Eguzogide ovary syndrome: mgbaàmà, ọgwụgwọ, mgbochi

eguzogide ovary syndrome bụ onye kasị nta ghọtara ọdịdị nke nwanyi daa ọrịa. ọrịa esiwak hụrụ na 25-35 afọ. Ji ruo nwa oge enweghị ịhụ nsọ na elu etoju nke gonadotropic pituitary homonụ.

definition

Ihe kachasi mkpa nke ọrịa dabeere n'eziokwu na ovaries kwụsị ịrụ ha kpọmkwem ọrụ. Ọtụtụ mgbe, ọrịa na-aga n'ihu na-agwụ na menopause. Njirimara daa ọrịa gosi na Vol na enweghị nke ịhụ nsọ okirikiri. N'oge nke a na ọrịa na-ịzụlite ụdị dị iche iche nke amenorrhea. Na oge a na-overvalued etoju nke gonadotropins nke pituitary, n'ihi na ahụ ka na-agbalị na-agba ọsọ ovaries. Otú ọ dị, ha na-amalite ọrụ, dị ka pụta ìhè ezughi oke ego nke progesterone na estrogen. N'ihi na oge mbụ kwuru okwu banyere nke na 1959, mgbe ndị ọkà mmụta sayensị kwuru na atụmatụ nke syndrome nke na-eguzogide ọgwụ ovary. Ma, isiokwu taa na-anọgide agụghị oké ghọtara, na ihe mere maka ọdịdị erubeghị a n'ụzọ zuru ezu na-akọwa.

ụdị

Na ọgwụ akwụkwọ e nweghị anya nhazi ọkwa nke a daa ọrịa. Ọ bụ ezie na ụfọdụ ndị ọkachamara na-atọ variants nke ọrịa:

1. Genetic pụrụ ịrịa nke ntụpọ na follicular unit.
2. Automicheskaya uwa n'ile - n'oge antibody egbochi FSH ihe nnabata uche.
3. Na ojiji nke cytotoxic na immunosuppressive ọgwụ ọjọọ.

mgbaàmà

eguzogide ovary ọrịa mgbe nwere ike mata site depụtara ọrịa:

• elu nọmba nke LH (luteinizing hormone) na FSH (follicle na-akpali akpali hormone) na ala estradiols;
• amenorrhea - enweghị nsọ;
• depletion nke mucosal ikpu na vulva;
• ovary na a ọnụ ọgụgụ buru ibu nke follicles na nkịtị size na mkpa na eriri akpa nwa endometrium;
• nyefe nke oké malitere ịrịa ọrịa na nchegbu;
• ịhụ nsọ na-amalite ibu oge ufodu na mgbe kpamkpam kpam kpam.

Mmepe nke ọrịa na-emekarị emee mgbe 5-10 afọ si akpa okirikiri. All zaghachirinụ kwuru na-ekpo ọkụ flushes ka isi ime n'abalị ma n'ehihie. Na-egbu mgbu mmetụta ke afo apụta spontaneously, enweghị ihe ọ bụla kpatara ya. Ọtụtụ mgbe, ndị inyom bụ ndị a na-eguzogide ọgwụ ovary syndrome, na-agbawa ịhụ nsọ na ọbara nsogbu.

Mgbe ha hụ dọkịta ọrịa na-abịa na mkpesa nke mgbu na ala na enweghị ịhụ nsọ mgbe malitere ịrịa nje, nnyocha ma analysis mgbe na-egosi na ọ were sulfonamides na nnukwu quantities, nke pụrụ ịkpata ọdịdị nke nchoputa.

ihe

N'oge anyị a, ihe ndị na-emetụta guzobe daa ọrịa, na-ghọtara. Ma, e nwere a ozizi na-yikarịrị isi iyi nke ọrịa bụ mkpụrụ ndụ ihe nketa mgbanwe ke ihe nnabata saịtị follicle. Ọtụtụ ndị ọkà mmụta sayensị na-ekwu na na-eguzogide ọgwụ ovary syndrome, ihe mgbaàmà nke na-dịgasị iche iche na ambiguous, mgbe mgbe, na-emetụta ndị dị otú ahụ ọrịa:

• alopecia;
• autoimmune thyroiditis (mbufụt nke thyroid gland);
• myasthenia gravis (muscle n'adịghị ike na ike ọgwụgwụ);
• arịa ọrịa shuga;
• thrombocytopenic purpura;
• malitere ịrịa nje (mumps Ọtụtụ);
• autoimmune anaemia.

The isi ihe na-agụnye mmepe nke ihe:

• irradiation na oncology;
• ojiji nke immunosuppressive na cytotoxic ọgwụ ọjọọ;
• ịwa ahụ na ovaries.

E wezụga ihe niile a na akpa ume ụkwara nta na sarcoidosis emee ọnwụ nke ovarian anụ ahụ, nke na-eduga ná mmepe nke daa ọrịa. The ọrịa nwekwara ike ịbụ mkpụrụ ndụ ihe nketa na ọdịdị na-eme mgbe oké nchegbu na-adịgide adịgide akwara perenagruzok.

nchọpụta nsogbu

Symptomatology nke ọrịa na-akpachi anya na ọrịa ndị dị ka dyscrasia gonad na ovarian ọdịda. Ya mere, naanị ma ọ bụrụ na ike na-amụ mkpesa na laabu data si Clinical ọmụmụ kpebisiri ike na ọnụnọ nke ọrịa. N'ọnọdụ ka ukwuu, n'oge nke mbụ nnyocha pụrụ hụrụ bland mma onu "nwa akwụkwọ", mastopathy nke fibrocystic ụdị depletion n'ihu mucous membranes nke ikpu na vulva, na ya akpọ hyperemia. Mgbe ultrasound, laparoscopy na gynecological ule hụrụ a ntakiri Mbelata ke size nke akpanwa. Iji gosi na-eguzogide ọgwụ ovary syndrome, ndị dọkịta ji nye iwu ka a biopsy nke epididymis. N'ihi nchọpụta nke parenteral na pyramidal mkpụrụ ndụ a rụrụ histological nyochaa. Ọ bụrụ na ị na-a mmiri ọgwụ nnyocha, ọ bụ ike ịtọ larịị nke LH na FSH n'ime ọbara plasma, nke bụ mgbe elu, ma ọ gaghị adaba na-emekarị. Ìhè ala ịta nke estradiol. Na uche pụrụ iche na e hormone ule, ya kwuru na, mgbe mbụ sample mgbe egosi mma gestogen na ụdi - adịghị mma.

ọgwụ

Medical omume na-ukwuu mgbe aka na otu ihe iseokwu dị ka na-eguzogide ọgwụ ovarian syndrome. Ọgwụgwọ bụ mgbe ambiguous, dị ka ọdịdị nke ọdịdị nke ọrịa na-ghọtara. Emekarị nyere HRT (hormone nnọchi ọgwụ) na mgbazi nke estrogen erughi. Ndabere nke usoro bụ iji weghachi ịhụ nsọ okirikiri na ẹsụhọde larịị nke gonadotropic homonụ.

Ọtụtụ mgbe, ndị dọkịta idepụta ọgwụ ndị dị otú ahụ dị ka "Trisekvens", "Festoon", "Klim", "Premella-okirikiri", "klimonorma", "Divina", "Klimodien" "Livial" na "Kliogest". N'ihi ọdịdị nke N'ezie n'afọ ọ bụla na-enwe ndidi ga-ata pelvic ultrasound. Ogw ule, lipoproteins na cholesterol na-enyere aka na-etolite na ịmata a ọhụrụ malite usoro ọgwụgwọ. N'ihi densitometry ọmụmụ ike iwepụ osteoporosis.

Nakwa dị ka ọgwụ dị irè jikọtara na unconventional:

• ejide intravaginal na celiac ultraphonophoresis;
• eme ezumike;
• igba okpukpu region ovarian anabata;
• vitamin E.

Data na-arụpụta nke a ọgwụ bụ nnọọ ambiguous. Ma dọkịta ka-ekwu na-abawanye na ọnụ ọgụgụ nke ịhụ nsọ eruba na follicles ọrụ LH na FSH. Estrogen amalite na-ebili ke ọbara. Mgbe mweghachi nke nkịtị na-ahụ nsọ ovulation mgbe adịghị ime, mụọ nwa dị otú ahụ a-enwe ndidi nwere ike ọtụtụ mgbe site IVF (na vitro njikọta spam).

Ka ụbọchị, na ọrịa ụmụ nwanyị na-adịghị nke ọma ghọtara, ihe mere e ji na-eguzogide ọgwụ ovary syndrome. Hypergonadotrophic amenorrhea - a oké ọrịa, na ugbu a na e nweghị-nwe-ndepụta nwere ikwu maka ya mgbochi na ọgwụgwọ. The kasị ziri ezi a na-ewere iji kpochapụ oghom ihe na onye ọ bụla n'afọ na-aga nnyocha, karịsịa ma ọ bụrụ na e nwere a-emeghasịkwa nke ịhụ nsọ okirikiri.

ethnoscience

-Eji dị ka a prophylactic ọgwụ. Anyị kwesịrị ịdị na-ewere vitamin E, nke a na-achọta na ihe oriri ndị dị otú ahụ dị ka hazelnuts, ahụekere, wheat izizi na walnuts. Ịhụ nsọ okirikiri nloghachi akụrụngwa ga lecithin, ẹdude na legume, àkwá na kọlịflawa, na dị ka a maara, ọ na-egosi na onye ahụ enweghị eguzogide ovary syndrome. Ọgwụgwọ nke mpako na ịgba akwụkwọ na herbal ịgba akwụkwọ nwere ihe dị ukwuu na-arụkọ ọgwụgwọ mmetụta.

Ọtụtụ mgbe, nke a herbal ụgwọ nwere analgesic Njirimara na mma-usoro okirikiri:

1. N'ihi nkwadebe ndị mejupụtara ga-agwakọta na 30 grams nke pepemint epupụta, valerian mgbọrọgwụ, na 40 grams nke camomile. The njikere uka na-wụsara esi mmiri ma na-eji maka otu iko na ụtụtụ na mgbede.
2. The infusion nke viburnum tomato ma blakberị na-enyere ndị ovary, n'ihi na nke a dị ha mkpa iji na-a ole na ole iko a ụbọchị.
3. Ka iwelie mma ịhụ nsọ eri a ụzọ nke cloves nke garlic.

infertility

Akpa ogbo nke ọgwụgwọ na-agụnye normalizing ndị endocrine usoro, ya bụ na ukpụhọde nke thyroid gland, adrenal glands na ọgwụgwọ nke ọrịa shuga.

Ọzọ, ị mkpa na-eji:

• spermogrammu mo (3 ugboro maka 7 izu) iji kpochapụ ihe na-akpata nke nwoke infertility;
• ehosalpigografiyu (opredeljaemost Fallopian akpa);
• postcoital ule - iji gosi na-anọghị nke immunological infertility;
• hysteroscopy (na intrauterine daa ọrịa ule).

Next, tinye ọgwụ ọjọọ, nke na-amalite na-akpali ndị follicles, na mgbe ahụ na-aga n'ihu na-anabata onye ahụ nke ovulation. eguzogide ovary syndrome na ime bụ nnọọ dakọtara, dị ka 60-70% nke ikpe nke infertility pụrụ imeri na-enyemaka nke ọgwụ ọjọọ.

mgbochi

Ebe ọ bụ na taa nkà mmụta ọgwụ ọgbara bụghị n'ụzọ zuru ezu enyoba usoro nke ntoputa nke ọrịa, ọ bụ nnọọ ike ekewapụkwa ụfọdụ jikoro na ike na-eme ka ya mgbochi. Ọ bụ ezie na ọtụtụ ndị ọkachamara na-atụ aro ghara iji ọgwụ toxicity dị ka omume na-adịghị na-amalite mmetụta nke radieshon. Nwere ike ikwu na-edu a ike ndụ na oge na-emeso gynecological ọrịa, ka ọ ghara pụtara eguzogide ovary syndrome.

Prevention idu ke eziokwu na na ọtụtụ obere amaghị eme na ịhụ nsọ okirikiri mkpa gaa na a dọkịta na-ata niile chọrọ nyochaa. Nke a ga-nyere aka gbochie mmepe nke dị iche iche pathologies ma chebe ụmụ nwanyị ahụ ike.

Esi na ya pụta na-ele ihe anya

Isi sikwuoro bụ nsogbu okirikiri na infertility nke bụ nnọọ ike iji ọgwụ. Na-enwekwu ihe ize ndụ nke n'oge guzobere afọ metụtara ọrịa, dị ka triggered site a enweghị estrogen, na o yiri ka ịzụlite eriri akpa nwa malignancies.

Outlook bụ nnọọ mma, na ịhụ nsọ ọrụ na-emekarị na-alaghachikwuru.