Uma une-polycystic ovary syndrome (i-PCOS) futhi uthola kunzima ukulahlekelwa isisindo, awuwedwa. Ngaphezu kwengxenye yabo bonke abesifazane abane-PCOS banamandla kakhulu. Iseluleko esivela kubahlinzeki benakekelo yezezempilo ukulahlekelwa isisindo , kodwa labo abane-syndrome bayazi ukuthi akulula lokho. Nazi ezinye izizathu ezichaza ukuthi kungani kunzima nakakhulu ukuthi abesifazane abane-PCOS banciphise isisindo.
Umzimba Wakho Umodi Yokugcina I-Fat
I-insulini iyi-hormone ehambisa i-glucose (umthombo wakho oyinhloko kagesi) kusuka egazini lakho emangceleni akho lapho lingasetshenziswa njengamandla. I-PCOS ithinta ukuvikeleka komzimba wakho nokusetshenziswa kwe-insulini. Amaseli akho aphikisana nezibonakaliso ze-insulin futhi lokhu kwenza ama-pancreas akho akhiqize i-insulin engaphezulu. I-insulin eningi kakhulu ikhuthaza isitoreji samafutha noma inzuzo yesisindo, ikakhulukazi emkhatsini wakho, efana "nesondo lokuphumula" ngenhla inkinobho yakho yesisu. Uma uthola isisindo esiningi noma ungeke ulahlekelwe isisindo ngaphandle kokushintshwa okuphawulekayo ekudleni noma ekuzivocavoca, insulin engaphezu kweqile ingaba yikhohlisa. Izinketho zokwelapha ze-PCOS zijwayele ukunciphisa amazinga e-insulin futhi zibandakanya ukuguqulwa kokudla, ukuzivocavoca, kanye nemithi noma izithako.
Uyi-Hungrier
Njengengxenye yokugqugquzela ukugcinwa kwe-fat, i-insulin yenza njenge-hormone eshukumisa ukudla. Amazinga aphezulu e-insulini angachaza ukuthi kungani abanye besifazane abane-PCOS bezwa indlala.
Ama-strong insulin amelana nezifiso eziqinile, eziqinile, ngisho nokuphuthuma . Uma kungakapheli, lezi zifiso zingabhubhisa ngisho nemikhuba emihle yokudla, okuholela ekusebenziseni ikhalori ephezulu nokuzuza kwesisindo.
Ukudla kaningi, kubandakanya amaprotheni anele nokudla, nokugwema ukudla okuyishukela kuyizo zonke izindlela eziwusizo zokunciphisa ukuthanda.
Ukufisa Ukudla-Ukulawula AmaHormoni
Esinye isici esingahle senze ukulahlekelwa isisindo nesisindo sokunakekelwa kunzima kwabesifazane abane-PCOS yizikhumbuso ezingavamile ze-hormonal ezilawula ukudla nokudla. Amazinga we-hormone elawula ukudla okudlayo i-ghrelin, i-cholecystokinin, ne- leptin ziye zaboniswa ukuthi zikhubazekile kwabesifazane abane-PCOS. Amazinga asebenzayo ala ma-hormone angase avuselele indlala kwabesifazane abane-PCOS, okwenza kube nokwandiswa kokudla kanye nobunzima bokulawula isisindo.
Ukudla kwakho akungalingani
Uma ubukele ukudla kwakho futhi namanje ungaboni ama-pounds avela, kungaba izinhlobo zokudla odlayo. Ucwaningo olwenziwa ngo-2010 luqhathanisa ukudla kwe-glycemic ephansi ekudleni okuvamile, okunempilo kwe-fiber kubesifazane abane-PCOS. Womabili amaqembu adla inani elifanayo lama-calories futhi adla ukusabalalisa okufanayo kwama-macronutrients (amaphesenti angu-50 ama-carbohydrates, amaprotheni angu-23, ama-25 amaphesenti amafutha, ama-gram angu-34 ama-fibre). Umehluko owodwa kuphela inkomba ye-glycemic (GI) yokudla. Abesifazane abane-PCOS abalandela ukudla okuphansi kwe-GI babonisa ukuthuthukiswa okuphindwe kabili ku-insulin futhi babe nokujwayelekile kokuya esikhathini. Lokhu kutholakala kusikisela ukuthi labo abanamazinga aphezulu e-insulin bangakwazi ukulahlekelwa isisindo esilandelayo emva kokudla okuphansi kwe-glycemic index.
Ukungadli izithelo nemifino okwanele nakho kungathinta ukulahleka kwesisindo. Ucwaningo lubuthole ukuthi abesifazane abane-PCOS abalandela izindlela zokudla zokumisa ukucindezeleka (DASH) ukudla plan babonisa ukuthuthukiswa kwe-insulin nokulahlekelwa kwamafutha esiswini. Ukudla kwe-DASH kwakunama-carbohydrates angu-52, amaphesenti angu-18 amaprotheni, namaphesenti angama-30 amafutha, futhi ucebile izithelo, imifino, okusanhlamvu okuphelele kanye nemikhiqizo yobisi ephansi.
Awunqandekile I-Apnea Yokulala
Abesifazane abane-PCOS basengozini enkulu kakhulu yokuphefumula kokuphefumula kokulala uma kuqhathaniswa nabesifazane ngaphandle kwesimo. I-apnea yokulala engavimbelekile iyenzeka uma kuvinjelwa umoya ophezulu owenza ukungabi khona kwe-oxygen ngesikhathi sokulala.
Lokhu kubangela ukulala kwansuku zonke , ukucindezelwa kwegazi eliphezulu, nokuzuza kwesisindo.
Ngesikhathi isisindo somzimba esiningi ngokweqile kuyingxenye enkulu yokubamba i-apnea, amazinga aphakeme we-androgens (amahomoni wesilisa afana ne-testosterone) abonakala ku-PCOS, akholelwa ukuthi athatha indima ekuthinteni ubuthongo bokulala. Ukuntula ubuthongo kuhlotshaniswa nokuphikiswa kwe-insulin nokuzuza kwesisindo. Uma i-apnea enkulu yokulala, iphakamisa ingozi yokubekezelelana kwe-glucose, ngakho-ke kunconywa ukuthi bonke abesifazane abane-PCOS bathole ukuhlolwa kwe-apnea yokuvimbela ubuthongo futhi bathole ukwelashwa okufanele uma kutholakala.
> Imithombo:
> Asemi Z, Esmaillzadeh A. DASH Ukudla, Ukuphikiswa Kwe-Insulin, neSerum hs-CRP ku-Polycystic Ovary Syndrome: Isivivinyo Sokulawulwa Kwemithi Elawulwa Ngalokhu. I-Horm Metab Res . 2014; 47 (3): 232-8.
> Fernandez R, Moore V, uRyswyk EV, et al. Ukuphazamiseka kokulala kwabesifazane abane-polycystic syndrome ye-ovary syndrome: ukusabalalisa, ukuphazamiseka kwamathambo, amathonya nokuphathwa kwamasu. Imvelo neSayensi Yokulala . 2018; Umqulu 10: 45-64. i-doi: 10.2147 / nss.s127475.
> Kedikova SE, Sirakov MM, Boyadzhieva MV. Amazinga we-Leptin kanye namaphesenti we-adipose amathishu kubantwana abane-polycystic ovary syndrome. I-Gynecol Endocrinol . 2013; 29 (4): 384-387.
> I-J, i-Lin TC, i-Liu W. I-hormone yamathumbu kanye nesifo se-polycystic ovary syndrome. I-Endocrine . 2014; 47 (3): 668-678. i-doi: 10.1007 / s12020-014-0275-1.
> Marsh K, et al. Imiphumela yenkomba ephansi ye-glycemic uma kuqhathaniswa nokudla okuvamile kwi-polycystic ovary syndrome. I-Am J Clin Nutr. 2010; 92: 83-92.