Kusanthula Polycystic Ovary Syndrome
Chidziwitso cha amayi onse cha polycystic ovary syndrome (PCOS) n'chosiyana chifukwa palibe ziwiri zomwe zimakhala ndi zizindikiro zomwezo. Izi zingachititse kuti PCOS ikhale yovuta. Kuzindikira kwa PCOS kungatenge nthawi kuti ufike ndikugwiritsidwa ntchito pa mbiri yachipatala, kuyeza thupi, kuyesedwa kwa labu, ndi kubwereza zizindikiro zanu.
Mayesero ndi Ndondomeko Zomwe Amadziwira Kufufuza kwa Polycystic Ovary Syndrome
Kuti mudziwe kuti muli ndi PCOS, muyenera kukwaniritsa zofunikira zitatu izi:
1. Nthawi zosawerengeka kapena zosafikapo (zochepera zisanu ndi zitatu pa nthawi ya kusamba)
Zotsatira za Magazi kapena zizindikiro za hyperandrogenism ( high androgens ) popanda chifukwa china chamankhwala
3. Kuoneka kochepa follicles pa ultrasound wa losunga mazira
> Onani kusiyana pakati pa ovary wachibadwa ndi polycystic.
Kufufuza Kwambiri ndi Mbiri Yachipatala
Dokotala wanu adzafuna kuti apange mayeso athunthu ndi a pakhosi kuti afike pansi pa nkhani yanu.
Mkazi akakhala ndi nthawi yochepa, osakhalapo, kapena nthawi zosawerengeka (zaka zisanu ndi zitatu kapena zingapo zakumwezi), ndi chizindikiro chakuti ovulation mwina sichikuchitika ndipo akhoza kusonyeza PCOS. Ndikofunika kuzindikira kuti amayi omwe ali ndi PCOS akhoza kukhala ndi mwezi kumwezi ndipo ali ndi PCOS. Kupeza matendawa kumaphatikizapo kulamulira zinthu zina zomwe zingayambitse nthawi, monga chithokomiro , hyperprolactinemia , Cushing's syndrome , kapena congenital adrenal hyperplasia , choyamba.
Dokotala wanu amayang'ana zizindikiro za thupi la a androgens kapena a testosterone ngati kukula kwa tsitsi (makamaka pamaso, pamimba, m'munsi, ndi m'chifuwa), ziphuphu zamkati , zikopa , zikopa zamwamuna (ngati ziyenera), ndi acanthosis nigricans (mdima wandiweyani khungu pa khosi, ntchafu, ziphuphu, kapena nkhono.
Iye adzakufunsani za zizindikiro zina zosayembekezereka zomwe mwakhala mukuziwona, choncho onetsetsani kuti mumatchula zovuta zanu, ngakhale mukuganiza kuti sizinali zazikulu.
Kulemba mndandanda wa zinthu zomwe mukufuna kunena ndi kufunsa pasanapite nthawi kungakuthandizeni kukumbukira mfundo zofunika zomwe mukufuna kuzikwaniritsa. Mudzafunsidwa za nthawi ya kusamba kwanu-momwe iwo aliri nthawi zonse, kutalika kwa nthawi pakati pawo-kotero ndibwino kuti mubwere kukonzekera ndi mayankho amenewo. (Umenewu ungathandize dokotala wanu kudziwa ngati muli ovulating.)
Transvaginal Ultrasound kwa PCOS
Transvaginal ultrasound mwina sangathe kuchitidwa kuti iwononge PCOS. Mayesowa angakhale ozoloŵera kwa inu ngati munakhalapo ndi pakati. Pulojekiti imayikidwa mkati mwa vaginayi, zomwe zimalola dokotala kufufuza ziwalo zoberekera, kuyang'ana zoperewera, ndikuyesa makulidwe a endometrium .
Dokotala wanu amayang'ana mitundu 12 kapena yaing'ono (2 mpaka 9 mm) follicles mu ovary iliyonse kuti atsimikizire kuti ali ndi matenda. Nthaŵi zambiri izi follicles amatchedwa cysts .
Komabe, pali amayi ambiri omwe ali ndi mazira ambiri omwe alibe zizindikiro za hyperandrogenism, ndipo amayi ambiri omwe amapezeka ndi PCOS omwe alibe mavoti oyambirira. Madokotala ena amapeza kugwiritsa ntchito ultrasound ya transvaginal pa achinyamata omwe safunikira, chifukwa mwina sangakhale ndi mawonekedwe a follicles ndipo sangayambe kugonana.
Zotsatira za Magazi
Pomalizira, ntchito yamagazi ikhoza kutengedwa. Kuwonjezera pa kuyezetsa mahomoni monga testosterone, estrogen, ndi mahomoni opatsa mphamvu (FSH), dokotala wanu angafunike kuyang'ana thupi lanu ngati zizindikiro zokhudzana ndi kagayidwe kake monga cholesterol , mafuta, chiwindi cha shuga, ndi insulini .
Mayesero Ena Dokotala wanu May akulimbikitseni
Kutha Kwambiri Kwambiri: Zamoyo zam'mimba zimatha kuchitidwa kuti mudziwe ngati minofu yanu yakuthambo yayamba bwino kapena kuyesa kansa ya m'mimba . Kuopsa kwa khansa ya m'magazi kumaphatikizapo chiwerengero ndi nthawi yaitali pakati pa nthawi zophonyezedwa, ndipo matendawa akugwirizana ndi kusamvana kwa homoni komwe kumapezeka ndi PCOS.
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 imayikidwa mu chiberekero ndi chiberekero. Minofuyi ndiye imafufuzidwa pambali ya ulendo wanu ndikuyang'aniridwa ndi maselo a kansa.
Mayeso Omwe Amadzimvera Katundu Kuyesedwa: Azimayi omwe ali ndi PCOS ali pachiopsezo chachikulu chokhala ndi shuga ya mtundu wachiwiri . Ndipotu, malingana ndi a Androgen Excess ndi PCOS Society (AEPCOS), pali kutembenuka mwamsanga kwa matenda a shuga ndi shuga kwa omwe akukhudzidwa. Pachifukwachi, AEPCOS imalimbikitsa kuti amayi omwe ali ndi PCOS ali ndi mayeso olimbitsa thupi pakamwa pamwezi chaka chilichonse ngati ali ndi vuto la shuga, kapena chaka chilichonse ngati magulu a shuga ndi abwino. Mwanjira iyi, matenda a shuga amatha kupezeka ndikuchiritsidwa mwamsanga, kuthandiza kuteteza mavuto.
Miyeso ina ya Hormone: Apanso, PCOS ndi chikhalidwe chochotsedwera, kotero zinthu zina zomwe ziri ndi zizindikiro zofanana ndizo ziyenera kuchitidwa kuti asanatuluke.
Kuti muchite izi, mahomoni ena, monga mahomoni opatsa mphamvu, mahomoni a luteinizing, ndi prolactin, akhoza kufufuzidwa. Dokotala wanu angayesenso mahomoni a thyroid, monga matenda a chithokomiro ali ndi zizindikiro zofanana ndi PCOS ndipo amapezeka mwa amayi omwe ali ndi nkhawa. Kuyezetsa magazi kwatsopano, kuyang'ana mayi wa AMH (anti-mullerian hormone) tsopano akugwiritsidwa ntchito ndi madokotala ena ngati chida chozindikiritsa.
Kuzindikira Zotsatira Zanu
Pamene zotsatira zanu za magazi zibwererenso, muyenera kuwayankha ndi dokotala ndikufunsa mafunso. Ngati n'kotheka, tengani zotsatira za zotsatira za magazi anu. Mabala ambiri tsopano amapereka mapulogalamu aulere omwe mungathe kuwamasula kuti zotsatira zanu zamagazi zitumizedwe ku smartphone yanu.
Ngati mutapezeka kuti muli ndi PCOS, kumbukirani kuti kusinthidwa kwa moyo wanu kungapangitse ma laboratory anu kukhala abwino komanso kuchepetsa mavuto anu a zachipatala. Funsani dokotala momwe angakonzekerere PCOS yanu ndi zomwe mungachite. Onetsetsani kuti mufunse za njira zina zamankhwala zomwe zilipo, nayonso.
Zotsatira Zanu Zotsatira Pambuyo pa Pulogalamu ya PCOS
Kupezeka ndi PCOS kungakhale koopsa kwambiri poyamba. Mutha kufikira anthu omwe amakuganizirani, kapena gulu lina lothandizira la PCOS kumudzi mwanu, kuti wina akhulupirire. Tsatirani uphungu wa dokotala wanu ndi kuphunzira za matenda anu ndi njira yabwino yothetsera. Tili ndi zambiri zambiri zokhudza mankhwala a PCOS, kuphatikizapo mankhwala osiyanasiyana omwe angatchulidwe, pomwe pano.
Kufunafuna chitsogozo cha akatswiri ena azaumoyo, monga wolemba zakudya wodyetsa zakudya kapena wothandizira, angakhalenso othandiza.
Mawu Ochokera
Ngakhale kuti izi zimawoneka ngati zambiri, 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. Mukamudziwa zambiri, m'pamenenso mumamva kuti mukulamulidwa ndi zomwe zikubwera motsatira.
> Zotsatira:
> Moran L, Misso M, Wild R, Norman R. Kutaya Kwambiri Kwambiri Kukumana Mtundu 2 Chifuwa cha shuga ndi Matenda a Metabolic mu Polycystic Ovary Syndrome: Kusanthula Mwachidule ndi Kusanthula Meta. Hum Repro Update . 2010; 16347-363.
> Salley KE, Wickham EP, Cheang KI, Essah PA, Karjane NW, Nestler JE. Kusagwirizana kwa shuga mu matenda a polycystic ovary-ndemanga ya a Androgen Excess Society. J Clin Endocrinol Metab. 2007; 92 (12): 4546-56.