Zolinga Zowonongeka Zowonetsera Polycystic Ovarian Syndrome (PCOS)
Transvaginal ultrasound ndi chimodzi mwa zida zazikulu zomwe dokotala ali nazo pofufuza matenda a polycystic ovary syndrome (PCOS). Zithunzi zomwe zimapezeka pa ultrasound, mogwirizana ndi zotsatira za mayeso a magazi ndi mbiri yakale ya odwala ndi zakuthupi, zimagwiritsidwa ntchito pozindikira matendawa.
Kuzindikira Polycystic Ovary Syndrome (PCOS)
Wodziwika ndi mavitamini apamwamba, (mahomoni amphongo monga testosterone), matenda a polycystic ovary (PCOS) ndi kusamvana kwa mahomoni ogonana.
Popeza kuti mahomoniwa akugwiritsidwa ntchito pokonza machitidwe a thupi kuchokera pa kubereka mpaka kuchepa kwa thupi, mkhalidwewu ukhoza kuchititsa zizindikiro zosiyanasiyana za PCOS .
Kusankhidwa kwa PCOS
Choyamba pamene mukuyesa zizindikiro zanu, kufufuza ndi kafukufuku wa ma laboratory ndikuchotsa zovuta zina zomwe zingayambitse izi . Zinthu izi (zomwe zingawonekere monga PCOS koma zosiyana) zikuphatikizapo:
- Matenda a chithokomiro - Kusiyanitsa PCOS ku matenda a chithokomiro kumavuta kwambiri chifukwa mitundu ina ya matenda a chithokomiro imakhala yowonjezeka kwambiri kwa anthu omwe ali ndi PCOS, ndipo mayesero ena omwe amagwiritsidwa ntchito kuti apeze matenda a chithokomiro sali olondola kwa anthu omwe ali ndi PCOS.
- Hyperprolactinemia
- Congenital adrenal hyperplasia
- Matenda a Cushing
Zolinga Zowononga kwa PCOS (Zolinga za Rotterdam)
Zochitika zowonetsera za amayi omwe ali ndi PCOS zimanena kuti mkazi ali ndi PCOS ngati ali ndi zifukwa zitatu zotsatirazi (kuphatikizapo zina zonse):
1. Kutha msinkhu kapena kusasintha kwa nthawi (kumapeto kwa chaka chimodzi kapena zisanu). Popeza kuti awiri okhawa ayenera kuthana ndi vutoli, pali amayi ena omwe angakumane ndi zofunikira za matenda a PCOS ngakhale kuti nthawi zonse amatha msambo.
2. Makhalidwe apamwamba pa ntchito ya magazi kapena zizindikiro za ma androgens apamwamba m'thupi monga acne, kukula kwa tsitsi ( hirsutism ), kapena kutaya tsitsi la mwamuna ( androgenic alopecia ).
Mayeso a magazi nthawi zambiri amasonyeza testosterone yapamwamba komanso masewera a testosterone komanso ma dehydroepiandrosterone sulfate (DHEAS) .
3. Kukhalapo kwa follicles-kawirikawiri amatchedwa cysts molakwika-pa ultrasound (onani tsatanetsatane pansipa). Zina mwazinthu zimapangitsa PCOS kukhala ndi mapiritsi 12 kapena ang'onoang'ono (omwe ali pakati pa awiri ndi 9mm m'mimba mwake) m'mimba mwake. Komabe, ku United States, madokotala samadalira kokha kutanthauzira kotero kuti apange matenda. Pali amayi ambiri omwe ali ndi mavairasi osakanizidwa opanda zizindikiro za hyperandrogenism, ndipo amayi ambiri omwe amapezeka ndi PCOS omwe alibe mazira ambiri. Kafukufuku waposachedwapa amasonyeza kuti kuchuluka kwa ma hormone omwe amatsutsana ndi Mulleri angakhale othandiza m'malo mwa ultrasound transvaginal nthawi zina kuti azindikire za PCOS.
Ngati Kudziwa Kwako Ndikosayembekezere
Ngati simukukayikira za matenda anu a PCOS (kapena kusowa kwa wina), sikungapweteke kuti mutenge kachiwiri. Akatswiri a zachipatala ndi akatswiri a zachipatala ndi akatswiri azachipatala omwe amaphunzitsidwa kuti athe kufufuza ndi kuchiza matenda a hormone. Onetsetsani American Society for Mankhwala Obelerera kapena Overrogen Excess ndi PCOS Society kuti apereke malangizo apanyumba.
Kodi Kupangidwira kwa Ultrasound Kumapangidwa Motani?
Ultrasound transvaginal ingakhoze kuchitidwa ku ofesi ya dokotala. Kuti mutenge njirayi, mukhoza kupempha kumwa zakumwa zamadzimadzi 42 musanayese kuyesa chikhodzodzo chanu, kuti mukhale ovuta kuona mazira anu. Pulojekiti yotchedwa ultrasound probe imayikidwa mkati mwa chikazi, yomwe imatulutsa fano la ziwalo zamkati pazenera. Katswiri wa ultrasound ndiye amayeza ndi kutenga zithunzi za mazira anu ndipo amawagawana ndi dokotala wanu.
Kodi Kupweteka Kwambiri Kwambiri Kumapweteka?
Azimayi ena amatha kuvutika kwambiri pamene wothandizira akuwombera pansi pa ultrasound (kumbukirani, chikhodzodzo chonse!), Malingana ndi kumasuka kumene mwanayo angapeze ziwalo zoberekera mkati .
Kodi Dokotala Akuyang'ana Chiyani pa Ultrasound?
Wojambulayo adzafufuza chiberekero chanu, chiberekero, ndi chiberekero. Chiwerengero cha ma follicles pa ovary chidzawerengedwa kuti chidzaperekedwe chomwe chimadziwika ngati chotsatira cha follicle count (AFC).
Antral Follicles Ndi Chiyani?
Mapuloteni a Antral ndi mapuloteni omwe amapezeka mchiberekero kumayambiriro kwa msambo. Zimakhala pafupifupi 2 mpaka 9 mm kukula (zosakwana theka inchi). Chiwerengero choyambirira cha nyerere chimasonyeza kuti mayi ali ndi mazira ochuluka omwe amatsalira m'mimba mwake ndipo, nthawi zina, ndi PCOS.
Zithunzi ndi Zilumikizi mu PCOS
Magulu awiri ndi ma follicles amapezeka kwambiri kwa amayi omwe ali ndi PCOS kuposa omwe alibe chikhalidwe. Ambiri amasokoneza cysts ndi follicles.
Ngakhale zili ndi dzina, amayi omwe ali ndi PCOS samakonda kupanga ziphuphu, koma m'malo mwake zimagwiritsidwa ntchito monga gawo lazidziwitso (onani m'munsimu). Kusintha kwa dzina kwa PCOS kwakonzedwa kuthetsa chisokonezo ndi kuphunzitsa bwino akatswiri azaumoyo ndi ogula.
Azimayi omwe ali ndi PCOS amatha kupanga mapuloteni, omwe ndi ochepa omwe amasonkhanitsa madzimadzi mu ovary ndipo ndi zotsatira zake, osati chifukwa cha, kusiyana kwa mahomoni ogonana. Mwezi uliwonse, mayi amapanga mapuloteni okhwima omwe amamasulidwa m'mimba mwake kuti apange umuna. Chifukwa cha kusamvetseka kwa mahomoni, mapuloteni awa samakula ndipo samamasulidwa ndi mazira, omwe nthawi zambiri amachititsa kuti munthu asatengeke. Phunzirani zambiri za zomwe zimayambitsa ndi muzu wa vuto ndi PCOS .
Pansi pa Kuzindikira PCOS Ndi Transvaginal Ultrasound
Kuzindikira kwa PCOS kungakhale kosalakwitsa komanso kokhumudwitsa. Zinthu zina zomwe zingachititse kuti zizindikiro zofananazi zichitike poyamba, ndiye kuti zizindikiro monga kusamba kwa msambo komanso umboni wa androgen owonjezera umayesedwa. Kutuluka kwa ultrasound kungapereke chidziwitso chofunikira cha follicles (mosiyana ndi ma cysts omwe adayambitsa chisokonezo chachikulu pa zaka.) Kuyeza kwa mankhwala a anti-Mullerian kungapereke chilolezo m'malo mwa ultrasound nthawi zina.
Mukapeza kuti matendawa apangidwa, njira zamankhwala zothandizira PCOS zikhoza kuwerengedwanso kuti zikuthandizeni kuthana ndi mavuto ambiri (komanso nthawi zina) omwe ali nawo.
Zotsatira
- Bachanek, M., Abdalla, N., Cendrowski, K., ndi W. Sawicki. Mtengo wa Ultrasonography mu Kuzindikira kwa Polycystic Ovary Syndrome - Kufotokozera Zophunzira. Journal of Ultrasonography . 2015. 15 (63): 410-22.
- Zokhumudwitsa, D. Zofunikira Zowonetsera kwa PCOS: Kodi Pali Chosowa Cha Rethink? . Ntchito Yabwino ndi Kafukufuku. Mankhwala Osokoneza Bongo ndi Gynecology . 2016. 37: 5-11.
- Matsuzaki, T., Munkhzaya, M., Iwasa, T. et al. Chiyanjano Pakati pa Seramu Anti-Mullerian Hormone ndi Chipatala Zam'madzi mu Polycystic Ovary Syndrome. Endocrine Journal . 2017 Apr 1. (Epub patsogolo pa kusindikiza).
- McCartney, C., ndi J. Marshall. Zochita zachipatala. Polycystic Ovary Syndrome. The New England Journal of Medicine . 2016. 375 (): 54-64.