Xa Ubunzima okanye Ubunzima obuqhelekileyo kwaye ube ne-PCOS
Ngaba ungancika kwaye ube ne-PCOS? Ewe. Ukufikelela kuma-20 ekhulwini kwabasetyhini abane-PCOS bancinci okanye kwisisindo esifanelekileyo. Aba besetyhini abanempilo bajongene nemingeni yokuzala, ukunyuka kwee-androgens , kunye neempawu ezibangelwayo (njenge-acne, ukukhula kweenwele ezingafunekiyo , ukulahleka kweenwele , njl.), Kunye nobungozi obuninzi besifo sikashukela kunye nesifo senhliziyo.
Ininzi yolwazi ebhaliweyo kwi-PCOS yinto eninzi kuninzi, kunye nenani elilodwa leengcebiso liza kunciphisa umzimba.
Kuthekani ukuba sele usesisisindo esiqhelekileyo?
Ngezantsi ziimingeni eziyingqayizivele zalabo abane-PCOS ephilileyo, kwaye unokwenza ntoni ukuphucula umgangatho wobomi kwaye mhlawumbi unciphise iimpawu ezinzima.
Ixesha lokuxilongwa kwexesha
Ngenxa yokuba i-PCOS inxulumene kakhulu ngokukhuluphala, abafazi abanamahloni abane-PCOS bahlala bengakhange bafumaneke iminyaka. Abafazi abangaphezu kwamandla amaninzi kunye ne-PCOS banokufunyaniswa xa besesesikolweni esiphakeme, ingakumbi ukuba imijikelezo yabo engekhoyo okanye ayikho. Ngokwahlukileyo, abasetyhini be-PCOS abancinci abanako ukufunyaniswa ukuba bafumane umzabalazo wokukhulelwa.
Ukuxilongwa kwe-PCOS ngokwayo akusiyo kuphela ukuxilongwa kokulibazisa.
Izifundo ziye zafumanisa ukuba abafazi abanamaqabane abane-PCOS baneziganeko ezi-3 ukuya kwi-10 zeziganeko zokuxilongwa kwesifo sikashukela. Oku kunokwenzeka ukuba oogqirha abaqhelekanga ukuba abantu abadala abaqhelekileyo bakwazi ukuhlakulela isifo sikashukela okanye ukukhuseleka kwe-insulin . (Okunye ngezantsi apha.)
Oko kwathiwa, umngcipheko wokuba nesifo sikashukela kwisisindo esifanelekileyo samabhinqa e-PCOS asinakwandiswa ngokunyanisekileyo njengokuba kubesetyhini abancinci.
Ezinye iingcali zincoma ukuba bonke abafazi abane-PCOS banamazinga abo e-insulin ahlolwe, kungakhathaliseki ubunzima bawo.
Kwakhona, abafazi abancinci abane-PCOS banokuthi banokuphululwa okanye ukuphazamiseka kwezifo zesifo senhliziyo.
Abaphandi baqhathanise amazinga e-cholesterol abesetyhini abaqhelekileyo abane-PCOS kwabasetyhini ngaphandle kwe-PCOS.
Bafumene ukuba abafazi be-PCOS abanesisindo esinempilo banamathuba amaninzi okuba nomgangatho ophantsi we "cholesterol" ye-cholesterol (i-HDL) kunye namanqanaba aphezulu e-"cholesterol" embi (LDL.).
Ukunyanzelana kwe-Insulin, enokuba ne-BMI enempilo
Ukuxhathisa kwe-insulin kuvame ukudibanisa nokukhuluphala. Nangona kunjalo, njengoko kuchaziwe ngasentla, abafazi abancinci be-PCOS banokungena kwengozi yokwanda kwe-insulin naphezu kokungaphezu komzimba. Kuqikelelwa ukuba phakathi kwama-6 no-22 ekhulwini labesetyhini abaqhelekileyo abane-PCOS banokumelana no-insulin okanye bane- hyperinsulinemia .
Oku kungaba njani? Nangona uxhamlwano phakathi kwe-insulin kunye ne-PCOS aluqondwa kakuhle, abafazi abane-PCOS ayenaye kuphela abangakwazi ukuxhathisa i-insulin kwaye banokulinganiswa kwabo kwisilinganiselo esiqhelekileyo sokuphakama kwabo.
Isici esahlukileyo phakathi kwalabo besisigxina esivamile esenza ukukhushulwa kwe-insulin kunye nalabo abangabonakali ukunyamezela esiswini . Ukukhuluphala kwamathumbu xa isisu somzimba wakho sithatha amaninzi amaninzi kunokuba kufanelekile. Yiyo ke into eqhelekileyo kulabo abagqithiseleyo, kodwa kunokwenzeka nakwezo ziko eziqhelekileyo. Awunalo ukulawula apho umzimba ugcina khona ioli; oku kuya kuhambelana nemfuza.
Ndibuza ukuba usengozini? Enye indlela yokujonga kukufumana umlinganiselo wakho we-hip-to-waist. Abasetyhini banakho amathuba okuphakamisa amanqanaba e-insulin ukuba umlinganiselo wabo we-hip-to-waist uphezulu kune-0.85.
Unako ukubala oku ngokwakho. Thatha itekiti yokulinganisa indwangu. Ngaphandle kokubamba esiswini sakho, fanisa umda wesikhumba sakho apho kuncinci. Emva koko, zilinganise iinqumlo zakho kwindawo apho iinqununu zibaluleke kakhulu. (Oku kuya kuba apho izikhwelo zakho zinamathela khona.)
Yahlukanisa umlenze wakho ngomlinganiselo we-hip. Ukuba ufumana u-0.85 okanye ngaphezulu, umngcipheko wokukhushulwa kwe-insulin kunye nezinye iingxaki zempilo ezihlobene nokukhuluphala kuninzi.
Oku kuyinyaniso nokuba ngaba i-BMI yakho iwela kwindawo eqhelekileyo okanye enempilo.
Impilo Yengqondo Eyabasetyhini Abanama-PCOS
I-PCOS idibene nomngcipheko ophezulu wokudakumba nokuxhalabisa. Olunye uphando lwafumanisa ukuba abafazi abancinci be-PCOS-xa befaniswa nabasetyhini abagqithiseleyo kunye ne-PCOS-babengenako ukuxhalabisa, banokuxhatshazwa, kwaye banamazinga aphezulu e-hormone ye-ACTH, ehambelana nokunyuka kwengcinezelo yesikhathi eside .
Bafumanisa ukuba ukhathazeka ngakumbi ngumfazi onamava e-PCOS aphilileyo, amazinga aphakamileyo e-plasma ghrelin ayenaye. I-Ghrelin yi-hormone eyenza uziva ulambile.
Abanye baye bathi inzima yeengqondo yabasetyhini abane-PCOS ephilileyo yinto ephazamisa ukulinganisela kwe-hormonal. Ngamanye amazwi, ukuphazamiseka kweengxaki okanye ukuqhubela phambili kubangela ukungalingani kwe-PCOS-hormonal. Nangona amabhinqa anqamlekileyo kunye nokugqithisa ngokwe-PCOS akwingozi enkulu yokuphazamiseka nokukhathazeka kwemiba, kusenokuba ngaba besetyhini banokujamelana noxinzelelo kunodadewabo obunzima.
Utyando lweZenzalo kwi-'Chins Cyst '
Iindlela eziqhelekileyo zonyango ezisebenzayo kubasetyhini abane-PCOS ziyi-Clomid, i-letrozole, i-metformin, kwaye, ukuba ezo ziphumelelanga, iziyobisi zenzalo ezingenayo. Iingcebiso eziqhelekileyo ezinikezelwa kwabasetyhini abafuna ukukhulelwa nge-PCOS kukuba ... ukulahlekelwa isisindo sokuqala.
Kuyinyaniso ukuba, kubafazi abasweleyo, ukulahlekelwa ngamaphesenti ama-5 ukuya kwe-10 abo bunzima bawo bangoku kunceda ukuba iziyobisi zivelise ngakumbi. Nangona kunjalo, oku akusebenzi kwiinkwenkwezi ze-PCOS.
Enyanisweni, kukho iindaba ezilungileyo: abafazi abanamaqabane abane-PCOS banamazinga aphezulu okukhulelwa kunye nokunyanga xa beqhathaniswa nabalingane babo.
Njengoko kuchaziwe ngasentla, i-metformin ngamanye amaxesha isetyenziselwa ukunceda abafazi nge-PCOS ukuba bacingisise. I-Metformin ayilona isilonda sokuzala; ngokwenene kuhloselwe ukunyanzelwa kwe-insulin. Nangona kunjalo, inokuphucula i-ovulation kubasetyhini abane-PCOS.
Olunye uphando lwafumanisa ukuba abafazi abancinci be-PCOS abaye baphathwa nge-metformin babenokuphindwa kabili ukuba babe nokubuyela kwimihla kunye nokubuya kwe-ovulation, xa kuthelekiswa nabasetyhini abane-PCOS. Bafumanisa ukuba amanqanaba e-testosterone ayancipha kwaye azila ukutya kwe-glucose kuphuculwe kubasetyhini abancinci be-PCOS. Ezi mphuculo azizange zibonwe kuwo onke amabhinqa aphelileyo kunye ne-PCOS.
Kwesinye isifundo, abaphandi bafumene ukuba abafazi abancinci be-PCOS banamazinga angama-52 okuphumelela ukukhulelwa xa bephathwa ngeziyobisi zonyango kunye ne-intra-uterine insemination (IUI). Izinga lokukhulelwa kwabafazi abagqithisileyo kunye ne-PCOS bephantsi. (Iipesenti ezingama-22 kuphela.)
Ukuba ngumfazi osisigxina okanye osisigxina somfazi kunye ne-PCOS akuthethi ukuba awuyi kulukhupha ukukhulelwa, okanye ukuba unyango lwenzala luqinisekisiwe. Kodwa, unako ukuphumelela xa uthelekiswa nalabo abagqithiseleyo okanye abagqithiseleyo nge-PCOS.
Indlela yokuphila kunye neZondlo ze-Lean 'Cysters'
Njengoko kuchaziwe ngasentla, icebiso eliqhelekileyo lokunciphisa isisindo alisebenzisi okanye lenze ingqiqo. Nangona kunjalo, kukho imikhuba yokuphila kunye noshintsho onokukwenza oko kunokuphucula impilo yakho yonke.
Kwelinye, kubalulekile ukuba abafazi be-PCOS abaqhelekileyo bahlale besisindo. Kunokukhathazeka ukuba ube kwi-BMI enhle kodwa ube ne-PCOS. Abanye banokucinga ukuba isisindo esinempilo asinandaba ... ngoko kutheni uzame?
Uphando lufumene ukuba njengabasetyhini abaneminyaka yobudala be-PCOS, banakho amathuba okukhusela i-insulin. Kodwa umngcipheko wawungaphantsi kwabesetyhini. Ukugcina ubunzima bakho kunokunceda ukunciphisa umngcipheko wakho wesifo sikashukela.
Ukugcina ubunzima bakho kungabi lula, nangona kunjalo. Izifundo ziye zafumanisa ukuba abafazi abane-PCOS kufuneka badle iikhalori ezimbalwa kunabesetyhini abafanayo ngaphandle kwe-PCOS. Oku kuthetha ukuba kunzima ukuhlala kwisisindo esifanelekileyo.
Esinye isisombululo esinokubakho ukukhusela. Ukuqhutyelwa kokunyamezela ukuqeqeshwa komzimba kukuqeqeshwa ngokunyanisekileyo okujoliswe ekunyuseni amandla kunye nobunzima bomzimba. Oku kwenziwa ngokunyuka kancinci ukuphakanyiswa kwesisindo okanye ukuphinda kugqityiwe. (Abanye abesetyhini banesaba ukuba ukuphakamisa izisindo kuya kubakhokelela ukuba "bafana nendoda" kodwa loyiko olungenasiseko.)
Uhlolisiso lwabasetyhini abane-PCOS enomtsalane lufumene ukuba ukongezwa koqeqesho lokunciphisa uncedo kuncedise ukunciphisa amafutha e-visceral (amanxeba esiswini esisenza umngcipheko wokukhuseleka kwe-insulin), ukunciphisa amanqanaba e-androgen aphakamileyo, ukungahlambuluki kwexesha lokunyuka kwesisindo kunye ne-oregatory irregularity, kunye nokwanda komzimba. (Ngeendlela, ubunzima obunzima bomzimba obuthathayo, ubuninzi beekholori ezifunayo ukugcina ubunzima bakho. Oku kuthetha ukuba ungadla ngaphezulu, inzuzo ebalulekileyo kulabo abane-PCOS.)
Enye indlela yokuphucula umgangatho wobomi xa uhlala ne-PCOS ufumana ukululekwa ngeengcali, ngakumbi xa unenkxalabo okanye uxinzelelo. Abasetyhini abane-PCOS banako ukufumana iingxaki zokuxhalabisa, kwaye abafazi be-PCOS abancinci banako ukufumana le mizabalazo xa kuthelekiswa nabasetyhini abane-PCOS.
Ngelixa unyango lungenakuphelisa ngokupheleleyo le miqobo yeemvakalelo, inokukunceda kakhulu.
ILizwi
Xa ufumene i-PCOS, kodwa yonke ingcaciso onokuyifumana ijoliswe ekukhuliseni ubukhulu besifazana, kunokukhathazeka kwaye kungasebenzi. Unokuba nobafazi abathile abane-PCOS bathi "bayathandabuza" ukuxilongwa-kuphela ngenxa yokuba ungeyonto.
I- criteria ye-PCOS yokuxilonga ayifaki "ukugqithisa." Ukugqithisa umngcipheko we-PCOS. Enyanisweni, omnye kwabafazi abahlanu abane-PCOS bancinci okanye kwi-BMI enempilo.
Kwiziko lakho lokuhlola, qiniseka ukuba ugqirha wakho uvavanya i-insulin kunye ne-glucose level kunye nepropid profile yakho, ngoko ke kukho ukungalingani kwamathambo okubanjwe kwaye uphathwe ngokukhawuleza.
Izinto ezibaluleke kakhulu onokuzenza ukuze uhlale unempilo zigcina ubunzima bakho ngokutya okulungileyo, usebenze rhoqo rhoqo kwaye ufune inkxaso kwiingxaki zomzwelo eziza ne-PCOS.
> Imithombo:
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> Pelanis R1, Mellembakken JR1, Sundström-Poromaa I2, Ravn P3, Morin Papunen L4,5, i-Tapanainen JS4,5,6, i-Piltonen T4,5, iPururunen J4,5, i-Hirschberg AL7,8, i-Fedorcsak P1,9, i-Andersen M10, Glintborg D10. "Ubuninzi besifo sikashukela seTyhu 2 asinyuswanga kubasetyhini abaqhelekileyo abane-PCOS." U-Hum Reprod. Ngo-2017 Novemba 1; 32 (11): 2279-2286. i-doi: 10.1093 / i-humrep / dex294.