Zvose Zvaunoda Kuziva
Lifestyle Modification
Ndinofara, mishonga yakawanda yePCOS inowanikwa nhasi iyo inogona kukubatsira kuti utarise chirwere. Zvisinei, iyo inonyanya kukosha kurapwa kwePOSP ndeyokuderedza uremu kana iwe uwandisa. Nokuderedza makoriki uye masuruga eashuga, kuwedzera kwemaprotein uye fiber, uye kutanga kugara uchiita zvekuita muviri, unogona kubatsira muviri wako kuwedzerwa maitiro ayo kune insulin, uye zvichida kuderedza uyerogenji yekugadzira.
Izvi zvingabatsira kuderedza zviratidzo , kudzorera zviyero zvakakwana uye kuita kuti zvive nyore kubata. Nepo kune mishonga inogona kubatsira kugadzirisa zviratidzo zvauri kutarisana nazvo, kuora muviri ndicho chinhu chakanakisisa chaungaita kuti ubatsire kubata chirwere chacho.
Kudzora Nguva Yokuenda Kumwedzi
Kune vakadzi vasiri kuve nehanya nekuva nemwana, zvirongwa zvekudzivirira pamuviri - zvakare anozivikanwa se "mapiritsi" - kazhinji kacho sarudzo yekutanga. Iyo mapiritsi ine musanganiswa we estrogen uye progesterone inobatsira mukuronga mahomoni emukadzi. Izvi zvichatibatsira kuisa chimiro chemaitiro ako, nekuita kuti nguva dzako dziwedzere nguva dzose. Kunyange zvazvo kushayikwa kwenguva kungaratidzika kunge kwakanaka, kwenguva yakareba kwenguva refu pasina nguva inogona kuwedzera mungozi wekenza yemapemetra .
Chiremba wako angafunga kuti zvakakosha kukupa mishonga inonzi Provera (medroxyprogesterone) iyo inokonzera kubuda ropa kana iwe usina kuva nenguva munguva.
Provera chirwere chemuromo chinotorwa kwemazuva mashanu kusvika kune gumi uye chichaunza panguva. Iwe unogona kuedza kuongorora ropa usati watanga iyi mishonga kuti uone kuti hausi pamuviri.
Alternative Treatment
Zvimwe zvidzidzo zvakave zvichiratidzwa kuti zvine kuwirirana kuduku pakati pekugadzirisa muviri uye kubudirira kwehutano hwekubereka.
Inofungidzirwa kuti inogona kubatsira kuchengetedza kuenda kumwedzi uye kunyange kukonzera kuvhara mune vamwe vakadzi. Zvisinei, usati watanga chirwere chipi nechipi, iva nechokwadi chekutaura nachiremba wako uye kuwana mushandi anokwanisa ane ruzivo mune zvehutano hwevakadzi.
Surgery
Kunyange zvazvo zvisingaitiki zvakaitwa, kune nzira yekuvhiya yekubatsira kubata PCOS. Inonzi kuvhara mazai , chiremba anoita zviduku zvishoma mumimba uye kushandisa kamera kadiki kuti mumubatsire pakuona zviri mukati menhengo dzomukati, zvinopisa zvishoma kupisa pamashizha akawedzerwa ovarian follicles. Tariro ndeyokuderedza androgen uye kuvhara kweHS, zvichiita kuti kuve nehuwandu hwemaitiro.
Kunyange zvisingawanzozivikanwi ndezvokuvharwa kweOvarian Wedge Resection . Pamusana pehuwandu hwekuvhara uye kusingagumi kwekuvhiringidza kwemaawa, kana chiremba wako achiratidza nzira iyi, tapota tora mhinduro yechipiri . Haisisina kukurudzirwa mukurapa kwePCOS.
Infertility Treatment
Kana iwe uchida kuedza kuva nechecheche, kune zvakawanda zvingasarudzwa. Mishonga iyo chiremba wako angangodaro anyorera ndeye Clomid, iyo inogona kukubatsira iwe kuvhara. Pakati pepakati pekufamba kwako, unogona kushandisa chironga chekuvhura chinokonzera kukubatsira iwe nguva yakanakisisa yekutanga kuedza. Ramba uchiyeuka kuti vamwe vakadzi vane PCOS vakaramba vachikwirira kumazinga eHH (hormone inowanikwa mumakiti ovulation ), zvichiita kuti nzira iyi yekutora nguva isiri yakakodzera.
Nemhaka yekubatana pakati peCCOS uye insulin kushorwa , mishonga inowanzoshandiswa kurapa chirwere cheshuga, iyo ndiyo Metformin , inogona kushandiswa kuwedzera insulin senzwi . Nokuwedzera mitezo yomuviri kune insulin, inofungidzirwa kuti ovary haigone kuita seanrogens yakawanda , iyo inowedzera mikana yokuti ovulation ichaitika. Metformin inogonawo kuderedza maitiro e-circulating androgens, kunyange kana iwe usisiri kuedza kubata pamuviri. Izvi zvichakubatsira kuronga kuenda kwako kumwedzi uye kuderedza zviratidzo zvinotambudza zvaungave uchinetseka nazvo. Vamwe vakadzi vangada kutora zvose Clomid uye Metformin kuitira kuti vafukidze.
Clomid imishonga inopiwa kukurudzira kuvhara kwevakadzi mudiki vasingaiti nguva dzose. Kurasikirwa uremu kunogona kubatsirawo kuita izvi. Mune vamwe vanhu, kurerutsa kurasikirwa kunobatsira kunogona kudzorera kuvhara uye kunowedzera kuwanda kwehutano hwako hwepamuviri.
Kana izvi zvisingashandisi, danho rinotevera richave risina kuiswa mishonga inonzi Gonadotropins. Mwedzi woga woga, Follicle Stimulating Hormone (FSH) yakavanzwa nepituitary iyo inoita mapuro follicle kukura. Gonadotropines inowedzera zvakananga kuwanda kweFSH iri kubuda mumuviri, kukurudzira kukura uye kukura kweii rinokura. Chiremba achazoona kukufambira mberi kwako kuburikidza ne ultrasound uye kuongorora ropa. Kana imwe chiremba achinzwa kuti uri pedyo ne ovulating, s / angave iwe unotora chirwere cheMunhu Chorionic Gonadotropin (HCG) iyo ichaita kuti uwedzere kupera mukati maawa 36. Izvi zvinokubvumira kuti uwedzere nguva chaiyo yekuita zvepabonde kana kuva neIntrauterine Insemination (IUI). Chiremba wako achakubatsira iwe kuziva kuti ndeupi chisarudzo chiri nani kwauri.
Pakupedzisira, sarudzo yako yekupedzisira in In Vitro Fertilization (IVF), nzira yakakomba iyo iwe uchatora kugadziriswa kwemashuga ako kuburikidza nemishonga inoshandiswa. Izvi zvinowedzera mazai mazhinji ayo chiremba achazobvisa kubva kuburikidza nekuvhiya. Fertilization inoitika kunze kwomuviri uye mumamiriro ekudzivirirwa akawanda ebazi. Kukura mazai zvinobva vadzoserwa mumuviri, kwavanenge vaine tarisiro yekuisa mukati mechibereko uye kuumba mimba yakasimba. Kune zvakawanda zvirongwa zvekurapa mukati mehutano hweVIV uye chiremba wako achasarudza zvakanakisisa, zvichienderana nehutano hwako, makore, uye kuongororwa. Kana mutemo IVF usingashandi kwauri, unogona kushandiswa neavo vanopa , mupi wemupepe, kana neine chidimbu chinenge chichidiwa.
Kugadzirisa Zviratidzo
Mishonga inodzivisa uyerogen secretion ndiyo imwe nzira iyo chiremba wako angakupa. Zvipembenene zvemumuromo zvinogona kubatsira, kana chiremba anogona kupa mishonga inorwisa antiandrogenic, yakadai seSironolactone (aldactone). Spironolactone inhibits testosterone yakavanzwa nemuviri, uye inokwikwidzana nehommone receptors muhutsi hwemvere. Zvinogamuchirwa zvikamu zvemasero zvinobvumira mahomoni kana makemikari kuti azvisungirire, zvichiita kuti zviitike. Kana imwe ikemikari iri munzvimbo yekugamuchira, androgens haigoni kuisunga kwavari uye inoita kuti zvinokonzera kukonzera bvudzi.
Imwe mishonga inoshanda nenzira imwecheteyo ndiyo Flutamide, iyo isingawanzoshandiswa nemhaka yemigumisiro yemishonga iri pachiropa. Kana uri kutora mishonga iyi, zvakakosha kutevera pamwe nekuongororwa kwakakodzera kweropa sezvo chiremba wako anorayira kubatsira kusangana kwekutambudzika kwechiropa.
> Sources:
> "Kutsanangura PCOS". 2007. Yunivhesiti yeChicago Medical Centre.
> Jensen, Jani R. > uye > Ruben Alvero. " Polycystic Ovarian Syndrome ." Kuberekwa Kwemakemikariko uye Infertility: Zvinonzi Requisites muOststrees and Gynecology. Ed. Mark Evans, MD. Philadelphia: Mosby, 2007. 65-75.
> "Polycystic Ovary Syndrome". 3 August 2007. Mayo Clinic.