Symptomatic Treatment ya Polycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) chirwere chakaoma chinokonzera anenge 10 muzana yevakadzi vane makore ekubereka. Vakadzi vane PCOS vanogona kuona zviratidzo zvakasiyana-siyana zvichibva pakuchinja kwemafungiro uye mamiriro eganda (acne, bvudzi rinotarisana nepamusoro) kune nguva dzisina kukwana uye matambudziko ekubereka.
Mishonga inoshandiswa PCOS inomirira kuderedza zviratidzo zvechirwere.
Nepo pane ikozvino hapana mushonga wePCOS, unogona kuderedza kushanda kwechirwere nekuchengetedza mararamiro ane hutano uye kugadzirisa zviratidzo nekushandiswa kushandiswa kwemishonga.
Mishonga Inoshandiswa Kudzora Nguva Yokuenda Kumwedzi
PCOS inoratidzirwa nehutoni husina kunaka iyo inogona kuguma munguva dzisingagoneki ( oligomenorrhea ) kana kuti kusina nguva ( amenorrhea ). Izvi nezvimwe zvikanganiso zvemasimoni zvinogona kuderedza kukwanisa kwemukadzi kutora pamuviri. Kushandisa zvinodhaka kunotungamirirwa kuronga mahomoni kuti zvirambe zvichidzorera nguva yakakwana yekuenda kumwedzi.
Zvisarudzo zviviri zvinowanzoshandiswa ndezvekuberekwa kwepiritsi mapiritsi neProvera, zvose zviri zviviri zvinodzora kuenda kwako kumwedzi nekupa progesterone muviri wako unoda. Nokuraira mazinga ehomoni, uterine lining rinogona kudururwa zvakanyanya, nekudzivirira kuoma kwemasukisi kunokonzerwa nekusina kana kusina nguva nguva.
Glucophage (metformin), chirwere cheshuga, inopa ruzivo rwemhando mbiri yekuderedza kusapinda kwe insulin inowanzoonekwa muvakadzi vane PCOS pavanenge vachivandudza nguva yekuenda kumwedzi.
Mishonga Inoshandiswa Kurapa Infertility
PCOS-inokonzerwa nehomoni yakashata inogona kukonzera kusakanganiswa kana kusipo kwekuvhura (kukuzodza). Zvimwe zvakasiyana-siyana zvinodhaka zvinogona kushandiswa kurapa izvi, kusimbisa hutano hweii (oocyte) uye ovulation.Typical, mishonga yokutanga-mutsara inosanganisira mishonga inobereka Clomid (clomiphene citrate) uye Femara (letrozole).
Kunyange zvazvo Clomid inowanzoshandiswa kusimbisa hutachiona, Femara inogona kushandira zviri nani kuvakadzi neCPOS sezvo isingasimudzi maitiro eestrogen kana kuwedzera kungozi yevana vakaberekwa kakawanda kusvika kuchikoro chakafanana neComomid.
Zvimwe zvakasiyana-siyana zvehutachiona zvinogona kushandiswawo kukurudzira kuvhara, izvo zvinosanganisira:
- Nyaya inokurudzira hormone (FSH) , inokurudzira kukura kweii
- Luteinizing hormone (LH), iyo inokonzera kusunungurwa kweii kubva kune ovary
- Human chorionic gonadotropin (HCG) , iyo inoita kuti kuve nekutsvaga kweii
- Estrace (estrogen) , iyo inogadzirira chibereko chekugamuchira egg
- Provera (progesterone) , iyo inogadzirira chibereko chekuisa
- Menopur (menotropins), iyo inoburitsa FSH uye LH neripi
- Bravelle (urofollitropin), iyo inoburitsa FSH neripi
Zvichakadaro, iyo isiri-hormonal supplement, inositol , yakaratidzwa kuvandudza oocyte uye hutachiona hutsika apo kuwedzerwa kuberekwa kwematambudziko kuvakadzi vane PCOS.
Mishonga Inobata Kurwisana neUsulin
Vanenge makumi mashanu kubva muzana yevakadzi vane PCOS vachava nechirwere cheshuga kana chirwere cheshuga chisati chava nemakore makumi mana. Uyezve, vari pangozi yakakura yekuwedzera gestational diabetes, chirwere chinokonzerwa nekushaya simba kwekugadzira glucose (shuga) panguva yekuzvimba.
Chirwere cheshuga chinoshandiswa nguva dzose kuti kuderedze glucose uye insulin inowanikwa nevakadzi vane PCOS-yakabatana insulin kushorwa.
Mukuwedzera, kuchinjwa kwekusarudza mararamiro, kusanganisira kurapa muviri uye kudya kunotapira mumafuta uye kunatswa shuga, kunoonekwa sechinhu chikuru chekurapa.
Mishonga inogona kusanganisira:
- Glucophage (metformin) , iyo inogona kudzora chirwere cheshuga uye kubatsira mukurasikirwa kwemazivi
- Victoza (liraglutide) , chirwere chinoshandiswa chinoshandiswa kuchengetedza insulin uye mazinga eglucose
- Actos (pioglitazone), kirasi yezvinodhaka zvinoshandiswa kushandiswa kuderedza shuga yakakosha yeropa
- Avandia (rosiglitazone), chirwere chinopindwa muropa chekirasi imwechete se pioglitazone
- Avandamet, musanganiswa we rosiglitazone uye metformin.
Mishonga Yokubatsira Nokurasikirwa Kwemafuro
Inenge hafu yevakadzi neCPOS inodarika uye inorema.
Haisi chete kuti PCOS inobatsira kuwedzera kuwanda, zvinoita kuti zvive zvakaoma zvikuru kuvakadzi kuderedza uremu . Mukuwedzera pakurovedza muviri uye kudya, mishonga yemishonga dzimwe nguva inoshandiswa kubatsira pakurema kwekureruka, kunyange zvazvo inowanzouya nemigumisiro inokosha.
Nhasi mazvarudzo dzinosanganisira:
- Xenical (orlistat), chirwere chinogona kudzivirira kudya kwemafuta
- Qsymia (phentermine / topiramate), chido chinodzvinyirira
- Belviq (lorcaserin), chimwe chido chinodzvinyirira
- Kusiyana (naltrexone / bupropion), iyo inogona kudzivisa chido chekudya
- Saxenda (liraglutide) , yakashandiswa kuporesa insulin kudzivisa uye kuneta
- Inositol , kuwedzera kwepanyama kunobatanidza nekurema kwevakadzi kuine PCOS
Mishonga Inoshandiswa Kutarisa Maziso Ekubwinya Kukura uye Acne
Vakadzi vane PCOS vanowanzowedzera mahomoni evanhu (androgens), kusanganisira testosterone. Anti-androgen mishonga inoshanda nekudzivirira kushandiswa kwemahomoni aya uye kuderedza zvidzidzo zvechipiri zvevarume, kusanganisira hirsutism (kunyanya kuchena uye bvudzi) kana kuti kurasikirwa nevhudzi.
Mishonga yekurapa inosanganisira:
- Aldactone (spironolactone) , diuretic ine anti-androgenic yakaipa
- Vaniqa (eflornithine hydrochloride) , kamutikiki yakashandiswa kudzivirira vhudzi kukura
- Propecia (finasteride) , yakashandiswa kure-label kuti inobate kurasikirwa nevhudzi muvakadzi neCPOS
Mukuwedzera kune kuchinja kwebvudzi kukura, uyerogen overproduction inogona kuguma nekugadzirwa kwemakwenzi. Izvi ndizvo zvinowanzobatwa nehutachiona zvinosanganisira benzoyl peroxide , salicylic acid , retinoids , kana antibiotic .
Shoko Rinobva
Mukugadzirisa zviratidzo zvePCOS, iwe unoda kushanda nachiremba wako. Panogona kuva nemishonga isina kukodzera iwe nekuda kwemamwe mararamiro ehutano, kupindira kwemishonga, nezvimwe zvinhu. Iva nechokwadi kuti iwe unonzwisisa kurapwa kwakakurudzirwa uye kuti ungatora sei chirongwa chakakodzera.
Kunobva:
> Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison's Principles of Internal Medicine (19th edition). New York: McGraw-Hill Dzidzo, 2015.