Chidziwitso chimapangidwa mwa kusaganizira zina zonse zomwe zingayambitse
Pali mankhwala omwe sungapezedwe ndi kuyezetsa magazi, chikhalidwe, chikhalidwe, kapena mtundu wina uliwonse wa kuyezetsa matenda. Matenda a Polycystic ovary (PCOS) ndi chikhalidwe chimodzi chotero. Chifukwa zizindikiro za PCOS zimatha kufanana ndi zovuta zina, madokotala amafunika kuti asagwiritse ntchito zina mwazifukwa zisanachitike.
Njirayi imatchedwa kusiyana ndi matenda .
Zimangowonjezera mndandanda wa okayikira, mmodzi ndi mmodzi, kuti madotolo akhoza kufika pamapeto omaliza ndi kuyamba mankhwala.
Pofuna kukhazikitsa kusiyana kwapadera kwa PCOS, kufufuza kofala kwambiri kumaphatikizapo matenda a chithokomiro, hyperprolactinemia, congenital adrenal hyperplasia, ndi matenda a Cushing. Malingana ndi thanzi ndi mbiri ya munthu, zifukwa zinanso zingayambidwe.
Matenda a Chithokomiro
Thanzi la chithokomiro ndi chiwalo chaching'ono chomwe chili kutsogolo kwa mmero umene umayendetsa kwambiri thupi. Amapanga mahomoni awiri, omwe amadziwika kuti T3 ndi T4, omwe ali ofunikira kuti athetse ntchito zambiri za thupi monga kupuma, mtima, kulemera kwa thupi, mphamvu ya minofu, ndi kusamba.
Pakakhala mahomoni otchedwa thyroid ( hypothyroidism ) kapena ochuluka kwambiri (hyperthyroidism ), ntchitoyi ikhoza kuponyedwa mu chisokonezo, zomwe zimayambitsa zizindikiro zomwe zikufanana ndi PCOS.
Izi zingaphatikizepo zochitika zosakhalitsa za kusamba, kusintha kosadziwika kwa kulemera, kutopa, kusagwirizana kwa kutentha, ndipo, poyambitsa hypothyroidism, infertility.
Matenda a chithokomiro amatha kupezeka poyesera magazi kuti aone mayendedwe a T3 ndi T4. Mayesero ena angapangidwe kuti afotokoze chomwe chimayambitsa.
Hyperprolactinemia
Prolactin ndi hormone yomwe imapangidwa ndi ntchentche yomwe imagwira ntchito pamatenda am'mimba pofuna kulimbikitsa lactation. Hyperprolactinemia ndi matenda omwe amapanga prolactin wochulukirapo, zomwe zimayambitsa kusamba msanga ndi lactation ( galactorrhea ). PCOS ikhozanso kuyambitsa kuwonjezeka kwa ma prolactin.
Chinthu chimodzi chomwe chimayambitsa matenda a hyperprolactinemia ndi chotupa chotchedwa prolactinoma. Prolactinoma ikhoza kukhala yayikulu kapena yaing'ono ndipo nthawi zambiri imakhala yonyozeka (osati ya khansa). Mankhwala a hyperprolactinemia amafunikanso kuti munthu asatuluke matenda a chithokomiro chifukwa chosiyana ndi matendawa. Mayeso a magnetic resonance (MRI) angagwiritsidwe ntchito kutsimikizira kupezeka kwa chotupa.
Congenital Adrenal Hyperplasia
Congenital adrenal hyperplasia (CAH) ndi matenda a chibadwa omwe amachititsa kuti zilonda za adrenal zikhale ndi cortisol ndi aldosterone. Cortisol ndi hormone yaikulu ya thupi, pamene aldosterone imathandiza kuika mlingo wa sodium ndi zina electrolyte m'thupi. Pa nthawi yomweyi, CAH ikhoza kuyambitsa kupanga androgens , mahomoni okhudzana ndi makhalidwe a amuna.
Kusalinganika kumeneku kungachititse amayi kuti azikhala ndi nthawi zosawerengeka, kukula kwa tsitsi ( hirsutism ), ndi kulephera kusamba (amenorrhea).
Mosiyana ndi PCOS, CAH ingapezeke ndi mayeso obadwa nawo.
Cushing's Syndrome
Cushing's syndrome ndi matenda omwe amachititsa kuti mahomoni a adrenal azichuluka kwambiri. Nthawi zambiri zimayambitsa vuto lopweteka kwambiri lotchedwa pituitary adenoma lomwe limasintha zochita za adrenal gland ndipo zimayambitsa kuchuluka kwa cortisol ndi androgens.
Matenda a Cushing ali ndi zizindikiro zomwe zimakhala zofanana ndi PCOS, kuphatikizapo kulemera, hirsutism, kunyada kwa nkhope, kuwonjezereka kwa nkhope, ndi kusintha kwa khungu.
Monga momwe zilili ndi PCOS, palibe mayeso omwe amatsimikizira kuti Cushing anapeza. Kawirikawiri, kuyesa ndi mkodzo kumayesetseratu kuti muyese ndikuyesa kayendedwe ka cortisol mogwirizana ndi matenda a Cushing.
> Chitsime:
> William, T .; Mortada, R .; ndi Porter, S. "Kuzindikira ndi Chithandizo cha Polycystic Ovary Syndrome." Amer Fam Phys. 2016; 94 (2): 106-13. PMID: 27419327.