Matenda achilendo koma ovuta amapezeka ndi kupezeka
Matenda a Polycystic ovary (PCOS) ndi matenda omwe amachititsa kuti anthu azikhala ndi mahomoni amphongo (androgens) omwe amachititsa kuti azikhala osasamba kapena osasamba, nthawi zovuta, ziphuphu, kupweteka kwapakhosi, nkhope ndi tsitsi, wa khungu, lofewa khungu. Zingakhudze amayi ambiri mwa amayi asanu aliwonse a zaka zapakati pa 18 ndi 45 ndipo zimakhalabe chimodzi mwa zifukwa zomwe zimayambitsa kusabereka.
Ngakhale kukhala wodwala wamba, PCOS sichimveka bwino . Pali chisokonezo cha momwe PCOS imapezera, makamaka pakati pa atsikana omwe ali achinyamata. Chimodzi mwa chisokonezo chimayambira ndi zizindikiro zokhazokha.
M'mbuyomu, panali zigawo ziwiri zosiyana siyana: zomwe zinaperekedwa ndi National Institutes of Health (NIH) ku Rockville, Maryland ndi wina wotulutsidwa ndi gulu lapadziko lonse ku Rotterdam lomwe linapititsa patsogolo malangizo a NIH.
Kusiyana kunali kochepa koma kochititsa chidwi. Mmodzi mwa awa anali kuphatikiza ma polyvarioustic ovaries monga chimodzi mwa zizindikiro zitatu zoganizira za PCOS. Pulojekiti ya Rotterdam inali nawo; NIH sanatero.
Mu December 2012, NIH idavomereza kuti Rotterdam ndiyovomerezeka ndipo inalimbikitsa kuti anthu onse azachipatala adziwe.
Kuzindikira kwa PCOS Kugwiritsa ntchito zofunikira za Rotterdam
Pansi pa kutanthauzira kwa Rotterdam, mkazi ayenera kukwaniritsa zosachepera ziwiri mwazigawo zitatu kuti apeze kuti ali ndi PCOs. Izi zimaphatikizapo kuvomereza mosavuta komanso / kapena ayi, mazinga a azitrogeni, komanso kukhalapo kwa ma polycystic ovaries.
Zomwe zimayenerera ku Rotterdam zikhoza kufotokozedwa motere:
- Zomwe sizinachitike komanso / kapena ayi, zimayambitsidwa chifukwa cha kusayenerera kwa mahomoni ogonana, kuphatikizapo kuchuluka kwa testosterone ndi luteinizing hormone. Zotsatira zake, amayi ena omwe ali ndi PCOS adzakhala ndi nthawi zingapo mwezi uliwonse, miyezi ingapo, kapena ayi. Nthaŵi zambiri nthawi zambiri zimakhala zolemetsa ndipo zimatsagana ndi zigawo zazikulu. Kwenikweni, ngati mayi ali ndi nthawi eyiti kapena yochepera miyezi ingapo pachaka, amakumana ndi zofunikira.
- Maseŵera apamwamba a androgen amawoneka ngati ofunika kuti apeze PCOS ngakhale kuti amayi ena omwe ali ndi matenda alibe okosijeni owonjezera. Momwemo, kaya serological (magazi) kapena umboni wa chipatala chidzavomerezedwa. Mayeso a magazi omwe ali ndi miyezo yambiri ya androgen (testosterone yaulere ndi yaulere, DHEA-sulphate) ndi yokwanira kukwanitsa zofunikirazo. Popanda izi, tsitsi lopsa tsitsi , ziphuphu zamkati, ndi kupweteka kwa ubweya wa pakati pamutu zimakwaniritsa zofunikira za kuchipatala kwa PCOS.
- Mapuloteni a Polycystic amatanthauza kupezeka kwa mitundu 12 kapena kuposerapo m'mimba iliyonse. Ma follicles, omwe nthawi zina amawatcha kuti cysts, amafanana ndi mndandanda wa ngale. Mofanana ndi magulu a androgen, amayi omwe ali ndi PCO sakhala ndi kansalu. Ultrasound transvaginal ndi chida chofunika kufufuza. Mapuloteni okha ndiwo chifukwa cha kusalinganikirana kwa mahomoni, osati chifukwa chake.
Pomalizira, kuti apereke chitsimikizo chotsimikizika, adokotala adzafunika kufufuza ngati pali zina zomwe zimayambitsa zovuta. Potsirizira pake, PCOS ndi chikhalidwe chokhazikitsidwa. Izi zikutanthauza kuti wodwala amafunika kutulutsa zinthu ngati congenital adrenal hyperplasia (CAH) , zomwe zimayambitsa testosterone, kapena ma prolactin, omwe angapangitse ovulation.
Chifukwa chakuti pakali pano angaphatikizepo amayi omwe alibe kapena ma polyvarioustic ovaries, malingaliro apangidwa kuti asinthe dzina la PCOS ndipo amachotseratu kutchulidwa kulikonse "mawu osokoneza".
> Chitsime:
> Ma Institutes of Health. " Polycystic Ovary Syndrome (PCOS) : Report Final Panel Report." Umboni wochokera ku Methodology Wophunzitsa pa Polycystic Ovary Syndrome; Rockville, Maryland; December 3-5, 2012.