5 Iimpawu eziqhelekileyo Wonke umfazi kufuneka azi
I-Polycystic ovarian syndrome (i-PCOS) yintlupheko ye-endocrine kunye nesizathu esivakalayo sokungabikho kwintsapho yabasetyhini. Kwi-PCOS, izitenxo ze-hormone zingathintela ngqo kwinkqubo yokuzala, ekhokelela ekugqibeleni okungaqhelekiyo okanye engekhoyo. Nangona i-cause ye-PCOS ingaziwa, inokuchaphazela ukuya kuma-8 ekhulwini kwabasetyhini.
I-PCOS ibonakaliswe ngokubunjwa kwee-cysts ezincinci ezizaliswe ngamanzi kwi-ovari.
Ngexesha lokuhlolwa kwe-ultrasound, ii-cyst benign ziza kufana nomtya weeparele.
I-PCOS yinkathazo eyinkimbinkimbi engabonakalisa ngeempawu ezininzi eziphazamisayo kunye eziqhelekileyo. Ukuvuvukala, ukunyanzelwa kwe-insulin, kunye nokunyuka kwamahomoni angamadoda ( androgens ) onke afaka isandla kwiimpawu zesifo.
Imiqondiso emihlanu eqhelekileyo yePCOS yile:
Ukungenzi lutho
I-PCOS yimbangela ebalulekileyo ye- ovulatory infertility . Ngenxa yoko, abafazi abane-PCOS baya kubhekana nobunzima xa bezama ukukhulelwa. Kuqhelekileyo kubafazi kunye ne-PCOS ukuba babekho ixesha okanye bengavumelekanga. Kwezinye iinyanga, i-ovulation ayinakwenzeka.
Ukwanda koBuso kunye noKhuseleko lweenwele
IHirsutism yigama lonyango elisetyenziselwa ukuchaza ukukhula kweenwele ezigqithiseleyo. Yibangelwa yimveliso engaphezulu kwe-androgen (ingakumbi i-testosterone, i-hormone ehambelana neempawu zesintu). Abasetyhini abane-PCOS banokufumana ukukhula kweenwele ezigqithiseleyo kwisifuba, ubuso, umva, isisu esiswini, iminwe kunye neenzwane.
Ukulahleka kweenwele
Abasetyhini kunye ne-PCOS banokuvahlekelwa yintlungu , kwakhona ngenxa yokuveliswa kwe-androgen. Inokuphuhliswa ngokwayo okanye ihambisane ne-hirsutism. Ukulahleka kweenwele ngokuqhelekileyo kufana nokubonwa kwindoda yesikhombiso sesilisa kunye nokucutha kwinqanaba leenwele kunye / okanye isithsaba sentloko. Kwiimeko ezigqithiseleyo, abafazi abane-PCOS banokufumana i- alopecia , ukuphuhliswa kwesinye okanye ngaphezulu kwee-patty bald ezingadibanisa enye.
Ukuxhathisa kwe-Insulin kunye nohlobo lwe-2 lweswekile
Ukuxhatshazwa kwe-insulin kuqhelekile kwi-PCOS, echaphazela inani elinama-70 ekhulwini labasetyhini abanesifo. Ukunganyangeki kwe-insulin kubangela ukwanda kwimizinga yeshukela yegazi. Nangona imeko ingaba neempawu ezimbalwa ezibonakalayo, kuthathwa njengengxaki ebalulekileyo yokuphuhlisa uhlobo lwesifo sikashukela .
Uhlobo lwesi-2 lwesifo sikashukela luyakubonakalisa ngeembonakalo eziphazamisayo nakwezinye iimpawu ezinzulu. Ezi ziquka ukukhathala, umbono ophazamisayo, ukusuleleka rhoqo, izilonda zokuphulukisa ngokukhawuleza, ukuvuthwa rhoqo, kunye nokunyuka kwindlala nokoma. Isifo esihlala ixesha elide singakhokelela kwiinkathazo ezichaphazela intliziyo, iinjongo, amehlo, iintliziyo kunye nokuva.
Iingxaki Zesikhumba
Akuqhelekanga ukuba ukungalingani kwama-hormones kuya kufuthi kuthintele ulusu. Nge-PCOS, abasetyhini baya kuba nama-acne okanye bahlakulele iimpawu zesikhumba. Kwiimeko ezininzi ezigqithiseleyo, banokufumana imeko ebizwa ngokuba yi- hidradenitis suppurativa (HS) ebonakaliswe ngongoma kunye namaxesha amancinci ngamathumba okanye emathunzini kwindawo yokuxhamla, isifuba okanye i-groin.
Enye imeko eyaziwayo njenge- acanthosis nigricans Unokubonakalisa ngeentlanzi zesikhumba esimnyama, esinyanisiweyo entanyeni, emathangeni, okanye kwintlaka. Oku ngokuqhelekileyo ngumqondiso wokuxhathisa i-insulin.
I-Apnea yokulala
Ukuphefumula ukulala , okubonakaliswa ngokugubha nokuphefumula okungavamile ebusuku, kubonakala nakwabasetyhini abane-PCOS.
I-apnea yokulala ibonakala inxulumene nomlinganiselo wokunyuka kwesisindo kunye namazinga aphakamileyo e-testosterone (ekugqibeleni okuchaphazela ngokuthe ngqo ukufumana ubuthongo kwi-brain). Ukupheka kwe-apnea kukwaziwa ngokuba negalelo ekunyanzelekeni kwegazi kwaye kungabangela utshintsho olusetyenziswayo olujongene nokuxhatshazwa kwe-insulin.
> Umthombo:
> McCartney, C. kunye noMarshall, J. "Polycystic Ovary Syndrome." I-New England Journal of Medicine. 2016; 375: 54-64.