Ukukhathazeka Ngokuqhelekileyo Ukuba Umlingani Wakho Unayo I-Polycystic Ovary Syndrome
Ukuba umfazi okanye iqabane lakho linesifo se-polycystic ovary syndrome (i-PCOS), akayedwa. Ubuncinane kwabafazi abalishumi bahlupheke kwi-PCOS. Kodwa ngelixa kunokusongela ukuva ukuba iqabane lakho linempilo yonyango, nceda uyazi ukuba unokuphila ubomi obuphilileyo xa iPCOS ilawulwa kakuhle.
Kukho utshintsho apho iqabane lakho liza kufuneka liyenze ukulawula imeko yakhe, kwaye kuya kufuneka lilandele udokotela wayo rhoqo.
Kodwa i-PCOS ayiyona isifo esibulalayo okanye esiyingozi kwaye ininzi yabasetyhini abaneemeko benza kakuhle.
Oku kuthethi, asiyi kukhanyela ukuba kukho imingeni yokuhlala kunye nomfazi ophethe i-PCOS. I-PCOS inokubangela iimpawu ezinokukhathaza kunye nolawulo lunokuba lunzima. Ukuba nomlingane onothando onokusebenza kunye naye, nangona kunjalo, unokukwenza umehluko omkhulu ngendlela alawula ngayo le mpawu namhlanje kunye nombono wakhe wesikhathi eside.
Makhe sijonge iimpawu eziqhelekileyo ze-PCOS, ezinye zeendlela ezilawulwa ngayo, kwaye indima enokuthi idlale ngayo ukungabikho kwempilo kuwe kunye neqabane lakho.
Ukuchaza i-Polycystic Ovarian Syndrome (i-PCOS)
I-Polycystic ovarian syndrome, okanye i-PCOS, yimeko apho umzimba womfazi ufihla khona ama hormone angamadoda angaphezulu, abizwa nge-androgens. Oku kuninzi kwi-androgens kunokubangela ukuba ama-ovari akhe akhiqize i-follicle yamaqanda amaninzi inyanga nganye, "i-polycystic ovaries" ejongene negama le meko.
I-androgens engaphezulu kunye noxanduva lwezinye ezininzi iimpawu zolu meko.
Ngomjikelezo oqhelekileyo wokuya esikhathini, ukutshintsha kwe-hormone kubangele ukukhula kunye nokukhululwa kweqanda ngexesha lomjikelezo ngamnye. Ngenxa ye-androgens engaphezulu, iifollic kwi-ovary yowesifazane ayiyi kuvuthwa ngokupheleleyo kwaye ayikhululwa, ekhokelela ekuphuhlisweni kwee-cysts ezincinci ezinokuthi zibonwe kwi-ultrasound.
Ekubeni i-ovulation ihlala ihluleka ukuvela, ukuchithwa kwe-uterine bining (ixesha lokuya esikhathini) kaninzi kuphelelwa ukuba kwenzeke kwakhona. Oku kukhokelela kwiimpawu eziqhelekileyo zexesha elingavumelekanga, kwaye kaninzi, ukungabikho kwengqondo.
Asiqinisekanga ukuba yintoni ebangela ukuba i-androgens eyongeziweyo ixanduva lweempawu zeklinikhi ze-PCOS. Kubonakala khona kukho inxalenye yezofuzo, kwaye inokusebenza kwiintsapho. Iingcamango ziquka ukugqithisa kwe-insulini (ngenxa yokunganyangeki kwe-insulin) ekhokelela ekuveliseni ukwanda kwee-orrogens, okanye ukuvutha komgangatho ophantsi kuma-ovari kwaye kukhokelela ekuveleni ukwanda kwee-androgens. Kubalulekile ukuba iqabane lomfazi ophethe i-PCOS ukuqaphela ukuba akenzanga nto ephosakeleyo ekubangela imeko yakhe. Kunoko, ufuna inkxaso yakho ukuze ujamelane nemeko eninzi kakhulu yabesifazane abahlakulela ngenxa yezizathu ezingaziwa.
Iimpawu zePCOS
Abasetyhini abane-PCOS banamanqaku anxulumene namanqanaba aphezulu aphezulu kunye nefuthe la ma hormone anamaqela ahlukeneyo emzimbeni.
Izimpawu eziqhelekileyo ziquka:
- Ixesha elingavumelekanga (i-oligomenorrhea) okanye amaxesha angabikho ( amenorrhea )
- Acne
- Izinwele ezinomzimba kunye nesikhumba
- Ukukhula kweenwele ezingaqhelekanga (i- hirsutism )
- Ukulahleka kwamathambo
- Ukunyanya
- Ukukhushulwa kwe-insulin, kunye nobungozi obuninzi bokuba nesifo sikashukela
- Igazi elonyukayo
- Cholesterol ephezulu
Abasetyhini abaninzi banemibandela embalwa kuphela yale mpawu, enokubangela ubunzima ekwenzeni ukuxilongwa.
Ukuxilongwa
Umlingane wakho unokukhathazeka ukuba sele esandululwazi nje nge-PCOS, kwaye unokuzibuza ukuba oku kwenzeka ntoni. I-PCOS isoloko ingafunyanwanga ngaphandle kokuba ibhinqa lisema-20s okanye ama-30. Isizathu saloo nto kukuba iimpawu ezinjengexesha elingaqhelekanga kunye ne-acne ziqhelekileyo kwintsholongwane kunye nasekuqaleni kweminyaka yabantu abadala. Ukongezelela, ukusetyenziswa kweepilisi zokulawula ukuzalwa (enye yezonyango ezisetyenziselwa i-PCOS) zingakwazi ukufihla impawu.
Kukho izinto ezininzi ezivandlakanyweyo ukwenzela ukuba kuhlolwe i-PCOS.
Xa ugqirha ethatha imbali kwaye wenza uvavanyo lomzimba angava okanye abone ezinye zeempawu. Iimvavanyo zeLab ukuxilonga i-PCOS zingabonisa ukunyuka kwama-androgens kwakunye nezinga eliphezulu lokwenza i-hormone (LH). Imigaqo ye -ultrasound ye-ultrasound ye-PCOS nayo ibalulekile ekuchazeni iimpawu ezifumaneka kwi-ultrasound.
Ulawulo lwe-PCOS
Iindlela ezizodwa zokusetyenziswa kwe-PCOS ziya kuxhomekeka kwizinto eziliqela, ezifana nobukhulu beempawu kunye nomnqweno wesifazane ukuba ukhulelwe okanye ukhuphe ukukhulelwa.
Ukugcina ubunzima obunempilo ngokuzivocavoca rhoqo kunye nokutya okunempilo kubalulekile, njengokuba u tyelela rhoqo ugqirha wakhe . Ingxenye yokuhlolwa kwayo yonyaka kufuneka ifake ukuhlolwa kwe-glucose yegazi (isifo sikashukela), uxinzelelo lwegazi kunye namazinga e-cholesterol. Ukungenelela kwangethuba kuyisitshixo ekuphatheni nasekukhuseleni ezi ngxaki.
Kwakhona kufuneka ukuba ambone umyeni wakhe ngamnye ngonyaka (okanye kucetyiswa ngugqirha wakhe) ukuqinisekisa ukuba ufumana ixesha eliqhelekileyo (okanye ubuncinane amaxesha amane ngonyaka).
Ngexesha eliqhelekileyo lomjikelezo wokuya esikhathini, i-endometrium ibonakaliswe kuma-hormone, njengesi-estrogen, nto leyo eyenza ukuba i-lining ikhule kwaye ikhuphe. Xa i-ovulation ingenzeki (ebonakalayo kwi-PCOS), i-lining ayiyi kutyhalaza kwaye ibonakala kwimali ephezulu ye-estrogen. Ekuhambeni kwexesha, oku kungabangela ukugqithiswa kwe-endometrium kwaye iyakunqanda umfazi ukuba akhe umhlaza we-endometrial (uterine) (jonga ngezantsi).
Amachiza kunye neZonyango kwi-PCOS
Kukho amayeza amaninzi angasetyenziselwa ukulawula iimpawu, ezifana neepilisi zolawulo lokuzalwa kunye namanye ama-hormone. I-glucophage (metformin) yipilisi esetyenziselwa ukujongana nokunyanzelwa kwe-insulin kodwa inokukunceda ukulawula ukujikeleza kwimizi kunye nokuncedisa nokulawula ukunyusa. I-Inositol yongezelelo esinika isithembiso sabasetyhini abane-PCOS.
Ubunwele obungaphezulu kweentloko bunokuba yingxaki kubasetyhini abane-PCOS. Izinketho ezahlukeneyo zokususa iinwele zinokuzanywa, okanye i- Proscar / Propecia (i-finasteride) yonyango inokukunceda ukunciphisa ukukhula kweenwele ezingafunekiyo.
Ukunyaniseka kungaba yinkemba ephindwe kabini njengoko imeko ingaba negalelo ekunyanyeni xa ubunzima obunzima bunokuba bunzima. Kukho uphando olunzulu olwenziweyo ekulahlekeni kwesisindo kunye ne-PCOS ngeendlela ezininzi ezibonisa isithembiso.
Ukungenzi lutho oluhambelana ne-PCOS
Ngelishwa, ukungabikho kwengxaki ngumcimbi oqhelekileyo ohambelana ne-PCOS, ngenxa yokuba isifo sibangele ukugqithisa okungaqhelekiyo.
Ngaphandle kokukhululwa kweqanda, akukho nto yokujoyina nesidoda kwaye ukukhulelwa akunakwenzeka. Ngoko ke, ukuba iqabane lakho lingenayo i-ovulating rhoqo, bobabili unokuba nobunzima ekuqiqeni ukuba ubuhlobo obusondeleyo ukuze ukhulelwe.
Iindaba ezilungileyo kukuba ukukhulelwa akunakwenzeka kwi-PCOS . Nangona kunokuba ngumceli-mngeni, kukho ininzi zonyango ezikhoyo. Kufuneka ufune uncedo lwenkcazo yokuzala okanye i-endocrinologist yokuzala.
Kukho amayeza omlomo, iziyobisi ezinobungozi kunye ne-IVF njengezikhetho. Nangona kungengona ndlela ininzi izibini zicinga ukuqala kwintsapho yazo, ezi zonyango ziyaphumelela ininzi yezibini.
Iingxaki kunye nexhala lexesha elide elihambelana ne-PCOS
Abafazi abanesi sifo banomngcipheko omkhulu wokuba nesifo sikashukela, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu kunye nesifo senhliziyo (isifo se- metabolic syndrome ). Zonke ezi zonyango okanye zithintelwa, kodwa kuya kufuneka ukuba utshintshe indlela ethile yokuphila.
Abasetyhini abane-PCOS banethuba elincinci lokuphucula umdlavuza we-endometrial kunabesifazane abangenayo i-PCOS. Ixesha elininzi elingavumelekanga kunye nelixesha elingaphantsi komfazi, umngcipheko omkhulu uba.
Ukupheka kwe-apnea kwakhona kuyimeko eqhelekileyo phakathi kwabasetyhini abane-PCOS, kwaye amaqabane asemgangathweni ofanelekileyo wokubona ezinye zeempawu.
Ukuxhasa Umntu Othandekayo Nge-PCOS
Kukho izinto ezininzi onokuzenza ukuze uxhasane neqabane lakho ne-PCOS.
Okokuqala, yenza indlela yokuphila yitshintshe kunye naye, endaweni yokumlinganisa. Kulula kakhulu ukunamathela ngokutya okunempilo xa iqabane lakho lenza njalo. Esikhundleni sokuphuma esidlweni okanye i-movie, hamba uhambo okanye uhamba ngebhayisiki kunye. Fumana iindlela zokusebenza kunye.
Funda malunga neendlela zokwelapha ze-PCOS ukuze uxoxe ngezigqibo zakhe kwaye uyazi iziphumo ezimbi. Uninzi lwabasetyhini luyayixabisa iqabane elingamkeli nje nje kuphela kodwa lithatha umdla okhethekileyo kwizinto ezenzekayo. Cinga ukuya kubaqeshwa kunye naye kwaye ube ngummeli wakhe ukuze athatyatheke kakhulu.
Yenza umonde. Ukuba nesimo sengonyango esingapheliyo kunzima ngokwaneleyo, kodwa nge-PCOS, amazinga e-hormonal achaphazelekayo kunye kwaye angakunyanisa ukukhungatheka. Abanye abesifazana abanemeko baye bathetha ukuba kunjengoba unesifo sokuqala ngaphambi kwenyanga. Ukuba iqabane lakho liziva lusizi, zama ukuhlukanisa iziphathamandla zakhe ekubeni ngubani njengomntu.
Funda ukufunda "emigqeni." Ukuxhalabisa ngezesondo kunokuba yingxaki kubini abathandanayo abahlala ne-PCOS. Sekunjalo kwisifundo esinye, i-acne yimbangela ebangela ukunganeliseki ngokwesini phakathi kwabasetyhini abane-PCOS. Abahlobo banokukholelwa ukuba ukungabikho komdla kwamabhinqa kubonisa ukungabi nentswelo kubo, okanye endaweni yoko. Kule meko, ke, indlela efanelekileyo yokuphucula ubuhlobo ngokwesondo kunokuthetha noogqirha malunga neendlela ezingcono zokonyango kwi-PCOS-induced acne!
Yixhasa kwaye uqondisise ukuba unzima ukuzithemba okanye ukuziphatha kwakhe. I-PCOS kunye nokuxinezeleka kunokuhamba ngesandla.
Ukuba ujongana nokungabikho kokungaqinisekiyo ukuqinisekisa ukuba uyaqonda ukuba akuyena nje ingxaki yakhe. Ukubona umcebisi okanye isazi sengqondo njengesiqabane sinokuba luncedo kakhulu xa ujongene nale nkxalabo.
Cinga ngokuya kwi- symposium ye-PCOS . Lezi ziganeko ezinkulu zokufunda ulwazi olutshanje malunga ne-PCOS ngeli xesha linike amathuba okuxhasa abafazi abasebenzisayo iimpawu. Uninzi lwezi ntla nganiso luba neentlukwano kunye neentlanganiso ezilungiselelwe kuphela abathandekayo balabo abane-PCOS.
Ngaphantsi kwaBalingani babasetyhini abane-PCOS
Umlingani wakho unokudangala kakhulu xa sele efunyanwe ukuba ene-PCOS, kodwa kunye neqabane elixhasayo, uhambo lukhulu kakhulu. Njengoko iimpawu zalo mqathango zinokucaphukisa kwaye uya kukufuna ukuba uxhaswe, qiniseka ukuba unesistim yokuxhasa ukuze ufumane inkxaso oyifunayo .
Njengokuba unako, zama ukugxininisa kwi "linity linings" kwimeko yomlingane wakho. Ukujamelana nesifo esingasigxina kuyinselele, kodwa kunokukhokelela ekusebenzisaneni nabaxhamli kunxibelelwano kwizinga elingaphantsi kunezo ezingabonakaliyo kule mingeni. Ngokuqonda ezinye zezinto ezisisiseko ze-PCOS ezixoxwa apha, thatha isikhashana ukucinga malunga nendlela yokuthetha nomlingane wakho nge-PCOS.
> Imithombo:
> De Frene, V., Verhofstadt, L., Loeys, T. et al. Ukwaneliseka ngokwesondo kunye nobudlelwane phakathi kwamaqabane apho umfazi ene-Polycystic Ovary Syndrome: Uhlalutyo lweDyadic. Ukuzaliswa kwabantu . 2015. 30 (3): 625-31.
> Hadjiconstantinou, M., Mani, H., Patel, N. et al. Ukuqonda nokuxhaswa kwabasetyhini abane-Polycystic Ovary Syndrome: Isifundo esinokuQinisekisa kwiSibonelo se-UK. I-Endocrine Connections . 2017. 6 (5): 323-330.
> IiRowlands, I., iTeede, H., uLucke, J., uDobson, A., kunye noG. Mishra. Inkxalabo yabasetyhini abaneengqondo emva kokuxilongwa kwe-Polycystic Ovary Syndrome okanye i-Endometriosis. Ukuzaliswa kwabantu . 2016. 31 (9): 2072-81.
> Stapinska-Syniec, A., Grabowska, K., iSzpotanska-Sikorska, A., noB. Pietrzak. Ukunyanzeliswa, ukuNeliswa koSondo, kunye nezinye iingxaki zengqondo kumaBhinqa abane-Polycystic Ovary Syndrome. Endocrinology yeGynecological . 2018. 16: 1-4.