Izifo ezimbili ezihlukene ze-endocrine zihlanganyela izimpawu ezifanayo
Uma ucwaninga imbangela yezinyanga ezingekho noma ezingekho ehambisana nokutholakala kwesisindo kanye / noma izinwele ezingavamile ukukhula noma ukulahleka, odokotela bazovame ukugxila ezifweni ezimbili ezihlobene nokungahambi kahle kwe-hormonal: i- polycystic ovary syndrome (PCOS) nesifo se-thyroid.
Zombili lezi zimo zihlanganyela eziningi zezimpawu ezifanayo. I-PCOS iyenzeka uma ama-ovari womama wesifazane noma izigulane ezidalwa yi-adrenal ziveza inani elidlulele lamahomoni wesilisa.
Isifo se-thyroid, ngokuphambene, sibonakala ngokukhiqizwa ngokweqile kwamahomoni we-thyroid (i- hyperthyroidism ) noma ukukhiqizwa kwe-hormone ye-thyroid (i- hypothyroidism ) engavamile ngokweqile.
I-Polycystic Ovary Syndrome (i-PCOS)
I-PCOS iyinkinga ye-hormonal evamile phakathi kwabesifazane abaneminyaka yobudala. Abesifazane abane-PCOS bavame ukuba nezinkathi ezingavamile noma izimpawu zokuhlangenwe nakho ezihlobene namazinga aphezulu ama-hormone wesilisa (androgens). Ama-ovaries ngokwabo azovame ukuhlakulela ama-cysts amaningi, aphelelwe ukukhipha amaqanda njalo phakathi nomjikelezo we-ovulation.
Isizathu esiqondile se-PCOS asisakwazi. Izimpawu zihlukene futhi zingabandakanya:
- Izikhathi ezingavamile noma ezingekho
- Ukugqithisa ngokweqile noma izinwele zomzimba (i- hirsutism )
- I-acne
- Ubuhlungu be-pelvic
- Ukungenzi lutho
- Inzuzo yesisindo
- Ukuphikiswa kwe-insulin
- I-apnea yokulala
- Amathrekhi ekhanda elimnyama, elimnyama, elivuthiwe
Asikho ukuhlolwa okulodwa okusetshenziselwa ukuqinisekisa i-PCOS. Ukuxilongwa kwenziwa ngokusekelwe kokubuyekezwa kwezimpawu kanye nokuhlolwa kokuhlola.
I-PCOS iphathwa ngokuphawulekayo ngokugxila ekunciphiseni ukuvimbela i-insulin, ukubuyisela ukuzala, ukuphatha izinwele noma isikhumba esingavamile, nokulawula imijikelezo yokuya esikhathini.
Hyperthyroidism
I-pituitary gland ikhiqiza i-hormone ebizwa ngokuthi i-hormone evuselela i-thyroid (TSH) edala ukuvimba kwe-hormone kusuka egunjini le-thyroid.
Lawa mahomoni e-thyroid, eyaziwa ngokuthi i-T3 ne-T4, alawula umzimba wesimiso somzimba, izinga lokushisa komzimba, nesilinganiso senhliziyo. Ukukhiqizwa ngokweqile kwama-hormone kuthiwa yi-hyperthyroidism, isimo esihlobene nayo, phakathi kwezinye izinto, umdlavuza we-thyroid kanye nesifo esizimele esibizwa ngokuthi yi- Graves disease .
Izimpawu zingafaka:
- I-gland yegciwane ekhulisiwe
- Ukuya esikhathini noma ukungena esikhathini
- Ukulahlekelwa isisindo naphezu kokwanda kwesifiso
- Ukujuluka ngokweqile
- Sukubekezelelani
- Ukulahleka kwezinwele okuvezwe ukuthungwa okuhle
- Ukuvikelwa kwe-eyeballs (i- proptosis )
- Ukwandisa izinga lenhliziyo nomfutho wegazi
- Ukungalali
Ukuxilongwa kwenziwa ngokuhlola amazinga e-TSH ne-T3 / T4. Ukwelashwa kungase kuhilele ukusetshenziswa kwemithi yokwenza ukukhiqizwa kwe-hormonal (propylthiouracil, methimazole), amaphilisi e-iodine e-radioactive ukuze anciphise izicubu ze-thyroid noma ukususwa kokuhlinzwa kwegciwane le-thyroid elihambisana ne-hormone replacement therapy.
I-Hypothyroidism
I-Hypothyroidism yenzeka uma kunokukhiqizwa okunganele kwe-T3 no-T4. Ku-hypothyroidism eyinhloko, amazinga e-hormone wehla ahlaselwa yizinkinga ngegciwane le-thyroid ngokwayo. I-hypothyroidism yesibili ihlotshaniswa nezinkinga emgodini we-pituitary.
I-Hypothyroidism ingabangelwa umdlavuza wegciwane, ukuhlinzwa komdlavuza, noma isifo esizimele esibizwa ngokuthi isifo sikaHashimoto .
Izimpawu zingafaka:
- Ukungabekezelelani okubandayo
- Ukukhathala nokuphelelwa amandla
- Ukuya esikhathini okungavamile noma okungajwayelekile
- Ukuphuma esikhathini esinzima noma okude isikhathi eside
- Kunciphise libido
- Ukuzuza isisindo naphezu kokuncipha kwesidlo
- Ukuqokwa
- Isikhumba esiqinile, esomile
I-Hypothyroidism ithola ukuthi kunezivivinyo ezifanayo zelabhu njenge-hyperthyroidism. I-hormone therapy esikhundleni sokushisa ngokuvamile iyindlela yokuqala yokwelashwa, ngokuvamile ukusebenzisa i-levothyroxine yezidakamizwa (i-Synthroid, i-Levothroid).
> Umthombo:
> Gaberscek, S .; I-Zaletel, K .; Shwetz, V. et al. "Izindlela ze-Endocrinology: I-Thyroid ne-polycystic ovary syndrome." I-Eur J Endocrin. 2015; 172: R9-R21.
> McCance, K. noHuether, S. (2016) Ukuqonda Pathophysiology (Umagazini Wesithupha) . St. Louis, Missouri: Mosby.