Kev coj khaub ncaws tsis yog ib txwm qhia tias muaj kab mob hauv lub cev. Cov yam ntxwv ntawm lub cev, piv txwv li, yug menyuam, pub mis rau menyuam yug tshiab, nrog rau kev laus, tuaj yeem ua rau tus mob no. Hauv txhua kis, nws tuaj yeem txiav txim siab vim li cas tsis muaj lub sijhawm siv kev ntsuas ntsuas. Amenorrhea, yog dab tsi? Qhov no yog lub npe ntawm ib tug mob nyob rau hauv uas, nrog ib txwm tsim nyob rau hauv qhov chaw mos, kev coj khaub ncaws tsis tuaj. Ntxiv rau qhov laj thawj ntawm lub cev tsis muaj kev coj khaub ncaws, kab mob thiab teeb meem hormonal tuaj yeem ua rau qhov no.
False amenorrhea
Amenorrhoea, yog dab tsi? False amenorrhea yog txheej txheem uas kev coj khaub ncaws tuaj raws sij hawm, thiab tus poj niam muaj tag nrho cov yam ntxwv ntawm cov tsos mob: mob tsis xis nyob hauv plab plab, o ntawm lub hauv siab, xav tias qaug zog, qee zaum xeev siab thiab ntuav, mob taub hau, tab sis qhov no nws tsis tau los ntshav.
Physiological amenorrhea
Yog tus poj niam pub niam mis los yog cev xeeb tub, ces nws xav tias tsis muaj peev xwm xeeb tub hauv qhov no thiabtxwv tsis pub siv tshuaj tiv thaiv kab mob. Puas muaj peev xwm xeeb tub yam tsis muaj kev coj khaub ncaws? Lo lus teb rau lo lus nug no yuav tsis muaj tseeb. Piv txwv li, thaum tus me nyuam pub niam mis, lub qe maturation thiab ovulation yog ncua, tab sis txawm me me hloov nyob rau hauv hormonal keeb kwm yav dhau tuaj yeem ua rau yav tom ntej, thiab tus poj niam uas tsis siv cov tshuaj tiv thaiv thaum muaj kev sib deev tuaj yeem xeeb tub thiab yuav tsis paub txog. ib pliag..
Ntau tus poj niam nug seb puas tuaj yeem xeeb menyuam yam tsis muaj kev coj khaub ncaws. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov txheej txheem ntawm fading ntawm lub zes qe menyuam yog ntev heev, rau 4-5 xyoos ib tug poj niam tseem muaj lub sijhawm los xeeb tub.
Nyob rau hauv menopause, nws yog ib qho tseem ceeb kom tsis tu ncua siv cov tshuaj tiv thaiv tshwj xeeb thiab tiv thaiv koj tus kheej.
Txoj kev coj khaub ncaws
Kev coj khaub ncaws qhia txog qhov pib ntawm kev coj khaub ncaws, uas txhua lub hlis npaj tus poj niam lub cev thiab nws cov txheej txheem tsim tawm rau kev xeeb tub. Kev coj khaub ncaws muaj ntau theem. Thawj qhov cuam tshuam nrog cov txheej txheem ntawm endometrium, thaum lub sij hawm muaj cov ntshav tawm.
Tom qab tsim cov follicles tshwm sim, uas muaj cov qe tsim tsis zoo. Qee cov follicles tuaj yeem loj hlob sai dua li lwm tus, ua qhov tseem ceeb, tsis pub dhau 10-15 hnub cov cell loj hlob tuaj ntawm lawv. Tom qab tso tawm tom kawg, ib theem tshiab ntawm kev coj khaub ncaws pib - ovulation. Nws kav ib hnub xwb.
Tom qab los txog theem luteal lossis theem corpus luteum. Lub xovtooj ntawm tes pib maj mam txav mus rau hauv lub cev uterine. Nyob rau hauv cov ntaub ntawv no, yog hais tias fertilization tshwm sim, lub embryo nkag mus rau hauv lub uterine kab noj hniav thiab txuas mus rau nws. Yog tsis muaj fertilization, ces lub cell tsuas tuag thiab tawm ua ke nrog cov ntshav secretions.
Anovulation, yog dab tsi? Qee zaum, nws tshwm sim tias cov hlwb tsis loj hlob mus rau qhov kawg, thiab ovulation tsis tshwm sim. Hauv qhov no, lub voj voog yog anovulatory hauv qhov xwm txheej. Puas muaj peev xwm xeeb tub yam tsis muaj kev coj khaub ncaws? Hauv qhov no, kev coj khaub ncaws tuaj yeem mus tas li, lossis tsis tuaj. Yog hais tias lub xovtooj ntawm tes tsis tuaj nrog kev coj khaub ncaws, ces tus mob no hu ua anovulation. Nyob rau hauv cov ntaub ntawv no, lub qe yuav tsis tsim tag nrho los yog yuav tsis muaj sij hawm mus cuag lub uterine kab noj hniav. Tab sis kuj muaj cov xwm txheej thaum kev coj khaub ncaws tsis tshwm sim, tab sis ovulation tshwm sim tas li.
Ovulation tsis muaj poj niam cev xeeb tub
Qhov tsis muaj poj niam cev xeeb tub tuaj yeem tshwm sim los ntawm ntau yam:
- Pub mis rau menyuam mos. Feem ntau, cov neeg mob rov qab xeeb tub yog pom nyob rau tom qab yug menyuam thiab lub sijhawm lactation. Kev xeeb tub thaum pub niam mis tuaj yeem tshwm sim hauv qee kis. Thaum tus menyuam yug tshiab tsuas yog pub mis niam xwb, cov txheej txheem ntawm kev tsim cov tshuaj estrogen hauv ib tug poj niam raug cuam tshuam, vim li no lub qe tsis loj hlob thiab ovulation tsis tshwm sim. Tab sis tam sim ntawd tom qab tus me nyuam pib tau txais cov khoom noj ntxiv, lactation tsis zoo, thiab lub qe maturation rov qab los. Tus nqi ntawm estrogen hauvlub cev pib nce thiab maturation ntawm cov qe tshiab pib txij thaum pib ntawm lub ovulation tom ntej. Yog hais tias conception tsis tshwm sim, ces lub cell tuag tawm nrog thawj postpartum menstruation, uas yog txawv los ntawm daj ntseg liab tawm. Nyob rau yav tom ntej, ovulation yuav txhim kho thiab ua haujlwm tsis tu ncua.
- Teeb meem nrog qhov pib ntawm kev coj khaub ncaws. Tus mob no kuj tshwm sim ntau zaus. Hauv qhov no, kev coj khaub ncaws tshwm sim ntawm lub sijhawm sib txawv, tuaj yeem tsis tuaj rau ob peb lub sijhawm, tab sis ovulation tseem tshwm sim. Tus mob no tshwm sim thaum lub sij hawm cev xeeb tub los yog thawj xyoo ntawm lub cev tsis muaj zog ntawm tus poj niam.
- Kev cuam tshuam hauv zes qe menyuam. Feem ntau, tsis muaj kev coj khaub ncaws nrog kev kuaj tsis zoo yog cuam tshuam nrog cov teeb meem hauv kev ua haujlwm ntawm zes qe menyuam. Xws li qhov txhab yog tus cwj pwm los ntawm kev ua tsis tiav thaum pib ntawm kev coj khaub ncaws. Tus kab mob, feem ntau, mus ua ke nrog cov kab mob hauv endocrine system thiab thyroid caj pas.
teeb meem gynecological
Lub cev muaj zog. Kev ncua sij hawm ntawm kev coj khaub ncaws kuj tuaj yeem tshwm sim los ntawm cov teeb meem gynecological, txij li cov kab mob ntawm cov kab mob ntawm cov menyuam yaus tuaj yeem cuam tshuam rau zes qe menyuam: o, uterine fibroids, cervical oncology. Tsis tas li ntawd, kev coj khaub ncaws tuaj yeem tsis tuaj ntev vim yog qhov mob ntawm zes qe menyuam.
polycystic thiab rog
polycystic zes qe menyuam. Xws li kev ua txhaum cai feem ntau raug kuaj pom hauv tus poj niam nrog kev kuaj xyuas yooj yim. Hauv cov poj niam uas muaj tus mob no, cov plaub hau nquag loj hlob saum daim di ncauj, cov plaub hau oily thiab tawv nqaij, qhov hnyav thiab lwm yam tsos mob tuaj yeem kuaj pom.uas tshwm sim vim muaj qhov ntse dhia hauv qib testosterone. Nws yog qhov sib txawv no uas ua rau muaj teeb meem nrog qhov pib ntawm kev coj khaub ncaws. Qhov txaus ntshai tshaj plaws nyob rau hauv cov ntaub ntawv no yog infertility, txij li thaum testosterone tsis zoo rau cov txheej txheem ntawm maturation ntawm poj niam kab mob hlwb.
Kev rog lossis rog rog. Nrog ntau dhau los yog qhov hnyav dhau lawm, teeb meem nrog cov tsos mob tshwm sim feem ntau tau sau tseg, thaum ovulation, raws li txoj cai, tshwm sim tsis tu ncua. Tom qab kho qhov teeb meem, lub sij hawm sai sai rov qab mus rau qhov qub.
Ntxiv rau, ovulation yam tsis tau los ntshav feem ntau tshwm sim nrog kev tawm dag zog lub cev ntau dhau, lub paj hlwb tawg, teeb meem nrog lub paj hlwb, nrog kev noj zaub mov tsis zoo thiab siv cov tshuaj hormonal mus ntev.
Can conception tshwm sim
Puas muaj peev xwm xeeb tub thaum tsis coj khaub ncaws? Ib txwm muaj lub sijhawm los xeeb menyuam thaum tsis muaj kev coj khaub ncaws. Yog tias lawv tsis tuaj yeem mus ntev, ces tus kws kho mob kuaj pom muaj amenorrhea (tsis tseeb lossis tseeb). Nrog rau qhov tsis tseeb amenorrhea, txoj hauv kev ntawm kev xeeb tub yog siab, tab sis yuav ua li cas cev xeeb tub nws tus kheej yuav mus ncaj qha rau ntawm qhov ua rau tus mob no.
Kev cev xeeb tub nrog qhov tseeb ntawm amenorrhea yog ua tsis tau. Rau conception nyob rau hauv cov ntaub ntawv no, koj yuav tsum tau mus rau ib tug tag nrho cov kev kho mob, restore koj lub cev ntas. Nws yog ib qho tseem ceeb kom normalize koj qhov hnyav thiab sim zam kev ntxhov siab ntawm lub cev thiab lub siab. Nws tseem ceeb heev kom pib kho cov kab mob uas twb muaj lawm.
ntsuas kev tiv thaiv
Txhawm rau txiav txim siab qhov ua rau amenorrhea, nws yog ib qho tseem ceeb uas yuav tsum tau ua qhov kev kuaj mob gynecological dav dav ntawm tus poj niam, noj anamnesis rau kev kuaj xyuas, ua qhov kev kuaj mob uas yuav tsum tau ua, suav nrog kev kuaj cov tshuaj hormones poj niam txiv neej thiab cov thyroid caj pas, thiab kuaj ultrasound. kev ntsuam xyuas ntawm lub plab mog. Tag nrho cov txheej txheem kuaj mob yuav pab txiav txim seb tus neeg mob puas muaj teeb meem nrog cov tshuaj hormonal thiab paub tseeb tias yog vim li cas qhov no tshwm sim.
txhawm rau kuaj pom cov qog pituitary, koj yuav tsum tau kuaj los ntawm kws kho mob hlwb, ua MRI lossis CT scan, nrog rau x-ray ntawm pob txha taub hau. Cov kab mob caj ces tuaj yeem kuaj tau los ntawm karyotyping. Cov kab mob ntawm lub cev xeeb tub yog kuaj los ntawm gynecologist tom qab kuaj ultrasound. Qee hom kab mob endocrine xav tau kev kuaj mob ntxiv, piv txwv li, polycystic zes qe menyuam syndrome.
ntsuas ntsuas
Tsis muaj sijhawm rau ib xyoos - yuav ua li cas? Kev kho mob amenorrhea yuav tsum tau pib sai li sai tau thaum pom qhov ua rau. Nws yog ib qho tseem ceeb kom tsis txhob muaj kev ntxhov siab thiab pib noj tshuaj sedatives thiab tshuaj ntsuab tshuaj ntsuab.
Txoj hauv kev tseem ceeb los kho qhov tsis muaj kev coj khaub ncaws - noj tshuaj hormonal:
- estrogens;
- gestagens;
- tshuaj tiv thaiv qhov ncauj;
- tsis-steroidal zes qe menyuam stimulants.
Kev kho mob yuav siv sijhawm ntev thiab yuav tsum tau phais lossiskho tshuaj hormonal. Tsis quav ntsej qhov teeb meem nrog kev coj khaub ncaws yog qhov txaus ntshai heev, vim qhov no tuaj yeem ua rau muaj qhov tshwm sim loj.
