Ingqwalaselo ye-PCOS & Infertility
Abafazi abane-PCOS baqinisekile ukuba banesabelo sabo seempawu eziphazamisayo, kuquka i-acne, ukukhula kweenwele ezigqithiseleyo, ukulinganisa kunye nokufumana ubunzima. Phezulu kwabo bonke, ukuya kuma-70 ekhulwini kwabasetyhini abane-PCOS banokungabikho kwengqondo. I-PCOS, e neneni, iyona nto ibangelwa yinto yokungabikho kwemfuyo. Ukuba unayo i-PCOS kwaye unobangela bokungapheli, yile nkcazelo malunga neendlela zakho zokonyango kunye nendlela yokufumana inkxaso.
Kutheni Kuthiwa Abaninzi Abasetyhini abanePCOS Ukulwa Nokungasebenzi?
Uphawu oluphawulekayo lwe-PCOS lukhethiweyo okanye alukho ixesha lokuya esikhathini.
Abanye abesifazana abane-PCOS abanakufumana ixesha elide kwiinyanga, kwaneeminyaka, ngelixa abanye baya kuhlamba iiveki eziliqela ngelo xesha. Ipesenti encinci yabasetyhini abane-PCOS iya kuba nemijikelezo yenyanga.
Imijikelezo engekho phantsi okanye engekhoyo yokuya esikhathini kwi-PCOS ingenxa yokungalingani kwe-hormonal. Ngokuqhelekileyo, i-hormone yesondo ifihliwe kwinqanaba lokutshiza. Kubasetyhini abane-PCOS, i-hormone ye-luteini (LH) ifihliwe kwinqanaba lokupasa elikhawulezayo.
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Kutheni I-Resveratrol Inokuzuza Abasetyhini nge-PCOS: Funda
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Iingcebiso 9 zokufumana umzimba wakho ulungele ukukhulelwa xa unayo i-PCOS.
Le nto ithumela iimpawu kumaqanda akho ukupompa amanqanaba aphezulu amahomoni esilisa, afana ne testosterone . Ngenxa yoko, i-LH kakhulu kunye ne testosterone iphosa amanqanaba amanye ama-hormone wesini esisebenzayo ukulawula umjikelezo wakho wokuya esikhathini kwaye ichaphazela ukuhamba.
Kwi-PCOS, esikhundleni sokunyuka kwamathambo kunye nokukhululwa ukuba uzaliswe ngokukhulelwa, ulandelelwano aluzange lukhule ngokugcwele kwaye ngezinye izikhathi alukhululwa kwi-ovary. Iifolumu ezincinci ezibhekiselwe ngokungalunganga ngokuthi "ama-cysts," ngamanye amaxesha zijikeleza i-ovary ebonakala njengomtya weeparele kwi-ultrasound. Ezi ziyizifo ezingazange zikhule okanye zikhutshwe kwii-ovari.
I-PCOS kunye nokungenzi lutho: Iindlela zokwelapha
Ukungabi naluphi uhlobo oluqhelekileyo lufunyaniswa emva kokuba isibini esiphumelelanga ukukhulelwa kweenyanga ezili-12 okanye ngaphezulu. Ukwazi umngcipheko, oogqirha banokuphatha abafazi nge-PCOS ngokukhawuleza kunokungenasifo kunoko. Iimpazamo eziqhelekileyo ziqhelekileyo kubasetyhini abane-PCOS kwaye zibangelwa ukungalingani kwama-hormone wesini kunye namazinga aphezulu e- insulin .
Nangona ukukhulelwa kungabonakala kungenasiphelo, kukho ezininzi iinkqubela phambili zonyango ekuncedeni abasetyhini abane-PCOS ukukhulelwa.
Indlela yokuPhila
Utshintsho kwindlela ophila ngayo inokwenza umehluko omkhulu wokulawula i-hormone nokulungiselela umzimba wakho ukukhulelwa. Oku, unokukwenza ngcono izinga lakho leqanda kunye ne-ovulation, ukwandisa amathuba akho okukhulelwa. Ukuba ukhuluphele kakhulu, ukulahlekelwa ubuncinane nje ngeepesenti ezingama-5 zesisindo sakho somzimba kuboniswe ukuphucula ukuvelisa kwi-PCOS. Ukwenza utshintsho ekudleni kwakho, umzimba, izinga lokunyamezela, kunye nomgangatho wobuthongo kunokunceda ukuphucula ukuzala kwakho.
Ukutya okunempilo
Ukutya okusemgangathweni kwe-PCOS yi-antioxidant-rich riches focusing the amounts of moderate carbohydrates.
Ezi ziquka iziqhamo, imifuno, iiimbotyi, iilenti, kunye neenhlamvu, ezifana ne-quinoa kunye nama-oats. Kubandakanywa amafutha ukusuka kwimithombo engabonakaliyo, njengowamafutha omnquma, inantambo, imbewu, intlanzi kunye ne-avocado kukhuthazwa.
Ukuphepha ukuhlaziywa okanye ukucutshungulwa kwemithombo ye-carbohydrate, njengabaqhiki, isonka esimhlophe, irayisi ezimhlophe, i-pretzels, kunye nokutya okushukela njengama-cookies, brownies kunye ne-candy kuphakanyiswa ukuba kuvelise amanqanaba e-insulin kunye nokuvuvukala.
Ukuba awuqinisekanga ukuba ungaqala kuphi, qwa ga mshelana nomntu orejistri wezondlo onokutya onokukuncedisa ngokwenza utshintsho oluzinzileyo kwisondlo sakho.
Umsebenzi Wokwenziwa Kwenyama
Izifundo zibonisa ukuba ukuzivocavoca rhoqo kunokuphucula i-ovulation kunye nokunyanzelwa kwe-insulin. Kwizifundo, abafazi abane-PCOS ababandakanya ukusetyenziswa ngokulinganayo kweentsuku ezintathu okanye ngaphezulu ngeveki babenempilo engcono kunezo ezilandela isicwangciso sokutya sekhalori esezantsi.
Zama uze ungene ubuncinane ngemizuzu engama-30 yomsebenzi ngamnye ngosuku. Le mali ingahlulwa ibe yimigangatho emithathu, imizuzu engama-10 okanye iinqununu ezimbini zemizuzu engama-15. Ukuhamba ngenye yezinto ezifikelelekayo ezifumanekayo kwaye zinokucwangciswa kulo suku.
Ukwenza i-Acupuncture
Ukuqhawula umzimba kunokukunceda ukhulelwe. Olu unyango olongezelelweyo luye lwaboniswa ukuphucula ibhalansi ye-hormone, i-BMI kunye nobukhulu be-endometrial kubasetyhini abane-PCOS. Ukwenziwa kwe-Acupuncture kungenziwa yedwa okanye ngokubambisana kunye noononophelo lwezolimo.
Izibonelelo
Uphando olutsha ngoku lubonisa iinzuzo zezibonelelo ezithile zokuphucula i-ovulation, ikhwalithi yeqanda, nokubuyisela ibhalansi ye-hormone kwi-PCOS.
Inositol
Ukuthatha i- myo ne-d-chiro inositol kwisilinganiso se-40: 1 siboniswe ukuphucula umgangatho weqanda kunye nokuvuthwa kwamabhinqa nge-PCOS kwiinyanga ezimbalwa, kwaye kunokusebenza kakuhle kune-metformin. Xa kuthelekiswa ne-metformin, ukuhlanganiswa kwe-myo kunye ne-DCI kwisilinganiselo se-40: 1 kubonise iziphumo ezintle ngokubhekiselele ekulahlekeni kwesisindo, i-ovulation, kunye namazinga okukhulelwa (ama-46.7 no-11.2%).
N-Acetylcysteine
I-N-Acetylcysteine ​​(i-NAC) i-antioxidant enamandla elwa nexinzelelo lwe-oxidative kwaye iboniswe ukuphucula izinga lokukhulelwa kunye ne-ovulation rate kubasetyhini abane-PCOS xa kuthelekiswa ne-placebo.
Vitamin D
I-Vitamin D ayiyona nje i-vitamin kodwa i-hormone nayo.
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Funda Ngokusebenzisa Ukusetyenziswa Kwexesha Lokunyanga Ukunyanga kwe-PCOS
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Indima ye-Inhibin B kwiNyango yeZenzalo
Iimvumi ze-Vitamin D zifunyenwe kumaqanda amabhinqa. Ukuxhaswa nge-vitamin D kuye kwaboniswa ukuphucula umgangatho weqanda kunye nokuvuthwa kwamabhinqa nge-PCOS ngokwawo okanye ngelixa uncedwa unyango lokuzala.
Metformin
I-Metformin yisona sesisifo esiqhelana nesifo sikashukela esiluncedo ekunciphiseni ukunyanzeliswa kwe-insulin kubasetyhini abane-PCOS. Kubafazi abaninzi abane-PCOS, i-metformin inokuphucula ukuhamba kwexesha. Kukho uphando olubonisa ukuba i-metformin inokunciphisa ingozi yokusweleka kwesisu nesifo sikashukela.
Clomid kunye neLetrozole
Ngamanye amaxesha abasetyhini abane-PCOS basadinga uncedo ekuphuculeni i-ovulation naphezu kokutya kunye neendlela zokuphila. I-Clomid yenziwe ngokuqhelekileyo kubafazi ukuphucula i-ovulation. Uphando olutsha lubonisa ukuba i- letrozole ingasebenza kangcono kune-clomid yabasetyhini abane-PCOS. I-Letrozole ayiphakamisi i-estrogen njenge-clomid kwaye ibonakala ibangela ukuzalwa okumbalwa.
I-Gonadotropins ye-PCOS
Ukusetyenziswa kwe-gonadotropin kunokunceda nabasetyhini abane-PCOS ukuba bacingisise. I-Gonadotropins zenziwe nge-sex-hormone i-FSH, i-LH, okanye udibaniso lwababini. Ugqirha wakho unokuthabatha ukudibanisa la mahomoni kunye nezidakamizwa zokuzala okanye ukuzisebenzisa ngokwazo. Ngokomzekelo, i-letrozole kunye "ne-trigger" edutshulwa ye-LH emjikelezweni.
Olunye ukhetho ugqirha lwakho lungancoma ukusebenzisa i-gonadotropins kunye ne-IUI (intrauterine insemination) inkqubo. IUI ibandakanya ukubeka isambulo esithile ngokuthe ngqo kwi-uterus nge-catheter. Isiza sinokuvela kumniki wesini okanye iqabane lakho.
Umngcipheko omkhulu we-gonadotropini yi-ovarian hyperstimulation syndrome (OHSS). Yilapho ama-ovari athatyathwa kakhulu kumyeza wokuzala. Ukuba ungakhange uxoxwe okanye unzima, kungaba yingozi.
Intrauterine Insemination
Intrauterine insemination (IUI) yinkqubo yokuzala inokuthi ihambelane ne-ovulation. Iqabane lakho liya kucelwa ukuba livelise i-specimen yeenja. Umzimba "uhlanjululwa" okanye umdaka uhlukaniswe kwezinye izicwangciso zesambulo kwaye uhlanganiselwe kwincinci encinci, emininzi. I-specimen ifakwa kwi-catheter encinci, enyunyiweyo, ethambileyo, kwaye ilungele ukusasazwa. I-speculum, njengenye isetyenziswe ngexesha lovavanyo lomzimba, ifakwe kwisini kwaye umlomo wakho wesibeleko uhlambulukile kakuhle. Ugqirha wakho uza kufaka i-catheter kwisisini kwaye ukhulule isilwanyana kwisigxina sakho se-uterine. Ugqirha wakho unokuvumela ukuba uhlale ulele phantsi kwemizuzu embalwa emva kokusatshalaliswa. Iingeniso zempumelelo ye-IUI zi malunga neepesenti ezili-15 ukuya kuma-20 eepesenti ngomjikelezo ngamnye kwaye zihluka ngokusekelwe kwizinto eziliqela, ezifana nobudala bakho, uhlobo lwe-ovarian stimulation, motility of sperm, phakathi kwabanye.
In vitro Fertilization
I-vitro fertilization (IVF) yinkqubo engakumbi yokunyanga kunye neyindleko edlalwa ngamanye amaxesha ukuba zonke ezinye izifo zonyango ziyahluleka. I-IVF ibandakanya ukusetyenziswa kweziyobisi ezinokutsha ukukhuthaza ama-ovari, ukwenzela ukuba banike inani elincinane lamaqanda aqolileyo. Amaqanda abuye afunyanwe kwii-ovari kwaye adibene nesidoda kwisitya se-petri. Ukuba amaqanda azaliswa, enye okanye ezimbini zithunyelwa kwisibeleko. Le nkqubo iyaziwa njengotshintsho lombungu. Kwiiveki ezimbini kamva, ugqirha wakho uya kuyala uvavanyo lokukhulelwa ukuze ubone ukuba umjikelo wawuyimpumelelo.
Kufuneka Ufune Ncedo Xa Unamava Okungenanto
Ukuba unzima ukukhulelwa, ungafuna ukufumana isiluleko sengqondo ye-endocrinologist yokuzalana, ebizwa ngokuba "oogqirha bokuzala." Olu hlobo loogqirha lugxininisa kwi-hormone yesondo kwaye banamathengi e-ultrasound kwiofisi zabo ukukunceda ukuba yokungabikho komntwana kunye nokubonelela ngonyango olucetywayo.
Ukujamelana nokungabikho kwengxaki kunzima kwabasetyhini kunye nezibini, ngakumbi xa kubonakala ukuba wonke umntu ojikelezayo uyakhulelwa. Ukuba ufumanisa ukungabikho kobuthathaka kuye kwathatha umonakalo obuthathaka, qwaba usebenza kunye neengcali zempilo yengqondo okanye ujoyine iqela lokuxhaswa kwabantwana abangenanto.
> Imithombo:
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> I-Johansson J. Polycystic ye-ovary syndrome: umphumo kunye nendlela yokwenza i-acupuncture ye-ovulation induction. U-Evid osekelwe kwiNkxaso ye-Alternat Med. 2013; 2013: 762615. I-doi: 10.1155 / 2013/762615. Epub 2013 Sep 2.
> Le Donne M, Alibrandi A, Giarrusso R, Lo Monaco I, Muraca U. [Ukutya, i-metformin kunye ne-inositol kubasetyhini abagqithisileyo kunye nabanamafutha abane-polycystic ovary syndrome: iziphumo ekubunjweni komzimba]. Minerva ginecologica. 2012; 64 (1): 23-29.
> Ott J et al. Iiparameters ze-calcium metabolism kubasetyhini abane-polycystic ovary syndrome abafumana i-clomiphene-citrate stimulation: i-future study class. European J Endocrinol. 2012; 166 (5): 897-902.
> Thakker D, Raval A, Patel I, Walia R. N-acetylcysteine ​​kwi-polycystic ovary syndrome: ukuhlolwa ngokucwangcisiweyo kunye nokuhlaziywa kwemeta yezilingo ezilawulwa ngononophelo. I-Obstet Gynecol Int. 2015; 2015: 817849.