I-Stein-Leventhal Syndrome - iyini, izimpawu, ukwelashwa kwesifo

Akuyona njalo owesifazane, ekhuluma nodokotela, uqonda ukubaluleka kwesitifiketi esikhishwe. Ukuxilongwa okunjalo, njenge "Stein-Leventhal Syndrome," kuvame ukudala ukukhathazeka nemizwelo. Cabanga ngalokhu ngokuningiliziwe, ubiza amagama, izimpawu, ukwelashwa kwe-algorithm.

I-PCOS ekuguleni kwegazi

Lesi sifo sinenye igama - i-polycystic ovary syndrome (PCOS). Isifinyezo esinjalo sivame ukutholakala emibikweni yezokwelapha. I-Syndrome ye-Stein-Leventhal gynecology ibheka, njengesethi sembukiso ephawulekayo, ekhombisa ukuphazanyiswa ekusebenzeni kwama-ovari, ama-pancreas, i-cortex e-adrenal ye-hypothalamic-pituitary system. Ngokumelene nesimo salolo shintsho ohlelweni lokuzala, ngokuqondile kuma-ovarie, ku-syndrome, kwenziwa ama-multiple outgrowths, agcwele ama-serous fluid, kanye ne-cysts ifomu.

I-PCOS - izimbangela

Ukuhlolwa okuphelele kanye nokulandelwa kwesikhathi eside kwabesifazane abane-syndrome, banquma lokho okushiwo ukuthuthukiswa kwayo, njengoba ukuphikiswa kwe-insulin. Ngokushesha ngokuvamile kuwukuqala kokuthuthukiswa kwe-Stein-Levental syndrome. Kule nkinga, ukuzwela kwesilwane sesifazane kuya kwe-insulin kunciphise kakhulu. Egazini, ukuhlushwa kwe-hormone kwanda, okuvusa ukwedlula ngokweqile kwe-androgens emaqanda. Ngaphansi kwesenzo sabo, isakhiwo nokusebenza kwezingcansi zobulili zomuntu wesifazane zishintsha.

Nge-Stein-Leventhal syndrome, ngenxa yokunyuka kwama-androgens egazini, owesifazane ubona ukwephulwa kwezinqubo zokuvota, okuyinto ebonakala ekungabikho kwesikhathi kokukhulelwa ekuhleleni kwakhe. Igobolondo langaphandle le-follicle likhula, i-ovulation inzima futhi ayenzeki. Ngokuhamba kancane, iqala ukugcwalisa uketshezi, iphenduke ibe yi-cyst. Ngokubonakala okuningi kwezinhlobo ezinjalo, uphawu lwe-Stein-Levental luqala. Ngenxa yalokho, ama-ovari womfazi abe yingxenye yama-cysts amancane.

Ukuhlolwa kwe-PCOS

Ngaphambi kokuphetha nokuhlola ukuthi "isifo se-Stein-Levental", odokotela banikeza izifundo eziningi. Phakathi kokubaluleka okubaluleke kakhulu lokhu:

• I-Ultrasound;
• ukuhlolwa kwegazi ngamahomoni;
• i-biochemistry yegazi.

Phakathi nokuhlolwa kwegazi ngamahomoni nge-Stein-Leventhal syndrome, izinga eliphezulu le-hormone yokuqondisa i-hormone, ne-androgens, isungulwa, ukwehla ekugxileni kwe-progesterone esigabeni sesibili somjikelezo. Ukuze uphendule le ndlela, igazi lihlolwe kathathu ngesikhathi sokuya esikhathini: esigabeni soku-1, ekuvuthweni, esigabeni sesi-2. Uma kungekho zikhathi, ukuhlaziywa kwenziwa nge-interval of days 7-10.

Esivivinyweni sesayensi yezinto eziphilayo lapho kutholakala ukugula, "i-Stein-Levental syndrome" ihlolisise ukuhlunga kwe-glucose ne-cholesterol - izibonakaliso zokukhubazeka komzimba, okuhlale kuphawulwe ezifweni ze-polycystic. Ukutholakala kokugcina kwe "Stein-Levental Syndrome" kusekelwe kwedatha ye-ultrasound. Iveza ukuphindaphindeka kokuphula umthetho, ubukhulu bezinhlangano ngabanye, ukuze kuthuthukiswe amaqhinga ezinyathelo zokwelapha.

I-Stein-Levental Syndrome - izimpawu

Lesi sifo sibonakala ngokunyuka kancane kancane kwezimpawu. Okokuqala, owesifazane ulalele ukuphulwa komjikelezo wokuya esikhathini ekubonakalisweni okuhlukahlukene: izinguquko kumthamo, ubude, nokuphindaphindiwe kokuphuma. Ngokuvamile i-amenorrhea iyaziwa. Ngaphezu kwalokho, i-Stein-Levental syndrome ibonakala yi:

• ukubukeka kwezici zesondo ngokobulili ngokusho kohlobo lwesilisa - izinwele esiswini, esifubeni;
• ukwanda ngobukhulu bama-ovari;
• ukubukeka kobuhlungu ehlane elingezansi, indawo ye-pelvic, esiswini esingaphansi;
• isisindo somzimba esanda, ukukhuluphala kwesisu (isisu esikhulu);
• izimo ezicindezelayo eziningi;
• ukwanda kwengcindezi yegazi.

Phakathi kwalezo zimpawu, isici esiyinhloko esihlukanisayo se-Stein-Levental syndrome yi-muscularisation. Ngokumelene nesizinda esikhulu sezinduna zobulili zesilisa egazini, isimo senyama siyashintsha, ukuqubuka kwezwi kuguquka. Lapho i-syndrome iphukile i-Stein-Leventhal, ukubonakala komuntu wesifazane kuguqulwa futhi ubukeka njengomuntu. Ubukhulu bezimpawu kubangelwa ukuhlushwa kwe-androgens egazini leyintombazane, isiteji sesifo.

I-Stein-Levental Syndrome - ukwelashwa

Ngemuva kokuxilongwa "kwe-PCOS", ukwelashwa kunqunywe ngokuhambisana nesigaba sesifo, isifo se-symptomatology, izinga lokushintshwa ohlelweni lokuzala. Kunezinhlobo ezimbili zokwelapha:

• okuzimele - kuhilela ukusetshenziswa kwezidakamizwa ze-hormonal kwi-syndrome ye-Stein-Leventhal;
• ukuhlinzekwa - ukuxilongwa kwezicubu ezithintekayo ze-ovary, kanye nokushintsha okukhulu ekukhishweni kwabo ngokuphelele.

Indlela yokuphatha i-PCOS?

Ekuqaleni, odokotela benza ukuhlolwa okuphelele ukuze banqume ubukhulu besilonda se-Stein-Levental syndrome. Uma wenza i-ultrasound, inani lama-cysts atholakalayo namasayizi awo alungisiwe. Uma zincane, ukwelashwa kwe-hormone kunqunywe. Ihlanganisa:

• ukuqokwa kweprogestogen - Dydrogesterone, Progesterone. Buyisela umsebenzi wobulili, umjikelezo nokuvota;
• izakhi zokuvimbela ukukhulelwa - Ovidon, Rigevidone;
• izidakamizwa ezinciphisa izinga le-androgens - Androkur, Veroshpiron.

Isikhathi sokwelashwa okunjalo kwesifo se-Stein-Levental syndrome sifinyelela ezinyangeni eziyisithupha. Phakathi nalesi sikhathi, lo wesifazane uphawula ukuthuthukiswa kwempilo yonke, ukunyamalala okuphelele kwezimpawu. Umjikelezo wokuya esikhathini uyancipha, ubuhlungu buyanyamalala. Emva kwenkathi yokwelashwa kwe-hormone, misela izidakamizwa zokugqugquzela inqubo ye-ovulatory, isibonelo - i-Clomiphene.

Ukungenelela kokuhlinzwa ku-Stein-Leventhal syndrome kuyadingeka emva kokuntula ukwelashwa ngezidakamizwa ze-hormone. Ekusebenzeni, ukucutshungulwa kwemigqa kwenziwe ngama-ovari. I-laparoscopy ne-PCOS ivame ukwenza. Inqubo enjalo ayifaki isikhathi sokubuyisa eside, sinomlingiswa ophansi othukuthele, oqhutshwa ngaphansi kokulawulwa kwemishini yevidiyo ngesinqumo esiphezulu.

I-PCOS - ukwelashwa ngamakhambi abantu

Le ndlela yokwelapha ivame kakhulu phakathi kwabesifazane. Kodwa ngaphambi kokwelapha isifo se-polycystic ovaries ngosizo lwemithi yendabuko, udinga ukubonisana. Phakathi kokupheka okuphumelelayo kwe-Stein-Levental syndrome, kufanelekile ukuphawula:

1. Ukunqunywa kwamakhambi we-shayela elibomvu - isipuni esingu-1 sezimpande ezichotshoziwe sithelelwa ku-200 ml wamanzi abilayo, linda ihora elingu-1. Thatha amaminithi angu-30 ngaphambi kokudla, izikhathi ezintathu ngosuku. Ubude benkambo yizinsuku ezingu-10.
2. Tincture on utshwala obomvu utshwala - 8 g izimpande uthele 500 ml of vodka. Ukuphikelela izinsuku ezingu-7, ufaka endaweni emnyama. Phuza ingxenye yesipuni kasipili kathathu ngosuku. Thatha izinsuku ezingu-5-7.
3. I-tincture yesisu se-borage - ilungisa ngokusho iresiphi engenhla. Thatha 1/2 isipuni, izikhathi ezintathu ngosuku, isonto elilodwa.
4. Izimpande ze-Licorice - 200 ml wamanzi abilayo ungeziwe ku-1 isipuni sezimpande zesitshalo. Bambelela ihora. Thatha phakathi nosuku. Isikhathi sokwelashwa izinsuku ezingu-14.

Ukudla ku-PCOS

Indima ebalulekile idlala ngokudla komfazi onesifo se-Stein-Levental syndrome. Ukudla okunomsoco nge-PCOS kufanele kube okulungile, okulinganisiwe. Odokotela bayelulekwa ukuba balandele imithetho elandelayo:

• ukuze udle ukudla nge-index ephansi ye-glycemic: yenkomo, inhlanzi, izinkukhu, i-rye, ibhali, i-lentils, ungqimba, isinkwa se-rye; izithelo nemifino: kiwi, apula, ama-oranges, ikhukhamba, utamatisi.
• isilinganiso semifino yamaprotheni kuya kwamakhemikhalididididi;
• okulungile, ukudla okuyingxenyana;
• imikhiqizo enokubambisana okungokwemvelo (eyakhulile ngokuzimela);
• inani elikhulu le-fibre yokudla lokunciphisa i-cholesterol: izithelo, izithelo ezomisiwe, imifino, amajikijolo ama-bran.

I-PCOS - indlela yokukhulelwa?

Isizathu sezinkinga zokukhulelwa ku-PCOS ukungabi khona kwe-ovulation. Kodwa ngenxa yobuhlobo obuseduze nokuphazanyiswa kwesimiso se-hormonal, ukuqiniswa okufanayo kwenqubo ye-ovulatory akwanele. I-Polycystic ovarian syndrome iphathwa ngokuhlela ukukhulelwa ngezigaba ezintathu:

• isisindo somzimba esinciphile;
• i-hormonotherapy;
• ukukhuthazwa kwenqubo yokuvuthwa.

Isigaba sokugcina sokwelashwa kwe-Stein-Leventhal syndrome yilapho owesifazane ehlela ukukhulelwa kuqala. Ngesikhathi esifanayo, i-tube factor of infertility ayitholakali ngokuphelele kusengaphambili - amashubhu we-fallopian ahlolwe ukuthambekela. Uma kungekho umphumela, ubunzima bokukhulelwa, odokotela batusa ukungenelela kokuhlinzwa. Ukubuyisana okuyingxenye ye-ovary ewonakele kulungisa lesi simo, kuyilapho kulondolozwa ukuthi kungenzeka ukukhulelwa.

I-IVF ku-PCOS

Ukukhulelwa ngokweqile uma kwenzeka i-syndrome ekhonjisiwe isetshenziswa ngaphansi kwezimo ezithile. I-PCOS nokukhulelwa kuyimigomo ehambisanayo, abesifazane abaningi banakekela ukukhulelwa kwengane ngemuva kokulashwa. Uma ukukhulelwa kungekho ngemuva kokugcoba iminyaka engaphezu kwengu-2, akukho mphumela ovela ekwelashweni (i-laparoscopy eyenziwe), kukhona ukuvinjelwa kwamatayipi we-fallopian, - i-ECO inconywa. Lenziwa ngemuva nje kokulandelayo:

• ukulungiswa kwezifo ze-hormonal;
• ukujwayeleka kwezinqubo zokuqubuzana;
• ukulahlekelwa isisindo.