Uma Ubhekene Nakho Noma Ngesisindo Esivamile Futhi Unayo I-PCOS
Ungabe uncike futhi ube ne-PCOS? Yebo. Kuze kube ngamaphesenti angu-20 abesifazane abano-PCOS bancane noma ngesisindo esivamile. Laba besifazane abanesisindo esinempilo basabhekana nezinselelo zokuzala, ukukhula kwe- androgens , kanye nezimpawu ezivela (njengezintambo, ukukhula kwezinwele okungadingeki , ukulahlekelwa izinwele , njll), kanye nengozi ephezulu yesifo sikashukela nesifo senhliziyo.
Iningi lwazi olulotshwe kwi-PCOS lugcwele inani elinamandla kakhulu, futhi inamba eyodwa yeluleki ukwehlisa isisindo.
Kuthiwani uma usuvele usesisindo esivamile?
Ngezansi kunezinselelo eziyingqayizivele zalabo abane-PCOS enomzimba, nokuthi yini ongayenza ukuze uthuthukise izinga lakho lokuphila futhi mhlawumbe unciphise izimpawu ezibucayi.
Isikhathi sokuxilisa isikhathi esincane
Ngenxa yokuthi i-PCOS ihlotshaniswa kakhulu ngokukhuluphala, abesifazane abanobucayi abane-PCOS bavame ukungafundwa iminyaka eminingi. Abesifazane abakhuluphele ngokweqile abane-PCOS bangatholakala uma besesesikoleni esiphakeme, ikakhulukazi uma imijikelezo yabo ingekho noma ingavamile. Ngokulinganayo, ama-PCOS abesifazane abondayo angatholakali kuze kube yilapho bezama ukukhulelwa.
Ukuxilongwa kwe-PCOS ngokwayo akusiyo kuphela ukuxilongwa okubambezelekayo.
Ucwaningo luye lwabona ukuthi abesifazane abanobucayi abane-PCOS banezibalo zamaphesenti angu-3 kuya kwezingu-10 ezitholwa yisifo sikashukela esingabanjwanga. Lokhu kungenzeka ngoba odokotela ngokuvamile abalindeli abadala abajwayelekile abakhulu ukuthuthukisa isifo sikashukela noma ukumelana ne-insulin . (Okuningi ngalokhu ngezansi.)
Lokho kusho ukuthi ingozi yokuba nesifo sikashukela kuma-PCOS wesisindo esivamile asikwenyuka kakhulu njengabesifazane abakhuluphele.
Abanye ochwepheshe batusa ukuthi bonke abesifazane abane-PCOS banamazinga abo e-insulin ahlolwe, kungakhathaliseki ukuthi isisindo sabo.
Futhi, abesifazane abanamahloni abane-PCOS banamathuba amaningi okuthola ukuxilongwa noma ukungaxilongwa kwesifo senhliziyo.
Abacwaningi baye baqhathanisa amazinga e-cholesterol abesifazane abanobunzima obuvamile abane-PCOS kwabesifazane ngaphandle kwe-PCOS.
Bathola ukuthi abesifazane be-PCOS abanesisindo esinempilo babe namathuba amaningi okuba namazinga aphansi "cholesterol" (i-HDL) namazinga aphezulu we- cholesterol "embi" (i-LDL.).
Ukuphikiswa Kwe-insulin Kungenzeka, Ngisho Ne-BMI Enempilo
Ukuphikiswa kwe-insulin kuvame ukuhambisana nokukhuluphala. Kodwa-ke, njengoba kushiwo ngenhla, abesifazane abanobucayi abane-PCOS bangase babe engozini yokwanda kwe-insulin ukumelana naphezu kokungaphezu komzimba ngokweqile. Kulinganiselwa ukuthi phakathi kuka-6 no-22 amaphesenti abesifazane abesisindo esivamile abane-PCOS banokuphikiswa kwe-insulin noma bane- hyperinsulinemia .
Lokhu kungaba kanjani? Ngenkathi ukuxhuma phakathi kwe-insulini ne-PCOS kungakacaciswanga kahle, abesifazane abano-PCOS akuzona kuphela abangakwazi ukumelana ne-insulin kodwa nokho isisindo sabo singena ebangeni elivamile lokuphakama kwabo.
Isici esihlukanisayo phakathi kwalabo abasesisindo esivamile abahlakulela ukuphikiswa kwe-insulin nalabo abangabonakali ukukhuluphala kwesisu . Ukukhuluphala ngokweqile kulapho isisu somzimba wakho sithwala amafutha amaningi kunalokho okufanele. Yilokho, okuvamile kakhulu kulabo abakhuluphele kakhulu, kepha kungenzeka nakwezinye izisindo ezijwayelekile. Awunalo ukulawula lapho umzimba ugcina khona amanoni; lokhu cishe kuhlobene nezakhi zofuzo.
Uzibuza ukuthi usengozini? Enye indlela yokuhlola ukuthola isilinganiso sakho se-hip-to-waist. Abesifazane cishe banamazinga aphezulu e-insulini uma isilinganiso sabo se-hip-to-waist singaphezu kuka-0.85.
Ungabala lokhu ngokwakho. Thatha itekisi yokulinganisa indwangu. Ngaphandle kokubamba esiswini sakho, fanisa umjikelezo wesikhumba sakho lapho sincane khona. Khona-ke, fanisa izinyathelo zakho lapho uhlangothi lukhulu khona. (Lokhu kuyoba lapho izintambo zakho zikhishwa khona kakhulu.)
Hlukanisa ukulinganisa kwakho okhalweni ngesilinganiso sakho se-hip. Uma uthola u-0.85 noma ngaphezulu, ingozi yakho yokukhushulwa kwe-insulin kanye nezinye izinkinga zempilo ezihlobene nokukhuluphala ziphakeme.
Lokhu kuyiqiniso ngisho noma i-BMI yakho iwela ebangeni elivamile noma eliphilile.
Health Emotional in Women Lean With PCOS
I-PCOS ihlotshaniswa nengozi eyengeziwe yokucindezeleka nokukhathazeka. Ucwaningo olulodwa lwathola ukuthi abesifazane abanobucayi abane-PCOS-uma kuqhathaniswa nabesifazane abakhuluphele nge-PCOS-babengase babe nezinkinga ngokukhathazeka, banokumelana nokucindezeleka okuphansi, futhi babe namazinga aphezulu we-hormone ACTH, ehlobene nokucindezeleka kwesikhathi eside .
Baphinde bathola ukuthi ukukhathazeka okwedlula owesifazane onokuhlangenwe nakho okunamandla kwe-PCOS, amazinga aphezulu e-plasma ghrelin ayenawo. I-Ghrelin iyi-hormone eyenza uzizwe ulambile.
Abanye baye bathi inselelo engokwengqondo yabesifazane abanama-PCOS aphilile yilokho okuphazamisa ibhalansi ye-hormonal. Ngamanye amazwi, izimbangela zokukhathazeka noma okuqhubekayo kudlulela ukungalingani kwe-PCOS-hormonal. Nakuba bobabili abesifazane abanobuhlungu nabakhulu ngokweqile abane-PCOS basengozini yokwanda kokuphazamiseka nokukhathazeka kwemizwa, kungenzeka ukuthi abesifazane abanamahloni bangase babhekane nokukhathazeka kunodadewabo abakhuluphele.
Ukwelashwa Kwezinzalo ku-'Cysters Engamahle '
Imithi yokwelapha ejwayelekile kunazo zonke esetshenziselwa abesifazane nge-PCOS yi-Clomid, i-letrozole, i-metformin, futhi, uma leyo ingaphumeleli, imithi yokuzala injectable. Iseluleko esivamile kunazo zonke esinikezwa abesifazane abafuna ukukhulelwa nge-PCOS ukuthi ... ukulahlekelwa isisindo kuqala.
Kuyiqiniso ukuthi, kubantu besifazane abakhuluphele, ukulahlekelwa ngamaphesenti angu-5 ukuya kwangu-10 esisisindo sabo samanje kungasiza izidakamizwa zokuzala ziphumelele kakhulu. Noma kunjalo, lokhu akusebenzi kuma-PCOS abesifazane abondayo.
Eqinisweni, kunezindaba ezinhle: abesifazane abanobuciko abane-PCOS banamazinga aphezulu okukhulelwa ngezokwelapha uma kuqhathaniswa neontanga zabo eziqine kakhulu.
Njengoba kushiwo ngenhla, i-metformin ngezinye izikhathi isetshenziselwa ukusiza abesifazane ne-PCOS ukukhulelwa. I-Metformin akuyona imithi yokuzala; empeleni ihloselwe ukumelana ne-insulin. Noma kunjalo, kungase kuthuthukiswe ukuvuthwa kwabesifazane nabakwa-PCOS.
Ucwaningo oluthile lwathola ukuthi abesifazane abanobucayi abane-PCOS abaphathwa nge-metformin bebaphindwe kabili ukuthi babe nokubuyela esikhathini nokuya kwe-ovulation, uma kuqhathaniswa nabesifazane abakhuluphele nge-PCOS. Baphinde bathola ukuthi amazinga e-testosterone wehla futhi azila ukudla kwe-glucose ngcono kulabo besifazane abanamahloni abane-PCOS. Lezi zithuthukisi azibonwanga nhlobo kulabo besifazane abakhuluphele abane-PCOS.
Kwesinye isifundo, abacwaningi bathola ukuthi abesifazane abanobucayi abane-PCOS banesilinganiso samaphesenti angu-52 sokukhulelwa kokukhulelwa lapho bephathwa ngemithi yokwelapha ovulatory kanye ne-intra-uterine insemination (IUI). Izinga lokukhulelwa kwabafazi abakhuluphele nge-PCOS bephansi kakhulu. (Amaphesenti angu-22 kuphela.)
Ukuba owesifazane omncane noma ojwayelekile wesisindo nge-PCOS akusho ukuthi ngeke uzame ukukhulelwa, noma ukuphathwa kokwelashwa kuqinisekisiwe. Kodwa, kungenzeka ukuthi uphumelele uma uqhathaniswa nalabo abakhuluphele ngokweqile noma abakhuluphele nge-PCOS.
Indlela Yokuphila Nokudla Kwezinkinga zeLean 'Cysters'
Njengoba kushiwo ngenhla, iseluleko esivamile sokwehla isisindo asisebenzi noma sinengqondo. Noma kunjalo, kukhona imikhuba yokuphila kanye nezinguquko ongazenza ezingase zithuthukise impilo yakho yonke.
Ngesinye, kubalulekile kuma-PCOS wesisindo esivamile ukugcina isisindo sabo. Kungakhungathekisa ukuthi ube nge-BMI enhle kepha usenayo i-PCOS. Abanye bangacabanga ukuthi isisindo esinempilo asinandaba ... ngakho kungani uzama?
Ucwaningo luye lwabona ukuthi njengabesifazane abaneminyaka yobudala be-PCOS, banamathuba amaningi okuthuthukisa ukumelana kwe-insulin. Kodwa ingozi yayingaphansi kwabesifazane abanamahloni. Ukugcina isisindo sakho kungasiza ukunciphisa ingozi yesifo sikashukela.
Ukugcina isisindo sakho kungase kungabi lula, noma kunjalo. Izifundo zithole ukuthi abesifazane abane-PCOS kumele badle amakholori ambalwa kunabesifazane abayisisindo esisodwa ngaphandle kwe-PCOS. Lokhu kusho ukuthi kunzima ukuhlala ngesisindo esinempilo.
Esinye isixazululo esingahle salokhu kungaba ukuvivinya umzimba. Ukuzivocavoca okuqhubekayo ukuqeqeshwa kwesisindo ngokuqondile okuhloswe ukukhulisa amandla nesisindo somzimba. Lokhu kwenziwa ngokukhulisa kancane kancane isisindo sokuphakanyiswa noma ukuphindaphindiwe sekuphelile. (Abanye besifazane besaba ukuthi ukuphakamisa izisindo kuzobaholela ekubanjeni "njengomuntu" kodwa lokhu kuyisimo esingenasisekelo.)
Ucwaningo olwenziwe ngabesifazane abane-PCOS enomtholampilo lathola ukuthi ukungezelela ukuqeqeshwa kokumelana nakho kwasiza ukunciphisa amafutha e-visceral (amafutha esiswini okwandisa ingozi yokuvimbela i-insulin), amazinga a-androgen aphakeme ayancipha, ukungahleleki kokuya esikhathini nokuya kwe-ovulatory, nokwanda kwamasipha omzimba. (Ngendlela, ubuhlungu obuningi obuthwalayo, ama-calories angaphezulu okudingayo ukuze ugcine isisindo sakho. Lokhu kusho ukuthi ungadla ngaphezulu, inzuzo ebalulekile kulabo abane-PCOS.)
Enye indlela yokuthuthukisa ikhwalithi yakho yokuphila uma uhlala ne-PCOS ithola ukwelulekwa ngokwengcweti, ikakhulukazi uma uhlangabezana nokukhathazeka noma imizwa ecindezelekile. Abesifazane abane-PCOS banamathuba amaningi okubhekana nezinkinga zokukhathazeka, futhi ama-PCOS abesifazane abancinci bangase babe namathuba amaningi okuba nalezi zinselele uma kuqhathaniswa nabesifazane abakhuluphele nge-PCOS.
Nakuba ukwelashwa kungase kungabikho ngokuphelele le nkinga yomzwelo, kungasiza kakhulu.
Izwi elivela
Uma uthola ukuthi une-PCOS, kodwa lonke ulwazi ongaluthola luhloselwe ukwedlula ngokweqile abesifazane, lungakhuthaza futhi lungasebenzi. Ungase ube nabanye abesifazane abane-PCOS bethi "bangabaza" ukuxilongwa kwakho-kuphela ngenxa yokuthi awunamandla kakhulu.
I- PCOS yokuhlola ukuhlolwa akubandakanyi "ukukhuluphala ngokweqile." Ukukhuluphala kungengozi ye-PCOS. Eqinisweni, owesifazane kwabayisihlanu abane-PCOS banomzimba omncane noma ku-BMI enempilo.
Esikhathini sakho sokuhlola kahle, qiniseka ukuthi udokotela wakho uhlola amazinga akho e-insulini nama-glucose iphrofayli yakho ye-lipid, ngakho-ke noma yikuphi ukungalingani kwemithi kubanjwe futhi kuphathwa ngokushesha.
Izinto ezibaluleke kakhulu ongayenza ukuze uhlale uphilile zigcina isisindo sakho ngokudla okunempilo, yenza umkhuba wokuzivocavoca njalo, futhi ufune ukusekelwa izinselele ezingokomzwelo eziza ne-PCOS.
> Imithombo:
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> Kogure GS1, Miranda-Furtado CL, Silva RC, Melo AS, Ferriani RA, De Sá MF, Dos Reis RM. "Ukuphikisa Impikiswano Yokuzivocavoca Imisipha Yama-Mass Mass ku-Polycystic Ovary Syndrome." I- Med Sci Sports Exerc. 2016 Apr; 48 (4): 589-98. i-doi: 10.1249 / MSS.0000000000000822.
> Komarowska H1, Stangierski A2, Warmuz-Stangierska I2, Lodyga M2, Ochmanska K2, Wasko R2, Wanic-Kossowska M3, Ruchala M2. "Ukungafani embukisweni wezengqondo nezama-hormonal weziguli ezinamafutha futhi ezikhulu kakhulu ezine-polycystic ovary syndrome. "I-Neuro Endocrinol Lett. 2013; 34 (7): 669-74.
> Pelanis R1, Mellembakken JR1, Sundström-Poromaa I2, Ravn P3, Morin Papunen L4,5, Tapanainen JS4,5,6, Piltonen T4,5, Puurunen J4,5, Hirschberg AL7,8, Fedorcsak P1,9, Andersen I-M10, i-Glintborg D10. "Ukusabalala kohlobo lwesifo sikashukela sohlobo lwe-2 akukhulisiwe kubesifazane abayisisindo esivamile nge-PCOS." Ukuhlehliswa kwe-Hum. 2017 Nov 1; 32 (11): 2279-2286. i-doi: 10.1093 / i-humrep / dex294.