Okuhlangenwe nakho kwesifazane ngamunye we-Polycystic Ovary Syndrome (i-PCOS) kuhlukile ngoba akekho abesifazane ababili abanezibonakaliso ezifanayo. I-current agreed on diagnostic criteria for PCOS ihlangana okungenani ezimbili kulezi ezintathu criteria:
1. Izikhathi ezingavamile noma ezingekho
2. Izimpawu zezinto ezinokwemvelo noma zomzimba ze-hyperandrogenism (i-androgens ephezulu) ngaphandle kwesinye isizathu sezokwelapha
3. I-string yezintambo ezincane kwi-ultrasound
Ukuhlolwa Kwemvelo Nemlando Wezokwelapha
Udokotela uzofuna ukuhlolwa okuphelele ngokomzimba nangokwenyama. Uzofuna izibonakaliso zomzimba ze-androgens ephakeme noma i-testosterone njengokwanda kwezinwele ezingavamile (ikakhulukazi ebusweni, kwesisu esingaphansi, emuva nangesifuba), i- acne , amathegi esikhumba , umdwebo wesikhumba wamadoda kanye ne-acanthosis nigricans (isikhumba esinyameni esimnyama entanyeni , amathanga, izimpondo noma ama-vulva).
Uma owesifazane ehlukumezeka, isikhathi esingekho noma esingavamile (imijikelezo engu-8 noma embalwa yokuya esikhathini ngonyaka), kuyisibonakaliso sokuthi ukuvota kungase kwenzeke futhi kungabonisa i-PCOS. Udokotela uzozama ukulawula ezinye izimo ezingabangela izikhathi ezingavamile, njengesifo se- thyroid , i- hyperprolactinemia , i- Cushings syndrome noma i- congenital adrenal hyperplasia . Kubalulekile ukuqaphela ukuthi abesifazane abane-PCOS bangaba nomjikelezo wenyanga wokuya esikhathini futhi babe ne-PCOS.
Udokotela uzokubuza mayelana nanoma yiziphi izimpawu ezingavamile okungenzeka uziqaphele, ngakho qiniseka ukukhuluma noma yikuphi ukukhathazeka kwakho.
Ukubhala uhlu ngaphambi kokuya kungakusiza ukhumbule amaphuzu abalulekile ongawabuza ngawo. Uzobuzwa ngezikhathi zakho zokuya esikhathini; ukuthi bahlala njalo nokuthi ubude besikhathi phakathi kwabo. Lokhu kungasiza udokotela wakho ukuba anqume ukuthi u-ovulating.
I-Ultrasound e-Transvaginal
I- ultrasound yangaphambilini ingenza noma ingenziwa ukuze ilahle i-PCOS.
Esikhathini se-ultrasound probe se-transvaginal sifakwe ngaphakathi kwesifazane, okuvumela udokotela ukuba ahlole izitho zokuzala futhi abuke okungavamile. Ubukhulu be-endometrium bungalinganiswa. I-criterium ye-PCOS ihlanganisa nokuba khona kwezintambo ezincane ezingu-12 noma ngaphezulu (izintambo ezimbili kuya ku-9 mm) ku-ovary ngayinye. Izikhathi eziningi lezi follicle zibizwa ngokuthi "ama-cysts". Kunabesifazane abaningi abanama-ovarie abonakala nge-cystic ngaphandle kwezimpawu ze-hyperandrogenism, nabesifazane abaningi abaye bathola ukuthi bane-PCOS abangenawo ama-ovaries akhukhunjweni. Abanye odokotela bathola ukusetshenziswa kwe-ultrasound engenazo ezinganeni ezingadingekile.
Imiphumela yegazi
Okokugcina, umsebenzi wegazi cishe uzothathwa. Ngaphandle kokuhlolwa kwe-hormonal, kufana ne-testosterone, amanye ama-hormone ocansini kufanele ahlolwe njenge-follicle evuselela i-hormone, i-hormone i-luteinizing ne-prolactin, udokotela wakho angase ahlole ezinye izimo ezihambisanayo njenge- cholesterol ephakeme ne- insulin ukumelana . Ukuhlolwa kwegazi okusha kwe-hormone, ukubuka i- AMH (i-Anti-Mullerian Hormone) yesifazane manje isetshenziswa abanye odokotela njengethuluzi lokuxilonga futhi.
I-Endometrial Biopsy
I- biopsy ye-endometrial ingenziwa ukuze unqume ukuthi izicubu zakho ze-endometrial zisendaweni efanele noma ukuhlola umdlavuza we- endometrial .
Le ngozi yomdlavuza we-endometrial yanda ngenani nobude besikhathi phakathi kwezikhathi ezingekho. 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 efakwa ngaphakathi kwesibeletho nasesibelethweni. Lezi zicubu zihlaziywa kumongo womjikelezo wakho futhi zihlolwe ngamaseli omdlavuza.
Yini Okulandelayo?
Nakuba lokhu kungase kubonakale kunzima kakhulu, khumbula ukuthi awodwa. Njengengcindezi ejwayelekile ye-endocrine phakathi kwabesifazane abaneminyaka yobudala yokubeletha, kunabesifazane abaningi abane- PCOS abaye bahamba ngalokhu.
Finyelela eqenjini lokusekela nabantu abakukhathalelayo. Ukulandela iseluleko sikadokotela wakho nokufunda ngesifo sakho kuyindlela engcono yokuyilawula.
Imithombo:
I-Grassi A. I-PCOS: Umhlahlandlela weDietitian. Uhlelo lwesibili. Luca Publishing. UBryn Mawr, PA.
UJensen, uJani R. noRuben Alvero. "Polycystic Ovarian Syndrome." I-Endocrinology Yokuzala Nokungafaki: Izidingo Ze-Obstetrics and Gynecology. Ed. UMark Evans, MD. Philadelphia: Mosby, 2007. 65-75.