Ukuxhatshazwa kwe-insulin kuthinta abaninzi abantu abangama-70% wabasetyhini abane- PCOS kwaye bakholelwa ukuba yinto ebangela ukuba kubekho iingxaki ezinobunzima bokuxinzelela kwegazi, ukufumana isisindo somzimba, kunye nohlobo lwesibini lweswekile . Ezi ndlela zintathu zokuphucula ukukhushulwa kwe-insulin zikunye nokutya, ukuzivocavoca, kunye nemichiza kunye / okanye ukondla kokutya.
Iinguqu zokutya
Nangona ukulahleka kwesisindo kunokubangela ukuba i-insulin engcono, ukuphucula indlela odla ngayo kunokukunceda ukunciphisa izinga lakho le-insulin.
Isibalulekileyo kukuba ukhethe ukutya okungekho i-insulin yakho. Ukutshintsha ukutya kwakho ukuquka ezininzi ezininzi iziqhamo zengqungquthela, imifuno kunye neeprotheni ezincikileyo zinganceda. Gxininisa ukutya okuchasayo okuye kwaboniswa ukuphucula ukukhuselwa kwe-insulin.
Imiba yesayizi yenxalenye: ukulawula kakuhle amanqanaba e-insulin, gcina ukutya kwe-carbohydrates ukuya kwesinye okanye ezimbini kwiindawo zokutya, okanye enye kwikota yesitya sakho. Ukutya kwe-carbohydrate kubandakanya ukutya, iziqhamo , imifuno, iimbotyi, i-legumes, nobisi kunye ne-yogurt. Ukusabalalisa oku kudla yonke imini.
Umsebenzi wezoMzimba
Ukutya kuphela akwanele ukulawula kakuhle i-PCOS. Ngenxa yokuba banamazinga aphezulu e-testosterone, abafazi abane-PCOS bavame ukwakha imisipha ngokulula kunabo abangenalo mqathango. Ubunzima obuninzi bomzimba bunyusela isantya sokunciphisa umzimba ukwenzela ukuba utshise iikhalori ngokufanelekileyo, kwaye kukunceda ukuba usebenzise i-glucose engcono ngenxa yokuba ungaphantsi kwe-insulin ofuna ukufihlwa.
Zama ukufumana ubuncinane iintsuku ezimbini zokuqeqesha ubunzima kwiveki nganye ukuzakhela nokugcina ubunzima besisu.
Ukongeza imisebenzi emininzi kwimini yakho ngokuthatha izitebhisi esikhundleni se-elevator, ukupaka imoto yakho ngakumbi ukusuka emnyango, okanye ukuthatha uhambo oluncinane kwimini isidlo okanye ikhefu kungenza umehluko kwimpilo yakho kwaye kukuncede ukuba uvelise i-insulin engaphantsi.
Abanye abantu bafumana ukusetyenziswa kwabagcini bobuchule baluncedo ekunyuseni amanyathelo abo ngosuku kwaye banakho ukukhuphisana nabasebenzi abasebenzisana nabo okanye abahlobo.
I-Insulin-Ukunciphisa amayeza
Ukuba utshintsho lwezinto zokutya alufumaneki kwaye ukungqinanga kwe-insulin kuye kwaqinisekiswa ngokuvavanywa, unokufuna ukuxoxa ngokudibanisa imishanguzo eguqula i-insulin kunye nodokotela wakho. Abasetyhini abaninzi baye bafumana impumelelo enkulu ekulahlekeni kwindleko ngokuhlanganisa iyeza kunye neenguqu zokuphila. Kubalulekile ukwazi, nangona kunjalo, ukuba la mayeza awazange avunywe yi-FDA yokusetyenziswa ekuphatheni i-PCOS .
I-Metformin ngokuqhelekileyo yinto yokuqala yokukhetha oogqirha abaninzi, becinga ukuba lo mfazi ungumviwa wokuthatha loo mayeza. Isebenza ngokunyusa ubukhulu beselesi kwi-insulin kwaye iphinda ikhuphe imveliso ye- glucose ngesibindi. Kubafazi abaninzi, ukuthatha le mayeza kunokunceda ukubuyisela i-ovulation kunye namaxesha athile.
I-Glitazones (njenge- Avandia ne-Actos) yinye iklasi yeziyobisi esetyenziswa ngamanye amaxesha, nokuba yedwa okanye ngokubambisana ne-metformin. Ezi zonyango ziyancipha ngokukhawuleza ukungahambi kakuhle kwe-insulin kwaye kaninzi ziba nemiphumo emincinci yemithwalo yesisu kune-metformin. Kwakhona, abafazi abathatha i-glitazones banokwenza ubunzima kunokuba balahlekelwe.
I-Victoza kunye neminye imichiza ejoyiweyo nayo ifundwe kubasetyhini abane-PCOS kwaye ibonise iziphumo ezintle ngokudibanisa ne-metformin kunye nendlela yokuphila enempilo.
Izongezelelo zokuNciphisa i-Insulin
Esinye sezibonelelo ezongezelelekileyo ezifundwa ngokubanzi kwi-PCOS yabantu i- inositol. Kwaye kunesizathu esihle: Ukuhlanganiswa kweMyo (MYO) kunye nedro-Chiro-inositol (DCI) i-inositol iintlobo kunye no-40: 1 umlinganiselo uboniswe ukuphucula amaninzi amanqaku okuvelisa nokuvelisa i-PCOS. Ezi zinzuzo ziquka ukuphucula i- cholesterol , i-insulin, i- androgens kunye nesisindo.
I-N-acetyl cysteine (i-NAC) i-antioxidant eboniswe kwiilingo ezininzi ezilawulwa ngandlela-thile ukuze zisebenze kunye ne-metformin yokunciphisa i-insulin kunye ne-cholesterol kubasetyhini abane-PCOS.
Qiniseka ukuba udibana nomncedisi onobhaliso wesondlo kunye nodokotela wakho ngokukhetha ukuba yeyiphi i-supplement efanelekileyo kuwe.
Ukulawula ukunyanzelwa kwe-insulin kunokubalulekileyo ekuncediseni abafazi nge-PCOS ukulahlekelwa isisindo. Ngokwenza utshintsho oluthile lwezinto ezibalulekileyo zokuphila , unokukunceda umzimba wakho ukwandise impendulo yawo kwi-insulin, kwaye mhlawumbi unciphise i- androgen yemveliso. Oku kunokuncedisa ukunciphisa iimpawu , ukubuyisela i- ovulation rhoqo kunye nokukhusela iimeko ezihlala zihlala ixesha elide.
Imithombo:
> Colazingari S, Treglia M, Najjar R, Bevilacqua A. Ulwaphulo oluhlangeneyo lwe-myo-inositol kunye no-D-chiro-inositol, kunokuba iD-chiro-inositol, luyakwazi ukuphucula iziphumo ze-IVF: iziphumo zolu vavanyo olulawulwa ngononophelo. I-Arch Gynecol Obstet. 2013 Dec; 288 (6): 1405-11.
> Grassi, Angela. I-PCOS: Isikhokelo seDetitian, 2013. http://www.pcosnutrition.com/product/pcos-the-dietitians-guide/.
> I-Oner G, i-Muderris II. I-Clinical, i-endocrine kunye nemiphumo ye-metformol ye-metformin ne-N-acetyl-cysteine kubasetyhini abane-polycystic ovary syndrome. I-Eur J I-Obstet Gynecol ihlawula i-Biol. 2011.