Ukuchonga i-Polycystic Ovary Syndrome
Amava ngamnye omfazi we-polycystic ovary syndrome (i-PCOS) iyingqayizivele kuba akukho zimbini ezineempawu ezifanayo. Oku kunokwenza kube lula ukuxilonga i-PCOS. Ukuxilongwa kwe-PCOS kunokuthatha ixesha lokufikelela kwaye kusekelwe kwimbali yonyango, ukuhlolwa ngokomzimba, iimvavanyo zebhabhi, nokuhlaziywa kweempawu zakho.
Iimvavanyo kunye neenkqubo zokufumana i-Polycystic Ovary Syndrome
Ukufunyaniswa nge-PCOS, kufuneka udibanise ubuncinane ezimbini kwizinto ezintathu ezilandelayo:
1. Izihlandlo ezingekho phantsi okanye ezingekhoyo (ezincinane kunezihlandlo ezisibhozo zesigxina ngonyaka)
2. Iziphumo zegazi okanye iimpawu zomzimba ze-hyperandrogenism ( high androgens ) ngaphandle kweyonyango
3. Ukubonakala kweentlobo ezincinci kwi- ultrasound of ovaries
> Bona umehluko phakathi kweeyvari eziqhelekileyo kunye ne-polycystic ovary.
Ukuhlolwa kweMpilo kunye neMbali yezoNyango
Ugqirha wakho uya kufuna ukwenza ukuhlolwa okusemgangathweni kunye ne-pelvic ukuya kwindawo engezantsi.
Xa ibhinqa lithe gqwa, lingekho, okanye lingaqhelekanga (imijikelezo yesibhozo okanye embalwa ngonyaka), luphawu lokuba u-ovulation lungahle lwenzeke kwaye luyakubonisa i-PCOS. Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba abafazi abane-PCOS bangaba nomjikelezo wenyanga ukuya kwinyanga kwaye babe ne-PCOS. Ukuza kuxilongwa kukubandakanya ukulawula ezinye iimeko ezinokubangela ixesha lakho elingavumelekanga, njengesifo se- thyroid , i- hyperprolactinemia , i- Cushing's syndrome , okanye i- congenital adrenal hyperplasia , kuqala.
Ugqirha wakho uza kukhangela iimpawu zeempawu eziphezulu kunye ne-testosterone njengento engavamile yokukhula kweenwele (ngokukodwa ebusweni, kwisisu esisezantsi, emuva nangesifuba), i- acne , i- tags , i-patdness (if applicable), kunye ne-acanthosis yaseNigric ulusu entanyeni, emathangeni, emagqabini, okanye emanzini.
Uya kukubuza malunga nayiphi na impawu ezingavamile oye waziphawula, ngoko qiniseka ukukhankanya nayiphi na inkxalabo yakho, nokuba uyicinga ukuba ayinanto enkulu.
Ukubhala uluhlu lwezinto ofuna ukuthetha kunye nokubuza ngaphambi kwexesha kunokukunceda ukhumbule amaphuzu abalulekileyo ofuna ukuphakanyiswa ekuqeshweni kwakho. Uya kubuzwa malunga nexesha lakho lokuya esikhathini-ukuba zihlala zihlala phi, ubude bexesha phakathi kwabo-ngoko kukulungele ukuza ukulungelelaniswa nazo ezo mpendulo. (Le ngcaciso inokukunceda ugqirha wakho ukuba azibonele ukuba unesigxina.)
I-Ultrasound Transvaginal ye-PCOS
I-ultrasound ye-Transvaginal ingenakwenziwa okanye ayiqhutyelwe ukulawula i-PCOS. Olu vavanyo lungaqhelana nawe ukuba uye wakhulelwa. Inkqubo ifakwe ngaphakathi kwisini, evumela ugqirha ukuba ahlolisise izitho zokuzala, afune ukungaqhelekanga, kwaye alinganise ubunzima be- endometrium .
Ugqirha wakho uya kukhangela i-12 okanye ngaphezulu kwezinto ezincinane (ii-2 ukuya ku-9 mm) kwi-ovary nganye ukuze uncede uqinisekise ukuxilongwa. Amaxesha amaninzi ezi follicle zibizwa ngokuba ngama- cysts .
Nangona kunjalo, kukho a baninzi abafazi abanama-ovari anama-cystic ngaphandle kweempawu ze-hyperandrogenism, kunye nabasetyhini abaninzi abaye bafumanisa ukuba bane-PCOS abangenayo i-ovaries ye-cystic. Abanye oogqirha bafumana ukusetyenziswa kwe-ultrasound engapheliyo kwintsholongwane engabalulekanga, njengoko bengenako ukubonakala kwimizi-mfuyo kwaye bengenayo isondo.
Imiphumela yeGazi
Okokugqibela, umsebenzi wegazi uya kuthathwa kakhulu. Ngaphandle kokuvavanywa kwamahomoni njenge-testosterone, isrogen, kunye ne-follicle evuselela i-hormone (FSH), ugqirha wakho unokufuna ukuhlola umzimba wakho ngemiqondiso yeengxaki ezinxulunyanisayo ezifana ne- cholesterol ephezulu , isibindi esinamafutha, uhlobo lwesifo sikashukela, kunye nokuxhatshazwa kwe-insulin .
Ezinye izilingo Ugqirha wakho ungamncoma
I-Endometrial Biopsy: I- biopsy ye-endometrial iyakwenziwa ukuze kuqinisekiswe ukuba izicubu zakho ze-endometrial zisesikweni esifanelekileyo okanye uvavanyo lomdlavuza we-endometrial . Lo mngcipheko wesifo somdlavuza we-endometrial ukwanda kunye nenani kunye nobude bexesha phakathi kwexesha elilahlekileyo, kwaye isifo sifana nokungalingani kwe-hormone efumaneka kwi-PCOS.
I-biopsy inokwenziwa kwiofisi yakho ugqirha kwaye ingenabuhlungu, nangona unokuba nobunzima obuncinane ngexesha le nkqubo. Inani elincinci leethambo lisuswe kwisibeletho sakho nge-catheter esincinci efakwe kwisibeleko kunye nesisu. Ezi zicubu zihlaziywa kumxholo wesijikelezo sakho kwaye zihlolwe ngamaseli omhlaza.
Uvavanyo lwe-Glucose Ukunyamezela Uvavanyo: Abasetyhini abane-PCOS basengozini enkulu yokuphuhlisa uhlobo lwesifo sikashukela se-2 . Enyanisweni, ngokwe-Androgen Excess kunye ne-PCOS Society (AEPCOS), kukho ukuguqulwa okukhawulezayo kwi- pre-diabetes yesifo sikashukela kulabo bachaphazelekayo. Ngenxa yeso sizathu, i-AEPCOS incomela ukuba abafazi abane-PCOS banomvavanyo wokunyamezela nge-glucose ngomlomo xa benamaqondo okungaxakeki kwe-glucose, okanye ngamnye unyaka ukuba amazinga e-glucose aqhelekileyo. Ngale ndlela, isifo sikashukela sinokufunyanwa kwaye siphathwe ngokukhawuleza, sincede ukukhusela iingxaki.
Amanye amazinga eHormone: Kwakhona, i-PCOS yimeko yokukhutshwa, ngoko ke ezinye iimeko ezinempawu kunye neempawu ezifanayo kufuneka zilawulwe ngaphandle kokuba ufikeleleke.
Ukwenza oku, amanye amahomoni , afana ne-follicle stimulating hormone, i-hormone ye-luteinizing, kunye ne-prolactin, ingahlolwa. Ugqirha wakho unokuvavanya amanqanaba akho e-thyroid, njengoko iingxaki ze-thyroid zineempawu ezifanayo kunye neempawu ezifana ne-PCOS kwaye ziqhelekileyo kubasetyhini abanezixhala. Uvavanyo olutsha lwe-hormonal blood, ukhangele i- AMH (i-hormone elwa ne-anti-mullerian) ngoku isetyenziswa ngamanye amagqirha njengethuluzi lokuxilonga ngokunjalo.
Ukwenza Ingqiqo Ngeziphumo Zakho
Xa iziphumo zakho zegazi zibuya, kufuneka ukwazi ukuziphonononga kunye nodokotela wakho kwaye ubuze imibuzo. Ukuba kunokwenzeka, fumana ikopi yeziphumo zakho zegazi ezithunyelwe kuwe. Iilabhu ezininzi zibonelela ngeenkqubo zokusebenza zamahhala ongazithintela ukuba iziphumo zakho zegazi zithunyelwe kwi-smartphone yakho.
Ukuba ufumanisa i-PCOS, khumbula ukuba ukuguqulwa kwendlela yokuphila kunokuphucula ixabiso leeb lab yakho kwaye kunciphise umngcipheko wakho malunga neengxaki zonyango. Buza ugqirha wakho ukuba uceba njani ukuphatha i-PCOS yakho kunye nento ongayenza. Qiniseka ukuba ubuze malunga nezinye iindlela zokwelapha ezikhoyo, nazo.
Iimpawu Ezilandelayo Emva kwe-PCOS Diagnosis
Ukufunyaniswa ukuba ne-PCOS kunokuxakeka kakhulu ekuqaleni. Unokufuna ukufikelela kubantu abathandayo, okanye mhlawumbi iqela le-PCOS inkxaso kwindawo yakho, ukuba umntu ancike kuye. Ukulandela isiluleko sakho sogqirha nokufunda ngesifo sakho yindlela efanelekileyo yokuyilawula. Sineenkcukacha ezininzi malunga neyeza ze-PCOS, kuquka neendidi ezahlukeneyo zonyango ezinokuthi zinconywe, khona apha.
Ukufuna ukhokelo lwabanye abaqeqeshi bezempilo, njenge- dietitian ababhaliweyo isondlo okanye umphathiswa, kunokunceda.
ILizwi
Nangona le nto inokubonakala iyinto eninzi ukuyenza, khumbula ukuba awunabo. Njengengxaki ephezulu ye-endocrine phakathi kwabasetyhini bexesha lokubeletha, baninzi abafazi abane- PCOS abaye bafumana le nto. Xa uyazi ngakumbi, uya kuziva ulawulo lwezinto ezizayo ngokuzayo.
> Imithombo:
> Moran L, Misso M, Wild R, Norman R. Ukungasebenzi kweGlucose Uhlobo lokunyamezela 2 Uhlobo lwesifo sikashukela nesifo seMetabolic kwi-Polycystic Ovary Syndrome: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta. Hlaziya kwakhona kwakhona . 2010; 16347-363.
> Salley KE, Wickham EP, Cheang KI, Essah PA, Karjane NW, Nestler JE. Ukunganyeliseki kwe-glucose kwi-polycystic ovary syndrome-isitatimende sesikhundla se-Androgen Excess Society. J Clin Endocrinol Metab. 2007; 92 (12): 4546-56.