Chilichonse Chimene Muyenera Kudziwa
Kusintha kwa moyo
Mwamwayi, mankhwala ambiri a PCOS alipo masiku ano omwe angakuthandizeni kuthetsa matendawa. Komabe, chithandizo chofunika kwambiri cha PCOS ndi kuchepa thupi ngati mukulemera kwambiri. Pochepetsa kuchepa ndi shuga zosavuta, kuwonjezeka kwa mapuloteni ndi mafinya, ndikuyamba kuchita masewera olimbitsa thupi nthawi zonse, mukhoza kuthandiza thupi lanu kuti liwonjezere mayendedwe ake ku insulini, komanso mwina kuchepetsa kupanga nayendedwe.
Izi zingathandizire kuchepetsa zizindikiro , kubwezeretsa zovuta zomwe zimapangitsa kuti zikhale zosavuta kutenga pakati. Ngakhale pali mankhwala omwe angathandize kuthetsa zizindikiro zomwe mukukumana nazo, kutaya thupi ndi chinthu chabwino kwambiri chomwe mungachite kuti muthe kuchiza matendawa.
Kuletsa Kusamba kwa Msambo
Kwa amayi omwe sakufuna kukhala ndi mwana, mankhwala opatsirana pakamwa - amadziwika kuti "mapiritsi" - kawirikawiri amakhala dokotala. Piritsili ili ndi mayendedwe a estrogen ndi progesterone omwe amathandizira kuthetsa mahomoni a mkazi. Izi zidzakuthandizani kuti muzitha kuyendetsa nthawi yanu, motero nthawi zonse muzikhala ndi nthawi zambiri. Ngakhale kusowa kwa nthawi kumakhala kosavuta, nthawi yaitali yokhazikika popanda nthawi ingapangitse ngozi yanu ya khansa ya m'magazi .
Dokotala wanu angaganize kuti n'koyenera kukupatsani mankhwala otchedwa Provera (medroxyprogesterone) omwe angayambitse magazi ngati simunakhale nawo nthawi.
Provera ndi mankhwala opatsirana omwe amatengedwa masiku 5 mpaka 10 ndipo adzabweretsa nthawi. Mungafunike kuyesa magazi musanayambe mankhwalawa kuti mutsimikizire kuti simuli ndi pakati.
Njira Zothandizira
Kafukufuku wina wasonyezedwa kuti ali ndi mgwirizano wochepa pakati pa kupanga magazi ndi kupambana kwa chithandizo cha chonde.
Zimaganiziridwa kuti zingathandize kuchepetsa msambo komanso kumapangitsa kuti amayi ena asamavutike. Komabe, musanayambe mankhwala aliwonse, onetsetsani kuti mukulankhulana ndi dokotala wanu ndipo mupeze dokotala woyenerera wodziwa bwino zaumoyo wa amayi.
Opaleshoni
Ngakhale kuti sichimachitika kawirikawiri, pali njira yopaleshoni yomwe ingathandize kuthandizira PCOS. Wotchedwa ovarian drilling , dokotala amachititsa kuti mimba yanu ikhale yaying'ono komanso kugwiritsa ntchito kamera kakang'ono kuti mumuthandize kuyang'ana ziwalo zanu zamkati, kuti aziwotchera pang'ono pamapiko owonjezera. Chiyembekezo ndi kuchepetsa kutsekemera kwa androgen ndi LH, motero kumayambitsa kayendedwe kake.
Ngakhale zochepetsetsa ndi Kuletsedwa kwa Mazira a Ovari . Chifukwa cha chiopsezo chowonjezereka cha kuwonongeka ndi kuwonongeka kosatha kwa ovari, ngati dokotala akufotokoza njirayi, chonde tengani yankho lachiwiri . Sichikulimbikitsanso pochiza PCOS.
Chithandizo chopanda chithandizo
Ngati mukufuna kuyesa kukhala ndi mwana, pali zotsalira zambiri. Mankhwala omwe adokotala anu angakulamulireni poyamba ndi Clomid, yomwe ingakuthandizeni kuti muzitha. Pakatikati pa ulendo wanu, mutha kugwiritsa ntchito chida cha ovulation predictor chimene chingakuthandizeni nthawi yabwino kwambiri kuti muyambe kuyesera. Kumbukirani kuti amayi ena omwe ali ndi PCOS amakhala ndi mazinga akuluakulu a LH (mahomoni omwe amapezeka mu kitsulo ).
Chifukwa cha kugwirizana pakati pa PCOS ndi insulin kukana , mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga, omwe ndi Metformin , angagwiritsidwe ntchito kuwonjezera mphamvu ya insulini . Powonjezera chitetezo cha thupi ku insulini, zimaganizidwa kuti ovary sangapange ma androgens ambiri, omwe amachititsa kuti chisawawa chichitike. Metformin ingachepetsenso mayendedwe a androgens, ngakhale ngati simukuyesera kutenga pakati. Izi zidzakuthandizani kuti musamaye msinkhu komanso kuchepetsa zizindikiro zovuta zomwe mukukumana nazo. Azimayi ena angafunike kutenga onse awiri a Clomid ndi Metformin kuti awombe.
Clomid ndi mankhwala omwe amaperekedwa pofuna kulimbikitsa ovulation mwa amayi omwe sagwedeza nthawi zonse. Kutaya thupi kungathandizenso kukwaniritsa izi. Kwa anthu ena, kuchepetsa kulemera kwa thupi kungathandize kubwezeretsa chifuwa chachikulu komanso kuwonjezeranso zovuta za mimba.
Ngati izi sizigwira ntchito, sitepe yotsatira imakhala mankhwala ojambulidwa otchedwa Gonadotropins. Mwezi uliwonse, Follicle Stimulating Hormone (FSH) imadziwika ndi anthu omwe amachititsa kuti dzira lizikula. Ma Gonadotropins amachulukitsa mwachindunji kuchuluka kwa FSH kumayenda m'thupi, kulimbikitsa kukula ndi kukula kwa dzira lokhwima. Dokotala adzawonekeratu kuti mukupita patsogolo kupyolera mu kuyesa kwa ultrasound ndi magazi. Dokotala atamva kuti muli pafupi ndi ovulating, akhoza kukupatsani jekeseni wa Choononic Gonadotropin (HCG) yomwe imayambitsa kuyamwa kwanu mkati mwa maora 36. Izi zidzakuthandizani kupeza nthawi yeniyeni yogonana kapena kukhala ndi Intrauterine Insemination (IUI). Dokotala wanu adzakuthandizani kuzindikira chomwe chili chabwino kwa inu.
Potsiriza, kusankha kwanu kotsiriza ndi In Vitro Fertilization (IVF), momwe mungagwiritsire ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana. Izi zimapangitsa mazira ambiri omwe adokotala amachotsa kudzera mwa opaleshoni. Feteleza zimachitika kunja kwa thupi ndi malo olamulidwa kwambiri a labu. Mazira omwe amakula amatengedwanso m'thupi, kumene angakonzekere mchiberekero ndi kupanga mimba yabwino. Pali njira zambiri zamankhwala zothandizira pa ntchito ya IVF ndipo dokotala wanu adzasankha bwino, malinga ndi mbiri yanu yachipatala, zaka, ndi matenda. Ngati muyezo wa IVF sukugwira ntchito kwa inu, ungagwiritsidwe ntchito ndi mazira opereka, umuna wopereka, kapena ndi mankhwala oyenera ngati akufunikira.
Kusamalira Zizindikiro
Mankhwala omwe amaletsa kutsekemera kwajeremusi ndi njira imodzi imene dokotala angakupatseni. Mankhwala opatsirana ammimba angathandize, kapena dokotala angapereke mankhwala oletsa antiandrogenic, monga Spironolactone (aactactone). Spironolactone imalepheretsa testosterone kukhala wotsekedwa ndi thupi, komanso imapikisana ndi mapulogalamu a mahomoni m'makutu a tsitsi. Ovomerezeka ndi malo pa maselo omwe amalola kuti mahomoni kapena mankhwala aziwakakamiza, zomwe zimayambitsa. Ngati mankhwala ena ali mu malo obwezeretsa malo, androgens sungathe kuwamangiriza ndipo zimalimbikitsa zomwe zimachititsa tsitsi kukula.
Mankhwala ena omwe amagwira ntchito mofananamo ndi Flutamide, yomwe siigwiritsidwe ntchito nthawi zambiri chifukwa cha mankhwala omwe ali pachiwindi. Ngati mukugwiritsa ntchito mankhwalawa, nkofunika kuti muzitsatira ndondomeko yoyenera ya magazi monga dokotala wanu akuthandizira kuthandizira msanga matenda a chiwindi.
> Zotsatira:
> "Kutanthauzira PCOS". 2007. University of Chicago Medical Center.
> 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.
> "Polycystic Ovary Syndrome". 3 August 2007. Kliniki ya Mayo.