Ukuqonda iPycycystic Ovarian Syndrome Izimpawu, Ukuxilongwa, kunye noTyango
I-Polycystic ovarian syndrome, okanye i-PCOS , isifo sengqondo se-endocrine kunye nesizathu esiqhelekileyo sokungabikho kwabantwana abasetyhini. Kwi-PCOS, ii-hormone ezichaphazela inkqubo yokuzala aziqhelekanga, ezikhokelela ekuhambeni okungaqhelekiyo okanye ezingekho. I-PCOS yimiba eqhelekileyo, echaphazela kuma-8 ekhulwini kwabasetyhini.
Abasetyhini kunye ne-PCOS kaninzi banama-ovaries e-polycystic. Oku kuthetha ukuba ii-ovari zininzi ze-cysts ezincinci, ezinobunzima.
Ngexesha lokuhlolwa kwe-ultrasound, i-cysts encinci ingafana nomtya weeparele. Nangona kunjalo, i-polycystic ovaries ayisoloko ikhomba kwi-PCOS. Izifundo ziye zafumanisa ukuba abanye abafazi banee-ovaries ze-polycystic, i-ovulation eqhelekileyo, kwaye akukho mqondiso ye-endocrine disorder njenge-PCOS.
Ukufumana okuqhelekileyo nge-PCOS ngamanqanaba aphezulu angama-hormone a-androgen. Nangona i-androgens itholakala kumadoda kunye nabasetyhini, zibhekwa njengezona zi-hormone zamadoda. Amanqanaba aphezulu a-androgen anxulumene nezinye zeempawu eziphazamisayo ezibonakalayo ze-PCOS, kubandakanywa i-acne kunye nokukhula kweenwele ezingavamile.
Ziziphi iimpawu zePolycystic Ovarian Syndrome?
Iimpawu ze-polycystic ovarian syndrome zingaquka:
- ukungabikho
- i-ovulation engavumelekanga okanye engekho
- i-amenorrhea (ukungabikho kwimijikelezo yenyanga ukuya kwinyanga) okanye i-oligomenorhhea (imijikelezo yenyanga yokungaqhelekanga)
- ukuphuphuma kwesisu
- Ukukhula kweenwele ezingavamile, okubizwa ngokuba yi-hirsutism, efunyenwe emlonyeni ophezulu, i-chin, malunga neengono, okanye kwisisu
- intsimbi
- ngakumbi isikhumba seoli kunye neenwele
- ibhalathini yesilisa
- ukunyanya
- ubukho bee-polycystic ovari ngexesha lokuhlolwa kwe-ultrasound
- ukuxhatshazwa kwe-insulin
- Amanqanaba aphakamileyo a-androgens, ayaziwa nangokuthi i-hyperandrogenism
- Amanqanaba aphakamileyo yeH hormone LH (ukwenza iimvavanyo zokunyuka kwamakhaya ekhaya kunzima ukusebenzisa)
Akudingeki ukuba ube nayo yonke impawu apha ngasentla ukuba ufumaneke nge-PCOS, kwaye i-PCOS ayizibonakalisi ngendlela efanayo kuyo yonke intokazi.
Ngokomzekelo, abaninzi abasetyhini abane-PCOS abanalo ukukhula kweenwele ezingavamile kwaye banesisindo esifanelekileyo. Abanye abesifazana abane-PCOS abanakho ukuhamba kwinyanga ukuya kwexesha, ngelixa abanye abesifazana abane-PCOS banokuba neentshukumo ezingaqhelekanga.
Ngenxa yokuba i-PCOS ifunyaniswa ngokujonga umfanekiso omkhulu, kwaye ngokungabandakanyi ezinye izifo ezinokuthi zibangele iimpawu ezifanayo, kubalulekile ukubona ugqirha wakho ukuba ufumane unyango oluchanekileyo.
I-Polycystic I-Ovarian Syndrome Yenza Njani Ukungabi Naluphiko?
Amanqanaba e-hormone aqhelekanga anxulumene ne-PCOS akhokelela kwiingxaki nge-ovulation. Ezi zitenxo kwi-ovulation yizona zizathu ezibalulekileyo zokungabikho.
I-PCOS idibaniswa nomngcipheko ophezulu wokukhulelwa kwangaphambili. Uphando lwe-PCOS lubonise ukuba izinga lokuphuphuma kwesisu lingaphezulu kwama-20 ukuya kuma-40 ekhulwini, eliphindwe kabini kunabantu bonke.
Akucaci ukuba kutheni ukuphazamiseka komzimba kuqhelekileyo kubasetyhini abane-PCOS, kodwa ezinye iingcamango ziquka ezi zilandelayo:
- umgangatho okhuphekileyo weqanda, ohambelana nokuqala kwangaphambili okanye ukuvuthwa kwexesha
- ukuxhatshazwa kwe-insulin
- indawo engaphantsi kune-intle yombungu oza kufakwa kwi-uterine bining (ngenxa yamanqanaba e-hormone aqhelekanga anxulumene ne-PCOS)
I-Polycystic Ovarian Syndrome ifunyaniswe njani?
Akuyena wonke umntu ovuma kwiinkqubo zokuxilonga i-PCOS, kwaye inkcazelo yayo yatshintshile kule minyaka.
Oko kwathiwa, imigaqo yokusetyenziswa kwezifo esetyenziswa ngokuqhelekileyo esetyenziswa ngoku ifuna ezimbini kwizinto ezilandelayo zilandelayo:
- izijikelezo ezingekho phantsi okanye ezingekhoyo, ngenxa yobunzima obungapheliyo
- ukuqinisekiswa kwegazi okanye iimpawu zangaphandle zamanqanaba aphezulu kunye ne-androgens (ukukhula kweenwele ezingaqhelekanga, i-acne)
- ubukho bee-polycystic ovaries, njengoko kuboniswe yi-ultrasound examination
Ukongezelela, ezinye izizathu ezinokubangela ukugcoba okanye amanqanaba aphezulu kunye ne-androgen kufuneka apheliswe. Oku kuvame ukuquka ukuhlolwa kwe-adrenal hyperplasia yokuzalwa, kunye ne-androgen-yokuvimba izicubu, kunye ne-hyperprolactinemia.
Luphi uhlobo lokuvavanya olubandakanya iPolycystic Ovarian Syndrome?
Umsebenzi wegazi uya kulawulwa ukuba uhlolisise amazinga e-hormone, amazinga eeshukela egazi (ukwenzela ukunganyangeki kwe-insulin), kunye namanqanaba e-lipid.
I-ultrasound ye-Transvaginal inokuyalelwa, ukuze ubone ukuba ii-ovari zivela kwi-polycystic.
Ukuthatha imbali ecacileyo yindawo ebalulekileyo yokuxilongwa kwe-PCOS. Ugqirha wakho uya kufuna ukwazi malunga nokujikeleza kwexesha lakho lokuya esikhathini, kwaye ubuze malunga nokukhula kweenwele ezingafunekiyo. Unokulingwa ukuba ungathethi ukukhula kweenwele ezingafunekiyo ngenxa yeentloni, kodwa kubalulekile ukuba uxele ugqirha wakho malunga nale ngxaki ukuba unayo.
Ziziphi iiNyango zokwenza i-PCOS?
Unyango lwe-PCOS luya kuxhomekeka ekubeni ngaba ungekho ukuzama ukukhulelwa. Ukuba ukukhulelwa akuyona nto ephambili, iipilisi zokulawula ukuzalwa zingalawulwa ukunceda ukulawula imijikelezo yakho kunye nokunciphisa i-acne kunye nokukhula kweenwele ezingafunekiyo.
Abanye abesetyhini banesaba ukuhamba kwiipilisi zokulawula ukuzalwa ngenxa yokuba bacinga ukuba kuya kubangela ukulimaza ukuzala kwabo. Uphando malunga nokulawulwa kokuzalwa alukafumani ukuba oku kuyinyaniso. Ulawulo lokuzalwa akufanele lulimaze ububele bakho bexesha elide .
Nangona kunjalo, kubalulekile ukwazi ukuba ipilisi "ayiphilisi" i-PCOS yakho. Ungase uqale ukufumana imijikelezo rhoqo xa usebenzisa ipilisi. Ezi zenziwe ngokufanelekileyo. Emva kokuba uyeka ukuthatha ipilisi, ukuba izijikelezo zakho zazingekho mthethweni ngaphambili, ziyakuthi zibe zingavumelekanga kwakhona.
Ukuba unamava entle njengenxalenye ye-PCOS yakho, kufuneka uhambe uye kubona i-dermatologist. Iipilisi zolawulo lokuzalwa ngamanye amaxesha zinganciphisa i-acne, kodwa kungekho rhoqo. Ukuba uzama ukukhulelwa, nangona kunjalo, ukulawulwa kokuzalwa akuyi kuba yindlela efanelekileyo yokonyango. Ezinye izifo zonyango azikhuselekile ukuba zisetyenziswe xa uzama ukukhulelwa, ngoko qiniseka ukuxelela ugqirha wakho ukuba uzama ukukhulelwa.
Kulabo bazama ukukhulelwa, unyango lwe-PCOS lufana nezokwelapha ezisetyenziselwa ukwelapha ukugcoba. Umgca wokuqala wonyango udla ngokuba yiComomid , esetyenzisiweyo ukunceda ukukhuthaza i-ovulation.
I-Metformin- eyaziwa nangokuthi i-Glucophage-isilwanyana esasetyenziswa rhoqo ekunyangeni ukuxhatshazwa kwe-insulin. Ngamanye amaxesha isetyenziselwa ukuphatha i-PCOS, nangona ungenalo ukukhushulwa kwe-insulin.
I-Letrozole-imithi yomhlaza-ngamanye amaxesha isetyenziselwa ngaphandle-ilebula ukukhuthaza i-ovulation. Isebenza ngendlela efanayo nendlela uComomid yenza ngayo. I-Letrozole ingaba yimpumelelo ngakumbi ekuncediseni abafazi nge-PCOS ukukhulelwa kuneComomid.
Ukuba la mayeza ayincedi , ke i- gonadotropins ingahlolwa . Lezi ziyobisi ezinobungozi.
Ukuba imithi yodwa ayisebenzi, okanye ukuba kukho izinto ezininzi ezikhokelela ekungabikho komntwana, i- IUI okanye i- IVF yonyango inganconywa.
Olunye uphando lubonisile ukuba abafazi abakhulu kakhulu kunye ne-PCOS banokwazi ukuqala kabusha i-ovulation ngokwemvelo ngokulahlekelwa iipesenti ezili-10 kuphela zesisindo sabo . Ukutya okunempilo kunye nokuzilolonga rhoqo kunokunceda ukubuyisela i-ovulation rhoqo kwezinye, kodwa kungekhona bonke, abafazi abane-PCOS.
Ngaba ukukhulelwa kunye ne-PCOS naluphi na uhlobo?
Abasetyhini abane-PCOS banomngcipheko okhuselekileyo wokukhulelwa kwengxaki ethile yokukhulelwa. Abasetyhini abane-PCOS banakho amathuba okuhlakulela isifo sikashukela, ukukhulelwa kweengxaki ezinxulumene nexinzelelo lwegazi, preeclampsia, kunye ne-preterm sebenzi. Iintsana ezizalwe ngabasetyhini abane-PCOS zinomngcipheko okhulayo wokufuna ukunakekelwa kwe-NICU emva kokuzalwa.
Isizathu saloo ngozi ingakumbi sisuka kwi-PCOS-inxulumene nokukhuluphala okanye ukuxhatshazwa kwe-insulin. Indlela engcono yokunciphisa le mngcipheko kukufikelela kwisisindo esiphephile (okanye esipheleleyo) ngaphambi kokuba ukhulelwe (ukuba kunokwenzeka), qi niqiniseke ukuba ufumana unyango lokubeleka rhoqo, kwaye udle ukutya okunempilo. Ewe, unako ukwenza zonke izinto ezifanelekileyo kwaye unamava.
Imithombo:
> Barbieri, uRobert; Ehrmann, David. Ukubonakaliswa kwekliniki ye-polycystic syndrome syndrome kubantu abadala. Isemgangathweno.
> Barbieri, uRobert; Ehrmann, David. Ukuxilongwa kwe-polycystic ovary syndrome kubantu abadala.
> Fauser BC1, Tarlatzis BC, Rebar RW, Legro RS, Balen AH, Lobo R, Carmina E, Chang J, Yildiz BO, I-JS eLaven, i-Boivin J, iPerraglia F, i-Wijeyeratne CN, i-Norman RJ, i-Dunaif A, i-Franks, i-Wild RA, iDumesic D, Barnhart K. Ukubambisana malunga nempilo yabasetyhini ye-polycystic ovary syndrome (i-PCOS): i-Amsterdam I-ESHRE / i-ASRM-Inkxaso ye-3 ye-PCOS Consensus Workshop Group. "Fertil Steril. 2012 Jan; 97 (1): 28-38.e25. i-doi: 10.1016 / j.fertnstert.2011.09.024. Epub 2011 uDis 6.