I-N-acetylcysteine, eyaziwa nje nge-NAC, i-antioxidant enamandla engakwazi ukunikeza usizo kwabesifazane abahlukunyezwa nge- polycystic ovary syndrome (PCOS). Eyaziwa eYurophu emashumini eminyaka njengokwesekwa kokuzivikela komzimba futhi njengokwelashwa okuthandwayo kwe-bronchitis, i-NAC ivela njengendlela yokwelapha okuthembisayo yabesifazane abanobunzima be-PCOS. Nazi izinzuzo ezinhlanu ze-NAC kulabo besifazane abanesimo.
Kukhuthaza ukuzala
Ngamaphesenti angaba ngu-70 abesifazane abano-PCOS abahlukunyezwa, iNAC inganikeza ithemba. Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta eshicilelwe ku- Journal of Obstetrics and Gynecology kubheka izinzuzo ze-NAC ezinkulingweni eziyisishiyagalombili ezilawulwa ngokungahleliwe ezibandakanya abesifazane abangu-910 abane-PCOS. Ukubuyekezwa kubonise ukuthi i-NAC inikeze ukuthuthuka okuphawulekayo ekuthuthukiseni ukuvuthwa, ukukhulelwa nokuphila kwamazinga okuzalwa uma kuqhathaniswa ne-placebo yedwa.
I-NAC iboniswe ukuthi inezinzuzo ezifanayo njenge- metformin yokuthuthukisa izinga lokukhulelwa, ukuvota okuzenzekelayo, nokuthuthukisa ukujwayela kokuya esikhathini kwabesifazane abane-PCOS.
Kwabesifazane abangamelana ne-clomid, i-NAC ingasiza ekuthuthukiseni ukuzala kwabo kanye. Esicwaningweni esanyatheliswa kuyi-European Journal of Obstetrics, Gynecology, kanye ne-Biological Reproductive sathola ukuthi abasebenzisi be-NAC banezikhathi eziphakeme eziyisishiyagalolunye zezinga lokuvota kanye nephindwe kabili ukukhulelwa kwabesifazane abakunqotshwa yi-clomid kunokuqhathaniswa ne-placebo.
Ithuthukisa ukuphikiswa kwe-insulin
I-NAC ivela njengeyindlela ethembisayo yabesifazane abane-PCOS yokuthuthukisa amazinga abo e-insulin. Isenzo esibalulekile se-NAC ukuvikela i-insulin receptors kanye nomthelela wokuvikela umsebenzi we-insulin receptor kusuka kumaseli we-pancreas. Ngenxa yalokho, i-NAC ingathuthukisa ukumelana kwe-insulin.
Nakuba engekho i-FDA evunyelwe ukusetshenziswa kwayo, i-metformin isala imithi ejwayelekile eyosiza abesifazane nabakwa-PCOS abanokumelana ne-insulin. Ucwaningo oluningana luqhathanise i-NAC kanye ne-metformin kwabesifazane abane-PCOS. Abesifazane abathatha i-NAC babonise imiphumela efana ne-metformin yokuthuthukisa ukumelana kwe-insulin kanye nokunciphisa amazinga e-cholesterol , futhi ngaphandle kokubhekana nemiphumela emibi yemisipha ejwayelekile eyenziwa yi-metformin.
Ibuyisela ukulinganisela kweHormone
Inzuzo ephawulekayo ye-NAC yukuthi inekhono lokunciphisa amazinga we-androgen futhi ilawula imijikelezo yokuya esikhathini . Esifundweni sabo, i-Oner kanye nozakwethu abasebenzisa i-PCOS ukuba bathathe i-metformin (500 mg, izikhathi ezintathu ngosuku) noma i-NAC (600 mg kathathu ngosuku) amasonto angu-24. Kokubili ukwelashwa kwaholela ekunciphiseni okuphawulekayo emkhatsini we-hirsutism, testosterone yamahhala, nokungajwayelekile kokuya esikhathini.
Ulwa nokuvuvukala
Abesifazane abane-PCOS baye baboniswa ukuthi banamazinga aphakeme wokucindezeleka okwenqamulelayo kunezinsikazi ngaphandle kwe-PCOS. Amazinga aphezulu wokucindezeleka okwenziwe nge-oxidative angalimaza amangqamuzana futhi akhuthaze ukuvuvukala okwenza kube nzima nakakhulu izici ze-PCOS. Njengoba i-antioxidant enamandla, i-NAC isebenza ukulwa nokucindezeleka okwenziwe oxidative futhi inciphise ukuvuvukala.
Usiza isibindi sakho
Ngezinye izikhathi abesifazane abane-PCOS bahlakulela isifo sesibindi esingenalo utshwala.
Loluhlobo lwe-fatty liver disease lungabangela amazinga aphezulu e-insulini nama-triglyceride futhi angaguqulwa ngokuguqulwa kokudla kwakho.
I-NAC iboniswe ukusiza ukuthuthukisa isibindi samanoni kulabo besifazane abane-PCOS. Ucwaningo olunyatheliswa ku- Hepatitis Monthly lubonise ukuthi abesifazane abane-PCOS abaphathwa nge-NAC (1200 mg / nsuku zonke) izinyanga ezintathu babonisa ukuthuthuka okuphawulekayo ekunciphiseni ukuhlolwa kokusebenza kwesibindi, izimpawu zesibindi esinamafutha.
Ngokubanzi, i-NAC iyinzuzo yokudla ehambisana nokudla okuhlinzekwa kahle okunikeza izinzuzo eziningi kubesifazane abane-PCOS. Uma unesithakazelo ekuzameni i-NAC ukubona ukuthi ingakusiza yini ukuba ukhulelwe noma unciphise ezinye imiphumela emibi ye-PCOS njenge-fatty fover ne-insulin ukumelana, khuluma nodokotela wakho kanye nesidlo sokudla okunomsoco obhalisiwe ukuze unqume ukuthi umthamo ufanelekile yini kuwe .
> Imithombo:
> Javanmanesh F. Ukuqhathaniswa phakathi kwemiphumela ye-metformin ne-N-acetyl cysteine (i-NAC) kwezinye izici ze-metabolic and endocrine zabesifazane abane-polycystic ovary syndrome. I-Gynecol Endocrinol. 2015 Dec 10: 1-5.
> Manouchehr Khoshbaten. I-N-Acetylcysteine Ithuthukisa Ukusebenza Kwebindi Kuziguli ezinezifo ezingenaso utshwala. Hepat Mon. 2010; 10 (1): 12-16.
> I-Oner G et al. Imiphumela emitholampilo, i-endocrine nemiphumela ye-metformin ye-metformin ne-N-acetyl-cysteine kwabesifazane abane-polycystic ovary syndrome. I-Euro J Obst Gynecol Biol. Nov 2011; 159 (1): 127-131.
> Thakker D. N-acetylcysteine ye-polycystic ovary syndrome: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta-analysis of trial randomized controls. I-Obstet Gynecol Int. 2015; 2015: 817849.