Chidziwitso cha mkazi aliyense wa Polycystic Ovary Syndrome (PCOS) n'chosiyana chifukwa palibe akazi awiri omwe ali ndi zizindikiro zomwezo. Zomwe zogwirizana ndi zomwe zilipo pa PCOS zimakwaniritsa zosachepera ziwiri izi:
1. Nthawi zosawerengeka kapena zosaoneka
2. Zizindikiro za thupi kapena zizindikiro za hyperandrogenism (high androgens) popanda mankhwala ena
3. Mndandanda wa tizilombo tating'onoting'ono ta ultrasound
Kufufuza Kwambiri ndi Mbiri Yachipatala
Dokotala adzafuna kuti azitha kuyeza kwathunthu ndi thupi. Adzayang'ana zizindikiro zakuthupi za a androgens kapena testosterone ngati kukula kwa tsitsi (makamaka pamaso, pamimba, kumbuyo, ndi chifuwa), ziphuphu zamkati , zikopa za khungu , zikopa za abambo ndi acanthosis nigricans (mdima wandiweyani wakuda pakhosi , ntchafu, ziphuphu kapena ziphuphu).
Mayi akakhala ndi nthawi yochepa, nthawi zosakhalapo kapena zosasinthasintha (8 kapena kuchepa kwa nthawi pa chaka), ndi chizindikiro chakuti ovulation mwina sichikuchitika ndipo akhoza kusonyeza PCOS. Dokotala amayesa kuthetsa zina zomwe zingayambitse nthawi zosawerengeka, monga chithokomiro , hyperprolactinemia , Cushings syndrome kapena congenital adrenal hyperplasia . Ndikofunika kuzindikira kuti amayi omwe ali ndi PCOS akhoza kukhala ndi mwezi kumwezi ndipo ali ndi PCOS.
Adokotala adzakufunsani za zizindikiro zilizonse zomwe simukuziwona, choncho onetsetsani kuti mumatchula zovuta zanu.
Kulemba mndandanda musanapiteko kungakuthandizeni kukumbukira mfundo zofunika kuzifunsa. Mudzafunsidwa za msambo wanu; momwe iwo aliri nthawi zonse komanso nthawi yaitali pakati pawo. Izi zingathandize dokotala wanu kudziwa ngati muli ovulating.
Transvaginal Ultrasound
A ultrasound transvaginal akhoza kapena ayi kuti athetse PCOS.
Muzitsulo za ultrasound za transvaginal zimayikidwa mkati mwa chikazi, zomwe zimalola dokotala kuyesa ziwalo zoberekera ndikuyang'ana zolakwika. Kutalika kwa endometrium kungakhoze kuyeza. Chiwerengero cha PCOS chikuphatikizapo kupezeka kwa mapiritsi 12 kapena kuposerapo (2 mpaka 9 mm) m'matumbo onse pa ovary. Nthawi zambiri ma follicles amatchedwa "cysts". Pali amayi ambiri omwe ali ndi mazira ambiri omwe alibe mazenera a hyperandrogenism, komanso amayi ambiri omwe ali ndi PCOS omwe alibe mazira ambiri. Madokotala ena amapeza kugwiritsa ntchito ultrasound transvaginal achinyamata sichifunikira.
Zotsatira za Magazi
Pomalizira, ntchito yamagazi ikhoza kutengedwa. Kuwonjezera pa kuyesera kwa mahomoni, monga testosterone, ma hormone ena oyenera kugonana ayenera kufufuzidwa monga mahomoni opatsa mphamvu, mahomoni a luteinizing ndi prolactin, dokotala wanu angayesedwe pa zinthu zina zomwe zimagwirizana ndi cholesterol komanso insulini . Kuyeza kwa magazi kwatsopano, kuyang'ana AMH (Anti-Mullerian Hormone) ya amayi tsopano ikugwiritsidwa ntchito ndi madokotala ena ngati chida chozindikiranso.
Kusokoneza Kwambiri Kwambiri
Biopsy ya endometrial ikhoza kuchitidwa kuti mudziwe ngati minofu yanu ya endometrial ili muyeso yoyenera kapena kuyesa khansara ya endometrial .
Kuopsa kwa khansa ya m'magazi kumawonjezeka ndi chiwerengero cha nthawi ndi nthawi yayitali pakati pa nthawi zosowa. Chidutswachi chikhoza kuchitidwa ku ofesi ya dokotala ndipo sichikupweteka, ngakhale kuti mungasokonezeke kwambiri panthawiyi. Minofu yaing'ono imachotsedwa pachiberekero chanu kudzera mu catheter yopyapyala yomwe imalowa mkati mwa chiberekero ndi chiberekero. Minofuyi ndiye imafufuzidwa pambali ya ulendo wanu ndikuyang'aniridwa ndi maselo a kansa.
Kodi Chotsatira N'chiyani?
Ngakhale kuti zonsezi zikuwoneka zovuta, kumbukirani kuti simuli nokha. Monga vuto lalikulu la endocrine pakati pa akazi a msinkhu wobereka, pali amayi ambiri omwe ali ndi PCOS omwe adutsa mwa izi.
Yesetsani ku gulu lothandizira ndi anthu omwe amakukondani. Tsatirani uphungu wa dokotala wanu ndi kuphunzira za matenda anu ndi njira yabwino yothetsera.
Zotsatira:
Grassi A. PCOS: Buku la Dietitian Guide. Kusindikiza kwachiwiri. Kusindikiza kwa Luca. Bryn Mawr, PA.
Jensen, Jani R. ndi Ruben Alvero. "Polycystic Ovarian Syndrome." Endocrinology yoberekera ndi kuperewera: Ma Requisites mu Obstetrics and Gynecology. Mkonzi. Mark Evans, MD. Philadelphia: Mosby, 2007. 65-75.