She used to be a typical lady, a 24-year-old, tall man with a big eyebrow, a prominent chest, a slim figure, and a gentle tone, so that she quickly entered the forefront of a major hotel, and for manyThe young man was dumped.
After she got married, she slowly got fat, but she had no choice but to withdraw from the foreman and do it.
Two years after her marriage, she only had long meat and aunt, and she did not see the information of pregnancy. It caused a deep grievance at home. Her colleagues in the neighborhood were also discussing why the fat woman was not pregnant. She was so angry that she often got angry and had to go out of the hospital.
No, she came to our over-experience department.
銆€銆€When we asked about the medical history, we learned that the woman had suffered from tuberculous meningitis. After the hospital treatment was restored, she began to gain weight. She only showed that she was obese because she had less food, and she did not apply the history of hormone administration.
From this we consider that the production of this obesity may be related to the internal interior of the skull.
Therefore, for the sake of convenience, the doctor found that: height 170 cm, weight 85 kg, moderate obesity, slightly stacked in the lower abdomen, thigh, frontal, female distribution, pale skin, cold limbs, dry skinDesquamation, the face is slightly swollen.
Gynecological examination returns: the vulva is still developing well, the uterus is small, the position is leaning forward, the pubic hair is sparse, and there is no menstruation.
銆€銆€In combination with some of the above, we may begin to have the effect of intracranial lesions, so we asked her to test urine 17-hydroxysteroids, 17-ketones due to alcohol, blood sugar, skull X-ray and CT, for fundus examination, etc.After the test results come out, they will make a distinction.
銆€銆€A few days later, all the results of the reform have been rewarded, urine 17 hydroxy, urinary 17 ketone is still in the normal range, blood sugar 4.
9mmol / l month skull X-ray and CT showed calcification around the pituitary.
This further suggests that our previous brain tuberculosis complications involve the central bulge to the celiac nucleus in the hypothalamus, affecting the normal secretion of gonadotropins and lack of satiety, so that the gonads of the target organs of gonadotropins cannotNormal development and production of sex hormones, the existing sexual ability of the second sexual development is imperfect.
Due to lack of satiety, the appetite is increased, the food intake is increased, and obesity is caused by a slight metabolic disorder.
Because we dare not easily diagnose that she may be a syndrome called over-proliferation and incompetence syndrome, so I have to let the patient go home and kill the consultation before surgery.
And we also visited the endocrinologist Zhu Guang after work.
銆€銆€Mr. Zhu told us: “The obese reproductive incompetent syndrome was discovered by Froelich in 1901, so it is also called Froe1ich syndrome. It is a group of pathogenesis and gonadal insufficiency caused by thalamic anatomy, accompanied by female type.Slightly distributed over-sickness syndrome.
The cause of this disease is dysfunction and organic deformation of the hypothalamus, resulting in the spread of many thalamic-pituitary lesions (such as tumors, metabolism, vascular lesions, degeneration).
More common are cerebral edema, pituitary tumor, pituitary cyst, cerebellar tumor, intracranial meningioma, tumor near the pituitary, tumor near the optic chiasm, tuberculosis and other complications, these complications involving the satiety center, there are various symptoms.
This is completely related to your considerations and the records in the book.
I think it is best to diagnose this disease G. Let her go to the Concord Hospital to see an endocrinologist.
With the support of Professor Zhu, we are happy to go home. Although the weather is late, Professor Zhu’s words are still echoing in my ears. It’s already at home at 10 o’clock in the evening. After dinner, I started in my mind.It is a treatment plan combining Chinese and Western medicine.
銆€銆€Early the next morning, after we went to work, we came to the clinic, cleaned the clinic for disinfection, and waited for the arrival of new patients.
銆€銆€At 10 o’clock in the morning, the patient finally came. We first advised her to go to the big hospital to have a look, and then try it with Chinese medicine.
Viewing its pulse: body fat, face oily, abdominal fullness, cold limbs, pale tongue thin white, thin pulse string.
Distinguish as phlegm, obesity, liver and spleen, and blood stasis, prescription: 10 grams of Bupleurum, 10 grams of medlar, 30 grams of glutinous rice, 15 grams of fragrant, 10 grams of Zeeland, 12 grams of Chuanxiong, 15 grams of motherwort, 10 grams of berberine, 10 grams of Chuanxiong, 3 grams of amber powder (punching), lotus leaf 10 grams, 6 grams of cinnamon.
6 doses, Shuijianbi, and asked her daily diet by 0.
75 kg is reduced to 0.
5 kg, eat more high-fibrin diet, eat more vegetables, walk 20-30 minutes after meals every day, first improve symptoms.
You can take the gold prescription kidney gas nine, each time 1 pill, three times a day; female treasure, 10 capsules each time, three times a day; Wuji Baifeng pill, 1 pill each time, twice a day.
After the endocrinologist sees it, use hormones or western medicine according to the advice of endocrinologists.
The implementation of the program is waiting for the patient to cooperate.
To complete our expectations.
銆€銆€After taking the medicine, the patient’s abdominal distension was significantly relieved, the symptoms improved, and the diet control began to be somewhat uncomfortable. It was tolerable in the past two days. Therefore, in addition to giving her a soup, she gave her some medicine to promote gonadal development.Grab the difficulties as soon as possible.
銆€銆€After a year and a half of treatment, the patient finally has menstruation, weight loss, hormone replacement, but the real purpose of growth, but also the joint efforts of both husband and wife.
銆€銆€It is correctly pointed out that there is a pseudo-obesity reproductive incompetence syndrome which is different from the essential nature of the disease. Only after diagnosis by the hospital endocrinologist can the correct treatment be carried out, and the disease cannot be suspected because of excessive temporary temporary reproduction.Most women with simple obesity can still give birth in the future as long as they insist on losing weight.
Friends, ladies, do you understand what is infertility?
Please see the next article, amenorrhea obesity.