Okungenani amaphesenti angu-10 abesifazane besifazane abaneminyaka engu-Polycystic Ovary Syndrome (i- PCOS ), i-endocrine disorder enezimo zombili zokuzala nezomzimba. Abesifazane abane-PCOS bavame ukuba namazinga aphezulu e-insulini, ngenxa yalokho, engozini enkulu yokwenza izimo ezinomsoco ezifana ne-dyslipidemia (ama-triglycerides aphakeme namazinga aphansi we-HDL), uhlobo lwe-2 lwesifo sikashukela , nesifo se- metabolic syndrome.
Abangaphezu kwesigamu sabesifazane abane-PCOS banamafutha ngokweqile noma banamandla kakhulu, futhi abaningi babika izinkinga zokulahlekelwa isisindo naphezu kokudla okunempilo nokuzivocavoca.
Noma kunjalo, naphezu kobunzima bokulahlekelwa isisindo, iziguli ezine-PCOS zivame ukutshelwa ukuthi zilahlekelwe isisindo futhi i-PCOS yabo izoba ngcono. Ngenkathi ukulahlekelwa isisindo kungase kuthuthukise ukujwayela kokuya esikhathini nokunciphisa ingozi yezimo zemethamo, akusho ukuthi i-PCOS izohamba. Ngezinye izikhathi ukugxila ekulahlekelweni kwesisindo kuthatha ukugxila ukubaluleka kwezempilo. Okusho ukuthi abesifazane abane-PCOS bangenza ushintsho oluzinzile ekudleni kwabo nasekuphileni kwabo ukuze baqinise impilo yabo futhi bathuthukise amanani wabo lab. Lokhu kungenzeka noma ngaphandle kokulahlekelwa isisindo.
Ngezansi uhlu lokuhlolwa kwegazi oluvamile olwenziwa njalo ukuqapha i-PCOS. Ezinye imiphumela nemiphumela yelabhu ingasetshenziselwa ukuxilonga owesifazane onama-PCOS . Ukugcina i-PCOS ingabi nakakhulu nokunciphisa ingozi yezimo ezingapheli zesikhathi eside, abesifazane abakwa-PCOS kufanele bahlose ukugcina lezi zivivinyo zegazi ngaphakathi kwezigaba ezijwayelekile.
Ukuze uhlale phezulu empilweni yakho, gcina ithrekhi yemiphumela yakho yegazi bese uqhathanisa izinguquko nohlolo olusha ngalunye.
I-insulini
Ngenkathi i-insulin engeyona ingxenye ye-diagnostic criteria ye-PCOS, ngezinye izikhathi ihlolwe ukuqapha i-PCOS nokubona ukuthi umuntu ophikisana ne-insulin . Izinga elifanele lokuzila i-insulin kufanele libe ngaphansi kwe-10 mg / dl.
Amazinga aphezulu e-insulin ayinhlangano engozini ye-type 2 yesifo sikashukela. Ukuhlolwa kwe-insulin okusheshayo kubucayi kakhulu futhi kunembile kakhulu uma kwenziwa ngokucwaninga okucutshungulwayo. Ngaphandle kwesifundo, ukuhlolwa kwe-insulin yokuzila ukudla kunokwethenjelwa kakhulu uma kwenziwa kanye nokuhlolwa komlomo we-glucose ukubekezelelana, okuyinto enembile nakakhulu.
Iprotheyini e-C-Reactive
Uma kuqhathaniswa nabesifazane ngaphandle kwe-PCOS, abesifazane abanesimo babonisa amazinga aphakeme womproteli wokuvuvukala c-osebenzayo (CRP). I-CRP izinyathelo zokuvuvukala emzimbeni. I-CRP ephakeme ihlotshaniswa nobungozi obandayo bokugula komzimba (CAD) kwabanye abantu. I-CRP ephezulu kakhulu (hs-CRP) isetshenziswe ngokunembile kakhulu. Izinga le-hs-CRP ngezansi eyodwa libhekwa njengeliphansi, amazinga aphakathi kweyodwa kuya kwabathathu abhekwa njengendlela ephakanyisiwe, futhi amazinga amakhulu kunathathu abhekwa njengophakeme.
Triglycerides
I-Triglycerides (TG) yindlela yokugcina igazi yamafutha. Amazinga okuzila okufanelekayo we-TG kufanele abe ngaphansi kuka-150 mg / dL. Amazinga aphezulu akhombisa ingozi ekhulayo yezifo zenhliziyo. I-TG ingakhuphuka ngenxa yokudla okuphezulu kuma-carbohydrate, ukungasebenzi, ukukhuluphala, namazinga aphezulu e-insulin (ngokuvamile okuyi-PCOS). Ngaphandle kokudla okunempilo nokuphila, i-TG ingancishiswa nge-supplementation ye-fish oil.
I-HDL
I-HDL, noma "okuhle," i-cholesterol, isusa i-cholesterol engaphezu kwegazi futhi ingakusiza ekuvimbele isifo senhliziyo. Izifundo zibonise ukuthi amazinga aphansi e-HDL ayinengozi yokuthuthukisa isifo senhliziyo. Amazinga ajwayelekile we-HDL ama-cholesterol aphakathi kuka-40 no-60 mg / dL Amazinga aphansi e-HDL avamile kulabo besifazane abane-PCOS. Amazinga aphansi ale cholesterol angabangelwa ukungasebenzi, izakhi zofuzo, ukucindezeleka, ukubhema, i-triglycerides ephakeme, nokudla okuncane .
I-Hemoglobin A1C
Ukuhlolwa kwe-hemoglobin A1c, okuvame ukubizwa ngokuthi i-A1c, kuyisilinganiso sokulawulwa ushukela egazini lakho ezinyangeni ezimbili kuya kwezintathu ezidlule. Lokhu kuhlolwa kusetshenziselwa ukuxilonga isandulela ngculazi noma isifo sikashukela futhi ubone ukuthi izinguquko endleleni yakho yokuphila, ekudleni, kanye nemithi noma izithako zokudla okunomsoco ukunciphisa ingozi yesifo sikashukela.
Izinga le-HA1c lama-7 amaphesenti noma ngaphezulu liwuphawu lwesifo sikashukela. Ukuze kubekwe ngokuthi unesifo sikashukela esandulela isifo sikashukela, izinga le-HA1c ngokuvamile liphakathi kwama-5.7% namaphesenti angu-7.
Ama-enzyme we-fover
Izivivinyo zokusebenza kwesibindi, noma "i-LFTs", ziyi-enzyme yesibindi i-alanine aminotransferase (ALT) ne-aspartate aminotransferase (AST) ephakanyisiwe lapho isibindi sonakalisiwe. Lezi zingasetshenziswa ukuxilonga nokuqapha izifo ezingenaso utshwala (NAFLD). I-NAFLD ivela ngamaphesenti angu-15 kuya kwamaphesenti angu-55 wabesifazane abane-PCOS, kuye ngokuthi kusetshenziswe kanjani indlela yokuhlola. I-NAFLD ivela ngenxa ye-triglycerides ngokweqile (amafutha) agcinwe esibindi okudala ukulimala nokuvuvukala. Izindaba ezinhle ukuthi isibindi esinamafutha singaguqulwa ngokuguqula indlela yokuphila. Izinguquko ekudleni kwakho, umsebenzi, nezindleko ezithile zokudla zingathuthukisa isifo sesibindi se-fat.
AMH
I-Anti Mullerian Hormone (AMH) , iphrotheni ekhethekile ekhishwe amangqamuzana ahilelekile ekukhuleni kwe-follicle yamaqanda inyanga ngayinye. Amazinga e-AMH ahambisana nenani lezintuthwane ezithintekayo ezitholakala ku-ovary inyanga ngayinye; ukuphakama kwe-antral follicle count, izinga eliphezulu le-AMH. Ngenxa yokuthi abesifazane abane-PCOS ngokuvamile banamanani aphezulu e-antral follicles, amazinga aphezulu e-AMH avame ukubonwa futhi. I-AMH isetshenziselwa njengendlela yokufaka indawo yokugcina ama-ovarian kwabesifazane abadala.
Amazinga e-AMH avamile aphakathi kuka-0.7ng / ml kuya ku-3.5ng / ml. Izinga ngaphansi kwe-0.3ng / ml zibhekwa njengeziphansi futhi zikhombisa ukuthi izinombolo eziphansi zamaqanda zingaphakathi kwe-ovary futhi zinciphisa ukuzala. Amazinga angaphezulu kuka-5.0sng / ml aphakeme futhi angabonisa i-PCOS.
I-Vitamin D
Ubuhlobo obuphikisanayo bukhona kwabesifazane abane-PCOS abanamazinga aphansi okuthiwa i-vitamin D kanye nengozi eyengeziwe yezindaba zezempilo zemetaboli. Ukuhlola noma isimo se-vitamin D kubalulekile empilweni enhle nenhlalakahle. I-Endocrine Society incoma ukuthi amazinga abe okungenani ama-30 ng / ml, nakuba ezinye izinhlangano, njenge-Vitamin D Council, zisikisela ukuthi amazinga e-vitamin D kufanele abe ngama-40 ng / ml.
I-Vitamin B12
Uma uthatha i- metformin, kufanele ube namazinga akho e-vitamin B12 ahlolwa njalo ngonyaka njengoba i-metformin ingathinta ukumunwa kwalesi vithamini esibalulekile. Amaphesenti athile kavithamini B12 kufanele abe ngu-450 pg / mL noma ngaphezulu. Ezinye izivivinyo zegazi ezingasithola isimo se-B12 zifaka i-homocysteine ne-methylmalonic acid. Ukwengezwa nge-vitamin B12 manje kunconywa uma uthatha i-metformin.
> Imithombo:
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> Miller M, Stone NJ, Ballantyne C, et al. I-Triglycerides nesifo senhliziyo: isitatimende sesayensi esivela ku-American Heart Association. Ukujikeleza. 2011; 123: 2292-2333.
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