Zizindikiro za matenda Stein-Leventhal, zizindikiro zazikulu ndi mankhwala

Polycystic n'kuwasanganiza syndrome (Stein-Leventhal syndrome) - wamkazi m'thupi udindo, umene uli waukulu chifukwa cha kusamba matenda, anovulation, imbaenda osabereka. Kuchuluka kwa vuto Stein-Leventhal - za 3% ya matenda onse matenda a akazi gawo lotsiriza la kutha msinkhu ndi mapangidwe chonde, kumayambiriro a mphamvu ya moyo kugonana (nthawi zambiri zimakhudza akazi a zaka zapakati pa zaka 20 mpaka 30).

mabuku a mbiri yakale

Apainiya syndrome Stein-Leventhal woyamba kufotokoza mwatsatanetsatane zilili masiku ano inayamba mu 1935, asayansi Stein ndi Leventhal, kenako nalo dzina lake.

Koyamba ndiponso chithandizo anali opaleshoni kwakukulu. Kuchotsa m'madera okhutira apamwamba cysts zina analoledwa kubwerera chonde (mphamvu manyowa) mkazi adzabwerenso ovulation ndi luso ndi ana. Koma ngati yankho kwakukulu vuto sikuti zimam'pindulira, ndipo zachititsa kuti pakhale adhesions ndi mavuto ena.

chithunzi matenda

matenda Stein-Leventhal a amakhala ndi kuchuluka katulutsidwe mahomoni kugonana amuna ndi akazi, ntchito mkhutu yamchiberekero, osasamba ovulation kapena kusowa kwa iwo konse, hypersecretion wa kotekisi adrenal ndi kapamba. Komanso khalidwe la msambo ndi osabereka iye.

Akazi amene ali ndi matenda sangathe kutenga mimba chifukwa cha kusowa kwa ovulation. Ndipo ngati iwo atero, ndipo amalephera, ndiye losamala mwana amaperekedwa kwa iwo ndi kovuta kwambiri, pali chiopsezo kwambiri lobadwa padera kapena msanga.

Pamene bwino kumwa mankhwala amene madokotala ananena zawo bwino, ndi akazi ambiri akhoza kunyamula ndi kubereka ana athanzi.

zifukwa

Mpaka mapeto a zinthu zosadziwika zomwe kungadzutse kudwala a. Pali kutengera za kumtundu, komanso zinthu pa chiopsezo, amene angayambe pamene syndrome Stein-Leventhal. zifukwa motere:

• Majini chingawapangitse kukhala zidakwa, pamaso pa matenda mu mbiri ya munthu m'banja, abale magazi. Ndi kusintha zotheka tinatengera syndrome. Nthawi zambiri wamba mu akazi amene ali ndi mbiri banja la yamchiberekero polycystic anakumana, komanso zinthu zina yodziwika ndi kukulitsa nthenda ya mazira, ndi kukula kwa zipolopolo awo.
• Matenda a dongosolo hypothalamic-pituitary Mwachitsanzo, kobadwa nako kukanika kwa kotekisi adrenal.
• uterine fibroids.
• M'mawere.
• Nenani kaphatikizidwe timafunika ambiri m'mimba.

zimayambitsa zotsalira za matendawa

Zimayambitsa mozungulira zomwe zingachititse mazira polycystic, ndi:

• kunenepa, kulemera mofulumira phindu;
• khansa;
• kagayidwe kachakudya matenda;
• pamaso pa matenda a mtima (sitiroko, m'mnyewa wamtima infarction, matenda oopsa);
• shuga.

Kodi Ine ndikumuwona dokotala?

Pali zizindikiro kuti kungasonyeze matenda Stein-Leventhal. Zizindikiro izi sizinathe analankhula za matenda komaliza, koma chifukwa cha kukaona dokotala kufufuza thanzi lanu. Njirazi ndi monga:

• Hairiness a mtundu wamwamuna (hirsutism) ndi chizindikiro choyamba ndi chizindikiro kuti zingasonyeze chitukuko cha matenda polycystic n'kuwasanganiza.
• matenda kusamba, osasamba wake, nayenso zochepa magazi.
• Osabereka, kulephera pakati mwana, kulephera kubereka mimba zipatso.
• Ziphuphu zakumaso, ziphuphu, greasiness wa khungu kwambiri wochuluka khungu ndi tsitsi.

Zizindikiro zazikulu

syndrome Stein-Leventhal amakhala ndi kukhalapo zizindikiro zimene zingaoneke mu ambiri a milandu akazi:

• Zochepa kusamba mkombero kuphwanya, kusowa ovulation.
• Kunenepa ndi mafunsidwe a mafuta pamimba.
• uterine hypoplasia.
• Dazi m'dera korona, pamaso pa yamawangamawanga lateral ndi dazi pamphumi.
• Kuwonjezeka yamchiberekero zikamera wa cysts angapo pa pamalo awo.
• Depression, mphwayi, manjenje, irritability, ndewu.
• Kuwonjezeka mlingo wa timadzi androgen mwamuna magazi (testosterone, androstenedione).
• Zizindikiro zofanana syndrome premenstrual (chifuwa mwachikondi ululu kulongolola m'mimba mmene alili, kutupa, kupweteka m'munsi kumbuyo).
• Musanaganizire kutha kupuma akagona (matenda obanika kutulo), zikubweretsa kusokonezeka tulo, kusagona tulo, kutopa.
• Matenda ululu pamimba, chifukwa cha kukula kwa endometrial yamchiberekero kukoka boma.
• Kuchulukana ndi thickening wa endometrium la chiberekero chifukwa kupanga kwambiri timafunika.
• Kutsitsa mlingo wa globulin.
• Kuchuluka milingo insulin m'magazi.

Kusintha m'maonekedwe

Akazi nthawi zambiri zovuta mwamakhalidwe kunyamula matenda Stein-Leventhal. maonekedwe mkazi sasintha bwino, kuti ndi chifukwa kusapeza, osatetezeka, anazunzika maganizo. Vuto kwambiri zovuta ndi maonekedwe a tsitsi, kumene iwo ali mkazi ayenera kukhala. Fomu chifuwa sasintha, komanso kukula kwa thupi. Zizindikiro zosautsa chopatsa kusakhutira matupi:

• ndi mafunsidwe a mafuta m'dera m'mimba;
• kuchuluka oiliness wa khungu, ziphuphu totupa;
• kutambasula zizindikiro, zizindikiro Tambasula pa ntchafu, matako ndi m'mimba;
• mawanga mdima pa khungu;
• seborrhea, amaika flaking khungu, dandruff;
• kumeta tsitsi imfa chitsanzo mwamuna;
• mizere chabwino ndi makwinya pa khungu.

Thumba losunga mazira ndi abnormally kuchuluka kukula, chigoba chake thickens, kumakhaladi wandiweyani ndi chonyezimira. Padziko pali ambiri cysts follicular, pali kutchulidwa ziwiya sclerosis ndi kuchuluka kwa minofu connective.

hirsutism

Zoipitsitsa chizindikiro syndrome Stein-Leventhal ndi hirsutism. Iwo amakhala ndi maonekedwe a tsitsi mwakhama ndi lalitali m'thupi la mayi chitsanzo wamwamuna: m'dera pachifuwa, pamimba, ndi masaya, mlomo chapamwamba, chibwano, ndipo pa nsana chapamwamba, pamodzi msana, kuzungulira nsonga zamabele lapansi.

Chithandizo cha matendawa sichichititsa ndiyotani pakuchotsa tsitsi losafunika. Kuchotsa iwo ntchito laser, chithunzi ndi electrolysis, umene kwathunthu kuchotsa tsitsi owonjezera kalekale. Ndi mankhwala angapo kubwereza ndi onse.

diagnostics

chikhalidwe amawapeza pamene pali pamaso pa makhalidwe angapo, mmene ambiri kwa amayi omwe nkhawa syndrome Stein-Leventhal. Photos of akazi akudwala matenda likutsimikizira kuti si onse kwadziwika hirsutism chifukwa cha ulimi wa mahomoni mwamuna kugonana owonjezera mwakale. Choncho, zinthu zofunika monga:

1. ntchito mopitirira muyeso ndi katulutsidwe wa mahomoni mwamuna kugonana (androgens).
2. chosowa kwambiri ovulation - oligoovulyatsiya. Kapena kusowa iwo amachita - anovulation.
3. Ultrasound anaulula mazira polycystic, ngati palibe zifukwa zina zoonekeratu mapangidwe cysts.
4. A kuwonjezeka kwambiri mazira kuchokera kumbali zonse.

Iwo anapezeka ndi X-ray ndi ultrasound.

kusanthula zizindikiro

M'magazi, pali kuchepa misinkhu esitirojeni, koma kuchuluka kwa timadzi androgen. Komanso kuwonjezeka excretion awo mkodzo.

Pakuti matenda amagwiritsa syndrome wapadera m'thupi mayesero (chorionic anthu gonadotropin kapena progesterone), amene allocated mu ndende adakulabe mu mkodzo, zimene zikusonyeza mapangidwe awo kwambiri mu n'kuwasanganiza lapansi.

mankhwala Traditional

Mfundo zikuluzikulu za mankhwala ndi kupereka maonekedwe a ovulation mu akazi ndi matenda a "syndrome Stein-Leventhal." Chithandizo chosatha ndi zovuta, makamaka ikuchitika mwa kukonzekera timadzi mankhwala.

Ntchito esitirojeni-progestin mankhwala ( "Ovidon", "Regevidon"). Komanso mu mankhwala zovuta ntchito odana androgens, amene bwino kuthetsa zizindikiro androgenization NADZIWA kaphatikizidwe mahomoni awa ndi hypersecretion awo zopangitsa lapansi.

Chithandizo cha matenda Stein-Leventhal mankhwala wowerengeka angakhale ogwira kukwaniritsa cholinga cha mimba. Kwenikweni, infusions a zitsamba chagwiritsidwa.

Ngati ubwino wa mankhwala samaoneka mu miyezi sikisi, ndiye kupita mu njira ya njira opaleshoni kuti kuthetsa mavuto - mphero resection wa thumba losunga mazira ndi. Mu zina, tikulimbikitsidwa uterine curettage. Komanso, njira izi amaonedwa mogwira pathological ikukoka endometrium ndi oposa 20% pambuyo zaka 30.

The njira kwambiri masiku ano ndi wofatsa kuteteza mapangidwe adhesions, ndi laparoscopy (mikrorezektsiya, electropuncture, laser vaporization).

Pambuyo ntchito wasonyeza akazi mokakamizidwa dokotala ndi kuonerera dispensary. Ngati patapita miyezi isanu, zochizira matendawa Stein-Leventhal sachiza, kachiwiri akusankhidwa ndi mankhwala mankhwala. Pambuyo pa opaleshoni, anachita kuti kuchuluka kwa mankhwala, kuti iyende bwino.

zodzitetezera ndi chitukuko cha matendawa kulibe, chifukwa n'komwe chikhalidwe ndi zimayambitsa. Thupi tsitsi pa mfundo mwamuna akhoza kukhala woyamba anadzuka mmwamba foni, akulankhula za chiyambi cha matenda polycystic n'kuwasanganiza, kotero pa chizindikiro pang'ono kusintha zachilendo maonekedwe m'pofunika kuona katswiri.

Stein-Leventhal syndrome: mankhwala ndi zitsamba

Chithandizo njira za makolo, ndi udzu winawake, Mulimonsemo sayenera kugwiritsidwa ntchito ngati woima m'malo mankhwala ndi njira zinazi. Ichi ndi chimodzi chabe mwa zigawo kuti angakhale ogwira kudzera njira Integrated.

Kuti azidwala mimba, muyenera zotsatirazi tinctures mankhwala:

• Knotweed wina supuni kutsanulira kapu imodzi ya madzi otentha. Pambuyo kulowetsedwa (ola 2.3) anatengedwa musanadye chakudya chikho theka.
• Adamu muzu tincture wa kukonzera njira yomweyo, koma kunena kuti akhale maola yaitali kuposa 2, atakulungidwa mu chopukutira kapena nsalu ina ofunda. Tengani supuni imodzi ya ndalama musanadye nthawi 4 tsiku.
• Tincture wa mankhwala tchire Brew muyenera chimodzimodzi. Landira ayenera katatu pa tsiku, nagawira galasi pa magawo atatu, pasanafike theka la ola pamaso chakudya.
• Ledum palustre umafululidwa mu chiŵerengero cha 1 chikho cha supuni madzi 1 zitsamba, nandipatsa pafupifupi 8 maola, kenako anatengedwa theka galasi pamaso chakudya masana.
• Kuti akonze kulowetsedwa a kusonkhanitsa zitsamba ayenera parsley, motherwort, chilombo ananyamuka zipatso, plantain, ndimu mankhwala, calendula maluwa, tchire, zino, mapepala strawberries ndi liziwawa St. John wa magalamu 10. Phimbani zonse thermos, kutsanulira madzi (250 ml) otentha, kunena zosaposa mphindi 20. Ndiye kutsanulira mu chidebe wina ndi kumva kwa ola limodzi. Tengani katatu tsiku pamaso chakudya theka chikho.

Zotsatira zabwino pa chithandizo mu zakudya akazi kuyenera kuphatikizapo zakudya zotsatirazi zomwe zili zambiri mavitamini a magulu A, E, C ndi B:

• adyo:
• radish;
• udzu winawake;
• zipatso pistachios;
• chives;
• chimanga;
• mphesa.

Zotsatira ndi kuopsa

Zotsatira ambiri osiyana angachotsedwe chithandizo kuchepa. Chifukwa cha kwambiri kupanga androgen, amene amakhala ndi vuto Stein-Leventhal, maonekedwe a mkaziyo akhoza kusintha kwambiri, komanso kukhala ndi matenda aakulu kwambiri, monga:

• shuga;
• khansa ya m'mawere;
• sitiroko;
• mtima;
• endometrial khansa, hyperplasia.

Zimagwirira la matenda osati afufuza mpaka kumapeto. Posachedwapa, asayansi akwanitsa kukatenga ndi mankhwala ogwira pamene ntchito mosamalitsa okhawo chithandizo opaleshoni. Zochita panopa zachipatala, panali milandu yambiri ya kuchira pafupifupi onse. akazi adapitiriza kusamba, ovulation kutuluka, ndi kuti mwayi bwinobwino pakati, anyamule ndipo adzabala mwana wathanzi. Sikuti kuthamanga boma, mkazi aliyense angathandizidwe. Mtima kudzakuthandizani, izo zimatengera osati pa njira munthu wa matenda, komanso matenda ake yake, ntchito mankhwala osakaniza.