Kupa kune zvinyunyuta zvegynecologist kuti nguva nenguva mavha mavari anorwara, vakadzi munguva zhinji havazivi zvikonzero zvekunzwa kunorwadza. Kuti zvive nechokuita icho chakagumisa chiitiko ichi, kuongorora kwakakwana kwehutano hwekuberekwa kunodiwa. Chimbofunga dambudziko racho nekunyatsorondedzera, kusimbisa zvikonzero zvekuonekwa kwehurwa.
Mazai evha-zvikonzero
Vakawanda vevakadzi vanoona zvakaoma mushure mokuongorora mukadzi kuti aone chinokonzera uye apindure mubvunzo wemurwere: sei maovari ari kurwadzisa uye kuti anobvisa sei marwadzo. Iko kunofanira kutaurwa kuti kazhinji kusuruvara kwezvirwere zvepabonde kunokonzerwa nezvirwere zvekubereka. Pakati pezvinhu zvinovhiringidza, vanachiremba vanoona kukanganisa kunotevera:
- kuvhiringidza zvirongwa;
- hormonal disorders ;
- tsvina-yakafanana;
- kukanganisa kwemukati wekutengesa kwekuberekwa (congenital anomalies);
- kukanganisa kwechimiririro chemuviri wemukati;
- kusagadzikana kwekuenda kumwedzi .
Irovary inorwadza musati memwedzi
Kutora marwadzo mumapapiro mavari kunowanzoonekwa manheru ekubuda kwemwedzi. Iyi syndrome yakajairika. Iyo inobatanidzwa nokusakwanira kwehutano muviri. Pakuguma kwemhepo, izvi zvinogadzirwa nemaitiro anoita, izvo zvinogadzira progesterone. Kusakwanira kugadzirwa kunogona kukonzera kuchinja mumuchembera yemubereki. Somugumisiro, mukadzi uyu anogadzirisa kuora mukati mavhavha. Zvinhu zvinotevera zvinoratidza chiitiko ichi:
- kushandura kunzwisiswa kunorwadza kune rumwe rutivi (zvichienderana neivary iyo ovum inobva);
- kune neobylnye, mazhujushchie kugoverwa kubva kune cavity yemukadzi.
Mazai evanhu vanorwara panguva yokuenda kumwedzi
Sezvo zvidzidzo zvechiremba zvinoratidza, zvipembenene zvepabonde hazvikuvadzi panguva yekuenda kumwedzi. Izvo zvinonzi "kurwadziwa kunorwadza mumapapiro omukati", iyo vakadzi vanonyunyuta, inzvimbo yakananga mudumbu. Inonyatsobatana neavo kuchinja kunoitika munhengo yekubereka panguva yekuenda kumwedzi. Mucous membrane yechipfuva musina kubata pamuviri inotanga kuwedzera zvishoma nezvishoma. Izvi zvinokonzera kurwadziwa kunorwadza.
Zvinorwadza zvinorwadza panguva yokuenda kumwedzi zvinogona kuwedzerwa uye zvakanyanya zvinopesana zve uterine myometrium. Saka nhengo inobatsira kubvisa kubva mumasero ekudengenyeka emakona e endometrium, masara evha, izvo zvinouraya unfertilized. Kusimba kwakasimba kunokonzera marwadzo. Zvinogona kuratidzirwa zvakanyanya zvokuti zvinoputsa tsika yemaitiro ezuva remusikana, kuderedza kushanda kwayo.
Kana kuri kurwadziwa zvakananga mumavhizha, zvinotsamwiswa:
- kuvapo kwe-cysts;
- kukunda;
- kushungurudzika.
Iovary inorwadza panguva yehuvhu
Vasikana vakawanda vanogunun'una kuti vanorwara zvakanyanya pakati pekuvhara mazai. Kusuruvara panguva ino kwakabatana zvakananga nekuputsa kwehutano hwemashure ekunze kwehutano hwepabonde. Apo mavhunga , mazai akakura anosiya follicle iri muvharo, kusvika mudumbu remuviri. Panguva imwecheteyo, tsvina yakawanda inoramba iri panzvimbo yekubudirira. Rimwe shoma ropa rinobviswa kubva pairi.
Nenzira iyi iyi inokonzera mvura inopinda mumuganhu we peritoneum, ichiita kuti ishungurudzike. Nemhaka yeizvi, ovary inorwadza apo ovulating. Zviratidzo zvinotevera zvinoratidza kuti marwadzo anowirirana zvakananga nemutsara uyu:
- kurwadziwa kunowanikwa mukati mekutenderera;
- zvichida kuonekwa kwekusimudza excretions;
- nguva yehutano syndrome - kubva pamaminitsi akawanda kusvika maawa mazhinji;
- kurwadziwa nguva dzose kune rumwe.
Iovary inorwadza mushure mokunge ovulation
Uturu hwakanyanya mumapapiro omukati muhafu yepiri yekuenda kumwedzi kunogona kusanganiswa nekushandura mumuganhu we endometrial. Hormonal inoshandiswa muchikamu ichi kuwedzera chiyero chekukura kwemasero emukati memukati yebereki. Nokudaro chibereko chinogadzirirwa kuti zviitike. Kana zvikasadaro, matanho ekusimbiswa kwemashure anotanga. Hemonal background inoshanduka, myometrium inowedzera basa rayo. Kunyanya kuderedza izvi zvinogona kukonzera kusuruvara. Nokuda kwechikonzero ichocho, mavha mavari anorwadza mushure memwedzi.
Mazai evanhu vari kurwara panguva yekuzvitakura
Kazhinji, vakadzi vari munzvimbo yacho vanodaro vanotarisira vanachiremba kuti mazamu avo anorwara munguva yekuzvitakura, mumatangiro ekutanga. Mukugadzirisa zvinokonzera, zvakajeka kuti hapana kuwirirana pakati pekunzwa kunorwadza uye kuchinja kwezvinyorwa zvepabonde. Pakati pezvikonzero zvinokonzera kusuruvara, kuvhiringidza marwadzo mukati mavari mavari panguva yekutakura mwana, magynecologists anosiyanisa:
- Kuwedzera kwehukuru hwechibereko. Chirwere chebonde nezuva rega roga rokutakura rinowedzera mubhuku. Somugumisiro wekushandura kwakadaro, pane kuchinja mune zvinyorwa zvemashizha uye mazinga: vanosimudzwa uye vari pamusoro pezvavanogara.
- Kuwedzerwa kwezvirimwa zvinogadziriswa zvinotsigira chibereko uye zvikamu. Somugumisiro wekukura kwe fetus, mitsipa inosangana nemitoro yakawanda, uye kukakavara kunowanikwa mavari.
Kutarisana nekuchinja kwakadaro kwemuviri, uye kuderedza kuonekwa kwavo kuvakadzi vane pamuviri kubatsira:
- nzwisiso noutano;
- kutevedzera hurumende;
- gymnastic maitiro.
Pain mavari mazai panguva yepabonde
Kunetseka kwakanyanya muhovary munguva yepabonde kakawanda kunokonzera kukanganisa kwayo. Mukadzi anotambudzika zvakanyanya, dzimwe nguva kurwadziwa kunoratidzirwa zvakanyanya zvokuti mudiwa anofanira kutora mishonga inorwadza. Zvikonzero zvinotsanangura nekuda kweii mavha mavari anochera munguva dzepabonde, yakawanda. Pakati peizvi:
- hutachiona uye kupisa mukati mavari mavari - adnexitis;
- polycystic ovary ;
- cervicitis;
- kuoma kwemudzimai;
- kunamatira mumatavi maduku.
Mazai ega anovhara shure kwepabonde
Nhamo mumapapiro omukanana mushure mekuita zvepabonde kunogona kukonzerwa nemasimba ane simba pamusoro pemisungo yemukadzi. Ichi chinoshamisa chinonzi mune gynecology "vaginismus". Mukuwedzera, kusuruvara kuruboshwe kana kurudyi kunogona kukonzerwa nechisimba, zvepabonde. Kuderera kwakadzika, kusarudzo kusina kururama kwekumisa kunokonzera marwadzo mudumbu rezasi. Kuti kugadzirise dambudziko racho, zvakakosha kubvunzurudza mutano wepabonde.
Pain mu-ovarian cyst
Kurwadziwa kuputika muovary kunogona kuva chiratidzo chekuvapo kwe-cysts. Izvi zvakagadziriswa chivande chakazadzwa nemvura. Cyst sezvo inokura inowedzera hukuru hwehutano hwepabonde. Kwenguva yakareba nekwakakura kadiki ye-cysts hapana zviratidzo zvemaitiro. Pain syndrome inowanzoenderana nemasangano ayo akareba kupfuura masendimita matatu panguva imwe chete, inowirirana nezviratidzo zvinotevera:
- kurwadziwa kune nzvimbo yakananga-inoonekwa kune rumwe rutivi;
- kunzwa kunorwadza kwekukwezva kana kunetseka unhu;
- vanowanzotsamwiswa nepabonde;
- pamwe chete nehutachiona hwehutachiona hunopa ropa, kuwedzerwa kwekuenda kumwedzi kunopa ropa.
Ndezvipi mazai anorwadza?
Pain in ovaries inogona kuzvirongedza kuzvirongedza chete ne ovarian syndrome - apo kusuruvara kunokonzerwa nehutachiona. Mimwe mamiriro ezvinhu anoda kururamiswa kwechiremba, kurapa kwakakosha. Zvinokurudzira kuti vasikana vagamuchire kuvanachiremba mukuputsa uku ndekwekurumbidza:
- kuchengeta rugare;
- kurega kuita basa;
- kudzivisa kushungurudzika, kukakavara mamiriro;
- nemarwadzo akaoma, unogona kutora analgesics uye antispasmodics.
Ovarian Diagnosis
Kuti uratidze zvakajeka chirwere chinokonzera marwadzo mumapapiro omukati, zvikonzero zvechiratidzo ichi, vanachiremba vanoshandisa kuongororwa kwakazara kwevarwere. Panguva imwecheteyo, urongwa hwekuongororwa hunoenderana zvakananga nechirwere chinotarisirwa. Pakati pemakambani makuru uye kuongororwa mumamiriro ezvinhu akadaro, apo mavha mavari ari kuchema, tinogona kusiyanisa:
- Ultrasound yediki mapepa uye mudumbu cavity;
- kuongororwa kweropa (inowanzo uye biochemical);
- kuongorora ropa kune mahomoni;
- Smears kubva kuUrethra, mukadzi nemukati;
- urine analysis.
Kugadzirira marwadzo mukati mavo mavari
Kusarudzwa kwemishonga, apo mazai ari kurwara kwazvo, chiremba anobatanidzwa chete. Kana mushure mokuongorora zvakakwana murwere, kuisa chikonzero chaicho, kunosarudzwa nzira yezvinodhaka remishonga. Kazhinji, kusuruvara kunokonzerwa nehutachiona muhutano hwekubereka. Munyaya iyi, nheyo yehutano inoumbwa nemishonga inorwisa mabhakitiriya:
- tetracyclines (doxacyclin) - vane maitiro akawanda akasiyana-siyana, anobatsira mukurwisa protozoa;
- penicillins (Oxacillin, Ampicillin) - vane zita rakataurwa kuti bactericidal effect;
- Lincosamides (Clindamycin) - kudzivirira kukura uye kubereka kwezvirwere zvepathogenic;
- macrolides (Azithromycin) - ane baktericidal effect, ane chirevo chakakonzerwa ne streptococci, mycoplasmas, staphylococci, chlamydia;
- nitroimidazoles (Metronidazole) - inoshanda nevanaerobic microorganisms.
Izvi zvinoshandiswa pakurapa zvinosanganisira suppositories pamarwadzo ovarian, anorayirwa kuvakadzi. Maitiro akadaro emurairo anokubvumira kukurumidza kubvisa zviratidzo, kuita kuti murwere aite zvakanaka. Kupa chiito chemunharaunda, suppositori inoderedza zviratidzo zvehutano, marwadzo, kusagadzikana, kusagadzikana kunonyangarika mushure mekushandisa kushandiswa kwechirwere ichi.