Matenda a Polycystic ovarian ndi mkhalidwe umene mazirawa sagwira ntchito bwino. Ngati sitilimbana ndi vutoli, m'tsogolomu lidzakhudza mahomoni, kuthekera kubereka mwana, mawonekedwe ndi thanzi la mkazi. Mutu wa nkhani yathu lero ndi "Polycystic ovary: mankhwala, mankhwala osokoneza bongo."
Matendawa amadziwika kuti: testosterone (chizindikiro chowoneka bwino chikhoza kukhala tsitsi loposa thupi kapena nkhope (hirsutism), kupatulira tsitsi pamutu), kupezeka kapena kusasintha kwa msambo (kuchedwa kwa milungu itatu mpaka miyezi 6), kusakhoza kutenga pakati, kunenepa kwambiri kapena kupweteka kwa thupi, mafuta obirira (acne).
Mazira a mazira ndi abambo opatsirana pogonana. Mwezi uliwonse, mumodzi mwa mazira awiri, mazira oyendetsa dzira amasintha. Dzira lirilonse liri mu follicle - bulu wodzazidwa ndi madzi. Mchitidwe wa kupasuka kwa follicle ndi kutulutsidwa kwa dzira kumatchedwa kutsekemera. Ndi mtundu wa polycystic ovum siukuphuka, follicle sizimaphulika, koma ziphuphu monga "gulu la mphesa" zimapangidwa. Mitsempha iyi ndi yowopsya ndipo mankhwala amatha.
N'zovuta kutchula chifukwa chenicheni cha kukula kwa polycystic ovary. Pa chitukuko cha matendawa chingakhudze matenda opatsirana ndi tizilombo toyambitsa matenda, kutentha kwakukulu kwa matayoni, mikhalidwe yovuta, kuphwanya mlingo wa insulini hormone, yomwe imayambitsa shuga m'thupi. N'zosatheka kusazindikira kufunika kwa chibadwa chobadwa nacho. Pofuna kutsimikizira kuti ali ndi matenda otani, dokotalayo amapereka ndondomeko yoyenera ya wodwalayo. Choyamba, magazi otchedwa hormone (TTG), mahomoni opatsirana (prolactin), mahomoni opatsirana pogonana (LH, FSH, STH), mahomoni a adrenal glands (cortisol, testosterone), amadzimadzi otchedwa insulin amafufuzidwa. Ultrasound ingagwiritsidwe ntchito kuonetsetsa kuti mazira oyenda mazira ndi okhwima alipo, ndipo kuyang'ana kwa uterine kumatha kuwona kuwonjezeka kwa endometrium, komwe kumayambitsidwa chifukwa chosasamba.
Ngati pofufuza momwe mlingo umodzi wa mahomoni umadutsa mopitirira malire, ndiye kuti kufufuza kwachiwiri kumachitika komanso katatu. Mapuloteni okwera kwambiri amasonyeza kusokonezeka kwa chithokomiro cha pituitary. Malinga ndi chiwerengero ndi zizindikiro, dokotala amapereka chithunzithunzi cha magnetic resonance (MRI) cha pituitary gland, chomwe chimalola kuzindikira kuti kulipo kapena kupezeka kwa prolactinoma.
Kuchiza ndi mankhwala " Dostinex " muzitsulo zosankhidwa bwino zimapangitsa kuchepa kwakukulu kwa prolactin mu kanthawi kochepa ndipo nthawi zonse zimakhala zovuta kumaliseche. Mlingo wa mankhwala a chithokomiro ungasinthidwenso ndi mankhwala omwe mumasankhidwa ndi dokotala.
Koma dokotala asananene mankhwala, mkaziyo ayenera kumvetsera malangizo ena. Kwenikweni, iwo amagwirizanitsidwa ndi kusintha kwa moyo, kuchepetsa kulemera, kudya zakudya zoyenera. Mayi ayenera kuthandizidwa kuchepetsa zakudya zowonongeka (maswiti, abusa, mbatata, etc.). Zimasonyezedwa kuti zikuphatikizapo zakudya zopatsa mbewu, zipatso, ndiwo zamasamba, nyama yowonda. Kawirikawiri ayenera kukhala zochitika za thupi, zofanana ndi zaka ndi malamulo. Zonsezi zidzakuthandizani kuchepetsa magulu a shuga, kupititsa patsogolo ntchito ya thupi ya insulini, kuimika mlingo wa mahomoni m'thupi. Ngakhale kuperewera kwa 10% kumapangitsa kuti msambo ukhale wozolowereka.
Kupsinjika maganizo kungangowonjezera zizindikiro za polycystosis, kotero muyenera kupeza njira zopezera malingaliro abwino. Tsitsi lowonjezera limatha kugwiritsidwa ntchito pogwiritsira ntchito zida zowonongeka kapena kusinthasintha, kuthira ndevu, kupaka sera. Kutulutsa tsitsi la laser kapena electrolysis kungapereke zotsatira zamuyaya, koma ziyenera kuchitidwa ndi akatswiri oyenerera.
Mankhwalawa amatanthauza kusankhidwa kwa njira zothandizira kulandira mankhwala ( Diane35) , kuchepetsa ma testosterone, kuchepetsa ziphuphu ndi tsitsi lowonjezera. Mankhwala a Metformin amachepetsa mlingo wa insulini m'magazi, motero amachepetsa kuchuluka kwa testosterone.
Kuonetsetsa kuti ovulation ntchito Clomifene - mankhwala oyamba omwe amasankha, amagwiritsidwa ntchito kwa odwala ambiri. Ngati clomiphene ilibe mphamvu, metformin ikhoza kulamulidwa, koma pa mlingo wochepa. Gonadotropin amagwiritsidwanso ntchito, amawononga ndalama zambiri ndipo amaonjezera chiopsezo cha mimba zambiri (mapasa, katatu).
Njira ina ndi in vitro feteleza (IVF). Njirayi imakupatsani mpata wokhala ndi pakati komanso kuyang'anira bwino kubadwa kwa mapasa. Koma, IVF ndi yokwera mtengo, ndipo palibe 100% yotsimikiziranso za feteleza yoyamba.
Njira yothandizira ntchito imasankhidwa pokhapokha ngati njira zonse zothandizira mankhwala osagwiritsidwa ntchito sizinagwiritsidwe bwino. Mothandizidwa ndi laparoscopy, dokotala amapanga zochepa zazing'ono m'mimba mwake. Opaleshoniyi ingapangitse kuchepa kwa masewera a testosterone komanso kuthandizira ndi ovulation. Tsopano mukudziwa chomwe mankhwala odyetsera amatsenga ndi: mankhwala, mankhwala. Musati muzidzipangira mankhwala! Taganizirani za kupitirira kwa banja!
Khalani wathanzi! Dziyang'anire wekha!