Ukuxilongwa kwenziwa ngokungabandakanyi zonke ezinye izizathu ezikhoyo
Kukho imeko zonyango ezingenakufunyanwa ngophando lwegazi, i-biopsy, inkcubeko, okanye nayiphi na enye indlela yokuvavanywa. I-Polycystic ovary syndrome (i-PCOS) yenye yeso simo. Ngenxa yokuba iimpawu ze-PCOS ziyakulinganisa ezinye zeemeko, oogqirha kufuneka baxubushe ngokuthe ngqo ngaphandle kwazo zonke ezinye izizathu ngaphambi kokuxilongwa.
Le nqubo ibizwa ngokuba yi- diagnosis .
Kuphela ngokunciphisa uluhlu lwababasolwayo, omnye ngomnye, ukuba oogqirha banokufikelela kwisigqibo esipheleleyo kwaye baqale unyango.
Kwixesha lokuseka ukuxilongwa kwe-PCOS, ezinye zeephando eziqhelekileyo ziya kubandakanya isifo se-thyroid, i-hyperprolactinemia, i-congenital adrenal hyperplasia kunye ne-Cushing's syndrome. Ngokuxhomekeke kwimpilo nakwiimbali zomntu, ezinye izizathu zingabuye zihlolwe.
Izifo Zegciwane
Ingqungquthela ye- thyroid iyilungu elincinci elingaphambi komqala olawula amaninzi omzimba we-metabolism. Ivelisa amahomoni amabini, ebizwa ngokuba yi-T3 kunye ne-T4, ebaluleke kakhulu ekulawuleni imisebenzi emininzi yomzimba ebandakanya ukuphefumula, isantya senhliziyo, ubunzima bomzimba, amandla omzimba kunye nokuhamba kwimizuzu.
Xa kukho i-hormone encinci ye-thyroid ( hypothyroidism ) okanye kakhulu (i-hyperthyroidism ), le mi sebenzi inokuphonswa kwiingxabano, ezikhokelela kwiimpawu ezifana ne-PCOS.
Ezi ziquka ukujikeleza okungavumelekanga kokuya esikhathini, ukutshintsha okungachazwanga kwisisindo, ukukhathala, ukunyamezela kweqondo lokushisa, kwaye, kwimeko ye-hypothyroidism, ukungabikho kwengqondo.
Isifo se-Thyroid sinokufumanisa ukuba senza iimvavanyo zegazi ukuvavanya amazinga eT3 neT4. Kuza kwenziwa iimvavanyo ezingaphezulu zokubangela ukuba isizathu esiyintloko.
Hyperprolactinemia
Iprolactin i-hormone eveliswa yi-pituitary gland esebenza kwiingcambu zentsikelelo ekukhuthazeni i-lactation. I-Hyperprolactinemia yimeko apho iprolactin eninzi ikhiqizwa, ekhokelela ekuhambeni kwelanga kunye ne-lactation ( galactorrhea ). I-PCOS inokubangela ngokufanayo ukunyuka kwamazinga eprolactin.
Esinye sezizathu eziqhelekileyo ze-hyperprolactinemia yi-tumor ye-pituitary ebizwa ngokuba yiprolactinoma. Iprolactinoma inokuba yinto enkulu okanye encinci kwaye ihlala isenobungozi (engeyomhlaza). I-Hyperprolactinemia nayo idinga ukuxilongwa ngokungafaniyo ukukhuphela isifo se-thyroid njengesizathu. Uvavanyo lwemifanekiso ye- magnetic resonance (MRI) lunokusetyenziswa ukuqinisekisa ubungqina be-tumor.
I-Adrenal Hyperplasia
I-congenital adrenal hyperplasia (CAH) yintlupheko yesifo esenza ukuba i- adrenal glands ivelise i-cortisol encinane kunye ne-aldosterone. I-Cortisol iyimfuneko enkulu yomzimba ye-hormone, ngelixa i-aldosterone inceda ukulawula izinga le-sodium kunye nezinye i-electrolytes emzimbeni. Ngelo xesha, i-CAH inokubangela ukuveliswa kwe- androgens ngokweqile, i-hormone ehambelana neempawu zesintu.
Oku kungalingani kunokukhokelela abafazi ukuba babe namaxesha angaqhelekanga, ukukhula kweenwele ezigqithiseleyo (i- hirsutism ) kunye nokungaphumeleli kokuya esikhathini (amenorrhea).
Ngokungafani ne-PCOS, i-CAH inokuthi ifunyanwe nokuhlolwa kofuzo.
Cushing's Syndrome
I-Cushing's syndrome sisifo esibangela ukunyuka kwama-hormonal adrenal. Ngokuqhelekileyo kubangelwa i-tumor ephawulekayo ebizwa ngokuba yi-pituitary adenoma eguqula umsebenzi we-adrenal gland kwaye ibangela ukuveliswa kwe-cortisol kunye ne-androgens.
I-Cushing's syndrome ibonakaliswa yimpawu ezifana ngokugqithiseleyo ne-PCOS, kubandakanya ukufumana ubunzima, u-hirsutism, ukukhukhuma komzimba, ukwanda kwamanzi kunye nokutshintshwa kwesikhumba.
Njengoko i-PCOS, akukho vavanyo olulodwa lokuqinisekisa ukuxilongwa kukaCushing. Ngokuqhelekileyo, uvavanyo lwe-urine kunye ne-saliva lwenziwa ukwenzela ukulinganisa nokuhlola umzekelo wokuvelisa i-cortisol ehambisana ne-Cushing's syndrome.
> Umthombo:
> William, T .; Mortada, R .; kunye ne-Porter, S. "Ukuxilongwa kunye nokuPhathwa kwe-Polycystic Ovary Syndrome." Amer Fam Phys. 2016; 94 (2): 106-13. PMID: 27419327.