Kugonjetsedwa n'kuwasanganiza syndrome: zizindikiro, chithandizo, kupewa

kugonjetsedwa n'kuwasanganiza syndrome ndi osachepera anamvetsa mawonekedwe a kudwala wamkazi. matenda nthawi zambiri ndinawona mu zaka 25-35. Yodziwika ndi kusapezeka zosakhalitsa kusamba ndi milingo okwera mahomoni gonadotropic pituitary.

tanthauzo

Akamanena za matenda kwagona kuti thumba losunga mazira Kusiya kuchita ntchito zawo mwachindunji. Nthawi zambiri, matenda ili m'kati komanso limatha ndi kusintha kwa thupi. Mbali kudwala akuwonetseredwa mu sterility ndiponso kusapezeka kwa kuzungulira kusamba. Pa nthawi ya matenda kawirikawiri kukhala zosiyanasiyana za amenorrhea. M'nyengo imeneyi overvalued milingo ya gonadotropins wa pituitary, chifukwa thupi akadali kuyesera kuti athawe thumba losunga mazira. Komabe, iwo sanayambe ntchito, monga anatsindika osakwanira kuchuluka kwa progesterone ndi esitirojeni. Kwa nthawi yoyamba analankhula za nkhani mu 1959, pamene asayansi anafotokoza mbali ya matenda a kugonjetsedwa n'kuwasanganiza. Komabe, nkhani lero ali bwino bwino, ndipo zifukwa maonekedwe silinakwaniritsidwe kumatanthauza kwathunthu.

mitundu

Mu mabuku mankhwala Buku palibe gulu bwino kudwala izi. Ngakhale akatswiri ena mitundu itatu ya matenda:

1. Majini chingawapangitse kukhala zidakwa ya zopindika wagawo follicular.
2. Automicheskaya chikhalidwe maonekedwe - panthawi ya oteteza oletsedwa FSH cholandilira tilinazo.
3. Pa ntchito cytotoxic ndi mankhwala immunosuppressive.

zizindikiro

kugonjetsedwa n'kuwasanganiza syndrome zambiri zingathe kudziŵika mwa matenda amene ali:

• manambala mkulu wa LH (luteinizing timadzi) ndi FSH (follicle zolimbikitsa timadzi) ndi estradiols otsika;
• amenorrhea - pakalibe kusamba;
• zikutha m'mayiko mucosal nyini ndi akumaliseche;
• n'kuwasanganiza ndi ambiri follicles ndi mwakale zitani ndi uterine endometrium;
• kulanda matenda akulu tizilombo ndi nkhawa;
• kusamba ayamba kukhala osasamba ndipo kenako kusiyiratu palimodzi.

Chitukuko cha matenda zambiri zikadzatha zaka 5-10 kwa mkombero woyamba. anafunsidwa ananena kuti amatuluka otentha kumutu zimachitika usiku ndi usana. Kupweteka kumverera pamimba kuoneka zokha, popanda zifukwa iliyonse pa izo. Nthawi zambiri, akazi amene akhala kugonjetsedwa n'kuwasanganiza syndrome, ndi zopweteka kusamba ndi postpartum zosokonezeka.

Pamene kuwona dotolo mtima akubwera ndi madandaulo a ululu pansi ndi pakalibe kusamba pambuyo matenda tizilombo, kufufuza ndi kusanthula nthawi zambiri zimasonyeza kuti anatenga sulfonamides lalikulu zedi, chomwe chingathe imautsa maonekedwe matenda.

zifukwa

Mu nthawi yathu, zimene zimakhudza mapangidwe kudwala, si bwino. Koma pali chiphunzitso kuti zambiri gwero la matenda ndi kusintha chibadwa mu cholandilira malo follicle. Asayansi ambiri amanena kuti kugonjetsedwa n'kuwasanganiza syndrome, zizindikiro zimene zosiyanasiyana komanso osokoneza, nthawi zambiri anakhudzidwa ndi matenda:

• alopecia;
• autoimmune thyroiditis (kutupa kwa chithokomiro England);
• myasthenia gravis (minofu kufooka ndi kutopa);
• shuga;
• thrombocytopenic purpura;
• matenda tizilombo (mumps zambiri);
• autoimmune magazi m'thupi.

Mfundo zikuluzikulu monga chitukuko cha zifukwa:

• walitsa ku Oncology;
• ntchito immunosuppressive ndi mankhwala cytotoxic;
• opaleshoni ambiri m'mimba lapansi.

Kuphatikiza onse TB m'mapapo mwanga ndi sarcoidosis amapezeka imfa ya minofu yamchiberekero, zomwe nthawi zambiri kumayambitsa chitukuko cha kudwala. matenda akhoza kukhala maselo a chikhalidwe ndi zimachitika pambuyo nkhawa kwambiri ndi mitsempha okhazikika perenagruzok.

diagnostics

Symptomatology matendawa chimakhudzana ndi matenda monga dyscrasia gonad ndi kulephera yamchiberekero. Choncho, pokhapokha ngati Integrated madandaulo ndiponso kuphunzira deta zasayansi ku maphunziro matenda anatsimikiza pamaso pa matenda. Nthawi zambiri pa nthawi ya kuyendera koyamba Tingaone oti amanenedwa pa chilichonse zabwino chodabwitsa "Wophunzira", mastopathy wa fibrocystic mtundu wakuta kutsogolo kwa nembanemba mucous ya nyini ndi akumaliseche, ndi hyperemia ake kulitchula. Pamene ultrasound, laparoscopy ndi mayeso matenda anati kuchepetsa kochepa mu kukula kwa chiberekero. Kuti atsimikizire kugonjetsedwa n'kuwasanganiza matenda, madokotala mankhwala ndi biopsy wa epididymis. Pakuti kudziwika maselo parenteral ndi pyramidal imagwiridwa Kupenda histological. Ngati inu mayeso m'thupi, ndi zotheka mlingo wa LH ndi FSH mu madzi a m'magazi, chomwe nthawi zambiri mkulu, ndipo alibe lifanane ndi mwakale. Anaulula ndende otsika estradiol. Pa chidwi anatengedwa mayesero timadzi wapadera, izo ananena kuti pa chitsanzo amayamba limasonyeza zabwino gestogen ndi wotsatira - negative.

mankhwala

mchitidwe Medical kawirikawiri kwambiri nkhani ndi monga mankhwala syndrome yamchiberekero. Chithandizo nthawi zonse osokoneza, monga chikhalidwe cha maonekedwe a matenda si bwino. Kawirikawiri anapatsidwa HRT (timadzi m'malo mankhwala) ndi kuwukonza akusowa esitirojeni. Chifukwa cha njira n'choti msambo ndi kutsitsa mlingo wa mahomoni gonadotropic.

Nthawi zambiri, madokotala mankhwala osokoneza bongo monga "Trisekvens", "Festoon", "Klim", "Premella-mkombero", "klimonorma", "Divina", "Klimodien" "Livial" ndi "Kliogest". Chifukwa chikhalidwe kumene chaka chilichonse wodwala ayenera kukayezetsa m'chiuno ultrasound. Kulamulira magazi mayeso, lipoproteins ndi mafuta amathandiza kukhazikitsa kudziwa latsopano kuyambira mankhwala. Chifukwa densitometry maphunziro akhoza kuthetsa kufooka kwa mafupa.

Komanso mankhwala bwino pamodzi ndi sagwirizana nazo:

• atagwira intravaginal ndi celiac ultraphonophoresis;
• achisangalalo tchuthi;
• kutema mphini dera yamchiberekero zolandilira;
• vitamini E.

Data pa zotsatira za mankhwala izi osokoneza kwambiri. Koma madokotala limati ndi kuchuluka kwa otaya kusamba ndi follicles adamulowetsa LH ndi FSH. Esitirojeni kuyamba kukwera magazi. Pambuyo pa kubwezeretsedwa kusamba ovulation yachibadwa zambiri zimachokeradi, ndipo adzabala mwana woteroyo wodwala nthaŵi zambiri ndi lidzawagwiritsenso (mu m'galasi umuna).

Pakali pano, matenda achikazi si bwino bwino, chifukwa pali kugonjetsedwa n'kuwasanganiza syndrome. Hypergonadotrophic amenorrhea - matenda aakulu, ndipo nthawi mulibe mndandanda mwini ayamikira kupewa ake ndi mankhwala. Olondola kwambiri imatengedwa kuthetsa zinthu chowawa ndipo chaka akudutsa anayendera, makamaka ngati pali kusokonezeka kwa kuzungulira kusamba.

ethnoscience

Nthawi zambiri ntchito ngati mankhwala prophylactic. Tiyenera kutenga vitamini E, lomwe likupezeka mu zakudya monga hazelnuts, mtedza, nyongolosi tirigu ndi walnuts. Kusamba mkombero kubwerera chigawo adzakhala lecithin zopezeka legume, mazira ndi kolifulawa, ndi monga amadziwika, izo ndikuonetsera kusoweka kwa matenda kugonjetsedwa n'kuwasanganiza. Chithandizo cha mankhwala wowerengeka ndi mankhwala azitsamba amapatsa wowonjezera achire zotsatira.

Nthawi zambiri izi chindapusa mankhwala amene ali ndi katundu analgesic ndi mkombero bwino malamulo:

1. Pakuti yokonza zikuchokera ayenera wosakaniza ndi magalamu 30 masamba peppermint, valerian muzu, ndipo magalamu 40 camomile. Unyinji okonzeka udzathiridwa madzi otentha ndi ntchito galasi chimodzi m'mawa ndi madzulo.
2. The kulowetsedwa zipatso viburnum ndi mabulosi akuda kumathandiza n'kuwasanganiza, ichi ayenera kutenga magalasi angapo tsiku.
3. Kusintha msambo kudya awiri cloves wa adyo.

osabereka

Gawo loyamba la mankhwala kumaphatikizapo normalizing dongosolo endocrine, womwe ndi kusintha kwa chithokomiro England, zopangitsa adrenal ndi wodwala matenda a shuga.

Kenako, muyenera kucheza:

• spermogrammu mkazi (3 zina kwa masabata 7) kuti athane ndi chinthu cha osabereka mwamuna;
• ehosalpigografiyu (opredeljaemost Ukalawu);
• postcoital mayeso - kutsimikiza pakalibe osabereka immunological;
• hysteroscopy (pa intrauterine kudwala Kupenda).

Kenako, ntchito mankhwala osokoneza bongo ndipo ayamba Zimachititsa follicles, kenako akupitiriza kulandira maonekedwe a ovulation. kugonjetsedwa n'kuwasanganiza syndrome ndi mimba zimayenderana ndithu, monga mwa 60-70% ya milandu osabereka tingagonjetse ndi thandizo la mankhwala.

kupewa

Kuyambira lero mankhwala yamakono osati kwathunthu kufufuza njira ya zikamera wa matenda, n'kovuta kwambiri kukuwonani kunja miyeso ena kuti akhoza zimathandiza kupewa ake. Ngakhale akatswiri ambiri amati kugwiritsa ntchito mankhwala kawopsedwe ngati n'kotheka osati amachita zotsatira cheza. Amalangiza kukhala moyo wathanzi nthawi kuchiza matenda matenda, kotero sanawonekere kugonjetsedwa n'kuwasanganiza syndrome.

Kuteteza kwagona kuti zolakwa pa ambiri aang'ono mu kuzungulira kusamba muyenera kukaonana ndi adokotala ndi kukumana kuona zonse zofunikira. Izi zingathandize kuletsa kukula kwa pathologies zosiyanasiyana ndi kusunga umoyo wa amayi.

Zotsatira ndipo timataya

The Vuto lalikulu ndi chisokonezo mkombero ndi osabereka amene ali ovuta kwambiri mankhwala. Komanso kumaonjezera ngozi ya mapangidwe oyambirira a matenda obwera ndi ukalamba, monga amayamba ndi kupanda timafunika, ndipo angayambe malignancies uterine.

Chiyembekezo ndi yabwino kwambiri, ndipo ntchito kusamba kawirikawiri akubwerera.