Sklerokistoz ovaries: He aha ia mea, lalau mai, symptoms,ʻike, lapaʻau, ka hopena

Kahi oʻelima pakeneka o na hihia a pau o gynecological maʻi, kauka diagnosed "ovarian sklerokistoz". He aha ia mea, o ia iho i na wahine, no laila, nui ike i kaʻike, o ka infertility like me ka hoʻopaʻi. I mea, e pili ana i ke kolu o ka poe i ike ai i keia pathology, kā lākou poʻe keiki hiki ole i. Akā, na kekahi i kiʻekiʻe wale, e ola a me ka hanau i ka olakino bebe.

Sklerokistoz ovaries i kekahi inoa - Stein-Leventhal maʻi pale, no ka mea, ka mea i ho'ākāka 'ia ma mua e nā' Amelika gynecologist - Irving Stein a me Maykl Levental. Ua hiki i ka makahiki 1935 mamuli. Over kanawalu makahiki ma hope, ua pono? Anoee ka pathogenesis o ka maʻi, 'epekema o ka lapaau a me kaʻike,, akā, a hiki i kēia manawa kānakaʻepekema i i ike i na kumu no kona hanana.

Inā 'oe i ka loaa ole iaʻike, a me oe anei makemake e i na keiki, hana ole o ka manao. Ma keia 'atikala mākou, e ho'āʻo e hai aku ia mea a pauʻano nui e pili ana i ovarian sklerokistoz a me nā kiʻina hana o kopina me ia.

Pehea e ola ovaries

maopopo e oi aku ana e hai aku sklerokistoz ovaries a me ka hāpai keiki, e pono e ike pehea e ieoaeunoai mau kino, a pehea e hana, ina he mea ole mai i loko o ia mau mea. Nā ovaries nō i ka wahine reproductive nā loko hui kaulua. Ka mea, hiki e na poe ma ke ano o ka palapala mau eke piha me ka lolo mea. Ovary paia ua hoalaala ia me ka ahu iho la ka anuanu connective'aʻaʻa ma luna o ia mea he ahu iho o ka cortex. He mea i ka luna '' ole a me ka mea nui. Ia mea i loko o kēia ahu iho la e hana follicles - i ka hana i ho'ākāka 'mall hehee wale ma i ka ulu oocyte. Follicles i kapaia iniiaiie, ma ka nui o kahi o kekahi a hiki i elua miliona waiho i loko o ke kino o kela a me keia fetus kaikamahine i kekahi ka anu u. Ma ke ola, mai ka waiwai nui au, a me ka pau wā o ka menopause, ka mea, i ke kiʻekiʻe o ka lukuʻia, a i ole hana hou poʻe. No laila, i ka manawa, i ka wa a ko lakou holoholona holo mai.

He aneane loa ia lŘlŘ i loko o nā wāhine o ka hanau keiki makahiki, no laila ke kumu o ka infertility hiki ole ia i ka nele o follicles. ʻO kekahi mea o ia i loko o kā lākou gradual maturation kekahi manawa mea hele hewa. A ka mea e, e'Āhewa no ka mea i ka makemake hāpai keiki, aole ia i kānāwai. A, i ka'āno'ē kūpono 'ana o ke follicles i loko o hoʻokahi haneri pakeneka o na hiki aku i ka gynecological maʻi, a haʻalele untreated i loko o nā wāhine maoli i ka pilikia o ka thrombosis, thrombophlebitis, mimikō, naau pepehi, malignant hikoko ma ka mammary glands.

Like ovarian cystʻikea a pehea mea pili i ka hāpai keiki

Ka wā kaikamahine lilo nā kiʻie oʻo i loko o kā lākou mau kino, i komo i loko o ka hana kaʻina hana o ka maturation o iniiaiie follicles a hiki i neia wa e like hiamoe. Kēia kaʻina hana mau e wahi i loko o ka pōʻaiapuni. Ma kēlā me kēia pōʻaiapuni o ke "ala" i kahi o 15 follicles. Ka mea, i lalo o ka hana o FSH hōmona hua mai la ia e ka pituitary gland, ua puoho ae la i loko o ka ulu, mahuahua ma ka anawaena mai ka 50 a hiki i 500 microns. I loko o kēia wā, i ka follicular loli ua hana ma laila, a me ka nui o ia hōʻike 'lua. Kēia follicle i Hoʻohaku, maoli he 20 millimeters, bulges. Loko ka mea, ua hikiwawe loa ka ulu 'Kepakailiula. Ke koena o ka follicle, mai ka pae ana o "hoala ae lakou i" kekahi ma hope o ka 'ē aʻe make a me ka hoike mai. Inā a pau e hele, e like me na rula i loko o ka wahine kino ua komo i loko o ka hana o ka endocrine nenoaiu. Ka hopena hua mai la ia e na hormones estrogen, progestins, a me androgens, a ho ololi i ma ka hou maturation o ka Hoʻohaku follicle. Ma lalo o ka aoao o ka luteinizing hōmona (lyuteotropina, lutropin, abbreviated me LH), ka mea, ka mea i haki, mai ka hua manu i loko o ka fallopian şarkı ia na lau, a me ka mea huli i loko o ke kino luteum a me ke kiʻekiʻe o resorbed.

Inā kaʻoluʻolu o 'aʻole i ana, o ka hua manu ua ole, kuu mea reborn, a me ka mea akaka i ka wahi o ka follicle kamako iki-pepa paia ovarian cyst. O ka poe o ka "hoala ae lakou i" follicles mea i ole i manawa i ka make, a me ka huli i loko o cysts, wale uuku. Cyst, i hana mai i ka follicle, kekahi manawa ulu i ka nui nui (40-60 mm), akā, e hiki mai ana ia lakou iho i ka hōʻike. Wale nō ma kekahi mau hihia, e hoomanawanui i ohumu o kaʻeha ma nā ovaries. Once ka wahine i maʻamau? Iecaianoaaiiie o hormones, ia lohi hoike mai. Inā he wahine ua hoʻihoʻi ovulation, loaʻa i ka manawa o ovarian follicular cyst o ka hāpai keiki, aole ia e ālai ia 'aʻe, akā, inā i nunui pū ai i ka nui o 90 millimeters ka cyst, ka mea pono e wehe surgically.

Nā kumu o ka maʻi

ʻepekema ike i ka au mamuli pehea ke kiʻi sklerokistoz ovaries. Ke kumu no keia kŰia ka mea,ʻaʻole pono hookupaaia, eia wale nō nā mea mahuʻi. Like i loko o ka maʻamau kūpono 'ana o ke follicle a me ka ovum auoiaea mea hormones he kūlana noho pilikia pāʻani ai, i ka papa kuhikuhiE kumu o sklerokistoz noʻonoʻo ovarian hormonal kāna hana, a me ka pau o ka hoʻokō' ole 'ia ma keʻano papa hana o ka estrogen hoʻololi kemikala. Ua haawiia i ke kēia kumu o hormonal imbalance:

• nā kūpuna mai;
• abnormalities ma'ōewe 'ole;
• haunaele ma ka pituitary-ovarian kahua;
• trauma;
• complications ma hope abortion;
• infectious a gynecological maʻi;
• complications ma hope o ka hānau keiki;
• hoʻololi i ka mana o ka adrenal cortex.

lapaʻau symptoms

Eia naʻe, wale i ka hoʻomaka o ka waiwai nui au e ike i ke kaikamahine sklerokistoz ovaries. Symptoms i keia pae lubricated aʻano nui komo i loko o ka menstrual pōʻaiapuni. Akā, i kēia kŰia hiki e nui no hoi na kumu i pili i ka maʻi o ka ovaries, a hiki i kou kino a me nā aʻalolo kāna hana. No ka iwakalua, a hiki i ka i kā mākou o ka iwakalua-kumamalima makahiki i nā kaikamāhine hou aku kekahi symptoms o ovarian sklerokistoz. I ka papa kuhikuhiE mea no ka 'aʻe' ana o Paikikala a me ke ano o ka menstruation (96 pakeneka o nā mea maʻi). Mostʻike piʻi lōʻihi 'ole' ana o ka malama (ma kahi o ka hapalua a oi) ole loa ka nui o precipitates (hypomenstrual maʻi pale). Loa emi paha, e hoʻopiʻi e pili ana i ka lōʻihi o ke ahonui a me ka mahina o ka malama.

Other symptoms suggestive o ovarian sklerokistoz kēia:

• hirsutism (i loko o ka hola 90 pakeneka o ka hoʻomanawanui iki mai malama hairiness wahi a puni o ka nipple, hoʻi, abdomen, a me chin ma luna o ka lehelehe);
• overweight (70 pakeneka o nā mea maʻi);
• 'ōhule a me ka huehue ma luna o ka maka (ia lŘlŘ ma i hou aku 40 pakeneka o ka hihia);
• kekahi loli ma ke kino huliāmahi;
• malfunction o ka'emi oihana;
• asthenic maʻi pale;
• ovarian hoʻonui ( 'akomi i ka nana gynecologist).

Eia hou, i kekahi mau wāhine i ka mahina symptoms i meaʻole i ka maʻi he nui loa: no ka eha ma ka lalo abdomen, malaise, inexplicable luhi.

keʻena hoʻokolohua noiʻi

Ma ke kumu o ka mawaho hoailona o ovarian sklerokistoz wale no kēia, a me ka ua i kaʻike, hope ma hope hou examinations. Mau mea:

• Ka Ikepili ma ke koko testosterone (huina e ia i loko o ka laulā o 1,3 ng / ML, noa wahine i 41 makahiki - i loko o 3,18 ng / ml, a i ka 59 makahiki - i hou aku 2,6 ng / ml);
• Ka Ikepili o ka susceptibility o ka monakō koko i loko o ke koko kō, a me nā triglycerides;
• kolpotsitogramma (mea ia, mai ka vagina mea o lokoʻikepili hōʻike, ka mea,ʻaʻohe a ovulation, e like me'ālike indices kolpotsitogrammy makahiki o ka hoʻomanawanui, a me ka pae ana o kona menstrual pōʻaiapuni);
• hamoʻia o ka endometrium (haawi i PAaIEN o aʻe 'ana o nā ovaries);
• kū basal wela loli;
• Kekahi kālailai ma thyroid hormones, pituitary, ovaries (LH, FSH, PSSG, prolactin, cortisol, 17-hydroxyprogesterone);
• hoʻoholo 'ana o ka estrogen excretion.

Ano, i ka hoʻomanawanui hiki kū kaʻawale lawe mai i ka mea hōʻike, e manao ma ovarian cysts. Kēia e pono e ka microscope (loaʻa ma keʻena kūʻai lāʻau lapaʻau). I ke kakahiaka, e Ala ae la, a no kekahi mea i ua ai ana a me ka inu ana, e pono e waiho i ke kulu o kona tuha ma luna o kekahi apana o ke aniani keʻena hoʻokolohua, a haawi aku ia i ka maloʻo. Ma ovulation mau maoli i ka nui o ka estrogen, a ma ka huli alters o ka haku mele 'ana o ka tuha. Inā ovulation mea, he tuha hāpana i loko o ka microscope e ia i loko o ka palapala o ka'amaʻu, a ina he mea ole ovulation, - i loko o ka palapala o ka papa.

lako e lapaʻau '

E like me ka rula, pololei a me ka definitiveʻike o nā mea maʻi; lawelawe iho la i ka luna 'nana Via' inikua manaʻo.

Ka loa akahai a me ka loa painless iaoia o ka ultrasoundʻike, o ovarian sklerokistoz. Ke kaʻina hana ka transabdominal (ma ka abdomen), transvaginal (ka lahui informative iaoia), transrectal ultrasound (hana wale i loa opiopio kaikamahine a me ka poʻeʻelemākule wahine).

E ho ohana i ultrasound hooholo ovarian nui, kinona, 'ole, ka helu o follicles i loko o ia mau mea, nona ke anawaena - 8 mm o, ke alo a kaawale o ka Hoʻohaku follicle, i ke alo a kaawale o ovulation, i ke alo o cysts i loko o ka ovary.

Kekahiʻano o ka anamanaʻo - kinoea pelveogramma e hoike ana i'āno'ē nui o na ovaries a me ka uterus.

Kekahi o ka loa pilikiaʻano o kaʻike, ka laparoscopy. Ua Ua hana i loko o ka haukapila ma lalo o kekahi mau anesthesia. Ke algorithm o ke kēia: hoʻomanawanui surgeon mea he puncture o ka peritoneum paia, a komo i loko o ka nakeke, ka puhi carbon dioxide i kinoea i ka mea e ho okumu i ka buke i loko o ka peritoneum a oi makaikai i nā loko. Eia, i ka hoʻomanawanui kino ua hoʻolauna laparoscope, i hoike ma ka pale o ka moku'āina o na ovaries. Laparoscopy - ka loa pololei ano o kaʻike,, akā, ma hope o ka wahine pono ka hoʻopulapula wā.

Makeʻe kulana lapaʻau o ovarian sklerokistoz

Ma hope o ka definitiveʻike, i loko o ka hapanui o na hihia i ka wahine ua waeia mua lāʻau Inc. Kona manao - e hoihoi maʻamau menstrual kalapona a me ka ovulation i ka hou. Nā sklerokistoz hana ovarian gynecologist hoʻoholo pū me ka endocrinologist.

Ma ke alo o ka obesity, ka hoʻomanawanui mua anu u ma ka iapaau ana mea e Weight Loss. Ka wahine i hoakakaiaʻai, e hooikaika hiki.

Ka lua o ke kahua - mahuahua ka pokole o ka insulina. I kauoha mai ai "Metformin" mea e pono e lawe 3-6 mahina.

Ke kolu o ka pae - stimulation o ovulation. Hoʻomaka lapaau me ka simplest lapaʻauʻia - "clomiphene". Ke keʻehi papa mea, e loaa no i ka pō i loko o ka mahele lāʻau o 50 mg, e hoʻomaka ana mai 5th lā o ka pōʻaiapuni no 5 moekahi 'lā. Inā he mea ole hopena (menstruation), "Clomiphene" lawe i ka mahina. Inā a me ka wā keia kanawai ua ole i loaa, i mahuahua ka mahele lāʻau a hiki i 150 mg no ka lā.

I kekahi ke kahua (i loko o ka wa e kaawale aku o ka maikaʻiʻano) - ka hoʻokohu 'ana ai' "menogon". Ua Ua lawelawe intramuscularly, a ma hope o pau i ka holo ana injections "Horagona". "Menogon" hiki puku "Menodinom" a me "Menopur".

Ma hope o pau i ka holo ana a pau, e hana ana i ke koko kemika, a i hoʻokohu 'ia "Utrozhestan" a me "Djufaston" ma muli o ke Ka Ikepili o nā hualoaʻa (ināʻaʻole lawa no ka hōmona LH).

Ma ia laua, na kauka ho'āʻo e wehe i ka wahine i hirsutism, ma ka pili me i ka mea, ua kuhikuhi, "Ovosiston" a me ka "Metronidazole".

OAXA hou i ka hana ana o ka wikamina.

Sklerokistoz ovaries: ka iapaau ana oʻoki lāʻau lapaʻau 'ana i kūpono

Inā i loko o na malama ekolu mahope iho o ka lāʻau Inc ua ole ia lŘlŘ ovulation, ka wahine ua hoakakaiaʻoki kino. Ua ua lawe mai ma kekahi mau ano. A kekahi i ka hoʻohana hilinaʻi nui ma luna o ka PAaIEN ovarian kūlana.

Ma ka keia ke kahua, na kēia mau hana:

• moxibustion cysts hoʻohana 'ana i kekahi kukuna;
• demedulyatsiya (ovary kona wehe 'ia i loko o kona waena hapa);
• auka resection (ana o ka pauku ovary o ka loli ana o kekahi ma ka palapala o ka auka);
• decortication (kauka e lawe aku oe iho me tunica, ahu iho ovarian follicles a me ke kui kele ma ka puka nō ia i nā kihi sutured);
• galvanocautery (wahi luku ana o ka ovary i loko o kona kahua, i produces he nui loa hōmona).
• notches (lākou surgeonʻo ia i ka hohonu o ka 1 knm i loko o nā wahi ma kahi e alohi follicles no laila, i ka mea, ke hookuu aku i ka maturation o ka hua wale).

Time]

Women e ae ma kekahi i hāpai 'epekema no ka lapaau, hoihoi i loko o kekahi nīnau: ua e hiki ke lilo i hapai ana sklerokistoz ovaries? 'Ikepili helu hōʻike i ole lapaʻau, ua diagnosed infertility i loko o 90% o ka hihia. Uluwehi O Inc "clomiphene"? Ienoai aa ovarian hana i loko o 90% o nā mea maʻi, akā, me ka hāpai keiki ia lŘlŘ ana 28 wale% o ia. Eia naʻe, e like me kekahi olelo hualoaʻa i e like kiʻekiʻe me 80%.

Ka nele o "Clomiphene" huahana - ia ka hoʻokō wale i ka hoʻomaka o ka maʻi a me kēia mauʻoki kino me ka adjuvant.

Iapaau ana o ka nui ikaika ai ', e like me "gonadotropins", e like me ka' ikepili helu, ma ka liʻiliʻi loaʻo e ovulation i loko o 28% o nā mea maʻi, i ka i kā mākou - 97%. Penei hapai mai 7 a hiki i 65% o nā wāhine.

Inā ovarian sklerokistoz hana surgically, i ka maikaʻi i nā hualoaʻa ike me e pili ana i ka ia alapine (frequency) i mea o ka makeʻe kulana Inc. Wahi a ka 'ikepili helu, ma hope oʻoki kino ma na ovaries i ka manawa e kiʻi hāpai kiʻi 70-80% o na wahine.

Reviews

No ka nui loa na wahine, noho ia pōʻino stagingʻike, "Ovarian sklerokistoz". Reviews o nā mea maʻi i lapaʻau i loaʻokoʻa. Kekahi kokua Akala e kekahi - ana, a me kekahi hāpai keiki i ole ana,ʻaʻohe mea i kāu kiʻina hana i ia.

Aia Ua hoi he uuku hapa o nā mea maʻi hoike mai i ka hoouka kaua o ko lākou hāpai keiki me kekahi lapaau, eia nae o kaʻike, o "sklerokistoz ovary" i ole Film. Mau contradictory hualoaʻa paha e ku pono ana i na ano kanaka o kela a me keia kanaka, a pono ole e ia e like me ke kūmau.

Akā, me ka hou o ke ola ma hope o lapaʻau, ka mea kākau i loko o ka loiloi, o ka hapanui o na wahine. Wale i kekahi mau nā mea maʻi i hoike ia ka mea, ua normalized malama ka hoʻokikina no ka pōkole manawa, ma hope i ka mea i koi hou, e lawe hormones.

A eia ka mea hope, aia no kekahi hapa o nā hōʻike manaʻo ma i na wahine e ae, mai kaʻikeaʻana o ko lākou mau loa-makahiki eha i loko o ka wahi o ka ovaries, a me ka peritoneum ma hope o iapaau ana me kaʻoki kino.