Kodi ndi PCOS kapena Other Health Condition?
Ngati muli ndi matenda a polycystic ovary (PCOS), mukhoza kukhala ndi chiwerengero cha zizindikiro, monga kusasamba kwa msambo kapena zizindikiro za miyeso yambiri ya androjeni ngati chiphuphu ndi kukula kwa tsitsi ( hirsutism ). Ngati mumasiya kusamba komanso / kapena dokotala wanu akukayikira kuti ali ndi PCOS, mayeso ambiri amagazi amatha kuthamanga kuti atsimikizire kuti palibenso chinthu china chomwe chikuchitika, monga chithokomiro chosagwira ntchito kapena chotupa chosadziwika chotchedwa androgen.
Kuyika Zinthu Pamodzi
Ndikofunika kudziwa kuti mbiri yanu ndi kuunika kwa thupi lanu ndizothandiza kuti mupeze matenda a PCOS, ndipo dokotala wanu adzagwiritsa ntchito mayesero anu a magazi komanso kuyesa kwanu kuti adziwonetse pamodzi. Kuyambira panopa, palibe mayeso a magazi a slam-dunk kuti muzindikire PCOS, kotero dokotala wanu akhoza kukayezetsa magazi mwinamwake ndi ultrasound pamodzi ndi mayeso anu a magazi kuti athetse matenda ena omwe mukudwala.
Kuwonjezera apo, kumbukirani kuti ngati mwakhala mukusowa nthawi yanu kapena simukusiya kusamba, mukhoza kuthamanga kuti mayesero oyambirira omwe adokotala anu adzachite ndi mayeso oyembekezera, choncho musadabwe nazo, ngakhale mutadziwa kuti ndinu osati mimba. Izi zitatsimikizika, dokotala wanu apitiliza kuyesa magazi.
FS / LH Kuyezetsa Magazi
Mahomoni opatsa mpweya (FSH) ndi luteinizing hormone (LH) amapangidwa ndi kumasulidwa ndi chigoba cha pituitary, gland-size size yomwe ili pansi pa ubongo wanu.
FSH imalimbikitsa kukula kwa dzira la dzira mkati mwa ovary, pamene kuwonjezeka kwa LH kumayambitsa kutuluka kwa dzira pa nthawi ya ovulation.
Matenda am'mbuyo a PCOS anapangidwa kuchokera ku LH mpaka FSH chiwerengero chachikulu kuposa 3: 1. Izi sizili choncho chifukwa ngakhale kuti amayi ambiri omwe ali ndi PCOS akhala akukweza miyeso ya LH m'kati mwake, si zachilendo kwa amayi ena omwe ali ndi PCOS kuti akhale ndi mahomoni oyenera.
Komabe, amayi omwe ali ndi PCOS kawirikawiri adzakhala ndi ma FSH omwe ali otsika kuposa mlingo wa LH, kotero, kachiwiri, mayesowa angathandize kuthandizidwa ndi PCOS, koma osatsimikizira.
Komanso, ngati FSH yanu ili kukwezeka, ikhoza kukhala chizindikiro cha vuto lomwe limatchedwa kusayambira msanga.
DHEA / Yesero la Magazi la Testosterone
Dehydroepiandrosterone (DHEA) ndi testosterone ndi awiri a androgens kapena mahomoni amphongo. Makhalidwe amenewa ndi omwe amachititsa kuti amuna ambiri azigonana ngati tsitsi lopanda tsitsi komanso mavitamini, omwe amafotokoza zizindikiro zomwe odwala PCOS amapeza. Androgens amachititsanso kuti akazi azikhala osasamba .
Ngakhale kukwera kwa testosterone kumakhala kwa amayi omwe ali ndi PCOS, nkofunika kuzindikira kuti mungathe kukhala ndi zizindikiro za miyeso yambiri ya torojeni ngati kukula kwa tsitsi ndi tsitsi, koma kukhala ndi mayendedwe abwino a androgen pamayesero anu a magazi - ndipo mudakali ndi PCOS. Mwa kuyankhula kwina, dokotala ayenera kugwirizanitsa thupi lanu ndi mababu anu kuti azindikire.
Kawirikawiri, msinkhu waukulu wa testosterone ukhoza kukhala chizindikiro cha chotupitsa chitetezo cha androgen cha ovary. Momwemonso, miyezo ya DHEA ikuluikulu ikhoza kukhala chizindikiro cha chotupitsa chitetezo cha androgen cha adrenal glands (glands zing'onozing'ono zomwe zimakhala pa impso zanu).
17-Kuyeza kwa Magazi a Hydroxyprogesterone
Kuyezetsa magazi kumagwiritsidwa ntchito pozindikira kukhalapo kwa nthawi yochedwa-congenital adrenal hyperplasia , matenda ena omwe angatsatire zizindikiro za PCOS.
Ntchito ya Chithokomiro Mayesero a Magazi
Mayeserowa amagwiritsidwa ntchito kuti athetse kutayika kwa chithokomiro monga chifukwa cha kusamba kwanu msinkhu. Chithokomiro chomwe chimayambitsa hormone (TSH) chimayambitsidwanso ndi chithokomiro cha pituitary ndipo chimayendetsa kumasulidwa kwa mahomoni awiri , T3 ndi T4. Mahomoni awiriwa amachititsa kuti thupi likhale loyamba komanso likhoza kusintha kusintha kwa msambo ngati zomwe zili mu PCOS. Kaya apamwamba kapena otsika kusiyana ndi kachitidwe kawiri ka lab akhoza kusonyeza matenda a chithokomiro ndipo ayenera kutsatiridwa.
Mayeso a Magazi a Prolactin
Zobisika ndi a pituitary, prolactin ndi hormone yomwe imayang'aniridwa kwambiri ndi kulimbikitsana kwa amayi. Zokwera kwambiri zingayambitse kusowa kwa msambo. Ngati msinkhu wanu ukukwera, dokotala wanu ayesa chithokomiro chanu ngati iye sanakhalepo kale kuchokera ku hypothyroidism osapangidwe angayambe kuchuluka kwa prolactini. Kuonjezera apo, dokotala wanu adzalangiza MRI ya pituitary gland kuti azindikire chotupa chotchedwa prolactinoma.
Mayesero a Magazi Pamene Akudziwika Ndi PCOS
Ngati dokotala akukudziwani ndi PCOS, iye akufuna kukuyang'anirani mtundu wa shuga wa 2 ndi makilogalamu apamwamba a cholesterol, omwe ndi ofanana kwambiri ndi amayi omwe ali ndi PCOS. Mayesero awa ndi awa:
Mayeso a kulekerera kwa shuga (GTT): Mayesowa amalola dokotala wanu kuti ayese yankho lanu pamayambitsa shuga. Insulini ndi hormone yaikulu yomwe ikukhudzana ndi shuga ndi mafuta mkati mwa thupi lanu. Woyezetsayo adzakupatsani mankhwala okoma kwambiri, othandiza kwambiri. Mayeso a magazi adzakokedwa musanayambe kuyesedwa ndipo patapita maola awiri kapena awiri. Zitsanzo za mitsempha zikhonza kusonkhanitsidwa komanso kuyesa shuga mu mkodzo. Ndikofunika kuti musadye kapena kumwa kanthu kamodzi koyeso ayamba, kapena maola 12 asanafike, chifukwa zidzakhudza zotsatira. Kawirikawiri, shuga wa magazi ayenera kubwereranso mwachibadwa mkati mwa maola awiri. Ngati ma shuga a magazi anu ali pamwamba pa mayesero, angasonyeze kuti thupi lanu silinayankhe msanga insulin, zomwe zimasonyeza kuti matenda a shuga kapena matenda a shuga amapezeka. Dokotala wanu angatsimikizire kupeza kopanda phindu mwa kubwereza mayesero.
- Mayeso a Cholesterol: Nthawi zina mayeserowa amatchedwa kuti lipid panel. Azimayi omwe ali ndi PCOS akhoza kukhala ndi cholesterol. Chifukwa cha kusonkhana kwa PCOS ndi chisokonezo chamagetsi, kuphatikizapo matenda a mtima ndi shuga, ndikofunikira kuyang'anira cholesterol yanu ndi kuthamanga kwa magazi. Izi zidzalola dokotala wanu kuti akuchitireni mwamsanga ngati mumayambitsa matenda a mtima ndi kuchepetsa zotsatira zake.
Pansi
Ngakhale zingaoneke ngati dokotala wanu akuyesa mayesero ambiri a magazi, musadandaule. Izi ndizovomerezeka kwambiri ndipo zatsimikiziridwa kuti mankhwala oyenerera ndi opangidwa kuti muthe kupita patsogolo ndi chisamaliro choyenera.
> Zotsatira:
> American Association for Clinical Chemistry. Polycystic Ovary Syndrome. Mayesero a Lab Idasinthidwa November 28, 2017.
> Chipatala cha Mayo Clinic. Polycystic Ovary Syndrome (PCOS). Chipatala cha Mayo. Idasinthidwa pa August 29, 2017.
> Sirmans SM, Pate KA. Epidemiology, Kuzindikira, ndi Kulamulira kwa Polycystic Ovary Syndrome. Clinical Epidemiology . 2014; 6: 1-13. onetsani: 10.2147 / CLEP.S37559.