Izimpawu Zokuthi Udokotela Uvakashele Udokotela
Akuvamile ukuthi owesifazane obengaphambi kokubeletha abonakale enesifo se-polycystic ovary syndrome .Ezimweni eziningi, amantombazane angakabi naso isikhathi sokuqala sokuya esikhathini (eyaziwa nangokuthi i- menarche ), abatholi izimpawu ezivamile ze-PCOS njenge:
- izikhathi ezingavamile
- ukukhula kwezinwele okungavamile
- amazinga a-androgen aphezulu
Kodwa-ke, kunezimo lapho intombazane encane ihamba khona ekufikeni kwentsha ngaphambi kwesikhathi esivamile.
Lokhu kwaziwa njengobusana obuqhamuka phambili futhi kuvame ukutholakala lapho ingane ingena ebusheni ngaphambi kweminyaka engu-8 yamantombazane kanye neminyaka engu-9 yabafana.
Ucwaningo olulodwa olwanyatheliswa ngoHulumeni kanye nobuthakathaka ngoJanuwari ka-2009, lubheke ukusabalala kwe-PCOS kwabasikati abasebasha abaye babhekana nokuphelelwa isikhathi esinqunyiwe. Abacwaningi bathola ukuthi abesifazane abanenkathi yobushakathaka "bangakwazi ukuthuthukisa i-PCOS."
I-PCOS Phakathi Ne-Adolescence
Ukuxilongwa kwe-PCOS akuvamile kubantu abasha kusukela imijikelezo engavamile yokuya esikhathini ngenxa ye-hormone eguqukayo ingenzeka isikhathi esithile. Kodwa-ke, kungenzeka kakhulu ukuba i-PCOS ibe nesibonakaliso ngesikhathi sokukhula ngoba okungenani ama-5% abesifazane besifazane abakhulelwe bayathinteka yi-hyperandrogenism engapheli (ama-hormone amaningi kakhulu) nokugqunywa kwe-oligo (ukuvuthwa okungajwayelekile, okungavamile noma okungekhona).
Ezinye izimpawu ezivamile ze-PCOS zifaka:
- Izikhathi ezingavamile, noma izikhathi eziningi, ukuvala isikhathi esisodwa, noma ukungabi khona kwezikhathi
- Izinwele ezengeziwe ebusweni bakho noma ezinye izingxenye zomzimba wakho, okubizwa ngokuthi i- hirsutism (i-suit-is-em)
- Ama-acne ebusweni nasemzimbeni
- Ukukhuluphala, ukuzuza isisindo, noma inkinga yokulahlekelwa isisindo (noma zonke ezintathu ngesikhathi esisodwa)
- Amathrensi esikhumba esimnyama (ikakhulukazi ngemuva kwentamo yakho), lesi simo sibizwa nge-acanthosis nigricans.
Ucwaningo lubonisa ukuthi i-PCOS ingahle isebenze emindenini.
Kungase futhi kuhlobene nokukhiqizwa kwe-insulini eningi emzimbeni, okukhombisa ama-ovari ukukhulula ama-hormone angaphezu kwamadoda (androgens).
Nini ukuthatha indodakazi yakho kudokotela
Uma intombazane encane iqala ukukhulelwa ngokweqile esemncane kakhulu, noma ingane eqala ukuzwa izimpawu ze-PCOS ngenhla, kufanele ihlolwe udokotela.
Kumelwe kwenziwe isikhwama esigcwele se-hormonal ukuze sinqume ukuthi kukhona yini imbangela yangaphandle. Angeke afinyelele imigomo yokuxilonga ye-PCOS ngokushesha kepha kungenzeka ukuthi abe engozini enkulu yokuyikhula kamuva ekukhuleni.
I-PCOS engenakunqotshwa ingafaka intombazane engozini kwezinye izinkinga esikhathini esizayo ngoba abesifazane abane-PCOS banamathuba okuba nezinkinga ezilandelayo:
- Ukungenzi lutho
- Ukukhula kwezinwele ngokweqile kanye namacne
- Ukukhuluphala
- Isifo sikashukela
- Isifo senhliziyo
- Umfutho wegazi ophezulu
- Ukusuka okungavamile kusuka esibelethweni
- I-Cancer
Lokho uDokotela Afuna Ukukwazi Ngaphambi Kokuthola I-Diagnosis
Udokotela wakho kuzodingeka acele uchungechunge lwemibuzo futhi aqhube ukuhlolwa ngaphambi kokuthi i-PCOS ixilongwe ibhekwe kufanelekile, njenge:
- Imininingwane mayelana nomjikelezo wesisu wengane yakho
- Imibuzo yezempilo jikelele
- Ukuhlolwa okuphelele ngokomzimba
- Ukuhlolwa kwegazi ukuhlola amazinga e-hormone, ushukela wegazi, ne-lipids (kuhlanganise ne-cholesterol).
- Ukuhlolwa kwe-Ultrasound. Lokhu yisivivinyo esisebenzisa amagagasi omsindo ukwenza isithombe sezitho zakho zokuzala (ama-ovari kanye nesisu) nesinye isisu (lapho umchamo wakho ugcinwa khona). Emantombazaneni ane-PCOS, ama-ovari angase abe mkhulu kakhulu (ngokuvamile> 10cc ngevolumu) futhi abe nama-cyst amaningi amancane.
Ukuthola isimo kuyisinyathelo esibalulekile sokuqala ngoba ukwelashwa kwe-PCOS kunciphisa amathuba okuthuthukisa ezinye izinkinga ezinkulu. Izindaba ezinhle ukuthi, nakuba kungekho ukwelashwa kwe-PCOS, iyaphathwa. Qinisekisa ukuthi ufuna iseluleko sophiko lwezokwelapha uma usola ukuthi kukhona okungalungile.
Imithombo:
> Bremer, Andrew A. "I-Polycystic Ovary Syndrome e-Population Population." I- Metabolic Syndrome kanye Nezifo Ezihlobene Njalo Oct 2010 8: 5 375-394.
Franceschi, Roberto et al. " Ukukhula kwesifo se-polycystic ovary syndrome kubantombazane abasebasha ababeneminyaka eyishumi nambili ebusheni bokuqala ebusweni be-idiopathic." Ukuzala nokuthobeka, Mar 2010 93: 4,1185 - 1191
Rosenfield, uRobert L. "Ukubona Izingane Ezisengozini Ye-Polycystic Ovary Syndrome" Journal of Clinical Endocrinology & Metabolism, 2007 92: 3, 787-796.