Sklerokistoz ovaries: chii, zvinokonzera, zviratidzo, chirwere, kurapwa, migumisiro

Anenge mashanu muzana zvose zviitiko gynecological zvirwere, vanachiremba akaonekwa "ovarian sklerokistoz". Chii, pachayo haana mukadzi ose, saka vazhinji vakaona chirwere kushaya mbereko sechinhu mutongo. Kutaura zvazviri, vanenge chetatu vaya vakawana zvokurwara ichi, vana vavo vanogona kuva. Asi vamwe vane yakakwirira mikana kuwanazve uye kubereka mwana ane utano.

Sklerokistoz ovaries ane rimwe zita - Stein-Leventhal urwere, nokuti akatanga kurondedzera vaviri American gayinakorojisiti - Irving Stein uye Maykl Levental. Izvi zvakaitika muna 1935. Over masere gare gare kwazvo akanga adzidza pathogenesis kwechirwere chacho, yakatanga nzira kurapwa uye nechirwere, asi kusvikira zvino masayendisiti havana kuziva zvose zvikonzero parinowanika.

Kana waisa mwoyo chirwere uye unoda zvechokwadi kuva nevana, usaora mwoyo. Munyaya ino tichashandisa kuedza kuudza zvose chinokosha pamusoro ovarian sklerokistoz uye nzira tichiutsungirira.

Sei ovaries utano vari

Kuti tinzwisise zviri nani sei kurondedzera sklerokistoz ovaries uye pamuviri, unofanira kuziva sei kuvaka miviri izvi uye sei kushanda, kana pasina chirwere mavari. The ovaries ndivo munhukadzi nhengo dzokubereka nadzo aiwanzopiwa wokushanda. Vanogona kumiririrwa muchimiro yepakutanga mumasaga akazara pfungwa yacho. rusvingo ovary iri mudungwe pamwe paiva connective gobvu rinenge riri iri marongera pamusoro cortex. Ane kunzwisisa marongerwo uye inokosha. Zviri rukoko urwu vari vakaumba follicles - maduramazwi STRUCTURAL okunze umo kusimukira oocyte. Follicles dzinonzi chikuru, mune mari inenge munhu mamiriyoni maviri vakaradzikwa mumuviri mumwe mudumbu navasikana rimwe danho. Hwose, kubva Kukura nguva uye kupedza nguva kubereka, ivo zvishoma kuparadzwa uye vatsva vasina kuumbwa. Naizvozvo, awa rinouya, apo hunde yavo yapera.

Izvi zvinenge harimbowaniki vakadzi zera rokubereka, saka mhaka mwana haagoni kuva kushaya follicles. Chimwe chinhu ndechokuti kwavo zvishoma nezvishoma kuibvisa dzimwe nguva zvinhu zvakaipa. Saka vanofanira mhosva pakuti aida pamuviri hakuitiki. Uyezve zvemamiriro kukura follicles imwe zana muzana vanenge kunotungamirira gynecological chirwere, izvo akasiya untreated vakadzi kunowedzera ngozi thrombosis, thrombophlebitis, chirwere cheshuga, chemwoyo, nyanyisa mapundu ari mammary mumasero.

Sezvo ovarian chikofu anooneka uye kupindirana kwazvinoita pamuviri

Apo vasikana vanova pabonde vakakura mumuviri yavo yaisanganisira basa gadziriro kuibvisa chinonyanya follicles iyo kusvikira akaita akarara. Izvi nguva kunoitika zvinogara. In neimwe ichitanga "makamuka" kusvika 15 follicles. Vari pasi zvinoitwa FSH kemikari zvinoberekwa pituitary shwanu, vari vakatanga kumusoro kukura, achiwedzera dhayamita kubva 50 kusvika 500 microns. Panguva iyi, follicular mvura aumbwa mairi, uye kupfuura vavo kuonekwa mhango. follicle ichi anova nesimba, kunowedzera 20 millimeters, bulges. Inside zviri kukurumidza kukura zai. Mamwe follicle kubva boka "kupepuka" mumwe pashure pomumwe kufa nokusunungura. Kana zvose anoenda maererano anobata munhukadzi muviri kunobatanidzwa pabasa kwemakemikari anobudiswa hurongwa. Mugumisiro neve mahormone estrogen, progestins, uye androgens izvo vanotsausa mberi kuibvisa pakati chikuru follicle,. Achifuridzirwa luteinizing kemikari (lyuteotropina, lutropin, rakapfupikiswa sezvo LH), izvozvo raputsika, kunosiya kubva zai mukati fallopian chubhu, uye anochinja kupinda corpus luteum mbeu uye zvishoma nezvishoma resorbed.

Kana kwemasikati hariwanikwi, zai hauna asunungurwa riri aberekwazve, uye nenzvimbo follicle rinowanika Cherry kadikidiki ovarian chikofu. Vaya 'kupepuka "follicles kuti ndisina nguva kufa, uye mudzokere kunyika cysts, chete duku. Chikofu, aumba kubva follicle, dzimwe nguva inokura kuti zvikuru kukura (40-60 mm), asi haagoni pachavo zviratidzwa. Chete Kashoma varwere chokunyunyuta pamusoro kurwadziwa ovaries. Kana mukadzi ane kuipa kugadzirwa mahormone, zvishoma nezvishoma izvozvo urwa. Kana mukadzi akadzorera ovulation, zvinowanikwa panguva ovarian follicular chikofu pamuviri hakuiti kupindira, asi kana chikofu yakanga yakura kukura 90 millimeters, inofanira surgically kubviswa.

Zvinokonzera chirwere

Masayendisiti vanoziva zvose sei mufananidzo sklerokistoz ovaries. Zvikonzero Fani iyi hazvisi zvakanaka yakasimbiswa, pane chete zvekungofungira. Sezvo ari chakaipa kukura follicle uye ovum goho kwazviri mahormone kutamba yakaoma basa, chikuru chinokonzera sklerokistoz vaiona ovarian hormone zvinetso, uye zvikurukuru munhu akundikana iri mashandiro ose inonzi estrogen usage. Akataura zvinotevera zvinokonzera hormone kusaenzana;

• nhodzera;
• abnormalities mu Gene mamiriro;
• kuvhiringidzika pituitary-ovarian hurongwa;
• kunotevera;
• yematambudziko pashure pamuviri;
• zvinotapukira uye gynecological nezvirwere;
• yematambudziko pashure kusununguka;
• kushandura mashandiro ari adrenal cortex.

zvekuchipatara zviratidzo

Zvinosuruvarisa, asi pakutanga zvokunamata nguva kuwana musikana sklerokistoz ovaries. Zviratidzo panguva danho iri lubricated uye kunyanya umbwa ari kumwedzi. Asi Fani iyi inogona kuva zvimwe zvikonzero zvakawanda haana chokuita nehosha yacho ovaries, pasi varombo muviri uye tsinga zvirwere. Nokuti maviri, kuti vaifanira makore makumi maviri nemashanu vasikana kuonekwa zvakajeka zviratidzo ovarian sklerokistoz. The chikuru kuchiri kutyora kuchovha uye mhando kumwedzi (96 muzana varwere). Most kuona refu sokunonoka pamwedzi (hafu kana kupfuura) kana akanyanya shoma precipitates (hypomenstrual urwere). Zvikuru kashoma chokunyunyuta pamusoro urefu murwere uye zvizhinji pamwedzi.

Zvimwe zviratidzo anoratidza ovarian sklerokistoz zvinotevera:

• hirsutism (mu anenge 90 muzana varwere vakachengeta hairiness nharaunda yakapoteredza munyatso, musana, dumbu, uye chirebvu pamusoro muromo);
• kufuta (70 muzana varwere);
• mhanza uye mburwa kumeso (rinowanika hakuna zvinopfuura 40 muzana Muzviitiko);
• vamwe kuchinja zvikuru muviri;
• atadze kushanda zvakanaka kuti tsinga;
• asthenic urwere;
• ovarian akawedzera (dzakaonekwa panguva rokuongorora gayinakorojisiti).

Uyezve, vamwe vakadzi tingasangana zviratidzo kuti ndezvemamiriro nezvirwere zvizhinji: marwadzo ari dzakaderera mudumbu, zvakawanda zvive, asingatsananguriki kuneta.

tsvakurudzo rabhoritari

Pahwaro nechitarisiko zviratidzo ovarian sklerokistoz inongova vanofungidzirwa, uye yokupedzisira zvokuongorora chinoitwa pashure mamwe bvunzo. Ava:

• Kuongororwa ropa testosterone (Vose vanofanira kuva kuwanda 1,3 kumar / ML, vakasununguka vakadzi 41 gore - mukati 3.18 Ng / Rine mamiririta, uye makore 59 - hapana anopfuura 2,6 kumar / Rine mamiririta);
• Kuongorora susceptibility kuti shuga iri shuga ropa, uye triglycerides;
• kolpotsitogramma (zvinhu zvakatorwa kubva nyinyo munhu akaidza Data inoratidza, hapana kana ovulation, uyewo chienderane indices kolpotsitogrammy makore murwere uye Pasika kwake kumwedzi);
• tichibvisa of endometrium (anopa kunoratidza kutyorwa kuri ovaries);
• kudzora basal tembiricha kuchinja;
• Vamwe inoongorora pamusoro thyroid mahormone, pituitary, ovaries (LH, FSH, PSSG, prolactin, cortisol, 17-hydroxyprogesterone);
• kutsunga yacho inonzi estrogen excretion.

Zvino murwere anogona vakazvimiririra basa muedzo nyore kufungidzira panguva ovarian cysts. Izvi zvinoda maikorosikopu (kuwanikwa pa Pharmacies). Mangwanani, chete akamuka uye vachiri hapana yave achidya nokunwa, unofanira kuisa kuderera mate ake pamusoro nhindi girazi rabhoritari ugozvipa dziome. Panguva ovulation nguva dzose kunowedzera padanho estrogen, izvo zvinozoita alters murwiyo mate. Kana ovulation iri, mumwe mate mharidzo iri maikorosikopu yaizova muchimiro Fern mashizha, uye kana pasina ovulation, - dziri pfungwa.

Hardware Diagnostics

Kazhinji, yakarurama uye zvachose chirwere wevarwere raitongwa zvakaoma rokuongorora Via zvokurapa namano.

Kupfuura munyoro uye zvachose nyarara nzira ndiyo Ultrasound zvokuongorora kuti ovarian sklerokistoz. The nzira iri transabdominal (kuburikidza mudumbu), transvaginal (the zvikuru mashoko nzira), transrectal Ultrasound (aita chete panguva vasikana vaduku chaizvo uye chembere).

Kushandisa Ultrasound kuona ovarian saizi, chimiro, mamiriro, nhamba follicles mavari, uyo dhayamita - 8 mm, kuvapo kana kusavapo chikuru follicle, kuvapo kana kusavapo ovulation, kuvapo cysts mu ovary.

Rumwe rudzi muongororo - gasi pelveogramma kuratidza zvemamiriro kukura ovaries uye dumbu.

Imwe mhando yakaomesesa nechirwere chinonzi laparoscopy. It rinoitwa muchipatara pasi vakawanda yokutindivadza. The algorithm zvinotevera: murwere chiremba anoita ponji pamusoro peritoneum rusvingo uye anopinda midziyo, iri kuvhuvhuta, carbon dioxide gasi kuti kusika vhoriyamu iri peritoneum uye kuongorora nhengo nani. Uyezve, murwere muviri kutaurwa laparoscope, izvo zvinoratidza pamusoro chidzitiro mamiriro pakati ovaries. Laparoscopy - nzira yakarurama kwazvo nechirwere, asi pashure mukadzi inoda rokuchinjwa nguva.

Kuchinja mabatiro ovarian sklerokistoz

Mushure zvachose chirwere kakawanda mukadzi anogadzwa wokutanga zvinodhaka mishonga. Its chinangwa - kudzorera zvakajairika kumwedzi uye ovulation kutangazve. The sklerokistoz kubata ovarian gayinakorojisiti anosarudza pamwechete endocrinologist.

In pamberi kufutisa, murwere danho rokutanga mabatiro ndiko uremu. Mukadzi ushandiswe zvokudya, kushandisa noitika.

Danho rechipiri - kuwedzera omumwe jekiseni. Kugadzwa "Metformin" kuti unofanira kutora 3-6 mwedzi.

Wechitatu danho - kweiyi ovulation. Tanga kurapwa pamwe nyore mishonga - "clomiphene". The kutanga nzira iri kugamuchira nokuti usiku ari dose 50 MG, kubvira 5th zuva kutenderera nokuda 5 akatevedzana mazuva. Kana pasina mugumisiro (kumwedzi), "Clomiphene" kutora mwedzi. Kana uye kana izvi haina kuwana, kubva dose yakanga yawedzera kusvika 150 MG pazuva.

The chinotevera Danho (pasina zvakanaka emuchina) - Kudomwa zvinodhaka "menogon". It chinotarisirwa intramuscularly, uye pashure kosi majekiseni "Horagona". "Menogon" rinogona kutsiva "Menodinom" kana "Menopur".

Ndapedza yose Chokwadi, kuita ropa kemisitiri, uye kunan'anura "Utrozhestan" kana "Djufaston" inobva kuongorora migumisiro (kana kwete zvakakwana kemikari inonzi LH).

In dzakafanana, vanachiremba vanoedza kubvisa mukadzi ane hirsutism, maererano icho ushandiswe, "Ovosiston" uye "Metronidazole".

Fanira Kuwedzera kosi ndiyo vhitamini.

Sklerokistoz ovaries: nokurapa zvomusejari unyanzvi

mitatu kana mukati mwedzi pashure zvinodhaka kurapa haisi ovulation kunoitika, mukadzi waakaudzwa kuvhiyiwa. Zvinonzi kuitwa nzira dzakawanda. Ndeupi munhu kushandiswa kunobva chiratidzo ovarian chinzvimbo.

Panguva ino danho, zvinotevera kushanda:

• moxibustion cysts kushandisa Laser;
• demedulyatsiya (ovary kubviswa zvayo pakati chikamu);
• resection achikanganisa (nokubviswa chikamu ovary pakati njodzi chikamu muchimiro achikanganisa);
• decortication (chiremba inobvisa Kushandurwa tunica rukoko ovarian follicles uye tsono rinobaya micheto sutured);
• galvanocautery (pfungwa kuparadzwa ovary mumunda wayo, unobereka kemikari akawandisa).
• notches (chiremba wavo anoita kudzika 1 masendimita munzvimbo chipenye follicles kuitira kuti vaigona kusunungura panguva kuibvisa ari zai pachayo).

Zvaifungidzirwa

Vakadzi kubvumirana kwataurwa nzira kuti vanachiremba, aifarira mubvunzo mumwe: Zvinoita kuti vave nepamuviri apo sklerokistoz ovaries? Nhamba dzinoratidza kuti pasina kurapwa, kushaya mbereko iri chirwere muna 90% nyaya. Drug kurapa "clomiphene" anovandudza ovarian basa muna 90% wevarwere, asi pamuviri kunoitika apo 28 chete% wavo. Zvisinei, maererano neimwe Migumisiro yakanaka kunge yakakwirira sezvinoita 80%.

Kushaya "Clomiphene" chigadzirwa - nayo inoshanda chete pakutanga chirwere kana kuvhiyiwa inotevera ive adjuvant.

Treatment zvinodhaka zvakawanda simba, zvakadai se "gonadotropins", maererano nenhamba, dzinenge zvinotungamirira ovulation muna 28% wevarwere, kufadza - 97%. Saka nepamuviri 7 kusvika 65% yevakadzi.

Kana ovarian sklerokistoz kubatwa surgically, zvakanaka migumisiro akaona pamusoro chete kakawanda kwakaita kuchinja mishonga. Maererano nenhamba, pashure pokuvhiyiwa pamusoro ovaries mukana pamuviri kuwana 70-80% yevakadzi.

Reviews

Vakadzi vazhinji, kuwana vavo chakaipa inoshandiswa pakutsigira chirwere "Ovarian sklerokistoz". Reviews wevarwere ari kurapwa akasiyana chaizvo. Mumwe akabatsira piritsi munhu - oparesheni, uye mumwe pamuviri kumboitika, zvisinei nzira vanobviswa.

Panewo mugove chiduku varwere kushuma kutanga kwavo pamuviri pasina kurapwa, kunyange nechirwere kuti "sklerokistoz ovary" hazvina filmed. Izvi hazvipindirani nemigumisiro kungava kuchikonzerwa mumwe zvechadenga mumwe munhu uye hakufaniri kutorwa chaiwo.

Asi kuvandudzika utano pashure kurapwa, ivo kunyora review, vakadzi vakawanda. varwere vashoma chete akashuma kuti vakaita normalized mwedzi mberi kwenguva pfupi nguva, pashure zvakanga vasisadiwi zvakare kutora mahormone.

Uye pakupedzisira, pane chikamu wongororo umo vakadzi vanotambura kubva pakaita zvavo marwadzo kwenguva refu munzvimbo yacho ovaries uye peritoneum pashure kurapwa pamwe pakuvhiya.