Ukukhathazeka Okujwayelekile Uma Umngane Wakho Engenayo I-Polycystic Ovary Syndrome
Uma umkakho noma umlingani wakho ene-polycystic syndrome ye-ovary (PCOS), akayedwa. Okungenani owesifazane kwabayishumi abahluphekile nge-PCOS. Kodwa ngenkathi kungesaba ukuzwa ukuthi umlingani wakho unesimo sezokwelapha, sicela wazi ukuthi angaphila impilo ephilile uma i-PCOS yakhe iphethwe kahle.
Kunezinguquko umlingani wakho ozodinga ukwenza ukuze aphathe isimo sakhe, futhi uzodinga ukulandelana nodokotela wakhe njalo.
Kodwa i-PCOS ayiyona isifo esibulalayo noma esiyingozi futhi iningi labesifazane abane-condition benza kahle kakhulu.
Lokho kusho ukuthi ngeke siphike ukuthi kunezinselelo zokuhlala nomuntu ophethe i-PCOS. I-PCOS ingabangela izimpawu ezidabukisayo nokuphathwa kungaba nzima. Ukuba nomlingani onothando ongasebenza naye, noma kunjalo, angenza umehluko omkhulu ekusebenziseni lezi zimpawu namuhla nombono wakhe wesikhathi eside.
Ake sibuke izimpawu ezivamile ze-PCOS, ezinye zezindlela eziphethwe ngayo, kanye nendima isimo esingase sidlale ngokungenzi lutho kuwe nomlingani wakho.
Ukuchaza i-Polycystic Ovarian Syndrome (i-PCOS)
I-Polycystic ovarian syndrome, noma i-PCOS, yisimo lapho umzimba wesifazane ubeka khona ama-hormone abesilisa abengeziwe, okuthiwa i-androgens. Lokhu ngokweqile ku-androgens kungabangela ukuthi ama-ovari akhe akhiqize izinhlobo eziningi zezinyosi zamaqanda inyanga ngayinye, "ama-ovaries we-polycystic" aphethe igama lesi simo.
I-androgens eyengeziwe futhi ibhekene nezinye izimpawu zalesi simo.
Emjikelezweni ojwayelekile oya esikhathini, ukuguqulwa kwama-hormonal kubangelwa ukuvuthwa nokukhululwa kweqanda phakathi nomjikelezo ngamunye. Ngenxa ye-androgens engaphezu kwalokho, ama-follicles ovary woman do not mature ngokugcwele futhi akhululwa, okuholela ekuthuthukiseni ama-cysts amancane ama-ovarian angabonakala kwi-ultrasound.
Njengoba ukuvuthwa ngokuvamile kungahluleki, ukuchithwa kwe-uterine lining (esikhathini sokuya esikhathini) kuvame ukuhluleka futhi. Lokhu kuholela ezimpawu ezivamile zezinkathi ezingavamile, futhi ngokuvamile, ukungasebenzi.
Asinaso isiqiniseko sokuthi kungani kubangelwa i-androgens engaphezu kwemithwalo yemfanelo yemitholampilo ye-PCOS. Kubonakala kungase kube khona ezinye izakhi zofuzo, futhi zingasebenza emindenini. Imikhombandlela ihlanganisa ukudlula kwe-insulini (ngenxa yokungamemezeli kwe-insulin) okuholela ekwenzeni ukwanda kokukhiqizwa kwe-androgens, noma ukuvuvukala kwezinga eliphansi kuma-ovari futhi kuholele ekwenzeni ukwanda kwe-androgens. Kubalulekile ukuthi umlingani wesifazane ophethe i-PCOS aqaphele ukuthi akenzanga lutho olubi ukuze abangele isimo sakhe. Esikhundleni salokho, udinga ukwesekwa kwakho ukubhekana nesimiso abesifazane abaningi kakhulu abakhulayo ngenxa yezizathu ezingaziwa.
Izimpawu ze-PCOS
Abesifazane abane-PCOS bavame ukuba nezimpawu ezihlobene namazinga aphezulu a-androgen kanye nomphumela wama-hormone onama thuluzi ahlukahlukene emzimbeni.
Izimpawu ezivamile zihlanganisa:
- Izikhathi ezingavamile (i-oligomenorrhea) noma izikhathi ezingekho ( amenorrhea )
- I-acne
- Izinwele nezinwele oily
- Ukukhula kwezinwele okungavamile (i- hirsutism )
- Amaphutha amasha avamile
- Ukukhuluphala
- Ukuphikiswa kwe-insulini, ngenengozi eyengeziwe yokuthuthukisa isifo sikashukela
- Umfutho wegazi ophezulu
- I-cholesterol ephakeme
Abesifazane abaningi banezimbalwa ezimbalwa zalezi zimpawu, okungenza kube nzima ukwenza ukuxilongwa.
Ukuxilongwa
Umlingani wakho angase akhungatheke uma esanda kutholakala ukuthi une-PCOS, futhi kungenzeka uzibuze ukuthi lokhu kungenzeka kanjani. I-PCOS ivame ukungaziwa kuze kube yilapho owesifazane eseneminyaka engama-20 noma engu-30. Isizathu salokhu ukuthi izimpawu ezinjengezikhathi ezingavamile kanye nama-acne zivame ukukhula eminyakeni eyishumi nambili. Ngaphezu kwalokho, ukusetshenziswa kwamaphilisi okulawula ukuzalwa (enye yezokwelapha ezisetshenziselwa i-PCOS) ingafihla izimpawu.
Kunezici eziningana ezihlolwe ukuze kutholakale ukuxilongwa kwe-PCOS.
Uma udokotela ethatha umlando futhi ehlolwa ngokomzimba angase azwe noma abone ezinye zezibonakaliso. Ukuhlolwa kweLab ukuxilonga i-PCOS kungabonisa ukuthi kune- androgens enyukayo kanye nezinga elikhulayo le-hormone yokuqondisa (LH). Imigomo ye- ultrasound ye-transvaginal ye-PCOS nayo ibalulekile ekuchazeni izimpawu ezitholakala kwi-ultrasound.
Ukuphathwa kwe-PCOS
Izindlela ezithile zokwelashwa ezisetshenziselwa i-PCOS zizoxhomekeka eziningana zezici, ezifana nobukhulu bezimpawu nesifiso sowesifazane sokukhulelwa noma ukugwema ukukhulelwa.
Ukugcina isisindo esinempilo ngokuzivocavoca umzimba njalo nokudla okunempilo kuyadingeka, njengoba kuhambela njalo nodokotela wakhe . Ingxenye yokuhlola kwakhe ngonyaka kufanele ihlanganise nokuhlolwa kwegazi kwegazi (isifo sikashukela), ukucindezelwa kwegazi, namazinga e-cholesterol. Ukwelashwa kwangasese kuyisihluthulelo sokwelapha nokuvimbela lezi zinkinga.
Kudingeka futhi abone umjokazi wakhe wezifo ngonyaka (noma njengoba ephakanyiswa udokotela wakhe) ukuqinisekisa ukuthi uthola isikhathi esivamile (noma okungenani izikhathi ezingu-4 ngonyaka).
Phakathi nomjikelezo ojwayelekile oya esikhathini, i-endometrium ibonakala kuma-hormone, njenge-estrogen, okubangela ukuthi i-lining ikhule futhi ikhuphuke. Lapho i-ovulation ingenzeki (okuyiyona ejwayelekile ku-PCOS), i-lining ayikhiphi futhi ivulelwe inani eliphakeme kakhulu le-estrogen. Ngokuhamba kwesikhathi, lokhu kungabangela ukuqina kwe-endometrium futhi kungahle kwenzeke owesifazane ukuba akhe umdlavuza we-endometrial (uterine) (bheka ngezansi).
Imithi Nezokwelapha ze-PCOS
Kunezidakamizwa eziningana ezingasetshenziswa ukulawula izimpawu, ezifana namaphilisi okulawula ukubeletha namanye amahomoni. I-glucophage (metformin) iyimithi esetshenziselwa ukubhekana nokuvikela ukumelana nesisindo kepha ingasiza ukulawula imijikelezo yokuya esikhathini nokusiza ngokulawulwa kwesisindo. I-Inositol iyisengezo esinikeza isithembiso sabesifazane abane-PCOS.
Izinwele ezibukeka ngokweqile zingabangela ubunzima besifazane abane-PCOS. Izinketho ezahlukene zokususa izinwele zingase zivivinywe, noma imithi yeProscar / Propecia (i-finasteride) ingasiza ekunciphiseni ukukhula kwezinwele okungadingeki.
Ukukhuluphala kungaba inkemba enqenqemeni kabili njengoba isimo singase sibe negalelo ekukhulupheni ngokweqile ngenkathi isisindo esinzima singasondeza isimo. Kuye kwaba nokucwaninga okukhulu okwenziwayo ekulahlekelweni kwesisindo kanye ne-PCOS ngezindlela eziningi ezibonisa isithembiso.
Ukungabi nalutho okuhlobene ne-PCOS
Ngeshwa, ukungabi nalutho kuyinkinga evamile ehlotshaniswa ne-PCOS, ngoba nje isifo sibangela ukuvuthwa okungavamile.
Ngaphandle kokukhululwa kweqanda, akukho lutho lokujoyina isidoda futhi ukukhulelwa ngeke kwenzeke. Ngakho-ke, uma umlingani wakho engekho ovulating njalo, bobabili ningase nibe nobunzima ekuqapheliseni ukuthi ngabe niyithandana nobani ukuze nikhulelwe.
Izindaba ezinhle ukuthi ukukhulelwa akunakwenzeka nge-PCOS . Yize kungaba yinkinga, kunezinhlobo eziningi zokwelashwa ezitholakalayo. Kungase kudingeke ufune usizo lomchwepheshe wokuzala noma i-endocrinologist yokuzala.
Kukhona imithi yomlomo, izidakamizwa ezijoqayo, kanye ne-IVF njengendlela ongakhetha kuyo. Nakuba kungewona indlela imibhangqwana eminingi enombono yokuqala umndeni wayo, lezi zonyango ziphumelela kakhulu emibhangqwaneni eminingi.
Izinkinga kanye nokukhathazeka kwesikhathi eside okuhlobene ne-PCOS
Abesifazane abanalesi sifo banengozi enkulu yokuthuthukisa isifo sikashukela, umfutho wegazi ophakeme, i-cholesterol ephakeme, nesifo senhliziyo ( syndrome ). Zonke lezi ziyakwelashwa noma zivinjelwe, kodwa kuzodingeka wenze izinguquko ezithile.
Abesifazane abane-PCOS banethuba elincane kakhulu lokuthuthukisa umdlavuza we-endometrial kunabesifazane abangenawo i-PCOS. Uma abesifazane besenesikhathi esingavamile futhi esincane , ingozi enkulu iba yilapho.
I-apnea yokulala yinto evamile kakhulu phakathi kwabesifazane abane-PCOS, futhi abalingani basesimweni esihle kakhulu sokubona ezinye zezimpawu.
Ukusekela Othandekayo Wakho Nge-PCOS
Kunezinto eziningi ongayenza ukuze usekele umlingani wakho nge-PCOS.
Okokuqala, yenza indlela yokuphila ishintshe naye, esikhundleni sokumlingisa ngaphandle. Kulula kakhulu ukunamathela ekudleni okunempilo uma umlingani wakho enza kanjalo. Esikhundleni sokuphuma esidlweni noma i-movie, hamba ukugibela noma ukuhamba ngebhayisikili ndawonye. Thola izindlela zokusebenza ndawonye.
Funda mayelana nezinketho zokwelapha ze-PCOS ukuze ukwazi ukuxoxa ngezinqumo zakhe futhi uyazi imiphumela emibi engaba khona. Abaningi besifazane bayakwazisa umlingani ongamamukeli nje kuphela kodwa uyathandeka ngokukhethekile kulokho okwenzekayo. Cabanga ukuthi uzoya esikhwameni naye futhi usebenzise ummeli wakhe ukuze athole ukunakekelwa okungcono kakhulu.
Zenza ukubekezela. Ukuba nesimo sezokwelapha esingapheli kunzima ngokwanele, kodwa nge-PCOS, amazinga e-hormonal aphethwe futhi futhi angahlanganisa ukukhungatheka. Abanye besifazane abanezimo baye bathi kubonakala sengathi bane-premenstrual syndrome yonke inyanga. Uma umlingani wakho ezwa ecasulayo, zama ukuhlukanisa iziphathamandla zakhe kusuka kulowo muntu njengomuntu.
Funda "ukufunda phakathi kwemigqa." Ukukhathazeka ngokobulili kungaba yinkinga emibhangqwana ehlala ne-PCOS. Kodwa ekucwaningweni olulodwa, i-acne yimbangela eyinhloko yokunganeliseki ngokocansi phakathi kwabesifazane abane-PCOS. Abalingani bangase bakholelwe ukuthi ukungabi nesithakazelo kwesifazane kubonisa ukungabi nentshisekelo kubo, noma esikhundleni sokuthukuthela. Kodwa-ke, kulokhu, indlela enhle yokuthuthukisa ukusondelana ngokobulili kungenzeka ukuthi ukhulume nodokotela wakhe ngezinketho ezingcono zokwelashwa ze-PCOS-eyabanjwe induna!
Yisekela futhi uqonde uma ehlukunyezwa nokuzihlonipha kwakhe noma isimo sakhe sengqondo. I-PCOS nokucindezeleka nakho kungasondela ngesandla.
Uma ubhekene nokungaqiniseki qinisekisa ukuthi uyaqonda ukuthi akuyona nje inkinga yakhe. Ukubona umeluleki noma isazi sokusebenza kwengqondo njengombhangqwana kungasiza kakhulu uma ubhekana nalezi zinto ezikhathazayo.
Cabanga ukuya ekhomishini ye- PCOS naye. Lezi zenzakalo ezinhle kakhulu zokufunda ukwaziswa kwamuva mayelana ne-PCOS ngenkathi inikeza amathuba okusekela abesifazane abasebenzisa izimpawu. Iminingi yale mihlangano empeleni inezinkinga futhi imihlangano eyenzelwe abathandekayo balabo abane-PCOS.
Ngaphansi kwezakwethu zabesifazane abane-PCOS
Umlingani wakho angase adumale kakhulu uma ethola ukuthi une-PCOS, kodwa nomlingani osekelayo, uhambo lukwazi ukuphathwa okuningi. Njengoba izimpawu zesimo zingacasula futhi uzokudinga ukusekela, qiniseka ukuthi unesistimu yokusekela ukuze uthole ukwesekwa okudingayo.
Kakhulu ngangokunokwenzeka, zama ukugxila "kwi-linings yesiliva" yesimo somlingani wakho. Ukubhekana nesifo esingapheli kuyinselele, kepha kungabangela abalingani ukuthi bakhulume ezingeni elijulile kunalabo abangabonakali kulezi zinselelo. Ngokuqonda ezinye zezinto eziyisisekelo ze-PCOS ezixoxwe lapha, thatha isikhashana ucabange ukuthi ungakhuluma kanjani nomlingani wakho nge-PCOS.
> Imithombo:
> De Frene, V., Verhofstadt, L., Loeys, T. et al. Ukwaneliseka ngokocansi nobudlelwane emibhangqwaneni lapho owesifazane ephethe i-Polycystic i-Ovary Syndrome: Ukuhlaziywa kweDyadic. Ukukhiqizwa kwabantu . 2015. 30 (3): 625-31.
> Hadjiconstantinou, M., Mani, H., Patel, N. et al. Ukuqonda Nokusekela Abesifazane abane-Polycystic Ovary Syndrome: Isifundo Esifanelekayo Esikhathini Esihlukile Sase-UK Sample. I-Endocrine Connections . 2017. 6 (5): 323-330.
> Rowlands, I., Teede, H., Lucke, J., Dobson, A., noG. Mishra. Ukucindezeleka Kwengqondo Yabesifazane Abasha Emva kokuthola I-Polycystic Ovary Syndrome noma i-Endometriosis. Ukukhiqizwa kwabantu . 2016. 31 (9): 2072-81.
> Stapinska-Syniec, A., Grabowska, K., Szpotanska-Sikorska, A., no B. Pietrzak. Ukucindezeleka, Ukwaneliseka Ngokocansi, nezinye Izinkinga Zengqondo Kwabesifazane abane-Polycystic Ovary Syndrome. I-Endocrinology ye-Gynecological . 2018. 16: 1-4.