Dysfunctional uterine los ntshav

Dysfunctional uterine los ntshav los yog DMC - ib qho mob nyhav, qhov chaw kuaj pom los ntawm cov dej ntws ntawm cov hlab ntsha ntawm lub tsev menyuam.

DMK tau muab faib ua:

1. DMK ntawm lub sijhawm menyuam yaus
2. DMC ntawm lub hnub nyoog deev
3. DMC menopause thiab postmenopausal

Nws yuav tsum tau sau tseg tias dysfunctional uterine ntshav los kuj tseem raug faib ua ovulatory (piv txwv li thaum ovulation tshwm sim thiab lub voj voog tseem nyob hauv lub cev) thiab anovulatory (tsis muaj ovulation). Thawj qhov sib txawv ntawm cov mob hnyav yog tus cwj pwm rau lub sijhawm menyuam yaus thiab menyuam, thiab qhov thib ob rau kev tsis zoo.

Ovulatory dysfunctional uterine los ntshav yuav tshwm sim yam lengthening los yog shortening tus follicular theem los yog lengthening los yog shortening ntawm lub luteal theem ntawm lub cev ntas.

Atresia los yog persistence ntawm lub follicle yog cov txheej xwm tseem ceeb rau cov xeev anovulatory.

Etiology ntawm los ntshav ntawm lub tsev menyuam:

1. Cov kab mob pathetic:

- malignant neoplasms ntawm qhov kev ua me nyuam;

- Polyposis;

- adenomatosis;

- piv ntawm lub tsev menyuam;

- cov txheej txheem rau lub tsev menyuam thiab lub cev;

- endometriosis txheej thiab puab;

- Kab mob ntshav;

- kev siv cov tshuaj hormonal;

- yug me nyuam, me nyuam me, yug me nyuam;

- Cov Navy.

2. Ua tsis muaj zog:

- kev nyuab siab;

- mob hlwb;

- tshee hnyo;

- kev qaug;

- ua txhaum ntawm tsoom fwv kev ua haujlwm thiab so;

- sai poob ntawm lub cev hnyav.

Dysfunctional uterine los ntshav yuav coincide hauv lub sijhawm nrog cov poj niam cev tsis tab seeb, tab sis yuav mob heev thiab mob heev. Nws ntseeg tau hais tias qhov nce ntawm cov ntshav ntawm cov poj niam ua rau 80 ml los yog ntau dua - los ntshav. Ib qhov teeb meem yog ua tau qhov twg qhov tawm ntawm lub cev tsis yog tsuas yog ntau tshaj xwb, tab sis kuj ntev, tsis pom. Qhov teeb meem no yuav tsum tau ceev xwm txheej ntawm kev ua haujlwm.

Polymenorrhea - nquag kev coj ua ntu ib ntus (ntau zaus tshaj tom qab 21 hnub).

Uterine los ntshav: cov tsos mob

1. Cov ntshav qis ua tau nce, PMS pib nrog cov kab mob tshwm sim. Kev ua yuam kev tsis mus rau qhov poob, thiab qee zaum, ntawm qhov tsis sib xws, cov ntshav nce ntxiv.
2. Qhov mob ntawm sab plab yog mob siab heev (tshwj xeeb tshaj yog thaum ntxov).
3. Mob ceev ceev thiab qaug zog, tawv nqaij daj, tawv nqaij qhuav thiab npub.
4. Hloov hauv UAC thiab biochemical ntshav tsom.
5. Nyob rau ultrasound, koj tuaj yeem pom ib lub nkoj txawv.

Dysfunctional uterine los ntshav: kev kho mob

1. Drug nres mob mob: aminocaproic acid, menadione. Nws yog ua tau rau infuse platelet thiab erythrocyte masses nrog cov ntshav loj.
2. Siv cov tshuaj siv uterotonic, kom txo tau cov leeg ntawm lub tsev menyuam thiab cov leeg tshauj.
3. Mob khaub thuas rau hauv qab ntawm lub plab.
4. Massage ntawm uterus.
5. Txoj kev kho phais mob muaj nyob rau hauv cov cim ntawm cov hlab ntshav ntawm lub tsev menyuam, qhov chaw mos.
6. Siv scraping lub uterine kab noj hniav tshwj xeeb curette, tab sis qhov no tsis lav tias tom ntej no lub sij hawm yuav rov qab pib dua los ntshav.
7. Qhov kev taw qhia ntawm ib qho tshwj xeeb zais pa rau hauv lub uterine kab noj hniav, uas swells, thromboses lub vessels.
8. Yog hais tias los ntshav kub hnyiab thiab tsis nres, ces nws yog ib qho tsim nyog yuav tau mus ncig xyuas lub tsev menyuam.

Raws li yog ib qho kev tawm tsam ntawm DMC tshiab, koj tuaj yeem siv cov tshuaj hormonal tshuaj. Tam sim ntawd ua ntej txoj kev xav kom qis dua tshiab, tus poj niam raug nquahu kom noj ib hom tshuaj aminocaproic acid.

Raws li qhov kev txhawb nqa ntawm cov vascular phab ntsa, ascorutin thiab multivitamin preparations yog raug sau rau tsawg kawg peb lub hlis.

Ib tug poj niam yuav tsum ua raws li kev nplua nuj protein thiab iron. Yog hais tias tom qab MQM anemia, nws yog tsim nyog los siv rau haus ib chav kawm ntawm hlau-muaj npaj: Ferrum Lek los yog Sorbifer.

Nws tseem yog tsim nyog los tshem tawm cov inflammatory gynecological kab mob thiab extragenital pathology.