Hypovarianism, Zizindikiro ndi Chithandizo

Pansi hypofunction yamchiberekero zikutanthauza matenda akuti monga matenda amene amasiyana etiology ndi pathogenesis. Onsewo ali ndi zizindikiro zofanana wa underdevelopment kugonana. Zikuphatikizapo osabereka, hypoplasia, amenorrhea, hypoestrogenism ndikunyentchera chiberekero ndi thumba losunga mazira.

Pali mitundu yambiri ya hypofunction chachikulu. Chachikulu, chachikulu, mawonekedwe matenda a matenda ndi msanga kusintha. Kawirikawiri amapezeka akazi achikulire kuposa zaka 35. The etiology matendawa kumathandiza kwambiri zosiyanasiyana chokhwima zinthu zachilengedwe. Chifukwa cha matenda akhoza kukhala kusintha kwa maselo, kumakhala kutengera za kumtundu, matenda autoimmune ambiri m'mimba lapansi.

Yamchiberekero hypofunction kumachitika ndi maziko a ntchito yachibadwa kusamba ndi zobereka. Izo kumaonekera mwa mawonekedwe a azimva kutentha, amenorrhea, kuchuluka thukuta, kutopa, kufooka, ululu mu mtima ndi mutu, kuchepetsa dzuwa. Pa zosayembekezereka wachisokonezo anafotokozedwa: yafupika kukula kwa chiberekero ndi thumba losunga mazira, woipa otsika estrogens ndi prolactin, palibe follicles ndi matupi chikasu, okwera follicle popatsana ndi luteinizing mahomoni m'magazi. hypovarianism uyu ali chithandizo chotere: ntchito mahomoni (esitirojeni ndi esitirojeni-progestin). Timadzi mankhwala kwambiri bwino chikhalidwe cha odwala, kotero pokhazikitsa matenda m'pofunika ayamba mankhwala mwamsanga.

Wakutali (sekondale) hypovarianism, matenda organic ndi zinchito za ntchito kwa dongosolo hypothalamic-pituitary ndi zofunika mitundu matenda chisokonezo. Ngakhale kuti thumba losunga mazira anatchula zinthu zingapo zabwinobwino wa follicles, iwo sanalembedwepo kusasitsa ndondomeko. Pakuti chikhalidwe chotere yodziwika ndi: kutupikana, amenorrhea yaikulu kapena sekondale, uterine ndi yamchiberekero hypoplasia, gipoestrogeniya. hypovarianism kawirikawiri amapezeka pa maziko a okhutira wabwinobwino wa FSH ndi luteinizing timadzi m'magazi.

Pali polycystic n'kuwasanganiza syndrome. matenda amakhudza za 3% atsikana. Chotero matenda yodziŵika kupanga owonjezera androgens (adrenal ndi n'kuwasanganiza), zolephera zotumphukira mu kagayidwe awo. Pamodzi ndi zinthu zimenezi anatsimikiza kochulukira kuchuluka kwa luteinizing timadzi, labwinobwino kapena otsika woipa wa FSH, milingo okwera magazi a prolactin. hypovarianism ichi, zizindikiro yodziwika ndi pseudohermaphroditism chitukuko, amene yodziwika ndi hyperandrogenism, clitoral hypertrophy, amenorrhea, osabereka, anovulation ndi ziphuphu zakumaso kwambiri.

Chifukwa china, zomwe zingachitike chifukwa hypofunction wa thumba losunga mazira mwina virilizing zotupa yamchiberekero. Chotupa maselo ambiri m'mimba ndi kupanga yambiri testosterone, dehydroepiandrosterone ndi androstenedione, ndiwo mahomoni chiwalo chachimuna. Chipatala kuwonekera kwa matenda ndi kusapezeka kwa msambo, osasamba kusamba Timapeza N'zochepa (oligoopsomenoreya), acyclic uterine magazi. The matenda yodziwika ndi zizindikiro za alopecia, hirsutism, kuzama kwa mawu, mapangidwe mtundu thupi wamwamuna, mapangidwe pseudohermaphroditism, hypertrophy wa nkongo ndi.

Ngati pali hypovarianism, chithandizo wapatsidwa pambuyo kafukufuku mwatsatanetsatane. Mu mapangidwe zotupa anagwira Morning, cheza ndi kuchotsa opaleshoni ya chotupa cha. matenda m'thupi asonyezedwa pambuyo bwinobwino mahomoni zosiyanasiyana.