I-classic triad ye- PCOS (polycystic ovarian syndrome) ibhekisela kwiqoqo lezimpawu ezivame kakhulu kubantu besifazane abane-syndrome. Lezi zimpawu ezintathu ziyi- hirsutism , ukugcoba, nokukhuluphala. Ngokuyinhloko lokhu kusho ukuthi abacwaningi nodokotela baye baqaphela lezi zimpawu ezintathu njengoba zibonakala njalo kulabo besifazane abane-polycystic ovarian syndrome, noma i-PCOS.
I-Classic Triad
Akusho ukuthi nje ngoba unayo ezimbili kuphela, eyodwa, noma akekho kulezi zimpawu ongenayo i-PCOS. Abesifazane abane-PCOS bangathola izimpawu ezihlukahlukene, kepha bheka ukuhlolisisa kwezimpawu ze-classic triad.
I-Hirsutism
I-Hirsutism yincwele yomzimba ngokweqile ezindaweni ezifana nobuso, intamo, isifuba, emuva, nezinzwane. Lesi sibonakaliso sibangelwa ukudlula ama-hormone wesilisa, noma i-androgens, njenge-testosterone ejikelezayo egazini.
Kwabesifazane, i-hirsutism ingaba nzima kakhulu. Ngenhlanhla, kunezinketho eziningi zokususa izinwele ezitholakalayo namuhla, kusukela kumikhiqizo engaphezu kwe-counter to services professional kanye nemithi yokwelashwa. Indlela ngayinye inezinkinga zayo, futhi kubalulekile ukuba owesifazane athole ukuthi yini ehamba phambili kuye.
Anovulation
I-Anovulation yilapho umzimba uhluleka ukuvula noma ukukhulula iqanda elivuthiwe. Ukuvuthwa kuvame ukuba khona ezinsukwini ezingu-14 ngaphambi kwesikhathi esilandelayo.
Ukuguqulwa kwemiphumela kubangelwa ngezikhathi ezingavamile, izikhathi ezingekho, ukungazalwa nokugaya okungavamile. Futhi, futhi futhi, amazinga aphezulu ama-androgens-amahomoni wesilisa-iyimbangela yenkinga.
Ngezinye izikhathi kungase kube nzima ukulandelela ukugcoba njengoba abanye besifazane besenemijikelezo yanyangazonke. Kodwa-ke, uma unezinyanga ezijwayelekile zenyanga, kungenzeka ukuthi u-ovulating.
Udokotela wakho anganquma ngokuqinisekile ukuthi ukuvezwa kwe-ovulation kwenzekile ngokusebenzisa umsebenzi wegazi noma ultrasound transvaginal.
Ukugcoba kungaphathwa ngezindlela ezimbalwa ezahlukene. Isidakamizwa sesifo sikashukela i-Metformin siye saboniswa ukuze ithuthukise ukuzwela kwe-insulini, engasiza ekwenzeni imijikelezo yesikhathi evamile.
Uma ungazami ukukhulelwa, udokotela wakho cishe uzobeka ukukhulelwa kwe-hormonal, njengepilisi, elawula imijikelezo yokuya esikhathini.
Uma usulungele ukukhulelwa, udokotela wakho anganikeza imithi yokwenza i-ovulation ehlanganisa i-Clomid, i-follicle evuselela i-hormone (i-FSH), i-hormone yokuqondisa (LH), i-chorionic gonadotropin (hCG) yabantu, ne-gonadotropin-release hormone (GnRH).
Uzofuna ukusebenza eduze ne-endocrinologist yokubeletha ukuthuthukisa uhlelo oluhle kakhulu kuwe.
Ukukhuluphala
Isisindo somzimba esiningi kanye ne-PCOS iyahamba , kepha ochwepheshe abaqiniseki ukuthi yikuphi okufika kuqala: Ingabe i-PCOS ibangela ukuzuza kwesisindo noma ingabe ukuzuza kwesisindo kubangelwa i-PCOS?
Abesifazane abaningi abane-PCOS balandela ukudla okunempilo nokuzivocavoca kodwa basenenkinga yesisindo. Ngokusobala, lokhu akulula njengama-khalori amaningi kakhulu futhi akwanele. Kukhona okunye okuyinkimbinkimbi emsebenzini.
Ukuphikiswa kwe-insulini-isimo lapho umzimba ukhiqiza i-insulini eyengeziwe kodwa amangqamuzana angakwazi ukuyisebenzisa ngokufanelekile okubangelwa ushukela ophezulu wegazi-kuvamile phakathi kwabesifazane abane-PCOS.
Ukuphikiswa kwe-insulini kungenza kube nzima ukulahlekelwa isisindo.
Ezinye izinkinga ze-hormonal ezivame ne-PCOS zingase zenze nezinselelo zokulahlekelwa isisindo. Noma kunjalo, ucwaningo lubonisa ukulahlekelwa okungenani amaphesenti ayishumi esisindo somzimba wakho kunganciphisa ezinye izimpawu ze-PCOS, kufaka phakathi ukugcoba.