Isifo esivamile kodwa esiyinkimbinkimbi sitholwa ngokukhishwa
I-Polycystic i-ovary syndrome (i-PCOS) iyisifo esivamile se-endocrine esingabangela izinga elandayo lama-hormone wesilisa (androgens) kwabesifazane, okuholela esikhathini esingavamile noma esingenaso esikhathini, izinkathi ezinzima, izinyosi, ubuhlungu be-pelvic, ubuchopho obuningi nobukhulu bomzimba, nama-patches wekhanda elimnyama, elivuthiwe. Kungathinta abaningi kunabesifazane abahlanu abaphakathi kweminyaka engu-18 no-45 futhi bahlala enye yezimbangela eziyinhloko zokungasebenzi.
Naphezu kokuba yisifo esivamile, i-PCOS ayiqondi kahle . Kukhona ukudideka mayelana nokuthi i-PCOS itholakale kanjani, ikakhulukazi phakathi kwamantombazane asencane. Ingxenye yokudideka iqala ngezinga lokuhlonza ngokwayo.
Esikhathini esidlule, kwakunezigaba ezimbili ezihlukene zokuhlola: enye eyakhishwa yiNational Institutes of Health (NIH) e-Rockville, eMaryland futhi enye ekhishwe iphaneli yamazwe ngamazwe e-Rotterdam eyenezela ekuqondiseni kwe-NIH.
Ukungafani kwakuyingcosana kodwa kunzima. Oyinhloko phakathi kwalezi kwakuwukufakwa kwama-ovaries we-polycystic njengenye yezinqubo ezintathu zokuxilonga ze-PCOS. Iphaneli le-Rotterdam lahlanganisa nabo; i-NIH ayizange.
Kwaphela ngoDisemba 2012 ukuthi i-NIH yavuma ngokusemthethweni imigomo ye-Rotterdam futhi yancoma ukuba yamukeleke yizo zonke izifundiswa zezempilo.
I-PCOS Diagnosis Ukusebenzisa I-Rotterdam Imigomo
Ngaphansi kwencazelo ye-Rotterdam, owesifazane kufanele ahlangane okungenani ezimbili kwezintathu zokuhlola ukuze ahlolwe kahle nge-PCOs Lezi zihlanganisa ukungavamile kanye / noma akukho ukuvota, amazinga aphezulu a-androgen, nokuba khona kwama-ovaries we-polycystic.
Umqondo wemigomo ye-Rotterdam ingafingqwa kanje:
- Ukungavamile kanye / noma akukho ukuvuthwa kubangelwa ukungalingani kwama-hormone ocansi, kufaka phakathi amazinga aphezulu e-testosterone ne-luteinizing hormone. Ngenxa yalokho, abanye besifazane abane-PCOS bazoba nezinkathi eziningana ngenyanga, njalo ezinyangeni ezimbalwa, noma cha. Izikhathi zesikhashana zingase zibe nzima futhi zihambisane namawashi amakhulu. Ngokuyinhloko, uma owesifazane enemijikelezo eyisishiyagalombili noma embalwa yokuya esikhathini , uhlangabezana nemigomo.
- Amazinga aphezulu we-androgen abhekwa njengento esemqoka ekutholeni i-PCOS nakuba abanye besifazane abanenkinga bengenayo i-androgen engaphezu kweyodwa. Ngakho-ke, noma ngabe yi-serological (igazi) noma ubufakazi bomtholampilo bazokwamukelwa. Ukuhlolwa kwegazi ngezinga eliphezulu le-androgen (testosterone esiphelele nesehhala, i-DHEA-sulfate) ngokwanele ukwaneliseka. Uma kungekho lokhu, ukulahlekelwa izinwele , induna, nokukhula okukhulu kwezinwele zomzimba kubhekana nemigomo yemitholampilo ye-PCOS.
- I-polycystic ovaries ibhekisela ekubeni khona kwezintambo ezincane ezingu-12 noma ngaphezulu ku-ovary ngayinye. I-follicles, ngezinye izikhathi ebizwa ngokuthi i-cysts, ifana ne-string ye amapharele. Njengamazinga we-androgen, abesifazane abane-PCOs abanalo ama-cysts. I-ultrasound engenayo iyisisekelo esiyinhloko sokuphenywa. I-follicles ngokwayo yimbangela yokungalingani kwe-hormonal, hhayi imbangela yalo.
Okokugcina, ukuze kutholakale ukuxilongwa okucacile, udokotela uzodinga ukuphenya ukuthi kukhona yini ezinye izimbangela zezinto ezingavamile. Ekugcineni, i-PCOS yisimo sezimiso. Lokhu kusho ukuthi umtholampilo uzodinga ukulawula izinto ezinjenge- congenital adrenal hyperplasia (CAH) , okubangela ukuba uphethiloli ophakeme, noma amazinga e-prolactin aphakeme, angathinta ukuvunguza.
Ngenxa yokuthi izinqubo zamanje zingabandakanya abesifazane abaneziqu noma ama-ovaries angenayo ama-polycystic, izincomo zenzelwe ukuguqula igama le-PCOS futhi zisuswe ngokuphelele noma yikuphi ukukhipha igama elithi "cyst."
> Umthombo:
> Izikhungo Zikazwelonke Zempilo. "I- Polycystic Ovary Syndrome (i-PCOS) : Umbiko Wokugcina Wephaneli." Ubufakazi obusekelwe ebufakazini ku-Polycystic Ovary Syndrome; I-Rockville, e-Maryland; Disemba 3-5, 2012.