Zizindikiro Zodziwika Aliyense Mkazi Ayenera Kudziwa
Matenda a Polycystic ovarian (PCOS) ndi matenda a endocrine ndi chifukwa chofala cha kusabereka kwa amayi. Mu PCOS, zosawerengeka za mahomoni zimakhudza kwambiri njira yoberekera, zomwe zimapangitsa kuti azikhala osowa kapena osakhalapo. Ngakhale chifukwa cha PCOS sichidziwika, chikhoza kukhudza asanu ndi atatu pa zana azimayi.
PCOS imadziwika ndi mapangidwe a tizilombo tating'ono ting'onoting'ono timene timakhala ndi mazira.
Panthawi yoyezetsa ultrasound, mavitamini a benign adzakhala ngati mndandanda wa ngale.
PCOS ndi matenda ovuta omwe angasonyeze ndi zizindikiro zambiri zokhumudwitsa komanso zowopsya. Kutupa, insulini kukana, ndi kuwonjezeka kwa mahomoni amphongo ( androgens ) zonse zimapangitsa kuti zikhale zochitika za matendawa.
Zizindikiro zisanu zowonjezereka za PCOS ndi:
Kusadziletsa
PCOS ndiyomwe imayambitsa matenda osabereka . Zotsatira zake, amayi omwe ali ndi PCOS nthawi zambiri amakumana ndi mavuto ambiri poyesera kutenga pakati. Zowonongeka kuti amayi omwe ali ndi PCOS akhale ndi nthawi zosakhalapo kapena zosasintha. Mu miyezi ingapo, kutsekemera sikungakhaleko ngakhale.
Kuchuluka kwa nkhope ndi kukula kwa tsitsi la thupi
Hirsutism ndilo mankhwala omwe amagwiritsidwa ntchito pofotokoza kukula kwa tsitsi. Zimayambitsa kupanga nayrogen (makamaka testosterone, mahomoni ogwirizana ndi maonekedwe a amuna). Azimayi omwe ali ndi PCOS amatha kukula kwambiri pamutu, nkhope, kumbuyo, mimba, zala, ndi zala.
Kutaya tsitsi
Azimayi omwe ali ndi PCOS amatha kuwonanso tsitsi , kachiwiri chifukwa cha kupanga kwambiri kwa androjeni. Zingawonekere zokha kapena zikhale limodzi ndi hirsutism. Nthawi zambiri tsitsi la tsitsi limakhala lofanana ndi lomwe limawonetsedwa m'mimba mwa amuna ndi kupatulira kumutu komanso / kapena korona wa mutu. Nthawi zambiri, amayi omwe ali ndi PCOS akhoza kukhala ndi alopecia , chitukuko cha mapepala awiri omwe amatha kugawana.
Kutsutsana kwa insulini ndi mtundu wa shuga wa mtundu wa 2
Kuteteza kwa insulini kumakhala kofala pa PCOS, ndipo kumakhudza amayi 70 peresenti ya amayi omwe ali ndi matendawa. Kuthamanga kwa insulin kumawonjezera kuwonjezeka kwa shuga m'magazi. Ngakhale kuti vutoli likhoza kukhala ndi zizindikiro zochepa, zimaonedwa ngati chiopsezo chachikulu cha chitukuko cha mtundu wa shuga .
Mtundu wa shuga 2 ukhoza kuwonekera ndi zizindikiro zowawa komanso zina zoopsa. Izi zimaphatikizapo kutopa, kuwona masomphenya, matenda opatsirana, kuchepa kwapang'onopang'ono, kukodza nthawi zambiri, ndi kuwonjezeka kwa njala ndi ludzu. Matenda a nthawi yaitali angayambitse mavuto okhudza mtima, impso, maso, mitsempha, ndi kumva.
Mavuto a Khungu
Sizodabwitsa kuti kusamvana kwa mahomoni kumakhudza khungu. Ndi PCOS, amai nthawi zambiri amamva ziphuphu kapena kumanga zizindikiro za khungu. Panthawi zovuta kwambiri, akhoza kukhala ndi vuto lotchedwa hidradenitis suppurativa (HS) lodziwika kuti ndi losazindikira komanso nthawi zina zovuta kapena zowonongeka pamapiri, m'mimba, kapena m'mimba.
Chinthu china chotchedwa acanthosis nigricans Angasonyeze ndi zikopa za khungu, lakuda khungu pa khosi, ntchafu, kapena nkhono. Izi zimakhala chizindikiro cha insulini kukana.
Kugonana ndi Apnea
Kugonana kofiira , komwe kumadziwika ndi kupuma ndi kupuma kwabwino usiku, kumawonanso mwa amayi omwe ali ndi PCOS.
Kugonana kwa mphuno kumawoneka kukhala wokhudzana ndi kuwonjezeka kwa kulemera ndi kuchuluka kwa testosterone (kumapeto kwake komwe kumakhudza kwambiri mapulogalamu ogona mu ubongo). Kugonana kwa mphuno kumadziwikanso kuti kumayambitsa kuthamanga kwambiri kwa magazi ndipo kungayambitse kusintha kagawidwe kamene kamayambitsa matenda a insulini.
> Chitsime:
> McCartney, C. ndi Marshall, J. "Polycystic Ovary Syndrome." New England Journal of Medicine. 2016; 375: 54-64.