Cov xwm txheej zoo li no tau suav tias yog ib qho ntawm feem ntau ua rau muaj menyuam tsis taus. Tus kab mob no tshwm sim los ntawm kev ua tsis tiav nyob rau hauv lub maturation ntawm lub qe thiab nws tso tawm ntawm lub follicle, yog li provoking infertility.
Definition
Ua ntej koj txiav txim siab seb qhov anovulation yog dab tsi hauv cov poj niam, koj yuav tsum paub tias ovulation muaj ob lub voj voog:
- Ib follicle yog tsim nyob rau hauv zes qe menyuam - qhov no yog lub vesicle uas muaj lub plhaub membrane, nyob rau hauv uas lub qe cell matures. Nws yog tsim los ntawm lub follicle-stimulating hormone. Thaum lub qe loj tuaj, estrogen raug tsim. Thaum nws cov concentration dhau los txwv, cov follicle tawg, thiab lub qe nkag mus rau hauv cov hlab ntsha. Thaum nruab hnub, nws muaj cib fim fertilize, thiab tom qab ntawd, nws tuag.
- Nyob rau theem ob, cov ntsiab lus ntau dhau ntawm zes qe menyuam thiab tsev menyuam raug tso tseg. Thaum lub sij hawm ovulation, tag nrho cov nruab nrog cev ntawm cov me nyuam yog npaj rau conception, thiab endometrium pib loj hlob. Raws li cov tshuaj hormones, tag nrho cov khoom no tau npaj rau kev sib cais thiabtso tawm ua ke nrog endometrium thiab lub qe tuag.
Yog tias ob lub voj voog dhau thaum lub sijhawm ovulation, ces txhua yam nyob rau hauv kev txiav txim. Nyob rau hauv ib qho teeb meem uas tsis ua hauj lwm tshwm sim nyob rau hauv thawj theem, uas yog, lub qe tsis mature los yog nws tsis tuaj yeem tawm ntawm lub zes qe menyuam, ces peb tuaj yeem tham txog anovulation.
Views
Lub tswvyim ntawm anovulation, thiab yam xwm txheej ntawm poj niam lub cev peb tau txheeb xyuas, tab sis koj yuav tsum paub tias tus kabmob tuaj yeem faib ua ob hom.
- Physiological - qhov teeb meem no feem ntau cuam tshuam nrog poj niam cev xeeb tub. Nws yuav tsum raug sau tseg tias lub xeev ntawm anovulation yog yam ntxwv ntawm cev xeeb tub, lactation thiab lub sijhawm tom qab yug menyuam. Thiab ntawm no tuaj yeem raug ntaus nqi qhov tsis muaj ovulation vim muaj hnub nyoog hloov pauv. Tus mob no yog tus yam ntxwv ntawm cov ntxhais thaum cev xeeb tub thiab kev sib deev ncaj ncees, uas nws lub cev tseem tsis tau tsim tag nrho. Thaum tus poj niam muaj hnub nyoog yug me nyuam (15-48 xyoo) thiab nws noj qab nyob zoo, tus kab mob kuj tuaj yeem tshwm sim. Txhua leej txhua tus paub tias anovulation yog kev cuam tshuam hauv kev ua haujlwm ntawm poj niam lub cev, yog li kev ntxhov siab thiab kev txav nrawm nrawm, uas hloov pauv huab cua, tuaj yeem ua rau muaj mob. Qhov tseeb, kev kho mob hauv qhov no tsis tas yuav tsum tau, txij li lub sijhawm dhau mus, kev ua haujlwm ntawm zes qe menyuam tau zoo dua.
- Pathological anovulation yog lwm yam hu ua mob thiab txhim kho tom qab hloov ntawm qee yam kab mob. Nws suav hais tias yog qhov txaus ntshai tshaj plaws. Anovulation Chronic yog kho tshwj xeeb los ntawm gynecologist, vim pathology feem ntau provokes infertility.
Yog vim li cas
Lub caij coj khaub ncaws yog kev sib koom ua ke thiab ua haujlwm ntawm cov khoom sib txawv ntawm lub cev - lub tsev menyuam, zes qe menyuam, endocrine thiab hauv nruab nrab lub paj hlwb. Thaum deviations pib ntawm ib qho ntawm cov theem, qhov no cuam tshuam rau tag nrho lub voj voog. Anovulation - yog dab tsi? Hauv cov lus yooj yooj yim, cov no yog ntau yam tsis ua haujlwm hauv lub cev uas cuam tshuam rau kev ua me nyuam.
Cov kab mob ntau tshaj plaws yog cov kab mob hauv qab no:
- Kab mob ntawm hypothalamus thiab pituitary caj pas - cov qog hormonal no yog ib qho tseem ceeb hauv lub cev. Lawv cov khoom tseem ceeb yog prolactin. Nws lub xub ntiag cuam tshuam rau ob qho tib si muaj peev xwm ntawm kev xeeb tub thiab tag nrho lub cev xeeb tub. Nyob rau hauv cov ntaub ntawv ntawm qaug zog heev ntawm tus poj niam lub cev, thaum nws yog tas li raug kev nyuaj siab, lub functionality ntawm cov qog yog cuam tshuam. Raws li kev tsim tawm ntawm prolactin, prolactinoma (benign neoplasm) pib tsim. Nws txwv kev ua haujlwm ntawm zes qe menyuam heev.
- Ovarian qaug zog - qhov mob no yog tsim thaum lub sijhawm tsim cov tshuaj hormones ntau dhau, vim tias lawv qhov kev ua tau zoo cuam tshuam. Raws li qhov tshwm sim, anovulation raug kuaj pom, tab sis tus mob no feem ntau yog ib ntus.
- hnyav dhau - nyob rau hauv cov ntaub ntawv ntawm cov kab mob metabolic, tau kawg, hormonal keeb kwm yav dhau mus yuam kev, thiab raws li koj paub, txhua yam kev ua tsis tiav tuaj yeem ua rau muaj kev mob nkeeg.
- Polycystic yog qhov ua rau ntau tshaj plaws. Lwm lub npe rau qhov no pathology suab zoo li multifollicular zes qe menyuam. Anovulation nyob rau hauv cov ntaub ntawv no pib vim nce zus tau tej cov tshuaj hormones, nroguas ua rau lub zes qe menyuam tawv, vim li ntawd, lub qe tsis tuaj yeem tso tawm.
- Pathologies ntawm cov thyroid caj pas - hormonal cuam tshuam kuj yog qhov ua rau ntawm no.
- Tsawg dua, tab sis nws tseem tshwm sim tias anovulation yog tshwm sim los ntawm cov kab mob hauv lub raum thiab cov qog adrenal. Lawv tso ob peb cov tshuaj hormones uas cuam tshuam rau lub xeev ntawm kev ua me nyuam, tab sis lub xeev cov tshuaj hormones tuaj yeem ua tsis tau lub cev.
Cov tsos mob thiab cov tsos mob ntawm anovulation
Tus mob zoo li cas twb paub meej lawm, tam sim no koj yuav tsum nkag siab cov tsos mob ntawm tus kab mob no txhawm rau tig mus rau tus kws kho mob kom pab tau lub sijhawm:
- Kev tsis muaj poj niam cev xeeb tub - qhov tsis muaj ovulation ntev cuam tshuam, feem ntau, tag nrho lub voj voog thiab txuas ntxiv ua rau qhov tseeb tias kev coj khaub ncaws ploj tag.
- Lub voj voog tsis xwm yeem - tshwm sim los ntawm kev nce hnub ntawm lub sijhawm.
- Tus qauv ntsuas kub - ua ntej qhov pib ntawm ovulation, nws poob los ntawm ib nrab degree, thaum nyob rau hauv thawj lub sij hawm ntawm lub voj voog nws tus nqi fluctuates nyob rau hauv 37 degrees. Thaum tus poj niam muaj lub sijhawm anovulatory, nws lub cev kub ntawm lub cev tseem tsis hloov pauv.
- Kev tsis sib xws ntawm qhov chaw mos - qhov mob no tshwm sim los ntawm kev tawm paug ntau ntxiv, nrog rau lawv qhov ntom ntom.
Cov cim qhia tsis ncaj ntawm anovulation muaj xws li mob hauv siab, pob txuv, plaub hau poob ntawm lub taub hau, qhov tsos ntawm fluff ntawm caj npab, ntsej muag, thiab nce qib testosterone. Ntev ntev fruitless sim xeeb tub thiab ib tug tas li theem ntawm progesterone kuj qhiarau kab mob.
Kuv tuaj yeem muaj kuv lub sijhawm
Qhov tsis muaj lossis muaj kev coj khaub ncaws hauv qhov xwm txheej no nyob ntawm qhov tuab ntawm endometrium, thiab anovulation tsuas yog ua rau nws thickening. Thaum cev xeeb tub tsis tshwm sim, cov txheej txheem no yuav tsum tau tawm nrog rau kev coj khaub ncaws, tsis hais seb lub qe raug tso tawm tib lub sijhawm.
Thaum mob, qhov tso tawm yuav tsawg heev, thiab nws yuav kav li 2-4 hnub, lossis tej zaum tsawg dua.
Qee lub sij hawm qhov tso tawm tseem zoo ib yam thiab tsis muaj dab tsi qhia txog kev txawv txav ntawm kev coj khaub ncaws. Hauv qhov no, tsuas yog kev sim ua tsis tiav los xeeb menyuam tuaj yeem txiav txim tau tus kabmob.
Diagnosis
Ntau tus poj niam xav txog: "Anovulation yog dab tsi?". Hauv cov lus yooj yim, qhov no yog hormonal tsis ua haujlwm uas ua rau muaj teeb meem ntau.
txhawm rau kuaj tus mob no, tus kws kho mob tau sau ntau qhov kev kuaj mob. Ib txoj hauv kev zoo li no pab tsis tau tsuas yog txhawm rau kuaj xyuas kom raug, tab sis kuj tshem tawm txhua yam mob zoo sib xws. Cov kev xaiv hauv qab no feem ntau yog siv rau kev kuaj mob.
- Kev kuaj nrawm yog ib qho kev pabcuam kuaj mob uas cov poj niam feem ntau siv ua ntej mus ntsib kws kho mob. Ua tsaug rau cov kev ntsuam xyuas, nws tuaj yeem ntsuas qib ntawm luteinizing hormone, uas nce mus txog tus nqi siab heev thaum lub sijhawm tso qe, thiab tom qab ntawd txo qis. Txoj kev no tsis yog ib txwm ntseeg tau, vim muaj cov kab mob uas cov tshuaj hormone no nce siab ntxiv.
- ntsuas qhov ntsuas kub ntsuas - ntsuas thaum sawv ntxov ntawmqhov quav thaum sawv ntxov. Txhawm rau ua qhov no, koj yuav tsum khaws lub sijhawm ovulation tus kheej. Txoj kev no tsis txhim khu kev qha, vim muaj ntau lwm yam cuam tshuam rau qhov kub thiab txias.
- Ultrasound (ultrasound kuaj) ntawm zes qe menyuam yog txoj kev kuaj pom tseeb tshaj plaws. Nrog kev pab los ntawm cov txheej txheem, koj tuaj yeem txiav txim seb tus naj npawb ntawm cov follicles, lawv qhov loj me, nrog rau qhov mob ntawm lub tsev menyuam thiab zes qe menyuam.
- Txhim kho cov tshuaj hormones - tus kws kho mob sau tshuaj ntsuam xyuas qhov muaj prolactin hauv cov ntshav, nrog rau cov tshuaj luteinizing thiab follicle-stimulating hormones.
- Craniography - txhawm rau kuaj lub qog pituitary, yuav tsum tau x-ray ntawm pob txha pob txha. Qhov no yuav pab txiav txim seb qhov muaj qhov anovulation yog vim qhov qog adnexal.
Anovulation kho mob
Tus kab mob dab tsi yog qhov tseeb, thiab peb kuj pom tias nws tshwm sim los ntawm kev tsim ntawm lwm yam pathologies, yog li ntawd, ua ntej ntawm tag nrho cov kws kho mob tau tshem tawm cov kab mob tseem ceeb uas ua rau muaj qhov tshwm sim zoo li no. mob. Tau kawg, txhua qhov laj thawj yuav muaj nws txoj kev kho mob.
Qhov chaw tseem ceeb hauv kev kho yog qhov normalization ntawm cov tshuaj hormones. Qhov no muaj tseeb heev rau cov ntxhais uas tseem xav kom muaj menyuam. Hauv lwm qhov xwm txheej, tus kws kho mob tsuas kho qhov kev coj khaub ncaws kom nws rov zoo li qub. Txoj kev no feem ntau yog nrog los ntawm kev tshem tawm cov ntsiab lus teeb meem.
Ntau zaus ntau dhau ua rau anovulation. Yuav ua li cas rau qhov no, txhua tus kws kho mob yuav qhia rau koj, ua ntej ntawm tag nrho cov, nrog rau cov tsos mob no, yuav tsum tau kho qhov hnyav. Txhua txoj kev kho mobTom qab tshem tawm cov phaus ntxiv, cov keeb kwm hormonal feem ntau normalizes ntawm nws tus kheej, muaj peev xwm rov qab los, thiab kev noj qab haus huv tag nrho.
Tshuaj yuav tsum tau kho. Feem ntau siv yog follicle-stimulating hormone thiab antiestrogen. Lawv yuav tsum tau pib txheej txheem ntawm qe maturation. Cov txheej txheem no tsis yog ib txwm qhia tau qhov txiaj ntsig zoo, yog li ntawd, tom qab ntawd kev txiav tawm ntawm zes qe menyuam raug qhia. Qee zaum IVF (hauv vitro fertilization) raug pom zoo.
Kev Kho Mob Neeg
Tsev kho mob tuaj yeem ntxiv nrog cov tshuaj ib txwm muaj. Nws tuaj yeem tsuas yog pab txhawm rau txo kev ntxhov siab thiab kev ntxhov siab. Ua li no, koj yuav tsum noj 30 grams ntawm sage thiab ncuav 250 ml ntawm boiling dej tshaj nws. Tos kom txog thaum lub infusion txias thiab haus 1 tbsp. l. 4 zaug ib hnub.
Nyaj yog nrov - upland uterus. Txhawm rau npaj lub decoction, 60 grams ntawm cov nroj tsuag yog noj thiab 500 ml ntawm boiling dej yog poured. Nws yog infused rau 12 teev, ces nws yog qaug cawv 2 zaug ib hnub twg rau ib nrab khob.
Kev xav
Yog hais tias cov saum toj no txhais tau tias tsis pab, ces feem ntau ib txoj kev xws li stimulation yog siv los tsim ib lub qe. Rau qhov no, cov tshuaj "Dydrogesterone", "Klostilbegit", "Puregon", thiab "Letrozole" yog siv. Lawv raug tsim los ntawm cov poj niam cov tshuaj hormones, tab sis kev siv cov tshuaj no yam tsis tau kho tus kab mob hauv qab no yuav tsis ua rau muaj txiaj ntsig zoo.
Txoj kev txhawb zog
Ovulation StimulationNws raug suav hais tias tsis yog txoj kev nyab xeeb heev, yog li nws tau ua raws li kev saib xyuas nyob ze thiab tas li ntawm tus kws kho mob. Qhov tshwm sim loj tuaj yeem hu ua hyperstimulation. Qhov no yog ib qho mob uas, vim yog siv tshuaj, cov hlwv ua haujlwm tshwm sim ntawm tus neeg mob lub zes qe menyuam, uas tuaj yeem ua rau los ntshav hnyav thiab lwm yam teeb meem.
Puas tau cev xeeb tub nrog anovulation yam tsis tau kho
Kev cev xeeb tub nrog anovulation, ntawm chav kawm, yog tsis yooj yim sua, vim hais tias yog tsis muaj lub qe nyob rau hauv lub tsev menyuam los yog txoj hlab pas, ib tug me nyuam yug tsis tau. Hauv cov xwm txheej uas kev phais lossis kev saib xyuas tsis tau ua rau qhov xav tau ovulation, nws muaj peev xwm ua IVF siv tus pub oocyte. Kev kho mob ib txwm xav tau, vim tias hauv cov tshuaj niaj hnub muaj ntau txoj hauv kev uas tus poj niam tuaj yeem dhau los ua leej niam txawm tias muaj anovulation.
After Pregnancy
Kev saib xyuas tshwj xeeb yuav tsum tau muab rau cov kab mob pathological no hauv lub sijhawm tom qab yug menyuam. Thaum tus poj niam tsis pub niam mis, nws yog ib qho zoo rau nws thawj lub sij hawm pib los ob peb hlis tom qab yug me nyuam. Qee lub sij hawm, lub sijhawm ovulatory rov zoo li qub los ntawm lub sijhawm thib ob lossis thib peb.
Thaum pub niam mis, thawj zaug kev coj khaub ncaws yuav tsum tsis pub ntxov tshaj 5 lub hlis tom qab yug me nyuam. Yog vim li cas rau qhov no yog cov tshuaj hormone prolactin, uas tsuas yog lub luag haujlwm rau kev tsim cov kua mis, nws kuj ua rau cov tshuaj hormones lub luag haujlwm rau ovulation.
Yog li ntawd, kev coj khaub ncaws tsis muaj ovulation thaum lactation tsis yog kiag liua rau muaj kev txhawj xeeb. Nyob ntawm ntau yam, thawj coj khaub ncaws thaum pub niam mis tuaj yeem tshwm sim tom qab ib xyoos thiab ib nrab yog tias tus poj niam tseem pub tus menyuam noj ntxiv. Thiab tseem muaj cov xwm txheej uas kev coj khaub ncaws rov qab tam sim tom qab qhov kawg ntawm lactation. Vim tias prolactin tsis raug tsim tawm hauv cov koob tshuaj ntau.
Kev Tiv Thaiv
Qee tus poj niam tsis ua raws li lawv lub voj voog thiab mus ntsib kws kho mob tsuas yog mob hnyav heev. Txhawm rau tswj kev noj qab haus huv, nws yog ib qho tsim nyog yuav tsum tswj hwm kev noj haus thiab kev noj haus, tsis tu ncua mus ntsib kws kho mob gynecologist, tab sis kuj yog tus kws kho mob, thiab yog tias muaj teeb meem nrog cov tshuaj hormones, tus kws kho mob endocrinologist.
Rau lub hom phiaj tiv thaiv, nws raug nquahu kom khaws daim ntawv qhia hnub ntawm kev coj khaub ncaws thiab, thaum muaj ntau yam sib txawv, nrhiav kev qhia ntawm tus kws tshaj lij.
