Kuongororwa Polycystic Ovary Syndrome
Chiitiko chevakadzi vese che polycystic ovary syndrome (PCOS) chakasiyana nokuti hapana vaviri vane zviratidzo zvakafanana. Izvi zvinogona kuita kuti kuongororwa kwePCOS kuve kwakaoma. Kuonekwa kwePCOS kunogona kutora nguva yekuenda uye kunobva pane zvakaitika mune zvehutano, kuongorora muviri, kuongororwa kwebazi, nekuongorora kwezviratidzo zvako.
Miedzo uye Nzira dzekuona Dhiagnose Polycystic Ovary Syndrome
Kuti uonekwe neCPOS, unofanirwa kusangana zvisingaiti zviviri pane zvinotevera zvitatu:
1. Kusina nguva kana kusipo kwenguva (zvishomanana kupfuura masere masere pagore)
2. Zvikamu zveRopa kana zviratidzo zvenyama ye hyperandrogenism ( high androgens ) pasina imwe chikonzero chekurapa
3. Kuonekwa kwemadiki follicles pane ultrasound ye mavha mavari
> Ona musiyano pakati pemazuva ose uye chikafu chinonzi polycystic ovary.
Kuongorora Panyama uye Nhoroondo Yezvokurapa
Chiremba wako achada kuita chimiro chakakwana chepanyama uye chepilvic kuti uende kumucheto wenyaya yako.
Kana mukadzi achinonoka, asingabviri, kana asingakanganwi nguva (masere kana mashomanana ekuenda kumwedzi mukati megore), ichi chiratidzo chokuti ovulation ingasave iri kuitika uye inogona kuratidza PCOS. Zvakakosha kucherechedza, zvakadaro, kuti vakadzi vane PCOS vanogona kuva nemwedzi yekuenda kumwedzi uye vane PCOS. Kusvika pakuongororwa kunosanganisira kutonga kunze kwemamwe mamiriro ezvinhu angave achikonzera nguva dzako dzisinganzwisisiki, sechirwere chetachiona , hyperprolactinemia , Cushing's syndrome , kana congenital adrenal hyperplasia , kutanga.
Chiremba wako achatarisa zviratidzo zvemuviri we-androgens kana kuti testosterone sezvisina kuchena bvudzi kukura (kunyanya pameso, pasi, kumucheche, uye pachipfuva), acne , matanda , ganda remukati (kana zvichibvira), uye acanthosis nigricans ganda pamutsipa, mahudyu, zvipfeko, kana nyama.
Iye zvino achakubvunza pamusoro peimwe zviratidzo zvisingaoneki zvaungave wakacherechedza, saka iva nechokwadi chekutaura chero chekuda kwako, kunyange iwe uchifunga kuti haisi huru yekutengesa.
Kunyora urongwa hwezvinhu zvaunoda kutaurira uye kubvunza nguva isati yasvika zvinogona kukubatsira kuti uyeuke pfungwa dzinokosha dzaunoda kusimudza pakugadza kwako. Iwe uchabvunzwa pamusoro pemwedzi yako-nguva dzose, nguva yakareba pakati pavo-saka zvakanakisisa kuuya kuzogadzirirwa nemhinduro idzodzo zvakare. (Iyi ruzivo inogona kubatsira chiremba wako kuti aone kana iwe uri kupisa.)
Transvaginal Ultrasound yePOSP
Transvaginal ultrasound inogona kana kuti isiri kuitwa kuitira kutora kunze kweCOSP. Uyu muedzo ungave wakananga kwauri kana iwe wakambove wakabata. Shanduro inowanikwa mukati memukadzi, iyo inobvumira chiremba kuti aongorore nhengo dzinobereka, kutarisa kusakadza, uye kuenzanisa kuwanda kwe endometrium .
Chiremba wako achatsvaga 12 kana kupfuura zvishoma (2 kusvika 9 mm) follicles munharaunda imwe neimwe kuti ibatsire kusimbisa kuongororwa. Kazhinji dzimwe follicles dzinonzi cysts .
Zvisinei, pane vakadzi vazhinji vane ma-cystic-kuonekwa mavhavhasi asina zviratidzo zve hyperandrogenism, uye vakadzi vakawanda vakave vaine hutachiona hweCOSOS vasina maitiro emasikirati emasikirini. Vamwe vanachiremba vanoona kushandiswa kwechirwere chechirwere chechirwere chinotapukira muvechiri kuyaruka chisingadikanwi, sezvo vangave vasina kuonekwa kweporolicles uye vangave vasati vaita zvepabonde.
Ropa Mhinduro
Pakupedzisira, basa reropa rinogona kutorwa. Kunze kwokuongororwa kwehomoni inonzi testosterone, estrogen, uye follicle inosimudzira hormone (FSH), chiremba wako angada kuongorora muviri wako nezviratidzo zvezvinetso zvemagetsi zvinokonzerwa neholesterol yakakura , mafuta ane chiropa, chirwere cheshuga chechipiri, uye insulin kudzivisa .
Mimwe Miedzo Yako Chiremba May
Endometrial Biopsy: An biopsy ye endometrial inogona kuitwa kuti uone kana chimiro chako chemapetometri chiri muchikamu chakanaka kana kuti chiongorore chirwere chepemetrial . Iyi njodzi yekenza yemapemetrasia inowedzera nehuwandu uye nguva yakareba pakati penguva dzisina kukwana, uye chirwere chacho chinowirirana nekusaenzana kwehommone yakawanikwa neCPOS.
Izvo zvinoshandiswa zvinogona kuitika muhofisi yechiremba uye hazvina maturo, kunyange iwe unogona kuwana zvishoma kudzvinyirira panguva iyo. Chinhu chiduku chezvipembenene zvinobviswa kubva muchibereko chako kuburikidza necatheter ine tsvina yakaiswa mukati memukati uye muchibereko. Izvi zvinyorwa zvino zvinoongororwa muchirevo chekufamba kwako uye kuongororwa nekenza masero.
Chirwere chemukati Glucose Kuedza Muedzo: Vakadzi vane PCOS vari pangozi yakakura yekuwedzera chirwere cheshuga chechipiri . Muzvokwadi, maererano neAndrogen Excess uye PCOS Society (AEPCOS), pane kushanduka kwakakurumidza kubva kune-pre-diabetes kune chirwere cheshuga kune avo vanobatwa. Nokuda kwechikonzero ichi, AEPCOS inokurudzira kuti vakadzi vane PCOS vane chirwere chemuviri chekushushikana nekunyanyisa gore negore kana vasina simba rekuisa glucose, kana rimwe gore rimwe nerimwe kana mazinga eglucose ari akajairika. Nenzira iyi, chirwere cheshuga chinogona kuonekwa uye kurapwa nokukurumidza, zvichibatsira kudzivirira matambudziko.
Mamwe maHormone Levels: zvakare, PCOS ndiyo mamiriro ekuregererwa, saka mamwe mamiriro ezvinhu ane zviratidzo zvakafanana nezviratidzo zvinoda kutarisirwa kunze kwekuti kusarudzwa kwasvika.
Kuti uite izvi, mamwe mahomoni , akadai se follicle inoita hormone, luteinizing hormone, uye prolactin, inogona kuongororwa. Chiremba wako anogonawo kuedza hutachiona hwehutachiona hwehutachiona, sezvo zvinetso zvehutachiona zvine zviratidzo zvakafanana neCPOS uye zvinowanzoonekwa pakati pevakadzi vane zvinetso izvi. A new test hormonal blood, kutarisa AMH (anti-mullerian hormone) yemukadzi ikozvino iko kushandiswa nevamwe vanachiremba senhare yekuongorora.
Kuita Nzwisiso Nezvaunowana
Kana zviitiko zvako zveropa zvichidzoka, iwe unogona kukwanisa kuzviongorora nechiremba wako uye kubvunza mibvunzo. Kana zvichibvira, tora makopi emitemo yako yeropa yakatumirwa kwauri. Mazabhu akawanda akawanda anopa zvibvumirano zvepachena zvaunogona kuzvitsvaga kuti zvive nemigumisiro yeropa yako yakatumirwa kune smartphone yako.
Kana iwe ukazoongororwa neCPOS, yeuka kuti kugadzirisa mararamiro ako kunogona kuvandudza maitiro ako emararamiro uye kuderedza dambudziko rako rekuwedzera mamwe maitiro ezvehutano. Kumbira chiremba wako kuti anoronga sei kubata POSP yako uye zvaunogona kuita. Iva nechokwadi chekubvunza pamusoro peimwe nzira dzekurapa dziripo, zvakare.
Zvamunoita Zvichizoitika Pashure pePostos Diagnosis
Kuonekwa kuti une PCOS kunogona kukuvadza zvikuru pakutanga. Iwe unogona kunge uchida kusvika kune vanhu vane hanya newe, kana kuti zvichida boka rekusimbisa PCOS munharaunda yako, kuti mumwe munhu avimbe. Kutevera zano rechiremba uye kudzidza nezvechirwere chako ndiyo nzira yakanakisisa yekuigadzirisa nayo. Isu tine ruzivo rwakanyanya pamusoro pekurapa kwePCOS, kusanganisira dzakasiyana-siyana zvemishonga inogona kukurudzirwa, iko kuno.
Kutsvaga kutungamirirwa kwevamwe vadzidzisi vehutano, zvakadai sedare rinoridzirwa nutritionist kana chiremba, inogonawo kubatsira.
Shoko Rinobva
Kunyange zvazvo izvi zvose zvingaita sezvakawanda zvokuita, yeuka kuti iwe hausi woga. Sezvinowanzosangana nedambudziko re endocrine pakati pevakadzi vezera rekutakura, kune vakadzi vazhinji vane PCOS vakambove kuburikidza neizvi. Kana iwe uchiwedzera kuziva, kana iwe uchanzwa uchitonga pane izvo zvinotevera.
> Sources:
> Moran L, Misso M, Wild R, Norman R. Kusagadzikana Glucose Kutsungirira Rudzi rwechipiri Chirwere cheshuga neMetabolic Syndrome muPolycystic Ovary Syndrome: Ongororo Yakarongeka uye Meta-analysis. Hum Repro Update . 2010; 16347-363.
> Salley KE, Wickham EP, Cheang KI, Essah PA, Karjane NW, Nestler JE. Kushushikana kweglucose mu polycystic ovary syndrome-chirevo chepamusoro cheAndrogen Excess Society. J Clin Endocrinol Metab. 2007; 92 (12): 4546-56.