Funda naluphi na ulwazi malunga ne-polycystic syndrome syndrome ( PCOS ) kwaye uya kuqiniseka ukuba ufumana iingcebiso zokulahleka kwesisindo. Enyanisweni, ukunciphisa ubunzima bunokuphucula imiba ye-PCOS (ukunciphisa i-glucose, i-insulin, kunye nokunciphisa ingozi yesifo sikashukela) kunye nemilinganiselo yokuzala (ukulawula ukuhamba kwimizuzu nokuphucula i-ovulation). Kodwa kuthekani ukuba unayo i-PCOS kwaye ungeyithani kakhulu?
Amanqanaba aphezulu e- insulin asenokwenzeka nakwabesetyhini ababeka emngciphekweni we-type 2 yeswekile. Ngokuqinisekileyo ukuba ungaphantsi komzimba kunokuchaphazela i-ovulation njengamafutha omzimba omncinci angabangela ukujikeleza kwemizi yokuyeka. Ukulahlekelwa kwesisindo , ngoko, akusona ukhetho lwonyango kubasetyhini abane-PCOS abaxhomekeke. Ngoko yintoni enokwenziwa?
Nazi izicwangciso ezi-4 ezicebisayo abafazi abane-PCOS abanokuyenza ukuphucula ukuzala kwabo, ukulawula iimpawu, kunye nokubanzi ukuphucula umgangatho wempilo yabo.
Yenza isidlo sakusasa isidlo sakho esikhulu kunazo zonke
Kwisifundo esashicilelwe kwiNzululwazi yezonyango , ama-60 ase-PCOS besetyhini ayenamaqela angamaqela amabini okuhambisa ukutya: elinye iqela lidla isidlo sasekhalori esiphezulu kunye nemali encinane kwidlo sasemini kunye nesidlo sakusihlwa (i-980 khalori kwasekuseni, i-640 khalori yasemini kunye neekhalori ezingama-190 ngexesha lesidlo) kunye nelinye iqela eladla ngaphezulu kamva ngosuku (iikhalori ezingama-190 kwiidlo sakusihlwa, ii-calories ezingama-640 kwidlo sasemini kunye neekrikhi ezili-980 ekudleni). Abo baqalisa imini kunye nesidlo sakusihlwa esikhulu kakhulu babona ukunciphisa i-insulin, i-glucose, ne-testosterone kunye neendleko zokunyuka kwe- ovulation .
Thatha i-Vitamin D
I-Vitamin D , zombini i-hormone kunye ne-vithamini, ibonisa isithembiso ekuncediseni abafazi ukuba bacingisise kwaye banciphise umngcipheko wesifo sikashukela. Ukuvavanywa kwezifundo ezavandlakanya ulwalamano phakathi kwe-vitamin D kunye ne-fertility, eyapapashwa kwi- European Journal ye-Endocrinology , yabonisa ubungqina bokuthi i-vitamin D ibandakanyeka ekuveliseni kwabasetyhini kubandakanywa umphumo we- IVF kunye ne-PCOS.
Ababhali bacetyisa ukuba kuma-PCOS abasetyhini, ukuxhaswa kwe-vitamin D kunokuphucula ukuhamba kwimizi kunye nokuphazamiseka kwesisombululo.
Ubunzima be-Vitamin D buqhelekileyo kubasetyhini abane-PCOS. Olunye uphando kwi- European Journal ye-Endocrinology lufumene ukuba ukusabalala kwe-vitamin D kunqongophe kwaba ngama-73% kwabasetyhini abane-PCOS. Uninzi lwezinto ezinokuchaphazela isimo se-vitamin D kuquka ukungadli kakuhle ukutya kwe-vitamin D, i-sunscreen, kunye neendawo (indawo esenyakatho ifumana ilanga elingaphantsi). Abasetyhini kunye ne-PCOS kufuneka babe namazinga abo e-vitamin D ahlolwe rhoqo ngonyaka kwaye bathathe isongezelelo xa kufanelekile. Ukufumanisa ukuba kufuneka uthathe phi i-vitamin D, qhagamshelana nogqirha wakho okanye umgcini wezilwanyana ozibhalisayo .
Musa ukulibala i-Omega-3 Amafutha
Amafutha om-omega-3 anokusebenza ngokuphucula ukuxhatshazwa kwe-insulin kunye ne-hiruthiyutyhini kwindoda ehamba kakuhle ne-PCOS. Kwiphononongo epapashwe kwiNcwadi ye-Obstetrics kunye ne-Gynecology , abafazi abangamashumi amane anesihlanu abangaboniyo kunye ne-PCOS banikezwa ama-millimitha angu-1,500 amafutha om-omega-3 kwiinyanga ezintandathu. Ukunciphisa kwi-BMI kunye namanqanaba e-insulin afumaneka kunye nokuphucula kwi-LH, i-testosterone, kunye nama-SHBG.
Imithombo esekelwe kwintlobo yemveliso ye-omega-3 ifaka i-avocado, i-nut, kunye nembewu. Iintlanzi zamanzi ezininzi ezifana ne-salum, i-tuna kunye ne-trout ziyimithombo ephezulu ye-omega-3.
Izikhokelo zikaRhulumente zincoma i-Amerika ukuba idle ezimbini iinkonzo zeentlanzi nganye ngeveki ukufumana inani elibalulekileyo le-omega-3 amafutha adingekayo kwimpilo. Ukongezelela, ukunyuswa kweoli yeentlanzi kunokuncedisa ukuhlangabezana neemfuno.
Cinga nge-Inositol
Esinye sezibonelelo ezongezelelekileyo ezifundwa ngokubanzi kwi-PCOS yabantu i- inositol . Kwaye sinesizathu esihle: zombini i-Myo (MYO) kunye ne-d-Chiro-inositol (DCI) i-inositol iintlobo ziye zaboniswa ukuphucula ezininzi iinkalo ze-PCOS. Ezi ntlawulo ziquka ukuphucula i-cholesterol, i-insulin, kunye ne-androgens. Eyona nto ibaluleke kakhulu, i-MYO iboniswe ukukhulisa umthamo ngokuphucula umgangatho weqanda nokubuyisela rhoqo ukuhamba kwexesha.
Kwiphononongo epapashwe kwi- Journal of Archives of Gynecology kunye ne-Obstetrics , abafazi abane-PCOS abangena kwi-IVF baphathwe ngokuhlanganisana kwe-MYO kunye ne-DCI kwisilinganiselo se-physiologic se-40: 1 okanye i-milligram ze-DCI kuphela. Ulwaphulo oluhlangeneyo lukwazi ukuphucula umgangatho weqanda kunye nombindi, kunye nokukhula kokukhulelwa, kubonisa ukuba i-MYO idlala indima ebalulekileyo kwi-ovary kuma-PCOS amabhinqa kunye neenzuzo ze-MYO ne-DCI kwisilinganiselo esiphezulu.
> Imithombo:
> Colazingari S, Treglia M, Najjar R, Bevilacqua A. Ulwaphulo oluhlangeneyo lwe-myo-inositol kunye no-D-chiro-inositol, kunokuba iD-chiro-inositol, luyakwazi ukuphucula iziphumo ze-IVF: iziphumo zolu vavanyo olulawulwa ngononophelo. I-Arch Gynecol Obstet. 2013 Dec; 288 (6): 1405-11.
> Jakubowicz D, Barnea M, Wainstein J, Froy O. Iimpembelelo zexesha le-caloric ukuxhathisa kwe-insulin kunye ne-hyperandrogenism kwintombi egqibeleleyo ene-polycystic ovary syndrome. Klinikhi Sci . NgoNovemba ka-2013; 125 (9): 423-32.Lerchbaum E, i-Obermayer-Pietski B. I-Vitamin D kunye nokuzala: ukuhlaziywa okucwangcisiweyo. European J Endocrinol. 2012; 166 (5): 765-778.
> Oner G, Muderris, II. Ukusebenza kwe-omega-3 kunyango lwe-polycystic ovary syndrome. J Obstet Gynaecol. 2013; 33 (3): 289-291.Wehr E, iSchweighofer N, i-Giuliani A. Umbutho we-hypovitaminosis D kunye nokuphazamiseka kwamagciwane kwi-polycystic ovary syndrome. Europ J Endo . 2009; 161: 575-582.