Icho chiri PCOS kana chimwe Chimwe Chetano?
Kana uine polycystic ovary syndrome (PCOS), unogona kunge uine nhamba ipi zvayo yezviratidzo, sekunge kusina nguva yekuenda kumwedzi kana zviratidzo zvepamusoro uye androgen mazinga akafanana nemakumbo uye asina kunyanya bvudzi kukura ( hirsutism ). Kana iwe ukamira kumwedzi uye / kana chiremba wako achifungidzira kuongororwa kwePCOS, kuongororwa kwakawanda kweropa kunowanzoshambadzira kuti kuve nechokwadi chokuti chimwe chinhu hachisi kuitika, sechirwere chetachiona chisingaitiki kana chirwere chisingaoneki cheyrogen-chekuvhara.
Kuisa Zvikamu Pamwe Chete
Zvakakosha kuziva kuti nhoroondo yako uye kuongorora muviri kunobatsira pakuita kuti uonekwe kwePCOS, uye chiremba wako achashandisa zvose zviri kuongororwa ropa rako uye kuongorora kwako kubatana pamwe chete nekuongororwa. Kubva ikozvino, hapana kana slam-dunk test test kuti uongorore PCOS, saka chiremba wako angangodaro achiongorora mutsara uye zvichida ultrasound pamwe neropa rako rekuedza kuongorora zvimwe zvirwere zvinotevera zviratidzo zvako.
Mukuwedzera, rangarira kuti kana iwe wakarashikirwa nenguva yako kana kurega kuenda kumwedzi, iwe unogona kutengesa kuti kuedza kokutanga chiremba wako achaita kuedza kwekubata pamuviri, saka usashamiswa nezvichi, kunyange iwe uine chokwadi iwe uri kwete pamuviri. Mushure mezvo izvo zvichisimbisa zvisina kunaka, chiremba wako achaenderera mberi nekumwe kuongorora ropa.
FSH / LH Ropa Ropa
Hurukuri inokurudzira hormone (FSH) uye luteinizing hormone (LH) inobudiswa uye inosunungurwa nehutu hwepituitary, gland-scale size iri pasi peuropi yako.
FSH inokurudzira kukura kweiyo follicle mukati mevhiri, apo kuwedzera kweLH kunoita kusunungurwa kweii panguva yekuvhunga.
Zvakaitika kare zvirwere zvePCOS zvakagadzirwa zvichienderana neHL kusvika kuFSH chiyero chikuru kupfuura 3: 1. Izvi hazvisi izvo zvakare nokuti apo vakadzi vakawanda vane PCOS vakaramba vachiwedzera maHH emahombekombe muhupenyu hwavo hwose, hazvisi zvisizvo kune vamwe vakadzi vane PCOS kuti vave netsika dzakanaka dzehomoni.
Kunyange zvakadaro, vakadzi vane PCOS vanowanzove vane FSH mazinga ari pasi pezinga reHH, saka, zvakare, iyi test inogona kutsigira kuongororwa kwePCOS, asi kwete kusimbisa iyo.
Uyewo, kana FSH yako ichikwiridzirwa, inogona kuva chiratidzo chechiitiko chinonzi nguva isati yasvika.
DHEA / Testosterone Ropa Ropa
Dehydroepiandrosterone (DHEA) uye testosterone iviri ye androgens kana kuti mahomoni evanhu. Izvi uyerogens zvinokonzera vazhinji vevarume vanoita zvepabonde zviratidzo zvakadai sechinhu chisina kuchena bvudzi kukura kana kurasikirwa uye acne, iyo inotsanangura zviratidzo izvo vanotambura neCPOS. Androgens inokonzerawo kusaita kwemwedzi kune vakadzi.
Apo kukwirira kwe testosterone kunowanzoonekwa nevakadzi vane PCOS, zvakakosha kuziva kuti unogona kuva nezviratidzo zvemazinga akakura uyerorogen semakona nekukura kwebvudzi, asi uve neanorgenji yepamusoro pamazinga ekuongorora ropa kwako-uye uchiri neCPOS. Mune mamwe mazwi, chiremba anofanira kuisa pamwe kuongorora kwako kwepanyama nemairabhu ako kuitira kuti uone.
Kazhinji, nhamba yepamusoro ye testosterone inogona kuva chiratidzo chechirwere che-androgen-chekuvhara chirwere chechivharo. Saizvozvowo, mahwendefa eDHEA akakwirira angave ari chiratidzo chechirwere che-androgen-chekuchengetedza zvinonzi adrenal glands (zviduku zviduku zvinogara pamusoro petsvo dzako).
17-Hydroxyprogesterone Ropa Ropa
Iyi kuongororwa ropa kunoshandiswa kugona kuvapo kwekupedzisira-kutanga congenital adrenal hyperplasia , chimwe chiitiko chekurapa chinogona kutevedzera zviratidzo zvePCOS.
Thyroid Function Ropa Ropa
Iyi miedzo inoshandiswa kutonga kunze kwehutachiona husina kunaka sechikonzero chekuenda kwako kumwedzi kusina. Utachiona hunokurudzira hormone (TSH) hunovigwawo nehana yepituitary uye inodzora kusunungurwa kwehomoni mbiri dzeTroid , T3 uye T4. Aya mahomoni maviri anoronga kushandiswa kwemashoko ekutanga uye anogona kugadzira kuchinja kwemwedzi kufanana neavo muPCOS. Izvo zvakakwirira kana kuti zvishoma kudarika zviyero zvebasa zvinogona kuratidza chirwere chetrosi uye chinofanira kuteverwa.
Prolactin Blood Test
Iyo yakavanzika nemapituitary, prolactin inonzi hormone iyo inonyanya kuita basa iri kukurudzira lactation kuvakadzi. Kukosha kwepamusoro kunogona kukonzera kusakwana kwekuenda kumwedzi. Kana uwandu hwako hwakakwiridzirwa, chiremba wako achaedza utachiona hwako kana iye asati atove asina kutora hypothyroidism inogona kukonzera prolactin yakakwirira yepamusoro. Mukuwedzera, chiremba wako anorayira MRI yepituitary gland kuti aongorore nokuda kwechirwere chinonzi prolactinoma.
Ropa Rinoedzwa Kana Kuongororwa neCPOS
Kana chiremba wako achikuongorora iwe neCPOS, iye achada kukuongororesa zvechirwere chechirwere cheshuga uye yepamusoro cholesterol, iyo inowanzosanganiswa nehutachiona hwevakadzi vane PCOS. Aya maedzo anosanganisira:
Glucose tolerance test (GTT): Uyu muedzo unobvumira chiremba wako kuti aone mhinduro yako kune shuga inokurudzira. Insulin ndiyo hormone huru inosangana nehuga uye mafuta mukati memuviri wako. Muongorori achakupa iwe unotapira zvikuru, sukari yekuswa. Kuyera ropa kunotorwa musati muteyedzo uchitanga uye kwemaawa maviri kana apfuura. Urin samples inogona kuunganidzwa pamwe nekuyera glucose mumuguta wako. Zvakakosha kuti usadye kana kunwa chero chinhu kana chiyero chakatanga, kana kwemaawa gumi nemaviri zvisati zvaitika, sezvo zvichabata mhinduro. Kazhinji, shuga yeropa inofanira kudzokera kune yakajairika mukati meawa maviri. Kana huwandu hwehuga hweropa huri pamusoro pekuedzwa, hunogona kuratidza kuti muviri wako hauna kupindura nokukurumidza ku insulin, zvichiratidza kufungidzira kwe prediabetes kana chirwere cheshuga. Chiremba wako angagutsikana uku kuwana kusina kukodzera kuburikidza nekudzokorora kuedzwa.
- Cholesterol test: Ichi chiyero dzimwe nguva chinonzi chidimbu chepombi. Vakadzi vane PCOS vanogona kunge vane cholesterol yakakwirira. Nemhaka yekushamwaridzana kwePCOS nekushungurudzika kwemagetsi, kusanganisira chirwere chemwoyo uye chirwere cheshuga, zvakakosha kutarisa cholesterol yako neropa rega. Izvi zvinobvumira mushandi wako kukurumidza kukubata iwe kana iwe ukava nehuwandu hunokonzera chirwere chemwoyo uye kuderedza migumisiro yavo.
Pasi Pasi
Kunyange zvazvo zvingaita sokuti chiremba wako ari kuronga kuongororwa kwakawanda kweropa, usashamiswa. Izvo zvinowanzoitika purogiramu uye zvinoitwa kuti ivimbise kuti chirongwa chekodzero chinogadzirwa chinoitwa kuitira kuti ugone kuenda mberi nekutarisira kwakakodzera uye kurapwa.
> Sources:
> American Association for Clinical Chemistry. Polycystic Ovary Syndrome. Lab Test Tests Online. Yakapedzwa musi waNovember 28, 2017.
> Mayo Clinic Staff. Polycystic Ovary Syndrome (PCOS). Mayo Clinic. Yakavandudzwa August 29, 2017.
> Sirmans SM, Pate KA. Epidemiology, Diagnosis, uye Management of Polycystic Ovary Syndrome. Clinical Epidemiology . 2014; 6: 1-13. doi: 10.2147 / CLEP.S37559.