Mwachidule cha PCOS & Infertility
Azimayi omwe ali ndi PCOS amakhala otsimikiza kuti ali ndi zizindikiro zawo zokhumudwitsa, kuphatikizapo ziphuphu, kukula kwa tsitsi, kutsika, ndi kulemera. Pamwamba pa onsewa, amayi 70 pa 100 alionse omwe ali ndi PCOS amavutika ndi kusabereka. PCOS ndilo chifukwa chachikulu chomwe chimayambitsa kusabereka kwa mwana. Ngati muli ndi PCOS ndipo mukuvutika ndi kusabereka, pano pali zambiri zokhudzana ndi chithandizo chanu komanso momwe mungapezere thandizo.
N'chifukwa Chiyani Amayi Ambiri Ambiri Okhala ndi PCOS Amakhala Osasangalala?
Chizindikiro chodziwikiratu cha PCOS ndi nthawi yosakhalitsa kapena yosiya kusamba.
Azimayi ena omwe ali ndi PCOS sangakhale ndi nthawi kwa miyezi, ngakhale zaka, pamene ena amatha kutuluka magazi kwa milungu ingapo panthawi. Achepa peresenti ya amayi omwe ali ndi PCOS amatha kukumana mwezi uliwonse.
Kusagwirizana kapena kusapezeka kwa nthawi ya kusamba kwa PCOS ndi chifukwa cha kusalinganikirana kwa mahomoni. Kawirikawiri, mahomoni ogonana amakhala osungidwa pamtunda wokhazikika. Amayi omwe ali ndi PCOS, amadzimadzi a mtundu wa Luteinizing (LH) amadziwika mofulumira kwambiri.
-
Chifukwa chiyani Resveratrol May Athandizira Akazi Omwe Ali ndi PCOS: Phunziro
-
Malangizo 9 Opeza Thupi Lanu Yokonzeka Kwa Mimba Pamene Muli ndi PCOS.
Izi, zimatumizira zizindikiro zanu m'mimba mwa mazira kuti mupange mahomoni akuluakulu, monga testosterone . Chotsatira chake, LH ndi testosterone zambiri zimataya ma hormones ena omwe amagwira ntchito kuti athetse kusamba kwanu ndipo zimakhudza ovulation.
Mu PCOS, mmalo mwa kukhwima ndi kukatulutsidwa kuti ukhale mimba chifukwa cha mimba, follicle sichikulire bwino ndipo nthawizina sichimasulidwa ku ovary. Mitundu ing'onoing'ono yomwe imatchulidwa molakwika ngati "cysts," nthawi zina imayendayenda ndi ovary ngati mndandanda wa ngale pa ultrasound. Izi ndizo ma follicles omwe sanalembepo kapena kutulutsidwa ku mazira.
PCOS ndi Kupanda Phindu: Njira Zothandizira
Kupanda chithandizo kumapezeka kawirikawiri pambuyo poti ana asanakwanitse kutenga mimba kwa miyezi 12 kapena kupitirira. Podziwa za chiopsezo, madokotala akhoza kuthandizira amayi ndi PCOS chifukwa cha kuchepa kwachangu kusiyana ndi izi. Kusiyanasiyana kumakhalanso kofala kwa amayi omwe ali ndi PCOS ndipo amatha chifukwa cha kusalinganizana kwa mahomoni ogonana ndi ma insulini apamwamba .
Ngakhale kuti mimba ingawoneke yopanda chiyembekezo, pakhala pali chitukuko chochuluka chachipatala kuthandiza amayi omwe ali ndi PCOS kukhala ndi pakati.
Kusintha kwa moyo
Kusintha kwa moyo wanu kungachititse kusiyana kwakukulu pakulamulira mahomoni ndi kukonzekera thupi lanu kuti mukhale ndi mimba. Izi, zowonjezera, zingasinthe khalidwe lanu la dzira ndi ovulation, kuwonjezera mwayi wanu woyembekezera. Ngati muli olemera kwambiri, kutayika pang'ono peresenti peresenti ya kulemera kwanu kwa thupi kwasonyezedwa kuti mukhale ndi chonde pa PCOS. Kupanga kusintha kwa zakudya zanu, masewero olimbitsa thupi, kupsinjika maganizo, ndi khalidwe la kugona zingathe kuthandizira kuti mukhale ndi chonde.
Zakudya Zathanzi
Zakudya zabwino kwambiri za PCOS ndi olemera kwambiri omwe amagwiritsa ntchito makina osakanikirana.
Izi zimaphatikizapo zipatso, ndiwo zamasamba, nyemba, mphodza, ndi mbewu, monga quinoa ndi oats. Kuphatikizapo mafuta ochokera ku magwero omwe sapezeka, monga mafuta a azitona, mtedza, mbewu, nsomba, ndi avocado amalimbikitsidwa.
Kupewa makonzedwe oyeretsedwa kapena osinthidwa a chakudya, monga ophika, mikate yoyera, mpunga woyera, pretzels, ndi zakudya za shuga monga ma cookies, brownies, ndi maswiti akuganiziridwa kuti athandize kuchepa kwa insulini ndi kutupa.
Ngati simukudziwa kumene mungayambire, ganizirani kuyankhulana ndi munthu wolemba zakudya wodyetsa zakudya omwe angakuthandizeni kupanga kusintha kosatha kwa zakudya zanu.
Ntchito Yachizolowezi Yonse
Kafukufuku amasonyeza kuti kuchita masewera olimbitsa thupi nthawi zonse kungathandize kuti ovulation ndi kusakanikirana. Mu maphunziro, amayi omwe ali ndi PCOS omwe ankachita masewera olimbitsa thupi masiku atatu kapena kuposa pa sabata anali ndi chonde chabwino kuposa omwe adatsatira dongosolo la zakudya za calorie.
Yesani ndilowetsanso zochitika zolimbitsa thupi tsiku ndi tsiku. Ndalamayi ingagawidwe kukhala magawo atatu, mphindi 10 kapena magawo awiri a mphindi zisanu. Kuyenda ndi chimodzi mwa zinthu zofikira kwambiri zomwe zilipo ndipo zingakonzedwe masana.
Kupangidwanso
Kupangidwanso kumathandiza kukuthandizani. Njira yothandizirayi yasonyezedwa kuti ikuthandizani kusintha kwa ma hormone, BMI, ndi kukula kwa endometrial kwa amayi omwe ali ndi PCOS. Kukonza thupi kumatha kuchitidwa nokha kapena mogwirizana ndi chithandizo chothandizira chithandizo.
Zakudya
Kafukufuku watsopano tsopano akuwonetsera phindu la zowonjezereka zowonjezera mazira ovulation, khalidwe la dzira, ndi kubwezeretsa kayendedwe ka hormone ku PCOS.
Inositol
Kuchotsa myo ndi d-chiro inositol mu 40: 1 chiŵerengero chawonetsedwa kuti chikhale ndi ubwino wa mazira ndi ovulation kwa amayi omwe ali ndi PCOS mkati mwa miyezi itatu, ndipo akhoza kugwira ntchito bwino kuposa metformin. Poyerekeza ndi metformin, mgwirizano wa myo ndi DCI mu chiŵerengero cha 40: 1 chinawonetsa zotsatira zabwino kwambiri zokhudzana ndi kulemera, kuvuta, ndi kutenga mimba (46.7 vs.11.2 peresenti).
N-Acetylcysteine
N-Acetylcysteine (NAC) ndi antioxidant wamphamvu yomwe imalimbana ndi kupanikizika kwazitsulo ndipo yasonyezedwa kuti imapangitse kuti mimba ndi ma ovulation apite patsogolo kwa amayi omwe ali ndi PCOS poyerekeza ndi placebo.
Vitamini D
Vitamini D si vitamini yekha komanso hormoni.
-
Phunzirani za Kugwiritsa Ntchito Chithandizo cha Kuchiza kwa PCOS
-
Udindo wa Inhibin B mu Chithandizo cha Fertility
Mavitamini a vitamini D apezeka pa mazira a amai. Kuwonjezera pa vitamini D, tawonetseratu kuti timapangitsanso kuti tizilombo toyambitsa matenda ndi mazira azimayi ndi PCOS pokhapokha ngati tikuthandizidwa.
Metformin
Metformin ndi mankhwala omwe amadwala matenda a shuga omwe akhala othandiza kuchepetsa kuchepa kwa insulini kwa amayi omwe ali ndi PCOS. Kwa amayi ambiri omwe ali ndi PCOS, metformin imatha kuchepetsa kusamba nthawi zonse. Pali maphunziro omwe amasonyeza kuti metformin ingachepetsenso chiopsezo chotenga padera komanso kugwidwa ndi matenda a shuga.
Clomid ndi Letrozole
Nthawi zina amayi omwe ali ndi PCOS amafunabe thandizo kuti athetse vuto lawoli ngakhale kuti zakudya ndi zamoyo zimasintha. Clomid yakhala ikupatsidwa kwa amayi kuti apititse patsogolo ovulation. Kafukufuku watsopano akusonyeza kuti letrozole ikhoza kugwira bwino ntchito kuposa chumid ya amayi omwe ali ndi PCOS. Letrozole siimatulutsa estrogen ngati clomid ndipo imawoneka kuti imabereka zochepa zobadwa.
Gonadotropins kwa PCOS
Kugwiritsidwa ntchito kwa gonadotropins kungathandizenso amayi omwe ali ndi PCOS kukhala ndi pakati. Gonadotropin amapangidwa ndi mahomoni ogonana a FSH, LH, kapena awiri. Dokotala wanu angapereke chisonkhezero chogwirizanitsa ma hormoni awa ndi mankhwala obereketsa kapena kuwagwiritsa ntchito pawokha. Mwachitsanzo, letrozole ndi "trigger" kuwombera LH pakatikati.
Njira ina imene dokotala angakulimbikitseni ndi kugwiritsa ntchito gonadotropins ndi njira ya IUI (intrauterine insemination). IUI imaphatikizapo kutsika nyemba mwachindunji mu chiberekero kudzera mu catheter. Mbeu ikhoza kukhala kuchokera kwa wopereka umuna kapena mnzanuyo.
Matenda akuluakulu a gonadotropins ndi matenda osokoneza bongo. Apa ndi pamene mazira amawopsa kwambiri pa mankhwala opatsirana. Ngati simukutsutsidwa kapena kuopsa, zingakhale zoopsa.
Intrauterine Insemination
Intrauterine insemination (IUI) ndi njira yobereka yobwereza nthawi yomwe ikugwirizana ndi ovulation. Wokondedwa wanu adzafunsidwa kuti apange specimen ya nyemba. Nyerere imakhala "yasambitsidwa" kapena umuna umasiyanitsidwa ndi mbali zina za nyemba ndipo zimasonkhanitsidwa m'magulu ang'onoang'ono, owerengeka kwambiri. Chitsanzocho chimayikidwa mu catheter chofewa, chosawilitsidwa, komanso chokonzekera. A speculum, monga momwe amagwiritsiridwa ntchito panthawi yoyezetsa magazi, imayikidwa muchitini ndipo chiberekero chanu chimayeretsedwa bwino. Dokotala wanu adzaika kathete mu vagini ndikumasula umuna mu chiberekero cha uterine. Dokotala wanu akhoza kukulolani kuti mukhalebe pansi kwa mphindi zingapo mutatha. Mavuto opambana a IUI ali pafupifupi 15 peresenti mpaka 20 peresenti patsikuli ndipo amasiyana malinga ndi zinthu zingapo, monga msinkhu wanu, mtundu wa zokopa za ovary, motility wa umuna, pakati pa ena.
Mu Vitro Fertilization
Mu vitro feteleza (IVF) ndi njira yowonongeka kwambiri yomwe nthawi zina imagwiritsidwa ntchito ngati mankhwala ena onse obereketsa amalephera. IVF imaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo kuti athandize mazira, kuti apereke mazira ochuluka okhwima. Mazirawo amachotsedwanso m'mimba mwa mazira ndi kuphatikizapo umuna ku petri mbale. Ngati mazirawo amayamba kubereka, mmodzi kapena awiri amachotsedwa m'chiberekero. Njirayi imatchedwa kutumiza mwana. Patangopita milungu iwiri, dokotala wanu adzalamula kuti ayesetse kutenga mimba kuti awone ngati njirayo ikuyenda bwino.
Nthawi Yomwe Mufunire Thandizo Ngati Mulibe Chosowa
Ngati mwakhala mukuvutika kuti mukhale ndi pakati, mungafunike kupeza uphungu wokhudzana ndi chiberekero chobereka, chomwe chimatchedwanso "madokotala ozala." Madokotala a mtundu uwu amadziwika kwambiri mu mahomoni ogonana ndipo amakhala ndi makina opanga ma ultrasound m'maboma awo kuti athandizidwe kuzindikira za kusabereka komanso kupereka chithandizo chovomerezeka.
Kulimbana ndi kusabereka ndi kovuta kwa amai ndi maanja, makamaka pamene zikuwoneka kuti aliyense wakuzungulira akukhala ndi pakati. Ngati mukupeza kusabereka kwachititsa kuti muvutike , ganizirani kugwira ntchito ndi dokotala wodziwa za thanzi labwino kapena kugwirizana ndi gulu lothandizira anthu osagwira ntchito m'deralo.
> Zotsatira:
Ghomian, A Randomzed Clinical Trial Pakuyerekeza Zomwe Zimakhalapo Zosiyanasiyana Zamasiku Awiri Oyamba Oyamba a Letrozole Kuchiza mu Clomiphene Citrate Resistant PCOS Odwala Pakati pa IUI Mizunguko. Int J Fertil Steril. 2015 Apr-Jun; 9 (1): 17-26.
> Johansson J. Polycystic ovary syndrome: zotsatira ndi njira zogwiritsira ntchito opaleshoni ya ovulation. Evid Based Based Complement Alternat Med. 2013; 2013: 762615. lembani: 10.1155 / 2013/762615. Epub 2013 Sep 2.
> Don Don M, Alibrandi A, Giarrusso R, Lo Monaco I, Muraca U. [Zakudya, metformin ndi inositol pa amayi olemera kwambiri komanso owonjezera omwe ali ndi matenda a polycystic ovary: zotsatira za thupi). Minerva ginecologica. 2012; 64 (1): 23-29.
> Ott J et al. Matenda a calcium metabolism kwa amayi omwe ali ndi polycystic ovary syndrome amene amachititsa chidwi cha clomiphene citrate. European J Endocrinol. 2012; 166 (5): 897-902.
> Thakker D, Raval A, Patel I, Walia R. N-acetylcysteine kwa polycystic ovary syndrome. Chosowa Gynecol Int. 2015; 2015: 817849.