Ukubona i-Polycystic Ovary Syndrome
Okuhlangenwe nakho kwesifazane ngamunye we-polycystic ovary syndrome (i-PCOS) kuyingqayizivele ngoba akekho amabili onayo izimpawu ezifanayo. Lokhu kungenza ukuhlolwa kwe-PCOS kunzima. Ukuxilongwa kwe-PCOS kungathatha isikhashana ukufika futhi kusekelwe emlandweni wezokwelapha, ukuhlola ngokomzimba, ukuhlolwa kwelebhu, nokubuyekeza izimpawu zakho.
Ukuhlolwa Nezinqubo Zokuthola I-Polycystic Ovary Syndrome
Ukuze utholakale nge-PCOS, kumele uhlangane okungenani ezimbili kulezi zindlela ezintathu ezilandelayo:
1. Izikhathi ezingavamile noma ezingekho (imijikelezo engaphansi kwesishiyagalombili ukuya esikhathini)
2. Imiphumela yegazi noma izimpawu zomzimba ze-hyperandrogenism (i- androgens ephakeme ) ngaphandle kwesinye isizathu sezokwelapha
3. Ukubukeka kwezintambo ezincane kwi- ultrasound yama-ovari
> Bheka umehluko phakathi kwe-ovary evamile ne-polycystic.
Ukuhlolwa Kwemvelo Nemlando Wezokwelapha
Udokotela wakho uzofuna ukwenza ukuhlolwa okuphelele ngokomzimba nangokwenyama ukuze ufike ekugcineni kwenkinga yakho.
Uma owesifazane ehlukumezeka, engekho, noma izikhathi ezingavamile (imijikelezo yesishiyagalombili noma embalwa ngonyaka), kuyisibonakaliso sokuthi i-ovulation kungenzeka ingenzeki futhi ingabonisa i-PCOS. Kubalulekile ukuthi uqaphele ukuthi abesifazane abane-PCOS bangaba nomjikelezo wenyanga kokuya esikhathini futhi babe ne-PCOS. Ukuthola ukuxilongwa kuhilela ukubusa ezinye izimo ezingase zidale izikhathi zakho ezingavamile, njengesifo se- thyroid , hyperprolactinemia , i- Cushing's syndrome , noma i- congenital adrenal hyperplasia , kuqala.
Udokotela wakho uzobheka izibonakaliso zomzimba ze-androgens ephezulu noma i-testosterone njenge- ukukhula okungavamile kwezinwele (ikakhulukazi ebusweni, emathunjini aphansi, emuva nangesifuba), induna , amakhanda esikhumba , umdwebo wephethini wesilisa (uma kusebenza), ne-acanthosis nigricans (ebumnyama obukhulu isikhumba entanyeni, emathangeni, emanzini, noma emanzini.
Uzobe esekubuza nganoma yiziphi ezinye izimpawu ezingavamile ongase uziqaphele, ngakho qiniseka ukukhuluma noma yikuphi ukukhathazeka kwakho, noma ngabe ucabanga ukuthi akuyona into enkulu.
Ukubhala uhlu lwezinto ofuna ukusho futhi ubuze kusengaphambili kungakusiza ukhumbule amaphuzu abalulekile ofuna ukuwaphakamisa ekuqokweni kwakho. Uzobuzwa ngezikhathi zakho zokuya esikhathini-ukuthi zihlala zingakanani, ubude besikhathi phakathi kwazo-ngakho-ke kungcono ukuza ukulungele ngalezo zimpendulo. (Lolu lwazi lungasiza udokotela wakho ukuba anqume ukuthi u-ovulating.)
I-Ultrasound ye-Transvaginal ye-PCOS
I-ultrasound eguqukayo ingenza noma ingenziwa ukuze ilawule i-PCOS. Lokhu kuhlolwa kungase kujwayelane nawe uma uke wakhulelwa. I-probe ifakwa ngaphakathi kwesiswini, okuvumela udokotela ukuba ahlole izitho zokuzala, abuke okungavamile, futhi ahlole ubukhulu be- endometrium .
Udokotela wakho uzobheka izintambo ezincane ezingu-12 noma ngaphezulu (izintambo ezimbili kuya ku-9 mm) ku-ovary ngayinye ukusiza ukuqinisekisa ukuxilongwa. Izikhathi eziningi lezi follicles zibizwa ngokuthi ama-cysts .
Kodwa-ke, kunabesifazane abaningi abanama-ovari angama-cystic ngaphandle kwezimpawu ze-hyperandrogenism, kanti nabesifazane abaningi abaye bathola ukuthi bane-PCOS abangenawo ama-ovaries angama-cystic. Abanye odokotela bathola ukusetshenziswa kwe-ultrasound yangaphakathi kwezingane ezinganeni ezingadingekile, ngoba kungenzeka ukuthi abanakho ukubonakala kobuciko futhi kungenzeka ukuthi bangakabi ocansini.
Imiphumela yegazi
Okokugcina, umsebenzi wegazi cishe uzothathwa. Ngaphandle kokuhlola ama-hormone afana ne-testosterone, i-estrogen, ne-follicle evuselela i-hormone (i-FSH), udokotela wakho angase afune ukuhlola umzimba wakho ngezibonakaliso zezinkinga zemithi ezifana ne- cholesterol ephakeme , isibindi esinamafutha, isifo sikashukela sohlobo lwesibili, nokuphikiswa kwe-insulin .
Ezinye izivivinyo Udokotela wakho May angancoma
I-Endometrial Biopsy: I- biopsy ye-endometrial ingenziwa ukuze inqume ukuthi izicubu zakho ze-endometrial zisesikhathini esifanele yini noma zihlolwe umdlavuza we- endometrial . Le ngozi yomdlavuza we-endometrial yanda ngenani nobude besikhathi phakathi kwezikhathi ezingabanjwanga, kanti lesi sifo sihlobene nokungalingani kwe-hormone etholakala nge-PCOS.
I-biopsy ingenziwa ehhovisi likadokotela wakho futhi lingenabuhlungu, nakuba ungase uhlangabezane ne-cramping encane ngesikhathi senqubo. Inani elincane lamathambo lisusiwe esibelethweni sakho nge-catheter encane efakwe emgodleni wesibeletho nasesibelethweni. Lezi zicubu zihlaziywa kumongo womjikelezo wakho futhi zihlolwe ngamaseli omdlavuza.
Ukuhlolwa kwe-Oral Glucose Ukubekezela: Abesifazane abane-PCOS basengozini enkulu yokuthuthukisa uhlobo lwesifo sikashukela sohlobo lwesibili . Eqinisweni, ngokusho kwe-Androgen Excess ne-PCOS Society (AEPCOS), kukhona ukuguqulwa okusheshayo kokuqala kwesifo sikashukela kuya kwesifo sikashukela kulabo abathintekayo. Ngenxa yalesi sizathu, i-AEPCOS incoma ukuthi abesifazane abane-PCOS banesifo somlomo we-glucose ukubekezelelana njalo ngonyaka uma benamazinga e-glucose, noma wonke unyaka uma amazinga e-glucose ejwayelekile. Ngale ndlela, isifo sikashukela singasithola futhi siphathwe ngokushesha, sisize ukuvimbela izinkinga.
Amanye amazinga e-Hormone: Futhi, i-PCOS yinkinga yokukhishwa, ngakho-ke nezinye izimo ezinempawu nezimpawu ezifanayo zidinga ukukhishwa ngaphambi kokuthola ukuxilongwa.
Ukuze wenze lokhu, amanye ama-hormone , afana ne-follicle evuselela i-hormone, i-hormone i-luteinizing, ne-prolactin, ingahlolwa. Udokotela wakho angase avivinye amazinga akho we-hormone yegciwane, njengoba izinkinga ze-thyroid zinezibonakaliso nezimpawu ezifanayo njenge-PCOS futhi zivamile phakathi kwabesifazane abanezikhathazo. Ukuhlolwa kwegazi olusha kwe-hormone, ukubuka i- AMH yesifazane (anti-mullerian hormone) manje isetshenziswa odokotela abathile njengethuluzi lokuxilonga.
Ukwenza Ukuqonda Ngezithelo Zakho
Uma imiphumela yakho yegazi ibuya, kufanele ukwazi ukuyibuyekeza nodokotela wakho bese ubuza imibuzo. Uma kungenzeka, thola amakhophi wemiphumela yakho yegazi ethunyelwe kuwe. Ama-Labs amaningi manje anikela ngezinhlelo zokusebenza zamahhala ongalanda ukuze uthole imiphumela yakho yegazi ku-smartphone yakho.
Uma uthola ukuthi ukhona ne-PCOS, khumbula ukuthi ukuguqulwa kwendlela yokuphila kungathuthukisa ama-lab akho amanani futhi kuncishise ingozi yakho ukuze uthole ezinye izinkinga zezokwelapha. Buza udokotela wakho ukuthi uhlela kanjani ukuphatha i-PCOS yakho nokuthi ungenzani. Qiniseka ukubuza mayelana nezinye izinketho zokwelashwa ezitholakalayo, futhi.
Izinyathelo Zakho Ezilandelayo Ngemva Kokuhlola I-PCOS
Ukutholwa ukuthi i-PCOS ingaba nzima kakhulu ekuqaleni. Ungase ufune ukufinyelela kubantu abakhathalelayo ngawe, noma mhlawumbe iqembu le-PCOS yokusekela endaweni yakho, ukuze umuntu ancike kuye. Ukulandela iseluleko sikadokotela wakho nokufunda ngesifo sakho kuyindlela engcono yokuyilawula. Sinolwazi oluthe xaxa mayelana nokwelashwa kwe-PCOS, kuhlanganise nezinhlobonhlobo zemithi engase iphakanyiswe, khona lapha.
Ukufuna isiqondiso sabanye ochwepheshe bezezempilo, njenge- dietarian obhalisiwe bokudla okunomsoco noma ochwepheshe, kungase kube usizo.
Izwi elivela
Nakuba lokhu kungase kubonakale kuningi okumele kusetshenzwe, khumbula ukuthi awodwa. Njengengcindezi ejwayelekile ye-endocrine phakathi kwabesifazane abaneminyaka yobudala yokubeletha, kunabesifazane abaningi abane- PCOS abaye bahamba ngalokhu. Uma wazi ngokwengeziwe, nakakhulu uzozizwa ukulawula kwalokho okuzayo okulandelayo.
> Imithombo:
> I-Moran L, i-Misso M, i-Wild R, i-Norman R. I-Glucose engasebenzi kahle Uhlobo lokubekezela 2 Uhlobo lwesifo sikashukela nesifo se-Metabolic e-Polycystic Ovary Syndrome: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta. Ukuvuselelwa kwe-Hum Repro . 2010; 16347-363.
> Salley KE, Wickham EP, Cheang KI, Essah PA, Karjane NW, Nestler JE. Ukungavumi kwe-glucose kwi-polycystic syndrome-isitatimende sesikhundla se-Androgen Excess Society. J Clin Endocrinol Metab. 2007; 92 (12): 4546-56.