Wothandizira Wanga Ali ndi PCOS-Kodi Ndiyenera Kugonjetsedwa?

Zovuta Kawirikawiri ngati Wothandizana Naye Ali ndi Polycystic Ovary Syndrome

Ngati mkazi kapena wokondedwa wanu ali ndi matenda a polycystic ovary (PCOS), siye yekha. Azimayi mmodzi mwa amayi khumi amavutika ndi PCOS. Koma pamene zingakhale zoopsa kumva kuti mnzanuyo ali ndi matenda, chonde dziwani kuti akhoza kukhala ndi moyo wathanzi ngati PCOS ikuyendetsedwa bwino.

Pali kusintha komwe mnzanuyo akufunika kuti apange kuti athetse vuto lake, ndipo ayenera kutsata dokotala nthawi zonse.

Koma PCOS si matenda owopsa kapena oopsa komanso ambiri mwa amayi omwe ali ndi vutoli amachita bwino.

Izi zati, sitidzakana kuti pali mavuto pakukhala ndi mkazi yemwe ali ndi PCOS. PCOS ikhoza kuyambitsa zizindikiro zowopsya ndi kuyang'anira kungakhale kovuta. Kukhala ndi bwenzi lachikondi yemwe angagwire ntchito limodzi ndi iye, komabe, lingasinthe kwambiri momwe akuyendera zizindikiro izi lero ndi malingaliro ake a nthawi yaitali.

Tiyeni tiwone zochitika za PCOS, njira zina zomwe zimayendetsedwa, ndi udindo umene chikhalidwe chikhoza kusewera kwa inu ndi mnzanuyo.

Kufotokozera Polycystic Ovarian Matenda (PCOS)

Matenda a Polycystic ovarian, kapena PCOS, ndi mkhalidwe umene thupi la mkazi limatulutsa mahomoni ambiri aamuna, otchedwa androgens. Kuchuluka kwa mankhwalawa kumathandiza kuti mazira ake apange mazira ochuluka kwambiri mwezi uliwonse, "mapiritsi ambiri" omwe amachititsa dzina la chikhalidwecho.

Mankhwala owonjezera ndi omwe amachititsa zizindikiro zambiri za chikhalidwecho.

Mu nthawi yachibadwa, kusintha kwa mahomoni kumachititsa kusasitsa ndi kutulutsa dzira panthawi iliyonse. Chifukwa cha mavitamini owonjezera, ma follicles m'mimba ya mkazi samakula mokwanira ndipo samamasulidwa, zomwe zimapangitsa kuti pakhale chithunzithunzi chazing'ono zomwe zimawonekera pa ultrasound.

Popeza kuti nthawi zambiri ovulation imalephera kuchitika, kukhetsa chiberekero (nthawi ya kusamba) nthawi zambiri kumalephera kuchitika. Izi zimabweretsa zizindikiro zowonongeka, komanso nthawi zambiri, kusabereka.

Sitikukayikira ndendende zomwe zimayambitsa mayendedwe owonjezera omwe amachititsa kuti zizindikiro za PCOS ziwonongeke. Zikuwoneka kuti pangakhale zina za chibadwa, ndipo zimatha kuyenda m'mabanja. Zophatikizapo zimaphatikizapo kuchuluka kwa insulini (chifukwa cha kusakanikirana ndi insulini) zomwe zimayambitsa kuchuluka kwa mankhwala a androgens, kapena kutupa kochepa m'mimba mwake kumathandizanso kuwonjezeka kwa androgens. Ndikofunikira ngati wokondedwa wa mayi yemwe ali ndi PCOS kuzindikira kuti sanachite cholakwika chilichonse chifukwa cha vuto lake. M'malo mwake, akusowa thandizo lanu kuti athe kulimbana ndi vuto lomwe amayi ambiri amakula chifukwa cha zifukwa zosadziwika.

Zizindikiro za PCOS

Azimayi omwe ali ndi PCOS amakhala ndi zizindikiro zokhudzana ndi msinkhu wa nayorrogeni komanso zotsatirapo za ma hormoni pamatenda osiyanasiyana m'thupi.

Zizindikiro zofala zimaphatikizapo:

Amayi ambiri ali ndi zizindikiro zochepa chabe, zomwe zingayambitse vutoli.

Kudziwa

Wokondedwa wanu akhoza kukhumudwa ngati atangodziwika kuti ali ndi PCOS, ndipo mwina mukuganiza kuti izi zingachitike bwanji. Kawirikawiri PCOS imapitsidwanso osadziwika mpaka mkazi ali ndi zaka 20 kapena 30. Chifukwa cha izi ndikuti zizindikiro monga nthawi zosasinthasintha ndi ziphuphu zimakhala zachilendo kwa achinyamata ndi zaka zoyambirira. Komanso, kugwiritsa ntchito mapiritsi oletsa kubereka (imodzi mwa mankhwala ogwiritsidwa ntchito pa PCOS) akhoza kubisala zizindikirozo.

Pali zifukwa zingapo zomwe zimayesedwa kuti apange matenda a PCOS.

Dokotala akamatenga mbiri ndikuyesera thupi angamve kapena awone zizindikiro zina. Mayeso a Lab kuti apeze PCOS angasonyeze kuwonjezeka kwa androgens komanso kuchuluka kwa homoni ya Luteinizing (LH). Malamulo a transvaginal ultrasound a PCOS ndi ofunika potanthauzira zizindikiro zomwe zimapezeka pa ultrasound.

Kusamalira kwa PCOS

Njira zochiritsira zomwe zimagwiritsidwa ntchito pa PCOS zimadalira zifukwa zingapo, monga momwe zizindikiro zimakhudzira ndi chikhumbo cha mkazi kuti akhale ndi pakati kapena kupewa mimba.

Kusunga umoyo wathanzi mwa kuchita masewera olimbitsa thupi nthawi zonse komanso zakudya zabwino ndizofunikira, monga kuyendera nthawi zonse ndi dokotala . Mbali yake ya kufufuza chaka ndi chaka iyenera kuphatikizapo kuyezetsa magazi m'magazi (matenda a shuga), kuthamanga kwa magazi, ndi ma cholesterol. Kuchitapo kanthu koyambirira ndi chinsinsi chochiza ndi kupeŵa mavutowa.

Ayeneranso kumuwona mkazi wake wamwamuna chaka chilichonse (kapena kuti dokotala) kuti atsimikizire kuti akupeza nthawi yeniyeni (kapena nthawi 4) chaka chilichonse.

Pa nthawi ya msambo, nthawi yotchedwa endometrium imadziwika ndi mahomoni, monga estrogen, omwe amachititsa kuti chipindacho chifalikire komanso chitengeke. Pamene ovulation sichipezeka (chomwe chiri mu PCOS), choyalacho sichikankhidwa ndipo chimawoneka kuti chimakhala chapamwamba kwambiri cha estrogen. M'kupita kwa nthawi, izi zingayambitse kuthamanga kwa endometrium ndipo zingayambitse mkazi kukhala ndi khansa ya endometrial (uterine) (onani m'munsimu).

Mankhwala ndi Machiritso a PCOS

Pali mankhwala angapo omwe angagwiritsidwe ntchito pofuna kuchepetsa zizindikiro, monga mapiritsi olerera ndi mahomoni ena. Glucophage (metformin) ndi mankhwala omwe amagwiritsidwa ntchito pokonza insulini koma ingathandize kuchepetsa kusamba kwa msambo komanso kuthandizira kulemera. Inositol ndizoonjezera zomwe zimapereka lonjezo kwa amayi omwe ali ndi PCOS.

Tsitsi la nkhope loposa limakhala lovuta kwa amayi omwe ali ndi PCOS. Njira zosiyanasiyana zochotsa tsitsi zingayesedwe, kapena Proscar / Propecia mankhwala (finasteride) angathandize kuchepetsa kukula kwa tsitsi.

Kunenepa kwambiri kungakhale lupanga lakuthwa konsekonse ngati chikhalidwe chingapangitse kunenepa kwambiri pamene kulemera kwakukulu kungawononge mkhalidwewo. Pakhala palifukufuku wochuluka wochitidwa kulemera kwa thupi ndi PCOS ndi njira zingapo zomwe zikuwonetsera lonjezo.

Kusayenerera Kogwirizana ndi PCOS

Mwamwayi, kusabereka ndi vuto lofala lomwe limagwirizanitsidwa ndi PCOS, chifukwa chakuti matendawa amachititsa kuti asamveke.

Popanda kutuluka dzira, palibe chomwe chingagwirizane ndi umuna ndi mimba sizingatheke. Choncho, ngati mnzako sakuwombera nthawi zonse, nonse mungakhale ovuta kudziwa nthawi yoti mukhale pachibwenzi kuti mukhale ndi pakati.

Nkhani yabwino ndi yakuti kutenga mimba sikosatheka ndi PCOS . Ngakhale zingakhale zovuta, palinso mankhwala angapo omwe alipo. Mwina mungafunike kuthandizidwa ndi katswiri wa chonde kapena mwana wamwamuna wotchedwa endocrinologist.

Pali mankhwala apakamwa, mankhwala osakaniza, ndi IVF monga zosankha. Ngakhale kuti maanja ambiri sakuganiza kuti ayambe banja lawo, mankhwalawa ndi opambana kwa mabanja ambiri.

Mavuto ndi Zomwe Zimakhalapo Nthawi Zonse Zokhudzana ndi PCOS

Azimayi omwe ali ndi matendawa ali ndi chiopsezo chachikulu cha matenda a shuga, kuthamanga kwa magazi, cholesterol, komanso matenda a mtima. Zonsezi zimachiritsidwa kapena zotetezedwa, koma ayenera kusintha moyo wake.

Azimayi omwe ali ndi PCOS amakhala ndi mwayi wapamwamba wokhala ndi khansa ya endometrial kuposa amayi opanda PCOS. Nthawi zambiri mkazi ali ndi nthawi yosawerengeka komanso yocheperapo , chiopsezo chake chimakhala chachikulu.

Kugonana kwa abambo ndi chizoloŵezi chofala pakati pa amayi omwe ali ndi PCOS, ndipo abwenzi awo ali ndi mwayi woyenera kuzindikira zizindikiro zina.

Kusamalira Wokondedwa Wanu Ndi PCOS

Pali zinthu zambiri zomwe mungachite kuti muthandize mnzanuyo ndi PCOS.

Choyamba, yesetsani kusintha moyo wake, osati kumusankha. Ndi kosavuta kumamatira ndi zakudya zabwino pamene wokondedwa wanu amachita. Mmalo mopita kukadya kapena kanema, pitani kukwera njinga kapena njinga palimodzi. Pezani njira zogwirira ntchito pamodzi.

Phunzirani za njira zomwe mungasankhire pa PCOS kuti mutha kukambirana za zisankho zake komanso mukudziwa zotsatira zake. Azimayi ambiri amamudziwa yemwe samuvomereza iye yekha koma ali ndi chidwi pa zomwe akukumana nazo. Ganizirani kupita kumsonkhanowu pamodzi ndi iye ndikukhala mtsogoleri wake kuti athe kusamalira bwino kwambiri.

Khalani oleza mtima. Kukhala ndi matenda odwala nthawi zambiri ndi kovuta, koma ndi PCOS, mavitamini amakhudzidwa komanso akhoza kukhumudwitsa. Azimayi ena omwe ali ndi vutoli adanena kuti zimakhala ngati kukhala ndi matenda am'mbuyomu mwezi wonse. Ngati mnzanu akukumva kuti akukwiyitsa, yesetsani kusiyanitsa makhalidwe ake kuchokera kwa yemwe ali monga munthu.

Phunzirani "kuwerenga pakati pa mizere." Kugonana kungakhale kovuta kwa mabanja omwe amakhala ndi PCOS. Komabe mu phunziro limodzi, ziphuphu zinali zoyambitsa chisangalalo cha kugonana pakati pa amayi ndi PCOS. Othandizira angakhulupirire kuti kusowa chidwi kwa amayi kumasonyeza kuti alibe chidwi mwa iwo, kapena m'malo mwake kukwiya. Pankhaniyi, komabe njira yabwino yothetsera kugonana ndikumayankhulana ndi dokotala zokhudza njira zabwino zothandizira ma PC acne.

Kuthandizana ndi kumvetsetsa ngati akuvutika ndi kudzidalira kapena kudzikuza . PCOS ndi kuvutika maganizo kungayambitsenso.

Ngati mukulimbana ndi kusabereka, onetsetsani kuti akumvetsa kuti si vuto lake chabe. Kuwona mlangizi kapena katswiri wa zamaganizo monga banja kungakhale kothandiza kwambiri ngati mukukumana ndi mavutowa.

Ganizirani kupezeka pamsonkhanowu ndi PCOS . Izi ndi zochitika zabwino pophunzira zatsopano za PCOS ndikupereka mwayi wothandizira amayi omwe ali ndi zizindikiro. Ambiri mwa misonkhanoyi ali ndi zoperewera komanso misonkhano yokonzedwera okondedwa awo omwe ali ndi PCOS.

Mfundo Yofunika kwa Ophatikiza Akazi Omwe Ali ndi PCOS

Wokondedwa wanu akhoza kukhumudwa kwambiri ngati atapezeka kuti ali ndi PCOS, koma ndi mnzanu wothandizira, ulendowu ndi wotsogola kwambiri. Monga zizindikilo za chikhalidwe zingakhale zokhumudwitsa ndipo akufunikira kuti muthandizidwe, onetsetsani kuti muli ndi chithandizo chothandizira kuti muthandizidwe.

Zonse zomwe mungathe, yesetsani kuganizira za "siliva" za chikhalidwe cha mnzanuyo. Kulimbana ndi matenda akuluakulu ndi kovuta, koma kungathandizenso abwenzi kuti azilankhulana pamtima kwambiri kusiyana ndi omwe sakukumana ndi mavutowa. Ndikumvetsetsa zina mwazofunikira za PCOS zomwe takambirana pano, tengani kamphindi kuganizira momwe mungalankhulire ndi mnzanu pa PCOS.

> Zotsatira:

> De Frene, V., Verhofstadt, L., Loeys, T. et al. Zokhutirana pa kugonana ndi kukondana muukwati kumene Mkazi Ali ndi Polycystic Ovary Syndrome: Kufufuza kwa Dyadic. Kubereka kwa Munthu . 2015. 30 (3): 625-31.

> Hadjiconstantinou, M., Mani, H., Patel, N. et al. Kumvetsetsa ndi Kuwathandiza Akazi Okhala ndi Polycystic Ovary Syndrome: Phunziro Loyenerera M'zochitika Zapadera za UK. Endocrine Connections . 2017. 6 (5): 323-330.

> Rowlands, I., Teede, H., Lucke, J., Dobson, A., ndi G. Mishra. Matenda a Akazi Amaganizo a Akazi Atatha Kudziŵa Ma Polycystic Ovary Syndrome kapena Endometriosis. Kubereka kwa Munthu . 2016. 31 (9): 2072-81.

> Stapinska-Syniec, A., Grabowska, K., Szpotanska-Sikorska, A., ndi B. Pietrzak. Kusokonezeka maganizo, kukhutira ndi kugonana, ndi Mauthenga Ena a Psychological in Women With Polycystic Ovary Syndrome. Matenda a Edzi Amagwedezeka . 2018. 16: 1-4.