Resistant ovary syndrome yog qhov kev nkag siab tsawg tshaj plaws ntawm poj niam pathology. Feem ntau, tus kab mob no tshwm sim hauv 25-35 xyoo. Nws yog tus cwj pwm los ntawm qhov tsis muaj kev coj khaub ncaws ib ntus nrog nce qib ntawm gonadotropic cov tshuaj hormones ntawm lub caj pas pituitary.
Definition
Lub ntsiab lus ntawm tus kab mob yog qhov tseeb tias zes qe menyuam tsis ua haujlwm ncaj qha. Feem ntau, tus kab mob no zuj zus thiab xaus nrog menopause. Lub peculiarity ntawm lub pathology yog manifested nyob rau hauv infertility thiab tsis muaj lub cev ntas. Thaum lub sijhawm muaj mob, ntau hom amenorrhea feem ntau tshwm sim. Thaum lub sij hawm no, muaj ib tug overestimated theem ntawm gonadotropic cov tshuaj hormones ntawm lub caj pas pituitary, raws li lub cev tseem sim pib lub zes qe menyuam. Txawm li cas los xij, lawv tsis pib ua haujlwm, vim tias tsis txaus ntawm progesterone thiab estrogen raug tso tawm. Thawj zaug lawv pib tham txog qhov teeb meem yog xyoo 1959, thaum cov kws tshawb fawb tau piav qhia txog cov tsos mob ntawm lub zes qe menyuam resistant. Tab sis tseem, lub ntsiab lus no tseem tsis to taub niaj hnub no, thiab cov laj thawj rau qhov zoo li tseem yog tag nrhotsis tau txhais.
Views
Tsis muaj kev faib tawm meej ntawm cov kab mob no hauv phau ntawv kho mob. Txawm hais tias qee tus kws tshaj lij txheeb xyuas peb txoj hauv kev rau kev txhim kho tus kabmob:
- caj ces predisposition rau qhov tshwm sim ntawm qhov tsis xws luag hauv follicular apparatus.
- Qhov autotomic qhov tshwm sim - thaum lub sijhawm tsim cov tshuaj tiv thaiv kab mob, qhov kev nkag siab ntawm follicle-stimulating hormone receptors raug thaiv.
- Thaum siv tshuaj cytotoxic thiab tshuaj tiv thaiv kab mob.
Symptoms
Resistant ovary syndrome feem ntau tuaj yeem txheeb xyuas los ntawm cov kab mob uas tau teev tseg:
- siab LH (luteinizing hormone) thiab FSH (follicle stimulating hormone) tus lej thiab qis estradiol;
- amenorrhea - tsis muaj poj niam txiv neej;
- tawm ntawm cov mucous ntawm qhov chaw mos thiab qhov chaw mos;
- zes qe menyuam nrog ntau qhov loj me ntawm cov hauv paus hniav thiab nyias uterine endometrium;
- nqa tus kab mob hnyav thiab kev ntxhov siab;
- kev coj khaub ncaws pib tsis xwm yeem thiab tom qab ntawd ploj tag nrho.
Kev loj hlob ntawm tus kab mob feem ntau tshwm sim tom qab 5-10 xyoo los ntawm thawj lub voj voog. Txhua yam kev kawm nco ntsoov tias kub flashes rau lub taub hau yog pom thaum hmo ntuj thiab nruab hnub. Mob nyob rau hauv lub plab mog tshwm sim spontaneously, tsis muaj laj thawj. Feem ntau, cov poj niam uas tiv taus zes qe menyuam muaj lub sijhawm mob thiab muaj teeb meem tom qab yug menyuam.
Thaum tus neeg mob tuaj ntsib kws kho mob yws txogKev mob hauv qab no thiab tsis muaj kev coj khaub ncaws tom qab kis kab mob, kev kuaj mob thiab kev sim feem ntau qhia tias nws tau noj sulfonamides ntau, uas tuaj yeem ua rau muaj kev kuaj mob.
Yog vim li cas
Nyob rau hauv peb lub sijhawm, cov yam ntxwv uas cuam tshuam rau kev tsim cov kab mob pathology tsis nkag siab tag nrho. Tab sis muaj cov kev xav zoo li no uas feem ntau yuav tshwm sim ntawm tus kab mob yog kev hloov caj ces hauv cov receptor node ntawm follicle. Feem ntau cov kws tshawb fawb tau sib cav tias qhov kev tiv thaiv ntawm zes qe menyuam, cov tsos mob ntawm qhov sib txawv thiab tsis meej, feem ntau cuam tshuam los ntawm cov kab mob xws li:
- khaw;
- autoimmune thyroiditis (mob ntawm cov thyroid caj pas);
- myasthenia gravis (cov leeg tsis muaj zog thiab qaug zog);
- mob ntshav qab zib mellitus;
- thrombocytopenic purpura;
- kis kab mob (feem ntau yog mumps);
- autoimmune anemia.
Qhov laj thawj tseem ceeb rau kev txhim kho muaj xws li:
- irradiation hauv oncology;
- siv cov tshuaj tiv thaiv kab mob thiab cytostatics;
- kev phais zes qe menyuam.
Ntxiv rau tag nrho cov no, nrog rau cov kab mob ntsws ntsws thiab sarcoidosis, kev puas tsuaj rau ntawm zes qe menyuam cov ntaub so ntswg tshwm sim, uas feem ntau ua rau kev loj hlob ntawm pathology. Tus kab mob kuj tuaj yeem yog cov caj ces hauv qhov xwm txheej thiab tshwm sim tom qab kev ntxhov siab hnyav thiab tsis tu ncua kev ntxhov siab.
Diagnosis
Cov tsos mob ntawm tus kab mob no yog ze ze rauCov kab mob xws li gonadal dyscrasia thiab zes qe menyuam tsis ua haujlwm. Yog li ntawd, tsuas yog nrog kev kawm dav dav ntawm kev tsis txaus siab thiab cov ntaub ntawv los ntawm lub chaw soj ntsuam kev tshawb fawb, qhov pom ntawm tus mob tau txiav txim siab. Feem ntau, thaum lub sijhawm kuaj thawj zaug, ib tus tuaj yeem pom qhov tshwm sim me me "cov menyuam kawm ntawv" zoo, mastopathy ntawm hom fibrocystic, depletion ntawm anterior ib feem ntawm cov mucous daim nyias nyias ntawm qhov chaw mos thiab qhov chaw mos thiab nws pronounced hyperemia. Nrog echography, laparoscopy thiab kuaj gynecological, qhov tsawg kawg nkaus ntawm qhov loj ntawm lub tsev menyuam tau pom. Txhawm rau kom paub tseeb tias cov tsos mob ntawm zes qe menyuam resistant, cov kws kho mob txiav txim rau biopsy ntawm epididymis. Kev Ntsuam Xyuas Keeb Kwm yog ua los xyuas cov niam txiv thiab cov duab pyramidal. Yog tias koj tau txais kev tshuaj ntsuam xyuas hormonal, koj tuaj yeem teeb tsa qib LH thiab FSH hauv cov ntshav plasma, uas feem ntau siab thiab tsis haum rau cov qauv. Tsis tshua muaj concentration ntawm estradiol raug kuaj pom. Kev saib xyuas tshwj xeeb yog them rau kev kuaj tshuaj hormonal, nws tau sau tseg tias thaum thawj qhov kev sim, qhov zoo gestogen feem ntau pom, thiab tom qab kuaj nws tsis zoo.
Kev kho mob
Kev xyaum kho mob feem ntau cuam tshuam nrog cov teeb meem xws li ovary syndrome resistant. Kev kho mob ib txwm tsis meej, txij li qhov xwm txheej ntawm qhov pib ntawm tus kab mob tseem tsis tau kawm tag nrho. Feem ntau tau sau ntawv HRT (hormone replacement therapy) thiab kho cov tshuaj estrogen deficiency. Lub hauv paus ntawm cov txheej txheem yog kev kho dua tshiab ntawm kev coj khaub ncaws thiab txo qis cov tshuaj hormones gonadotropic.
Ntau zaus, kws kho mob sau tshuaj xws li"Trisequens", "Feston", "Klymen", "Premella Cycle", "Klimonorm", "Divina", "Klimodien", "Livial" thiab "Kliogest". Raws li qhov xwm txheej ntawm chav kawm, tus neeg mob yuav tsum tau kuaj lub plab pelvic txhua xyoo. Kev tswj xyuas cov ntshav, lipoproteins thiab cov roj (cholesterol) yuav pab tsim thiab paub txog qhov pib ntawm txoj kev kho tshiab. Ua tsaug rau kev tshawb fawb densitometric, osteoporosis tuaj yeem txiav tawm.
Thiab kuj siv tshuaj kho tau zoo ua ke nrog tsis yog ib txwm:
- nqa tawm intravaginal thiab plab ultraphonophoresis;
- chaw so so;
- acupuncture receptors hauv thaj tsam zes qe menyuam;
- noj vitamin E.
Cov ntaub ntawv ntawm cov txiaj ntsig ntawm kev kho mob zoo sib xyaw. Tab sis cov kws kho mob tseem hais txog qhov nce ntawm kev coj khaub ncaws thiab cov hauv paus hniav, LH thiab FSH tau qhib. Estrogens pib nce hauv cov ntshav. Tom qab kev rov ua dua ntawm kev coj khaub ncaws, ovulation feem ntau tsis tshwm sim, thiab tus neeg mob feem ntau tuaj yeem yug menyuam los ntawm IVF (hauv vitro fertilization).
Hnub no, gynecology tsis tau kawm zoo heev vim li cas ovary syndrome tshwm sim. Hypergonadotropic amenorrhea yog ib yam kab mob loj, thiab tam sim no tsis muaj cov npe tseem ceeb ntawm cov lus pom zoo rau nws txoj kev tiv thaiv thiab kev kho mob. Nws raug suav hais tias yog qhov tseeb tshaj plaws kom tsis suav nrog cov xwm txheej tsis zoo thiab raug kuaj txhua xyoo, tshwj xeeb tshaj yog tias muaj kev ua txhaum ntawm kev coj khaub ncaws.
tshuaj ntsuab
Ntau siv los ua kev tiv thaiv kev kho mob. Nws raug nquahu kom noj cov vitamin E tas li,pom nyob rau hauv cov khoom noj xws li hazelnuts, txiv laum huab xeeb, hom qoob mog thiab walnuts. Cov lecithin tivthaiv, uas muaj nyob rau hauv legumes, caviar thiab cauliflower, yuav pab rov qab mus rau lub cev ntas, thiab raws li koj paub, nws yog tsis muaj uas qhia resistant zes qe menyuam syndrome. Kev kho mob nrog cov tshuaj pej xeem, nrog rau cov tshuaj ntsuab, ua kom tiav cov txiaj ntsig kho mob.
Feem ntau cov no yog cov tshuaj ntsuab uas muaj cov tshuaj tua kab mob thiab tswj lub voj voog kom zoo:
- Txhawm rau npaj cov khoom xyaw, sib tov 30 grams ntawm peppermint nplooj, valerian paus thiab 40 grams ntawm chamomile. Cov txheej txheem npaj yog nchuav nrog dej npau npau thiab haus ib khob thaum yav tsaus ntuj thiab sawv ntxov.
- Infusion ntawm viburnum berries thiab blackberries pab lub zes qe menyuam, rau qhov no lawv yuav tsum tau noj ob peb khob ib hnub.
- Nyob ob peb cloves qej los txhim kho kev coj khaub ncaws.
Kev tsis muaj menyuam
thawj theem ntawm kev kho mob suav nrog kev ua haujlwm ntawm cov kab mob endocrine, uas yog kev hloov pauv ntawm cov haujlwm ntawm cov thyroid caj pas, qog adrenal thiab kev kho mob ntshav qab zib.
Yog li koj yuav tsum siv:
- spermogram ntawm tus txij nkawm (3 zaug dhau 7 lub lis piam), txhawm rau txhawm rau tshem tawm cov txiv neej tsis muaj menyuam;
- echosalpygography (definability ntawm patency ntawm cov hlab ntsha fallopian);
- kev xeem postcoital - kom paub meej tias tsis muaj kev tiv thaiv kab mob ntxiv lawm;
- hysteroscopy (kuaj xyuas cov kab mob hauv plab).
Tom ntejCov tshuaj yog siv uas pib txhawb lub follicles, thiab tom qab ntawd txuas ntxiv mus rau qhov pom ntawm ovulation. Resistant ovary syndrome thiab cev xeeb tub yog qhov sib xws, txij li 60-70% ntawm cov neeg mob, kev xeeb tub tuaj yeem kov yeej nrog tshuaj.
Kev Tiv Thaiv
Txij li niaj hnub no, cov tshuaj niaj hnub tsis tau kawm tag nrho cov txheej txheem ntawm qhov pib ntawm tus kabmob, nws nyuaj heev rau kev ntsuas qee yam uas tuaj yeem pab tiv thaiv nws. Txawm hais tias muaj ntau tus kws tshaj lij hais tias, yog tias ua tau, tsis txhob siv cov tshuaj intoxication thiab tsis txhob ua rau raug hluav taws xob. Nws raug pom zoo kom ua lub neej noj qab nyob zoo thiab kho cov kab mob gynecological hauv lub sijhawm kom tsis txhob muaj cov tsos mob ntawm zes qe menyuam.
Kev tiv thaiv kuj yog nyob rau hauv qhov tseeb tias nrog kev cuam tshuam me me tshaj plaws hauv kev coj khaub ncaws, koj yuav tsum mus ntsib kws kho mob thiab ua txhua yam kev kuaj mob. Qhov no yuav pab tiv thaiv kev loj hlob ntawm ntau yam pathologies thiab tswj cov poj niam txoj kev noj qab haus huv.
Qhov tshwm sim thiab kev kwv yees
Qhov teeb meem tseem ceeb yog kev tsis sib haum xeeb thiab kev xeeb tub, uas nyuaj heev rau kho. Nws kuj tseem ua rau muaj kev pheej hmoo ntawm kev tsim ntxov ntxov ntawm cov kab mob uas muaj hnub nyoog, vim tias tsis muaj tshuaj estrogen provoked thiab muaj peev xwm tsim cov qog nqaij hlav malignant ntawm lub tsev menyuam.
Kev kuaj pom tau zoo heev thiab kev ua haujlwm ntawm lub cev rov qab feem ntau.
