Ukuxilongwa kwenziwa ngokungafaki zonke ezinye izimbangela ezikhona
Kunezimo zezokwelapha ezingenakutholakaliswa ngokuhlolwa kwegazi, i-biopsy, isiko, nanoma iyiphi enye indlela yokuhlolwa kokuhlola. I-Polycystic i-ovary syndrome (i-PCOS) yinye isimo esinjalo. Ngenxa yokuthi izimpawu ze-PCOS zingalingisa lezo ezinye izimo, odokotela kudingeka badinga zonke izimbangela ngaphambi kokuthola ukuxilongwa.
Le nqubo ibizwa ngokuthi i- diagnosis differential .
Kuyinto ngokunciphisa uhlu lwabasolwa, ngalunye, ukuthi odokotela bangafinyelela esiphethweni esiqondile futhi baqale ukwelashwa.
Esikhathini sokuqala ukuhlonza ukuhlukana kwe-PCOS, ezinye zophenyo ezivame kakhulu zihlanganisa nesifo se-thyroid, i-hyperprolactinemia, i-congenital adrenal hyperplasia, ne-Cushing's syndrome. Ngokuya ngempilo nomlando womuntu ngamunye, ezinye izimbangela zingabuye zihlolwe.
Izifo Zegciwane
I- gland ye- gland iyisitho esincane esivela ngaphambili komphimbo olawula umzimba omningi we-metabolism. Ikhiqiza ama-hormone amabili, awaziwa njenge-T3 no-T4, okubalulekile ekulawuleni imisebenzi eminingi yomzimba esemqoka kubandakanya ukuphefumula, izinga lenhliziyo, isisindo somzimba, amandla omzimba, kanye nemijikelezo yokuya esikhathini.
Uma kukhona i-hormone encane kakhulu ye-thyroid ( hypothyroidism ) noma kakhulu (i-hyperthyroidism ), le misebenzi ingaphonswa emiphithiphithi, eholela ezimpawu ezifana ne-PCOS.
Lezi zingabandakanya imijikelezo engavamile yokuya esikhathini, izinguquko ezingachaziwe ngesisindo, ukukhathala, ukubekezelelana kwezinga lokushisa, futhi, uma kwenzeka i-hypothyroidism, ukungabi nalutho.
Isifo se-thyroid singatholwa ngokuhlola ukuhlolwa kwegazi ukuhlola amazinga T3 no-T4. Ukuhlolwa okuqhubekayo kuzokwenziwa ukukhomba imbangela eyimbangela.
Hyperprolactinemia
I-prolactin iyi-hormone ekhishwe yi-pituitary gland esebenza ezindlini ze-mammary ukukhuthaza ukwakhiwa kwe-lactation. I-Hyperprolactinemia yisimo lapho kukhishwa khona i-prolactin eningi kakhulu, okuholele ekuhambeni okungajwayelekile kanye ne-lactation ( galactorrhea ). I-PCOS ingabangela ngokufanayo ukunyuka kwamazinga e-prolactin.
Esinye sezimbangela ezivame kakhulu ze-hyperprolactinemia yisifo se-pituitary okuthiwa i-prolactinoma. I-prolactinoma ingaba enkulu noma encane futhi ihlala ingenangqondo (engeyona umdlavuza). I-hyperprolactinemia idinga ukuxilongwa ngokungafani ukukhipha isifo se-thyroid njengesisusa. Isivivinyo se- magnontic resonance imaging (MRI) singasetshenziswa ukuqinisekisa ukutholakala kwesisu.
I-Congenital Adrenal Hyperplasia
I-congenital adrenal hyperplasia (i-CAH) iyisifo esiyimfuyo esenza ukuthi izigulane ezinamahloni zikhiqize i-cortisol ne-aldosterone encane kakhulu. I-Cortisol iyinhloko ye-hormone yokucindezeleka yomzimba, kuyilapho i-aldosterone isiza ukulawula izinga le-sodium namanye ama-electrolyte emzimbeni. Ngesikhathi esifanayo, i-CAH ingabangela ukukhiqizwa ngokweqile kwama- androgens , ama-hormone ahlobene nezici zesilisa.
Lokhu kungalingani kungaholela abesifazane ukuba bahlangane nezikhathi ezingavamile, ukukhula kwezinwele ngokweqile ( hirsutism ), nokuhluleka ukuya esikhathini (amenorrhea).
Ngokungafani ne-PCOS, i-CAH ingatholakala ngokuhlolwa kofuzo.
I-Cushing's Syndrome
I-Cushing's syndrome yisifo esibangele ukwedlula ngokweqile amahomoni adrenal. Ngokuvamile kubangelwa isifo esibi esibizwa ngokuthi i-pituitary adenoma eshintsha umsebenzi we-grenal adrenal futhi ibangela ukukhiqizwa ngokweqile kwe-cortisol ne-androgens.
I-Cushing's syndrome iboniswa izimpawu ezifana ngokuphawulekayo ne-PCOS, kuhlanganise nokuzuza kwesisindo, i-hirsutism, ukukhukhumeza kombuso, ukwanda kwamanzi, nokushintsha kwesikhumba.
Njenge-PCOS, akukho ukuhlolwa okulodwa okuqinisekisa ukuxilongwa kukaCushing. Ngokuvamile, ukuhlolwa komchamo kanye namathambo kwenziwa ukuze kulinganise futhi kuhlolwe iphethini yokukhiqizwa kwe-cortisol ehambisana ne-Cushing's syndrome.
> Umthombo:
> William, T .; I-Mortada, i-R .; kanye ne-Porter, S. "Ukuxilongwa Nokuphathwa Kwe-Polycystic Ovary Syndrome." Amer Fam Phys. 2016; 94 (2): 106-13. I-PMID: 27419327.