshawb fawb yuav raug txiav txim:
- Ultrasound ntawm lub plab pelvic kabmob, thyroid caj pas thiab qog adrenal;
- histological kuaj;
- hysteroscopy;
- transvaginalsonography.
Yog xav tias qhov mob qog nqaij hlav pituitary, tus txheej txheem yuav raug tshuaj:
- X-ray ntawm pob txha taub hau;
- CT scan ntawm lub hlwb;
- magnetic resonance imaging ntawm lub hlwb.
Nyob rau hauv txhua rooj plaub, cov txheej txheem tsim nyog ntawm kev kuaj mob tuaj yeem ua kom yooj yim lossis ntxiv nyob ntawm daim duab kho mob ntawm tus kab mob. Piv txwv li, cov ntxhais feem ntau raug tshuaj ntsuam xyuas:
- ntawm qib platelets;
- ntawm qib ntawm antithrombin III;
- ntshav txhaws;
- ntawm qib ntawm prothrombin;
- rau lub sijhawm los ntshav.
Thaum muaj hnub nyoog me nyuam, tshwj xeeb yog kos rau:
- qhov tshwm sim ntawm kev rho menyuam;
- ncauj tsev menyuam thiab kab noj hniav (puas yuav tsum tau kho);
- kev pheej hmoo ntawm cev xeeb tub.
kev kho mob
Nrog kev kuaj mob ntawm "ovarian dysfunction" koj tuaj yeem xeeb tub. Tab sis ua ntej, tus neeg mob yuav tau txais kev kho mob. Lub hom phiaj tseem ceeb ntawm tom kawg yuav yog:
- Tuag ntshav thiab lwm yam xwm txheej ceev.
- Tshem tawm qhov ua rau ntawm zes qe menyuam.
- Txhim kho cov tshuaj hormonal ntawm zes qe menyuam thiab normalization ntawm kev coj khaub ncaws.
Thaum thawj theem ntawm kev kho ntawm zes qe menyuam tsis ua haujlwm, tus neeg mob yuav raug muab tshuaj:
- Kev siv tshuaj hemostatic.
- Cervical scraping thiabuterine kab noj hniav.
Tshuaj rau kev kho mob ntawm zes qe menyuam dysfunction raug xaiv nyob ntawm seb qhov ua rau ntawm pathology. Yog hais tias nws yog provoked los ntawm lub xub ntiag ntawm kis kab mob thiab inflammatory txheej txheem nyob rau hauv lub pelvic kabmob (mob ntawm lub appendages, endometritis, thiab thiaj li nyob rau), nws yuav tsum tau mus rau ib tug kev kho mob ntawm anti-inflammatory thiab tshuaj tua kab mob. Yog tias muaj kev ua txhaum ntawm cov qog ua haujlwm (pituitary, adrenal, thyroid), kev kho tshuaj hormone tsim nyog yuav raug sau tseg.
Theem kawg (kev coj khaub ncaws zoo li qub) yuav tsum:
- kev kho tshuaj hormone nrog tshuaj tiv thaiv qhov ncauj, nrog rau progesterone thiab lwm yam gestagens ntshiab;
- kub;
- kho lub cev;
- kev kho kom muaj zog dav dav (piv txwv li, noj ntau yam vitamin thiab ntxhia complexes, kev noj zaub mov, tshuaj homeopathic).
Tsis muaj lub luag haujlwm tseem ceeb hauv cov txheej txheem rov qab muaj lub neej ib txwm muaj, noj zaub mov, noj zaub mov, ua haujlwm lub cev. Qee zaum, nws yuav tsum tau mus ntsib kws kho mob hlwb lossis kws kho mob hlwb.
Yuav ua li cas kho zes qe menyuam, tus kws kho mob txiav txim siab. Nws yog nws leej twg yuav xaiv cov tshuaj thiab cov txheej txheem zoo tshaj plaws, tsom mus rau daim duab kho mob ntawm tus kab mob.
Kev kho mob tsis xaus nrog kev tshem tawm cov tsos mob ntawm tus kab mob. Tom qab nws ua tiav, tus neeg mob yuav tsum tau noj cov tshuaj progesterone txij hnub tim 16 txog rau hnub tim 26 ntawm kev coj khaub ncaws. Qhov no yuav pab tiv thaiv kev rov qab los.
Yog poj niam npaj sai sai nocev xeeb tub, nws yuav tsum tau mus rau ovulation stimulation. Cov tshuaj uas kws kho mob tau sau tseg yuav tsum tau noj los ntawm 5 mus rau 29 hnub ntawm kev coj khaub ncaws. Nyob rau hauv cov ntaub ntawv no, nrog kev pab los ntawm ultrasound, tus nqi ntawm txoj kev loj hlob ntawm lub follicle yuav saib xyuas. Raws li txoj cai, stimulation yog nqa tawm rau peb lub voj voog ua ke.
Yog tias cev xeeb tub tsis nyob rau hauv cov phiaj xwm yav tom ntej, cov tshuaj tiv thaiv qhov ncauj yuav txaus. Lawv yuav pab ua kom lub cev tsis muaj zog thiab tiv thaiv qhov tsis zoo ntawm tus kab mob.
kev kho neeg zoo
Kev kho ntawm zes qe menyuam tsis ua haujlwm nrog cov tshuaj pej xeem yog dav. Ntau tus ntseeg tau hais tias kev siv cov nroj tsuag tshuaj tuaj yeem tiv thaiv tsis tau cov tshuaj hormones kho. Qhov kev xav zoo li no, hmoov tsis zoo, yog qhov yuam kev, vim tias tus kab mob no yog los ntawm cov kab mob endocrine thiab ib tus tsis tuaj yeem ua yam tsis siv cov tshuaj no.
Thiab tib lub sijhawm, tsis muaj leej twg txwv tsis pub siv cov tshuaj thiab tshuaj pej xeem tshuaj rau kev kho mob ntawm zes qe menyuam. Cov lus teb rau qhov sib xyaw ua ke uas cov neeg mob tawm mus yog feem ntau zoo.
Kev kho neeg pej xeem suav nrog kev siv sab hauv ntawm decoctions ntawm ntau yam nroj tsuag tshuaj thiab douching. Hauv thawj kis, lawv feem ntau siv:
- centaury;
- licorice;
- wintergreen;
- melilot;
- coltsfoot;
- marshmallow cag;
- thyme;
- dioecious nettle nplooj;
- yarrow;
- St. John's wort paj.
Rau douching, infusions npajlos ntawm:
- paj thiab nplooj ntawm immortelle;
- oak bark;
- dub elderberry paj;
- daisies.
Ua ntej koj pib douching lossis haus tshuaj ntsuab tshuaj yej, koj yuav tsum sab laj nrog koj tus kws kho mob.
ntsuas kev tiv thaiv
Ib yam li lwm yam kab mob, nws yooj yim dua los tiv thaiv qhov tshwm sim ntawm zes qe menyuam tsis ua haujlwm dua li kev kho nws thiab tshem tawm cov kev tsis zoo tom qab. Tsis tas li ntawd, tsis muaj dab tsi nyuab nyob rau hauv kev tiv thaiv kev ntsuas ntawm no pathology. Rau ib tug poj niam, nws yooj yim txaus:
- Ua kom huv si. Qhov no yuav tiv thaiv kev nkag mus ntawm tus kab mob los ntawm cov kab mob genitourinary mus rau cov kab mob tseem ceeb - lub tsev menyuam, appendages, zes qe menyuam, zais zis.
- Tsis txhob hypothermia. Tshwj xeeb tshaj yog, txoj cai no siv rau cov kab mob pelvic. Lawv khov tuaj yeem ua rau mob ntawm lub tsev menyuam, nws cov appendages thiab zes qe menyuam.
- Tsis txhob hnov qab txog kev mus ntsib gynecologist tsis tu ncua (ib zaug txhua rau lub hlis) thiab kho cov kab mob raws sijhawm txhawm rau tiv thaiv lawv kom tsis txhob mob ntev.
- Tsis txhob ua haujlwm ntau dhau ntawm kev xav thiab lub cev. Nws yog ib qho tseem ceeb uas yuav tsum tau ua kom pom tseeb ntawm kev ua haujlwm thiab so.
- Tsis txhob noj tshuaj rau tus kheej thiab txawm tsis muaj tshuaj tsis paub thiab muaj zog yam tsis muaj kws kho mob sau.
- Noj tshuaj hormonal (piv txwv li, tshuaj tiv thaiv qhov ncauj), nruj me ntsis raws li cov qauv tsim los ntawm tus kws kho mob.
- Txhob tus cwj pwm phem.
- Ua kom noj qab nyob zoo uas suav nrog kev noj zaub mov kom raug, lub cevkev ua si.
- Tsis rho menyuam. Qhov no yog qhov tseeb tshwj xeeb rau kev xeeb tub thawj zaug!
- Muaj kev sib deev nrog tus khub tsis tu ncua.
Tsis txhob kwv yees qhov txaus ntshai thiab qhov hnyav ntawm cov kab mob xws li zes qe menyuam tsis ua haujlwm. Nws yog ib qho tseem ceeb kom nco ntsoov qhov tsis zoo ntawm qhov tshwm sim uas nws tuaj yeem ua rau, thiab nyob rau lub sijhawm nrhiav kev pab los ntawm cov kws tshaj lij. Hmoov zoo, niaj hnub no qhov tshwm sim no tau kawm zoo, yog li cov neeg mob tuaj yeem ua siab ntev txog lawv txoj kev noj qab haus huv. Kev kho mob yuav dhau mus sai txaus, thiab ua raws li kev tiv thaiv kev tiv thaiv yuav tiv thaiv tus kab mob rov qab los.
Ua noj qab nyob zoo!
