I-ovarian depletion syndrome ibhekisela ezifweni ezithathelwanayo eziphazamisa ukukhulelwa okuvamile. Lesi sifo siqala kwabesifazane abaneminyaka yobudala bokuzala. Ake sicabangele ngokuningiliziwe okufana nokukhubazeka kwe-ovarian, ukuphathwa kwezibonakaliso zayo, sizohlukanisa izimpawu ezibalulekile nezimbangela.
Kuyini "ukungondleki kwe-ovarian"?
Igama elithi "ukukhathala kwama-ovarian" ekuguleni kwegazi kusetshenziselwa ukuchaza isakhiwo esiyinkimbinkimbi esibonakala ukwanda kwezinga le-gonadotropin, ukungabi nenyanga, nokunciphisa ama- estrogen . Ukukhubazeka kwenzeka kubantu besifazane abaneminyaka yobudala abavame ukuba nokuya esikhathini. Lesi sifo sinamanye amagama - ukuyeka isikhathi eside ngaphambi kwesikhathi, ukuyeka isikhathi eside ngaphambi kwesikhathi, ukungasebenzi kahle kwama-ovari. Ukuvama kwesifo lesi sifo phakathi kwabesifazane abaneminyaka yobudala bokuzalwa kwaba ngu-1.6%. Ukuqedwa kokuqala kwama-ovari kungathuthuka eminyakeni engu-20-25.
Izimbangela zokuvuthwa kwe-Ovarian
Ukuphelelwa yisikhathi kwangaphambili kwama-ovari, okubangela ukuthi kunzima ukuqala, okubhekene nokuphulwa komsebenzi wokuzala. Lapho kuhlaziywa izimbangela zokugula, odokotela bafaka phambili ukuphazanyiswa kwesizinda semvelo, okuba yindlela yokuhlenga uhlelo lokuzala. Phakathi kwezinye izimbangela zesifo kufanelekile ukuphawula:
- ukufa, ukungahleleki kwe-chromosomal okudluliselwa kumama kuya endodeni (hypoplasia yama-ovari);
- ukuphendula ngokuzenzakalelayo, okuhambisana nokubunjwa kwama-antibodies emathisini omzimba omzimba emzimbeni;
- ukuphazanyiswa komsebenzi wezikhungo zobuchopho, okulawula umsebenzi wezinhlamba zocansi;
- izifo ezithathelwanayo, ezihambisana nokunqotshwa kwezicubu ze-ovarian - ukutheleleka kwe-streptococcal , i-rubella;
- ukudla okungenangqondo, beriberi;
- izimo ezicindezelayo eziqhubekayo;
- umphumela wesimo se-teratogenic emzimbeni esiteji sokuthuthukiswa kwe-intrauterine (ukusetshenziswa kwemithi ekhulelwe, imikhuba eyingozi, ukutholakala kwemisebe ye-ionizing).
Ukukhathala kwe-Ovarian - izimpawu
Izimpawu zokungondleki kwama-ovari zinemisebenzi ephawulekayo, ngakho-ke lona wesifazane angazimela ngokuzimela ngokuzimela. Into yokuqala isiguli isiguli kuyinto amenorrhea ngokuzumayo, okwenzeka eminyakeni 36-38 ngaphambili. Ngokuvamile kulandelwa ukukhipha okwesikhashana, okungenakunqunywa kokuya esikhathini, okugcina kugweme. Kumele kuqashelwe ukuthi i-amenorrhea ingathatha isisindo se-cyclic - emjikelezweni ethile, i-ovulation kwenzeka, ngakho kungenzeka ukuthi ukukhulelwa kuqhubeka.
Ngaphezu kokuphulwa komjikelezo, i-syndrome ye-ovarian malnutrition ihambisana nemibonakaliso ye-vegetative-vascular. Ziyinto evamile kubantu besifazane abaneminyaka yobudala be-menopausal, lapho umsebenzi wokuzala uphela. Ukuthuthukiswa kwezibonakaliso ezilandelayo kumakhosikazi enyaka yokuzala kubonisa i-SII:
- ukuhamba;
- ukujuluka okukhulu;
- ukuqina okuqhubekayo;
- ukucasula;
- ukuphazamiseka kokulala;
- ikhanda;
- isiyezi.
I-syndrome ye-ovarian malnutrition ihambisana nokunciphisa ukuhlushwa kwama-estrogens. Lokhu kubangele ukuphazamiseka kwegazi. I-syndrome ye-ovarian malnutrition, izimpawu zazo ezibizwa ngenhla, ixwayisa:
- izinguquko ze-atrophic of gland glands;
- i-colonitis ye-atrophic;
- ukwehla kwamathambo;
- ukuphazamiseka kwesistimu ye-urogenital - ukuvuthwa okuvamile, ukungahambisani nomzimba;
- kunciphisa ngobukhulu bezinhlayiya, ukukhathala kwekhanda elimangalisa lesibeletho (esinqunywe nge-ultrasound).
I-Ovarian Depletion Syndrome - Ukwelashwa
Ngaphambi kokwelapha i-SII, odokotela benza ukuhlolwa okuphelele. Kuhilela ukwenza i-ultrasound ye-pelvis encane, ukuhlolwa kwegazi kwama-hormone. Ngemuva kokuxilongwa isifo esinqunyiwe. Kuhloswe ukulungiswa kwezifo zemifino-vascular, ukuthuthukiswa kwenhlalakahle jikelele, ukuqeda izifo zenhliziyo. Imiphumela emihle kakhulu yokwelapha ibonakala uma usebenzisa imithi ye-hormonal, ekwenzeni ukwelapha okukhipha ama-hormone. Izidakamizwa zikhethwe udokotela ngabanye, umthamo, ukuphindaphindeka kanye nobude bokuphatha kuboniswa.
Kungenzeka yini ukwelapha ukungondleki kwe-ovarian?
Ukwelashwa kwe-SII kuhloswe ekuthuthukiseni impilo yonke, ukuqeda izifo ezengeziwe. Ukuphelisa ngokuphelele lesi sifo akunakwenzeka. Ukusetshenziswa kwezidakamizwa kungase kusekele umsebenzi wezigulane zobulili. Ukwelashwa kokufakelwa kwama-hormone kwenziwa kuze kube sekuqaleni kokumiswa kwemvelo. Lokhu kunciphisa ingozi yokuthuthukisa izifo ze-urogenital, ezivame ukukhula ngokumelene nesimo sokuntuleka kwe-estrogen emzimbeni wesifazane.
Ukuqedwa kwe-Ovarian - izidakamizwa
Ngokuthuthukiswa kwe-syndrome ye-ovarian ukungondleki kwabasifazane abasha, odokotela ukuphathwa kwe-disorder ukukhetha inhlanganisela ye-ethinyl estradiol ene-desogestrel, i-gestodenum noma i-norgestimate. Lezi zinhlanganisela ze-hormonal zilinganisa ngokuphelele ukusebenza okuvamile kwe-gonads. Kwabesifazane abadala, odokotela batusa inhlanganisela ye-estradiol ne-dydrogesterone. Izidakamizwa ezinama-hormone zithathwa ngokwezwi ngomlomo, ziphathwe nge-intramuscularly. Ku-SII, ukwelashwa namahomoni kwenziwa ngokuvumelana nesimiso esinqunyiwe. I-Estrogens isetshenziswe kaningi kunezinsuku ezingu-14:
- 17-estradiol;
- i-estradiol encane;
- i-estriol succinate;
- estrone sulfate.
Ngokuvamile zisebenzisa izindlela ezihlangene. Ngakho-ke, i-Ovarium Compositum lapho ama-ovari esiphelile kusiza ekunciphiseni ukubonakaliswa kwesifo, futhi kuthuthukisa inhlalakahle yesiguli. Ngosizo lomuthi, ngokuvamile kuvame ukubuyisela ngokuphelele ukusebenza kwezinhlayiya zocansi. Ngenxa yalokhu, umuthi usetshenziswa uma owesifazane efuna ukukhulelwa, ukubuyisela ukuvota, umjikelezo. Phakathi kwezinye izixazululo ezihlangene zokwelashwa yilokhu:
- I-Divine;
- I-Klimen;
- Femoston.
Ukhathala kwe-Ovarian - ukwelashwa ngamakhambi abantu
I-syndrome ye-ovarian ukungakondleki okungakapheli ingalungiswa ukwemukelwa kwamakhambi abantu. Ukusebenzisa kwabo kusiza ukunciphisa izimpawu. Ukudla okuningi kwevithamini E, kusiza inkinga yesifo. Iqukethe:
- amantongomane;
- ama-hazelnuts;
- i-walnut;
- ihlume ukolweni.
Imithi efanele ye-SII iqoqo lamakhambi okwelapha.
Ukumnika kwamagciwane
Izithako:
- impande ye-valerian ingu-30 g;
- amaqabunga e-peppermint - 30 g;
- Pharmacy ye-Chamomile - 40 g;
- amanzi - 500 ml.
Ukulungiselela, sebenzisa:
- Amakhambi aphansi, athululelwe ngamanzi abilayo.
- Bambelela ihora eli-1.
- Thatha ingilazi, ekuseni nakusihlwa, emva kokudla.
Ukukhathala kwama-ovari nokukhulelwa
Ukuphelelwa yisikhathi kwangaphambili kwe-ovari kuyisithiyo ekuhleleni kokukhulelwa. Uma lesi sifo sithola ukuxoxwa okuzenzakalelayo - umjikelezo wokuya esikhathini uzivuselela, ukukhulelwa kuyaba khona. Ezimweni eziningi, owesifazane udinga imithi. I-ovulation ejwayelekile, eyenza sikwazi ukukhulelwa ingane, ibonakala ku-5-10% weziguli.
Ngingakhulelwa yini ukukhathala kwama-ovarian?
Ngisho noma kuthiwa ubizwa ngokuthi "i-ovarian depletion syndrome", ukukhulelwa kungenzeka, kepha kuvame ukulandela ukwelashwa okukhethekile. Imizamo yokuzimela yokukhulelwa ayilethi imiphumela. Ukungabikho kwenqubo ye-ovulatory kuyaphazamisa ukuqala kokukhulelwa. Ngokuvamile ithuba lokuba owesifazane abe ngumama kuwukufaka umanyolo we-vitro.
I-IVF yokukhathala kwama-ovari
I-syndrome yokukhulelwa kwama-ovarian ekuqaleni iba yinkomba ye-IVF. Kulesi simo, ukukhethwa kweqanda kowesifazane ukukhulelwa okunye akunakwenzeka ngaso sonke isikhathi. Ngenxa yalokhu, kubalulekile ukuthi usebenzise iseli socansi lomnikeli. Umanyolo wenziwa ngumlingani womlingani, oshade naye wesiguli. Emva kokufaka umquba, iqanda lifakwe emgodini we-uterine. Ngokufakelwa ukuphumelela, inqubo yokukhulelwa iqala.