Iziphazamiso ezimbini ze-endocrine ezihlukeneyo zineempawu ezifanayo
Xa uphando ngezizathu zexesha elilahlekileyo okanye elingekhoyo elihamba kunye nenzuzo yesisindo kunye / okanye ukukhula kweenwele ezingaqhelekanga, oogqirha baya kugxininisa ingqalelo kwizifo ezimbini ezihambelana nezitenxo ze-hormone: i- polycystic ovary syndrome (i-PCOS) nesifo se-thyroid.
Bobabini le miqathango babelana ezininzi iimpawu ezifanayo. I-PCOS iyenzeka xa i-ovaries yamabhinqa okanye izilonda ze-adrenal zivelisa inani elininzi ngokwemodemoni yamadoda.
Isifo se-Thyroid, ngokuchaseneyo, sibonakaliswe ngumkhiqizo ogqithiseleyo we-hormone ye-thyroid ( hyperthyroidism ) okanye ukuhla kwezinga le-hormone ye-thyroid ( hypothyroidism ).
I-Polycystic Ovary Syndrome (i-PCOS)
I-PCOS yimiba ye-hormonal eqhelekileyo phakathi kwabasetyhini beminyaka yobudala. Abasetyhini abane-PCOS baya kuba namaxesha angaqhelekanga okanye amava amaninzi anxulumene namazinga aphakamileyo amahomoni angamadoda (androgens). Ama-ovari ngokwawo ngokuqhelekileyo aya kuvelisa amanqabunga amaninzi, azaliswe ngamanzi kunye nokuhluleka ukukhulula amaqanda rhoqo ngexesha lojikelezo lwe-ovulation.
Isizathu esicacileyo sePCOS asisakwazi. Iimpawu ziyahluka kwaye zingaquka:
- Ixesha elingaqhelekanga okanye lingekho
- Ubunzima bomzimba okanye ubunwele bomzimba (i- hirututism )
- Acne
- Ubuhlungu bepelvic
- Ukungenzi lutho
- Ukutyeba kwakho
- Ukuxhathisa kwe-insulin
- Ukulala ngomoya
- Iipatches zesikhumba esiqinileyo, esimnyama, esinevelvety
Akukho vavanyo olulodwa olusetyenziswayo ukuqinisekisa iPCOS. Uxilongo lwenziwe ngokusekelwe kuhlolisiso lweempawu kunye neemvavanyo zokuxilonga.
I-PCOS iphathwa ngokuphawulekayo ngokujoliswe ekunciphiseni ukunyanzelwa kwe-insulin, ukubuyisela ukuzala, ukuphatha iinwele okanye ukungaqhelekanga kwesikhumba, nokulawula imijikelezo yokuya esikhathini.
Hyperthyroidism
I-pituitary gland ivelisa i-hormone ebizwa ngokuthi i-thyroid evuselela i-hormone (TSH) eyenza ukukhutshwa kwama-hormone kwi-thyroid gland.
Ezi i-hormone ze-thyroid, ezaziwa ngokuba yi-T3 kunye ne-T4, zilawula umzimba wethu we-metabolism, ukushisa komzimba kunye nentliziyo yezinga. Ukuveliswa okugqithiseleyo kwezi hormone kwaziwa ngokuba yi-hyperthyroidism, imeko ehambelana nayo, phakathi kwezinye izinto, umdlavuza we-thyroid kunye nesifo esizimelayo esibizwa ngokuba yi- Graves disease .
Iimpawu zingabandakanya:
- I-thyroid egxile
- Ukungena okanye ukungabikho kwakhe ukuya esikhathini
- Ukunyuka kwesisindo naphezu kokunyuka kwesidlo
- Ukujuluka okukhulu
- Ukunyamezela
- Ukulahleka kweenwele ezibonakaliswe ngokugqithisa kobuninzi
- Ukukhuselwa kweelona (i- proptosis )
- Ukongeza kwenani lentliziyo kunye negazi
- Ukungabikho
Ukuxilongwa kwenzelwa ukuvavanya amazinga eTSH kunye neT3 / T4. Unyango lunokubandakanya ukusetyenziswa kwamachiza ukuvelisa imveliso ye-hormonal (propylthiouracil, methimazole), iipilisi ze-iodine zomsakazo ukuze zihlaziye izicubu ze-thyroid okanye ukukhutshwa kwegciwane le-thyroid ngokuhamba kunye ne-hormone.
Hypothyroidism
I-Hypothyroidism iyenzeka xa kukho ukuveliswa okwaneleyo kwe-T3 kunye ne-T4. Kwinqanaba le-hypothyroidism, ukuncipha kwamazinga e-hormone kubangelwa iingxaki nge-thyroid gland ngokwayo. I-hypothyroidism yesiSekondari idibene neengxaki kwi-grey gland.
I-Hypothyroidism inokubangelwa ngumdlavuza we-thyroid, utyando lomhlaza, okanye isifo esizimelayo esaziwa njengesifo sikaHashimoto .
Iimpawu zingabandakanya:
- Ukunganyanzelwanga
- Ukukhathala nokunyaniseka
- Ukuya esikhathini esingaqhelekanga okanye okungaqhelekanga
- Ukuphuma kwexesha elide okanye elide
- Ukunciphisa libido
- Ukuzuza ubuninzi naphezu kokunciphisa ukutya
- Ukutyunjwa
- Ikhumba elomileyo, elomileyo
I-Hypothyroidism ifunyaniswa neemvavanyo ezifanayo zebhobhu njenge-hyperthyroidism. I-Hormone yonyango yokutshintshwa ngokuqhelekileyo yinto yokuqala yonyango, ngokuqhelekileyo isebenzisa i-levothyroxine ye-drug (Synthroid, Levothroid).
> Umthombo:
> Gaberscek, S .; Zaletel, K .; Shwetz, V. et al. "Iinkqubo kwi-Endocrinology: I-Thyroid ne-polycystic ovary syndrome." Eur J Endocrin. 2015; 172: R9-R21.
> McCance, K. noHuether, S. (2016) Ukuqonda iPathophysiology (I-Sixth Edition) . St Louis, Missouri: Mosby.