Iimpawu zokuxilonga ukuxilonga i-Polycystic Ovarian Syndrome (i-PCOS)
I-ultrasound ye-Transvaginal enye yezona zixhobo eziphambili ugqirha unayo xa kuziwa ekufumaneni i- polycystic syndrome syndrome (PCOS). Imifanekiso efunyenwe kwi-ultrasound, ngokubambisana neziphumo zeemvavanyo zegazi kunye nembali yesigulane kunye nesimo somzimba, zisetyenziselwa ukuxilonga le syndrome.
Ukuchonga i-Polycystic Ovary Syndrome (i-PCOS)
Iimpawu eziphezulu ze-androgens, (ihomoni zamadoda ezifana ne-testosterone), i-polycystic ovary syndrome (i-PCOS) ukungalingani kwama-hormone wesini.
Ekubeni la ma hormone abandakanyeka ekulawuleni iinkqubo zomzimba ukusuka ekuveliseni ukuya kutshatyalaliswa kweemetabolism, imeko leyo ingakhokelela kwimimandla emininzi yeempawu zePCOS .
I-PCOS Imali
Isinyathelo sokuqala xa uvavanya iimpawu zakho, ukuvavanywa kunye neziphumo zebhoratri ukukhuphela ezinye izifo ezingabangela ezi ziphumo . Ezi meko (ezinokubonakala zifana ne-PCOS kodwa zihluke) ziquka:
- Isifo se-Thyroid - Ukuhlukana kwe-PCOS kwisifo se-thyroid kunzima kakhulu ukuba ezinye iintlobo zesifo se-thyroid ziqhelekileyo kubantu abane-PCOS, kwaye ezinye zeemvavanyo ezisetyenziselwa ukuxilonga izifo ze-thyroid zichanekile kubantu abane-PCOS.
- Hyperprolactinemia
- I-congenital adrenal hyperplasia
- Isifo sikaCushing
Iingqinisiso zokuxilonga kwi-PCOS (iCritterdam Criteria)
Inkqubo ekhoyo yangoku yokuxilongwa kwabasetyhini abane-PCOS ibonisa ukuba ibhinqa linayo i-PCOS ukuba inezimbini ezilandelayo zintathu (ngaphandle kweminye imigaqo):
1. Ukuhamba kwexesha lokungahambi okanye ukungavumelekanga kokuya esikhathini (ezisibhozo okanye amaxesha ambalwa kunyaka owodwa). Ekubeni zimbini kuphela ezi zilandelayo zifuna ukudibana, kukho abanye abafazi abaya kuhlangabeza imigaqo yokuxilongwa kwe-PCOS naphezu kokuhamba rhoqo kwenyanga.
2. I-androgens ephezulu kumsebenzi wegazi okanye iimpawu ze-androgens eziphezulu emzimbeni onjenge-acne, ukukhula kweenwele ezigqithiseleyo (i- hirsutism ), okanye ukulahleka kweenwele zepateni ( kunye ne-androgenic alopecia ).
Iimvavanyo zegazi zivame ukubonisa i-testosterone ephakamileyo kunye namazinga e-testosterone ekhululekile kunye namazinga e- dehydroepiandrosterone sulfate (DHEAS) .
3. Ubukho beentollicle-ezibizwa ngokuba yi-cysts ngephutha-kwi-ultrasound (jonga ukucacisa ngezantsi). Eminye imigaqo ichaza i-PCOS njengokuba i-follicles e-12 okanye ngaphezulu encinci (ephakathi kwamibini no-9 mm ububanzi) kumabini ama-ovari. Nangona kunjalo, eUnited States, oogqirha abazithembeli kuphela kuloo nkcazo ukuze benze ukuxilongwa. Kukho abaninzi abafazi abanama-cystic ovari ngaphandle kwempawu ze-hyperandrogenism, kunye nabasetyhini abaninzi abaye bafumanisa ukuba bane-PCOS abangenawo ama-ovari. Uphando olutshanje luchaza ukuba ukulinganisa amazinga e-hormone e-anti-mullerian kunokubakho indawo eyimfuneko ye-ultrasound yangaphandle kwiimeko ezithile zokuxilongwa kwe-PCOS.
Ukuba Ukuchonga kwakho akuqinisekanga
Ukuba awuqinisekanga malunga nokufumanisa kwakho i-PCOS (okanye ukungabi nanye), akunakulimaza ukufumana umbono wesibini. I-Endocrinologists kunye ne-endocrinologists yokuzalisa iingcali zezokwelapha zineengcali ezongezelelweyo zokuvavanya nokunyanga kwezifo ze-hormonal. Hlola uMbutho weMerika kwiMithi yokuzala okanye i-Androgen Excess kunye ne-PCOS Society malunga nesinconyiso sendawo.
I-Ultrasound Transvalinal eyenziwa njani?
I-ultrasound engapheliyo ingenziwa kwiofisi yegqirha. Kule nkqubo, unokucelwa ukuba uphuze ukuya kuma-ounces angama-42 e-fluid ngaphambi kokuvavanya kwakho ukuzalisa i-bladder yakho, ukwenza kube lula ukubona ii-ovaries zakho. Isondlo se-ultrasound luboniswe ngaphakathi ngaphakathi kwesini, esithumela umfanekiso wesitho sangaphakathi kwisikrini. Uchwepheshe we-ultrasound ngoko ulinganisa kwaye uthatha imifanekiso yamanqanda akho kwaye uwabelana nodokotela wakho.
Ngaba i-Ultrasound Ultrasound ibuhlungu?
Abanye abesifazana banokuba namava kakhulu xa i-technician igxotha phantsi kwe-ultrasound (khumbula, i-bladder epheleleyo!), Ngokuxhomekeka kwimeko elula apho umntwana we-sonographer angafumana khona izitho zangaphakathi zokuzala .
Yintoni Ugqirha ekhangayo kwi-Ultrasound?
I-sonographer iya kuhlola i-uterus yakho, umlomo wesibeleko kunye nesisu. Inani lezintluli kwi-ovary yakho liya kubalwa ukuvelisa into eyaziwa ngokuba yi-antral follicle count (AFC).
Ziziphi iifolli ze-Antral?
Iifollic follicles ziphumla iifollicle ezitholakala kwi-ovary ekuqaleni komjikelezo wesinye. Ziba malunga no-2 ukuya kwi-9 mm ngobukhulu (ngaphantsi kwesigamu intshi). Isibalo esiphezulu sokulandelelana kwesibalo sibonisa ukuba ibhinqa linenani elikhulu lamaqanda asele kwi-ovary yakhe kwaye, kwezinye iimeko, i-PCOS.
IiCs vs. Follicles kwi-PCOS
Zomibini i-cyst kunye ne-follicles ziqhelekileyo kubasetyhini abane-PCOS kunabo abangenalo imeko. Uninzi ludibanisa i-cysts kunye neepollicle.
Naphezu kwegama layo, abafazi abane-PCOS abavami ukuvelisa i-cyst, kodwa kunokuba iifollicle zisetyenziswe njengenxalenye yendlela yokuxilonga (jonga ngezantsi). Utshintsho lwegama lwe- PCOS lucecisiwe ukuba lukhuphe ukudideka kwaye lufundise kakuhle abaqeqeshi bezempilo kunye nabathengi.
Abasetyhini abane-PCOS bavame ukuvelisa i-follicles, ezincinci iqoqo le-ovary kwaye yiphumo, kungekhona isizathu, ukungalingani kwama-hormone wesini. Ngenyanga nganye, umfazi uvelisa iifollic ezikhulile kwaye zikhutshwe kwiiyunithi ukuze zizaliswe. Ngenxa yokungalingani kwe-hormone, ezi follicle azikhuli kwaye azikhutshwanga ngama-ovari, okusoloko ekhokelela ekungabikho komntwana. Funda kabanzi malunga nezizathu kunye nengcambu yengxaki nge-PCOS .
Ngaphantsi kwindlela yokuchonga i-PCOS kunye ne-Ultrasound Transvaginal
Ukuxilongwa kwe-PCOS kunokuchitha ixesha kunye nokuphazamiseka. Ezinye iimeko ezinokubangela ukuba iimpawu ezifanayo zifuneke zilawulwe ngaphandle, kwaye iimpawu ezifana nokungaqhelekanga kokuya esikhathini kunye nobungqina bokuba i-androgen eyongeziweyo ihlolwa. I-ultrasound ye-Transvaginal inganikeza ulwazi olubalulekileyo malunga neentollicle (ngokuchasene ne-cysts ekhokelela ekudidekeni okukhulu kwiminyaka.) Ukulinganiswa kwe-hormone yokulwa ne-mulleri kunokunika indawo ye-ultrasound kwezinye iimeko.
Emva kokuxilongwa, ukhetho lwe-PCOS lunokuphinda luhlaziywe ukwenzela ukukunceda ukujamelana nemiphumo emibi (kwaye ngamanye amaxesha).
Imithombo
- Bachanek, M., Abdalla, N., uCendrowski, K., kunye noW. W. Sawicki. Ixabiso le-Ultrasonography kwi-Diagnosis ye-Polycystic Ovary Syndrome - Ukuhlaziywa kweencwadi. Journal of Ultrasonography . 2015. 15 (63): 410-22.
- Ukuxhatshazwa, D. Iingqinisiso zokuxilongwa kwi-PCOS: Ngaba kukho isidingo seRethink? . Ukusebenza ngokuPhezulu nokuPhando. I-Clinical Obstetrics kunye neGynecology . 2016. 37: 5-11.
- Matsuzaki, T., Munkhzaya, M., Iwasa, T. et al. Ubudlelwane Phakathi kweSerum Anti-Mullerian Hormone kunye nePilisi Parameters kwi-Polycystic Ovary Syndrome. Journal of Endocrine . 2017 Apr 1. (Epub ngaphambi kokuprinta).
- UMcCartney, uC., NoJames Marshall. Practice Clinic. Polycystic Ovary Syndrome. I-New England Journal of Medicine . 2016. 375 (): 54-64.