Ukwelapha Okuphawulekayo kwe-Polycystic Ovary Syndrome
I-Polycystic i-ovary syndrome (i-PCOS) yisimo esiyinkimbinkimbi esithinta cishe amaphesenti angu-10 wabesifazane abaneminyaka yobudala yokubeletha. Abesifazane abane-PCOS bangakwazi ukuthola izimpawu ezihlukahlukene kusukela ekuguquleni kwemizwelo kanye nezimo zesikhumba (ama-acne, izinwele ezibucayi ngokweqile) ezinkingeni ezingavamile kanye nezinkinga zokuzala.
Imithi esetshenziswa i-PCOS ihlose ukunciphisa izimpawu zesifo.
Nakuba okwamanje akakho ukwelashwa kwe-PCOS, unganciphisa umthelela wesifo ngokulondoloza impilo enempilo nokulawula izimpawu ngokusebenzisa okukhethiwe kwezidakamizwa.
Imithi Esetshenziselwa Ukulawula Isikhathi Sokuya esikhathini
I-PCOS ibhekene nokungajwayelekile kwe-hormone okungabangela izikhathi eziningana ( oligomenorrhea ) noma izikhathi ezingekho ( amenorrhea ). Lokhu nokunye okungahle kwenzeke kwe-hormonal kunganciphisa ikhono lomfazi lokukhulelwa. Imithi yokwelapha ihlose ukulawula ama-hormone ukubuyisela kangcono umjikelezo ojwayelekile wokuya esikhathini.
Izinketho ezimbili ezivame ukusetshenziselwa amaphilisi okulawula ukubeletha kanye noPravera, kokubili okulawula umjikelezo wakho wokuya esikhathini ngokuhlinzeka nge-progesterone umzimba wakho odinga. Ngokulawula amazinga e-hormone, i-uterine lining can shed more often, ukuvimbela ukuqina kwamathishu okubangelwa izikhathi ezingekho noma ezingavamile.
I-glucophage (metformin), izidakamizwa zesifo sikashukela, inikeza inzuzo emibili yokunciphisa ukumelana ne-insulin ngokuvamile kubonakala kwabesifazane abane-PCOS ngenkathi kuthuthukisa ukujwayela kokuya esikhathini.
Imithi Esetshenziselwa Ukwelapha Ukungabi Naso
Ukukhubazeka kwe-hormonal ehlobene ne-PCOS kungabangela ukuvuthwa okungavamile noma okungabikho (ukugcoba). Izidakamizwa ezihlukahlukene zingasetshenziswa ukuphatha lokhu, ukwandisa ikhwalithi yamaqanda (i-oocyte) kanye ne-ovulation.Izici zomsindo wokuqala, zihlanganisa imithi yokuzala i-Clomid (i-clomiphene citrate) ne-Femara (letrozole).
Nakuba i-Clomid isetshenziselwa ukuthuthukisa ukuvuthwa, i-Femara ingase isebenze kangcono kwabesifazane abane-PCOS njengoba ingakhuphula amazinga e-estrogen futhi ingenwe ingozi yokuzalwa okuhlukahlukene ngezinga elifanayo ne-Clomid.
Izindlela zokwelashwa ezihlukahlukene zingaphinde zisetshenziselwe ukugqugquzela ukuvuthwa kwegazi, kufaka phakathi:
- I-follicle evuselela i-hormone (i-FSH) , ekhuthaza ukukhula kweqanda
- I-Luteinizing hormone (LH), okubangela ukukhululwa kweqanda kusuka esibelethweni
- I-griadotropin ye-chorionic yabantu (HCG) , okuqinisekisa ukuvuthwa kweqanda
- I-Estrace (i-estrogen) , eyilungisa isibeletho ukuthola iqanda
- Iprovera (progesterone) , eyilungisa isisu sokufakelwa
- I-Menopur (i-menotropins), ehambisa i-FSH ne-LH ngomjovo
- I-Bravelle (urofollitropin), ehambisa i-FSH ngokujola
Phakathi naleso sikhathi, ukwesekwa okungewona ama-hormonal, i- inositol , kuye kwaboniswa ukuthuthukisa ikhwalithi ye-oocyte ne-embryo ngenkathi ukwandisa izinga lokukhulelwa kwabesifazane abane-PCOS.
Imithi Yokuphatha Ukuphikiswa Kwe-Insulin
Amaphesenti angama-50 abesifazane abano-PCOS bazoba nesifo sikashukela noma isifo sikashukela esineminyaka engama-40. Ngaphezu kwalokho, basengcupheni enkulu yokuthuthukisa isifo sikashukela sokugula, isimo esibangelwa amandla okukhubazeka ekusebenzeni i-glucose (ushukela) ngesikhathi sokukhulelwa.
Imithi yesifo sikashukela ijwayele ukusetshenziselwa ukunciphisa i-glucose namazinga e-insulin kubantu besifazane abane-insulin ehlobene ne-PCOS.
Ngaphezu kwalokho, ukuguqulwa kokukhetha kokuphila, kufaka phakathi ukuzivocavoca nokudla okuncane emafutheni kanye noshukela ohlanziwe, kubhekwa njengento esemqoka yokwelapha.
Izinketho zemithi zihlanganisa:
- I-glucophage (metformin) , engakwazi ukulawula isifo sikashukela nokusiza ngokulahlekelwa isisindo
- I-Victoza (i-liraglutide) , isisetshenziswa esijova esetshenziswa ukulawula ama-insulini namazinga we-glucose
- I-Actos (i-pioglitazone), isigaba sezidakamizwa ezijova esetshenziswa ukunciphisa ushukela ephezulu wegazi
- I-Avandia (i-rosiglitazone), isisindo esijoqayo seklasi elifanayo njenge-pioglitazone
- I-Avandamet, inhlanganisela ye-rosiglitazone ne-metformin.
Imithi Yokusiza Nge-Loss Weight
Cishe isigamu sabesifazane abane-PCOS banamandla kakhulu noma bakhuluphele kakhulu.
Akuyona nje i-PCOS eyasiza ekwenzeni isisindo, okwenza kube nzima nakakhulu abesifazane ukuba banciphise isisindo . Ngaphezu kokuzivocavoca nokudla, izikhathi zokwelapha izidakamizwa ngezinye izikhathi zisetshenziselwa ukusiza ukulahlekelwa isisindo, nakuba zivame ukuza nemiphumela emibi kakhulu.
Izinketho zamanje zihlanganisa:
- I-Xenical (orlistat), isidakamizwa esingavimbela ukungena kwamanoni
- I-Qsymia (i-phentermine / topiramate), i-suppressant ye-appetite
- UBelviq (i-lorcaserin), omunye umfutho wokucindezela ukudla
- Qhathanisa (naltrexone / bupropion), engavimbela ukuthanda ukudla
- I-Saxenda (i-liraglutide) , esetshenziselwa ukwelapha ukumelana ne-insulin nokukhuluphala
- Inositol , ukwesekwa kwemvelo okuhlobene nokulahlekelwa kwesisindo kubesifazane abane-PCOS
Imithi Esetshenziselwa Ukwelapha Ukukhula Kwezinwele Esibusweni Ne-Acne
Abesifazane abane-PCOS bavame ukuphakama ama-hormone wesilisa (androgens), kufaka phakathi i-testosterone. Imithi ye-Anti-androgen isebenza ngokuvimbela ukuhlanganiswa kwama-hormone nokunciphisa izici zesilisa eziyisibili, kufaka phakathi i-hirsutism (izinwele ezibucayi nezibuko) noma ukulahlekelwa izinwele.
Izinketho zokwelapha zihlanganisa:
- I-Aldactone (i-spironolactone) , i-diuretic ene-anti-androgenic
- I-Vaniqa (i-eflornithine hydrochloride) , ukhilimu okwesibhakabhaka ovame ukuvimba ukukhula kwezinwele
- I-Propecia (i-finasteride) , isetshenziswe ngaphandle kwelebuli ukuphatha ukulahleka kwezinwele kwabesifazane abane-PCOS
Ngaphezu kwezinguquko ekukhuleni kwezinwele, i-androgen overproduction ingabangela ekuthuthukiseni induna. Lokhu kuvame ukuphathwa ngama-creams okwenziwa ngama-topical afaka i- benzoyl peroxide , i- salicylic acid , i- retinoids , noma ama-antibiotic .
Izwi elivela
Ekubhekaneni nezimpawu zakho ze-PCOS, kuzodingeka usebenze nodokotela wakho. Kungase kube neminye imithi engafanelekile ngenxa yeminye yempilo, ukusebenzisana kwemithi, nezinye izici. Qinisekisa ukuthi uyaqonda ukuthi ukwelashwa kunconywa nokuthi ungayithatha kanjani imithi efanele.
Umthombo:
> Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison's Principles of Internal Medicine (edition 19). I-New York: I-McGraw-Hill Education, 2015.