Kodi Polycystic Ovary Syndrome (PCOS) ndi chiyani?

Polycystic ovary syndrome ndi matenda a m`thupi amene amakhudza mmodzi mwa amayi khumi ndipo ndizomwe zimayambitsa kusabereka kwa akazi. Ndi mankhwala ati omwe angathe? Kodi matendawa amapezeka bwanji? Kodi hyperandrogenism ndi chiyani? Kusintha ndi dokotala wobala.

Tanthauzo: ovary polycystic, choyambitsa chofala cha kusabala

Ma ovary ndi gawo lofunikira pakubala. Pansi pa mphamvu ya mahomoni, ma follicles, omwe ali ndi oocyte, amakula kukula kumayambiriro kwa msambo. Pambuyo pake, imodzi yokha imapitilira kukula kwake mpaka kumapeto ndikutulutsa dzira lomwe limatha kuswana. Koma nthawi zina kusamvana kwa mahomoni kumakhudza njira yovutayi.

Matenda a polycystic ovary (PCOS) ndichizindikiro chimodzi cha izi. Amatchedwanso ovarian dystrophy, izi m`thupi matenda amakhudza 10% ya akazi a msinkhu wobereka. Zimadziwika ndi kuwonjezeka kwachilendo kwa kupanga ma androgens (mahomoni aamuna) m'matumbo a m'mimba omwe amachititsa kuwonjezeka kwa ma follicles a ovarian omwe amayambitsa kusalinganika kwa mahomoni. Izi zimatchedwa hyperandrogenism.

Izi zimabweretsa kusakhazikika kwa msambo ndi zovuta za ovulation zomwe zimapangitsa kuti pakhale mimba. M'kupita kwa nthawi, PCOS ingayambitsenso mavuto aakulu azaumoyo monga matenda a shuga ndi matenda a mtima. Komabe, matendawa sadziwikabe kwa odwala omwe nthawi zina amatenga zaka kuti awazindikire.

Kodi zizindikiro za polycystic ovary syndrome (PCOS) ndi ziti?

Zikuwoneka kuti pali chibadwa cha PCOS koma izi sizinatsimikizidwebe mwasayansi. Chinthu chimodzi ndi chotsimikizika: zinthu zachilengedwe, kuphatikizapo kunenepa kwambiri, zimakhudza matenda a polycystic ovary.

Ponena za zizindikiro, nthawi zambiri zimawonekera pa nthawi yoyamba ya msambo ndipo zimasiyana mosiyana ndi mkazi. Zizindikiro zodziwika bwino ndizovuta kutenga pakati chifukwa cha vuto la ovulation. Zimayambitsanso a kusokonezeka kwa msambo, zomwe zimatha kukhala zosakhazikika, zimatha masiku opitilira 35 mpaka 40, kapena kubweretsa palibe kusamba (amenorrhea).

Zizindikiro zina za PCOS ndi: 

• kunenepa
• ziphuphu zakumaso
• hyperpilosesity, ngakhale hirsutism mwa 70% ya akazi (tsitsi lambiri pankhope, pachifuwa, kumbuyo kapena matako)
• kuthothoka tsitsi, kotchedwa alopecia, yomwe ili pamwamba pamutu komanso pamlingo wa maphoko akutsogolo
• mawonekedwe amdima pakhungu, nthawi zambiri kumbuyo kwa khosi, mikono kapena groin
• maganizo
• nkhawa
• matenda obanika kutulo

Matenda a ovulation ndi udindo kusabereka pafupifupi 50% ya akazi ndi polycystic ovary.

Momwe mungadziwire matendawa ndikudziwa ngati tikukhudzidwa?

Kawirikawiri, kuti muzindikire PCOS, m'pofunika kuti muwonetsere njira ziwiri mwa zitatuzi: kusokonezeka kwa ovulation, kuchuluka kwa androgens kapena kuchuluka kwa ma follicles omwe amawonekera panthawi ya ultrasound. A abdominopelvic ultrasound ndi kuyesa magazi (mlingo wa shuga wamagazi, insulinemia, lipid balance kwa cholesterol ndi triglyceride) nthawi zambiri amalembedwa. 

Chithandizo cha ululu: momwe mungachiritse polycystic ovary syndrome?

Ngati mukuvutika ndi zizindikiro zilizonse zokhudzana ndi PCOS, ndikofunikira kuti muyambe mwawonana ndi dokotala yemwe azitha kuyang'anira zofunikira ndikuchotsa zomwe zingayambitse.

PCOS sichingachiritsidwe, koma pali njira zingapo zochitira kusamalira zizindikiro bwino. Muyeneranso kudziwa kuti matendawa amachepa pakapita nthawi chifukwa thumba la ovarian limachepa. Nthawi zina, kuchepa thupi kungathandize kubwezeretsanso kuzungulira kwa ovulation.

Kafukufuku wasonyeza kuti mwa amayi onenepa kwambiri, kutsika kwa 5% mu index mass index (BMI) kumatha kukhala ndi zotsatira zabwino pa polycystic ovary syndrome. A mapiritsi olerera Zingathandizenso kuwongolera kuzungulira kapena kuchepetsa mavuto a acne kapena hyperpilosity. 

Mimba: ndizotheka kutenga pakati ngakhale uli ndi PCOS?

Iwo amene amayesa kutero kutenga mimba ndi PCOS ayenera kuonana ndi katswiri wodziwa za chonde amene azitha kuona ngati ali ndi mavuto ena, monga kutsekeka kwa machubu kapena vuto la spermogram, asanapereke mankhwala alionse.

Le Clomifene Citrate (Clomid) Nthawi zambiri amalembedwa ngati chithandizo choyambirira chothandizira kuti ovulation ayambe. Tikulankhula za kukondoweza kwa ovarian. Mankhwalawa, omwe amafunikira kuwunika kozama kwachipatala, ndi othandiza pazovuta za ovulation mu 80% yamilandu. Mankhwala ena monga kukondoweza kwa ovarian ndi gonadotropins kapena In Vitro Fertilization (IVF) ndizothekanso.