Lub zes qe menyuam yog ib qho tseem ceeb ntawm cov poj niam cev xeeb tub. Ib qho kev ua tsis tiav hauv nws txoj haujlwm ua rau muaj kev ua haujlwm tsis zoo ntawm gonads, cuam tshuam ntawm lub voj voog, tsis muaj peev xwm xeeb tub. Yog li ntawd, thaum thawj cov tsos mob tshwm sim, nws yog ib qho tsim nyog yuav tau pib kho tam sim ntawd. Ib qho ntawm cov kab mob loj uas yuav tsum tau saib xyuas los ntawm kws kho mob yog multifollicular zes qe menyuam syndrome (MFOS). Cov laj thawj thiab txoj hauv kev ntawm nws txoj kev kho mob yuav tau tham hauv tsab xov xwm hnub no.
Saib kev coj khaub ncaws
Tus poj niam lub cev muaj qee yam khoom ntawm embryonic qe. Lawv tsim nyob rau hauv lub fetus nyob rau hauv lub embryonic lub sij hawm. Lub cell tsis paub tab yog nyob rau hauv ib lub hnab tshwj xeeb - lub follicle. Nyob rau hauv txhua lub voj voog, ob peb ntawm cov embryo mature. Feem ntau, tsuas yog 4-7 ntawm lawv tau qhib. Rau qee lub sijhawm lawv txhim kho ib txhij. Tom qab ntawd ib lossis ob lub hlwb "ua".overtake tus so, slowing down lawv txoj kev loj hlob. Cov no yog cov hu ua dominant follicles. Ib tug ntawm lawv yuav ovulate nyob rau hauv lub voj voog tam sim no.
Lub sijhawm no, cov phab ntsa ntawm lub hnab tawg. Nws tsim ib lub qe npaj rau fertilization. Qee lub sij hawm nws tseem nyob hauv lub plab kab noj hniav, thiab tom qab ntawd nkag mus rau hauv lub raj mis. Lub bursting dominant follicle txuas ntxiv nws txoj kev loj hlob. Lub corpus luteum tsim nyob rau hauv nws qhov chaw. Qhov no yog lub qog endocrine ib ntus uas yog lub luag haujlwm tswj kev xeeb tub. Yog hais tias conception tsis tshwm sim nyob rau hauv 2-3 hnub, lub qe tuag. Lub corpus luteum puas tag nrho ob peb hnub ua ntej hnub ntawm lub sijhawm xav tau.
Multifollicular zes qe menyuam - txhais li cas?
Qee zaum ntau tshaj yim lub hauv paus loj ib txhij nyob rau hauv zes qe menyuam, thiab tsis muaj daim ntawv tseem ceeb. Lawv loj tuaj thiab tuaj yeem pom meej meej thaum kuaj ultrasound, uas tso cai rau tus kws kho mob kom kuaj pom qhov tsim nyog.
Nws yuav tsum tau muab sau tseg tias tus mob no tsis tas yuav tsum tau kho tam sim ntawd. Multifollicular zes qe menyuam nyob rau hauv qee lub sij hawm ntawm poj niam lub voj voog yog ib qho txawv ntawm cov qauv. Qhov no yog thawj theem. Lub sijhawm no, ob peb lub hauv paus yog qhib thiab pib loj hlob ib txhij. Los ntawm nruab nrab ntawm lub voj voog, txhua yam rov qab mus rau qhov qub.
Txawm li cas los xij, kuaj mob pathology yuav tsum tau saib xyuas los ntawm kws kho mob. Kev siv cov khoom tsim tawm tsis raug ua rau muaj qhov tshwm sim ntawm cystic formations, ua rau nws nyuaj rau kev muaj menyuam.
MFOS thiab polycystic ovary syndrome (PCOS)
Cov neeg mob uas tau ua rau muaj menyuam tsis taus raug yuam kom mus kuaj ib txwm nyob ntawm gynecologist. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, ib tus kws kho mob tuaj yeem kuaj xyuas "polycystic", thiab lwm tus - "MFN". Muaj ib pawg ntawm cov kws kho mob uas ntseeg tau ntawm tus kheej ntawm cov kab mob no, yog li lawv tsuas yog tsis qhia lawv. Cov lus xaus no tuaj yeem ua rau tus neeg mob tsis txaus siab thiab ua rau muaj kev kho tsis tau ntawv.
Txhawm rau zam cov xwm txheej zoo li no, nws yuav tsum xaiv tus kws kuaj mob ultrasound uas tseem yog kws kho menyuam yaus. Raws li txoj cai, cov kws tshaj lij no muaj peev xwm ntau dua hauv qhov teeb meem. Qhov txawv ntawm ob qhov kev kuaj mob yog dab tsi?
Yog tias peb piv qhov tshwm sim ntawm MFN thiab PCOS, tom qab ntawd hauv qhov thib ob, lub zes qe menyuam muaj cov yam ntxwv tshwj xeeb hauv qab no:
- ntau dua 10 units ntawm cov hauv paus;
- npuas loj dua 10mm;
- capsule thickened;
- qhov chaw nyob;
- nce qhov loj ntawm zes qe menyuam lawv tus kheej.
kab mob Polycystic yog ib qho mob hnyav uas tau nrog los ntawm kev tsim ntau lub hlwv. Qhov no tshwm sim vim qhov hloov pauv ntawm cov qauv ntawm cov ntaub so ntswg, uas yog compacted thiab tsis tso cai rau cov follicles tawg. Txawm li cas los xij, vesicles lawv tus kheej nyob hauv qhov chaw, sau cov kua thiab hloov mus rau hauv cov hlwv. Yog tias kev kho tsis tas yuav tsum tau ua nrog MFN, ces tus kab mob polycystic yuav tsum tau kho.
Qhov laj thawj tseem ceeb
Feem ntau, ntau lub zes qe menyuam raug kuaj pom tawm tsam keeb kwm ntawm hormonal tsis txaus. Nrog xws liQhov kev tsis sib haum xeeb yog paub rau ntau tus ntxhais thaum lub sijhawm puberty. Qhov tshwm sim no suav hais tias yog qhov sib txawv ntawm cov qauv.
Nyob rau hauv neeg laus, hormonal imbalance tuaj yeem yog vim li cas hauv qab no:
- Keeb kwm ntawm kev rho menyuam ntau zaus.
- Qhov hnyav poob lossis hnyav nce. Lub xub ntiag ntawm qhov pom zoo ntawm cov ntaub so ntswg adipose yog qhov tseem ceeb rau kev tso tawm tag nrho ntawm cov tshuaj hormones poj niam txiv neej. Nws qhov tsis txaus lossis ntau dhau ua rau muaj kev ua txhaum ntawm cov tshuaj estrogens.
- Siv cov tshuaj tiv thaiv qhov ncauj. Qhov kev txiav txim ntawm cov tshuaj yog pib tsom mus rau suppressing ntuj ovulation. Yog li ntawd, tag nrho cov follicles yog khaws cia hauv lub zes qe menyuam. Tom qab tso tseg cov tshuaj tau ob peb lub hlis, qhov xwm txheej feem ntau nyob ruaj khov.
- Lub sijhawm cev xeeb tub thiab lactation. Thaum pub niam mis hauv lub cev ntawm tus poj niam, kev tsim cov tshuaj hormone prolactin nce ntxiv. Nws txhawb kev tsim cov mis nyuj, tab sis tib lub sijhawm inhibits ovulation.
- YEndocrine pathologies. Cov kab mob ntawm cov thyroid thiab pancreas ua rau gonadal dysfunction.
- Kev puas siab puas ntsws overload. Cov xwm txheej ntxhov siab feem ntau nrog cov tshuaj hormonal tsis txaus.
Cov kws tshawb fawb tau pom tias MFN syndrome muaj peev xwm ua tau qub. Yog hais tias ib tug poj niam loj hlob ntau dua 8 lub hauv paus hauv ib lub hlis, qhov tshwm sim ntawm kev rov tshwm sim ntawm pathology hauv nws tus ntxhais yog qhov siab heev.
daim duab kho mob
Nyob rau hauv txhua tus poj niam thib plaub ntawm lub hnub nyoog muaj menyuam, thaum kuaj ultrasound, cov kws kho mob kuaj pommultifollicular qauv ntawm zes qe menyuam. Cov follicles ntawm qhov loj me thiab nrog cov tshuaj tsis hloov pauv tau pom meej thaum lub sijhawm ua haujlwm. Lawv txoj kab uas hla tuaj yeem sib txawv ntawm 4 mus rau 8 hli, thiab tag nrho cov naj npawb tsis tshaj 10 units. Pathological hloov pauv tuaj yeem cuam tshuam rau ib lossis ob lub zes qe menyuam tib lub sijhawm. Txawm li cas los xij, tsuas yog ib qho kev kuaj mob ultrasound tsis txaus los kuaj xyuas thiab teem sijhawm kuaj. Nws yog ib qho tseem ceeb rau tus kws kho mob kom kawm txog tus neeg mob keeb kwm thiab cov lus tsis txaus siab.
Cov cim qhia ntawm ntau lub zes qe menyuam yog tshwm sim feem ntau los ntawm kev ua txhaum ntawm lub voj voog ntawm lub tsev menyuam. Cov tsos mob ntawm lub cev ntawm tus mob no tau teev tseg hauv qab no:
- Anovulatory cycles (tsis muaj ovulation txog li 5 zaug hauv ib xyoos). Qhov laj thawj tseem ceeb ntawm kev ua haujlwm tsis zoo yog cystic formations lossis tsis loj hlob ntawm cov follicle tseem ceeb.
- lub sij hawm tsis tu ncua vim kev ua haujlwm ntawm zes qe menyuam. Nyob rau hauv cov ntaub ntawv no, lub sij hawm ntawm thawj theem ntawm lub voj voog yog los ntawm 30 mus rau 40 hnub es tsis txhob ntawm cov tshuaj 12-14. Qhov kawg los yog luteal theem yog luv heev. Nws kav li 8-10 hnub xwb tsis yog 14.
- Nyob tsis muaj cev nqaij daim tawv.
- Kev tsis muaj menyuam.
Multifollicular zes qe menyuam yuav tsum tsis txhob muab coj los ua qhov kev kuaj pom tseeb. Qhov no tsuas yog qhov xaus ntawm kev kuaj ultrasound. Yog hais tias tus mob no tsis nrog los ntawm kev ua txhaum ntawm lub voj voog thiab tsis muaj ovulation, nws raug lees paub tias yog tus qauv. Yog li ntawd, tsis muaj kev kho tshwj xeeb yog yuav tsum tau. Txwv tsis pub, tus kws kho mob yuav tsum tau muab cov kev ntsuam xyuas ntxiv kom paub meej qhov kev kuaj mob.
Puas muaj kev xeeb tub?
Ntau tus poj niam ntseeg tias ntau lub zes qe menyuam thiab cev xeeb tub yog yam tsis sib xws. Qhov tseeb, txhua yam tsis nyuaj li ntawd. Yog tias cev xeeb tub twb tshwm sim lawm, MFN tsis cuam tshuam rau kev xeeb tub. Hauv qhov no, tsis tas yuav kho tshuaj hormonal nrog tshuaj.
Qhov teeb meem tseem ceeb nyob hauv tus txheej txheem ntawm kev xav. Nws yog ib qho nyuaj txaus kom ua tiav txhua hli ovulation kom muaj peev xwm xeeb tub hauv txhua lub voj voog. Tsuas muaj ib txoj hauv kev los tshem tawm cov teeb meem no - tswj cov tshuaj hormonal rau kev loj hlob ntawm cov follicle tseem ceeb thiab endometrium. Yog tias qhov kev xaiv no tseem ua rau tsis muaj txiaj ntsig, nkawm niam txiv yuav tsum hu rau gynecologist-reproductologist. Tus kws kho mob tshwj xeeb yuav sau ovulation stimulation. Nrog multifollicular zes qe menyuam, cov txheej txheem no yog ua los ntawm kev txhaj tshuaj raws sijhawm. Tib lub sijhawm, kev kuaj mob ultrasound yuav tsum tau ua txhua ob hnub los ntsuas qhov kev kho mob.
Thaum qhov loj ntawm cov follicle tseem ceeb nce mus txog qhov kawg, tus poj niam tau txhaj tshuaj hCG txhawm rau txhawm rau kev ncaj ncees ntawm cov tshuaj ntsiav. Hauv qhov no, lub qe muaj lub cib fim tawm thiab nkag mus rau hauv lub raj xa mus rau kev fertilization tom ntej.
Tshuaj ntsuam xyuas
Txoj kev kuaj mob tshaj plaws yog ultrasound. Ib tus kws tshaj lij tshwj xeeb thaum kuaj tau yooj yim txiav txim siab txog lub zes qe menyuam multifollicular. Cov cim qhia ntawm pathology yog:
- me ntsis nce ntawm zes qe menyuam;
- me meechogenicity piv rau uterus;
- muaj ntau (ntau tshaj 20) cov pob txha antral thiab lawv qhov chaw diffuse;
- lub dominant follicle tsis muaj qhov tuab tuab.
Kom paub meej qhov kev kuaj mob, ultrasound tau muab peb zaug: thaum pib, nruab nrab thiab kawg ntawm kev coj khaub ncaws. Txoj hauv kev no tso cai rau koj taug qab cov naj npawb ntawm cov follicles loj hlob hauv cov dynamics. Txhawm rau sau cov kev kho mob uas muaj peev xwm, yuav tsum tau kuaj ntshav rau cov tshuaj hormones deev.
Txoj Kev Kho Mob
Kev kho tshwj xeeb rau ntau lub zes qe menyuam tsis tas yuav tsum tau ua. Tom qab kev kuaj mob, tus kws kho mob gynecologist-endocrinologist tuaj yeem sau tshuaj los kho cov keeb kwm ntawm hormonal thiab xyuas kom meej tias cov follicles loj tuaj muaj peev xwm ovulate. Normalization ntawm poj niam lub voj voog, qhov ua tau zoo ntawm kev xeeb tub thiab cev xeeb tub yog lub hom phiaj tseem ceeb ntawm kev kho mob rau cov kab mob no. Kev kho tshuaj ntawm ntau lub zes qe menyuam yog siv cov tshuaj hauv qab no:
- Cov tshuaj tiv thaiv qhov ncauj nrog cov ntsiab lus qis ntawm cov tshuaj estrogen. Cov pab pawg no suav nrog "Logest", "Jess" thiab "Yarina". Cov tshuaj no txo cov theem ntawm androgens hauv cov ntshav, ua rau cov hlwb tsis tshua nkag siab rau lawv cov teebmeem. Yam tsawg kawg ntawm kev nkag mus kawm yog peb lub hlis. Thaum hluas, cov tshuaj homeopathic yog lwm txoj hauv kev rau COCs. Piv txwv li, "Cyclodynon".
- "Dufaston". Cov tshuaj no tau sau tseg rau qhov tsis txaus ntawm cov tshuaj hormones luteal theem. "Dufaston" tsis cuam tshuam ovulation, tab sis pab normalize lub voj voog thiabhormonal xwm txheej. Nws yog ib hom kev ua rau qee cov txheej txheem hauv endometrium, yog li npaj lub tsev menyuam rau kev xeeb tub. Cov cuab yeej tsis cuam tshuam rau cov txheej txheem metabolic. Nws cov koob tshuaj yog txiav txim los ntawm tus kws kho mob. Cov kev kho mob yuav kav li ntawm 3 mus rau 6 lub hlis. Thaum cev xeeb tub tshwm sim, Dufaston tsis tuaj yeem raug tshem tawm sai li sai tau, vim qhov muaj feem yuav nchuav menyuam.
- Vitamin kho. Txawm hais tias qhov ua rau ntawm ntau qhov kev hloov pauv hauv lub zes qe menyuam, nws raug nquahu kom noj cov ntxhia complexes thaum kho. Nws yog ib qho tsim nyog kom lawv muaj ntau cov vitamins E thiab B.
Yog tias qhov ua rau MFN yog kev ntxhov siab, koj yuav tsum tau mus nrog tus kws kho mob tham. Hauv cov xwm txheej hnyav tshwj xeeb, yuav tsum tau siv tshuaj tranquilizers thiab antidepressants.
pab tshuaj tshuaj ntsuab
Tshuaj ntsuab nrog phytohormones tuaj yeem ua rau lub cev noj qab haus huv ntawm poj niam nrog ntau lub zes qe menyuam. Kev tshuaj xyuas ntawm kev sib deev ncaj ncees kuj qhia tau hais tias cov zaub mov ntawm pej xeem cov kws kho mob pab tsim cov xwm txheej zoo hauv lub cev rau kev loj hlob ntawm cov qe thiab ua rau kom muaj feem xeeb tub. Cov kev xaiv kho mob nrov tshaj plaws tau teev tseg hauv qab no.
- Abraham tsob ntoo nce qhov concentration ntawm luteinizing hormone hauv cov ntshav. Nws yuav siv 10 g ntawm qhuav txiv hmab txiv ntoo ncuav ib khob ntawm boiling dej, cia nws brew. Nws raug nquahu kom noj cov tshuaj raws li tshuaj yej thaum sawv ntxov thiab yav tsaus ntuj. Koj tuaj yeem siv zib ntab ua tom. Kev nkag mus kawm yog 3 lub hlis.
- Nkauj kho siabnormalizes poj niam lub voj voog. Nws yog tsim nyog los ncuav 5 tablespoons qhuav tua rau hauv 0.5 liv ntawm fortified cawu cub, preheated nyob rau hauv ib tug da dej. Tom qab ntawd ntxiv 2 tablespoons qab zib rau lub decoction thiab tawm rau 3 lub lis piam nyob rau hauv ib qho chaw tsaus. Noj cov tshuaj 25 ml ob zaug ib hnub twg. Yog tias muaj kab mob hauv plab, nws raug nquahu kom siv nws tom qab noj mov.
- Cowweed restores cov txheej txheem ntawm qe maturation. Kwv yees li 100 g ntawm tshuaj ntsuab insist rau liab cawu cub. Tom qab ntawd, ib liter ntawm dej haus yuav tsum tau coj mus rau boil, ntxiv ob peb clove inflorescences, ob peb tablespoons zib mu. Nws raug nquahu kom hais hauv qhov chaw tsaus, tab sis tsis pub ntau tshaj peb hnub. Noj 50 ml ua ntej yuav mus pw. Nyob rau hnub ntawm kev coj khaub ncaws, nws yog qhov zoo dua los tsis kam kho li no.
Daim ntawv qhia ntawm lwm cov tshuaj, thaum piv nrog cov kws kho mob, tsis muaj kev phiv. Txawm li cas los xij, ua ntej kho cov zes qe menyuam multifollicular, nws yog qhov yuav tsum tau sab laj nrog kws kho mob gynecologist.
Txoj Kev Tiv Thaiv
Cov poj niam cev xeeb tub yog qhov nkag siab txaus rau txhua qhov kev hloov pauv uas tshwm sim hauv lub cev. Yog li ntawd, yog hais tias muaj ib tug predisposition rau multifollicular hloov nyob rau hauv lub zes qe menyuam, nws yog ib qhov tsim nyog yuav tsum tsis tu ncua mus rau ib tug ultrasound kuaj rau lub sij hawm nrhiav tau ntawm pathology. Ntxiv rau, txhawm rau tiv thaiv, cov kws kho mob pom zoo:
- Control lub cev hnyav. Kev poob phaus tam sim ntawd lossis qhov hnyav nce tuaj yeem ua rau muaj cov tshuaj hormones tsis txaus.
- Lub cev ua haujlwmyuav tsum nyob rau hauv cov kev txwv tsim nyog.
- Tsis txhob siv tshuaj hormonal lossis tshuaj tiv thaiv qhov ncauj yam tsis muaj ntawv tshuaj los ntawm kws kho mob gynecologist.
- Txhua yam tsis xis nyob hauv thaj chaw pelvic yog vim li cas mus ntsib kws kho mob.
Sab laug lossis txoj cai zes qe menyuam nrog kev ua haujlwm ntau follicular yog suav tias yog ib txwm yog tias lawv tsis ua mob rau lub cev xeeb tub. Nrog rau qhov tshwm sim no, koj tuaj yeem ua neej nyob tsis muaj kev kho mob.
