Kūkulu i ka gynecology: nā nuances o ke mālama me ka polycystic ovary

ʻO ke ʻano hoʻohālikelike me nā polikole polycystic he hapa o ka ululā o ke ahulau o ka maʻi, ka manaʻo e hoʻopau i nā puka cystic, me ka hōiho hou i ka hana o ka ovulatory o nā kola glandular a me ka hiki ʻana o ka wahine i hana.

Ua kuhikuhi ʻia ka lāʻau lapaʻau i ka moekolohe kūpono, i loaʻa ka maʻi maʻi a hiki ke hāpai ʻia.

ʻO ka ʻoiaʻiʻo ʻo ia ka hemahema o ka insulin a me ka hyperglycemia e alakaʻi i ke kūkuluʻana o nā nui cysts i nā ovaries. Hoʻohana ʻia ka ea Glucophage 500 i ka gynecology e hoʻomaʻamaʻa i ke ʻano o ke kaʻina o ka wāʻala o ka hua a hoʻomau i ka haʻu ʻana. No ka hoʻokō ʻana i nā hopena kūpono o ka lāʻau lapaʻau, kuhikuhi nā kauka i ka lāʻau lapaʻau i nā wahine mai ka 16th a 26th o ka lā 26 o ka hilo.

He aha ka Glucophage?

ʻO Glucophage kahi monopreparation antidiabetic, ʻo ka mea nui o ka metformin biguanide. Hoʻemi ia i ka nui o ka glucose i ka plasma koko ma mua a ma hope o ka ʻai, me ka hoʻopono ʻole ʻana i ka hana o ka insulin e ka pancreas.

Hoʻomākaukau kaʻaila

Hoʻohana ka mea hana ikaika i kēia mau ʻano:

• pale i ka wāwahi o ka glycogen i loko o ka ate, e hōʻemi ana i ka pae o ka glucose i loko o ke koko;
• hoʻonui i ka naʻau o ka insulin, e kōkua ana i ka hoʻonui ʻia o ka glucose mai ka periphery;
• kāpae i ka komo ʻana o nā maule māmā i loko o ka ʻeha o ka ʻōpū.

Eia kekahi, hoʻonā ka Glucophage i ka hoʻopili ʻana i ka glycogen mai ka glucose a he hopena maikaʻi ma ka hana metabolism o nā koina lipid.

Nā hōʻailona no ka hoʻohanaʻana i ka lāʻau lapaʻau:

• type 2 diabetes mellitus i nā pākeke (pili pū me ka obesity) me ka pili a i ʻole ka mana kūpono o ka mālama ʻana i ka papaʻai;
• ʻO ka hyperglycemia, kahi mea koʻikoʻi o ka maʻi maʻi;
• ka pale ʻana i ka ʻaihue glucose.

ʻO nā hiʻohiʻona o ka hoʻohanaʻana i ka lāʻau no ka polycostic ovary syndrome

ʻO Polycystic ovary syndrome a PCOS paha ka mea maʻamau ka maʻi nui o ka hānai hoʻohiwahiwa o nā wahine i 16 a 45 mau makahiki.

E pili ana nā pathology i ka nui o nā pilikia o ka endocrine, kahi kumu, e pili ana i ka hyperandrogenism o nā kumu ovarian a me kahi hloe anovulatory. Hōʻalo ʻia kēia mau maʻi i nā ʻano like ʻole o nā menstrual disfunction, hirsutism a ʻo ke kumu nui o ka maʻi lua.

ʻ .lelo Polycystic Ovary Syndrome

Ua ʻike nā ʻepekema ʻepekema i ka ʻōmaʻomaʻo o nā wahine e hōʻeha nei i ka PCOS ke kaupaona nei ma ka 70% o nā hihia lapaʻau a aneane hoʻokahi i loko o ka ʻehā o lākou e hōʻike ana i ka hoʻoliʻi hoʻoliʻi maʻi glucose a i ʻole diabetes mellitus.

Ma kēia hoʻoiho i nā kauka i ka manaʻo aʻe. ʻO ka hyperperogenogenism a me ka hyperglycemia ʻelua mau pilina pili. No laila, ʻo ke koho ʻana o Glucofage ma PCOS, e hōʻemi ana i ka kūleʻa o ka insulin, hiki iā ia ke hana maʻamau i ke ʻano o ka malama ʻoihana, e hoʻopau i nā androgens he nui, a hoʻoulu i ka ovulation, e hoʻoipoʻi i ka hapai.Wahi a nā noiʻi nui ma kēia wahi i loaʻa.

• ma hope o ʻeono mahina o ka lawe ʻana i ka lāʻau i loko o nā wāhine, hoʻonui nui ka nui o ka hoʻohana ʻana i nā glucose i ke koko;
• ma hope o ʻeono mahina o ka lapaʻau, hiki iā ia ke hoʻokumu i kahi hāmeʻa maʻamau me ka ovulation ma kahi o 70% o nā maʻi;
• hāpai ʻia aʻe i hoʻokahi wahine i ʻewalu wahine me PCOS i ka hopena o ka papa mua o ia ʻano mālama.

Nā Hoʻohui

ʻO ka mea pōʻino, ʻaʻole hiki i nā mea maʻi āpau ke lawe i ka Glucophage me ka polycystic ovary, no ka mea he nui nā contraindications no ka hoʻohana ʻana, me ka:

• i hoʻoneʻe ʻia ka ketoacidosis e ka maʻi mellitus;
• nā pilikia piha o ka precomatous o ka maʻi maʻi;
• renal a me ka nele ole;
• ka huehue ʻawaʻawa a me nā waiʻona ʻona;
• ka ʻana ʻole o kēlā me kēia ʻāpana o ka lāʻau;
• nā kūlana pathological e kū mai nei ma ke ʻano o ka hana o ka renal koʻikoʻi (chic, dehydration);
• nā maʻi e hoʻonāukiuki i ka hypoxia kūloko huapalapala, ʻo ia hoʻi: ka ʻole ʻana o ka hanu, ka pākuʻi ʻana i ka make myocardial, ʻano ʻeha.

Nā hopena maikaʻiʻole i ka lāʻau

Inā manaʻo ʻoe e pili ana i nā loiloi e pili ana i ka mālama ʻana me Gluconage PCOS, a laila ma ka manawa mua o ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ia ke hōʻea i nā hopena ʻinoʻino ʻole e pono e hoʻihoʻi ʻia a lele i kā lākou iho no kekahi mau lā.

I waena o nā hopena kūpono ʻole o ka maʻi, nā mea maʻi e wehe i ka nausea, ka luaʻi episodic, ka helehelena o ke ʻeha i loko o ka ʻōpū, ke kīpē, ka hoʻoluhi ʻana i ka momona.

ʻO ka mea pōmaikaʻi, ʻaʻole i hele pinepine kēia mau ʻano a ʻaʻole pōʻino no ka hana maʻamau o ke kino. ʻO nā hopena e like me ka hopena o ka hana o ka kūnaʻi, ka mea i hōʻike ʻia e ka dyspepsia, ʻeha ma nā ʻāpana like ʻole o ka ʻōpū, a me nā mea ʻai.

Ke hele nei kēia mau hōʻailona āpau ma hope o kekahi mau lā mai ka hoʻomaka ʻana o ka ʻoihana. Hiki iā ʻoe ke pale aku iā lākou inā e hoʻohana ʻoe i ka lāʻau lapaʻau i kekahi mau inika (i ʻōlelo ʻia ʻo 2-3 mau manawa i kahi lā) ma hope o ka wā o ka ʻaina. Nui pū kekahi o nā mea maʻi me ka pilikia o ka ʻōnaehana o ka nīne, ʻo ia hoʻi ka hapa o ka ʻono.

Hiki i nā Glucongage me nā polycystic ovaries ke hoʻonāukiuki i ka helehelena o nā mea hoʻokalakupua i ke ʻano o ka waikena lactic.

Eia kekahi, me ka hoʻohana mau ʻana i nā lāʻau lapaʻau mai ka pūʻulu Metformin, kahi i hoʻohaʻahaʻa o ka cyancobalamin (vitamin B12) i nānā ʻia, kahi e alakaʻi ai i ka hoʻomohala ʻana o ka anemia megaloblastic.

He mea kupaianaha loa no nā wahine i loaʻa ʻole i ka hopena maikaʻi ʻole mai ka ʻili a me ka tractary o ka ʻili, a me ka ʻili. ʻO ka hoʻonāukiuki ʻana i ka hana o ka ʻōnaehana hepatobiliary e hōʻike ʻia ana e ka hepatitis latent, e nalo aku nei ma hope o ka hōʻea ʻana i ka lāʻau. ʻO Erythema, kahi hamo a me ka ʻulaʻula paha i ʻike ʻia i ka ʻili, akā ʻoi aku ka liʻiliʻi o kēia ma mua o ka maʻamau.

Hoʻopili pū kekahi me nā lāʻau lapaʻau a me ka waiʻona

Pono e hoʻohana ʻia ka Glucophage i PCOS me ka makaʻala me ka lāʻau lapaʻau e loaʻa ai kahi hana e hoʻonui ai i ke kiʻekiʻe o ka glucose koko, e like me glucocorticosteroids a me ka sympathomimetics.

Mai hoʻohana i ka lāʻau lapaʻau i hui pū me ka diuretics loop.

ʻOi ka hana i hoʻonui ʻia i ka hopena o ka lactic acidosis ma muli o ka hōʻemi ʻana o ka hana kidney.

Ma mua o ka lawe ʻana i nā haʻawina x-ray me ka hoʻokele intravenous o ka iodine e kūlike ana, pono ia e kāpae i ka hoʻokipa ʻana o Glucofage i ʻelua mau lā ma mua o ke kaʻina hana. Kūʻē wau i kēia ʻōlelo i ka hapanui o nā hopena e hopena i ka hoʻomohala ʻana i ka hana ʻole i ka pilikia.

Hoike Mai

Wahi a lākou, ua hoʻomanawanui maikaʻi ʻia ka lāʻau e ke kino, ʻaʻole i hiki ke hoʻohui ʻia a hiki i ka wā hiki ke hoʻokō i ka hopena makemake e hoʻohana ai i nā hana conservative kūpaʻa o ka maʻi.

ʻO ka manawa wale nō, ʻo ka hapalua o nā maʻi i hoʻāʻo i ka lāʻau lapaʻau he hopena hopena ma ka hoʻomaka ʻana o ka mālama ʻana, akā hele wikiwiki lākou me ka pono ʻole e kāpae i ka papa o ka lawe ʻana i ka lāʻau lapaʻau.

Nā wikiō pili

ʻO Diet kahi mea koʻikoʻi i ka mālama paʻakikī o ka ovary polycystic:

He nui nā loiloi maikaʻi o ka Glucophage lōʻihi ma PCOS e hōʻike pono ana kēia lāʻau lapaʻau i nā maʻi ovarian polycystic a me ka hyperandrogenism e pili ana i nā ʻano genesis like ʻole. ʻO ka hoʻohana lōʻihi ʻana i ka lāʻau lapaʻau e ʻae i nā wahine ʻaʻole wale e hoʻopalehu i ka pilikia o ka hoʻokumu ʻana o ka cyst, akā e hoʻomau i ka hele ʻana i ke kāne maʻamau, hoʻokaumaha i ka ovulation a, ma muli o ke ʻano wahine, ʻoiai ʻo ia ka hoʻohālikelike ʻana me ka maʻi like ʻole.