Imigomo Yokuxilonga Yokuthola I-Polycystic Ovarian Syndrome (i-PCOS)
I-ultrasound eguquguqukayo ingenye yamathuluzi asemqoka udokotela uma kuziwa ekuhloleni i- polycystic syndrome ye-ovary (PCOS). Izithombe ezitholakala kwi-ultrasound, ngokubambisana nemiphumela yokuhlolwa kwegazi nomlando wesiguli ophelele nesiguli, zisetshenziselwa ukuxilonga le syndrome.
Ukubona i-Polycystic Ovary Syndrome (i-PCOS)
Eyaziwa ngamazinga aphezulu ama-androgens, (amahomoni wesilisa afana ne-testosterone), i-polycystic ovary syndrome (i-PCOS) ukungalingani kwama-hormone ocansi.
Njengoba la mahomoni ahilelekile ekulawulweni kwezinqubo zomzimba kusukela ekukhiqizeni ukuya ekuhloleni umzimba, isimo singaholela ezinhlobonhlobo ezihlukahlukene nezimpawu ze-PCOS .
I-PCOS Isinqunyiwe
Isinyathelo sokuqala lapho uhlola izimpawu zakho, ukuhlolwa kanye nokuthola izibhedlela ukukhipha ezinye iziphazamiso ezingabangela lezi zithole . Lezi zimo (ezingase zivele zifana ne-PCOS kodwa zihlukile) zifaka:
- Isifo se-Thyroid - I- PCOS ehlukanisa isifo sofuba yenza kube nzima ngokuthi ezinye izinhlobo zezifo ze-thyroid zivame kakhulu kubantu abane-PCOS, kanti ezinye zezivivinyo ezisetshenziselwa ukuxilonga izifo ze-thyroid azilungile kubantu abane-PCOS.
- Hyperprolactinemia
- I-congenital adrenal hyperplasia
- Isifo sikaCushing
Imigomo Yokuthola I-PCOS (Imigomo Ye-Rotterdam)
Isilinganiso samanje sokuxilongwa kwabesifazane abane-PCOS sisho ukuthi owesifazane une-PCOS uma enezigaba ezimbili ezilandelayo (ngaphandle kweminye iminye imigomo):
1. Imijikelezo yokungena esikhathini esingekho noma engavamile (izikhathi eziyi-8 noma ezimbalwa ngonyaka owodwa). Ngenxa yokuthi ezimbili kuphela kulezi zidingo ezintathu zidinga ukuhlangana, kunabesifazane abathile abazohlangabezana nemigomo yokuxilongwa kwe-PCOS naphezu kokuba nemijikelezo yenyanga yokuya esikhathini njalo.
2. I-androgens ephakeme ekusebenzeni kwegazi noma izimpawu ze-androgens eziphezulu emzimbeni njenge-acne, ukukhula kwezinwele ngokweqile (i- hirsutism ), noma ukulahleka kwezinwele zesilisa (i- androgenic alopecia ).
Ukuhlolwa kwegazi kuvame ukuveza ama-testosterone aphezulu kanye namazinga e-testosterone mahhala kanye namazinga we- dehydroepiandrosterone sulfate (DHEAS) .
3. Ukuba khona kwama-follicles-okuvame ukubhekwa njenge-cysts ngokungalungile-ku-ultrasound (bheka ukucaciswa ngezansi). Ezinye izindlela zichaza i-PCOS njengezintambo ezincane ezingu-12 noma ngaphezulu (eziphakathi kwamabili no-9 mm ububanzi) kokubili ama-ovari. Kodwa-ke, e-United States, odokotela ngokuvamile abazethembi kuphela kule ncazelo ukuze baxilongwe. Kukhona abesifazane abaningi abane-ovaries yama-cystic ngaphandle kwempawu ye-hyperandrogenism, nabesifazane abaningi abaye baxilongwa nge-PCOS abangenawo ama-ovaries "ama-cystic". Ucwaningo lwamuva lubonisa ukuthi amazinga e-anti-Mullerian ekulinganisweni angase afake indawo ewusizo nge-ultrasound transvaginal kwezinye izimo zokuxilongwa kwe-PCOS.
Uma Ukutholakala Kwakho Okungaqiniseki
Uma ungaqiniseki ngokuhlolwa kwakho kwe-PCOS (noma ukungabi nalutho), akukwazi ukulimala ukuthola umbono wesibili. I-endocrinologists kanye ne-endocrinologists yokubeletha kukhona ochwepheshe bezokwelapha abanezoqeqesho ezengeziwe ekuhloleni nasekuphatheni izifo ze-hormonal. Bheka i-American Society for Medicine Reproductive noma i-Androgen Excess ne-PCOS Society ngezincomo zendawo.
I-Ultrasound e-Transvaginal eyenziwe kanjani?
I-ultrasound engaphumelela ingenziwa ehhovisi likadokotela. Ngenkambiso, ungase uceliwe ukuphuza kuze kufike kuma-ounces angu-42 omswakama ngaphambi kokuhlolwa kwakho ukugcwalisa isisu sakho, okwenze kube lula ukubona ama-ovari akho. Iprobebe ye-ultrasound ehlanjululwe ifakwe ngaphakathi kwesiswini, esithumela isithombe sesitho zangaphakathi esibukweni. Uchwepheshe we-ultrasound ke ulinganisa futhi uthathe izithombe zama-ovari akho bese uwabelana nodokotela wakho.
Ingabe Ukulimala Kwe-Transvaginal Ultrasound?
Abanye besifazane bangase babe namahloni kakhulu ngenkathi lochwepheshe ephonsa phansi ngesikhathi se-ultrasound (khumbula, isilazi esigcwele!), Kuye ngokukhululeka lapho i-sonographer ingathola khona izitho zangaphakathi zokuzala .
Yini uDokotela efuna ku-Ultrasound?
I-sonographer izohlola isisu sakho, isibeletho, nesisu. Inombolo ye-follicles ku-ovary yakho iyobalwa ukuthi izoletha lokho okuyaziwa ngokuthi yi-antral follicle count (AFC).
Yiziphi Izintambo Zase-Antral?
Ama-follic follicles aphumula ama-follicles atholakala ku-ovary ekuqaleni komjikelezo ngamunye wokuya esikhathini. Zingamamitha amabili kuya kwangu-9 ubukhulu (ngaphansi kwengxenye intshi). Isibalo esiphezulu se-antlic follicle sibonisa ukuthi owesifazane unenani elikhulu lamaqanda asele esibelethweni sakhe futhi, kwezinye izimo, i-PCOS.
Ama-Cysts nama-Follicles ku-PCOS
Kokubili ama-cysts kanye nama-follicles ajwayelekile kubantu besifazane abane-PCOS kunabo abangenalo isimo. Ama-cysts amaningi adideka ngama-follicles.
Naphezu kwegama layo, abesifazane abane-PCOS abavame ukukhiqiza ama-cysts, kodwa kunalokho ama-follicles asetshenziselwa njengengxenye yendlela yokuhlonza (bheka ngezansi). Ushintsho lwegama lwe- PCOS luhlongozwa ukuba luqede ukudideka nokufundisa kahle abaqeqeshiwe bezempilo kanye nabathengi.
Abesifazane abane-PCOS bavame ukhiqiza ama-follicles, okuyiqoqo elincanyana lomkhuhlane ovary futhi yimbangela, hhayi imbangela yokungalingani kwama-hormone ocansi. Inyanga ngayinye, owesifazane ukhiqiza ama-follicles avuthiwe futhi akhululwe kuma-ovari ukuze athole umquba. Ngenxa yokungalingani kwe-hormone, lezi follicle azivuthi futhi azikhululwa ngama-ovarie, okuvame ukuholela ekusenikeni. Funda kabanzi ngezimbangela kanye nomsuka wenkinga nge-PCOS .
Ngezansi Ekuboneni I-PCOS Nge-Transvaginal Ultrasound
Ukuxilongwa kwe-PCOS kungadla isikhathi futhi kuphazamise. Ezinye izimo ezingabangela izimpawu ezifanayo kudingeka zikhishwe kuqala, bese izimpawu ezifana nokungavamile kokuya esikhathini nobufakazi be-androgen ngokweqile kuhlolwa. I-ultrasound ehamba phambili ingahlinzeka ngolwazi olubalulekile mayelana nezintambo (ngokuphambene ne-cysts eholele ekudidekeni okuningi eminyakeni.) Ukulinganisa kwe-hormone e-anti-Mulleri kunganikeza indawo esikhundleni se-ultrasound kwezinye izimo.
Uma sekuxilongwa, ukhetho lwezokwelapha lwe-PCOS lungabuyekezwa ukuze kukusize ukubhekana nemiphumela eminingi ecasulayo (futhi ngezinye izikhathi).
Imithombo
- UBachanek, M., Abdalla, N., uCendrowski, K., noW. W. Sawicki. Inani le-ultrasonography ku-Diagnosis of Polycystic Ovary Syndrome - Ukubuyekezwa Kwezincwadi. I-Journal ye-Ultrasonography . 2015. 15 (63): 410-22.
- Ukukhathazeka, D. Imigomo Yokuthola I-PCOS: Ingabe Kunesidingo Se-Rethink? . Ukusebenza Okuhle Kakhulu Nokucwaninga. I-Obstetrics Clinic ne-Gynecology . 2016. 37: 5-11.
- Matsuzaki, T., Munkhzaya, M., Iwasa, T. et al. Ubudlelwano Phakathi kweSerum Anti-Mullerian Hormone kanye Neziguli Zezifo E-Polycystic Ovary Syndrome. I-Endocrine Journal . 2017 Apr 1. (Epub ngaphambi kokuphrinta).
- UMcCartney, uC., NoJames Marshall. Ukuzikhandla Kwemitholampilo. I-Polycystic Ovary Syndrome. I-New England Journal of Medicine . 2016. 375 (): 54-64.