Nemishonga ovary chirwere: zviratidzo, kurapwa, dziviriro

nemishonga ovary chirwere ndiye muduku kunzwisisa chimiro mukadzi zvokurwara. maperembudzi kakawanda kuonekwa makore 25-35. Dzinoratidzwa kwekanguva kusavapo kumwedzi pamwe yakakwirira kwevari gonadotropic pituitary mahormone.

tsananguro

Musimboti hosha iri ndechokuti ovaries kurega kuita zvakananga basa ravo. Kakawanda, chirwere mberi uye rinopera kubereka. Feature zvokurwara richiratidzwa kusabereka uye kusavapo kumwedzi. Panguva chirwere ichi kazhinji kuva zvakasiyana siyana amenorrhea. Iyi iri overvalued nhanho pakati gonadotropins ari pituitary, nokuti muviri vachiri kuedza kumhanya ovaries. Zvisinei, havana kutanga basa, sezvo pachena kukwana yakawanda progesterone uye inonzi estrogen. Kokutanga akataura pamusoro nyaya muna 1959, apo masayendisiti akatsanangura zvaiva urwere pakati nemishonga ovary. Kunyange zvakadaro, nyaya nokuti nhasi chinoramba havaratidzi kunzwisisa, uye zvikonzero chitarisiko haisati rinotsanangurwa.

mhando

In zvokurapa mabhuku hapana kupatsanura pachena zvokurwara ichi. Kunyange zvazvo dzimwe nyanzvi dziri dzakasiyana vatatu chirwere:

1. Genetic kubatwa urema mune follicular chikwata.
2. Automicheskaya hunhu chitarisiko - panguva nguva antibody chakavhara FSH Kanotokonya wanda.
3. At kushandiswa cytotoxic uye zvinodhaka immunosuppressive.

zviratidzo

nemishonga ovary chirwere kazhinji vangazivikanwa kubudikidza dzakanyorwa zvirwere:

• yakakwirira zviverengero LH (luteinizing kemikari) uye FSH (follicle anotokonya kemikari) uye pasi estradiols;
• amenorrhea - kusavapo kumwedzi;
• Kuparadzwa mucosal nepanhengo uye vulva;
• ovary ane yokuwanda follicles pamwe nomumhu uye dzakaonda ari uterine endometrium;
• kuchinjwa chakakomba kutapukirwa noutachiona uye kunetseka mupfungwa;
• kumwedzi anotanga kuva pamutemo uye ipapo haarambi zvachose.

Kukura chirwere kazhinji kunoitika pashure pemakore 5-10 kubva pakutanga kutenderera. Vose vakaona kuti inopisa flushes mumusoro kuitika usiku masikati. Rwadza kunzwa mudumbu kuonekwa nomuzvarirwo, pasina zvikonzero izvozvo. Kakawanda, vakadzi vave nemishonga ovary urwere, zvinorwadza kumwedzi uye postpartum matambudziko.

Kana kuona chiremba murwere kunouya zvichemo kurwadziwa nechepasi uye kusavapo kumwedzi pashure kutapukirwa noutachiona, rokuongorora uye ongororo kazhinji inoratidza kuti zvakatora sulfonamides akawanda, izvo zvinogona kumutsa chitarisiko nechirwere.

zvikonzero

Munguva yedu, zvinhu zvinobatsira paumbwe zvokurwara, haina aizvinzwisisa. Asi pane dzidziso kuti ungangotarisa anokonzera chirwere chinhu majini akachinja Kanotokonya nzvimbo follicle. Masayendisiti Most nharo kuti nemishonga ovary urwere, zviratidzo zvacho-siyana uye zvakawanda, kazhinji sei nezvirwere zvakadai:

• alopecia;
• autoimmune thyroiditis (kuzvimba thyroid gland);
• myasthenia gravis (tsandanyama simba uye kuneta);
• chirwere cheshuga;
• thrombocytopenic purpura;
• kutapukirwa noutachiona (mumps unowanzosangana);
• autoimmune kupererwa neropa.

The Pane zvinhu zvinosanganisira pokumuka kwezvikonzero:

• irradiation mu oncology;
• Kushandisa immunosuppressive uye zvinodhaka cytotoxic;
• Kuvhiya ari ovaries.

Kunze kwaizvozvo zvose mune pulmonary tibhii uye sarcoidosis kunoitika kurasikirwa ovarian zvinyama, izvo zvinowanzoita kuti kukura zvokurwara. Chirwere rinogonawo kuva kuvabereki zvakasikwa uye kuitika mushure kuzvidya mwoyo uye zvechigarire tsinga perenagruzok.

Diagnostics

Symptomatology chirwere kune chokuita nezvirwere zvakadai dyscrasia gonad uye ovarian kukundikana. Naizvozvo, chete kana revatema kudzidza zvichemo rabhoritari Data kubva kurapwa zveBhaibheri vakatsunga pamberi chirwere. Kazhinji, panguva kwokutanga rokuongorora anogona kuonekwa safarira akanaka chakajairika "mudzidzi", mastopathy pakati fibrocystic mhando kuparadzwa pamberi mucous membranes ari nepanhengo uye vulva, uye ayo akazivisa hyperemia. Kana Ultrasound, laparoscopy uye gynecological bvunzo akaona usingashandi zvinoderedza kukura dumbu. Kuti asimbise nemishonga ovary chirwere, vanachiremba akarayira munhu biopsy pamusoro epididymis. Nokuti kuziva miedzo parenteral uye pyramidal masero rinoitwa histological kuzviongorora. Kana iwe tora hormone kuongororwa, zvinokwanisika kuti kuisa pachiyero LH uye FSH mu plasma ropa, riri kazhinji yakakwirira, uye asingaunganidzi uwirirane vasingambooni chakaipa nazvo. Zvakaziviswa pasi Kuwanda estradiol. On the vainyatsotarisirwa atora kemikari nemiedzo, izvozvo akacherechedza kuti pakutanga mharidzo kazhinji inoratidza zvakanaka gestogen kwaizotevera - kunaka.

kurapa

Medical tsika iri kazhinji mumabasa nyaya yakafanana zvahunoitwa nemishonga ovarian syndrome. Treatment anogara zvakawanda, sezvo hunhu pakuonekwa chirwere haisi aizvinzwisisa. Kazhinji kupiwa HRT (kemikari yokutsiva kurapa) uye kurangwa inonzi estrogen kukanganisika. Hwaro nzira iri kudzorera kuenda kumwedzi richikwidibira pachiyero gonadotropic mahormone.

Kazhinji, vanachiremba varayire kushandisa mishonga yakadaro "Trisekvens", "zvakarembera", "Klim", "Premella-kutenderera", "klimonorma", "Divina", "Klimodien" "Livial" uye "Kliogest". Nokuda hunhu kosi nerimwe gore murwere vanofanira chaidzo pelvic Ultrasound. Kudzora ropa bvunzo, lipoproteins uye remafuta akawandisa zvinobatsira kuumba uye kuziva itsva kutanga kurapa. Nokuda densitometry zvidzidzo zvinogona kubvisa osteoporosis.

Uyewo mishonga zvinobudirira zvasangana unconventional:

• akabata intravaginal uye celiac ultraphonophoresis;
• dzisina zororo;
• jekiseni nharaunda ovarian receptors;
• vhitamini E.

Data migumisiro yokurapa ichi chinoreva zvakawanda chaizvo. Asi vanachiremba achiri inoti kuwedzera uwandu kumwedzi kuyerera uye follicles kusashanda LH uye FSH. Inonzi estrogen vanotanga kumuka muropa. Pashure pokudzorerwa kwomuzvarirwo kumwedzi ovulation kazhinji zvikasaitika, uye uchazvara mwana murwere yakadaro kazhinji IVF (ezvokunambira kunze kwomuviri waamai muchangosangana) anogona.

To musi, Gynecology haisi kwazvo kunzwisisa, nei paine nemishonga ovary syndrome. Hypergonadotrophic amenorrhea - nechirwere chakakomba, uye panguva iyoyo hapana tenzi mazita kurumbidza kuti muzvidzivirire kwayo uye kurapwa. Chinonyanya yakarurama anonzi kubvisa kukanganiswa zvinhu uye rimwe gore parinopera rokuongorora, kunyanya kana paine Kuvhiringidza kumwedzi.

ethnoscience

Inowanzoshandiswa prophylactic kurapa. Tinofanira nguva dzose kutora vhitamini E, iyo inowanikwa zvokudya zvakadai hazelnuts, nzungu, gorosi utachiona uye fruit. Kumwedzi kudzokera chazvo chichava lecithin, zviri legume, mazai uye konifurawa, uye sezvo chinozivikanwa, inoratidza kushayikwa nemishonga ovary syndrome. Mabatirwo chevarwere mishonga uye mishonga yemakwenzi zviri zvikuru nopindirana kuchirapa kushanda.

Kakawanda, izvi mishonga mari kuti vane marwadzo zvivako uye zvakanaka-inodzorwa kutenderera:

1. Achigadzirira murwiyo zvinofanira kusanganiswa uye 30 magiramu pamusoro peppermint mashizha, valerian mudzi, uye 40 magiramu pakati camomile the. The wakagadzirira gobvu akadira mvura iri kufashaira uye kushandiswa rimwe girazi mangwanani uye manheru.
2. The aizomupa Viburnum michero uye blackberries zvinobatsira ovary, nokuti ichi vanofanira kutora magirazi mashomanana pazuva.
3. Kuti uvandudze kumwedzi kudya peya clove ose negariki.

kushaya mbereko

Danho rokutanga kurapwa kunosanganisira normalizing kuti kwemakemikari anobudiswa hurongwa, dzinova kuchinja ari thyroid shwanu, adrenal omumuviri uye nokurapa chirwere cheshuga.

Next, unofanira kupedza:

• spermogrammu naye (3 nguva kwevhiki 7) kuitira kubvisa chinhu kwevarume kushaya mbereko;
• ehosalpigografiyu (opredeljaemost Fallopian sepombi);
• postcoital muedzo - kuzosimbisa kusavapo immunological kushaya mbereko;
• hysteroscopy (ari intrauterine zvokurwara ongororo).

Next, shandisa zvinodhaka, izvo kutanga inotokonya follicles, uye ipapo anoramba kugamuchira chimiro ovulation. nemishonga ovary chirwere uye pamuviri chaizvo enderana, sezvo muna 60-70% nyaya asakwanisa kuita vana zvinogona kukundwa tichibatsirwa zvinodhaka.

dziviriro

Sezvo nhasi mushonga ano haina zvakazara Akaongorora muitiro pamusoro kwaita chirwere, zvakaoma chaizvo kuti vasarudze mamwe matanho kuti aigona kupa dziviriro zvayo. Kunyange zvazvo nyanzvi dzakawanda dzinoti kwete kushandisa mushonga toxicity sezvinobvira uye kwete kushandisa zvinokonzerwa nemwaranzi. Recommend kutungamirira kuva nemararamiro ane utano uye nguva kubata gynecological zvirwere, saka sezvo haana kuzviratidza nemishonga ovary syndrome.

Kudzivirira iri chokuti dzakawanda vaduku zvinokanganiswa kuenda kumwedzi vanofanira kushanyira chiremba uye vanosangana zvose zvaida ongororo yacho. Izvi zvichakubatsira kudzivisa pokumuka pathologies siyana uye kuchengetedza utano dzemadzimai.

Consequences uye maonero

The chikuru kuomesa iri kuvhiringidza kutenderera uye kushaya mbereko izvo chaizvo zvakaoma kurapa. Uye kunowedzerawo mukana mangwanani inotungamirwa zvirwere vezera-ukama, sezvo kukonzerwa kusava estrogen, uye zvichida kutanga uterine malignancies.

Outlook rakanyatsojeka zvakanaka, uye kazhinji kumwedzi basa anodzoka.