Resistant zes qe menyuam syndrome: cov tsos mob, kev kho mob, kev tiv thaiv

resistant zes qe menyuam syndrome yog lub kawg to taub daim ntawv ntawm cov poj niam pathology. tus kab mob yog feem ntau pom nyob rau hauv 25-35 xyoo. Tsiag ntawv los ntawm ib ntus tsis tuaj kawm ntawv ntawm kev coj khaubncaws nrog txhawb theem ntawm gonadotropic pituitary cov tshuaj hormones.

txhais

Lub essence ntawm tus kab mob cov lus dag nyob rau hauv lub fact tias lub zes qe menyuam tsum ua lawv direct muaj nuj nqi. Feem ntau cov feem ntau, tus kab mob loj zuj zus thiab xaus nrog lawm. Feature pathology manifested nyob rau hauv sterility thiab lub tsis tuaj kawm ntawv ntawm lub cev ntas. Thaum lub sij hawm ntawm tus mob no feem ntau tsim ntau yam ntaub ntawv ntawm amenorrhea. Nyob rau hauv lub sij hawm no lub overvalued theem ntawm gonadotropins ntawm lub pituitary, vim hais tias lub cev yog tseem sim khiav lub zes qe menyuam. Txawm li cas los, lawv tsis tau pib mus ua hauj lwm, raws li tseem ceeb txaus tus nqi ntawm progesterone thiab cov tshuaj no. Rau cov thawj lub sij hawm hais lus hais txog qhov teeb meem nyob rau hauv 1959, thaum zaum tau piav txog tus yam ntxwv ntawm lub syndrome ntawm resistant zes qe menyuam. Tseem, lub npe rau hnub no tseem tsis zoo to taub, thiab yog vim li cas cov tsos tau tseem tsis tau tau tag nrho txhais.

hom

Nyob rau hauv kev kho mob reference cov phau ntawv tsis muaj tseeb kev faib ntawm no pathology. Txawm tias ib txhia kws yog peb variants ntawm tus kab mob:

1. Caj predisposition uas tsis xws luag nyob rau hauv follicular unit.
2. Automicheskaya xwm tsos - thaum lub caij ntawm antibody sim FSH receptor rhiab heev.
3. Thaum siv ntawm cytotoxic thiab immunosuppressive tshuaj.

cov tsos mob

resistant zes qe menyuam syndrome feem ntau yuav tsum tau qhia los ntawm cov uas muaj npe ailments:

• siab tus xov tooj ntawm LH (luteinizing hormone) thiab FSH (follicle stimulating hormone) thiab tsawg estradiols;
• amenorrhea - tsis tuaj kawm ntawv ntawm kev coj khaubncaws;
• lub havzoov ntawm mucosal chaw mos thiab chaw mos;
• zes qe menyuam uas muaj ib tug loj tus naj npawb ntawm cov hauv paus nrog rau tej loj thiab nyias lub uterine endometrium;
• hloov mus rau lwm yam mob loj heev tus kab mob thiab kev nyuaj siab;
• ua poj niam pib ua rau cov lus thiab ces disappears zoo rau nws.

Cov kev loj hlob ntawm tus kab mob no feem ntau yog tshwm sim tom qab 5-10 xyoo los ntawm tus thawj lub voj voog. Tag nrho cov neeg uas sau hais tias kub flushes mus rau lub taub hau tshwm sim thaum hmo ntuj thiab nyob rau hauv nruab hnub. Mob lawm nyob rau hauv lub plab mog tshwm sim nthawv, tsis muaj yog vim li cas rau nws. Feem ntau cov feem ntau, cov poj niam uas tau resistant zes qe menyuam syndrome, yog mob heev ua poj niam thiab tom qab mob.

Thaum mus ntsib ib tug kws kho mob rau tus neeg mob los nrog kev tsis txaus siab ntawm qhov mob nyob rau hauv qab thiab cov uas tsis muaj poj niam tom qab tus kab mob, kev soj ntsuam xyuas thiab tsom xam feem ntau qhia tau hais tias hais tias nws coj sulfonamides nyob rau hauv loj qhov ntau, uas yuav ntxias cov tsos ntawm cov mob.

yog vim li cas

Nyob rau hauv peb lub sij hawm, cov yam tseem ceeb uas cuam tshuam lub tsim ntawm pathology, yog tsis qoos taub. Tab sis muaj ib tug kev tshawb xav tias cov feem ntau yuav yog qhov uas tus kab mob no yog ib tug kev tshuaj ntsuam genetic hloov nyob rau hauv lub receptor site follicle. Feem ntau cov zaum cam hais tias resistant zes qe menyuam syndrome, cov tsos mob uas yog varied thiab tsis meej xwm, feem ntau cuam tshuam los ntawm xws li cov kab mob:

• alopecia;
• autoimmune thyroiditis (o ntawm cov thyroid caj pas);
• myasthenia Heavy kev (nqaij tsis muaj zog thiab kev qaug zog);
• mob ntshav qab zib;
• thrombocytopenic purpura;
• kab mob (mumps feem ntau);
• autoimmune anemia.

Lub ntsiab yam tseem ceeb muaj xws li cov kev loj hlob ntawm yog vim li cas:

• irradiation nyob rau hauv Oncology;
• siv immunosuppressive thiab cytotoxic tshuaj;
• phais nyob rau hauv lub zes qe menyuam.

Tsis tag li ntawd qhov no nyob rau hauv pulmonary tuberculosis thiab sarcoidosis tshwm sim tsis ntawm zes qe menyuam cov ntaub so ntswg, uas feem ntau ua rau cov kev loj hlob ntawm pathology. Tus mob kuj yuav caj rau hauv qhov thiab tshwm sim tom qab mob loj heev kev nyuaj siab thiab lawm paj perenagruzok.

diagnostics

Symptomatology ntawm tus kab mob yog zoo txuam nrog xws li mob raws li dyscrasia gonad thiab ntawm zes qe menyuam tsis ua hauj lwm. Yog li ntawd, tsuas yog tias kev txoj kev tshawb no tsis txaus siab thiab kuaj ntaub ntawv los ntawm kev soj ntsuam kev tshawb fawb txiav txim hauv lub xub ntiag ntawm tus kab mob. Nyob rau hauv feem ntau tus neeg mob, thaum lub sij hawm ntawm thawj zaug soj ntsuam yuav pom bland zoo tshwm sim "tus menyuam kawm ntawv", mastopathy ntawm fibrocystic hom havzoov pem hauv ntej ntawm lub qog ua kua week ntawm lub chaw mos thiab chaw mos, thiab nws cov lus hais rau hyperemia. Thaum ultrasound, laparoscopy thiab gynecological xeem pom tsawg heev yuav txo tau nyob rau hauv me me ntawm lub ncauj tsev menyuam. Nyob rau hauv thiaj li yuav paub meej tias cov resistant zes qe menyuam syndrome, cov kws kho mob muab ib tug me ntawm epididymis. Rau cov nrhiav kom tau ntawm parenteral thiab pyramidal hlwb yog ua histological xeem. Yog hais tias koj noj ib hormonal xeem, nws tseem tau mus teem lub theem ntawm LH thiab FSH nyob rau hauv cov ntshav ntshav, uas yog feem ntau high school, thiab tsis coincide nrog lub cai. Ices uas tsis muaj concentration ntawm estradiol. Nyob rau hauv tshwj xeeb xim coj lawm kev ntsuam xyuas, nws sau tseg hais tias thaum lub thawj qauv feem ntau qhia tau hais tias zoo gestogen thiab tom ntej - tsis zoo.

txoj kev kho

Kev kho mob xyaum yog heev feem ntau muab kev koom tes nyob rau hauv ib qhov teeb meem zoo li tshuaj-resistant ntawm zes qe menyuam syndrome. Kev kho mob yog yeej ib txwm tsis meej xwm, raws li cov xwm ntawm cov tsos ntawm cov kab mob no yog tsis qoos taub. Feem ntau muab HRT (hormone hloov txoj kev kho) thiab tus kho lus ntawm cov tshuaj no tsis muaj peev xwm. Lub hauv paus ntawm cov txheej txheem yog los lub cev ntas thiab tej qib ntawm gonadotropic cov tshuaj hormones.

Feem ntau, cov kws kho mob muab cov tshuaj xws li "Trisekvens", "Festoon", "Klim", "Premella-cycle", "klimonorma", "Divina", "Klimodien" "Livial" thiab "Kliogest". Vim qhov xwm ntawm cov hoob kawm txhua xyoo rau tus neeg mob yuav tsum yauv mus ua pelvic ultrasound. Tswj ntshav kuaj, lipoproteins thiab roj uas txhaws taus yuav pab tau tsim thiab paub ib tug tshiab pib txoj kev kho. Vim densitometry kev tshawb fawb yuav tshem tawm txha.

Raws li zoo raws li cov tshuaj zoo tag nrho nrog rau lub unconventional:

• tuav intravaginal thiab celiac ultraphonophoresis;
• resort so;
• acupuncture cheeb tsam ntawm zes qe menyuam receptors;
• vitamin E.

Cov ntaub ntawv nyob rau hauv cov kev tshwm sim ntawm no txoj kev kho yog heev tsis meej xwm. Tab sis cov kws kho mob tseem sau ntawv ib qho kev nce rau hauv lub xov tooj ntawm cev txaus thiab hauv paus tshuab txais LH thiab FSH. Estrogen pib mus rau sawv nyob rau hauv cov ntshav. Tom qab lub restoration ntawm ib txwm ua poj niam ovulation feem ntau tsis tshwm sim, thiab muab yug ib tug me nyuam xws li ib tug neeg mob tau feem ntau los ntawm IVF (nyob rau hauv vitro fertilization).

Rau hnub tim, Gynecology yog tsis zoo heev to taub, vim li cas muaj yog resistant zes qe menyuam syndrome. Hypergonadotrophic amenorrhea - ib tug kab mob loj, thiab nyob rau lub sij hawm ntawd yog tsis muaj tus tswv daim ntawv teev cov tswv yim pom zoo rau nws kev tiv thaiv thiab kev kho mob. Qhov tseem tseeb yog xav kom tshem tawm cov kev phiv yam thiab txhua lub xyoo dhau kev soj ntsuam, tshwj xeeb tshaj yog yog hais tias muaj yog ib tug muaj kev cuam tshuam ntawm lub cev ntas.

ethnoscience

Feem ntau siv raws li ib tug prophylactic kev kho mob. Peb yuav tsum nco ntsoov coj vitamin E, uas yog nyob rau hauv tej khoom noj xws li hazelnuts, txiv laum huab xeeb, nplej kab thiab walnuts. Cev ntas rov qab no yuav lecithin, muaj nyob rau hauv legume, qe thiab zaub paj, thiab raws li yog lub npe hu, nws qhia tias ib tug tsis muaj resistant zes qe menyuam syndrome. Kev kho mob ntawm pej xeem cov tshuaj thiab tshuaj ntsuab tshuaj yog heev complementary kho nyhuv.

Feem ntau cov feem ntau, qhov no herbal cov nqi uas muaj analgesic zog thiab zoo-cai voj voog:

1. Rau qhov kev npaj ntawm cov muaj pes tsawg leeg yuav tsum tau tov thiab 30 grams ntawm peppermint nplooj, valerian paus, thiab 40 grams ntawm camomile. Qhov npaj loj yog poured boiling dej thiab siv tau rau ib tug iav nyob rau hauv lub yav sawv ntxov thiab yav tsaus ntuj.
2. Cov Txoj kev lis ntshav ntawm viburnum berries thiab blackberries yuav pab lub zes qe menyuam, rau qhov lawv yuav tsum tau coj ib tug ob peb tsom iav ib hnub twg.
3. Yuav kom txhim kho coj khaub noj ib khub ntawm cloves ntawm qej.

ntxiv lawm tshob

Tus thawj theem ntawm kev kho mob muaj xws li normalizing lub endocrine system, uas yog lub haum ntawm lub qog caj pas, adrenal qog thiab kev kho mob ntawm cov ntshav qab zib.

Tom ntej no, koj yuav tsum siv:

• spermogrammu tus txij nkawm (3 lub sij hawm rau 7 lub lim tiam) nyob rau hauv thiaj li yuav tshem tawm cov tshaj ntawm txiv neej ntxiv lawm tshob;
• ehosalpigografiyu (opredeljaemost hlab qe menyuam);
• postcoital xeem - kom paub meej tias hauv lub qhaj ntawv ntawm immunological ntxiv lawm tshob;
• hysteroscopy (nyob rau intrauterine pathology kev xeem).

Tom ntej no, thov tshuaj, uas yog pib mus tsim kho lub hauv paus, thiab ces tseem zoo siab txais tos cov tsos ntawm ovulation. resistant zes qe menyuam syndrome thiab cev xeeb tub yog heev tshaj, raws li nyob rau hauv 60-70% ntawm cov neeg ntawm ntxiv lawm tshob yuav kov yeej nrog kev pab los ntawm cov tshuaj.

kev tiv thaiv

Txij li thaum hnub no niaj hnub tshuaj tsis tau siab tshawb hauv tus txheej txheem ntawm lub rov tshwm sim ntawm tus kab mob, nws yog heev yooj yim mus single tawm tej yam kev ntsuas uas yuav pab rau nws kev tiv thaiv. Txawm tias cov kws txawj hais tsis txhob siv cov tshuaj toxicity li sai tau thiab tsis mus rau chaw uasi rau cov teebmeem ntawm hluav taws xob. Pom zoo kom mus ua ib tug noj qab nyob zoo txoj kev ua neej thiab lub sij hawm los kho gynecological kab mob, thiaj li tsis nyob resistant zes qe menyuam syndrome.

Kev tiv thaiv cov lus dag nyob rau hauv lub fact tias nyob rau hauv feem ntau me faults nyob rau hauv lub cev ntas yuav tsum mus ntsib ib tug kws kho mob thiab mus ua tag nrho cov uas yuav tsum tau kev soj ntsuam. Qhov no yuav pab tiv thaiv kom txhob loj hlob ntawm ntau yam pathologies thiab khaws cia cov poj niam txoj kev noj qab haus huv.

Yuav outlook

Lub ntsiab yam tab kaum yog ntxaug voj voog thiab ntxiv lawm tshob uas yog heev yooj yim mus kho. Thiab kuj yuav tsub kev pheej hmoo ntawm thaum ntxov tsim ntawm muaj hnub nyoog txog kab mob, raws li txhais los ntawm ib tug tsis muaj ntawm cov tshuaj no, thiab nws tseem yuav los tsim uterine malignancies.

Outlook yog heev paaj, thiab coj khaub nuj nqi feem ntau rov.