Isifo esiqhelekileyo kodwa esiyinkimbinkimbi sifumaneka ngokukhutshwa
I-Polycystic i-ovary syndrome (i-PCOS) yinto eqhelekileyo ye-endocrine eyingozi eyenza i-hormone yamadoda (i-androgens) iyenyuka kakhulu kwindoda yabasetyhini, eyabangela ukungaqhelekanga okanye ukungena kwimizuzu, ixesha elibi, intsimbi, ubuhlungu be-pelvic, ubuhlungu obuninzi bomzimba kunye neenwele yesikhumba esilumnyama, esivumayo. Iyakuchaphazela uninzi lwabafazi abashumi phakathi kweminyaka eyi-18 no-45 kwaye ihlala enye yezona zinto ezibangela ukungafumaneki.
Nangona yinto engavumelekanga, iPCOS ayiqondwa kakuhle . Kukho ukudideka malunga nokuba i-PCOS ifunyaniswa njani, ngakumbi phakathi kweentombazana eziselula. Inxalenye yokudideka iqala ngokuchaneka kwendlela yokuhlola.
Kwixesha elidlulileyo, kwakukho iiseti ezimbini ezihlukeneyo zovavanyo lokuxilonga: enye ekhutshwe yiZiko leZwelonke lezeMpilo (i-NIH) e-Rockville, eMaryland kunye nelinye likhutshwe liqela lehlabathi laseRotterdam elandise kwi-NIH.
Ukwahluka kwakuncinane kodwa kushaya. Oyintloko phakathi kwezi zinto kwakubandakanywa ii-ovaries ze-polycystic njengenye yeendlela ezintathu zokuxilonga kwi-PCOS. Iphaneli yaseLotterdam yayiquka; i-NIH ayizange.
Kwakuphela ngoDisemba ka-2012 ukuba i-NIH yavuma ngokusemthethweni imigaqo yeRotterdam kwaye yacebisa ukuba iyakwamkelwa ngabo bonke abasebenzi bezempilo.
I-PCOS Diagnosis Ukusebenzisa iMigqaliselo yeRotterdam
Ngaphantsi kwencazelo yeLotterdam, ibhinqa kufuneka idibanise ubuncinane ezimbini kwiintetho ezintathu ukwenzela ukuba zifumaneke ngokuqinisekileyo nge-PCOs Ezi ziquka ukungaqhelekanga kunye / okanye akukho-ovulation, amanqanaba aphezulu kunye ne-presence of polycystic ovaries.
Imilinganiselo yeenqobo zeRotterdam ingatshwankathela ngolu hlobo lulandelayo:
- Ukungaqhelekanga kunye / okanye akukho-ovulation kubangelwa ukungalingani kwe-hormone yesini, kuquka amazinga aphezulu e-testosterone kunye ne-hormone ye-luteinizing. Ngenxa yoko, abanye abafazi abane-PCOS baya kuba nexesha eliphindwe rhoqo ngenyanga, zonke iinyanga ezimbalwa, okanye kungenjalo. Iimviwo zihlala zizinzima kwaye zihambisane nama- clots amakhulu. Ngokwenene, ukuba umfazi unesibhozo ezisibhozo okanye esingaphantsi kwemijikelezo yokuya esikhathini , uyahlangabezana nemigqaliselo.
- Amanqanaba aphezulu ase- androgen acingelwa njengento ephambili ekuxilongeni i-PCOS nangona abanye abafazi abanezifo bengenayo i-androgen engaphezulu. Ngaloo ndlela, nokuba yi-serological (igazi) okanye ubungqina beklinikhi ziya kwamkelwa. Ukuhlolwa kwegazi ngezinga eliphezulu kunye ne-androgen (i-testosterone epheleleyo kunye ne-free, i-DHEA-sulfate) yanele ngokwanelisa i-criteria. Ukungabikho kwalokhu, ukulahleka kweenwele , i-acne, kunye nokunyuka kweenwele zomzimba eziphambili zihlangabezana neenqobo zeklinikhi ze-PCOS.
- Iipolycystic ovari zibhekisela ekukholeni kwe-12 okanye ngaphezulu kwezinto ezincinci kwi-ovary nganye. Iifolli, ngamanye amaxesha ezibizwa ngokuba ngama-cysts, zifana nomtya weeparele. Njengamanqanaba e-androgen, abafazi abane-PCOs abanalo i-cysts. I - ultrasound yangaphandle isisiseko esiyinhloko sokuphanda. Iifollicle ngokwazo zibangelwa ukungalingani kwe-hormonal, kungekhona imbangela yalo.
Ekugqibeleni, ukwenzela ukubonelela ngokucacileyo isigxina, ugqirha uya kufuna ukuphanda ukuba kukho naziphi na ezinye izizathu zokungaqhelekanga. Ekugqibeleni, i-PCOS yimeko yokungabikho. Oku kuthetha ukuba ugqirha uyakufuna ukulawula izinto ezinjenge- congenital adrenal hyperplasia (CAH) , obangela ukuba uphestere ophezulu, okanye amanqanaba eprolactin aphakanyisiweyo, anokuchaphazela i-ovulation.
Ngenxa yokuba iinjongo ezikhoyo zibandakanya abafazi kunye okanye ngaphandle kwama-ovaries e-polycystic, iinqununu zenziwe ukutshintsha igama le-PCOS kwaye zisusa ngokupheleleyo nantoni na inqaku elithi "cyst."
> Umthombo:
> AmaZiko eNational Health. "I- Polycystic Ovary Syndrome (i-PCOS) : INgxelo yokugqibela yePhaneli." I-Workshop-Based Based Workshop kwi-Polycystic Ovary Syndrome; Rockville, Maryland; Disemba 3-5, 2012.