Pafupifupi 10 peresenti ya akazi omwe ali ndi zaka zakubadwa ali ndi Polycystic Ovary Syndrome ( PCOS ), vuto la endocrine lomwe limakhala ndi zotsatira zobereka komanso zamagetsi. Azimayi omwe ali ndi PCOS amakhala ndi maulendo apamwamba a insulini ndipo, motero, ali ndi chiopsezo chowonjezereka chokhala ndi matenda amadzimadzi monga dyslipidemia (high triglycerides ndi ma CDL otsika), mtundu wa shuga wa 2 , ndi matenda a shuga.
Oposa theka la amayi omwe ali ndi PCOS ali olemera kwambiri kapena ochepa kwambiri, ndipo ambiri amafotokoza kuti akuvutika kuti achepetse kulemera ngakhale kuti ali ndi zakudya zabwino komanso zolimbitsa thupi.
Komabe, ngakhale kuti ali ndi mavuto olemera, odwala omwe ali ndi PCOS amauzidwa kuti ataya thupi ndipo PCOS idzakhala yabwino. Ngakhale kuchepa kwa thupi kumapangitsa kuti msinkhu ukhale wokhazikika komanso kuchepetsa chiopsezo cha zinthu zamagetsi, sizikutanthauza kuti PCOS idzachoka. Nthawi zina kuganizira za kulemera kwa thupi kumapangitsa kuika patsogolo kufunika kwa thanzi. Kutanthauza, amayi omwe ali ndi PCOS akhoza kusintha kusintha kwa zakudya zawo ndi moyo wawo kuti akwaniritse thanzi lawo ndikukweza ma labu awo. Izi zikhoza kuchitika kapena popanda kutaya thupi.
M'munsimu muli mndandanda wa kuyesedwa kwa magazi komwe kaŵirikaŵiri kumachitidwa kuti uone PCOS. Zotsatira zina zabubu zingagwiritsidwe ntchito pozindikira kuti mayi ali ndi PCOS . Pofuna kuti PCOS isapitirire kuwonjezereka komanso kuchepetsa chiopsezo cha nthawi yaitali, amayi omwe ali ndi PCOS ayenera kuyesetsa kusunga mayendedwe a magazi m'magawo abwino.
Kuti mukhale pamwamba pa thanzi lanu, onani zotsatira za magazi anu ndi kuyerekeza kusintha ndi mayesero atsopano.
Insulini
Ngakhale kuti insulini si mbali ya zizindikiro za PCOS, nthawi zina amafufuzidwa kuti ayang'ane PCOS ndi kuwona momwe munthu angapangire insulini . Kusalidwa bwino kwa insulin kumayenera kukhala pansi pa 10 mg / dl.
Matenda apamwamba a insulin ndi chiwopsezo cha mtundu wa shuga wa mtundu wa 2. Kuyeza kusala kwa insulini kumakhala kovuta kwambiri ndipo ndi kolondola kwambiri pochita kafukufuku wofufuzidwa. Kunja kwa kuphunzira, kusala kudya kwa insulin kumadalirika kwambiri pamene mukuchita limodzi ndi mayeso okhwimitsa pakamwa, omwe ndi olondola komanso olondola.
C-Reactive Protein
Poyerekeza ndi amayi omwe alibe PCOS, amayi omwe ali ndi vutoli amasonyeza mapangidwe apamwamba a puloteni c-reactive protein (CRP). Milandu ya CRP kutupa thupi. CRP yokwezeka ikukhudzidwa ndi chiopsezo chowonjezeka cha matenda a mitsempha yamakono (CAD) mwa anthu ena. CRP yodalirika (hs-CRP) imagwiritsidwa ntchito kwambiri. Masewu a HS-CRP pansipa amodzi akuwoneka kuti ndi otsika, magawo atatu kapena atatu amaonedwa kuti ndi ofunika kwambiri, ndipo mipingo ikuluikulu kuposa itatu imatengedwa ngati yapamwamba.
Triglycerides
Triglycerides (TG) ndi mawonekedwe a mafuta. Matenda oyenera a kudya TG ayenera kukhala pansi pa 150 mg / dL. Maseŵera apamwamba amasonyeza chiopsezo chowonjezeka cha matenda a mtima. TG ikhoza kukwezedwa chifukwa cha zakudya zakudya, zopanda mphamvu, kunenepa kwambiri, komanso kuchuluka kwa insulini (nthawi zambiri pamakhala pa PCOS). Kuwonjezera pa chakudya chabwino ndi moyo, TG ikhoza kuchepetsedwa ndi nsomba mafuta supplementation.
HDL
Cholinga cha HDL, kapena "chabwino," cholesterol, chimachotsa cholesterol wambiri m'magazi ndipo chingakuthandizeni kuti muteteze matenda a mtima. Maphunziro awonetsa kuti kuchepa kwa HDL ndi chiwopsezo chotenga matenda a mtima. mg / dL Maseŵera otsika a HDL ndi amodzi mwa amayi omwe ali ndi PCOS. Maseŵera otsika a cholesterol iyi akhoza kuwonetsedwa chifukwa chosagwira ntchito, majini, nkhawa, kusuta fodya, mafuta otsika kwambiri, ndi zakudya zoperewera .
Hemoglobin A1C
Mayeso a hemoglobin A1c, omwe amadziwikanso kuti A1c, ndiyeso ya mphamvu ya shuga ya magazi pa miyezi iwiri kapena itatu yapitayo. Mayesowa amagwiritsidwa ntchito kuti apeze matenda odwala matenda a shuga kapena shuga ndikuwona ngati kusintha kwa moyo wanu, zakudya, ndi mankhwala kapena zakudya zowonjezereka zimachepetsa chiopsezo chanu cha shuga.
Mliri wa HA1c wa 7 peresenti kapena wapamwamba ndi chizindikiro cha shuga. Kuti adziwe kuti ali ndi matenda a shuga, shuga ya HA1c imakhala pakati pa 5.7 peresenti ndi 7 peresenti.
Mavitamini a chiwindi
Kuyesedwa kwa chiwindi, kapena "LFTs", ndi mavitamini a chiwindi a alanine aminotransferase (ALT) ndi aspartate aminotransferase (AST) yomwe imakwera pamene chiwindi chawonongeka. Izi zingagwiritsidwe ntchito pozindikira ndi kuyang'anira matenda osokoneza bongo omwe ali nawo (NAFLD). NAFLD imapezeka 15 peresenti mpaka 55 peresenti ya amayi omwe ali ndi PCOS, malinga ndi njira zomwe amagwiritsira ntchito. NAFLD imapezeka chifukwa cha mafuta ochulukirapo (mafuta) omwe amasungidwa m'chiwindi omwe amachititsa kuwonongeka ndi kutupa. Uthenga wabwino ndi wakuti chiwindi cha mafuta chingasinthidwe ndi kusintha kwa moyo. Kusintha kwa zakudya zanu, ntchito, komanso zakudya zina zowonjezera zakudya zingathandize kuti matenda a chiwindi awonjezeke.
AMH
Anti Mullerian Hormone (AMH) , ndi mapuloteni apadera omwe amasulidwa ndi maselo omwe akukhudzidwa ndi kukula kwa dzira la dzira mwezi uliwonse. Ma level AMH amalingana ndi chiwerengero cha follicles antral opezeka pa ovary mwezi uliwonse; pamwamba pamtundu wa antral follicle count, pamwamba pa AMH. Chifukwa chakuti amayi omwe ali ndi PCOS amakhala ndi nambala yambiri ya mapuloteni osakanikirana, ma level AMH ambili amawonekeranso. AMH imagwiritsidwanso ntchito ngati chizindikiro cha malo osungirako ovoda ku akazi achikulire.
Mawonekedwe a AMH omwe amatha pakati pa 0.7ng / ml kuti 3.5ng / ml. Masewu omwe ali pansipa 0.3ng / ml amawoneka otsika ndipo amasonyeza kuti mazira ochepa ali mkati mwa ovary ndi kuchepa kwa chonde. Misewu pamwambapa 5.0sng / ml ndizopamwamba ndipo ikhoza kusonyeza PCOS.
Vitamini D
Ubale wosagwirizana ulipo mwa amayi omwe ali ndi PCOS omwe ali ndi mavitamini ochepa a vitamini D ndi chiopsezo chowonjezereka cha nkhani zaumoyo wamagetsi. Kuyeza kapena mavitamini D ndizofunikira kuti akhale ndi thanzi labwino komanso moyo wabwino. Bungwe la Endocrine limalimbikitsa kuti magulu azikhala osachepera 30 ng / ml, ngakhale mabungwe ena, monga Vitamini D Council, amasonyeza kuti mavitamini D ayenera kukhala pafupifupi 40 ng / ml.
Vitamini B12
Ngati mutenga metformin, muyenera kukhala ndi mavitamini B12 omwe amawunikira chaka chilichonse monga metformin ingakhudzire kuyamwa kwa vitamini. Makhalidwe abwino a vitamini B12 ayenera kukhala 450 pg / mL kapena apamwamba. Mayeso ena a magazi omwe amatha kuona B12 ali ndi homocysteine ndi methylmalonic acid. Kuonjezera ndi vitamini B12 tsopano kulimbikitsidwa ngati mutenga metformin.
> Zotsatira:
Pulogalamu Yachitatu ya Maphunziro a Zakale za Cholesterol (NCEP) Gulu la Atafufuza pa Kuzindikira, Kufufuza, ndi Kuchiza kwa Mwazi Wambiri Wamagazi mu Akuluakulu (PDF), July 2004, National Institutes of Health: National Heart, Lung, ndi Blood Institute.
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