Zviratidzo zveStin-Levental syndrome, zviratidzo zvikuru uye kurapwa

Polycystic ovary syndrome (Stein-Leventhal syndrome) chirwere chemadzimai, iyo ndiyo inonyanya kukonzera kusaita kwemwedzi, kusvitsa, izvo zvinotungamirira mukushaya simba. Chiitiko cheStein-Levental syndrome chinenge chikamu chimwe chezvikamu zvitatu kubva kune zvitatu zvezvirwere zvehutano kuvakadzi pakupera kwekuyaruka uye nekuvandudzwa kwebasa rekuita zvepabonde, pakutanga kwehupenyu hwepabonde hunoshingaira (vakadzi vane makore 20 kusvika ku30 vanowanzotambudzika).

Historical facts

Vakatanga kutsvaga veStein-Leventhal Syndrome, avo vakatanga kutsanangura iyi nyika zvakadzama, vaiva vasayendisiti Stein naLeventhal, vane mbiri kune zita rayo.

Yokutanga uye chete nzira yekurapa kwaive kuvhiyiwa kukuru. Kubvisa masayiti neyeiyo yakakura zvikuru yakabvumirwa mune dzimwe mamiriro ezvinhu kudzorera kubereka (kubereka) kumukadzi, kugadzirisa kutanga kwekuvhura uye kukwanisa kuva nevana. Asi chikadhi chakadaro chechinetso chakanga chisingaiti nguva dzose kubudirira, uye chakakonzera pakuumbwa kwekubatanidzwa uye zvimwe zvinetso.

Clinical picture

Chirwere cheStein-Leventhal chinoratidzirwa nekudzivirirwa kwepabonde kwevarume nemadzimai ehurmone dzepabonde, kusagadzikana mune basa rekuvhara maitiro, kusagadzikana kusina kukwana kana kusakwanisa zvachose, hypersecretion ye adrenal cortex uye pancreas. Iyo inoratidzwawo nehutano hwekuenda kumwedzi uye kusabereka.

Vakadzi vanotambura nehutachiwana havagone kutora pamuviri nekuda kwekushaiwa kwechirwere. Uye kana vakabudirira, kutakura kwomwana kunopiwa kwavari zvakaoma zvikuru, kune dambudziko guru rekumuka pamuviri kana kuberekwa nguva isati yasvika.

Nekanyatsogadziriswa kurapwa kwakanaka, kufungidzira kwakanaka, uye vazhinji vakadzi vanogona kutakura uye kubereka vana vane utano hwakanaka.

Zvinokonzera

Kusvikira kuguma kwemamiriro ezvinhu kusingazikamwi, zvichikonzera kuonekwa kwekurwara. Iko kunzvimbo yekugara nhaka, pamwe chete nemamiriro ezvinhu ari chikamu cheboka rinotyisa, umo Stein-Levental syndrome inogona kukura. Zvikonzero zvinogona kunge zvinotevera:

• Genetic predisposition, kuvapo kwechirwere mu an anamnesis kune mumwe munhu wemumhuri, ropa rehama. Zvinokwanisika kuti chirwere chinogona kuparadzirwa nefa. Zvinonyanyozivikanwa ndezvadzimai vane zviitiko zvemazinga emaprocystic mumhuri, pamwe nemamwe mamiriro ezvinhu anowanikwa nekuwedzera kwemaovarian, kupararira kwemakumbo avo.
• Zvirwere zve hypothalamic-pituitary system, somuenzaniso, congenital kudzvinyirira kwe adrenal cortex.
• Fibroids ye chibereko.
• Kunyarara.
• Kuita zvechisimba kwemaitiro ekugadziriswa kweesitrogen mune mavha mavari.

Zvikonzero zvisingaoneki zvechirwere

Nokuda kwezvikonzero zvisingaoneki, izvo zvinogona kukuvadza polycystic ovary, unogona kutaura:

• Kuneta, kuwedzera kwakakura kwehutatu hwemuviri;
• Cancers;
• Matambudziko emagetsi;
• Kuvapo kwezvirwere zvepfungwa (stroke, myocardial infarction, kuwedzera kwehutano);
• Diabetes mellitus.

Ndirini pandinofanira kuona chiremba?

Iko kune zviratidzo zvemashoko zvinogona kuratidza Stein-Levental syndrome. Izvi zviratidzo hazvisati zvichitaura nezvekupedzisira kuongororwa, asi inongova chiitiko chekushanyira chiremba kuzoongorora hutano hwavo. Izvi zvinosanganisira:

• Chirwere chemurume chinonzi haemorrhage (hirsutism) ndicho chiratidzo chokutanga uye chiratidzo chinogona kuratidza kukura kwe polycystic ovary syndrome.
• Kusvibiswa kwekuenda kumwedzi, kusakanganiswa kwayo, uye kushaya ropa kubuda.
• Kusakosha, kusakwanisa kubata mwana, kusakwanisa kutakura michero, kusaputsika.
• Acne, acne, greasiness yeganda, uyewo oily scalp nemvere.

Zviratidzo zvikuru

Stein-Leventhal syndrome inoratidzwa nekuvapo kwezviratidzo zvinogona kuonekwa mune vazhinji vevakadzi vanorwara:

• Kuenda kumwedzi, kupesana kwehupenyu, kusavapo kwehuvhu.
• Kuwedzera muviri nemafuta mudumbu.
• Underdevelopment of the uterus.
• Alopecia munharaunda ye vertex, kuvapo kwemashure ekuzorora kwepamusoro uye muhuma.
• Kuwedzerwa mazai mavari, kuonekwa kwehuwandu hwe-cysts panzvimbo dzavo.
• Kuora mwoyo, kusava nehanya, kutya, kutsamwa, utsinye.
• Wedzera huwandu hwemhomoni ehurmone uyerogrog muropa (testosterone, androstenedione).
• Zviratidzo zvakafanana ne premenstrual syndrome (kukurira kwezvinyama zvinyuchi, kubvisa marwadzo mudumbu rezasi, kazhinji kuchinja mafungiro, kuzvimba, kurwadziwa muzasi).
• Kusungwa kusinganzwisisiki nekufema muhope (apnea), iyo inotungamirira pakurara kwekushungurudzika, kusimba kwekurara, kuneta.
• Kuora kwenguva refu mucheche pasi kunokonzerwa nekudarika kwemapapiro emapurisa 'endometrium, kudhonza nyika.
• Kuwedzera uye kuwedzerwa kwe endometrium yechibereko nokuda kwekugadzirwa kweesrogen yakawandisa.
• Deredza muzinga re globulin.
• Wedzera insulini mazinga muropa.

Kuchinja mukuonekwa

Kazhinji kacho, vakadzi vanobata mutsika vanotambura chirwere cheStein-Leventhal. Kuonekwa kwomukadzi hakushanduki kune zviri nani, ndicho chikonzero chekusava nehanya, kuzvidzora, kushaya mutsika uye kuora mwoyo. Dambudziko rakashata zvikuru nderekuonekwa kwebvudzi apo hapangafanirwa kuva nemukadzi. Chimiro chemafuro emakumbo haachichinje, sechimiro. Zviratidzo zvisingafadzi zvikuru zvinotungamirira kusagutsikana nemuviri wako ndezvi:

• Mafuta kuisa mumimba;
• Kuwedzera kwehutano hweganda, ganda;
• Chimiro chekunyorera, striae pachiuno, mimba nemabako;
• Imavara machena pane mavara paganda;
• Seborrhea, yakawedzera ganda rinotaridzika, rinopisa;
• Kusuruvara kwebvudzi, kurasikirwa kwemvere dzembudzi
• Zvidhinha zviduku uye mapepa paganda.

Mavha mavari anowedzera pathologically muhukuru, shell yavo yakawanda, inova yakaoma uye inopenya. Panzvimbo yavo inowanikwa nhamba yakawanda ye follicular cysts, kune yakaoma vascular sclerosis uye kupararira kwezvibatanidza.

Hirsutism

Chiratidzo chisingafadzi zvikuru cheStein-Levental syndrome iri hirsutism. Iyo inoratidzika nekuonekwa kwemaoko akaoma uye akareba pamuviri wemukadzi ari munhurume rwemurume: mubhokisi, mudumbu, mumatama, pamusoro pemuromo wepamusoro, chinama, uyewo kumucheto wekumusoro, pamwe nomukomana, kumativi ose mazamu.

Kurapa kwechirwere hakuiti kuti ubvise bvudzi rakawandisa. Kuti uzvibvise, laser, photo uye electro-epilation zvinoshandiswa, izvo zvichabvisa zvachose bvudzi rakawandisa kwenguva yakareba. Uye nezviverengeka zvinodzokorora nzira uye nokusingaperi.

Diagnostics

Mamiriro acho anoonekwa kuti kana pane zviratidzo zvakasiyana-siyana zvakanyanya zvevakadzi vanonetseka nezveStein-Levental syndrome. Mifananidzo yevakadzi vanotambura nehutano inoratidza kuti havasi vose vakataura kuti hirsutism nekuda kwekugadzirwa kwevarume vekodomoni zvepabonde zvakanyanya kupfuura zvakasikwa. Nokudaro, zviito zvikuru zvinosanganisira:

1. Kuita zvekuita zvakanyanya uye kuvhara kwevarume vemadhemoni evanhu (androgens).
2. Kazhinji kashoma ovulation - oligoovulation. Kana kuti kusavapo kwavo zvachose -kuzodza.
3. Polycystic ovaries zvakawanikwa ne ultrasound kana pasina zvimwe zvikonzero zvakajeka zvekuumbwa kwe-cysts.
4. Kuwedzera kunowedzera mavhamusi kubva kumativi ose maviri.

Kuongororwa ne X-ray uye ultrasound inoitwa.

Zviratidzo zvekuongorora

Muropa kune kuyerwa kwemazinga esterogens, asi kuwedzera kweyorrogen hormone. Uyewo inowedzerawo excretion mumuguta.

Kuti uongorore hutachiona, hutachiona hunokosha (chorionic gonadotropin kana progesterone) hunoshandiswa, izvo zvinoshandiswa mumusana mukuru mumuguta, izvo zvinoratidza kuti zvakanyanya kuumbwa mumayamu.

Kurapa kwemazuva ano

Nheyo inokosha mukurapa ndeyekuita kuti kuve nekuonekwa kweivulation mumukadzi ane chirwere che "Stein-Levental syndrome." Mishonga inogara kwenguva refu uye yakaoma, inonyanya kuitwa nekubatsirwa kwemishonga yemishonga inodhaka.

Estrogen-ine gestagens inoshandiswa (Ovidon, Regevidon). Uyewo muhutano hwakaoma kushandisa antiandrogens, iyo inonyatsobvisa zviratidzo zveyandrogenisation, nekudzivirira kushandiswa kwemahomoni aya uye hypersecretion muzvinyorwa.

Kurapa kweStein-Levental syndrome nemishonga yevanhu kunogonawo kubudirira mukuzadzisa chinangwa sekutanga kwekuzvitakura. Kakawanda, kushandiswa kwemishonga yakasiyana-siyana kunoshandiswa.

Kana mhinduro yakanaka yemishonga yacho isingatariswi mukati memwedzi mitanhatu, ipapo nzira dzokuvhiya dzokugadzirisa dambudziko dziri kushandiswa - kubvisa resection yemashizha. Mune zvimwe zviitiko, kuora kwechibereko kunokurudzirwa. Uyewo, nzira idzi dzinofungidzirwa kuti dzinoshanda mukuwedzera kwechirwere chetendometrium nevanopfuura 20% pazera remakore makumi matatu.

Nzira yemazuva ano uye ine munyoro inodzivisa kuumbwa kwekubatanidza i-laparoscopy (microrectomy, electropuncture, laser vaporization).

Mushure mokuvhiyiwa, vakadzi vacho vanoratidzirwa zvakamanikidzwa kuona chiremba uye kuongororwa kwechiremba. Pakaitika mwedzi mitanhatu gare gare zvakazoitika kuti kurapa kwaStein-Levental syndrome hakuna kubatsira, mushonga unorayirwa zvakare. Mushure mekuvhiyiwa, mhinduro kumishonga inowedzera, iyo inobvumira zvibereko zvakanaka.

Matanho ekudzivirira kurwisa kwechirwere haachipo, sezvo chimiro uye zvikonzero zvekuitika kwazvo hazvina kunyatsodzidza. Huru maererano nehutano hwemurume inogona kunge iri yekutanga inonzi bhero, iyo inotaura nezvekutanga kwe polycystic ovary syndrome, saka kana iwe uine zviratidzo zvekusachinja kusingaoneki mukuonekwa, iwe unofanira kubvunza nyanzvi.

Stein-Levental Syndrome: Herbal Medicine

Kurapa nemhando dzevanhu, uye kunyanya herbs, hazvifaniri kunge zvichishandiswa sechirongwa chekuzvimiririra uye kuchinjwa kwemaitiro emidzinza. Ichi chinongova chimwe chezvikamu zvinogona kubudirira chete nehutano hwakabatana.

Kuti uwedzere mikana yekudzivirira, zvakakosha kutora tinctures yemishonga inotevera:

• Spore imwe yepuniko yekudurura rimwe girasi remvura inopisa. Mushure mokunge waiswa (2-3 maawa), tora hafu yegirazi mushure mekudya kwega kwega.
• Tincture yemudzi waAdhamu yakagadzirirwa nenzira imwe chete, asi kungosimbisa kuti inofanira kunge inopfuura maawa maviri, yakaputirwa mune tauro kana rimwe jira rinodziya. Tora kikapu imwechete ye mishonga usati wadya 4 kana pazuva.
• Tincture yemishonga yekurapa inofanira kunge yakafanana. Tora katatu pazuva, kugovera girazi muzvokudya zvitatu, kwete mushure mehafu yenguva isati yadya.
• Ledum marsh inoshandiswa muhuwandu we1 girasi remvura pa 1 kiyipuniki yemiriwo, inomiririrwa kwemaawa masere, mushure mezvo inotorwa hafu yegirazi vasati vadya masikati.
• Kuti ugadzirire tincture kubva pakusanganiswa kwemishonga, unoda mapasvisi mashizha, amaiwort, mahudyu, psyllium, melissa, calendula maruva, sage, tambo, mapepa emashizha uye St. John's wort 10 gramu. Zadza zvinhu zvose mu thermos, vhura mvura inopisa (250 ml), usaomesa maminitsi makumi maviri. Zvino udira mune imwe mudziyo uye unomiririra kwehafu yenguva. Tora katatu pazuva usati wadya hafu yegirazi.

Kuti uwane chigumisiro chakanakisisa pakurapa, zvinotevera zvinenge zvine mavitamini akawanda emapoka A, E, C uye B zvinofanira kuiswa mune zvekudya kwemukadzi:

• Garlic:
• Radishes;
• Celery;
• Zvibereko zvepistachios;
• Green eion;
• Chibage;
• Mazambiringa.

Migumisiro uye Ngozi

Kurapa kwakakwana kunogona kutungamirira kumigumisiro yakasiyana-siyana. Nemhaka yehuwandu hwekugadzirwa kwe androgens, iyo inoratidzwa naStein-Levental syndrome, kuonekwa kwomukadzi kunogona kushandiswa zvakashata, asiwo zvirwere zvakanyanya, zvakadai se:

• Diabetes mellitus;
• Kansa yepabonde;
• Stroke;
• Heart attack;
• Muchirwere weEntometrial, hyperplasia.

Nzira dzekuvandudzwa kwehutachiona haisati dzanyatsonzwisiswa. Munguva pfupi yapfuura, masayendisiti akakwanisa kusarudza mushonga unobudirira wemishonga, apo pangimbova nzira dzokuvhiya chete dzakashandiswa zvakananga. Mukurapa kwemazuva ano, maitiro akawanda ekudzoka kwakakwana anenge akanyorwa. Vakadzi vanotangazve kuenda kumwedzi, kuvhuvhuta kunoitika, uye pamwe nayo mukana wekubudirira pamuviri, kutsungirira uye kubereka mwana ane utano. Usatanga hurumende, mukadzi wese anogona kubatsirwa. Kubatsira kunobatsira hakungogumiri pane imwe chete yechirwere ichi, asiwo panguva yainoziva nguva yakajeka, kushandiswa kwehutano hwakaoma.