Puas cev xeeb tub nrog polycystic zes qe menyuam?
Puas cev xeeb tub nrog polycystic zes qe menyuam?
Anonim

Polycystic ovary syndrome yog ib qho kev kuaj mob ntau heev. Nws muab rau txhua tus poj niam thib tsib. Muaj kev xav tias polycystic zes qe menyuam thiab cev xeeb tub yog yam tsis sib xws. Cov laj thawj tseeb ntawm tus kab mob no tseem tsis tau paub, tab sis nws paub tias tus kab mob polycystic yog kab mob hormonal tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm cov kab mob endocrine, uas txo qis lub peev xwm ntawm tus poj niam cev xeeb tub thiab yug menyuam, txij li lub cev tsis ua haujlwm. tsim cov tshuaj hormones txaus tsim nyog rau kev xeeb tub.

Ntau tus poj niam xav tsis thoob: puas muaj peev xwm xeeb tub nrog polycystic zes qe menyuam? Kev xeeb tub nrog xws li kev kuaj mob yog ua tau! Ntau tus tswj kom ua siab ntev thiab yug tau tus menyuam noj qab nyob zoo ntawm lawv tus kheej. Rau lwm tus, qhov no tau ua tiav los ntawm kev kho tshuaj zoo lossis kev phais ntawm zes qe menyuam. Undoubtedly, nws yog qhov zoo dua rau kev kho mob nyob rau theem ntawm kev npaj cev xeeb tub.

Kev txhais ntawm tus kab mob polycysticovary

Polycystic thiab noj qab nyob zoo zes qe menyuam
Polycystic thiab noj qab nyob zoo zes qe menyuam

Polycystic, los yog polycystic zes qe menyuam syndrome (PCOS), yog ib qho kev hloov pauv ntawm cov zes qe menyuam, uas muaj cov hlwv me me ntawm lawv qhov chaw. Lawv tuaj yeem ua ib leeg, thiab tuaj yeem tsim tag nrho pawg. Vim tias lub cev tsis tuaj yeem ua haujlwm li qub, kev loj hlob ntawm follicle cuam tshuam. Nrog polycystic zes qe menyuam, muaj ntau ntau lawm ntawm cov txiv neej cov tshuaj hormones, tshwj xeeb tshaj yog androgen, tiv thaiv keeb kwm ntawm ib tug txo nyob rau hauv cov poj niam ntau lawm, uas ua rau lub fact tias lub qe tsis mature, ovulation tsis tshwm sim thiab, yog li ntawd, cev xeeb tub tsis tshwm sim. Tsis tas li ntawd, PCOS tuaj yeem ua rau rog rog thiab tsis muaj kev coj khaub ncaws.

Yog vim li cas

rog rog hauv poj niam
rog rog hauv poj niam

Qhov laj thawj ntawm PCOS tseem tsis paub. Tab sis muaj ntau yam uas tuaj yeem ua rau tus kab mob no:

  • Hormonal cuam tshuam hauv lub cev.
  • Ntau tshaj.
  • Kev nyuaj siab.
  • Abortions.
  • Hereditary predisposition.
  • Kab mob ntawm qhov chaw mos.
  • Thyroid disorders.
  • Cov tshuaj insulin

kab mob Polycystic tuaj yeem tsim nrog qhov pib ntawm kev puberty, thiab yog tias kev kho mob tsis pib raws sijhawm, teeb meem yuav tshwm sim yav tom ntej. Muaj qhov kev xav tias cov poj niam uas muaj qhov kev kuaj mob no tuaj yeem xeeb tub ntawm lawv tus kheej tsis pub dhau 24-25 xyoo, thiab qhov no yuav tsum muaj kev sib xyaw ua ke zoo, piv txwv li, qhov tshwm sim ntawm ovulation ntawm lub sijhawm ntawm lub voj voog.

Symptoms

  • Tsis muajlos yog poj niam los yog lawv tsis ua hauj lwm.
  • Ua tsis tau cev xeeb tub ntev.
  • Ntau tshaj.
  • lub cev plaub hau loj hlob.
  • Tsis muaj lossis tsis xwm yeem ovulation.
  • Cystic formations ntawm zes qe menyuam nrog ultrasound.
  • Yuav ua tau endometrial thickening.
  • Nyob lub sij hawm voj voog.
  • Tshuaj pob txuv.
  • Ovarian o.
  • Scanty lossis hnyav dhau.
  • Ntxhais tawv nqaij pigmentation.

Diagnosis

Yog xav tias polycystic zes qe menyuam:

  • kuaj gynecological.
  • Kev kuaj ntshav thiab zis raug sau tseg. Ua ntej tshaj plaws, kev kuaj xyuas yog tsim rau cov tshuaj hormones, cholesterol, qabzib.
  • Cov txiaj ntsig ntawm ultrasound muaj lub luag haujlwm tseem ceeb hauv kev kuaj mob, vim tias nws yog nrog kev pab ntawm cov qauv no uas koj tuaj yeem pom cov kab mob cystic ntawm zes qe menyuam, thickening ntawm lawv daim nyias nyias, tuab ntawm endometrium.
  • Laparoscopic kuaj teem sijhawm.

PCOS thiab cev xeeb tub

Kev teem sijhawm kws kho mob
Kev teem sijhawm kws kho mob

Polycystic zes qe menyuam tsis yog kab lus tuag. Qee tus poj niam tswj kom cev xeeb tub yam tsis muaj kev cuam tshuam los ntawm kws kho mob. Qhov no, raws li txoj cai, tshwm sim thaum tsis muaj kev ua tsis tiav ntawm kev coj khaub ncaws. Hauv kev lees paub ntawm qhov no, koj tuaj yeem nyeem ntau cov kev tshuaj xyuas txog kev xeeb tub nrog polycystic zes qe menyuam, qhov tseem ceeb yog ua raws li txhua tus kws kho mob cov lus pom zoo. Nyob rau lub sijhawm no, nws raug nquahu kom saib xyuas qhov ntsuas kub thiab ntsuas ovulation. Yog tias cev xeeb tub tsis tshwm sim hauv ib xyoos, tus kws kho mob tau sau qhov tsim nyogKev kho tus kheej raws li kev kuaj mob. Tom qab qhov pib ntawm cev xeeb tub, txhawm rau kom tsis txhob muaj teeb meem, tus niam uas muaj kev cia siab yuav tsum tau ua tib zoo saib xyuas ntawm tus kws kho mob - ntau zaus dua li lwm tus, tau txais ultrasound thiab kuaj.

Kev npaj cev xeeb tub rau PCOS

Yog tias qhov kev ntsuam xyuas tau lees paub qhov kev kuaj mob, ua ntej npaj cev xeeb tub, koj yuav tsum tau txais txhua yam kev kho mob tsim nyog, vim tias tus kab mob polycystic tuaj yeem ua rau nchuav menyuam, yug ntxov ntxov, siab surges thiab rog. Nws yog ib qho tsim nyog, yog tias ua tau, tshem tawm tag nrho cov laj thawj uas ua rau muaj kab mob polycystic - rog rog, hormonal cuam tshuam, kev ntxhov siab, txhua yam kab mob thiab lwm yam.

Kev kho mob

Cov tshuaj hormonal
Cov tshuaj hormonal

Kev kho mob ntawm cov zes qe menyuam polycystic thaum cev xeeb tub yuav tsum ua tiav, nyob ntawm keeb kwm sau tseg. Qhov no yuav suav nrog:

  • Kev kho Hormonal. Teem kom nruj rau tus kheej. Nws normalizes hormonal keeb kwm yav dhau ntawm ib tug poj niam, restores qhov sib npaug ntawm poj niam thiab txiv neej cov tshuaj hormones nyob rau hauv lub cev, pab txhawb lub follicle, npaj lub endometrium. Cov tshuaj tiv thaiv kab mob hauv qhov ncauj feem ntau tau sau tseg, nrog kev pab los ntawm kev coj khaub ncaws rov qab, cov zes qe menyuam rov qab mus rau lawv qhov loj me, pob txuv ploj ntawm lub ntsej muag. Tom qab ntawd, yog tias tsim nyog, ovulation stimulation yog sau nrog tshuaj tshwj xeeb. Lub sijhawm no, kev soj ntsuam ultrasound raug pom zoo kom paub txog qhov muaj lossis tsis muaj ovulation, seb lub thickness ntawm endometrium puas txaus rau implantation ntawm lub qe.
  • Kev cuam tshuam kev phais. Yog tias kev kho tshuaj hormone tsis pab, tus kws kho mob txiav txim siabteem caij laparoscopy.

Laparoscopy rau tus kab mob polycystic

Ua laparoscopy
Ua laparoscopy

Laparoscopy yog ib hom kev phais uas ua haujlwm tsis yog los ntawm kev phais, tab sis los ntawm qhov me me los ntawm cov cuab yeej uas tau muab tso rau hauv lub plab kab noj hniav. Thaum lub sijhawm ua haujlwm, kev siv tshuaj loog dav dav yog siv. Txoj kev no muaj ntau yam zoo dua li kev phais plab plab:

  • tsis muaj caws pliav loj hauv plab;
  • ntshav poob qis;
  • txo kev pheej hmoo kis mob;
  • txo qis qhov ua tau ntawm adhesions ntawm lub plab pelvic;
  • lub sijhawm rov qab luv piv rau kev phais qhib.

Laparoscopy tuaj yeem ua tau ntau txoj hauv kev:

  • moxibustion (siv rau polycystic thiab endometriosis);
  • excision ntawm benign formations - adhesions, cysts;
  • Kev tshem tawm tag nrho lossis ib nrab ntawm lub zes qe menyuam lossis lwm yam kabmob hauv plab, yog tias muaj cov txheej txheem muaj zog tau pib.

Ua ntej ua haujlwm, tus poj niam yuav tsum tau xeem ntau yam, xws li:

  • kuaj ntshav thiab zis;
  • cardiogram;
  • ultrasound;
  • fluorography;
  • blood clotting test;
  • qee zaum tus kws kho mob yuav xav tau MRI.

Cov poj niam tshuaj xyuas ntawm laparoscopy rau polycystic zes qe menyuam thiab cev xeeb tub vim kev ua haujlwm qhia tias hom kev kho mob no zoo heev. Tab sis qhov no, ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob tuaj koom ua lub luag haujlwm tseem ceeb. Nrog mob hnyav, los ntshav yuav tsumtam sim ntawd hu rau lub tsheb thauj neeg mob, vim hais tias, txawm hais tias qhov kev ua haujlwm tau pom tias muaj kev nyab xeeb heev, tseem muaj teeb meem - kev kho mob yuam kev, tsis ua raws li tus neeg mob nrog tus kws kho mob cov lus pom zoo, cov txheej txheem inflammatory.

Kev tshuaj xyuas txog kev xeeb tub tom qab laparoscopy ntawm zes qe menyuam nrog tus kab mob polycystic muaj ntau heev. Qhov tshwm sim ntev-awaited tshwm sim hauv 70-80 feem pua ntawm cov poj niam 6-12 lub hlis tom qab kev phais. Preservation therapy yog sau tseg thaum cev xeeb tub.

Qhov tshwm sim ntawm polycystic zes qe menyuam

Qhov phom sij ntawm tus kab mob polycystic tsim nyog tau txais kev saib xyuas tshwj xeeb. Qhov no yog ib yam kab mob loj heev uas yuav tsum tau kho. Khiav polycystosis tuaj yeem ua rau:

  • endometriosis;
  • spikes;
  • CVD txaus ntshai;
  • uterine los ntshav;
  • nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov hlwv zoo li degenerate mus rau hauv oncology, thiab tsis yog tsuas yog lub zes qe menyuam lawv tus kheej, lub tsev me nyuam, lub tsev menyuam mucosa, tab sis kuj lub hauv siab;
  • Launched polycystic zes qe menyuam thiab cev xeeb tub yog cov tswv yim tsis sib xws. Nws yuav siv zog heev los kho qhov muaj menyuam tsis taus los ntawm tus kab mob no.

Yog tias kuaj pom tus kab mob polycystic twb thaum cev xeeb tub, ces muaj kev phom sij:

  • miscarriage;
  • yug ntxov ntxov;
  • cev xeeb tub hnyav;
  • diabetes.

kev kho mob raws sijhawm yog qhov tseem ceeb heev.

Tiv thaiv kab mob polycystic

Khoom noj khoom haus kom raug
Khoom noj khoom haus kom raug

Muaj cov kev ntsuas yooj yim los tiv thaiv PCOS:

  • controlluj;
  • noj tsawg carb;
  • kev ua lub cev;
  • xav txog koj lub caij coj khaub ncaws;
  • mus ntsib kws kho mob gynecologist-endocrinologist nrog cov plaub hau loj hlob thiab pob txuv;
  • Nws tseem ceeb heev uas yuav tsum muaj niam txiv tswj xyuas cov cim no hauv koj tus ntxhais kom muaj sij hawm mus ntsib kws kho mob raws sij hawm thiab tiv thaiv teeb meem.
Tus kws kho mob txhawb tus neeg mob cev xeeb tub
Tus kws kho mob txhawb tus neeg mob cev xeeb tub

PCOS thiab cev xeeb tub tsis yog kev sib koom ua ke. Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob raws sij hawm thiab pib kho, ua raws li tag nrho cov lus pom zoo. Hmoov tsis zoo, nws tsis tuaj yeem kho tus kab mob no kom tiav. Kev kho mob txo qhov kev pheej hmoo ntawm qhov tshwm sim thiab pab tshem tawm cov tsos mob. Laparoscopy kuj tseem muaj qhov cuam tshuam ib ntus, tom qab ntawd lub zes qe menyuam tuaj yeem rov ua haujlwm ib txwm muaj thiab qhov ua rau adhesions yuav nce ntxiv. Tab sis, txawm li cas los xij, nrog kev kho kom raug, muaj ntau qhov kev tshuaj xyuas zoo txog kev xeeb tub tom qab polycystic zes qe menyuam.

Kev tiv thaiv thiab kev kho mob kho cov poj niam txoj kev noj qab haus huv, pab qhov pib ntawm ovulation, thiab kev txuag kev kho thaum cev xeeb tub tiv thaiv tus menyuam thiab leej niam los ntawm qhov tshwm sim loj.

Pom zoo: