Okubalulekile kwe-PCOS & Ukungenzi lutho
Abesifazane abane-PCOS baqinisekile ukuthi banesabelo sabo sezimpawu eziphazamisayo, kuhlanganise namacne, ukukhula kwezinwele ngokweqile, ukulinganisa, nokuzuza kwesisindo. Ngaphezu kwabo bonke, amaphesenti angaba ngu-70 wabesifazane abane-PCOS abhekene nokungazalwa. I-PCOS, empeleni, iyimbangela ejwayelekile kunazo zonke zokuphelelwa yisifo se-ovulatory. Uma unayo i-PCOS futhi uhlupheka ngenxa yokungasebenzi, nansi ulwazi mayelana nezinketho zakho zokwelashwa nokuthi ungathola kanjani ukwesekwa.
Kungani Abesifazane Abaningi Abano-PCOS Belwa Ukungazi lutho?
Uphawu oluphawulekayo lwe-PCOS luyisikhathi esingavamile noma esingekho esikhathini sokuya esikhathini.
Abanye besifazane abane-PCOS bangase bangatholi isikhathi izinyanga, ngisho neminyaka, kuyilapho abanye bezophuma ngamasonto amaningana ngesikhathi. Iphesenti elincane labesifazane abane-PCOS lizobhekana nemijikelezo yenyanga.
Imijikelezo engavamile noma engekho yokuya esikhathini e-PCOS ingenxa yokungalingani kwe-hormonal yangaphakathi. Ngokujwayelekile, ama-hormone ocansi afihliwe ngesilinganiso esithinta umoya. Kulaba besifazane abane-PCOS, i-hormone i-luteini (LH) ifihliwe ngesilinganiso sokushayela ngokushesha.
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Kungani I-Resveratrol Inokuzuza Abesifazane Nge-PCOS: Isifundo
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Amathiphu 9 Okuthola Umzimba Wakho Ulungele Ukukhulelwa Uma Unayo I-PCOS.
Lokhu, futhi, ithumela amasignali kuma-ovari wakho ukuze uphume amazinga aphezulu amahomoni wesilisa, njenge- testosterone . Ngenxa yalokho, i-LH kakhulu ne-testosterone iphonsa amazinga amanye ama-hormone ezocansi asebenzayo ukulawula umjikelezo wakho wokuya esikhathini futhi kuthinta ukuvota.
Ku-PCOS, esikhundleni se-follicle ukukhula nokukhululwa ukuze kukhule umanyolo wokukhulelwa, i-follicle ayike ikhule ngokugcwele futhi ngezinye izikhathi ayikhishwa ku-ovary. I-follicles encane engabizwa ngokungafanele ngokuthi "ama-cysts," ngezinye izikhathi zizungeze i-ovary ebonakala njengezintambo zamapharele ku-ultrasound. Lezi yizintambo ezingazange zikhule noma zikhishwe kuma-ovari.
I-PCOS nokungabi nalutho: Izinketho zokwelapha
Ukungabi nalutho kuvame ukutholakala ukuthi ngemuva kokuqeda ukukhulelwa ezinyangeni ezingu-12 noma ngaphezulu. Ukwazi ingozi, odokotela bangase baphathe abesifazane nge-PCOS ngokushesha kokubeletha kunalokhu. Ukungafani kahle nakho kuvamile nakwabesifazane abane-PCOS futhi kungabangelwa ukungalingani kwama-hormone ocansi kanye namazinga aphezulu e- insulini .
Ngesikhathi ukukhulelwa kungase kubonakale kungenathemba, kube khona ukuthuthukiswa okuhle kwezokwelapha okusiza abesifazane nabakwa-PCOS ukukhulelwa.
Ukuguqula indlela yokuphila
Izinguquko endleleni yakho yokuphila zingenza umehluko omkhulu wokulawula ama-hormone nokulungiselela umzimba wakho ukukhulelwa. Lokhu, nakho, kungathuthukisa ikhwalithi lakho leqanda nokuvuthwa, ukwandisa amathuba akho okukhulelwa. Uma ukhuluphele ngokweqile, ukulahlekelwa okungenani amaphesenti amahlanu wesisindo sakho sesisindo sakho sekuboniswe ukuthuthukisa ukuzala ku-PCOS. Ukwenza izinguquko ekudleni kwakho, ukuzivocavoca, izinga lokucindezeleka, kanye nekhwalithi yokulala konke kungasiza ekuthuthukiseni ukuzala kwakho.
Ukudla okunempilo
Ukudla okungcono kakhulu kwe-PCOS kungumuthi ocebile we-antioxidant ogxila emanini amancane we-carbohydrate engaphenduliwe.
Lokhu kufaka phakathi izithelo, imifino, ubhontshisi, i-lentile, kanye namahlamvu, njenge-quinoa nama-oats. Kubandakanya amafutha avela emithonjeni engafakiwe, njengamafutha omnqumo, amantongomane, imbewu, inhlanzi, kanye ne-avocado Kunconywa.
Ukugwema imithombo ehlambulukile noma esetshenziselwa ama-carbohydrate, njengabaqaphi, isinkwa esimhlophe, ilayisi elimhlophe, ama-pretzels, nokudla okuyishukela njengama-cookies, brownies, ne-candy kuphakanyiswa ukuletha amazinga e-insulin nokuvuvukala.
Uma ungaqiniseki ukuthi uzoqala kuphi, cabangela ukubonisana nomuntu obhalisiwe wokudla okunomsoco ongakusiza ngokwenza ushintsho oluqhubekayo ekudleni kwakho.
Umsebenzi Wokwenyama Ovamile
Ucwaningo lubonisa ukuthi ukuzivocavoca njalo kungathuthukisa i-ovulation ne-insulin ukumelana. Ezicwaningweni, abesifazane abane-PCOS ababenokuzivocavoca ngokulinganisela kwezinsuku ezintathu noma ngaphezulu ngesonto babe nokuzala kangcono kunalabo abalandela uhlelo oluphansi lwekhalori lokudla.
Zama futhi ungene okungenani imizuzu engama-30 yomsebenzi womzimba usuku ngalunye. Le mali ingahlukaniswa ibe izingxenye ezintathu, imizuzu engu-10 noma izingxenye ezimbili zamaminithi angu-15. Ukuhamba kungenye yemisebenzi efinyeleleka kakhulu etholakalayo futhi ingahlelwa phakathi nosuku.
I-Acupuncture
Ukwakhiwa kwe-acupuncture kungakusiza ukuba ukhulelwe. Le ndlela yokwelashwa eye yaboniswa ukuze ithuthukise ibhalansi ye-hormone, i-BMI, nokulinganisa kwe-endometrile kwabesifazane abane-PCOS. Ukwakhiwa kwe-acupuncture kungenziwa yedwa noma ngokubambisana nemithi yokwelashwa eyasizwa.
Izithako
Ucwaningo olusha manje lubonisa izinzuzo zezithako ezithile zokuthuthukisa i-ovulation, izinga leqanda, nokubuyisela ibhalansi ye-hormone ku-PCOS.
Inositol
Ukuthatha i- myo ne-d-chiro inositol ku-40: 1 isilinganiso kuye kwaboniswa ukuthuthukisa ikhwalithi yeqanda nokuvuthwa kwabesifazane nabakwa-PCOS ezinyangeni ezintathu, futhi kungase kusebenze kangcono kune-metformin. Uma kuqhathaniswa ne-metformin, inhlanganisela ye-myo ne-DCI ku-40: 1 isilinganiso yabonisa imiphumela engcono kakhulu ngokuphathelene nokulahlekelwa isisindo, ukuvota nokukhulelwa (amaphesenti angu-46.7 no-11.2).
N-Acetylcysteine
I-N-Acetylcysteine (i-NAC) i-antioxidant enamandla enamandla elwa nokucindezeleka okwenziwe nge-oxidative futhi iboniswe ukuthi ithuthukise izinga lokukhulelwa kanye ne-ovulation kubesifazane abane-PCOS uma kuqhathaniswa ne-placebo.
I-Vitamin D
I-vitamin D ayilona nje i-vitamin kodwa i-hormone kanye.
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Funda mayelana nokusebenzisa ngesikhathi sokunakekelwa kokuzala kwe-PCOS
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Indima ye-Inhibin B ekunakekelweni kwezokwelapha
Ama-receptors ama-Vitamin D atholakale emaqanda abesifazane. Ukwesekwa nge vithamini D kuye kwaboniswa ukuthuthukisa ikhwalithi yeqanda nokuvuthwa kwabesifazane abano-PCOS ngokwabo noma ngenkathi bezwa ukwelashwa kokubeletha.
I-Metformin
I-Metformin yisidakamizwa esivame kakhulu yesifo sikashukela esiye sawusizo ukunciphisa ukumelana kwe-insulin kwabesifazane abane-PCOS. Kwabesifazane abaningi abane-PCOS, i-metformin ingahle ibuye ibe ngcono njalo. Kukhona izifundo ezibonisa ukuthi i-metformin inganciphisa ingozi yokukhulelwa kwesisu nesifo sikashukela.
I-Clomid ne-Letrozole
Ngezinye izikhathi abesifazane abane-PCOS basadinga usizo ekuthuthukiseni ukuvuthwa kwabo ngaphandle kokudla nokushintsha kwezindlela zokuphila. I-Clomid iye yanikezwa abesifazane besifazane ukuthuthukisa i-ovulation. Ucwaningo olusha lubonisa ukuthi i- letrozole ingase isebenze kangcono kune-clomid yabesifazane abane-PCOS. I-Letrozole ayikhulisi i-estrogen njenge-clomid futhi ibonakala ibangela ukuzalwa okuncane okuncane.
I-Gonadotropins ye-PCOS
Ukusetshenziswa kwe-gonadotropin kungasiza nabesifazane abane-PCOS ukuba bacabange. I-Gonadotropins yenziwa ngama-hormone ocansini i-FSH, i-LH, noma inhlanganisela yale mibini. Udokotela wakho angase asikisele ukuhlanganisa lezi hormona ngemithi yokuzala noma ukuzisebenzisa ngokwabo. Isibonelo, i-letrozole ene-"trigger" edutshulwa ngu-LH phakathi nonyaka.
Enye indlela ongayincoma udokotela wakho angasebenzisa i-gonadotropin ngenqubo ye-IUI (intrauterine insemination). U-IUI uhilela ukubeka isisu esikhethekile ngqo esibelethweni nge-catheter. Umuthi ungase uvela kumnini wesilisa noma umlingani wakho.
Ingozi enkulu ye-gonadotropin i-ovarian hyperstimulation syndrome (OHSS). Yilapho ama-ovari aphelelisa kakhulu emithini yokuzala. Uma ungaphathwa kabi noma unzima, kungaba yingozi.
Intrauterine Insemination
I-intrauterine insemination (i-IUI) inqubo yokuzala inesikhathi esivumelana ukuhambisana nokuvuthwa. Umlingani wakho uzocelwa ukuthi akhiqize isampula sembewu. Umuthi "ugeze" noma i-sperm ihlukaniswe nezinye izakhi ze-semen bese ihlangene ibe ivolumu encane, egxile kakhulu. I-specimen ifakwe emgodini omncane, ongenamanzi, osesithombeni, futhi ulungele ukungena. I-speculum, njengeyodwa esetshenziselwa ukuhlolwa kwegazi, ifakwa emgodini futhi umlomo wakho wesibeletho uhlanjululwa kahle. Udokotela wakho uzofaka i-cathéter ngaphakathi kwesiswini bese ukhulula isidoda emgodini wakho we-uterine. Udokotela wakho angakuvumela ukuba uhlale ulele phansi imizuzu embalwa ngemuva kokusabalalisa. Amanani okuphumelela we-IUI angamaphesenti angaba ngu-15 kuya kumaphesenti angu-20 umjikelezo ngamunye futhi ahluke ngokusekelwe eziningana zezici, ezifana nobudala bakho, uhlobo lokuvuselela ama-ovari, i-motility ye-sperm, phakathi kwabanye.
In Vitro Fertilization
I-in vitro fertilization (IVF) inqubo eyingozi kakhulu yokuzala iningi lapho isetshenziswa uma ngabe ezinye izifo zokwelapha zihluleka. I-IVF ihilela ukusebenzisa izidakamizwa ezingenayo inzalo ukukhuthaza ama-ovarie, ukuze zihlinzeke ngenani elihle lamaqanda avuthiwe. Amaqanda abese esuswa kuma-ovari futhi ahlanganiswe nesidoda zibe petri izitsha. Uma amaqanda ekhulelwa, omunye noma ababili badluliselwa esibelethweni. Le nqubo ibizwa ngokuthi ukudluliswa kombungu. Ngemva kwamasonto amabili, udokotela wakho uzoyala ukuhlolwa kokukhulelwa ukuze abone ukuthi umjikelezo uphumelele yini.
Nini Ukufuna Usizo Uma Uthola Ukungafaki
Uma unzima ukukhulelwa, ungase ufune ukuthola iseluleko se-endocrinologist yokubeletha, ebizwa nangokuthi "odokotela bokuzala." Lolu hlobo lwadokotela luyingqayizivele kuma-hormone obulili futhi luvame ukuba nemishini ye-ultrasound kumahhovisi abo ukuze kusize ukucacisa imbangela yakho lokungazali futhi unikeze ukwelashwa okunconyiwe.
Ukubhekana nokuhlukunyezwa kunzima kwabesifazane nasemibhangqwaneni, ikakhulukazi uma kubonakala sengathi wonke umuntu ozungezile uyakhulelwa. Uma uthola ukungabi nabantwana kuthatha umonakalo ongokomzwelo , cabangela ukusebenza nomqeqeshi wezempilo wengqondo oqeqeshwe noma ujoyine iqembu lokusekela okungenasifo endaweni yangakini.
> Imithombo:
I-Ghomian, Isivivinyo Sokwelashwa Esingahleliwe Ngokuqhathaniswa Nezici Zemijikelezo Yezinsuku Zokuqala Ezihlukene Zokuqala ze-Letrozole Ukwelashwa ku-Clomiphene Citrate I-PCOS Yokumelana Neziguli Ezigulini Ze-IUI. Int J Fertil Steril. 2015 Apr-Jun; 9 (1): 17-26.
> Johansson J. Polycystic i-ovary syndrome: umphumela kanye nezinqubo zokukhishwa kwe-ovulation induction. I-Evid Based Based Complement Alternat Med. 2013; 2013: 762615. i-doi: 10.1155 / 2013/762615. I-Epub 2013 Sep 2.
> Le Donne M, Alibrandi A, Giarrusso R, Lo Monaco I, Muraca U. [Ukudla, i-metformin ne-inositol ekuqhathaneni nokuqeda abesifazane abane-polycystic ovary syndrome: imiphumela ekubunjweni komzimba]. Minerva ginecologica. 2012; 64 (1): 23-29.
> Ott J et al. I-paramameter ye-calcium metabolism kwabesifazane abane-polycystic ovary syndrome ababhekana nokukhuthazwa kwe-clomiphene citrate: isifundo esingaba khona seqembu. I-European J Endocrinol. 2012; 166 (5): 897-902.
> Thakker D, Raval A, Patel I, Walia R. N-acetylcysteine ye-polycystic ovary syndrome: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta-analysis of trial randomized controls. I-Obstet Gynecol Int. 2015; 2015: 817849.