Kunling exposes a problem in patients with polycystic polycystic uterus three step pregnant-www.777vk.com

Kun Ling exposes the uterus has polycystic problem, polycystic patients three step pregnant with baby Kun Ling 8 days to attend an activity, said, 3, 4 months ago, found that the uterus has polycystic problem, but fortunately the condition is mild, the doctor suggested that she exercise more, improve physical fitness. Many women with polycystic ovary syndrome (PCOS) worry that they can’t have children, and Zhang Wei, chief physician of the affiliated obstetrics and Gynecology Hospital of Fudan University, says polycystic patients have to conceive their own babies and have to follow these three steps! The first step: the pre condition assessment whether PCOS patients want to prepare pregnant, or after pregnancy is not pregnant, recommended to wish to carry out pre inspection, inspection items include: sex hormones complete, glucose tolerance, insulin release test, blood lipid, liver and kidney function of vaginal ultrasound; infertility patients also need PCOS the husband semen, it is necessary to determine whether there were salpingography combined with other infertile factors. The second step: pre treatment whether or not should be judged according to the above examination results, according to the results of the examination to assess the condition of PCOS, if there are Kaohsiung, insulin resistance, impaired glucose tolerance or diabetes patients, it is recommended that the first treatment, and then ovulation. The purpose of pre treatment is to increase the sensitivity of ovulation induction, reduce the complications of ovulation induction, reduce the rate of miscarriage, and reduce the pregnancy complications after pregnancy, so there are problems and treatment. The pre treatment methods include: 1. adjustment after birth: adjustment and adjustment after birth, including diet regulation, exercise, reducing stress, regular sleep, abstaining from smoking and drinking, etc.. Diet: (1) reasonable diet structure, less fat, less carbohydrates, more high-quality protein; (2) reasonable intake: total energy intake can not exceed the standard, so as to control weight; exercise: exercise 30-60 minutes a day, adhere to at least 5 times a week, more than moderate intensity of movement. Obese patients with PCOS have a greater benefit, and weight loss of 10% can help 70-90% patients recover ovulation and conceive naturally. It is also beneficial for PCOS patients with normal body weight. 2. reduce androgen treatment: if there is excessive androgen, you can first male ovulation again. Hung down method of compound short acting oral contraceptives (COC), spironolactone, dexamethasone, but plans for pregnancy were the best use of the COC reduced male, mainly because COC can be hung down, adjust the size, the number of ovarian follicles, ovulation and pregnancy advice as soon as possible after the withdrawal of the drug, because of the time after hormonal imbalance will relapse. 3. for metformin: obesity, insulin resistance, impaired glucose tolerance or diabetes in patients with PCOS, reduce insulin, diabetes, improve the follicle quality by metformin treatment, so as to reduce the abortion rate after pregnancy and gestational diabetes, hypertension and other obstetric complications in pregnancy, and when obesity and insulin resistance can be controlled after the restoration of spontaneous ovulation pregnancy patients. The third step: ovulation promotion through the above pre treatment, some patients can resume natural ovulation, pregnancy, ovulation can not be restored to patients as soon as possible to promote ovulation, help pregnant, because the withdrawal time is too long, hormone disorder will soon relapse. Methods ovulation preferred oral clomiphene or letrozole, not sensitive patients can use HMG or FSH injection of ovulation, general)

昆凌自曝子宫有多囊问题 多囊患者三步怀上宝宝昆凌8日出席某活动时表示,3、4个月前就诊发现子宫有多囊问题,幸好病情轻微,医生建议她多运动,改善体质。很多患有多囊卵巢综合症(PCOS)的女性担心自己不能生育,对此,复旦大学附属妇产科医院主任医师张炜表示,多囊患者要怀上自己的宝宝,得按这三步来!第一步:孕前病情评估不论是PCOS患者想备孕的,或是经过备孕怀不上的,建议先要进行孕前的检查,检查项目包括:性激素全套、糖耐量、胰岛素释放试验、血脂肝肾功能、阴道B超;不孕的PCOS患者还需要进行丈夫精液化验,有必要时行输卵管造影确定是否存在联合的其他不孕因素。第二步:预治疗预治疗与否要根据以上检查结果判断,根据检查的结果评估PCOS病情,如果存在高雄、胰岛素抵抗、糖耐量异常或糖尿病的患者,建议先进行预治疗,然后进行促排卵。预治疗的目的是:增加促排卵的敏感性,减少促排卵的并发症、降低流产率、降低怀孕后的妊娠并发症,所以有问题要与治疗。预治疗方法包括:1. 生后方式的调整:生后方式调整调整包括饮食调节、运动、减少压力、规律睡眠、戒除烟酒等。饮食:(1)饮食结构合理,少油腻、少碳水化合物、多优质蛋白;(2)摄入量合理:总能量摄入不能超标,这样才能控制体重;运动:每天运动30-60分钟,坚持每周至少5次,中等以上强度的运动。对肥胖的PCOS患者益处更大,减重10%可以使70-90%的患者恢复排卵,自然受孕。对体重正常的PCOS患者也有一定益处。2. 降低雄激素治疗:如果存在雄激素过高,可以先降雄再促排卵。降雄的方法有复方短效口服避孕药(COC)、螺内酯、地塞米松等,但对于计划妊娠的患者最好用COC降雄,主要是因为COC可以降雄、调整卵巢大小、卵泡数量等,停药后建议尽快促排卵受孕,因为时间久后激素失调会复发。3. 二甲双胍:对于有肥胖、胰岛素抵抗、糖耐量受损或已发生糖尿病的PCOS患者,可通过二甲双胍治疗降低胰岛素、治疗糖尿病、改善卵泡质量,从而减少孕后的流产率及妊娠糖尿病、妊娠高血压等产科并发症的发生,而且,当肥胖及胰岛素抵抗得以控制后,患者可恢复自发排卵受孕。第三步:促排卵通过以上预治疗,部分患者可以恢复自然排卵受孕,不能恢复排卵的患者需要尽快促排卵助孕,因为停药时间过长,激素紊乱会很快复发。促排卵的方法首选口服药物克罗米芬或来曲唑,不敏感的患者可以用HMG或FSH注射促排卵,一般而言,95%以上的PCOS患者药物皆可成功促排卵且可受孕。小贴士:促排卵过程患者需要知道的是,6次成功促排卵受孕率只有75-80%,不是百发百中;即便是自然排卵的人一年试孕的受孕成功率也仅有82%,所以你得有耐心。多囊记住三原则少吃多动:多囊卵巢综合征患者容易出现胰岛素抵抗,日后容易发展为糖尿病。建议买一本糖尿病饮食书籍,指导日常清淡饮食。同时,一定多运动,不要偷懒,避免血糖、血脂、高血压、冠心病诸多问题。少气多乐:多囊患者一定要开心,不要焦虑。女子以肝为本,情志问题影响肝的疏泄,进一步会影响月经,所以,要想月经好,每天让自己开心。早婚早育:由于多囊卵巢会影响生育,建议多囊卵巢患者在许可范围内尽量早生育,一方面避免日后不易怀孕的问题;另外一方面,怀孕也有助于多囊卵巢病情的控制。多囊多吃三种食物对多囊卵巢综合征患者来说,饮食调理非常重要,合理的饮食习惯是辅助治疗的关键。黄瓜:清脆可口,具有清热、解渴、利尿作用。它所含的纤维素能促进肠道排出食物废渣,从而减少胆固醇的吸收。黄瓜中还含有一种叫“丙醇二酸”的物质,可以抑制体内糖类转变成脂肪,有减肥和调整脂质代谢的功效。茄子:含有多种维生素,特别是紫茄中含有较多的维生素P,能增强细胞黏着性,提高微血管弹性。医学研究表明,茄子能降低胆固醇,还能防止高脂血症引起的血管损害,可辅助治疗高血压、高脂血症、动脉硬化等病症。绿豆:具有降低血脂、保护心脏、防治冠心病的作用。实验证明,绿豆能有效降低血清胆固醇、甘油三酯和低密度脂蛋白,明显减轻冠状动脉粥样硬化症状。(本文综合自健康时报)(本文综合自健康时报)相关的主题文章: