Persistent zhovte tilo (Corpus luteus persistens). Symptoms and treatment of sclerocystic disease in ovaries.

Scleropolycystosis of yachnikiv is a disease, which is included in the list of gynecological and endocrine pathologies. With this development, a large number of cysts appear in the appendages. This is the reason for the barkers to grow in size, and their surface to be covered with a hollow shell. Ailments are most often hostile to two appendages at once and to produce not only to the change of their structure, but to functional diseases. Patients with this pathology are more likely to increase the level of hormones and ovulation rate. Tse zhvoryuvannya vіdoma in medical practice yak Stein-Leventhal syndrome. According to statistics, sclerocystic disease occurs in 3-5 cases of gynecological ailments. In thirty heaps of vipadkiv ailments to produce to a steady bezpliddya.

cause development

Sclerocystosis of ovaries develops through hormonal slaughter in the organisms of women. When steroid hormones are violated through a blockage of enzyme defects, the synthesis of estrogens can be prevented. As a result, there are more hormones, which may cause androgen characteristics. Due to the lack of estrogen and p_vischenogo rivnya of hormones, there are symptoms of oleocystosis of the ovaries, when there is a growth of the bilious membrane and an increase in the size of the appendages. The smell of nacreous-bilium or siruvate vidtinok is known.

At the same time, the cortical ball of the appendages is covered with a great number of follicular cysts, filled with a light age. The number of adult and primordial follicles is changing rapidly. In bagatech patients, hormonal damage to such a plan is affected by hyperplasia of the resulting tissue of follicles, fibrous processes, the growth of stromal tissue and the growth of stromal tissue. The reasons behind the development of sclerosis of the ovaries are to become spirits on the current day, unimportant to those who are involved in those who are involved in a lot of fakhivts.

Deyaki vcheni vvazhayut, but the etiology of the disease is tied to genetic factors. Інші fight, how the sickness wicks the damage in the hypochondriacs of the system. Through the process of gonadotropin biosynthesis, the woman gets lost due to ovulation and lack of estrogen biosynthesis in the appendages. Some suspicions are supported by the results of being careful of sclerocystosis patients who have experienced mental trauma, accelerated abortions or abortions. Children who are suffering from sickness, sposter a change in the functional possibilities of measles of supra-nirkoval diseases. Nadmirna viroblenya of androstenediol, synthesized by ovaries, galvanized viroblasting of enzymes in nadnirniki. Through the formation of dysfunction, androgen infusion on the body of a woman will do well. Vyhodyachi from the danikh doslidzhen, cause the affirmation of ailment є not uniform. For the reasons and yogo clinichni, show the minds of people.

Important! Naybіlsh swerving signs of slerocystosis grow from 20 to 25 years. In some cases, the symptoms appear slightly during the period of the statutory examination.

Sclerocystic appendages are not often found through low-pitched features, as well as can be used as dips. It is given to become ill with the growth of polycystic cells, or the changed or wrinkled appendages. In all cases of damage, the organisms cover the nasal ball of the shell, before which often there are cystic follicles.

symptoms

Sclerocystic can manifest itself in the following symptoms:

• zboy menstrual cycle;
• without a stage
• remember the improvement of both appendages;
• hairy for the cholovich type;
• zbіlshennya masi tila;
• hypoplasia of lactic acidosis, uterus and state organs;
• hormonal impairment.

Bagato children, who stuck with a pathology, suffer from obesity. Some women tend to lose self-esteem, which is most often caused by an imbalance between hormones, which are seen as vines, and androgens. Signs of an affliction - a headache, an apathetic stance, neurasthenia, sleep deprivation, a decrease in libido, a weakness in the background.

The most obvious symptom of slerokistosis is the loss of the menstrual cycle. It can be done either to increase the cycle, or to increase the duration of menstruation. Not every month there are great or overwhelmingly small ones. Sclerocystic disease of the lungs and vaginism are two very crazy people. Ninety hundreds of patients with such a diagnosis can be made without problems.

On the manifestation of the pathology, hirsutism is not very common, but polyagus in the increased hairiness behind the cholovic type. neat hair It appears in women on the stomach, arms, legs, under the lip and on the breasts and cheeks. Yaksho fell ill in early vіtsі It is possible that the uterus and lactic acidosis are underperforming, as much as possible atrophy of their organs.

diagnostic methods

When staging sclerocystic disease, an important method is to collect anamnesis and scarg of the patient. The most frequent suspicion of the presence of a pathology is given through the unkindness of conceiving a child, as the function of the children will be impaired. To confirm the diagnosis, an examination is carried out on the gynecological crucibles. With a whole uterus on the ailment, the uterus and the growth of the uterus from the humpbacked surface are also changed. Name sub-signs of being supported from two sides. Even rarely, the appendages appear to change. For diagnostics, test and functional tests, including vimir basal temperature, Zishkrib endometries and colpocytograms. All the time until the end of the day to confirm the duration of the ovulation and single-phase cycle.

It is also for diagnostics that the ultrasound scan is used. With an ultrasonic straightened drug, it is necessary to beat the cells with a narrowed shell and a great number of cystic bodies. In some cases, in order to confirm the presence of pathology, it is necessary to carry out gas pelveograms, when a change in the uterus and an increase in appendages are seen with the shape of a round or oval shape.

Brutal respect: In some women, laparoscopy is indicated, as a method of diagnosis and one hour - for the treatment of sclerocystic disease of the testicles.

Another way of staging scleropolycystosis of polyagus in pre-existing hormones in the blood. For many patients, it is necessary to create an analysis for hormones thyroid gland, Nadnirkovaya zalozi, hypophysis, as well as hormones. Whenever there are changes in place of a number of hormones, which are seen as vines, it is necessary to turn on the hypochondria and hypochondria.

lykuvannya

Likuvannya of such a discomfort, such as slerokistosis, are not only taken care of by gynecologists, but by endocrinologists. You can get rid of the pathology by means of a medicamentous operative method. Most often it is a conservative way of thinking to a patient. For a whole lot of vikoristoyutsya preparations, which stimulate ovulation, without such a nastaniya vaginosti it is uncomfortable. In the course of treatment, medications are widely used to allow the adjustment of luteinizing hormone. I’m going to get used to the hair for the cholovic acquaintance, I’ll take drugs that allow the steroid exchange. Just as a woman has problems with the work of supra-nirkovy zalosis, there are drugs for the prevention of normal robotic zenos. When the menstruation is out of the way, the tablets are stagnant, or injections, and the recording will be renewed.

At the current medical practice for the treatment of sclerocystic patients, they are actively involved in surgical treatment. At the same time, demodulation of the appendages is carried out, when the spinal shell appears, it grows slightly wedge-shaped. This method allows you to get rid of follicles, change the menstrual cycle and prevent one function. Before the hour of operation, there is a little bit of food, which produces estrogens, so that the functions of the workers are changed. Take a lіkuvannya obov'yazkovo maє pіdkrіplyuvatisya drug therapy... On the right, the effect of the operation is unstable, and it can last for about six months. Hirurgicheskie are shown only to teammates, yakim conservatively did not bring results.

Important! Bagatokh is a woman of nutrition, who can provide a vaginosis with sclerocystosis. Most often they are conceived from many pathologies, they are ill-fated, and even a child has ovulation every day.

To learn the patronage of the students, to have a chance to pass the test and reabilitation period... However, it’s a matter of memory that not everyone can change the cycle and turn the ovulation processes. It is impossible to lay down indiviual features to the organism of a woman and the stage of becoming ill.

Sclerocystic disease of ovaries is one of the most common pathological conditions of endocrine nature in gynecology. According to medical statistics, such deterioration in the given hour is diagnosed in 10% of women of reproductive health. In 75% of cases of endocrine failure there is a problem due to conception of this pathology itself.

Sclerocystic disease of the cell:

Sclerocystic disease is called a pathological stance, which is characterized by an increase in both cells, a decrease in the age of a bile membrane and the establishment of multiple follicular cysts.

On the basis of this is endocrine disruption: hyperandrogenism with hypoestrogenia. In addition, more than half of the children have hyperinsulinemic insulin resistance, but they also show some clinical signs. Sclerocystic disease is inflicted with polyendocrine syndrome. The first person is guilty of not only being a gynecologist, but a reproductologist, ale and an endocrinologist.

Sclerocystosis є chronic ailments in wintry and for an hour irreversible changes, complex metabolic disorders and due to endocrine and somatic pathologies.

In the given hour, I will not get overwhelmed, but the main reason is the correction and compensation of obvious symptoms. At the same hour, modern medicine permits life in the bagateh in the fall and in the accumulation of the cym without the need to get involved in the successful outcome of the treatment.

nosology

The first official clue about sclerocystic disease in the cell should be described as a successful surgical treatment 7 children, broken in 1935 by the American doctors N. Stein (Stein) and M. Leventhal. Authorship has been assigned. In general, the pathology of Bula is called Stein-Leventhal syndrome (Stein-Leventhal), such a term is victorious in a given hour.

Farther away, the tsієї problems were carried out in Bagatyokh regions. Bully introduced "sclerocystosis" and "polycystic lesions", they were afraid to try to differentiate the disease. In the past, the formulation of "scleropolycystosis" began to appear as a form of scleropolycystosis, directly from the etiology and pathogenetic form of destructions. At the same time, there was a syndrome and ailment of sclerocystic ovaries. Ale tse injected deprivation on the forecast, and the principle of diagnostics and treatment in the case of the same bully.

In this hour for the appointment of the endocrine-gynecological pathology of the ICD-10. Code E 28.2 as a synonym for sclerocystic ovarian syndrome and Stein-Leventhal syndrome.

Ethiology and pathogenesis

Unimportant for the long history of the development of problems and the advancement of modern medicine, until the ciches of the past, there is no reason for the development of scleropolytic degeneration of women in women.

Prior to the transfer of pathogenic officials, the following should be reported:

• Slump. At the same time, the main role is to be introduced enzyme deficiency with impaired functions of hydrogenase and dehydrogenases, which take part in steroidogenesis. The activity of cytochrome P-450C17alpha is not often detected as well. As a result of such changes, there is a decrease in the efficiency of the transformation of androgens into estrogen in the ovaries with the activation of the extragonadal pathway to the synthesis of female hormones. This is because the enzyme anomalies increase the overwhelming phosphorylation in substrates of the β-unit of insulin receptors in organs and tissues, so that it can reduce sensitivity to insulin.
• Chronic infection. At the same time, it is not the initial failure, not the burning of appendages, but the neuroendocrine disruption due to the change in the regulation of the robotics. The interconnection between sclerocystosis and tonsilitis is described.
• The inheritance of accelerated abortions, repeated abortions, chronic gynecological illnesses.
• Nadlishkova vag. Obesity may be not only a trace of hormonal imbalance in sclerocystosis, albeit in appearance as a predisposing factor.
• Damage to the hypothalamic-pituitary ryvn, which should be produced to the destruction of the ovarian ryvn. There are hypothalamic and diencephalic syndromes. But not all children have such changes as first-class and ethiologically important. The stench can be found in the presence of anomalous estrogens on aphids of excess post-estrogenic products of estrogens.
• Primary pathology of supranirkoval zalosis. The whole factor appears to be deprived of a small number of patients. Ale іsnu hypothesis about the so-called adrenarchus in puberty. As a matter of fact, due to the tropic hormones of the hypophysis, the ovaries are primarily stimulated, and the nadirniki. At the same time, a little bit of a girl can fix a number of secondary status signs, and the female phenotype is old enough to grow.

Moreover, the role of psychogenic factors is not inhibited. With a lot of stress, it is not the cause of the change of the bureaucrats, but of the appearance of the provocative bureaucrats. Neuroendocrine changes that occur on the background of neuroendocrine disruption can lead to unbalanced adjustments to the sounds between the small endocrine organs and to partially compensate for the damage to the brain.

In general, in the Danish hour, they see yachnikovy, supranirkovyh and central mechanism development of scleropolycystosis. Smell the signs of evidence on the turn of the main symptoms.

key picture

The main symptoms of ovarian sclerocystosis include:

1. Snakes on the side of the reproductive sphere in viglyadi damage the menstrual cycle, anovulation and we will tie with her without any problems.
2. Global manifestations of hyperandrogenism with signs of secondary masculinization (virilization), hirsutism, seborrhea, acne, androgenic alopecia. With the development of sclerocystic disease from the period of the statutory dosage, there may be a change in the proportions of thylum, the hypoplasia of lactic acidosis.
3. Loss of glucose tolerance (it appears in the laboratory).
4. Slowness to obesity.

With scleropolytic ovaries in a woman, you should be aware of the irregularity of the menstrual cycle due to the instability to the irregular attention and the occasional intermenstrual blood with minor visions. You can trivial acyclic uterine bleeding, in general, in such children, they want to be smart up to hypotension and help to develop secondary.

when turning hormonal damage the decrease in the turnover of secondary women is indicated with a one-hour development of the turnover. In women, the size of the breasts changes and the overgrowth of the pediatric fat cells changes, and there may be a hypertrophy of the client and changes to the timbre of the voice. Practically, all patients have hypertrichosis (hirsutism) of the rotational stage. At the same time, Pushkov's hairs appear on their faces, single dark hairs near the areoles of milk pricks, the bruises of the sternum line and along the white line of the abdomen, the change of the pubic hair.

Before facultative signs of scleropolycystic syndrome, there are vegetative-vascular disorders, neurosis-related disorders and asthenic syndrome.

Why still cause sclerocystosis?

The sequins of sclerocystic ovaries are not tied only to the reproductive system. Tsei stan supervises the formation of hormonal profile in the patients, close to the cholovic type. As a result, the woman will develop a risky form arterial hypertension and dyslipoproteinemia with the development of systemic atherosclerosis, which, in the course of the development of cardiovascular accidents.

The change in tolerance to glucose means the ability to develop type 2 diabetes. Naybіlsh critical changes in patients before a heavy anamnesis for endocrine discomforts, with a quick set or a decrease in vagi. With a lot of insulin resistance and already developing diabetics, it is far from expecting to be diagnosed quickly. The price may not be the only reason for the appearance of characteristic microcirculatory breakdowns in lower kintsivkakhі to the brain, and by virtue of clinical manifestations of dyslipoproteinemia.

Sclerocystosis of women is not considered to be near-cancerous and life-threatening. But it’s obvious that the development of cancer pathology is increasing. In case of a great deal of cancer, endometrial cancer is detected on aphids in front of the anterior polyposition, and also the mucous membrane of the uterus is hormone-deficient.

Also, the possibility of a small amount of cystose-degenerated tissue and appendages is not included, if you also want to be diagnosed to endure a little.

And why can sclerocystic disease of the ovaries lead to endometriosis?

At the deyakoi part of the children, I will start to get along one to one, but this does not mean that the pathogenetic connection between them is evident. In Danish hour to see thoughts, Stein-Leventhal syndrome is not a development of any form.

diagnostics

The main diagnostic criterion is the appearance of altogether different types of eggs, key manifestations and laboratory confirmation of hyperandrogenism.

To that, the basic plan of the patient's care includes:

• gynecological examination;
• assessment of the hormonal profile;
• reversal of insulin resistance;
• Ultrasound examination with the values ​​of the uterine-uterine index, susceptibility to the presence of sclerosis of the bile membrane and bilateral polycystic degeneration.

You can call on such a diagnostic complex to achieve the necessary diagnostic criteria. In the capacity of pre-treatment methods, there can be an analysis of the basal temperature graph, the value of 17-KS in the section, probes with dexamethasone, FSH and progesterone. Vizualization of changes in the field of medicine is not often included in the study of radiography, CT,. To assess the preservation of cyclic changes in the gonads, carry out ultrasound monitoring of ovulation.

If it is necessary to carry out diagnostics without additional planning, it is adjusted to the definition of the standard and the functionality of the endometry. For the whole doctor, there may be signs of an aiming endoscopic biopsy.

Differential diagnosis

Sclerocystic disease of the ovaries is necessary to differentiate from among those who become ill, as opposed to the syndrome of hyperandrogenism. To that, it is guilty that it is aimed at the prevention of hyperplasia of measles of supra-nirkoval infections with adrenogenesis syndrome, ailments and syndrome of Isenko-Cushing's, hormonally active virilizing puffins, malignant tecomatosis of the thyroid glands.

Yak lykuvati sclerocystic ovaries?

Likuvannya in general lie not because of the cause of the diagnosis of pathology, but because of the prevalence of symptoms.

If the patient is obese, it is recommended to lower the weight index (IMT) in terms of the reduction life (without hunger) and to the obesity physical activity... The price is necessary for enhancing the sensitivity of fabrics to insulin.

Such an effect, if necessary, can be used to increase the dosage of drugs based on metformin and glitazones. The stench is reported to the group of sensitization insulin and is taken only for the signs of the drug under the viscous dynamic control of the glucose-tolerant test. For the weather with an endocrinologist and a dentist yak metabolic therapy the possibility of supplying drugs and other pharmaceutical groups.

Reduction of IMT in the course of a decrease in the incidence of endocrine veins, and also of the adipose-fatty cells in the main muscle is the synthesis of extracellular estrogen. At the same time, there is a decrease in the pathological post-stimulation of hypophysis, which allows polypsychitis, the result is recognized as hormonal therapy.

The base of treatment includes the designation of new combinations of antiandrogenic and estrogen-gestagenic drugs. The scheme of reception is selected individually, even if the IMT is reduced.

Alle conservative therapy of sclerocystosis is far from being dependent on effective. On the right, in the fact that ovulation may not ovulate through the superficially sclerosed bilious membrane, which does not change for the ingestion of hormonal preparations. To achieve a great number of children, they need more surgical treatment.

The only positive effect of the operation will be explained not only to the absence of a “zone of passage” for oocytes. Practically inevitable waste of a part of yachnikovaya tissue will reduce the level of androgen production and stimulate FSH production.

The treatment of sclerocystic disease in the common people is known to be ineffective, hocha deyaki likarski roslini can fix additional positive influx on aphids of hormonal therapy.

surgical treatment

The first success and gave a good key result the operative bullet is wedge-like. In the last hour, the surgical treatment of Stein-Leventhal syndrome includes and the first time a laparotomy is performed (with a rosette of the anterior cervical stage):

• wedge-like resection is close to 2/3 cells (with the appearance of well-worn great cysts);
• more sparing wedge-like resection with one-hour decortization of the surplus part of the workers;
• demedullation of yachnikiv;
• decortication.

With a few shortcomings in lapatom access spike ailments with the formation and development of the subtle atrophy of the ovary, which will block the early menopause. Tom, in this hour, with sclerocystosis of the cells, laparoscopic surgery is getting wider and wider.

It is a minimally invasive technique є one hour by the way of diagnostics and treatment, allowing the doctor to assess the size of the appendages and the neck of the small pelvis, to conduct a targeted and sparing injection. At the same time, there can be a number of different techniques: resection and microresection, electrical puncture of the pelvic membrane, extraversion, perforation, segmental demedullation, laser vaporization and deiakis.

Rizik atrophy of cells and adhesions of ailments for laparoscopy is lower than with classical methods. That and it is carried over even more beautifully.

Possibility of vaginosity in sclerocystosis

When a woman is in charge, the main emphasis is to work on trying to develop a cycle and start thinking for a prolonged stay. Ovulation inductors are not recognized for many. A good clinical effect in case of a complete involvement is the renewal of the menstrual cycle with a sufficient supply of endometrial, characteristic hormonal colony and cyclic changes of follicles.

Even on the basis of such positive dynamics of ultrasound, the appearance and maturation of the dominant follicle is shown, and a single administration of an ovulatory dose to the drug based on hCG is indicated. Tse provokuє vikhіd ovoklіtini, so vіdbuvatsya wake up in a stretch of 2 dib messages. To stimulate ovulation, a rebound effect is also widely used, as well as a rebound effect when simultaneously taking hormonal drugs taken earlier.

In patients over 30 years of age, as well as in case of ineffectiveness of the therapy and the great development of the white membrane, after the ultrasound data, before the stimulation of ovulation, surgical treatment is performed. At the same time, it is seen as a laparoscopic technique. At the same time, the vagineness of the first 3-5 cycles of the operation is carried out. On the right in that, in a large number of cases, there is a renewal of the primary production of the white shell with repeated overgrowth of the application during the operation of injuries and punctures.

Ineffectiveness of the carried out testing without planning є before the food update about the storage of additional reproductive technologies.

The main indications for vikoristanny with sclerocystic ovaries:

1. During the previous laparoscopy.
2. Ineffectiveness of repeated courses of induction of ovulation.
3. Reconstruction of sclerocystic disease with a tubular form without pliddya.
4. Combination of a woman and a bet.

The ECO program has its own specialness. For stimulation of ovulation, gonadotropic drugs are used in combination with agonists and / or antagonists of gonadotropin-releasing hormone. This is a scheme that promotes the successful rejection of the adherent for the delayed eggs and immediately reduces the risk of development in the patient to the syndrome of hyperstimulation of the ovaries.

If more than 3 eggs are eliminated in the ovulation stimulation cycle good quality patsієnttsі obov'yazkovo proponents the power of crіokonservatsії. At the same time, there can be both oocytes and embryos. This tactic allows repeated shifts already in natural cycles in the absence of a first attempt at the EKZ, for example, when the child grows faster, it’s faster for stimulation.

forecast

Syndrome of sclerocystosis of the ovaries is chronic, but rather poorly. modern methods Likuvannya allow women with cym diagnoses not only coriguvati in their metabolic damage and naturally inappropriate to show hyperandrogenism. A very young child of reproductive health, with a free turnout before a doctor, can start and successfully blame a child, but with success with a lot of sickness.

Sclerosis of the testicles turn in the way epithelial tissue First, for all the highly organized hairs, and also for those fabrics, to be replaced by the simplest fabrics (fibrous). It remains to step by step to decline and even more (every month and to the rock) to get rid of it. In old males, males in important and even neglected conditions with a lack of year of bathing, sclerosis () in women, they do not suffer from growth.

Sclerosis will be weakened, we will get rid of it, if in the ailing process of receiving the whole egg, it will be partly, motsevym, vognischevym, if the enemy is near the milk of the egg. The cause of sclerosis is the head rank ignition processes microbial and toxic nature (state and chronic oofority), as they expand to the ovary from the tops of the uterine horns. The tops of the horns will compete in the results of the fierce fire uterus and horns are most often due to important accelerated canopies, obscuring the last, infectious abortion, abdominal abortion, or piecemeal, etc.

The main direct clinical sign of sclerosis in ovaries is even stronger in the area or in the area. Yachniki melt nibi trees, todi yak in the normal stench of shilno-elastic.

In case of zagalny sclerosis, the ovary will increase the main function of the follicle and egg cells; in case of a private practice, the function will be destroyed in a larger world, than in a larger volume of circular dalyanoks.

Diagnosis of sclerosis of ovaries is established only for rectal diseases.

Recurrent sclerosis of both cells in males is very rare. Most of the time in old males. Partial sclerosis of one or both women is not so rare in males.

The prognosis for an increased cirrhosis of both women in old men is desperate or mayzhe desperate. In case of frequent cyrosis of both men, the prognosis is less than less than the less severe and older than the dog. In case of partial cyrosis of one ovary, the prognosis of splendor. Behind our caution, in the males, the livy yachnik is significantly more active than the right statistic function. The growth and maturation of the follicle in the left cell grows significantly more often (by 20-30%), lower than the right one. We do not have a tribute to explain this caution. V practical robot when assessing the fertility of males, for some enemies are a painful process of rights, and in the last one is a yachnik, I see another one.

Sclerosis (cirrhosis) of ovaries is chronically and even more and more miserable and unavoidable. We know a lot, if a kobili (purebred Arabian with a nickname Pletka, Terskiy Kinny Plant) has a strong turn (even more) cirrhosis of both men and women, five years of sleep, bully shows a number of statues of a cycle and an endurance. Tilki on the 6th ric in one of the natives, after a significant growth of the fibrous tissue, the follicle spreading, the male became pregnant and normally foaled. Frequently there are strong turns of cirrhosis of both men є a direct cause of singleness of males stretching for 2-3 years. For an hour, it is significant to smoothen the tissue. in yachniki, for which state the cycle and fruitfulness of the car is introduced.

Likuvannya strong and old sclerosis of both children in old males in a tricky hour and do not expect a result. Even older males with more or less heavily swirled cirrhosis of both cells are fully vibrated from the fruit warehouse and robotic, as with normal minds a year, reducing and recovering tissue formation accelerates the process of detoxification. Kobilas with a cirrhosis of lancers need to get a normal robot beforehand (with a saddle, but more beautifully in a harness), correctly fixing that year.

Krym, the necessary energy massage of the eggs through the rectum. The triviality of the skin procedure is 3-5 chilines. Massage every other day, lasting 10-20 dib and more (course), in the fallowness as a result of infection with cyrosis.

To massage the yachniks, insert the hand into the rectum. Hvory the junkie will gasp in the menu, bring him to the black inguinal point, or until the middle of the club's basket, and press it with small interruptions, besides, the myakus of his fingers will press on the entire surface of his. The health and the onslaught of the guilty ones are significant, ale not overwhelming, and will not injure the mucous membrane of the rectum.

Razmoktuvannyu fibrous tissue in egg yards spriy dіathermіya.

However, there are organopreparations (ovaryolizate) and hormone medications (ovarian and inn.), Then the stench with a strong lesion of fever cyrosis is far from being positive. In addition, these and other drugs are often expensive. That is why it is recommended to fix them only for pedigree, especially valuable males, if they are not old and not very vivid, they are not too old, and they are usually used in conjunction with a robot and a massage. Polyanol is not true to itself in case of an important problem of students in our practice. At the same time, you will be given a tissue therapy in all forms, i.e.

"Tissue therapy", m Rostov-Don, 1950; article Nesterenko 3. M. "Tissue therapy in veterinary and medical practice", journal "Veterinary" No. 2, 1951); in the form of pediatricians (div. article by N. I. Kobyakova "Dosvid of tissue therapy for mastitis and with internal ailments in tvarin", journal "Veterinary" No. 8, 1951); in the form of biogenic stimulants in water solution(In ampoules), prepared with a synthetic route according to the method of Acad. Filatova (drug FIBS of the Odessa Chemical-Pharmaceutical Plant). Prolongation of tissue therapy of fatigue is the process of dehydration of ailments of tissue and the process of regeneration of healthy cells and tissues.

Prevention of sclerosis (cirrhosis), as well as chronic heat yachnikiv polyagaє in the pre-established rules of veterinary sanitation and zooogіnіy with a steeple parovannya and zmіst kobil.

For the purpose of developing a disease, sclerocystic disease of the ovaries, varietal etiology, pathogenesis and methods of diagnostics. Pathology є hostile gonads (bogies) of women. In inheritance, there is no delay, because of the failure and the forecast of the disease.

In simple words, sclerocystic disease of the ovaries in the course of changes in the structure of the appendage, so that the follicles become vivid together and grow in size. Zazvyhay obsyag one illumination will not change 10 mm. Visually viglyadaє yak grono grapes. The serous membrane above the slides is depressed і maє sіro-bіliy colіr.

From the data of morphological, cytological and hormonal dosage of patients, sclerocystic degeneration of ovaries - May the direct links to the dyshormonal destructions, to the reduction of female hormones - estrogens.

The term Stein-Leventhal syndrome, names for the honor of a medical child, which described the clinical and morphological characteristics of pathology, is widely used in the history of dzherels.

cause development

The ethiological factor of sclerocystosis in women is often very important, because it is more likely to be infused into the body of a woman. It is more important to introduce a psycho-social stance with regular stresses and emotional problems. The change in female and male hormones in relation to androgen levels is indicated.

Formation of sclerocystic disease of the ovaries is important in to a young person... Vypadki of obsession with females of pubertal period with the appearance of the first menstruation - menarche - were restored. These types of diagnostics are genetically determined, and diagnosed in the closest relatives in the family by life line.

Also, the adjustment of the level of hormone hormones is supervised to develop insulin resistance red diabetes... Early manifest nonspecific and pathology to appear vaguely, when the classic symptoms of endocrinopathy occur.

Main reasons:

• Chronic extragenic in the diagnosis of infection without proper therapy: tonsillitis, sinusitis, pharyngitis.
• Chronic gynecological ailments from the cases in the ignition center of the cells and uterine tubes.
• The folding process is important to the process of flooring.
• Numerical medical criminal abortions (more than two).
• Revision of the mass of tila increased by 10% as a result of the index. Supervise the change of metabolic and hormonal reactions on the blood pressure.
• Destruction of the hypothalamic-hypophyseal connection. The increase in stimulation of the hormones is not typical for the viroblasting of the high level of human hormones.

Until one of the theories of sclerocystic disease in ovaries in children, there is a change in the tropism of stimulating speech. So, to replace the inflow of the hormone of the hypothalamus on the gonad, to stimulate the singing viddilіv of the nadnirniks, (which occurs adrenarche in the pubertal period). Secondary articles are often formed to indicate the cholovy type, and then to be replaced by the female type.

See sclerocystosis:

For the mechanism of development of sclerocystic disease in ovaries:

• central;
• yєchny;
• supranirkovyh.

For hikings, they are classified as low and deep.

Symptoms of sclerocystic ovaries

When sclerocystic ovaries degenerate in a woman, the menstrual cycle breaks down, the appendages do not function in the world. It is evident that there is a soreness in the millennials, the vision is small. This cycle is marked with signs of catching with an early ear.

With the growth of amenorrhea, if there are thousands of bloodsheds, ovulation of the ripened ovules comes out of the day, and the follicles, in their own heart, grow. In the period of amenorrhea, acyclic hemorrhage and uterine bleeding occur. Podbniy stan will be joined with no plans.

With a moderate and severe interruption of illness, symptoms of masculinization are indicated with the appearance of hair behind the cholovich type, a coarse voice. The growth of hair follicles along the edge of the areola of the nipple, along the middle line of the abdomen, below the navel, and breast cancer mіzh milky vines. There are thick Pushkov hairs on the face. Replace the horizontal growth of pubic hair, form a vertical yak at the head.

The robot winks of greasy and sweaty felts. It is especially pleasant in adults and females up to 25 years, if there are no comedones on the skin of an individual, acne and fiery clogged ducts.

Women skip for a change in milk swelling, hypertrophy of the clitoris, hair loss in the temporal zone of the head, fat in the area of ​​the breast and abdomen.

To navigate with a normal, well-balanced habits prevent overgrowth of the adipose tissue from becoming obese. The zagalny camp burns through the growth of glucose levels in the blood: spoiled, unsuccessful, weakness, spraga, parts of the positive until secular, dryness in the mouth.

Methods for the diagnosis of sclerocystosis

More importantly, you can borrow money quickly for medical aidі diagnostics of sclerocystic ovaries. Gynecologists consider a favorable prognosis for early illness and rapid development of therapy.

Hardware diagnostic techniques:

The woman independently can start the phase of the menstrual cycle by changing the basal temperature. At the early hour, without getting up from the lid, the tip of a thermometer for 3-5 chilines is inserted into the rectum. With sclerocystic ovaries, ovulatory temperature changes will not occur.

Laboratory Doslidzhennya:

1. Assessment of the hormonal profile - hyperandrogenism, hypoestrogenia. Viznennya active fluvines of the thyroid gland, supranirkovy zalosis, hypophysis.
2. Analysis for tolerance to glucose, value of blood sugar.
3. Colpocytogram (smear) і іshkrіb endometry - single-phase menstrual cycle from the daytime ovulatory phase.
4. Analysis of a smear for sterility and pathogenic microflora.
5. Biopsy of discarded biological material as a result of scrubbing and laparoscopy.

It’s insanely, it’s necessary to carry out the necessary analysis of the values ​​of the indicators in the clinical and biochemical blood warehouse, zagalny analiz section, Wasserman reaction (diagnosis of syphilis).

Treatment of ovarian sclerocystosis

For the improvement of the zagalny camp and the reduction of the mass of the bazhan, the correction to the way of life and consumption. A decrease in the index of weight is possible, with an individual choice of food from a doctor (reduction of a diet without hunger), with regular physical options It positively infuses on the sensitivity of fabrics to insulin (to move), in case of stagnation of succulent likars: metformin (Glucophage, Siofor), thiazolidindioni (Glutazone, Avandia).

Therapeutic treatment of sclerocystic disease in ovaries:

The incidence of vaginosity on aphids of sclerocystosis of the ovaries due to hormonal conditions. In the capacity of the basic treatment, the following types of preparations are indicated:

• antiandrogenic - lowering the cholovic hormone androgen: cyproterone acetate (Androkuru), oral contraceptives (Jess, Yasmin), Flutamid (FLUTAN), Finasteride with increased testosterone;
• estrogen-gestagenny: logest, Triziston, Mikrolut;
• Combinations: Mirella, Miniziston.

The dose, the multiplicity of the intake and the triviality of the course, should be prescribed by a strictly eligible gynecologist. In addition, in addition to gynecological and hormonal medications, it is recognized that there is a great deal of extragenic pathology.

In some therapeutic treatment, it does not bring results, but most often it is associated with sclerosing and infringement of the gonadal membrane, so that the ovum cannot ovulate. In such a situation, an operation is shown.

Surgical treatment of sclerocystosis:

In women of the reproductive cycle, carry out an important organ-preserving, low-traumatic surgery. Viboru method -.

See the operation:

• wedge-like resection - a visible tissue of the appendage in the form of a wedge by name;
• decortication - part of the liquidation of the sclerosed sheath (electrical puncture, perforation);
• additional wedge-like resection and decortication;
• demodulation is a visible middle part of the gonad.

Total and subtotal ovariectomy is indicated for malignancy.

Potency in sclerocystic disease of the testicles

With adequate therapy, the onset of vaginosti in sclerocystosis is possible. At the end of the therapy, ovulation inductors are recognized: Clomiphene, HCG (Pregnil, Profazi), follicle stimulating hormone (Merional, Menogon).

We are predictive and friendly to get involved:

• seduction of the endometrium of the uterus;
• renewal of menstruation;
• cyclic hormonal therapy;
• change of follicles during the phase of the menstrual cycle.

Postponement of adult egg production for therapeutic treatment, maybe, after 3-4 months, after surgical engagement- in 6-7 months.

Improvement in case of untimely elimination of pathology

Dominant not bazhaє accelerated women of reproductive disease in the appearance of amenorrhea, acyclic blood smear, without. If there is a patient in the perimenopausal period and if symptoms are known, then you can come to the next:

• development and progress of red diabetes type 2;
• hypercholesterolemia;
• the development of indicators of lipoproteins of low and even low level, such as inheritance, atherosclerotic lesions of the heart, brain and other organs;
• malignancy (endometrial cancer, yachnikiv).

Primed on statistical data, it is important to promptly carry out the check and review of the gynecologist not earlier than once per day.

prevention of illness

first and foremost professional- go to sclerocystic disease directly on the advance development of sickness and include the maintenance of a healthy way of life, balanced shot of food, taking into account the special hygiene, interfacing with the physical and regular life. Bazhano planuvati vіtnіst, schob uniqnuti abortion, wear clothes for the season, do not get cold, see shkіdlivyh ringtone, There are a variety of different articles of communication and often a change of article partners. For viklyuchennya infektsii, scho is passed by the state route to fix a condom before coitus.

Secondary prevention - sclerocystic disease is based on the use of time-consuming therapy of obvious disease. It is recommended to start the first prevention algorithm, as well as undergo instrumental and laboratory support, take lіkuvalny drugs, Vipisan_ gynecologist.

sclerocystic disease- the fall of the female reproductive system, to bring to the destruction of the menstrual cycle and without. For the help of hardware and laboratory techniques, it is good to visualize and diagnose. Likuvannya is recognized only as proficient fachivts with urahuvannya scarg and results in a condition: gynecologist, endocrinologist, immunologist, geneticist.

Sclerocystic disease in women - tse chronic endocrine To supervise the destruction of the robotic gonads, the slurry, and the deeds of the other organs. Pathology is very important in young women, and it will inevitably progress in an hour. Sclerocystic disease in women is in the past until the development of chronic anovulation and one of the key causes of female failure. Without adequate therapy for self-reliance, vaginosity is practically impracticable.

Sclerocystic ovaries, manifestations on early stages development, successful hormonal therapy. For weddings, surgical treatment will be carried out. In addition, the efficiency of successful therapy decreases. We will sooner have a chance to find out, we will have a chance for a successful result of pathology, conception and acceptance of a child.

Folding terminology: how sclerocystosis occurs as a polycystic disease in women

Forwardly, the pathology of the children, which leads to the stage of anovulation and bezopliddya, was described in the end of the 19th century. At that hour, I called it Stein-Leventhal syndrome - for the authors' nicknames, they took up the problem. At the onset of fate, the disease was called sclerocystosis, polycystosis and naval scleropolycystosis. Terms of terms in order to fold cool picture pathology and talk about those who did not manage to grow up in the nature of the sickness until the end of the last century.

According to the classification of the All-round organization of health protection, in particular medical conditions, both terms are allowed - sclerocystosis or polycystosis of the ovaries. There is no way of seeing one kind of one or one and the same ailments. In medical literature, there are also extensions of the term polycystic syndrome (PCOS). It is also accepted that understanding sclerocystosis is more often stagnant in drugs ultrasound diagnosticsі serve as a way of doing it quietly, as a way to start a doctor in case of obsolescence. Practicing gynecologists give rise to the term PCOS.

As a rule, the term "sclerocystosis of the cells" is the most frequent in the field of ultrasonic diagnostics.

Nezavisimye traces of pathology for female health

Syndrome of polycystic ovaries - not only irregular menstruation, but also chronic anovulation. At normі in organіzmі great women it is guilty that the maturation of egg production and worms... Allowed 1-2 anovulatory cycle in rіk from vіtsі up to 35 rocks. In the lower reproductive period, the number of cycles without ovulation will increase, and natural process old organism.

In case of sclerocystic ovulation, ovulation should be drunk in the edge, and smoothly transfer, if the ovulation itself is ripe. Without ovulation, the vagina is not insistent, and a lot of women are rocked to conceive a child. First, when 18-25 years old there is a chance for spontaneous conception, then the lateness of the day will decrease. To develop a stike endocrine bezpalidya is the main symptom of scleropolycystosis of the lymph nodes.

Not only without the need to obstruct the women. With PCOS, the communication processes and the growth of the development of the other stanes are disrupted:

• Hyperplastic endometrial process. The growth of the mucous membrane of the uterus is practically instantaneous with the destruction of the function of the uterus. Supervise uterine bleeding, intermenstrual blood vision;
• Infections of milky vines. snake hormonal background with scleropolytic disease pectoral vinesі development of good pathology - mastopathy;

Polykistosis of yachnikiv can provoke the development of mastopathy.

• Diabetes mellitus. Insulin resistance, PCOS disorder, leading to the destruction of the robotic slurry and increasing the level of blood glucose;
• Pathology of the heart and Sudin. With PCOS, the development of the development of myocardial infarction, insult, angina pectoris and other children becomes ill.

Rizik the development of a concomitant pathology is improved in case of a trivial overload of ailments. Carrying out specific therapy will allow not only to put down the problem, but also to reduce the development of the latter.

Sclerocystic disease of the neoplasms is not associated with the development of gonadal cancer. There are few tributes about those that cause pathology to form carcinomas of the testicles. At the same time, in the medical literature, we have given data about those who have PCOS improved the development of endometrial cancer. Practicing gynecologists will bind with a high frequency of detection of pre-cancerous pathology - atypical hyperplasia endometrium.

Reason for the development

The exact cause of the syndrome of sclerocystic ovaries before the end of the pregnancy. To get respect for the following factors:

• Zbi in robotic hypothalamus and hypophysis. An increase in LH (luteinizing hormone) and a decrease in FSH (follicle stimulating hormone) are indicated. Hormonal imbalance to produce an increase in the concentration of androgens, overshoot the follicle maturation and the start of ovulation, lead to the disruption of the menstrual cycle and other snakes;
• Insulin resistance. Reducing sensitivity to insulin and increasing the level of glucose in the blood until the growth of androgens and LH and the launch of other mechanisms, so provoke safety;
• Zbiy in robots yachnikiv. Violation of the cytochrome P450c17 enzyme vigorously leads to the overwhelming synthesis of androgens and one of the provincial factors in the development of PCOS.

Destruction in robotic janitors, hypophysis and hypothalamus ought to be confronted with malfunction in the function of the underdog. Determination of obesity, leading to obesity and development of diabetics. A normal vagina is not associated with PCOS. Some females have ailments without twisting obstructions.

Ignition processes in the slurry hall are most often to come to grips with the problems of the functioning of the yachniki.

Principles of diagnosis of sclerocystic ovary syndrome

The diagnosis of PCOS is placed on the basis of the onset criteria:

• Chronic anovulation is a camp, when the maturation of ovum is not observed. To stand up for ultrasonic diagnostics, or in case of additional tests;
• Hyperandrogenism is an overwhelming number of human hormones. start at laboratory dosageі / abo coolly. To show up as hirsutism - overworldly hair growth of exposure and body;
• viyavlennya characteristic signs sclerocystosis of ovaries during ultrasound examination.

Variety of symptoms of sclerocystic disease. More women skarya on the breakdown of the menstrual cycle for the type of oligomenorrhea. Menstrual periods are small, merry, come irregularly and may be trivial every day. Only 20% of women of the month go to term. On the smallest stable or changing menstrual cycle, there can be a spasm of uterine bleeding - a sign of a hypoplastic endometrial hyperplasia.

Ultrasound signs of sclerocystic ovaries:

• Zbіlshennya obsyagu gonads (more than 10 mm);
• Potted egg capsules;
• Evaporation of more than 10 follicles less than 10 mm in size.

Close

at ultrasound dosage it is important not to confuse PCOS with multifollicular cells. It remains to be used by the option of norms and not to be used. vidmitnoyu acquaint multifollicular cells є a small number of cystic empty cells. Obyag to the body at all does not change.

Lower representations of ultrasound signs characteristic of sclerocystic ovaries. Bilateral battle of eggs is indicated: the growth of the capsule, the improvement of the body. On the periphery, there are round follicles - anechogenic illumination of 5-8 mm in size. The photo shows the tsі zmini:

Інші methods of diagnostics:

• Zagalny and gynecological examination. Zverta on myself respect overwhelming masa tila, hirsutism. In case of bimanual advancement, it is meant to be bilaterally improved;
• Assessment of the hormonal profile. With sclerocystic disease of the ovaries, LH, testosterone, DHEAS and prolactin, decrease in FSH;
• Biochemistry profile. On the basis of insulin resistance, the increase in glucose and cholesterol levels is indicated;
• Magnetic resonance tomography. With MRI, an increase in the gonads is observed, and other follicles appear along the periphery of the organ;
• Aspirations of biopsies of endometries. be recognized when uterine bleeding and allowing the development of endometrial hyperplasia.

In order to establish a diagnosis, a treatment regimen for sclerocystosis of the testicles is selected. Stimulation of ovulation is carried out for the date.

scheme lіkuvannya

There are three stages in PCOS therapy:

1. Correction of vagi;
2. Normalization of the menstrual cycle;.
3. Start of ovulation.

Sclerocystosis of yachnikiv is generally progressively chronic disease. PCOS mastication spontaneously and depending on the disease. Nagladyovaya tactics are allowed only in the event that the woman does not present the scarg and does not plan to visit. It is important to think that it’s important to think that it’s important to think that it’s possible to lose ailments in the end, and the chances for a successful result will decrease. The form of therapy does not only obstruct the cycle and bezoplidyam, but also with the development of the lactic acid, the uterus and the organs of the heart-vascular system.

korekts_ya vagi

The first stage of therapy of indications for women with obesity (IMT over 30). at normal vase it is important to p_dtrimuvati yogo on a large amount.

Lіkuvannya polіkіstoznyh yєchnikіv transferє, the first for everything, normalization of the woman's vagina.

Growth of masti tila pogirshu forecast of ill health and change of chances for the success of the child's conception.

Important to the nobility

Decrease in vagina by 5-10%, but more and more in vitality, including in the natural cycle and without additional intake of medicines.

The reduction of the wagi includes two key points:

1. Diet. The basis of the race for polycystic cell disease is stored in products with a low glucose index. It is recommended to frequent shotgun food, vidma from fast food and napivannya, cook steamed. A slid of pretrimuvatisya nutritional regimen - up to 1.5-2 liters a day for dobu. It is allowed to carry out rozvantazhivalnyh days, ale under the fence there is a hunger;
2. Physical activity. The trenuvan regimen is to take care of the health, I will become healthy, individual preparation and the needs of the body. Recommended employment in the gym, swimming and aquaerobics, walking, cycling, dancing, dancing, yoga.

Close

Duration of children and regular training (not less than 2.5 years per day), according to efficiency, can be adjusted with the intake of medications. It is not often that the change in the way of life allows the reduction of the vagu, the desire for ovulation and the uniqueness of the drug therapy.

Normalization of the menstrual cycle

For the correction of the hormonal background and metabolic processes, the following preparations are stagnant:

• Hypoglikemichnizasobi. Reduce the amount of blood in the blood, stabilize the exchange processes and take the renewal of the menstrual cycle. Get stuck in a course, fixing it with a minimal dose of doing it. The triviality of therapy - 6 months;
• Combined oral contraceptives. Preparations of the first line in the treatment of sclerocystic disease in testicles. Stagnate in order to take revenge on estrogen and progesterone, in a course of 3-6 months and more. For an hour you will get a contraception. Viability to be considered for a drug and stimulate ovulation (rebound-effect);

Due to the normalization of hormonal imbalance, the combination of oral contraceptives and the first line is stagnant.

• Antiandrogenic kosti. It helps to induce the release of human hormones, stabilize the menstrual cycle, and assimilate the symptoms of hirsutism. Get stuck on aphids of good contraception (COC), as they are not safe for the fetus;
• Gestagen. May be recognized in the other half of the cycle with a lack of lutein phase.

Stagnate before basic therapy enzyme preparations, vitamіnnі complexes and probiotics. ci likarski zasobi stimulate immunity, add to the development of organism in tone and increase the chances of conceiving a child.

Important to the nobility

All women who plan to visit are recommended to be welcome folic acid(Vіtamіnu B9) 3 months before the ochіkuvanny conception of the child.

Conservative treatment of sclerocystosis can be supplemented by surgical methods. Meta operatsii - tidy up the overworldly amount of fabric, yak product of androgenism. The process of surgical correction helps to promote the renewal of the menstrual cycle, and to start ovulation.

Methods of operative treatment:

• Cauterization of yachnikiv - ruinuvannya fabric with an electric strum or a laser;
• Decortication of eggs - visualization of the capsule to the organ;
• Wedge resection of jugs - hanging of a part of an organ for a change in the amount of money.

The effect of the conducted treatment is to be held out to the rock. The period of time has been planned for a long time. As long as the child is conceived, do not trample, it is necessary to look over the tactics of therapy.

The operation is carried out by laparoscopic access, which allows the maximum change in the period of rehabilitation and reduction of the risk of development. For the witnesses, hanging adhesions around the cell and renewal of the uterine tubes are carried out at once. empty operation with PCOS, do not practice with a high rizik development is accelerated, including leading to zero.

Laparoscopic surgery in the treatment of sclerocystic disease of the cells is stagnant, as the effect of the previous methods of treatment appears to be minimal.

The meta of conservative and surgical treatment is the desire to renew the menstrual cycle, normalize the exchange of words and start ovulation. On the whole stage, there is a possibility of vaginosti in the natural cycle. As far as not to be considered, medication to stimulate ovulation is carried out.

Close

PCOS therapy people zasobi vikoristovuyutsya viklyuchno as an addition to the main lykuvannya and can not serve as an alternative to the sign of a lykar.

Planning vaginosti in PCOS

Stimulation of ovulation in sclerocystic ovaries is carried out with hormonal therapy:

• Clomiphene citrate is a drug of the first line. It is meant from the first days of the cycle in the minimum dose, the given dose for the indicated increase. Є an antiestrogen, і ovulation is launched when the drug is administered;
• Gonadotropins are direct ovulation stimulants. It is used in case of resistance to clomiphene.

The course of therapy is three-fold up to 6 months. Control of follicle dosage is carried out for additional ultrasound. A good indicator is the growth of 5-10 oocytes up to 18 mm in size.

Stimulation of ovulation can be carried out in the YBC program. At the end of the day, it is difficult to get rid of the egg cells, and the delayed test results. On the 3-5th day, the transfer of embryos into the uterus is carried out.

Extracorporeal delay of supplementary assistance to life's health.

Watching for the woman's triviality and the message of the successful conception of the child. On aphids of anterior sclerocystosis, the development of the disease is slowed down right up to the spontaneous wickedness and bending of the fetus. The canopies often pass through the natural births of the roads. Indicated for cesarean rosette can serve the development of anomalies of the fetus or pathology in the side of the mother.

Prevention of sclerocystic disease in ovaries and in the absence of problems has not been broken up. Oskilki mechanizmi development of pathology until the end of not vivchenia, fluently talk about the improvement of ailments. It can be deprived of progression to the process and unique acceleration. For a person, it is important to regularly bring a licker - at least once a ride at a time when the skarg is out. When PCOS is diagnosed, it is a sign of a yakomog earlier than that of a disease. Such a decision allows you to achieve an optimal result and to preserve reproductive health in the future.

Tsikave video about the symptomatology of polycystic disease in the methods of treatment

You can planuvati with polycystic ovaries: comments fahivtsya