Ngaba i-PCOS okanye enye imeko yezeMpilo?
Ukuba unesifo se-ovary syndrome (i-PCOS), unakho ukufumana nayiphi na impawu yeempawu, njengemijikelezo engaqhelekanga yokuya esikhathini okanye iimpawu zamanqanaba aphezulu kunye ne-androgen njengentambo kunye nokukhula kweenwele ezingavamile (i- hirututism ). Ukuba uyeka ukuya esikhathini kunye / okanye ugqirha wakho uxolisa ukuxilongwa kwe-PCOS, iindidi zeemvavanyo zegazi zihamba ngokukhawuleza ukuqinisekisa ukuba enye into ayiqhubekiyo, njengegciwane le-thyroid elingasebenzi phantsi okanye i-tumor ye-androgen-ye-secreting-secreting.
Ukubeka izixhobo ndawonye
Kubalulekile ukuba uqaphele ukuba imbali yakho kunye novavanyo lomzimba luncedo ekwenzeni ukuxilongwa kwe-PCOS, kwaye ugqirha wakho uya kusebenzisa kokubili iimvavanyo zakho zegazi kunye nokuvavanya kwakho ukuxuba kunye nokuxilongwa. Ukususela kwangoku, akukho vavanyo lwegazi le-slam-dunk ukuxilonga i-PCOS, ngoko ugqirha wakho uya kwenza uvavanyo lwe-pelvic kwaye mhlawumbi i-ultrasound kunye nokuhlolwa kwegazi ukulawula ezinye izifo emva kweempawu zakho.
Ukongezelela, khumbula ukuba ukuba ulahlekelwe ixesha lakho okanye ukuyeka ukuya kwimihla, unokutshekisha ukuba uvavanyo lokuqala luza kugqirha ugqirha lokukhulelwa, ngoko ungamangaliswa nto, nangona uqinisekile ukuba a khulelwe. Emva koko kuqinisekisile ukungalunganga, ugqirha uya kuqhubela phambili kunye nezinye iimvavanyo zegazi.
Uvavanyo lwe-FSH / LH wegazi
I-Follicle stimulation hormone (FSH) kunye ne-hormone ye-luteinizing (LH) ikhiqizwa kwaye ikhutshwe yi-pituitary gland, i-pey-sized gland ephantsi kwengqondo yakho.
I-FSH ikhuthaza ukukhula kwe-folic follicle kwi-ovary, ngelixa ukunyuka kwe-LH kubangela ukukhululwa kweqanda ngexesha lokuvuthwa.
Ukuxilongwa kwangaphambili kwe-PCOS kwenziwe ngokusekelwe kumlinganiselo we-LH ukuya ku-FSH ophezulu kune-3: 1. Oku akunjalo nangona kuba abaninzi abafazi abane-PCOS baye baphakamisa amanqanaba e-LH kulo lonke umjikelezo wabo, akuqhelekanga kubafazi abathile abane-PCOS ukuba babe nexabiso eliqhelekileyo le-hormone.
Sekunjalo, abafazi abane-PCOS ngokuqhelekileyo baya kuba namazinga e-FSH aphantsi kwezinga le-LH, ngoko kwakhona, olu vavanyo lunokuxhasa ukuxilongwa kwe-PCOS, kodwa aluyikuqinisekisa.
Kwakhona, ukuba i-FSH yakho iphakanyisiwe, ingabonakalisa imeko ebizwa ngokuba yi-ovarian premature failure.
I-DHEA / Testosterone Blood Test
I-Dehydroepiandrosterone (DHEA) kunye ne-testosterone zimbini ze-androgens okanye i-hormone zamadoda. Ezi zi-androgens zinoxanduva lwezinto ezininzi zesini zesibini zesini ezifana nokukhula kweenwele ezingaqhelekanga kunye nokulahleka kunye ne-acne, echaza iimpawu zokuba amava e-PCOS anamava. I-Androgens nayo ibangela ukungahambisani nokunyuka komama kwabesetyhini.
Nangona ukuphakama kwe-testosterone kuqhelekileyo kubasetyhini abane-PCOS, kubalulekile ukuba uqaphele ukuba unemiqondiso yezinga eliphezulu kunye ne-androgen njengokukhula kweenwele kunye nokunyuka kweenwele, kodwa ube nezinga eliqhelekileyo le-androgen ekuhlolweni kwegazi-kwaye unayo i-PCOS. Ngamanye amagama, ugqirha kufuneka adibanise ukuhlolwa kwakho ngokomzimba kunye neelabhu zakho ukuze wenze ukuxilongwa.
Ngokuqhelekileyo, izinga eliphezulu kakhulu le-testosterone lingabonakalisa isifo se-androgen-sokuvimba isisu. Ngokufanayo, amazinga aphezulu e-DHEA angabonakalisa isifo se-androgen-i-adrenal glands (iincinci ezincinci ezihlala ezintsheni zakho).
17-Hydroxyprogesterone Igazi legazi
Olu vavanyo lwegazi lusetyenziselwa ukucacisa ubukho bokuqala kokuqala kokuzalwa komzimba , iimeko zonyango ezinokulinganisa iimpawu zePCOS.
Umsebenzi we-Thyroid Imvavanyo yegazi
Ezi mvavanyo zisetyenziselwa ukulawula ukungasebenzi kwe-thyroid njengesizathu sokungeniswa kwakho kwexesha. I-thyroid evuselela i-hormone (TSH) iphinda ifihliwe yi-pituitary gland kwaye ilawula ukukhululwa kwee- hormone ezimbini ze-thyroid , i-T3 kunye ne-T4. La ma hormone amabini alawula isiseko se-metabolism kwaye angavelisa utshintsho lwexeshana ezifana ne-PCOS. Ephakamileyo okanye ngaphantsi kwamaxabiso aseburhulumenteni aqhelekileyo angabonisa isifo se-thyroid kwaye kufuneka ilandelwe.
Uvavanyo lwegazi lweprolactin
Efihliwe yi-pituitary, i-prolactin yi-hormone eyona nto imbopheleleko ephambili ekukhuthazeni ukukhwabanisa kwabasetyhini. Ixabiso eliphakamileyo lingabangela ukungabikho kokuya esikhathini. Ukuba izinga lakho liphakanyisiwe, ugqirha wakho uza kuhlola i-thyroid yakho ukuba engazange asebenze ngaphandle kwe-hypothyroidism engaphatanga ingabangela i-prolactin level. Ukongezelela, ugqirha uya ku-oda i-MRI ye-pituitary gland ukuvavanya ngesifo esibi esibizwa ngokuba yiprolactinoma.
Iimvavanyo zeGazi xa zichongwa nge-PCOS
Ukuba ugqirha wakho uxilonga nge-PCOS, uya kufuna ukuvavanya ngohlobo lwe-2 lweswekile kunye namazinga aphezulu e-cholesterol, eziqhelekileyo ezingaqhelekanga kubasetyhini abane-PCOS. Ezi mvavanyo ziquka:
Uvavanyo lokunyamezela i-glucose (GTT): Olu vavanyo luya kuvumela ugqirha wakho ukuba alinganise impendulo yakho kwisishukela sokushukela. I-insulin yiyona hormone enkulu ejongene noshukela kunye nefuthe emzimbeni wakho. Umhloli uya kukunika isicombululo esiphumileyo, isishukela sokusela. Iimvavanyo zegazi ziya kutsalwa ngaphambi kokuba uvavanyo luqale kwaye emva kweeyure ezimbini kunye ezimbini. Iisampuli zee-urine zingabuthwa kunye nokulinganisa i-glucose kumchamo wakho. Kubalulekile ukuba ungadli okanye ungaphuze nantoni na xa uvavanyo luqala, okanye kwiiyure ezili-12 ngaphambili, njengoko kuya kuthinta iziphumo. Ngokuqhelekileyo, iswekile yegazi kufuneka ibuyele eqhelekileyo ngaphakathi kweeyure ezimbini. Ukuba izinga lakho leswekile legazi liphakanyisiwe ngaphaya kovavanyo, kungabonisa ukuba umzimba wakho awuphenduli ngokukhawuleza kwi-insulin, ebonisa ukuxilongwa kwe-prediabetes okanye isifo sikashukela. Ugqirha wakho unokuqinisekisa ukufumana okungavamile ngokuphinda uvavanyo.
- Uvavanyo lweCholesterol: Olu vavanyo ngamanye amaxesha libizwa ngokuba yiphaneli ye lipid. Abafazi abane-PCOS banakho i-cholesterol ephezulu. Ngenxa yokubambisana kwe-PCOS kunye nokuphazamiseka kwemithi, kuquka isifo senhliziyo nesifo sikashukela, kubalulekile ukujonga i-cholesterol yakho kunye noxinzelelo lwegazi. Oku kuya kukuvumela ukuba ugqirha wakho uphathe ngokukhawuleza ukuba uhlakulele ingozi yempilo yesifo kunye nokunciphisa imiphumo yabo.
Okukwintsusa
Nangona kubonakala ngathi ugqirha wakho uyala iindidi zeemvavanyo zegazi, ungakhathazeki. Le nkqubo iyinto eqhelekileyo kwaye iyenziwe ukuqinisekisa ukuba ukuxilongwa ngokufanelekileyo kwenziwa ukwenzela ukuba unyuke phambili kunye nokunyamekela nokunyangwa okufanelekileyo.
> Imithombo:
> Umbutho waseMelika weKlinikhi yeKhemistry. Polycystic Ovary Syndrome. Uvavanyo lweLeb kwi-Intanethi. Ukuhlaziywa ngoNovemba 28, 2017.
> Abasebenzi beKliniki yabasebenzi. I-Polycystic Ovary Syndrome (i-PCOS). Clinical Mayo. Ukuhlaziywa ngo-Agasti 29, 2017.
> Sirmans SM, Pate KA. Epidemiology, Ukuxilongwa, kunye noLawulo lwe-Polycystic Ovary Syndrome. Epidemiology . 2014; 6: 1-13. i-doi: 10.2147 / CLEP.S37559.