Izingozi kuMama Nengane Nendlela Ongakuvimbela Ngayo
Abaningi besifazane abane-PCOS bayazi ukuthi bangase babe nobunzima bokukhulelwa. Izikhathi ezingavamile kanye nokuvota okungekho kungenza kube inselele ngesikhathi sokulala ngesikhathi sokukhulelwa futhi ngokuvamile kuholela umbhangqwana ukufuna usizo lomchwepheshe wokuzala.
Kodwa abesifazane abaningi abaqapheli ukuthi ukuba ne-PCOS kungakwandisa ingozi yokuthola izinkinga ezithile eziphathelene nokukhulelwa.
Nakuba uqiniseke ukuthi lezi zinkinga azivamile, owesifazane kufanele aqhubeke evakashela isazi sakhe sezifo njalo futhi alandele izincomo zakhe ngokuhlolwa kwangaphambi kokubeletha.
Ukushada
Abesifazane abane-PCOS babonakala bengengozini encane yokuthola isisu, nakuba imbangela yalolubudlelwane engacacile. Abacwaningi bakholelwa ukuthi izinto ezimbalwa zingase zibekwe icala. Okokuqala, abesifazane abane-PCOS bavame ukuba nemijikelezo ende yokuya esikhathini, okusho ukuthi ukuvuthwa kwenzeka esikhathini esizayo. Lokhu kubonisa ukuthi iqanda elikhulayo lingamahomoni amaningi, mhlawumbe alilimaze.
Okwesibili, kukhona ubudlelwane obukhona phakathi noshukela wegazi olungalawulwayo nokukhulelwa kwesisu. Njengoba kunikezwa ukuthi abesifazane abane-PCOS bavame ukuba ne-insulin ukumelana nokuphakama kwamazinga e-insulin, abanye abacwaningi bacabanga ukuthi lokhu kungabangela izinga elimpofu leqanda nokukhulelwa kwesisu. Amazinga aphezulu e-androgen kanye nokukhubazeka kwe-endometrium, izinkinga ezibhekisela ekufakekeni, zingabamba iqhaza ekwenzeni ukwanda kokukhulelwa kokuqala kokubeletha kwabesifazane abane-PCOS - nakuba kwenziwa ucwaningo olungaphezulu ngaphambi kokuba ubudlelwano obucacile bungakhuliswa.
Ukukhulelwa Kwengqondo Nokukhulelwa Kwangaphambi Kokukhulelwa kanye ne-Preeclampsia
Ukucindezeleka okubangelwa ukukhulelwa, noma i-PIH, kubhekisela kubesifazane abakha ukuqala komfutho wegazi ophezulu ngemuva kwamaviki angu-20. I-preeclampsia yisimo esibucayi sezempilo esiqhubeka nengxenye yesibili yokukhulelwa futhi kubangele amaprotheni kumchamo, ngaphezu kokucindezela kwegazi eliphezulu.
Ukulahlekelwa amaprotheni emcimbini kuholela ekuvupheni futhi kubonisa inkinga nezinso.
Uma ishiywe ingalashwa, i-preeclampsia ingathuthukela esimweni esibi se-syndrome ebizwa nge-eclampsia, engabangela ukugubha, ukuphuphuthekisa, kanye / noma i-coma. Ezimweni ezimbi, kokubili kokubeletha komama nokubeletha kungaholela.
Njalo uma uvakashela udokotela wakho, uzohlola ingcindezi yakho yegazi bese ethatha isampula yomchamo ukuze afune amaprotheni emcintini. Lokhu kuzokuqinisekisa ukuthi awusathuthuki i-preeclampsia. Uma uthola ukuthi une-preeclampsia, ukwelashwa kuhilela ukuphumula kombhede, ukuqapha njalo, kanye nemithi yokwethemba ukuthi ukwehlisa ukucindezeleka kwegazi. Uma ukucindezeleka kwegazi kunganciphisi, ukwelashwa okuwaziyo kuphela ukuletha umntwana. Umgomo wukuthi ingane ihambe kakhulu ekukhulelweni ngangokunokwenzeka ukuze amaphaphu anethuba lokuthuthukisa.
Abesifazane abane-PCOS bavame ukuba nomfutho wegazi ophezulu ukuqala, okwandisa ingozi yabo yokuthuthukisa i-PIH. Yingakho kubalulekile ukubuka izibonakaliso nezimpawu ze-PIH kanye ne-preeclampsia (ukuvuvukala, ukuzuza okunamandla okusheshayo, ukuphathwa ikhanda okukhulu, izinguquko zombono) futhi ngokushesha ubabike kudokotela wakho, noma uqhubeke ekamelweni eliphuthumayo uma kunesidingo.
Isifo sikashukela sofuzo
Isifo sikashukela sokubeletha senziwa lapho isifo sikashukela, ukuguqulwa kwendlela umzimba uqhuba ngayo ushukela, kukhula ngesikhathi sokukhulelwa.
Nakuba lesi sifo sivame ukuxazulula ngemuva kokubeletha, owesifazane onesifo sikashukela sokugaya cishe amathuba okuthuthukisa uhlobo lwesifo sikashukela kamuva, efuna ukuqapha okuqhubekayo kwamazinga ashukela egazini.
Bonke abesifazane abakhulelwe bahlolisiswa ngenxa yesifo sikashukela sokugaya ngesifo sofuzi esivame ukuhlolwa ngesikhathi esithile phakathi kwamasonto angu-26 no-28. Abesifazane abanesifo sikashukela esaziwa, ukumelana nesifo se- insulin, noma abasengozini enkulu yokuthuthukisa isifo sikashukela sokugaya kungase kuhlolwe ekuqaleni. Abesifazane abaneminyaka engaphezu kwengu-25 ubudala, baye bahlaselwa yisifo sikashukela ngokukhulelwa, abakhuluphele ngokweqile, abanama-prediabetes, noma abanamalungu omndeni oseduze abaye bathola ukuthi bane-type 2 yesifo sikashukela basengozini enkulu yokuthuthukisa isifo sikashukela sokukhulelwa.
Abesifazane abane-PCOS bayingxenye yaleqembu ngenxa yokuhlangana nokuphikiswa kwe-insulin nama-prediabetes.
Isifo sikashukela sokubeletha singelashwa ngokuhlanganiswa kokushintsha kwendlela yokuphila noma imithi uma kudingeka. Kubalulekile ukuba uqaphele ngokuqapha ushukela wegazi wakho njengoba uqondiswa udokotela wakho ngoba izingane ezizalwa kumama onesifo sikashukela esesifo somzimba zisengozini enkulu yokuzalwa kwesisindo esikhulu, ukuzalwa ngaphambi kokuzalwa, izinkinga zokuphefumula ekuzalweni, ushukela ophansi wegazi kanye ne-jaundice.
Ukuletha kwangaphambi kwesikhathi
Abesifazane abane-PCOS basengcupheni yokuletha ingane yabo ekuqaleni. Isizathu salokhu futhi asicaci ngokuphelele. Ochwepheshe bayazi ukuthi preeclampsia yinto engozini yokubeletha ngaphambi kwesikhathi, kanti abesifazane abane-PCOS basengozini enkulu ye-preeclampsia.
Ngaphezu kwalokho, ochwepheshe bathole ukuthi abantwana abazalwa ngamama nama-PCOS banamathuba amaningi okuba amakhulu (okubizwa ngokuthi amakhulu ekukhuleni kweminyaka yobudala), banesifiso se-meconium (lapho isitoli sokuqala somntwana singena emaphashini abo), futhi ube nesilinganiso esiphansi se-Apgar emihlanu imizuzu.
Ukuvimbela Ukunciphisa Ukukhulelwa ku-PCOS
Ezinye zalezi zinkinga zizwakala zihlekisayo, kodwa kunezinto eziningi ongayenza ukuze usize uzivimbele. Okokuqala futhi okubaluleke kakhulu ukuthola ukunakekelwa kokubeletha okuvamile ngaphambi kokukhulelwa ngangokunokwenzeka. Kungcono nakakhulu ukubona udokotela wakho ngaphambi kokuzama ukukhulelwa ukuze ukwazi ukuxoxa ngezinyathelo ezithile zokunciphisa izingozi zakho - njengokwenza ngcono isisindo sakho.
Okwesibili, yenza izinguquko zokuphila ngendlela enhle. Ngisho noma kungase kube nzima ukusebenza, khumbula ukuthi ukwenzela ingane yakho (futhi wena). Ngokwesibonelo, cocisana nomuthi wakho wokuzivocavoca nodokotela wakho, futhi uma ulwa nemikhuba yokudla enempilo, cela ukuhanjiswa kumuntu onomsoco.
> Imithombo:
> I-American Diabetes Association. (2013). Ngaphambi kokukhulelwa.
> I-American Pregnancy Association. I-Polycystic ovarian syndrome.
> Kamalanathan, S., Sahoo, JP, & Sathyapalan, T. Ukukhulelwa e-Polycystic Ovary Syndrome. I-Indian Journal ye-Endocrinology ne-Metabolism , Jan-Feb; 17 (1): 37-43.
> Roos, N., Sahlin, KH, Ekman-Ordeberg, G., Falconer, H., & Stephansson, O. (2011). Ingozi yemiphumela emibi yokukhulelwa kwabesifazane abane-Polycystic Ovary Syndrome: Isifundo seCoshort-based based. BMJ, Okthoba 13; 343: d6309.