Chiitiko chevakadzi vose chePolycystic Ovary Syndrome (PCOS) chakasiyana nokuti hapana vakadzi vaviri vane zviratidzo zvakafanana. Ikozvino inobvumirana pamusoro pechirongwa chekuongororwa kwePCOS inosangana zvikamu zviviri pane zvinotevera zvitatu:
2. Zviratidzo zvepanyama kana zviratidzo zve hyperandrogenism (high androgens) pasina imwe chikonzero chekurapa
3. Tambo yediki follicles pane ultrasound
Kuongorora Panyama uye Nhoroondo Yezvokurapa
Chiremba achada kuita chiyero chakakwana chepanyama uye chepilvic. Iye achatarisa zviratidzo zvemuviri we androgens kana kuti testosterone sezvisina kuchena bvudzi kukura (kunyanya pameso, pasi pfupi, kumashure, uye pachipfuva), acne , matanda , ganda , mhando yevarddness uye acanthosis nigricans (yakasvibiswa ganda rakakura pamutsipa , mahudyu, zviputi kana zvinosvibisa).
Kana mukadzi achinonoka, asingabviri kana asingakanganwi nguva (8 kana kuti vashoma kumwedzi kwegore rimwe), chiratidzo chokuti ovulation ingasave iri kuitika uye inogona kuratidza PCOS. Chiremba achaedza kutonga kunze kwemamwe mamiriro ezvinhu angakonzera kusina nguva nguva, zvakadai sechirwere chetachiona , hyperprolactinemia , Cushings syndrome kana congenital adrenal hyperplasia . Zvakakosha kucherechedza kuti vakadzi vane PCOS vanogona kuva nemwedzi yekuenda kumwedzi uye vane PCOS.
Chiremba achakubvunza pamusoro pezviratidzo zvisingaoneki zvaungave wakacherechedza, saka iva nechokwadi chekutaura chero chekuda kwako.
Kunyora urongwa usati waenda kunogona kukubatsira kuti uyeuke pfungwa dzinokosha dzinobvunza pamusoro. Iwe uchabvunzwa nezvekuenda kwako panguva; kuti nguva yakareba sei uye nguva yakareba pakati pavo. Izvi zvinogona kubatsira chiremba wako kuti aone kana iwe uri kuputika.
Transvaginal Ultrasound
A transvaginal ultrasound inogona kana kuti isati yaitwa kuitira kutonga kunze kweCOSP.
Mune probe inonzi transvaginal ultrasound inowanikwa mukati memukadzi, iyo inobvumira chiremba kuti aongorore nhengo dzinobereka uye anotarisa kusakanganisika. Uhu hwenopoteriri hunogona kuyerwa. Chirongwa chePCOS chinosanganisira kuvapo kwe12 kana kupfuura. (2 kusvika 9 mm) follicles munharaunda imwe neimwe. Kazhinji dzimwe follicles dzinonzi "cysts". Kune vakadzi vazhinji vane ma-cystic-kuonekwa mavhavhai asina zviratidzo zve hyperandrogenism, uye vakadzi vakawanda vakave vaine hutachiwana hweCOSOS vasina maitiro echikoro mavari. Vamwe vanachiremba vanowana kushandiswa kwechirwere chetsika chinonzi transvaginal muvechiri kuyaruka pasina.
Ropa Mhinduro
Pakupedzisira, basa reropa rinogona kutorwa. Kunze kwekuedza kwehomoni, kufanana ne testosterone, mamwe mahomoni ekurara anofanira kuongororwa akadai se follicle stimulating hormone, luteinizing hormone uye prolactin, Chiremba wako anogona kuedza zvimwe zvinosanganiswa zvakadai sepamusoro cholesterol uye insulin kudzivisa . A new test blood hormone, kutarisa AMH yemukadzi (Anti-Mullerian Hormone) ikozvino iko kushandiswa nevamwe vanachiremba sechigadzirwa chekuongorora.
Endometrial Biopsy
Anopometric biopsy inogona kuitwa kuti uone kana mishonga yako yekupedzisira yemakemikari iri muchitsauko chakanaka kana kuti kuongororwa nekenza yemapendometri .
Iyi njodzi yekenza yemakemikari inowedzera nehuwandu hwehurefu uye nguva yakareba pakati penguva dzisina kukodzera. Izvo zvinoshandiswa zvinogona kuitika muhofisi yechiremba uye hazvina maturo, kunyange iwe unogona kuwana zvishoma kudzvinyirira panguva iyo. Chinhu chiduku chezvimedu zvinobviswa kubva muchibereko chako kuburikidza necatheter shoma yakaiswa mukati memukati uye mukati mechibereko. Izvi zvinyorwa zvino zvinoongororwa muchirevo chekufamba kwako uye kuongororwa nekenza masero.
Chii Chinotevera?
Kunyange zvazvo izvi zvose zvingaita sokuti zvakanyanya kukura, yeuka kuti iwe hausi woga. Sezvinowanzosangana nedambudziko re endocrine pakati pevakadzi vezera rekutakura, kune vakadzi vazhinji vane PCOS vakambove kuburikidza neizvi.
Svika kune rimwe boka rekutsigira uye vanhu vane hanya newe. Kutevera zano rechiremba uye kudzidza nezvechirwere chako ndiyo nzira yakanakisisa yekuigadzirisa nayo.
Sources:
Grassi A. PCOS: Dhietitian's Guide. 2nd edition. Luca Publishing. Bryn Mawr, PA.
Jensen, Jani R. naRuben Alvero. "Polycystic Ovarian Syndrome." Kuberekwa Kwemakemikariko uye Infertility: Zvinonzi Requisites muOststrees and Gynecology. Ed. Mark Evans, MD. Philadelphia: Mosby, 2007. 65-75.