Kuongororwa kunoitwa nekusaisa zvimwe zvose zvinokonzera
Kune zvirwere zvisingagoni kuonekwa neine kuongorora ropa, biopsy, tsika, kana chero imwe yerudzi rwekuongorora kuongororwa. Polycystic ovary syndrome (PCOS) chimwe chinhu chakadaro. Nokuti zviratidzo zvePCOS zvinogona kufanana nezvimwe zviitiko, vanachiremba vanofanira kusanganisa zvisizvo zvose zvimwe zvinokonzera vasati vaongororwa.
Izvi zvinonzi " differential diagnosis" .
Ndizvo chete nekuderedza mutsara wevasingatendi, mumwe neumwe, kuti vanachiremba vanogona kusvika pakugumisa zvakakwana uye kutanga utano.
Mukati yekugadzirisa kusiyana kwekusiyanisa kwePCOS, zvimwe zvekuongorora zvakanyanya kunosanganisira chirwere chetachiona, hyperprolactinemia, congenital adrenal hyperplasia, uye Cushing's syndrome. Zvichienderana nehutano uye nhoroondo yemunhu mumwe, zvimwe zvinokonzera zvinogona kuongororwawo.
Thyroid Disease
Utachiona hutachiona chikamu chiduku chiri pamberi pehuro apo inodzora zvakawanda zvemuviri wemetabolism. Inobereka mahomoni maviri, anozivikanwa seT3 uye T4, ayo anokosha pakugadzirisa mabasa akawanda emumuviri anokosha kusanganisira kupumzika, kutengesa kwemwoyo, kushaya muviri, simba remasimba, uye kumwedzi.
Apo pane zvimwe zviduku zvakanyanya zvetachiona hormone ( hypothyroidism ) kana zvakawanda (hyperthyroidism ), izvi zvinogona kukandwa mumatambudziko, zvichiita kuti zviratidzo zviri zvakafanana zvakafanana neCPOS.
Izvi zvinogona kusanganisira kusadya kwemazuva asina kukwana, kusatsanangurwa kushandiswa kwehuremu, kuneta, kusagadzikana kwekushisa, uye, pane zvakaitika kune hypothyroidism, kusununguka.
Chirwere chetachiona chinogona kuongororwa nekuita kuongororwa kweropa kuti uongorore matanho eT3 uye T4. Mamwe mimwe miedzo yaizoitwa kuti ione kuti chii chinokonzera.
Hyperprolactinemia
Prolactin inonzi hormone yakagadzirwa nehutu hwepituitary iyo inoshanda pamakumbo emakumbo ekusimudzira chikafu. Hyperprolactinemia ndiyo mamiriro ekuwanda kweprolactin inobudiswa, zvichiita kuti musikana asingasviki kumwedzi uye lactation ( galactorrhea ). PCOS inogona kuitawo saizvozvo inowedzera maitiro eprolactin.
Chimwe chezvinhu zvinowanzokonzera hyperprolactinemia chirwere chepituitary chinonzi prolactinoma. A prolactinoma anogona kunge ari makuru kana maduku uye anonyanya kuchena (asina kenza). Hyperprolactinemia inodawo kusiyanisa kuongororwa kusabvisa chirwere chetachiona sechikonzero. A magnetic resonance imaging (MRI) muedzo inogona kushandiswa kusimbisa kuvapo kwechirwere.
Congenital Adrenal Hyperplasia
Congenital adrenal hyperplasia (CAH) chirwere chinokonzerwa nehutachiona chinokonzera kuti zvipembenene zvinyorwa zvinyatsobudisa zvishoma cortisol uye aldosterone. Cortisol ndiyo inonyanya kushungurudza hormone, asi aldosterone inobatsira kutonga muzinga we sodium nemamwe electrolytes mumuviri. Panguva imwecheteyo, CAH inogona kukonzera kugadzirwa kwakanyanyisa kwe androgens , mahomoni anobatanidza nehukama hunhu.
Izvo kusaenzana kunogona kutungamirira vakadzi kuti vawane nguva dzisina kukodzera, kunyanya kubvudzira bvudzi ( hirsutism ), uye kukundikana kwemwedzi (amenorrhea).
Kusiyana neCCOS, CAH inogona kuonekwa neine genetic test.
Cushing's Syndrome
Cushing's syndrome chirwere chinokonzera kupererwa kwemahomoni adrenal. Inowanzokonzerwa ne tumorine inobataidza inonzi pituitary adenoma iyo inoshandura basa reyodheti yakakura uye inokonzera kugadzirwa kwakanyanya kwe cortisol uye androgens.
Cushing's syndrome inoratidzwa nezviratidzo zvakafanana zvakafanana nePCOS, kusanganisira kuwedzera kuwanda, hirsutism, kukudzwa kwechiso, kuwedzera kukurumidza, nekuchinja kweganda.
Sezvo neCPOS, hapana chiyero chimwechete chekuita kuti Cushing aongororwe. Kazhinji, urinho uye seniva miedzo inoitwa kuti iongorore uye iongorore muenzaniso wekugadzirwa kwe cortisol yakaenderana neCushing's syndrome.
> Kwakabva:
> William, T .; Mortada, R .; uye Porter, S. "Kuziva uye Kurapa kwePolycystic Ovary Syndrome." Amer Fam Phys. 2016; 94 (2): 106-13. PMID: 27419327.