Ntau zaus ntawm kev teem caij gynecologist, ib tug poj niam pom tias anovulation yog vim li cas rau nws tsis xeeb tub. Cov kab mob pathological no tshwm sim los ntawm kev ua txhaum ntawm kev coj khaub ncaws thiab tsis muaj ovulation. Hauv kab lus no, peb yuav txheeb xyuas qhov ua rau tus kab mob thiab kho tau.
Kev piav qhia ntawm pathology
Anovulation yog ib qho teeb meem ntawm kev coj khaub ncaws uas lub zes qe menyuam tsis ua haujlwm. Nyob rau tib lub sijhawm, cov follicle tseem ceeb tsis tsim lossis nws daim nyias nyias tsis tawg. Nyob rau hauv txoj kev loj hlob ntawm infertility, anovulation plays lub luag hauj lwm loj, yog ib tug ntawm cov tseem ceeb ua rau pathology. Feem ntau tsis muaj ovulation provokes hnyav cuam tshuam ntawm kev coj khaub ncaws, thiab qee zaum nws tsis ua tiav. Nws yog ib nqi sau cia hais tias nyob rau hauv cov poj niam noj qab haus huv, 1-2 cycles nyob rau hauv ib xyoos tsis xaus nrog kev tso tawm ntawm lub qe. Qhov no tsis yog ib qho mob pathological thiab tsis ua rau muaj kev hem thawj rau poj niam txoj kev noj qab haus huv. Kev kuaj mob ntawm tus mob anovulation yog tsim yog tias ovulation tsis tshwm sim rau ob peb lub voj voog sib law liag.
Kev faib tawm
Cov kws tshaj lij qhia ob hom kab mob. Cia wb mus saib lawv.
Physiological. Hauv qhov no, qhov tsis muaj ovulation yog suav tias yog qhov sib txawv ntawm cov qauv.
- Tej zaum yuav tshwm sim thaum lub hnub nyoog hluas thaum lub caij coj khaub ncaws pib pib.
- Nrog menopause.
- Thaum cev xeeb tub thiab lactation, qhov tshwm sim ntawm anovulation cuam tshuam los ntawm kev nce cov ntsiab lus ntawm prolactin hauv cov ntshav ntawm tus poj niam.
- Nws tshwm sim los ntawm qhov tsis muaj ovulation, lub cev ua rau muaj kev ntxhov siab, ua haujlwm ntau dhau.
- Thaum huab cua hloov pauv. Tom qab ib ntus, tus mob yuav nyob ruaj khov.
Pathological (hloov) hom. Anovulation nyob rau hauv cov ntaub ntawv no yuav provoked los ntawm ib tug loj tus naj npawb ntawm yam - piv txwv li, zes qe menyuam puas, hormonal cuam tshuam, thiab lwm yam. Nws tshwm sim hais tias ib tug poj niam paub txog kev kuaj mob los ntawm kev sib tsoo, txij li thaum lub sij hawm cev xeeb tub tsis cuam tshuam.
Yog vim li cas
Muaj ntau yam laj thawj rau anovulation. Lawv cov ntsiab lus tseem ceeb heev thaum teeb tsa kev kho mob.
Kev mob tshwm sim tuaj yeem tshwm sim los ntawm:
- Hormonal tsis ua haujlwm. Qhov no yog qhov laj thawj tseem ceeb rau kev loj hlob ntawm tus kab mob, vim tias cov tshuaj hormones cuam tshuam rau kev ua haujlwm ntawm tag nrho cov kab mob ntawm cov poj niam. Kev ua txhaum cai tuaj yeem ua rau muaj kev hloov pauv me ntsis.
- Kev cev xeeb tub thiab lactation. Nyob rau hauv cov ntaub ntawv no, anovulation yog tshwm sim los ntawm ib tug nce qib ntawm prolactin nyob rau hauv lub cev ntawm ib tug poj niam, uas inhibits zus tau tej cov FSH, uas yog lub luag hauj lwm rau cov txheej txheem ntawm lub qe maturation nyob rau hauv lub follicle..
- Congenital pathologies ntawm poj niamgenitals.
- kab mob sib kis.
- Cov txheej txheem mob ntev ntawm lub plab pelvic.
- polycystic zes qe menyuam. Nrog rau qhov no pathological mob, lub follicle plhaub yog tuab heev. Lub qe tsis tawg thiab ovulation tsis tshwm sim.
- Kev rog. Cov ntaub so ntswg adipose ntau provokes kev loj hlob ntawm estrogens, uas inhibit ovulation.
- Kev mob siab.
- Kev nyuaj siab.
- Genetic factor.
- Late puberty.
- kev tawm dag zog ntau dhau.
- Anorexia.
- Kev noj zaub mov tsis zoo.
- Kev siv tshuaj tiv thaiv qhov ncauj tsis raug.
EndometriosisEndometriosis
Symptoms
Qhov tseeb nthuav yog tias cov tsos mob ntawm anovulation yuav tsis tshwm sim. Nyob rau hauv rooj plaub no, tus poj niam kawm txog cov kab mob pathology tom qab kuaj ultrasound thiab dhau ib qho kev xeem. Yog vim li cas mus ntsib kws kho mob feem ntau yog tsis muaj peev xwm xeeb tub.
Cov cim qhia feem ntau ntawm pathology suav nrog:
- Irregularity ntawm kev coj khaub ncaws. Hauv qhov no, kev coj khaub ncaws yuav tsis yog rau ob peb lub hlis, lossis lawv tshwm sim ntau zaus hauv ib lub voj voog. Lub sij hawm thaum lub sij hawm anovulation tuaj yeem ua tsis txaus lossis zoo li los ntshav.
- Hloov qhov xwm txheej ntawm kev xaiv. Feem ntau, tus poj niam tso tawm txawv nyob ntawm theem ntawm lub voj voog. Qhov no tsis tshwm sim nrog anovulation.
- Yog tias qhov ua rau pathology nce prolactin, koj tuaj yeem pom cov kev hloov pauv hauv cov qog mammary - mastopathy. Tej zaum kuj yuav muaj kev txhawj xeeblub mis tenderness.
- pob txuv.
- Ntau lub cev plaub hau loj hlob. Qhov no tshwm sim vim muaj kev cuam tshuam hormonal, thaum txiv neej cov tshuaj hormones pib kov yeej poj niam.
- Tsis muaj qhov nce hauv qhov kub ntawm qhov nruab nrab ntawm lub voj voog.
- tsis xeeb tub.
Diagnosis
Vim tias muaj ntau yam sib txawv tuaj yeem ua rau muaj kev loj hlob ntawm anovulation, kev kuaj mob tseem ceeb heev. Tus kws kho mob yuav tsis tuaj yeem sau tshuaj kho tau zoo yam tsis muaj kev kuaj pom tseeb thiab qhov ua rau nws tshwm sim.
Cov kev kuaj mob niaj hnub no yog cov haujlwm hauv qab no:
- Ua ntej tshaj, koj yuav tsum tau txais lus qhia los ntawm tus kws tshaj lij. Tus kws kho mob yuav sau ib qho anamnesis ntawm tus kab mob, qhia meej txog qhov muaj cov kab mob ntev, lub sijhawm thiab qhov tshwm sim ntawm kev coj khaub ncaws.
- Kev smear los kuaj kab mob, mob thiab dysbacteriosis.
- Ua tiav urinalysis.
- Kev kuaj ntshav dav dav thiab biochemical.
- Kev pub ntshav rau cov tshuaj hormones yog ib txoj hauv kev kuaj mob tseem ceeb, vim tias nws yog qhov tsis txaus ntawm cov tshuaj hormones uas yog qhov tseem ceeb ntawm anovulation.
- ntsuas qhov ntsuas kub basal. Qhov no tsis yog ib txoj hauv kev zoo, txij li cov khoom thib peb kuj tuaj yeem cuam tshuam rau kev nyeem ntawv - kev ntxhov siab, tsis tsaug zog, noj tshuaj cawv, tshuaj.
- Express kev ntsuam xyuas los txiav txim ovulation. Lawv lub hauv paus ntsiab lus ntawm kev ua haujlwm yog tib yam li kev kuaj cev xeeb tub. Lawv peculiarity yog qhov kev xeemlub sawb yuav tsum ci ntau dua li kev tswj. Nws tau ua ib hnub ua ntej qhov kev cia siab ovulation. Tab sis cov kws kho mob pom zoo kom siv txoj kev no rau ob peb hnub.
- Txoj kev kuaj mob tshaj plaws yog kev kuaj ultrasound ntawm lub plab pelvic. Siv cov txheej txheem no, koj tuaj yeem kawm txog cov txheej txheem pathological, txiav txim siab qhov loj ntawm lub tsev menyuam, zes qe menyuam, thiab qhov tuab ntawm endometrium. Folliculometry kuj tseem ua tau. Qhov no yog kev kuaj ultrasound ntawm zes qe menyuam. Siv txoj kev no, tus naj npawb ntawm cov follicles yog txiav txim siab, lub xub ntiag ntawm ib qho tseem ceeb yog txiav txim siab. Folliculometry yog pom zoo kom ua nyob rau hauv nruab nrab ntawm lub voj voog txhua 2-3 hnub. Yog hais tias cov follicle tseem ceeb tau tawg, tus kws kho mob yuav pom me me ntawm cov kua dej dawb hauv lub plab kab noj hniav thiab muaj cov corpus luteum. Yog tias cov cim no tsis tau saib xyuas, thiab qhov tseem ceeb hauv follicle tsis tau txiav txim siab txhua, ces tsis muaj kev loj hlob thiab tso tawm ntawm lub qe.
- YThyroid ultrasound.
- Laparoscopic kuaj.
Menstruation during anovulation
Txawm hais tias qhov tseeb tias pathology ua rau lub voj voog tsis zoo, muaj cov xwm txheej uas anovulation tshwm sim thaum lub sijhawm tsis tu ncua. Ob qho tib si ntuj thiab kab mob tuaj yeem ua rau qhov no.
Natural suav nrog:
- Anovulatory cycles nyob rau hauv cov ntxhais hluas. Tus mob no tshwm sim thaum thawj coj khaub ncaws, thaum lub keeb kwm ntawm hormonal tseem tsis tau tag nrho rov qab mus rau qhov qub. Tom qab ib ntus, tus mob yuav nyob ruaj khov.
- Siv cov tshuaj tiv thaiv hormonal uas thaiv ovulation.
Y rau pathologicalyam muaj xws li:
Qhov muaj cov txheej txheem sib kis, xws li mycoplasmosis, chlamydia thiab lwm yam
Kev kho mob
Kev txhais ntawm kev kho yog tsis yooj yim sua yam tsis muaj kev ntsuas ntsuas. Tau teev cov laj thawj thiab cov tsos mob ntawm anovulation, kev kho mob yog xaiv los ntawm gynecologist tus kheej hauv txhua kis. Kev kho mob suav nrog kev kho tshuaj, kev siv tshuaj ib txwm siv thiab kev noj haus. Hauv qhov xwm txheej hnyav dua, kev phais yuav raug qhia.
Kev kho mob tseem ceeb yuav yog txhawm rau txhawm rau txhim kho hormonal keeb kwm yav dhau los, vim tias nws yog kab mob endocrine uas feem ntau yog vim li cas rau qhov tsis muaj ovulation.
- Thaum muaj kev rog lossis kab mob cuam tshuam nrog pathological thinness, nws raug nquahu kom kho cov zaub mov thiab ua raws li kev noj haus.
- Yog tias qhov ua txhaum ntawm anovulation yog qhov nce qib ntawm prolactin hauv cov ntshav, tom qab ntawd cov tshuaj raug sau tseg kom normalize nws. Tab sis nws tsim nyog nco ntsoov tias qhov muaj nuj nqis nce ntxiv tuaj yeem tshwm sim ib zaug vim yog cov neeg thib peb - cov xwm txheej ntxhov siab, noj qee yam tshuaj. Nws yog ib qho tsim nyog yuav tsum rov ua qhov kev ntsuam xyuas. Thaum ib tug pathological nce nyob rau hauv cov tshuaj hormones yog paub tseeb hais tias, hormonal kho yog muab. Cov tshuaj xws li Bromkriptin, Parlodel tuaj yeem raug sau.
- Yog qhov teeb meem tshwm sim los ntawm cov thyroid kab mob, kev kho cov thyroid hormone yog siv.
- Yog tias txhua yam ua tau raug tshem tawm, tab sis ovulation tsis tshwm sim, nws yuav tsim nyog los txhawb nws nrog hormon altshuaj.
Tshuaj
Cov tshuaj hauv qab no yog siv feem ntau:
- "Klostilbegit" yog ib qho tshuaj antiestrogen uas koom nrog hauv kev tsim cov follicle tseem ceeb thiab kev loj hlob ntawm lub qe.
- Txij li thaum noj "Klostilbegit" tuaj yeem txo qis qib ntawm cov tshuaj estrogen hauv cov ntshav, uas tuaj yeem cuam tshuam cov qog nqaij hlav hauv lub ncauj tsev menyuam, cov tshuaj tau muab tshuaj los them rau qhov tsis muaj tshuaj estrogen thiab tiv thaiv kom tsis txhob muaj zes qe menyuam thaum ntxov. Cov no suav nrog Proginova.
- HCG tau sau tseg txhawm rau txhawm rau lub plhaub follicle thiab tso lub qe. Ob peb hnub tom qab, kev tswj hwm ultrasound yog xav tau kom paub meej tias ovulation tau tshwm sim.
- Kwv yees li ntawm hnub 16 ntawm lub voj voog, cov tshuaj progesterone tau muab los txhawb lub cev luteum. "Utrozhestan" thiab "Dufaston" thaum lub sij hawm anovulation nce txoj hauv kev xeeb tub thiab yug me nyuam, txij li qhov tsis muaj progesterone tuaj yeem cuam tshuam ovulation, thiab nyob rau hauv cov ntaub ntawv ntawm fertilization, tiv thaiv lub qe los ntawm txuas mus rau lub tsev menyuam.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj stimulation yog muab los ntawm tus kws kho mob ib leeg zuj zus nyob rau hauv txhua rooj plaub. Cov txheej txheem yuav tsum tau ua raws li kev coj ua ultrasound nruj.
kev kho neeg zoo
Kev kho mob ntawm anovulation nrog pej xeem tshuaj tau ua pov thawj nws tus kheej zoo. Kev siv tshuaj ntsuab tuaj yeem ua rau lub cev tsis muaj zog, rov qab ovulation thiab txhawb kev xeeb tub.
Muaj qee txoj cai hauv kev kho mob pej xeem.
- Nws txwv tsis pub haus tshuaj ntsuabdecoctions thaum cev xeeb tub.
- Ua ntej noj, yuav tsum tau qhia meej qhov ua rau anovulation thiab kuaj tshuaj hormone.
- Kev kho yuav tsum kav tsawg kawg peb lub hlis, tom qab ntawd so so.
- Yog tias cev xeeb tub, cov tshuaj ib txwm raug txiav tawm.
- tshuaj Hormonal yuav tsum tsis txhob noj thaum kho tshuaj ntsuab.
- Txhua yam kev kho mob yuav tsum nyob rau hauv kev saib xyuas ntawm tus kws kho mob thiab ultrasound. Ib ntus, koj yuav tsum kuaj xyuas keeb kwm ntawm hormonal.
tshuaj ntsuab hauv kev kho kab mob
Tshuaj ntsuab siv los kho cov kab mob muaj xws li:
- Sage. Cog analogue ntawm estrogen. Txhawb kev loj hlob ntawm follicle, maturation ntawm lub qe thiab nws tso tawm. Nws muaj txiaj ntsig zoo rau tag nrho cov kev ua me nyuam ntawm tus poj niam. Contraindications muaj xws li: kab mob raum, los ntshav thiab thyroid kab mob.
- Plantain. Cov noob ntawm cov nroj tsuag yog siv los kho cov poj niam cov kab mob.
- Upland uterus. Cov tshuaj no yog siv los kho ntau yam kab mob gynecological. Tab sis kev siv tsis raug tuaj yeem ua rau los ntshav.
- Aloe. Ntxiv mus, cov nroj tsuag yuav tsum muaj 5 xyoos, thiab ua ntej npaj cov tshuaj, aloe yuav tsum tsis txhob watered rau ib lub lim tiam.
Kev siv cov zaub mov pej xeem hauv kev kho mob ntawm anovulation tuaj yeem ua tau zoo heev. Tab sis koj yuav tsum nco ntsoov tias ua ntej siv tshuaj ntsuab, koj yuav tsum sab laj nrog koj tus kws kho mob, vim tias kev siv tsis raug tuaj yeem ua rau qhov xwm txheej hnyav, ua rau muaj teeb meem loj.
kev kho mob ntxiv
NrogKev kho tshuaj thiab kev siv cov tshuaj ib txwm siv, muaj cov xwm txheej hauv kev phais txoj kev kho mob yuav raug qhia.
Feem ntau, laparoscopy yog siv los kho anovulation. Txoj kev no yog siv rau kev kuaj mob lossis rau tus kab mob polycystic.
Kev kho lub cev, kho av nkos, kho da dej kuj raug pom zoo.
Txoj kev xav ntawm zes qe menyuam
Txawm tias qhov kev txhawb nqa yog ib txoj hauv kev zoo rau kev xeeb tub, tsis yog txhua tus poj niam tuaj yeem siv hom kev kho mob no. Piv txwv li, thaum tsim cov qe tsis zoo los yog muaj kab mob ntawm qhov chaw mos, tsis pom zoo kom stimulation.
Nws tseem ceeb heev uas yuav tsum nco ntsoov tias tsis pub ntau tshaj tsib txoj kev ua haujlwm hauv lub neej, vim tias txoj kev no ua rau lub zes qe menyuam, uas tuaj yeem ua rau muaj hnub nyoog ntxov.
Zoo kawg
Anovulation yog ib qho mob hnyav, uas, raws li txoj cai, yog cov tsos mob ntawm lwm yam kab mob. Thaum txiav txim siab txog txoj kev kho mob, nws yog ib qho tsim nyog yuav tsum tau mus rau qhov kev ntsuam xyuas tsim nyog, raws li qhov kev kho mob tau sau tseg. Thaum txiav txim siab txog txoj kev kho mob zoo tshaj plaws, qhov yuav rov qab los yog siab heev.
