Dab tsi yog hypomenstrual syndrome? Lub etiology ntawm tus kab mob no, nws cov tsos mob thiab cov kev kho mob yuav tau tham nyob rau hauv tsab xov xwm no.
Cov ntaub ntawv tseem ceeb
Ntau thiab ntau zaus, kev sib deev ncaj ncees ntsib nrog kev coj khaub ncaws tsis xwm yeem. Tsis tas li ntawd xwb, tsis yog cov poj niam laus xwb, tab sis kuj yog cov ntxhais hluas nyob rau hauv qhov xwm txheej txaus ntshai.
Raws li txoj cai, tsis muaj kev saib xyuas rau qhov teeb meem no kom txog rau thaum lub sijhawm. Yog tias tsis muaj kev coj khaub ncaws, feem ntau cov poj niam hais txog qhov xwm txheej tsis zoo. Txawm li cas los xij, tom qab ib ntus, xws li pathology tsis ua rau "tsim kom zoo nkauj". Nrog scanty, lub sij hawm luv luv thiab kev coj khaub ncaws tsis tu ncua, cov ntxhais pib xav tias muaj kev ntshai. Nyob rau tib lub sijhawm, cov neeg mob pib xav tias tam sim ntawd muaj cov kab mob txaus ntshai. Tab sis feem ntau, xws li gynecological pathology yog txuam nrog zes qe menyuam hypofunction lossis adenohypophysis. Hauv lwm lo lus, qhov tsis muaj kev coj khaub ncaws li qub tau piav qhia los ntawm qhov tsis muaj cov tshuaj hormones kev sib deev hauv tus poj niam lub cev, uas ua rau muaj kev ua txhaum ntawm cov ntshav mus rau lub tsev menyuam, nrog rau kev hloov pauv hauv cov qauv ntawm nws cov mucosa, uas yog, lub endometrium.
Gynecological kab mob
Amenorrhoea,hypomenstrual syndrome - puas yog tib yam? Ntau tus neeg mob yuam kev ntseeg tias cov ntsiab lus no zoo ib yam. Txawm li cas los xij, lawv tsis muaj dab tsi sib xws.
Amenorrhea yog hu ua qhov tsis ua tiav ntawm kev coj khaub ncaws ntev, thiab hypomenstrual syndrome tsuas yog ua txhaum ntawm lub voj voog, uas muaj ntau yam ua rau. Los ntawm txoj kev, raws li cov tsos mob, qhov kawg pathological tshwm sim tau muab faib ua hom hauv qab no:
- Oligomenorrhea - kev coj khaub ncaws tsis pub dhau ob hnub.
- Hypomenorrhea - nrog rau cov kab mob no, qhov nruab nrab ntim ntawm cov kua qaub tsis ntau tshaj 25 ml.
- Bradimenorrhea lossis opsomenorrhea - lub sijhawm nruab nrab ntawm qhov pib ntawm hnub tseem ceeb tau nce mus rau 6-8 lub lis piam.
- Spaniomenorrhea yog ib qho mob hnyav ntawm opsomenorrhea. Nyob rau tib lub sijhawm, lub sijhawm ntawm kev coj khaub ncaws feem ntau mus txog 4-6 lub hlis.
Kev tshwm sim
Tam sim no koj paub tias hypomenstrual syndrome yog dab tsi. Raws li cov kws tshaj lij, txoj kev loj hlob ntawm tus kab mob no yog vim hormonal tsis ua haujlwm ntawm lub caj pas pituitary lossis zes qe menyuam. Nws yuav tsum tau muab sau tseg tias heev mechanism ntawm kev loj hlob ntawm hypomenstrual syndrome tuaj yeem tshwm sim los ntawm ntau yam sib txawv. Raws li txoj cai, cov no suav nrog cov hauv qab no:
- ntau yam pathologies hauv endocrine system;
- kho mob thiab kuaj mob uas cuam tshuam rau endometrium (piv txwv li, kev tshem tawm thiab rho menyuam);
- teeb meem nrog lub hauv nruab nrab lub paj hlwb uas tau tshwm sim vim kev ntxhov siab ntau dhau, kev ntxhov siab lossis ntxhov siabmob hlwb;
- kab mob ntawm cov kab mob inflammatory (piv txwv li, tuberculous lesions ntawm cov kab mob ntawm lub cev xeeb tub);
- poob phaus sai thiab tseem ceeb (piv txwv li, anorexia, kev noj zaub mov tsis txaus, noj zaub mov tsis zoo, kev tawm dag zog ntau dhau);
- ntshav qab zib;
- kev txhim kho ntawm cov kabmob ntawm cov kabmob ntawm cov menyuam yaus, suav nrog cov uas tshwm sim los ntawm kev hloov caj ces;
- phais tshem tawm ntawm lub tsev menyuam;
- tsis muaj cov vitamins tseem ceeb hauv tib neeg lub cev (hypovitaminosis);
- mob npaws (piv txwv li, tshwm sim los ntawm ib puag ncig tsis zoo, noj zaub mov tsis zoo, yam ntxwv ntawm kev ua haujlwm);
- cuam tshuam cov metabolism;
- cov kev mob tshwm sim los ntawm kev xaiv tshuaj hormonal tsis raug;
- pub mis niam;
- raug mob ntawm cov kab mob genitourinary (nrog rau cov uas tshwm sim los ntawm kev phais);
- ncua sij hawm raug ion beams.
Symptoms of disease
Hypomenstrual syndrome txhais li cas? Cov tsos mob ntawm qhov tshwm sim ntawm qhov tshwm sim no yog nyob ntawm hom kev coj khaub ncaws (piv txwv li, oligomenorrhea, hypomenorrhea, spaniomenorrhea lossis opsomenorrhea).
Cov kws tshaj lij hais tias txhawm rau txheeb xyuas tus kabmob no, nws yuav tsum tau ua tib zoo saib xyuas tshwj xeeb rau lub sijhawm nruab nrab ntawm lub sijhawm thiab lawv lub sijhawm.
Yog li, cov cim tseem ceeb ntawm tus kab mob hauv nqe lus nug suav nrog cov hauv qab no:
- ximpom tsaus ntuj lossis lub teeb xim av;
- mob nraub qaum thiab hauv siab;
- mob taub hau uas tsis paub keeb kwm;
- xeev siab, dyspepsia, cem quav;
- nosebleed;
- Spastic uterine contractions uas tshwm sim tawm tsam keeb kwm ntawm qhov mob hnyav;
- ua tsis tiav lossis txo qis kev ntshaw deev.
Cov tsos mob no tsuas yog tshwm sim tau tshwm sim ntawm tus kab mob xws li hypomenstrual syndrome. Nyob rau tib lub sijhawm, nws yuav tsum nco ntsoov tias thaum cev xeeb tub thiab thaum cev xeeb tub, cov ntxhais zoo li no tsis qhia txog kev ua txhaum cai, thiab qee zaum lawv tseem suav tias yog qhov txawv ntawm cov qauv.
Yog tias qhov tshwm sim tau pom nyob rau hauv kev sib deev ncaj ncees ntawm lub hnub nyoog yug me nyuam, qhov no yuav qhia tau tias muaj teeb meem loj ntawm tus poj niam lub cev xeeb tub, uas yuav tsum tau xa mus rau gynecologist.
Yuav kuaj li cas?
Raws li tau hais los saum no, yog poj niam tsis muaj poj niam cev xeeb tub, peb tab tom tham txog cov kab mob xws li amenorrhea. Hauv qhov no, hypomenstrual syndrome tsuas yog sib txawv hauv qee qhov kev ua txhaum cai ntawm kev coj khaub ncaws. Txawm li cas los xij, nws yuav tsum tau muab sau tseg tias cov txheej txheem rau kev kuaj pom cov kab mob pathological zoo sib xws. Xav txog lawv kom ntxaws ntxiv:
- kev sib tham Gynecological. Thaum lub sij hawm sib tham, tus kws kho mob soj ntsuam cov kev tsis txaus siab ntawm tus neeg mob, thiab kuj pom cov ncauj lus kom ntxaws (gynecological, general thiab genealogical).
- Kev kuaj thawj tus neeg mob. Thaum lub sij hawm soj ntsuamTus kws kho mob gynecologist txiav txim siab qhov hnyav, qhov siab thiab lub cev ntawm tus poj niam, nrog rau qhov xwm txheej ntawm kev faib tawm ntawm nws cov ntaub so ntswg adipose, qhov xwm txheej ntawm cov qog mammary thiab daim tawv nqaij, muaj cov kab mob somatic.
- qauv kuaj tus neeg mob ntawm lub rooj zaum gynecological.
- Kev kuaj mob. Tom qab kuaj xyuas tus poj niam, tus kws kho mob gynecologist yuav tsum tau sau cov kev kuaj mob dav dav xws li zis, coagulogram, ntshav, RW, qabzib, HbsAg thiab HIV. Tus kws kho mob kuj tseem siv cov tshuaj oncocytological smear, txiav txim siab hom kev zais ntawm cov kab mob microflora, qib ntawm progesterone, testosterone, estrogen, TSH, prolactin, FSH thiab LH. Tsis tas li ntawd, tus neeg mob yuav tsum xeem dhau cov zis kom pom 17-ketosteroids hauv nws.
- Kev kuaj mob ntawm zes qe menyuam ua haujlwm. Thaum lub sij hawm kuaj no, tus kws kho mob gynecologist ntsuas qhov kub thiab txias, tshuaj xyuas cov hnoos qeev arborization thiab ua hormonal colpocytology.
- Kev tshuaj ntsuam xyuas suav nrog kev tso cai ntawm ultrasound ntawm lub plab hauv plab, hysteroscopy, X-ray ntawm Turkish eeb thiab laparoscopy. Tsis tas li ntawd, qhov kev pom ntawm ob lub qhov muag tau txiav txim siab nyob rau hauv tus neeg mob thiab kev kuaj mob curettage ntawm uterine mucosa yog nqa tawm.
Kev kho mob hypomenstrual syndrome
Tus kab mob no puas kho tau? Cov kws tshaj lij hais tias tsuas yog ib qho kev sib xyaw ua ke rau kev kho mob yuav pab normalize lub sij hawm ntawm kev coj khaub ncaws nrog hypomenstrual syndrome. Ua li no, cov kws kho mob tau sau ntawv:
- Kev noj zaub mov uas muaj cov protein ntau, kab kawm thiab cov vitamins.
- Tshuaj kho kom zoodaim siab ua haujlwm, suav nrog Essentiale Forte, Gepabene, Karsil, Hofitol, Silibor.
- Vitamin kho, uas suav nrog kev noj tshuaj xws li pyridoxine hydrochloride, Rutin, thiamine bromide, vitamin B12, Aevit, ascorbic acid, Ferrum-Lek, Ferroplex, folic acid.
- Hormonotherapy, koom nrog kev siv cov tshuaj estrogen-progesterone ua ke, suav nrog Ovidon, Non-ovlon, Norinil thiab Rigevidon.
Ntxiv rau, qhov kev kho mob no yuav tsum tau siv tib neeg chorionic gonadotropin, progesterone (los txhawb cov hauv paus hniav) thiab Clomiphene. Cov kws kho mob tseem tuaj yeem sau cov gestagens hauv daim ntawv ntawm Pregnin, Utrozhestan, Orgametril, Norkolut thiab Duphaston.
Nws tsis tuaj yeem hais tias kev kho tshuaj hormone yuav suav nrog kev noj tshuaj uas muaj cov tshuaj tiv thaiv follicle-stimulating hormone (piv txwv li, Gonal-F, Metrodin, Urofollitropin) lossis gonadotropin (piv txwv li, Choriogonin, "Profazi", "Pregnil"). Tsis tas li, qee zaum cov neeg mob tau pom zoo LH thiab FSH stimulation los ntawm cov tshuaj xws li Pergonal thiab Pergogreen.
Physiotherapy
Ntxiv rau kev noj zaub mov thiab noj ntau yam tshuaj, kev kho mob hypomenstrual syndrome yuav suav nrog:
- pelvic electrophoresis nrog vitamin B1 lossis tooj liab ntsev;
- amplipulse therapy;
- galvanization ntawm lub ncauj tsev menyuam lossis caj dab;
- plab plab induction;
- kev kho ultraton nrog lub qhov paum lossis qhov quav;
- diadynamic therapy (abdominosacral txheej txheem);
- laser (helium-neon) irradiation ntawm thaj av iliac lossis chaw mos.
massage
Gynecological massage ua haujlwm zoo heev hauv kev kho mob hypomenstrual syndrome. Nws yuav tsum tau ua los ntawm tus kws paub txog kev paub, siv cov txheej txheem tshwj xeeb.
kev kho neeg zoo
Feem ntau, cov neeg mob siv cov tshuaj pej xeem los kho tus mob hypomenstrual syndrome. Ua li no, lawv siv tshuaj ntsuab npaj, uas suav nrog rue, fennel, St.
