Ingabe i-PCOS noma enye inkinga yezempilo?
Uma une- polycystic syndrome ye-ovary (PCOS), kungenzeka ukuthi uhlangabezana nanoma iyiphi inombolo yezimpawu, njengokungavamile kwemijikelezo yokuya esikhathini noma izimpawu zamazinga aphakeme a-androgen afana nama-acne nokukhula kwezinwele okungavamile (i- hirsutism ). Uma uyeka ukuya esikhathini futhi / noma udokotela wakho osolwa ngokuxilongwa kwe-PCOS, ukuhlolwa kwegazi okuhlukahlukene kugijime ukuze kuqinisekiswe ukuthi kukhona okunye okuqhubekayo, njenge-gland engenakwenzeka noma i-tumor ye-androgen-evikelekile.
Ukubeka Izinto Ezihlangene
Kubalulekile ukuqaphela ukuthi umlando wakho nokuhlolwa komzimba kuyasiza ekwenzeni ukuxilongwa kwe-PCOS, kanti udokotela wakho uzosebenzisa kokubili ukuhlolwa kwegazi nokuhlolwa kwakho ukuze aqoqe ndawonye ukuxilongwa. Kusukela manje, akukho ukuhlolwa kwesiguli se-slam-dunk esisodwa ukuhlola i-PCOS, ngakho-ke udokotela wakho cishe uzokwenza ukuhlolwa kwe-pelvic futhi mhlawumbe i-ultrasound kanye nokuhlolwa kwegazi ukulawula ezinye izifo ngemuva kwezimpawu zakho.
Ngaphezu kwalokho, khumbula ukuthi uma ulahlekelwe yisikhathi sakho noma uyeke ukuya esikhathini, ungatheja ukuthi ukuhlolwa kokuqala udokotela wakho azokwenza ukuhlolwa kokukhulelwa, ngakho-ke ungamangali ngalokhu, ngisho noma uqinisekile hhayi ukhulelwe. Ngemuva kwalokho lokho kuqinisekisile ukuthi kungalungile, udokotela wakho uzoqhubeka nokuhlolwa kwegazi.
Ukuhlolwa kwegazi kwe-FSH / LH
I-follicle evuselela i-hormone (FSH) ne-hormone i-luteinizing (i-LH) ikhiqizwa futhi ikhishwe yi-pituitary gland, isikhumba se-pea esisekelwe phansi ebuchosheni bakho.
I-FSH igqugquzela ukukhula kwe-follicle yeqanda ngaphakathi kwe-ovary, kuyilapho ukuqhuma kwe-LH kudala ukukhululwa kweqanda ngesikhathi sokuvuthwa.
Ukuxilongwa kwangaphambili kwe-PCOS kwenziwa ngokusekelwe ku-LH kuya ku-FSH isilinganiso esingaphezu kuka-3: 1. Lokhu akusikho icala ngoba ngenkathi abesifazane abaningi abane-PCOS belokhu bephakamisa amazinga e-LH kulo lonke umjikelezo wabo, akuyona into engavamile kwabanye abesifazane abane-PCOS ukuba babe namanani ajwayelekile e-hormone.
Noma kunjalo, abesifazane abane-PCOS ngokuvamile bayoba namazinga e-FSH aphansi kunezinga le-LH, ngakho-ke, lokhu kuhlolwa kungase kusekele ukuxilongwa kwe-PCOS, kodwa hhayi ukuyiqinisekisa.
Futhi, uma i-FSH yakho iphakanyisiwe, ingaba yinkomba yesimo esibizwa ngokuthi ukungasebenzi kahle ngaphambi kwesikhathi.
I-DHEA / Testosterone Blood Test
I-Dehydroepiandrosterone (i-DHEA) ne-testosterone yi-androgens noma ama-hormone amabili wesilisa. Lezi zinhlobo ze-androgens zibhekene nezici eziningi zobuncane besilisa njengesibili ukukhula kwezinwele noma ukulahleka kanye nama-acne, okuchaza izimpawu ukuthi abagulayo be-PCOS bahlangabezana nakho. I-Androgens nayo ibangelwa ukungahleleki kokuya esikhathini kwabesifazane.
Ngenkathi ukuphakama kwe-testosterone kujwayelekile kubantu besifazane abane-PCOS, kubalulekile ukuqaphela ukuthi ungaba nezibonakaliso zamazinga aphakeme a-androgen afana nokukhula kwezinwele nezinwele, kodwa ube namazinga ajwayelekile we-androgen ekuhlolweni kwegazi-futhi une-PCOS. Ngamanye amazwi, udokotela kufanele ahlanganise ukuhlola kwakho ngokomzimba namalabhu akho ukuze enze ukuxilongwa.
Ngokuvamile, izinga eliphakeme kakhulu le-testosterone lingase libe uphawu lwe-androgen-yokuvimbela isisu se-ovary. Ngokufanayo, amazinga aphakeme e-DHEA angase abe uphawu lwe-androgen-yokuvimbela isisu sezinhlayiya ze-adrenal (izigcawu ezincane ezihlala ezintsheni zakho).
17-Hydroxyprogesterone Test Blood
Lokhu kuhlolwa kwegazi kusetshenziselwa ukucacisa ukuthi kukhona ukufika kwesikhathi sekwephuzile kokuqala kokubeletha komzimba we-hyperplasia , esinye isimo sezokwelapha esingalingisa izimpawu ze-PCOS.
Umsebenzi we-Thyroid Ukuhlolwa kwegazi
Lezi zivivinyo zisetshenziselwa ukulawula ukungasebenzi kahle kwe-thyroid njengesizathu sokungahambisani nokuya esikhathini. I-thyroid evuselela i-hormone (TSH) nayo ifihlwe yi-pituitary gland futhi ilawula ukukhululwa kwamahomoni amabili e-thyroid , i-T3 ne-T4. Lawa mahomoni amabili alawula ukusekela umzimba okuyisisekelo futhi angaveza izinguquko zokuya esikhathini esifana nelezo ze-PCOS. Kungakhathaliseki ukuthi kunamaphesenti aphakeme noma aphansi kunawo wonke amabhaluni angabonisa isifo segciwane futhi kufanele alandelwe.
Ukuhlolwa kwegazi le-prolactin
Efihliwe yi-pituitary, i-prolactin iyi-hormone eyomthwalo wayo oyinhloko ukugqugquzela ukukhwabanisa kwabesifazane. Izindinganiso eziphakeme zingabangela ukuntuleka kokuya esikhathini. Uma izinga lakho liphakanyisiwe, udokotela wakho uzohlola i-thyroid yakho uma engakaze asuke engazange aphendule i-hypothyroidism ingabangela izinga eliphakeme le-prolactin. Ngaphezu kwalokho, udokotela wakho uzoyala i-MRI ye-pituitary gland ukuhlola isifo esibizwa nge-prolactinoma.
Ukuhlolwa Kwegazi Uma Kuxilongwa Nge-PCOS
Uma udokotela wakho ekuxilonga nge-PCOS, uzofuna ukukuhlola ngesifo sikashukela sohlobo lwe-2 namazinga aphezulu e-cholesterol, okuyinto engavamile yokukhubazeka okuvamile kubantu besifazane abane-PCOS. Lezi zivivinyo zifaka:
Isivivinyo sokubekezelelana kwe-glucose (GTT): Lokhu kuhlolwa kuzokuvumela udokotela wakho ukuba ahlole impendulo yakho ekukhuthazeni ushukela. I-insulini yi-hormone enkulu ebhekana noshukela nophethiloli emzimbeni wakho. Umhloli uyokunika isiphuzo esiphundu kakhulu, ishukela elizophuza. Ukuhlolwa kwegazi kuyodonswa ngaphambi kokuba kuqalwe uhlolo futhi emva kwehora elilodwa namahora amabili. Ama-sampuli e-urine angase aqoqwe kanye nokukala i-glucose kumchamo wakho. Kubalulekile ukungadli noma ukuphuza noma yini lapho kuqala ukuhlolwa, noma amahora angu-12 ngaphambili, njengoba izoba nomthelela emiphumeleni. Ngokuvamile, ushukela wegazi kufanele ubuyele esimeni esingakapheli amahora amabili. Uma amazinga okushukela egazini akho ephakeme ngaphezu kokuhlolwa, angase akhombise ukuthi umzimba wakho awuphenduli ngokushesha kwi-insulin, okubonisa ukuxilongwa kwe-prediabetes noma isifo sikashukela. Udokotela wakho angaqinisekisa lokhu okuthola okungavamile ngokuphinda ukuhlolwa.
- Ukuhlolwa kwe-cholesterol: Lokhu kuhlolwa ngezinye izikhathi kubizwa ngokuthi iphaneli ye-lipid. Abesifazane abane-PCOS bangaba ne-cholesterol ephezulu. Ngenxa yokuhlangana kwe-PCOS ngokuphazanyiswa komzimba, kuhlanganise nesifo senhliziyo nesifo sikashukela, kubalulekile ukuqapha i-cholesterol yakho negazi legazi. Lokhu kuzovumela uchwepheshe wakho ukuba akuphathe ngokushesha uma uhlakulela izifo ezibangelwa isifo senhliziyo futhi unciphise imiphumela yazo.
Ngaphansi
Nakuba kungase kubonakale sengathi udokotela wakho uyala ukuhlola okuningi kwegazi, ungethuki. Lokhu kuyindlela ejwayelekile yokusebenza futhi kwenziwa ukuze kuqinisekiswe ukuthi ukuxilongwa okulungile kwenziwa ukuze ukwazi ukuqhubeka nokunakekelwa nokuphathwa okufanele.
> Imithombo:
> American Association for Clinical Chemistry. I-Polycystic Ovary Syndrome. Ukuhlolwa kwebhu ku-intanethi. Kubuyekezwe ngoNovemba 28, 2017.
> Abasebenzi beMayo Clinic. I-Polycystic Ovary Syndrome (i-PCOS). I-Mayo Clinic. Kubuyekezwe ngomhla ka-29 Agasti, 2017.
> Sirmans SM, i-Pate KA. I-Epidemiology, Ukuxilongwa, Nokuphathwa Kwe-Polycystic Ovary Syndrome. Epidemiology yezokwelapha . 2014; 6: 1-13. i-doi: 10.2147 / CLEP.S37559.