Konke Okudingeka Ukwazi
Ukuguqula indlela yokuphila
Ngokujabulisayo, izinqubo eziningi ze-PCOS zokwelapha ziyatholakala namuhla ezingakusiza ukuphatha lesi sifo. Kodwa-ke, ukwelashwa okubaluleke kakhulu kwe- PCOS ukulahlekelwa isisindo uma ukhuluphele kakhulu. Ngokunciphisa uketshezi noshukela olula, ukwandisa amaprotheni namafutha, bese uqala ukuzivocavoca umzimba, ungasiza umzimba wakho ukwandise impendulo yawo kwi-insulin, futhi kungenzeka ukunciphisa ukukhiqizwa kwe-androgen.
Lokhu kungasiza ekunciphiseni izimpawu , ubuyekeze ama-mens ajwayelekile futhi kwenze kube lula ukukhulelwa. Nakuba kukhona imithi engasiza ukuphatha izimpawu ozizwayo, ukulahlekelwa isisindo kuyinto engcono kakhulu ongayenza ukusiza ukuphatha lesi sifo.
Ukulawula Isikhathi Sokuya esikhathini
Kulabo besifazane abangenaso isithakazelo sokuba nengane, izisu zokubeletha ngomlomo - owaziwa nangokuthi "iphilisi" - ngokuvamile isenzo somsebenzi wokuqala. Iphilisi iqukethe inhlanganisela ye- estrogen ne-progesterone eyasiza ekulawuleni amahomoni wesifazane. Lokhu kuzokusiza ukujwayelekile umjikelezo wakho, ngaleyo ndlela wenze izikhathi zakho zivame ukuqhubeka njalo. Ngisho noma ukungabikho kwezikhathi kungase kubonakale kulula, isikhathi eside esingapheli ngaphandle kwesikhathi singandisa ingozi yomdlavuza we- endometrial .
Udokotela wakho angase abe nomuzwa wokuthi kuyadingeka ukukunika imithi ebizwa ngokuthi i-Provera (i-medroxyprogesterone) ezokwenza ukuthi kuphazamiseke uma ungenayo isikhathi okwesikhashana.
I-Provera imithi yomlomo ethathwa izinsuku ezingu-5 kuya kwezingu-10 futhi izoletha ngesikhathi. Ungadinga ukuhlolwa kwegazi ngaphambi kokuqala le mithi ukuqinisekisa ukuthi awukhulelwe.
Alternative Treatment
Ezinye izifundo ziye zaboniswa ukuthi zikhona ukuhlanganiswa okuncane phakathi kokukhishwa kwesisu nokuphumelela kokwelashwa kokuzala.
Kucatshangwa ukuthi kungasiza ekulawuleni umjikelezo wesimiso ngisho nokukhuthaza ukuvotela kwabanye besifazane. Kodwa-ke, ngaphambi kokuqala noma yiluphi ukwelashwa, qiniseka ukuthi ukhuluma nodokotela wakho futhi uthole udokotela oqeqeshiwe onolwazi ezindabeni zezempilo besifazane.
Ukuhlinzwa
Nakuba kungavamile ukwenza, kunendlela yokukhetha yokusiza ukuphatha i-PCOS. Ebizwa ngokuthi i- ovarian drilling , udokotela wenza ukucubungula okuncane esiswini sakho futhi usebenzisa ikhamera encane kakhulu ukumsiza ekubukiseni izitho zakho zangaphakathi, kwenza ukushisa okuncane kumapulisi ama-ovarian ekhulisiwe. Ithemba lokunciphisa ukuvalwa kwe-androgen kanye ne-LH, ngaleyo ndlela kunciphisa imijikelezo ye-ovulatory.
Ngisho okungeyona into ejwayelekile yi- Ovarian Wedge Resection . Ngenxa yobungozi bokulimala nokuhlala unomphela, uma udokotela wakho ebonisa le nqubo, sicela uthole umbono wesibili . Akusekho ukunconywa ekwelapheni kwe-PCOS.
Ukwelashwa okungahambi kahle
Uma ufuna ukuzama ukuba nomntwana, kunezinketho eziningi. Imithi ukuthi udokotela wakho uzobe eqala ukuyibeka kuqala yi-Clomid, engakusiza ukuba uguqe. Ngaphakathi komjikelezo wakho, ungase ukwazi ukusebenzisa i-ovulation predictor kit engakusiza ukuba usebenzise isikhathi esingcono kakhulu sokuqala ukuzama. Khumbula ukuthi abanye besifazane abane-PCOS banamazinga aphezulu a-LH (i-hormone etholakele kuma- kits ovulation ), okwenza le ndlela yokwenza isikhathi ingafanelekile.
Ngenxa yokuxhumana phakathi kwe-PCOS ne- insulin ukumelana , imithi esetshenziselwa ukwelapha isifo sikashukela, okungukuthi iMetformin , ingasetshenziselwa ukwandisa ukuzwela kwe-insulin . Ngokwandisa impendulo yomzimba ku-insulin, kucatshangwa ukuthi i-ovary ingase ingenzi ama- androgens amaningi, okwandisa amathuba okuba i-ovulation izokwenzeka. I-Metformin inganciphisa futhi amazinga e-androgens ajikelezayo, ngisho noma ungazama ukukhulelwa. Lokhu kuzokusiza ukulawula umjikelezo wakho wokuya esikhathini nokunciphisa izimpawu ezicindezelayo ongase uzizwe. Abanye besifazane bangadinga ukuthatha bobabili i-Clomid ne-Metformin ukuze bavuthe.
I-Clomid imithi enikezwa ukugqugquzela ukuvuthwa kwe-ovulation kwabesifazane abangahlali njalo. Ukulahlekelwa isisindo kungasiza ekufezeni lokhu. Kwamanye abantu, ukulahlekelwa isisindo esilinganisweni kungasiza ekuvuseleleni ukuvuthwa kwegazi futhi ukwandise kakhulu izimo zakho zokukhulelwa.
Uma lezi zingasebenzi, isinyathelo esilandelayo cishe siyoba nemithi ejoqayo eyaziwa ngokuthi i-Gonadotropins. Inyanga ngayinye, i- Follicle Stimulating Hormone (FSH) ifihliwe yi-pituitary eyenza i-follicle yeqanda ikhule. I-Gonadotropins yandisa ngokuqondile inani le- FSH elijikelezayo emzimbeni, ekhuthaza ukukhula nokuthuthukiswa kweqanda elivuthiwe. Udokotela cishe uzoqapha intuthuko yakho ngokusebenzisa ukuhlolwa kwe-ultrasound kanye negazi. Uma udokotela ezwa ukuthi usondelene ne-ovulating, kungenzeka ukuthi uthathe umjovo we-Human Chorionic Gonadotropin (HCG) ozokwenza ukuvuthwa kwakho kungakapheli amahora angu-36. Lokhu kuzokuvumela ukuba usebenzise isikhathi esithile lapho ulala khona noma ube ne- Intrauterine Insemination (IUI). Udokotela wakho uzokusiza ukuthi ubone ukuthi yikuphi okukhethayo okungcono kuwe.
Okokugcina, ukukhetha kwakho kokugcina kuyi- In Vitro Fertilization (IVF), inqubo eyinkimbinkimbi lapho uzothola khona ukuphathwa kwe-ovaries okulawulwayo ngokusebenzisa imithi ejova. Lokhu kuveza amaqanda amaningi lapho udokotela azokhipha khona ngenqubo yokuhlinzwa. Ukukhulelwa kwenzeka ngaphandle komzimba futhi endaweni elawulwa kakhulu ebhodini. Imibungu ekhulayo iyabuyiselwa emuva emzimbeni, lapho izofaka khona ngethemba ngesisu bese idala ukukhulelwa okusemandleni. Kunezinhlelo eziningi zokwelashwa ngaphakathi kwenqubo ye-IVF kanti udokotela wakho uzokhetha okungcono kakhulu, ngokusekelwe kumlando wakho wezokwelapha, ubudala, nokuxilongwa. Uma i-IVF ejwayelekile ingasebenzi kuwe, ingasetshenziselwa amaqanda abanikeli, isidakamizwa somnikeli, noma nge-surrogate njengoba kudingekile.
Ukuphatha Izimpawu
Imithi ephikisayo i- androgen ekusithekeni kuyindlela eyodwa udokotela wakho angakunika yona. Izisu zokubeletha zomlomo zingasiza, noma udokotela angase anikeze imishanguzo ye-antiandrogenic, njenge-Spironolactone (aldactone). I-spironolactone inqanda umthambo womzimba we-testosterone, futhi iphinde ihlangane ne-hormone receptors ezinhlathini zezinwele. Amamukeli amasayithi amangqamuzana avumela ama-hormone noma amakhemikhali ukuba abophe kubo, enza ukuphendula. Uma enye ikhemikhali isendaweni ye-receptor, i-androgens ayikwazi ukuyibopha futhi ivuselele ukusabela okubangela izinwele ukukhula.
Omunye umuthi osebenza ngendlela efanayo yiPlutamide, engavamile ukusetshenziswa ngoba umuthi unesibindi. Uma uthatha le mithi, kubalulekile ukulandelela ngokuhlolwa kwegazi okufanele njengama-oda akho odokotela ukusiza ukutholakala ngokushesha kwezinkinga zesibindi.
> Imithombo:
> "Ukuchaza i-PCOS". 2007. I-University of Chicago Medical Centre.
> Jensen, Jani R. > no > Ruben Alvero. " Polycystic Ovarian Syndrome ." I-Endocrinology Yokuzala Nokungafaki: Izidingo Ze-Obstetrics and Gynecology. Ed. UMark Evans, MD. Philadelphia: Mosby, 2007. 65-75.
> "Polycystic Ovary Syndrome". 3 Agasti 2007. I-Mayo Clinic.