Konke Okufuneka Ukwazi
Ukuguqula indlela yokuphila
Ngombulelo, uninzi lwezonyango ze-PCOS ziyafumaneka namhlanje ezinokusinceda uphathe isifo. Nangona kunjalo, unyango olulodwa olubaluleke kakhulu lwe- PCOS kukuba ukhululeke ubunzima xa ukhulu kakhulu. Ngokunciphisa iikhalori kunye noshukela olula, ukwandisa iprotheni ephilileyo kunye ne-fiber, kwaye uqala ukwenza rhoqo umzimba, unokukunceda umzimba wakho ukwandise impendulo yawo kwi-insulin, kwaye mhlawumbi unciphise i-androgen.
Oku kunokunceda ukunciphisa iimpawu , ukubuyisela izixhobo eziqhelekileyo kunye nokwenza kube lula ukukhulelwa. Nangona kukho imithi enokukunceda ukulawula iimpawu ozifumanayo, ukulahlekelwa isisindo into enokuyenza ukuze uncede ukunyanga kwesi sifo.
Ukulawulwa kwexesha lokuHluka
Kubasetyhini abangenanto banomntwana, ukukhulelwa komlomo - owaziwa nangokuthi "ipilisi" - ngokuqhelekileyo ukhetho lokuqala. I pilisi iqukethe inhlanganisela ye- estrogen kunye neprogesterone enceda ekulawuleni amahomoni amabhinqa. Oku kuya kunceda ukuseta umjikelezo wakho, oko kwenza ukuba ixesha lakho lihlale liqhubeka. Nangona ukungabikho kwexesha kunokubonakala ngathi kulula, ubude bexesha elide ngaphandle kwexesha kunokunyusa umngcipheko womhlaza we- endometrial .
Ugqirha wakho unokuziva ukuba kunyanzelekile ukukunika imithi ebizwa ngokuthi iProvera (medroxyprogesterone) eya kuguqula ukuphaphaka xa ungazange ube nexesha elithile.
Iprovera yonyango lomlomo elithatyathwa iintsuku ezi-5 ukuya kwi-10 kwaye iza kuzisa ngexesha. Unokufuna ukuhlolwa kwegazi ngaphambi kokuba uqale eli gama ukuqinisekisa ukuba awukhulelwe.
Olunye unyango
Ezinye izifundo ziye zaboniswa ukuba zilungelelaniso phakathi kokukhwa kwamanzi kunye nokuphumelela kwonyango lokuzala.
Kucingelwa ukuba kunokunceda ukulawula umjikelezo wesisitya kunye nokunyusa i-ovulation kwamanye amabhinqa. Nangona kunjalo, ngaphambi kokuba uqale naluphina unyango, qiniseka ukuba uthethe nodokotela wakho kwaye ufumane ugqirha ofanelekileyo onamava kwimpilo yabasetyhini.
Ukuhlinzwa
Nangona kunqabile ukuba kwenziwe, kukho ukhetho lokuncedisa ukuphatha i-PCOS. Ebizwa ngokuba yi- ovarian drilling , ugqirha wenza iincinci ezincinci kwisisu sakho kwaye usebenzisa ikhamera encinane kakhulu ukumnceda ekuboniseni izitho zakho zangaphakathi, wenza utshisa amancinci kwi-follicles eyandisiwe. Ithemba kukunciphisa i-androgen kunye ne-LH eyimfihlo, oko kukunciphisa imijikelezo ye-ovulatory.
Ngaphantsi kwezona ziqhelekileyo ukuHlelwa kweNkundla ye-Ovarian Wedge . Ngenxa yomngcipheko okhulayo wokulimala kunye nokusisigxina kwe-ovarian, ukuba ugqirha wakho ubonisa le nkqubo, nceda ufumane umbono wesibini . Akusayi kucetyiswa kunyango lwe-PCOS.
Ulwaphulo lokungahambi
Ukuba ufuna ukuzama ukuba nomntwana, kukho iindlela ezininzi. Amachiza ogqirha wakho uya kubeka kuqala nguClomid, enokukunceda ukuba ugxile. Kuye phakathi komjikelezo wakho, unokukwazi ukusebenzisa i-kitty predictor kit eyinokukunceda ukuba ixesha elifanelekileyo liqale ukuzama. Gcina ukhumbule ukuba abanye abafazi abane-PCOS banamazinga aphezulu angama-LH (i-hormone efunyenwe kwiikiti ze-ovulation ), okwenza le ndlela yexesha elingalunganga.
Ngenxa yokuqhagamshelana phakathi kwe-PCOS kunye nokunyanzelwa kwe-insulin , amayeza aqhelekileyo asetyenziswa ukuphatha isifo sikashukela, oko kukuthi iMetformin , isetyenziselwa ukwandisa u- insulin ukuqonda . Ngokunyusa impendulo yomzimba kwi-insulin, kucingelwa ukuba i-ovary ayinakuyenza i- orrogens eninzi, eyandisa amathuba okuba i-ovulation iza kwenzeka. I-Metformin inokunciphisa amanqanaba okujikeleza i-androgens, nangona ungazami ukukhulelwa. Oku kuya kunceda ukulawula umjikelezo wakho wokuya esikhathini kunye nokunciphisa iimpawu ezixakekayo onokuba nazo. Abanye abesifazana bangadinga ukuthatha zombini iComidid kunye neMetformin ukwenzela ukuba baqhube.
I-Clomid yonyango elinikezelwa ukukhuthaza i-ovulation kubasetyhini abangahlali bavutha. Ukulahlekelwa isisindo kunokukunceda ukufeza oku. Kwamanye abantu, ukulahlekelwa ngokulinganisela kokunciphisa umzimba kunokunceda ukubuyisela i-ovulation kwaye ukwandise kakhulu imithwalo yakho yokukhulelwa.
Ukuba ezi zinto zingasebenzi, isinyathelo esilandelayo siya kuba yimichiza ejoyiweyo eyaziwayo njengeGonadotropins. Ngenyanga nganye, i- Follicle Stimulating Hormone (FSH) ifihliwe yi-pituitary eyenza i-follicle yeqanda ikhule. I-Gonadotropins yandisa ngokuthe ngqo umlinganiselo we- FSH ojikelezayo emzimbeni, ukukhuthaza ukukhula nokuphuhliswa kweqanda elivuthiweyo. Ugqirha uya kubeka iliso inkqubela yakho ngokusebenzisa i-ultrasound kunye nokuhlolwa kwegazi. Xa ugqirha evakalelwa kukuba usondelene ne-ovulating, mhlawumbi unokuthatha injoza ye-Gonadotropin ye-Human Chorionic (HCG) eya kukubangela ukuvuthwa kwakho kwiiyure ezingama-36. Oku kuya kukuvumela ukuba ube nexesha elifanelekileyo xa ufuna ukulala okanye ube ne- Intrauterine Insemination (IUI). Ugqirha wakho uya kukunceda ubone ukuba yiyiphi enye into efanelekileyo kuwe.
Ekugqibeleni, ukhetho lwakho lokugqibela luyi- Vitro Fertilization (IVF), inkqubo eyinkimbinkimbi apho uya kuba ne-hyperstimulation elawulwayo yamaqanda akho ngokusebenzisa imithi ejoyiweyo. Oku kuvelisa amaqanda amaninzi okuza kugqirha ugqirha ngenkqubo yokucoca. Ukufakelwa kwemfuyo kwenzeka ngaphandle komzimba kunye nakwimeko elawulwayo yilebhu. Iimbrusi ezikhulayo ziya kubuyiselwa emzimbeni, apho ziza kuba nethemba ekuzalweni kwesibeleko kwaye zenze ukukhulelwa okufanelekileyo. Kukho iinkqubo ezininzi zonyango ngaphakathi kwenkqubo ye-IVF kwaye ugqirha wakho uya kukhetha okulungileyo, ngokusekelwe kwimbali yakho yonyango, ubudala, kunye nokuxilongwa. Ukuba umgangatho we-IVF awusebenzi kuwe, unokusetyenziswa kunye namaqanda abanikeli, umniki wesini, okanye unomdla wokuzikhethela.
Ukulawula iiMpawu
Imithi ekhusela i-androgen eyimfihlo yindlela enye ugqirha angakunika yona. Ukukhulelwa komlomo kunganceda, okanye ugqirha unokumisela imishanguzo ye-antiandrogenic, njenge- Spironolactone (aldactone). I-Spironolactone inqanda i-testosterone ifihliwe ngumzimba, kwaye iphinde iqhathanise ne-hormone receptors kwiintlobo zezinwele. Iimvume zamasayithi ezivumela ii-hormone okanye iikhemikhali ukuba zibophe, zidale ukuphendula. Ukuba enye ikhemikhali isendaweni yomamkeli, i-androgens ayikwazi ukubopha kwaye ivuselele ukuphendula okubangela ukukhula kweenwele.
Olunye unyango osebenza ngendlela efanayo nguPlutamide, engasetyenziswa ngokuqhelekileyo ngenxa yempembelelo yokuba unyango lunesibindi. Ukuba uthabatha le nyilisi, kubalulekile ukulandelelana neemvavanyo ezifanelekileyo zegazi njengoko ugqirha wakho we-odolo ukunceda ukufumanisa kwangaphambili iingxaki zesibindi.
> Imithombo:
> "Ukuchaza i-PCOS". 2007. IYunivesithi yaseCchic Medical Centre.
> Jensen, Jani R. > kunye > uRuben Alvero. " Polycystic Ovarian Syndrome ." I-Endocrinotic yokuzalisa nokungafihli: Iimfuneko kwi-Obstetrics ne-Gynecology. Ed. UMark Evans, MD. Philadelphia: Mosby, 2007. 65-75.
> "Polycystic Ovary Syndrome". 3 Agasti 2007. I-Clinical Mayo.