Sklerokistoz ovaries: abin da shi ne, haddasawa, cututtuka, ganewar asali, magani, sakamakon

Aƙalla kashi biyar bisa dari na duka lokuta da gynecological cututtuka, likitoci kamu "ovarian sklerokistoz". Abin da shi ne, shi ne da kanta ba kowace mace, don haka da yawa, na tsinkãyi wata ganewar asali da rashin haihuwa kamar yadda jumla. A gaskiya ma, game da na uku daga waɗanda suka gano wannan Pathology, da 'ya'yansu za su iya ba da. Amma da wasu da high chances warke, kuma bã ta haihuwa, to da lafiya baby.

Sklerokistoz ovaries yana da wani sunan - Stein-Leventhal ciwo, domin shi ne ya fara bayyana ta biyu American likitan mata - Irving Stein da Maykl Levental. Wannan ya faru a shekarar 1935. Fiye da shekara tamanin daga baya aka sosai karatu da pathogenesis da cutar, ɓullo da hanyoyin magani da kuma ganewar asali, amma har yanzu masana kimiyya ba su san dukkan dalilan da ya faru.

Idan ka sa a m bincike da kuma kana son ka yi yara, kada ka yi baƙin. A wannan labarin, za mu yi kokarin gaya kome muhimmanci game da ovarian sklerokistoz da kuma hanyoyin da yin fama da shi.

Ta yaya ne lafiya ovaries

Don fi gane yadda za a ba da labari sklerokistoz ovaries da ciki, kana bukatar ka san yadda za a yi waɗannan jikuna da kuma yadda suka yi aiki, idan babu wani cuta a cikin su. A ovaries ne cikin mata haihuwa gabobin sa su guda biyu. Su za a iya wakilta a cikin nau'i na asali bags cika da kwakwalwa al'amarin. Kwai bango an liyi tare da wani Layer na m connective nama a kan shi ne da wani Layer na bawo. Ya na da wani hadadden tsarin da kuma muhimmanci. Shi ne a cikin wannan Layer aka kafa follicles - da takamaiman tsarin abubuwa a cikin abin da suka ci gaba a oocyte. Follicles ake kira primary, a cikin wani adadin game da daya zuwa miliyan biyu da aza a jikin kowane tayin girls wani mataki. Cikin rayuwa, daga balaga lokaci da kuma kawo karshen lokaci na menopause, suna hankali cinye da kuma sababbi ba a kafa. Saboda haka, hour zo, a lokacin da su stock gudanar fita.

Wannan kusan taba faruwa a mata na haihuwa, don haka cikin hanyar rashin haihuwa ba zai iya zama cikin rashin follicles. Wani abu shi ne cewa a cikin sauka a hankali maturation wani lokacin abubuwa tafi daidai ba. Saboda haka su ne za zarga ga gaskiya cewa so ciki ba ya faruwa. Bugu da ƙari, mahaukaci cin gaban follicles a xari bisa dari na lokuta take kaiwa zuwa gynecological cuta, wanda ya bar untreated a mata na kara hadarin thrombosis, thrombophlebitis, ciwon sukari, ciwon zuciya, m marurai a mammary gland.

Kamar yadda ovarian mafitsara bayyana da kuma yadda shi da dangantaka da ciki

Lokacin da 'yan mata zama jima'i balagagge a jikin su na kunshe a cikin aikin aiwatar da maturation na farko follicles wanda yau, iyalinsu kamar barci. Wannan tsari ko da yaushe faruwa a hawan keke. A kowane sake zagayowar of "farkakku" to game da 15 follicles. Suna karkashin mataki na FSH hormone samar da pituitary gland shine yake, an fara up a girma, da kara a diamita daga 50 zuwa 500 microns. A wannan lokacin, da follicular ruwa da aka kafa a cikinta, kuma mafi girma a na su bayyana a kogo. Wannan follicle zama rinjaye, qara zuwa 20 millimeters, bulges. Ciki shi ne hanzari tasowa kwai. Sauran follicle daga cikin rukuni na "tada" daya bayan daya ya mutu kuma ta soke. Idan duk ke bisa ga dokoki a cikin mace jiki ne kunshe a cikin aikin da endocrine tsarin. A sakamakon samar da hormones estrogen, progestins, kuma androgens, wanda tasiri a kan m maturation na da rinjaye follicle. Ƙarƙashin rinjayar luteinizing hormone (lyuteotropina, lutropin, rage tsawon as LH), shi ne karye, shi ya fita daga cikin kwai a cikin fallopian tube, kuma ya jũya a cikin tarin rubuce-rubuce luteum da hankali resorbed.

Idan ƙarya ba ya faruwa, da kwai ba saki ne haifaffen, da kuma wurin da follicle bayyana ceri-sized ovarian mafitsara. Wadanda daga cikin "tada" follicles cewa sun ba da lokaci zuwa mutu, kuma juya zuwa cysts, kawai karami. Mafitsara, kafa daga wani follicle, wani lokacin tsiro zuwa wani babba size (40-60 mm), amma iya ba da kansu nuna. Kawai a cikin 'yan lokuta, marasa lafiya koka zafi a cikin ovaries. Da zarar wata mace yana da al'ada samar da hormones, shi sannu a hankali dissolves. Idan mace ta mayar da ovulation, akwai a lokacin da ovarian follicular mafitsara ciki ba ya tsoma baki, amma idan ya yi girma mafitsara da girman 90 millimeters, dole ne a surgically cire.

A Sanadin cutar

Masana kimiyya sani a daki-daki, yadda hoton sklerokistoz ovaries. A dalilan da wannan sabon abu ne ba da kafa, akwai kõme fãce zato. Kamar yadda a cikin al'ada ci gaban da follicle da ovum fitarwa gare hormones taka muhimmiyar rawa, babban dalilin sklerokistoz dauke ovarian hormonal cuta, da kuma musamman a maye a cikin ginshikai na estrogen kira. Ake magana a kai wadannan Sanadin hormonal rashin daidaituwa:

• gadar hali.
• munanan a gene tsarin.
• disturbances a cikin pituitary-ovarian tsarin.
• rauni.
• rikitarwa bayan zubar da ciki.
• dauke da kwayar cutar da kuma gynecological cututtuka.
• rikitarwa bayan haihuwa.
• canza ayyuka na adrenal bawo.

asibiti cututtuka

Abin baƙin ciki, kawai farkon balaga lokaci don gane yarinya sklerokistoz ovaries. Alamun a lokacin wannan lokaci lubricated da yafi kunshi a cikin hailar sake zagayowar. Amma wannan sabon abu zai iya zama da yawa wasu dalilai ba alaka da cuta daga cikin ovaries, saukar da matalauta abinci mai gina jiki da jijiya cuta. Domin ashirin, to a kalla shekara ashirin da biyar da 'yan matan bayyana more takamaiman bayyanar cututtuka na ovarian sklerokistoz. Babban ne har yanzu a take hakkin hawan keke da kuma yanayin da haila (96 bisa dari na marasa lafiya). Mafi fuskantar dogon jinkiri wata-wata (game da rabin ko fiye) ko ma kananan adadin precipitates (hypomenstrual ciwo). Yawa m iya koka game da tsawon na haƙuri kuma yalwatacce wata-wata.

Sauran cututtuka suggestive na ovarian sklerokistoz wadannan:

• hirsutism (a kimanin kashi 90 cikin dari na marasa lafiya lura hairiness yankin da nono, baya, ciki, da kuma Chin sama da lebe).
• kiba (kashi 70 cikin dari na marasa lafiya).
• baldness da kuraje a kan fuskarsa (ya auku a wani fiye da 40 bisa dari na lokuta);
• wasu canje-canje a cikin jiki rabbai.
• matsalar aiki na samfur na juyayi tsarin.
• asthenic ciwo.
• ovarian kara girma (gano a lokacin dubawa likitan mata).

Bugu da kari, wasu mata iya samun cututtuka da ake samu zuwa yawa cututtuka: da zafi a cikin ƙananan ciki, malaise, inexplicable gajiya.

dakin gwaje-gwaje da bincike

A kan tushen da waje ãyõyin ovarian sklerokistoz kawai zargi da laifi, da kuma karshe ganewar asali da aka yi bayan kara Nazarin. Wadannan su ne:

• bincike a kan jini testosterone (total kasance a cikin kewayon 1.3 ng / ml, free mata zuwa 41 shekara - a cikin 3,18 NG / ml, kuma har zuwa 59 shekaru - ba fiye da 2.6 ng / ml).
• bincike na laulayi na glucose a cikin jini sugar, da kuma triglycerides.
• kolpotsitogramma (material dauka daga cikin farji kima data show, babu ko ovulation, kazalika da matching fihirisa kolpotsitogrammy shekaru na haƙuri, kuma lokaci na ta hailar sake zagayowar).
• scraping na endometrium (ba da wani nuni ne na take hakki na ovaries).
• sarrafa muhimmi da zazzabi canje-canje.
• Wasu na nazarin a kan thyroid hormones, pituitary, ovaries (LH, FSH, PSSG, prolactin, cortisol, 17-hydroxyprogesterone).
• tabbatar da dalilin da estrogen tukar tumbi.

Yanzu da haƙuri iya da kansa gudanar da wani sauki gwajin shakkun a ovarian cysts. Wannan na bukatar da a madubin (samuwa a Pharmacy). Da safe, kawai farka kuma har yanzu kome an cin abinci da kuma shan, kana bukatar ka saka a drop of masa yau a kan wani yanki na gilashin dakin gwaje-gwaje da kuma bayar da shi don ya bushe. A lokacin ovulation ko da yaushe qara matakin na estrogen, wanda bi da bi ya musanya masa a abun da ke ciki na yau. Idan ovulation ne, a yau samfurin a cikin madubin zai zama a cikin nau'i na fern ganye, kuma idan babu wani ovulation, - a cikin nau'i na da maki.

hardware bincikowa

Kamar yadda mai mulkin, m kuma tabbatacce ganewar asali da marasa lafiya gudanar da hadaddun dubawa via na'urorin kiwon lafiya.

A mafi m da cikakken m Hanyar ne duban dan tayi ganewar asali ovarian sklerokistoz. A hanya ne transabdominal (ta hanyar da ciki), transvaginal (da sosai m Hanyar), transrectal duban dan tayi (yi kawai a sosai matasa 'yan mata da kuma tsofaffi daga mata).

Amfani da duban dan tayi ƙayyade ovarian size, siffar, tsari da yawan follicles a su, wanda diamita - 8 mm, gaban ko babu rinjaye follicle, gaban ko babu ovulation, gaban cysts a cikin kwai.

Wani irin binciken - gas pelveogramma nuna mahaukaci size na ovaries da mahaifa.

Daya daga cikin mafi wuya iri da ganewar asali ne laparoscopy. An yi a wani asibiti a karkashin janar maganin sa barci. A algorithm na masu biyowa: haƙuri likita sa a huda na peritoneum bango da kuma shiga cikin na'ura, da hurawa carbon dioxide gas domin ya haifar da ƙarar a peritoneum kuma mafi gano gabobin. Bugu da ari, haƙuri jiki yana gabatar da laparoscope, wanda ya nuna a allon jihar na ovaries. Laparoscopy - mafi m Hanyar ganewar asali, amma bayan da mace yana bukatar fi lokaci.

Conservative lura da ovarian sklerokistoz

Bayan wani tabbatacce ganewar asali a mafi yawan lokuta a mace ne nada farko miyagun ƙwayoyi far. Its manufa - maido da hailar sake zagayowar da ovulation don ci gaba. A sklerokistoz yi wa ovarian likitan mata yanke shawarar tare da endocrinologist.

A gaban kiba, da mãsu haƙuri mataki na farko a lura shi ne zuwa nauyi asara. Mace wajabta rage cin abinci, motsa jiki m.

A mataki na biyu - da kara fahimta da insulin. Nada "Metformin" cewa akwai buƙatar ka kai 3-6 watanni.

The uku lokaci - ruri daga ovulation. Fara jiyya da sauki magunguna - "clomiphene". A farko hanya ne zuwa sama don dare a cikin wani kashi na 50 MG, fara daga 5th ranar zagayowar for 5 a jere kwana. Idan babu sakamakon (haila), "Clomiphene" kai a watan jiya. Idan kuma a lokacin da wannan sakamako ba samu, da kashi da aka karu zuwa 150 MG da rana.

A na gaba mataki (in babu kyau kuzarin kawo cikas) - alƙawari da kwayoyi "menogon". An gudanar intramuscularly, kuma bayan kammala hanya injections "Horagona". "Menogon" zai iya maye gurbin "Menodinom" ko "Menopur".

Bayan kammala dukan shakka, yin jini sunadarai, da kuma designate "Utrozhestan" ko "Djufaston" dangane da bincike na da sakamakon (idan bai isa ba na hormone LH).

A a layi daya, da likitoci kokarin cire wata mace yana da hirsutism, dangane da abin da aka wajabta, "Ovosiston" da "Metronidazole".

M Baya ga hanya ne wani bitamin.

Sklerokistoz ovaries: da magani daga m dabaru

Idan a cikin watanni uku bayan miyagun ƙwayoyi far ba ovulation ya auku, da mace da aka wajabta tiyata. An za'ayi da hanyoyin da dama. Wanne daya to amfani dogara a kan nuni ovarian matsayi.

A halin yanzu mataki, da wadannan ayyuka:

• moxibustion cysts yin amfani da wata na'ura.
• demedulyatsiya (kwai kau a tsakiyar part).
• sandan resection (kau na wani kwai sashe na shafa bangare a cikin wani nau'i na sandan).
• decortication (likita kawar sāke Tunica Layer ovarian follicles da allura hudawa da gefuna sutured).
• galvanocautery (ma'ana halakar da kwai a cikin filin, wanda ya fitar da yawa hormone).
• notches (su Likita sa zurfin 1 cm a wuraren da haske follicles domin su iya saki a lokacin maturation daga cikin kwai kanta).

kintace

Matan da suka yarda a kan wani samarwa hanyoyin domin likitoci, da sha'awar a daya tambaya: Shin yana yiwuwa a zama ciki yayin da sklerokistoz ovaries? Statistics nuna cewa ba tare da lura da rashin haihuwa da ake bincikar lafiya a 90% na lokuta. Drug far "clomiphene" inganta ovarian aiki a 90% da marasa lafiya, amma ciki na faruwa a yayin da kawai 28% na su. Duk da haka, bisa ga wasu m sakamakon na iya zama a matsayin babban matsayin 80%.

Rashin "Clomiphene" samfurin - shi ne kawai tasiri a farkon cutar ko wadannan tiyata a matsayin wani adjuvant.

Jiyya na more iko da kwayoyi, kamar "gonadotropins", a cewar statistics, akalla take kaiwa zuwa ovulation a 28% da marasa lafiya, da matsakaicin - 97%. Kamar wancan ciki daga 7 zuwa 65% na mata.

Idan ovarian sklerokistoz bi surgically, tabbatacce sakamakon lura da game da wannan mitar kamar cewa daga cikin masu ra'ayin mazan jiya far. Bisa kididdigar da, bayan tiyata a kan ovaries damar samun ciki samun 70-80% na mata.

reviews

Domin da yawa mata, da samun su masĩfa staging ganewar asali "ovarian sklerokistoz". Sharhi kan marasa lafiya a kan magani ne sosai daban-daban. Wani taimake kwaya to wani - aiki, da kuma wani ciki bai faru ba, ko da abin da hanyoyin da ake dauka.

Akwai kuma kananan rabo na marasa lafiya bayar da rahoton farko na ciki, ba tare da wani magani, ko da yake cutar na "sklerokistoz kwai" da aka ba fim. Wadannan sabanin sakamakon iya zama saboda da mutum halaye na kowane mutum kuma ya kamata ba za a dauka a matsayin na kullum.

Amma inganta kiwon lafiya bayan da magani, da suka rubuta cikin wata mujalla, mafiya yawa daga mata. Kawai 'yan marasa lafiya sun bayar da rahoton cewa sun yi bisa al'ada kowane wata dannawa ga wani gajeren lokaci, bayan da suka kasance sake bukata dauki ji ba gani.

Kuma a karshe, akwai wani bangare na sake dubawa a wadda mata wahala daga bayyanar da dadewa zafi a yankin na ovaries da peritoneum bayan lura da tiyata.