Ingozi kuMama noNyana kunye nendlela onokuzikhusela ngayo
Uninzi lwabasetyhini abane-PCOS bayazi ukuba banokuba nobunzima bokukhulelwa. Ixesha elingavumelekanga kunye ne-ovulation engabikho kunokukwenza kube nzima ukulala ngexesha lokukhulelwa kwaye ngokuqhelekileyo kukhokelela isibini ukuba sifune uncedo lwenzululwazi yokuzala.
Kodwa abaninzi abafazi abazi ukuba ukuba ne-PCOS inokunyusa umngcipheko weengxaki ezithile zokukhulelwa.
Nangona uqiniseke ukuba ezi zixazululo aziqhelekanga, ibhinqa kufuneka lijonge umthambo wakhe rhoqo kwaye lilandele iziphakamiso zakhe zokujonga i-pregnancy.
Ukutshatyalaliswa
Abasetyhini abane-PCOS babonakala bengumngcipheko omncinci wokuba nekhefu, nangona isizathu salo dlelwane singabonakali. Abaphandi bakholelwa ukuba kukho izinto ezimbalwa ezinokuthi zityhale. Okokuqala, abafazi abane-PCOS banomdla wokuhlala kwimizuzu emininzi, oku kuthetha ukuba i-ovulation iyenzeka kamva. Oku kubonisa ukuba iqanda elikhulayo liza kuma hormone amaninzi, mhlawumbi lilimaze.
Okwesibini, kukho ubudlelwane obusondeleyo phakathi kweshukela legazi elingalawulekiyo nokuphuphuma kwesisu. Ngenxa yokuba abafazi abane-PCOS banomdla wokukhushulwa kwe-insulin kwaye baphakanyiswa amanqanaba e-insulin, abanye abaphandi bacinga ukuba oku kunokubangela ukuba kubekho umgangatho omncinci weqanda kunye nokukhulelwa komzimba. Amanqanaba aphezulu e-androgen kunye nokungasebenzi kwe-endometrili, iingxaki ezibhekiselele ekufakweni, nazo zinokudlala indima ekwandiseni ingozi yokulahleka kokuqala kokukhulelwa kwabasetyhini kunye ne-PCOS-nangona uphando olungakumbi lufunekayo ngaphambi kokuba kuqulunqwe umbutho ocacileyo.
Ukukhulelwa-I-Hypertension and Preeclampsia
Ukukhulelwa kwengcinezelo, okanye i-PIH, kubhekisela kubasetyhini abahlakulela ukuqala kwengcinezelo yegazi emva kweveki ezingama-20. I-Preeclampsia yimeko embi yempilo eqhubekayo kwisiqingatha sesibini sokukhulelwa kwaye ibangela iiprotheyini kumchamo, ngaphezu kwexinzelelo lwegazi eliphezulu.
Ukulahlekelwa kweprotheni kumchamo kubangela ukuvuvukala kwaye kubonisa ingxaki ngeentso.
Ukuba ishiywe ingaphathwa, i-preeclampsia ingaqhubela phambili kwifom ephezulu ye-syndrome ebizwa ngokuba yi-eclampsia, leyo ingabangela ukugunjwa, ukuphosa, kunye / okanye i-coma. Kwiimeko ezinzulu, ukufa kokubeleka nokubeleka kungabangela.
Njalo xa u tyelela ugqirha wakho, uya kujonga uxinzelelo lwegazi kwaye uthathe isampuli yomchamo ukuze ukhangele iiprotheni kumchamo. Oku kukuqinisekisa ukuba awuyikuphuhlisa i-preeclampsia. Ukuba ufunyanwe ukuba une-preeclampsia, unyango lubandakanya ukuphumla kombhede, ukubeka iliso rhoqo, kunye namayeza ukuba nethemba lokunciphisa uxinzelelo lwegazi. Ukuba uxinzelelo lwegazi aluhlahli, unyango olulodwa kuphela oluza kuzisa umntwana. Injongo kukufumana umntwana ekude ngokukhulelwa ngokusemandleni ukuze imiphunga ibe nethuba lokuphuhlisa.
Abafazi abane-PCOS banomdla wokunyuka kwegazi ukuqala, ukunyusa umngcipheko wokuphuhlisa i-PIH. Yingakho kubalulekile ukujonga iimpawu kunye neempawu zePIH kunye ne-preeclampsia (ukuvuvukala, ukufumana isisindo esiphuthumayo, ukuguquka kwentloko, ukuguquka kombono) kwaye ngokukhawuleza ubaxelele ugqirha wakho, okanye uqhube kwigumbi lexakeka xa kufuneka.
Isifo sikashukela
Isifo sikashukela sesifo sikashukela senzeke xa isifo sikashukela, ukuguqulwa kwindlela umzimba uqhuba ngayo iswekile, ikhula ngexesha lokukhulelwa.
Nangona imeko ihlala isombulula emva kokubeleka, ibhinqa elinesifo sikashukela sinokuthi sikwazi ukuhlakulela uhlobo lwesifo sikashukela kamva kwimpilo, sidinga ukubeka esweni i-sugar level.
Bonke abafazi abakhulelweyo bajongwa ukuba bafumane isifo sikashukela ngesifo seswekile rhoqo ngexesha eliphakathi kweeyure ezingama-26 ne-28. Abasetyhini abane- diabetes eyaziwayo, ukuxhatshazwa kwe-insulin, okanye abo basemngciphekweni ophezulu wokuhlakulela isifo sikashukela sinokuthi bahlolwe ngaphambili. Abasetyhini abaneminyaka engama-25 ubudala, baye bafumana isifo sikashukela ngesifo sokukhulelwa ngaphambi kokukhulelwa, abanomzimba ogqithiseleyo, abanama-prediabetes, okanye abanamalungu osapho osondeleyo afunyaniswe ukuba nesifo sikashukela se-2 abasengozini enkulu yokuhlakulela isifo sikashukela.
Abafazi kunye ne-PCOS bayingxenye yeli qela ngenxa yobudlelwane nokuxhatshazwa kwe-insulin kunye ne-prediabetes.
Isifo sikashukela sesifo sikashukela sinokuphathwa ngokuhlanganiswa kweenguqu zokuphila okanye amayeza xa kuyimfuneko. Kubalulekile ukuba uqaphele ngokujonga iswekile legazi njengoko uqondiswe ngudokotela wakho ngenxa yokuba iintsana ezizalwe koomama abanesifo sikashukela se-gestational zisengozini enkulu yokuzalwa kwesisindo sokuzalwa, ukuzalwa kwangaphambi kokuzalwa, iimpawu zokuphefumula ekuzalweni, ishukela ephantsi yegazi kunye ne-jaundice.
Ukuziswa kwangaphambili
Abasetyhini kunye ne-PCOS basengozini yokuhambisa umntwana wabo ekuqaleni. Isizathu esilandelayo kwakhona sichanekanga ngokupheleleyo. Iingcali ziyazi ukuba i-preeclampsia yinkalo yobungozi bokusondeza kwangethuba, kwaye abafazi abane-PCOS basengozini enkulu ye-preeclampsia.
Ukongezelela, iingcali zifumene ukuba iintsana ezizalwe kumama kunye ne-PCOS zinokuthi zibe zikhulu (ezibizwa ngokuba zikhulu ukudala iminyaka yobudala), zinomnqweno we-meconium (xa isitoli sokuqala somntwana singena emaphapheni), kwaye unomgangatho ophantsi we-Apgar ezintlanu imizuzu.
Ukuthintela iNgxaki zokukhulelwa kwi-PCOS
Ezinye zeengxaki zivakala kakhulu, kodwa kukho izinto ezininzi onokuzenza ukubanceda ukukhusela. Okokuqala kwaye okuphambili kukufumana unyango lwangaphantsi kokuqala kokukhulelwa kunokwenzeka. Kungcono nokuba kukubona ugqirha ngaphambi kokuba uzame ukukhulelwa ukuze uxoxe ngamanyathelo athile ukunciphisa ingozi yakho - njengokwenza ubukhulu bakho bunzima.
Okwesibini, yenza utshintsho oluthile lokuphila. Nangona kunokuba kunzima ukuphumeza, khumbula ukuba uyayenza umntwana wakho (kunye nawe). Ngokomzekelo, xubusha i-regimen yovavanyo kunye nogqirha wakho, kwaye ukuba unzima nemikhwa yokutya okunempilo, cela ukuthunyelwa kwisondlo sokutya.
> Imithombo:
> I-American Diabetes Association. (2013). Ngaphambi kokukhulelwa.
> I-American Pregnancy Association. I-Polycystic ovarian syndrome.
> Kamalanathan, S., Sahoo, JP, & Sathyapalan, T. Ukukhulelwa kwi-Polycystic Ovary Syndrome. I-Indian Journal ye-Endocrinology kunye neMetabolism , uJan-Feb; 17 (1): 37-43.
> Roos, N., Sahlin, KH, Ekman-Ordeberg, G., Falconer, H., & Stephansson, O. (2011). Iziphumo zeZiphumo eziKhulayo eziZithintekayo kwabesetyhini abane-Polycystic Ovary Syndrome. BMJ, ngo-Oktobha 13; 343: d6309.