Zviratidzo Zvokuziva Kuziva Kuzivikanwa kwePolycystic Ovarian Syndrome (PCOS)
Transvaginal ultrasound ndechimwe chezvinhu zvinoshandiswa nechiremba pazvinosvika pakutsvaga polycystic ovary syndrome (PCOS). Mifananidzo yakawanikwa pa-ultrasound, pamwe chete nemigumisiro yeropa rekuongorora uye nhoroondo yepamusoro yevarwere uye yenyama, inoshandiswa kuongororwa iyi syndrome.
Kuongororwa Polycystic Ovary Syndrome (PCOS)
Inozivikanwa nehuwandu hwakawanda hwe androgens, (mahomoni evanhu sa testosterone), polycystic ovary syndrome (PCOS) kusagadzikana kwehomoni dzepabonde.
Sezvo mahomoni aya anobatanidzwa mukugadzirisa kwehutano hwemuviri kubvira pakubereka kusvika pakugadzirisa muviri, mamiriro acho anogona kutungamirira kune zviratidzo zvakasiyana-siyana uye zviratidzo zvePCOS .
PCOS Exclusions
Nhanho yekutanga kana uchitarisa zviratidzo zvako, kuongorora uye kuongororwa kwebhakato ndekuregedza zvimwe zvinetso zvinogona kuita kuti zviwanikwe . Iyi mitemo (iyo inogona kuonekwa yakafanana neCPOS asi yakasiyana) inosanganisira:
- Chirwere chetachiona - Kusiyanisa PCOS kubva kune chirwere chetachiona kunowedzera zvakaoma mune kuti mamwe maitiro ehutachiona anowanzoonekwa nevanhu vane PCOS, uye dzimwe dzedzidzo dzinoshandiswa kutsvaga zvinetso zvetachiona hazvina kururama kuvanhu vane PCOS.
- Hyperprolactinemia
- Congenital adrenal hyperplasia
- Cushing's disease
Zviratidzo zvekuona nezvePCOS (Zvinonzi Rotterdam Criteria)
Ikozvino maitiro ekuongororwa kwevakadzi vane PCOS inotaura kuti mukadzi ane PCOS kana ane zvinhu zviviri zvinotevera zvinotevera (pamwe nekuregererwa kwezvimwe zvose zvinodiwa):
1. Kusagadzikana kana kusina nguva yekuenda kumwedzi (masere masere kana mashoma mugore rimwe). Sezvo zviviri chete zvezvikonzero zvitatu izvi zvinoda kusangana, kune vakadzi vanozosangana nemirairo yekuongororwa kwePCOS pasinei nekugara vaine mwedzi pamwedzi.
2. High androgens pamusoro pebasa reropa kana zviratidzo zve-androgens yakakura mumuviri akadai semakine, kunyanya kubvudzira bvudzi ( hirsutism ), kana kukanganiswa kwebvudzi rinoratidzika ( androgenic alopecia ).
Kuyera ropa kunowanzobudisa testosterone yakakwirira uye mahesera eestesterone asina kusununguka uye dehydroepiandrosterone sulfate (DHEAS) mazinga .
3. Kuvapo kwe follicles-inowanzonzi se-cysts zvisina kururama-pane ultrasound (ona tsanangudzo iri pasi apa). Mimwe mitero inotsanangura PCOS seine 12 kana kupfuura yakawanda follicles (iyo iri pakati pemapfumbamwe nemapfumbamwe mumamita) mukati mavo mavari. Zvisinei, muUnited States, vanachiremba havawanzovimba chete pane tsanangudzo iyoyo kuitira kuti vaongororwe. Kune vakadzi vazhinji vane ma-cystic ovari vasina zviratidzo zve hyperandrogenism, uye vakadzi vakawanda vakave vaine hutachiwana hwePCOS avo vasina kamba "cystic" mavari. Zvidzidzo zvenguva pfupi zvinoratidza kuti kuenzanisa kupikisa kwema-hormone mahomoni kunogona kunge kwakakosha kunotsigira transvaginal ultrasound mune dzimwe nguva kuti kuongororwa kwePCOS.
Kana Kuziva Kwako kusina chokwadi
Kana iwe usina chokwadi nezvekuongorora kwako kwePCOS (kana kusava neumwe), hazvigoni kukuvadza kuwana mhinduro yechipiri. Endocrinologist uye endocrinologists ekuberekorora ndivo vanoongorori vezvehutano vane huwandu hwekuwedzera mukuongorora nekurapa zvirwere zvehomoni. Tarisa muAmerican Society yeRecductive Medicine kana kuti Androgen Excess uye PCOS Society yekukurudzira kwemukati.
Inonzi Transvaginal Ultrasound Inoitwa Sei?
A transvaginal ultrasound inogona kuitwa muhofisi yechiremba. Nokuda kwekuita, iwe unogona kukumbirwa kunwa kusvika pamasero makumi maviri emvura yemvura usati waedzwa kuti uzadze chidimbu chako, zvichiita kuti zvive nyore kuona mavhavhai ako. Purojekiti yakatsvedzwa yakashongedzwa yakaiswa mukati memukadzi, iyo inotumira chifananidzo chemukati mukati mechigadziko. Unyanzvi we ultrasound ndiye unoyera uye unotora mifananidzo yemapirovhisi ako uye unogovana navo nechiremba wako.
Inonzi Transvaginal Ultrasound Inokuvadza Here?
Vamwe vakadzi vanogona kunetseka zvikuru apo nyanzvi inoputira pasi munguva ye ultrasound (rangarirai, chizere chakakwana!), Zvichienderana nekushanda uko mwanakomanaographer anogona kuwana nhengo dzomukati dzinobereka .
Chii Chiremba Anotarisa pane Ultrasound?
Uyu mwanaographer achaongorora chibereko chako, chibereko chechirwere, uye chibereko. Nhamba ye follicles pane wako ovary ichaverengwa kuti ibudise izvo zvinozivikanwa se antral follicle count (AFC).
Chii Chinonzi Antral Follicles?
Antral follicles iri kuponesa follicles inowanikwa muvharidziro pakutanga kwemwedzi mumwe nomumwe. Iyo inenge inenge maviri kusvika kunepfumbamwe mumasero (pasi pehafu yehafu inch). A high antral follicle count inoratidza kuti mukadzi ane mazana mazai anoramba ari mukati maro uye, mune dzimwe nguva, PCOS.
Tsanga dzinopikisana neHupenzi muPCOS
Zvose ma cysts uye follicles zvinowanzoonekwa kune vakadzi vane PCOS kupfuura avo vasina mamiriro. Vakawanda vanovhiringidza cysts ne follicles.
Pasinei nezita rayo, vakadzi vane PCOS havawanzogadzira makirasi, asi panzvimbo yepillicles vanoshandiswa sechikamu chekuongorora chirwere (ona pasi apa). Zita rekushandurwa kwePCOS rakagadziridzwa kubvisa kuvhiringidzika uye kudzidzisa zvakanaka vadzidzisi vehutano nevatengi.
Vakadzi vane PCOS vanowanzobereka zvipembenene, izvo zviduku zvitsva zvemasvini muhuvha uye zvinoguma, kwete chikonzero che, kusaenzana kwehomoni dzepabonde. Mwedzi woga woga, mukadzi anoita zvipukanana zvinokura uye zvinosunungurwa kubva mumavhizha kuitira kuti zvive nekuita. Nemhaka yekusanzwisiswa kwehomoni, idzi follicles hazvikure uye hadzibudiswi nemashizha, izvo zvinowanzokonzera kusapera. Dzidza zvakawanda pamusoro pezvikonzero uye mudzi wechinetso neCPOS .
Pasi Panoona Kuongorora PCOS Ne Transvaginal Ultrasound
Kuongororwa kwePCOS kunogona kupedza nguva uye kunetseka. Mamwe mamiriro ezvinhu anogona kuita kuti zviratidzo zvakafanana zvinotarisirwa kutanga, uye zviratidzo zvakadai sokuenda kumwedzi zvisina kunaka uye uchapupu hwehuwandu hwe androgen hunoongororwa. Transvaginal ultrasound inogona kupa ruzivo rwakakosha pamusoro pe follicles (kusiyana ne cysts iyo yakakonzera kuvhiringidzika kukuru pamusoro pemakore.) Kuyera kwe-anti-Mullerian hormone kunogona kupa chinotsiva ultrasound mune mamwe mamiriro ezvinhu.
Pane imwe nguva kufungidzirwa kunoitwa, nzira dzokurapa dzePCOS dzinogona kuongororwa kuitira kuti ikubatsire kukunda matambudziko akawanda (uye dzimwe nguva akaipisisa) emamiriro acho ezvinhu.
Sources
- Bachanek, M., Abdalla, N., Cendrowski, K., uye W. Sawicki. Kukosha kwe Ultrasonography muKutsvaga kwePolycystic Ovary Syndrome - Zvinyorwa Zvinyorwa. Journal of Ultrasonography . 2015. 15 (63): 410-22.
- Dewailly, D. Kutarisa Zviratidzo zvePCOS: Pane Chido cheRethink here? . Maitiro Akanakisisa uye Ongororo. Clinical Obstetrics uye Gynecology . 2016. 37: 5-11.
- Matsuzaki, T., Munkhzaya, M., Iwasa, T. et al. Ukama Pakati peSerum Anti-Mullerian Hormone uye Clinical Parameters muPolycystic Ovary Syndrome. Endocrine Journal . 2017 Apr 1. (Epub pamberi pekudhinda).
- McCartney, C., naJames Marshall. Clinical Practice. Polycystic Ovary Syndrome. The New England Journal of Medicine . 2016. 375 (): 54-64.