Syndrome ugxan u adkaysta: calaamadaha, daaweynta, ka hortagga

adkaysi syndrome ugxan waa qaabka ugu yaraan fahamsan yahay ee cudurada haween ah. cudurka waxaa inta badan lagu arko 25-35 sano. Lagu gartaa maqan yahay ku meel gaar ah ee caadada oo leh heerar sare ee hormoonnada pituitary gonadotropic.

qeexid

Nuxurka cudurka been in xaqiiqda ah in ugxan u joojiyaan si ay u qabtaan shaqadooda si toos ah. Inta badan, cudurku sii socdo iyo dhammaanaysaa dayska. cudurada Feature muujiyey dhalaysnimo iyo maqnaanshaha caadada. Waqtiga xanuun this inta badan loo horumariyo noocyada kala duwan ee amenorrhea. In muddo this ee overvalued heerka of gonadotropins of pituitary ee, sababta oo ah jidhka ayaa weli isku dayaysa in ay ka cararaan ugxan. Si kastaba ha ahaatee, iyagu ma ay bilaabaan inay shaqada, sida muujiyey xaddiga ku filan ee progesterone iyo estrogen. Waayo, markii ugu horeysay ka hadlay arrinta sannadkii 1959, marka saynisyahano ayaa tilmaamay muuqaalada syndrome ee ugxan u adkaysta. Weli, mawduuca waayo, maanta ayaa weli si xun fahamsan yahay, iyo sababaha muuqaalka oo aan weli la si buuxda u qeexan.

noocyada

In buugaagta tixraaca caafimaad ma jiro kala soocidda cad ee cudurada this. Inkastoo khubarada qaar ka mid ah waa saddex kala duwanaansho cudurka:

1. cabista hidde cilladaha in unit dalool.
2. muuqaalka dabiiciga ah Automicheskaya - at xaadirka ah ee antibody hor istaagay dareen receptor FSH.
3. At isticmaalka cytotoxic iyo daawooyinka jirka.

calaamadaha

adkaysi syndrome ugxan badanaa la cayimi karo oo ay cudurro ku qoran:

• tiro badan oo LH (farabadan) iyo FSH (follicle stimulating hormone) iyo estradiols hooseeyo;
• amenorrhea - maqnaanshaha caadada;
• yaraadan ee siilka xuubka iyo siilka,
• ugxan la tiro badan oo ah kiishashka la size caadi ah oo khafiif ah oo siiban minka;
• kala iibsiga caabuqyada ba'an viral iyo stress,
• Caadada bilaabmaa si ay u noqdaan aan caadi ahayn ka dibna wadajir baaba'aa.

Horumarinta cudurka sida caadiga ah dhacdaa ka dib markii 5-10 sano ka wareegga ugu horeysay. Dhammaan dadka ka xariiqay in dareen kulayl ah madaxa dhacaan habeenkii iyo maalintii. dareen xanuun badan caloosha degna muuqan, iyada oo sababaha for. Inta badan, haweenka ayaa u adkaysta syndrome ugxan, waa dhibaatooyinka caadada iyo dhalmada daran.

Marka si aad u aragto takhtar bukaanka yimaado cabashooyinka xanuun at hoose iyo maqnaanshaha caadada ka dib markii cudurada viral, kormeerka iyo falanqaynta inta badan waxa ay muujinaysaa in ay qaaday sulfonamides ee u tiro badan, kuwaas oo keeni kara gardarro muuqaalka kore ee cudurka.

sababaha

In waqtigeena, arrimaha ay tahay saamayn ku formation of cudurada, aan si buuxda u fahamsan yahay. Laakiin waxaa jira aragti ah in isha ugu badan tahay in cudurka uu yahay isbedelka hidda in follicle site receptor ah. saynisyahano intooda badan ku doodaya in adkaysi syndrome ugxan, calaamadaha, kuwaas oo kala duwan oo la qiyaasi karin, inta badan u saameeyeen cudurada sida:

• alopecia;
• Graves, shalalka (barar ah qanjirka thyroid);
• daweeyay gravis (tabar-dari muruq iyo daal);
• diabetes;
• purpura thrombocytopenic;
• cudurada viral (mumps inta badan);
• anemia shalalka.

Sababaha ugu weyn waxaa ka mid ah horumarinta sababood awgood:

• cindiga ee kansarka,
• isticmaalka jirka iyo daroogada cytotoxic;
• qalliinka ee ugxan.

this ee qaaxada sambabada iyo sarcoidosis oo dhan ka sokow dhacdaa khasaare unugyada ugxansiduhu, taas oo inta badan keenta in horumarinta cudurada. xanuun ayaa sidoo kale waxay noqon karaan hidde ee dabiiciga ah iyo dhacaan ka dib stress daran iyo perenagruzok dareemayaasha joogto ah.

Baadhista xanuunada

Symptomatology cudurka ula xidhiidha cudurrada sida gonad dyscrasia iyo failure ugxansiduhu. Sidaa darteed, kaliya haddii cabashooyinka waxbarasho isku dhafan iyo xogta shaybaarka laga waxbarashada clinical go'aamiyo jiritaanka cudurka. Xaaladaha intooda badan, waqtiga kormeerka hore loo arki karaa arrin "ardeyga" jilicsan wanaagsan, mastopathy of kurximo hore yaraadan nooc oo ka mid ah xub-axaleedka ee siilka iyo siilka, iyo hyperemia dhawaaqaa. Marka ultrasound, laparoscopy iyo baaritaanka dumarka lagu arkay hoos u dhac yar ee size ee ilmo-galeenka. Si loo xaqiijiyo syndrome ugxan adkaysta, dhakhaatiirta qori biopsy ah ibididimisyada. Wixii la ogaado unugyada parenteral iyo pyramidal lagu sameeyaa baaritaan histological. Haddii aad qaadato baaritaan hormoon, waxaa suurtagal ah si ay u dejiyaan heerka LH iyo FSH ee plasma dhiigga, taas oo inta badan sare, oo aanu ku beeganto iska caadi ah. Shaaca ka-fiirsashada yar yahay ee estradiol. On dareenka qaaday baaritaano hormone gaarka ah, waxaa lagu xusay in tijaabada hore inta badan muujinaysaa gestogen wanaagsan iyo kuwa ku xiga - xun.

therapy

dhaqanka caafimaad waxaa aad u badan ku lug leh arrinta sida syndrome ugxansiduhu daawada u adkeysata. Daaweynta had iyo jeer waa la qiyaasi karin, sida dabiiciga ah ee muuqaalka kore ee cudurka aan si buuxda u fahamsan yahay. HRT Sida caadiga ah siiyey (hormone replacement therapy) iyo edbinta deficiency estrogen. The salaysan nidaamka waa in la soo celiyo caadada iyo hoos heerka hoormoonka gonadotropic.

Inta badan, dhakhaatiirta qoro daawooyin sida "Trisekvens", "laalaada", "Klim", "Premella-wareegga", "klimonorma", "Divina", "Klimodien" "Livial" iyo "Kliogest". Sababo la xiriira nooca kooraska sannad kasta bukaanka tahay in uu maro ultrasound miskaha. Xakamaynta baaritaan dhiig, Lipoproteins iyo kolestaroolka ka caawisaa si ay u sameeyaan iyo in ay ogaadaan therapy ah laga bilaabo cusub. waxbarashada densitometry Sababo la baabiin karta osteoporosis.

Sidoo kale daawo wax ku ool ah oo ay weheliso caadi ah:

• haysta ultraphonophoresis intravaginal iyo cøliaki;
• fasax dalxiis tago;
• receptors ugxansiduhu gobolka acupuncture;
• vitamin E.

Xogta ku saabsan natiijada therapy waa mid aad qiyaasi karin. Laakiin dhakhaatiir weli Hagidda kordhiyo tirada socodka dhiigga caadada iyo kiishashka LH firfircoonaan iyo FSH. Estrogen bilaabaan inay ku kici ee dhiigga. Ka dib markii dib u soo celinta ee ugxan caadada caadiga ah inta badan ma dhici karto, iyo dhalaan ilmo bukaan noocan oo kale ah ayaa inta badan by IVF (giisa iyo dheddiga) awoodo.

Si aad u taariikhda, dumarka aan la mid aad u wanaagsan loo fahmin, sababta uu jiro adkaysi syndrome ugxan. amenorrhea Hypergonadotrophic - cudur halis ah, oo la joogo ma jiraan wax liis sayidkiisa talooyin ay ka hortagga iyo daaweynta. Ugu sax ah waxaa loo arkaa in la baabi'iyo arrimaha xun oo sanad walba lagu tiriyo ee kormeerka, gaar ahaan haddii ay jirto carqalad ah ee caadada.

ethnoscience

Inta badan loo isticmaalaa daawaynta a hortag. Waa in aan had iyo jeer qaado vitamin E, kaas oo la helay sida qeedhin, lawska, jeermiga sarreen iyo iniinta in cuntooyinka. Caadada qayb laabto wareegga soyalecitin doonaa, ku jira legume, ukunta iyo cauliflower, oo sida la og yahay, waxa ay muujinaysaa la'aan ah u adkaysata syndrome ugxan. Daaweynta dawayn lahaa dad iyo daweynta dhirta waa saamayn ku daweyn heer sare ah kaabaha.

Inta badan, tani ajuurada dabiiciga ah in ay leeyihiin guryaha xanuunka iyo wareegga si fiican u nidaamsan:

1. Wixii diyaarinta ka kooban waa in la qaso iyo 30 garaam oo caleemo peppermint, xidid Valerian, iyo 40 garaam oo camomile. mass The diyaar loo daadshay biyo karkaraya oo loogu talagalay in hal galaas in subaxda iyo fiidka.
2. galiyey of berry viburnum iyo blackberries caawisaa ugxan, waayo, taasu waxay u baahan yihiin in ay qaataan a galaas yar maalin.
3. Si loo hagaajiyo caadada cunay labo ka mid ah xabo oo toon ah.

dhalmo la'aan

Marxaladda koowaad ee daaweynta waxaa ka mid ah caadi nidaamka hormoonada jidhka ah, kuwaas oo sixitaanka ee qanjirka thyroid, qanjidhada adrenal iyo daaweynta sonkorowga.

Next, waxaad u baahan tahay in ay qaataan:

• spermogrammu xaaskaaga (3 jeer 7 asbuuc) si ay u tirtiraan factor ee dhalmo la'aan lab;
• ehosalpigografiyu (opredeljaemost tuubooyinka Fallopian);
• imtixaanka postcoital - si loo xaqiijiyo maqnaanshaha dhalmo la'aan difaaca;
• hysteroscopy (on baaritaanka cudurada intrauterine).

Next, codsan daroogada, kuwaas oo bilaabay in uu kiciyo kiishashka, ka dibna waxay ku waddaa inay soo dhaweyn muuqaalka kore ee ugxan. adkaysi syndrome ugxan iyo uurka waa kuwo la socon kara, sida in 60-70% ee kiisaska ee dhalmo la'aan adkaan karaa iyadoo la kaashanayo of daroogada.

ka hortagga

Tan iyo markii maanta daawada casriga ah ayaa si buuxda u sahamiyey geeddi-socodka ah ee cudurka, waxaa aad u adag in si tallaabooyin gaar ah oo biirin kara in ay ka hortagga. Inkasta oo khubaro badan ayaa soo jeedinaya in aadan isticmaalin sumoobo daawo sida ay suurtagal tahay iyo in aan door biday in ay saamaynta shucaaca. Ku talinaynaa in ay keeni hab nololeed caafimaad leh iyo waqti in lagu daweeyo cudurada dumarka, si aanay u muuqday adkaysi syndrome ugxan.

Ka-hortagga been in xaqiiqda ah in unu ee ugu yar ee wareegga caadada u baahan tahay inaad dhakhtar u tagto oo uu mari dhan baaritaanka loo baahan yahay. Tani waxay kaa caawin doontaa in looga hortago in horumarinta heley kala duwan oo loo ilaalin lahaa caafimaadka dumarka.

Cawaaqibta iyo aragti

Dhibaatada ugu weyn waxa weeye wareeg qas iyo dhalmo la'aan oo waa kuwo ku adag in therapy. Oo weliba wuxuu kordhiyaa khatarta ah ee formation hore ee cudurada da'da la xiriira, sida ay kicisay u-la'aan ah estrogen, iyo waxay u badan tahay in la horumariyo carcinogenic makaanka.

Muuqaalka waa arrin wanaagsan, iyo shaqada caadada caadi ahaan soo laabtay.