Funda noma yiluphi ulwazi mayelana ne-polycystic syndrome ye-ovary ( PCOS ) futhi uzoqiniseka ukuthi uthola izincomo zokulahlekelwa isisindo. Ngempela, ukwehlisa isisindo kungathuthukisa izici ezimbili ze-PCOS (ukwehlisa i-glucose, i-insulin, kanye nokunciphisa ingozi yesifo sikashukela) kanye nezici zokuzala (ukulawula imijikelezo yokuya esikhathini nokuthuthukisa ukuvuthwa). Kodwa kuthiwani uma unayo i-PCOS futhi ungapheli ngokweqile?
Amazinga aphezulu e- insulin asengenzeka kumamaqhawe abekayo engozini ye-type 2 yesifo sikashukela. Ngokuqinisekile ukuba nesisindo somzimba kungathinta ukuvuthwa njengamafutha omzimba omncane kungabangela imijikelezo yokuya esikhathini. Ngakho-ke, ukulahlekelwa isisindo akuyona inkatho yokwelapha yabesifazane abane-PCOS abancikile. Ngakho yini engenziwa?
Nazi amathiphu angu-4 ahlakaniphile abesifazane abane-PCOS abangayenza ukuze bathuthukise ukuzala kwabo, baphathe izimpawu, futhi jikelele bathuthukise izinga lempilo yabo.
Yenza isidlo sasekuseni isidlo sakho esikhulu kunazo zonke
Esifundweni esashicilelwe eSayensi Yezokwelapha , ama-PCOS angama-60 asondelene nabesifazane ahlelwe ngamaqembu amabili okunikezwa kokudla: Iqembu elilodwa ladla ukudla kwasekuseni eliphezulu nekharali (amakholori angu-980 kwasekuseni, isidlo sasemakhalojini angu-640 namakhalori angama-190 esidlweni sakusihlwa), kanye namanye amaqembu adla kakhulu kamuva ngosuku (amakholori angu-190 ekudleni kwasekuseni, ama-calories angu-640 ngesidlo sasemini kanye nama-980 kilojoule ngesikhathi sakusihlwa). Labo abaqala usuku ngekusasa kwasekuseni okukhulu babone ukuncipha kwe-insulini, i-glucose, ne-testosterone kanye namazinga okukhuphula ama- ovulation .
Thatha i-Vitamin D
I-Vitamin D , kokubili i-hormone ne-vitamin, ibonisa isithembiso ekusizeni abesifazane ukuba bacabange futhi banciphise ingozi yesifo sikashukela. Ukuhlolwa kocwaningo oluhlolisisa ubuhlobo phakathi kuka-vitamin D nokuzala, okushicilelwe kuyi- European Journal of Endocrinology , lubonise ubufakazi bokuthi u-vitamin D ubandakanyeka ekuzaliseni abesifazane kubandakanya imiphumela ye- IVF ne-PCOS.
Abalobi basikisela ukuthi kuma-PCOS abesifazane, ukufaka isithako se-vitamin D kungase kuthuthukise imvamisa yezinsuku nokuphazanyiswa komzimba.
Ukuntuleka kwe-Vitamin D kuvamile kubantu besifazane abane-PCOS. Ucwaningo olwodwa kuyi- European Journal of Endocrinology lwathola ukuthi ukusabalala kwe-vitamin D okwanele kwaba ngu-73% kwabesifazane abane-PCOS. Izinto eziningi zingathinta isimo se-vitamin D kuhlanganise nokudla okuncane okudla kwe-vitamin D, i-sunscreen, kanye nendawo (izindawo ezisenyakatho zithola ilanga elincane). Abesifazane abane-PCOS kufanele babe namazinga abo e-vitamin D abaqashwe minyaka yonke futhi bathathe izithako uma kufanelekile. Ukuthola ukuthi kufanele uthathe u-vitamin D okungakanani, xhumana nodokotela wakho noma obhalisiwe bokudla okunomsoco wokudla .
Ungakhohlwa Amafutha Osega-3
Amafutha om-omega-3 angasebenza ekuthuthukiseni ukumelana ne-insulin kanye ne-hirsutism kubesifazane abanobucayi abane-PCOS. Esicwaningweni esanyatheliswe kuyi- Journal of Obstetrics and Gynecology , abesifazane abangamashumi amane nanhlanu abangebona obomvu abane-PCOS banikezwa ama-millimitha angu-1,500 amafutha omega-3 ngezinyanga eziyisithupha. Ukunciphisa kwe-BMI namazinga e-insulin atholakala kanye nokuthuthukiswa kwe-LH, testosterone, nama-SHBG.
Imithombo esekelwe ezitshalweni zamafutha omega-3 afaka i-avocado, amantongomane, kanye nembewu. Izinhlanzi zamanzi ezinwabuzelayo ezifana ne-saumon, i-tuna, ne-trout ziyimithombo enhle kakhulu yamafutha omega-3.
Izinhlahlandlela zikaHulumeni zincoma ukuthi amaMelika adle izinhlanzi ezimbili zezinhlanzi ngesonto ngalinye ukuthola inani elibalulekile lamafutha omega-3 adingekayo empilweni. Ngaphezu kwalokho, izithako zamafutha ezinhlanzi zingasiza ekuhlangabezaneni nezidingo.
Cabanga nge-Inositol
Enye yezinto ezithengiswa kakhulu ezidliwayo ekudleni kwabantu base-PCOS i- inositol . Futhi ngesizathu esihle: kokubili izinhlobo ze-Myo (MYO) ne-d-Chiro-inositol (DCI) ze-inositol ziye zaboniswa ukuthuthukisa izici eziningi ze-PCOS. Lezi zinzuzo zihlanganisa ukuthuthukiswa kwe-cholesterol, i-insulin, ne-androgens. Okubaluleke nakakhulu, i-MYO iboniswe ukukhulisa ukwanda ngokuthuthukisa ikhwalithi yamaqanda nokubuyisela ukujwayela kokuya esikhathini.
Esicwaningweni esanyatheliswa kuyi- Journal of Archives of Gynecology and Obstetrics , abesifazane abano-PCOS abaphila nge-IVF baphathwa ngokuhlanganiswa kwe-MYO ne-DCI ngokwesilinganiso se-physiologic esingu-40: 1 noma ama-milligram angu-500 we-DCI yedwa. Ukwelapha okuhlangene nakho kwakwazi ukuthuthukisa ikhwalithi yeqanda ne-embryo, kanye nezinga lokukhulelwa, okubonisa ukuthi i-MYO idlala indima ebalulekile ku-ovary kuma-PCOS abesifazane kanye nezinzuzo ze-MYO ne-DCI ngokulinganisa okuhle.
> Imithombo:
> Colazingari S, Treglia M, Najjar R, Bevilacqua A. Ukwelashwa okuhlangene myo-inositol kanye no-D-chiro-inositol, kunokuba uD-chiro-inositol, ukwazi ukuthuthukisa imiphumela ye-IVF: imiphumela evela ekulingweni okulawulwa ngokungahleliwe. I-Arch Gynecol Obstet. 2013 Dec; 288 (6): 1405-11.
> Jakubowicz D, Barnea M, Wainstein J, Froy O. Imiphumela ye-caloric yokudla isikhathi sokuvikela ukumelana ne-insulin kanye ne-hyperandrogenism kumama aqinile ane-polycystic ovary syndrome. I-Clin Sci . 2013 Nov; 125 (9): 423-32.Lerchbaum E, Obermayer-Pietsch B. Vitamin D nokuzala: ukubuyekezwa okuhlelekile. I-European J Endocrinol. 2012; 166 (5): 765-778.
> Oner G, Muderris, II. Ukusebenza kwe-omega-3 ekwelapheni kwe-polycystic syndrome. J Obstet Gynaecol. 2013; 33 (3): 289-291.Wehr E, Schweighofer N, Giuliani A. Association of hypovitaminosis D nge ukuphazanyiswa komzimba e-polycystic ovary syndrome. I-Europ J Endo . 2009; 161: 575-582.