Chirongwa chePCOS & Infertility
Vakadzi vane PCOS vane chokwadi chechikamu chavo chinokanganisa zviratidzo , kusanganisira mazinya, kunyanya kubvudzira bvudzi, kubhadhara, uye kuwedzera kuwedzera. Pamusoro pevaya vose, kusvika makumi manomwe kubva muzana yevakadzi vane PCOS vanotambura nekushaya vana. PCOS, chaizvoizvo, chinokonzera chikonzero chekusava nemhuka. Kana uine PCOS uye uchitambura nekushaya simba, heino zveruzivo nezvekusarudza kwako kurapa uye nzira yekuwana rubatsiro.
Sei Vakadzi Vakawanda Vane PCOS Vanorwisana Nokusaziva?
Chiratidzo chinoshamisa chePCOS hachina kuvepo kana kuti hachipo kumwedzi.
Vamwe vakadzi vane PCOS vangave vasina nguva kwemwedzi, kunyange makore, vamwe vachizobuda ropa kwevhiki dzinoverengeka panguva imwe. Chikamu chiduku chevakadzi vane PCOS vachawana mwedzi miviri.
Kusava nenguva kana kusipo kwekuenda kumwedzi kunokonzerwa neCPOS kunokonzerwa nekusawirirana kwehutoni. Kazhinji, mahomoni ezvepabonde anovanzwa pamusana pemhepo. Madzimai neCPOS, luteinizing hormone (LH) yakavanzwa pamusana pekukurumidza kupera.
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Nei Resveratrol Inogona Kubatsira Vakadzi Vane PCOS: Dzidza
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9 Mazano Okuwana Muviri Wako Wakagadzirira Kubata Paunenge Uine PCOS.
Izvi, zvakare, zvinotumira zviratidzo kumashizha ako ekupura mazinga epamusoro emahomoni evanhu, akadai sa testosterone . Somugumisiro, kunyanya kweHH uye testosterone inokanda mazinga emamwe mahomoni ezvepabonde anoshanda kudzora kuenda kwako kumwedzi uye anokanganisa kuvhara.
MuCOSP, panzvimbo yehutambo hunokura uye hukasunungurwa kuti huve huri hutumbi hwepamuviri, follicle haigoni kukura zvizere uye dzimwe nguva haisunungurwi kubva kuvharo. Zvinyorwa zviduku zvisina kutaurwa zvinonzi "cysts," dzimwe nguva dzinopoteredza ovary ichionekwa sedambo reparera pane ultrasound. Iyi ndeye follicles dzisina kumbobvira dzichikura kana kusunungurwa kubva mumavhizha.
PCOS uye Infertility: Kurapa Options
Infertility inowanzoongororwa mushure mekunge vamwe vakaroorana vasina kubudirira pamuviri kwemwedzi 12 kana kupfuura. Kuziva njodzi, vanachiremba vanogona kutora vakadzi neCPOS nokuda kwekushaya simba kudarika izvi. Misiyano yakawanda inowanzoonekwawo nevakadzi vane PCOS uye inokonzerwa nekusaenzana kwehomoni dzepabonde nepamusoro yezinga re insulini .
Kunyange zvazvo pamuviri ungaita sokuti hauna tariro, pane zvakawanda zvakafambira mberi zvekurapa kubatsira vakadzi neCPOS pamuviri.
Lifestyle Modifications
Kuchinja mararamiro ako kunogona kuita kusiyana kukuru kwekutonga mahomoni uye kugadzirira muviri wako pakuberekwa. Izvi, zvakare, zvinogona kuvandudza mazai ehu rako hutano uye kuvhara, kuwedzera mikana yako yekuita pamuviri. Kana iwe uri kunyanya kuwandisa, kurasikirwa zvishoma kana 5 kubva muzana yehuwandu hwehuwandu hwemuviri hwako hwakaratidzwa kuti uvandudze kubereka muCPOS. Kuita shanduko pane zvekudya kwako, kurovedza muviri, kushungurudzika kwepamusoro, uye hutano hwekurara zvese zvinobatsira kuvandudza kubereka kwako.
Healthy Diet
Zvokudya zvakanakisisa zvePCOS is antioxidant-rich inotarisa kuwandisa kwemakrohydrates asina kukwana.
Izvi zvinosanganisira michero, miriwo, nyemba, lentiy, uye mbeu, zvakadai se quinoa uye oats. Kusanganisira mafuta kubva kune zvinyorwa zvisiri izvo, zvakadai samaorivhi, nuts, mbeu, hove, uye avocado inokurudzirwa.
Kudzivisa kucheneswa kana kushandiswa kwemagidhihydrates, zvakadai sevaputi, chingwa chena, mucheka mutsvuku, pretzels, uye shuga zvokudya zvakadai sekiki, brownies, uye candy zvinoratidzirwa kuunza insulin mazinga uye kuputika.
Kana iwe usingazivi kuti unotangira kupi, funga kutarisana nemunhu anyoresa chireyiti nutritionist angakubatsira nekugadzirisa kusagadzikana kune kudya kwako.
Nguva Dzose Chiitiko Chekuita
Zvidzidzo zvinoratidza kuti kurovedza muviri nguva dzose kunogona kuvandudza ovulation uye insulin kudzivisa. Mukutsvakurudza, vakadzi vane PCOS vaiita zvekuita zvishoma nezvishoma kwemazuva matatu kana kupfuura kwevhiki vaive nekuberekwa kwakanaka kune avo vakatevera chirongwa chekudya chekoriki.
Edza uye pinda mukati memaminitsi makumi matatu emitambo yezuva nezuva. Iyi mari inogona kugoverwa kusvika muzvikamu zvitatu, maminitsi gumi kana mapoka maviri emaminiti gumi nemashanu. Kufamba ndechimwe chezvinhu zvinofambira mberi zvinowanika uye zvinogona kurongwa mukati mezuva.
Acupuncture
Kugadziriswa kungakubatsira iwe kuzvitora. Izvi zvinoratidzira kuratidzira kuratidzirwa kuvandudza hormone balance, BMI, uye kupera kwemakondomu kune vakadzi neCPOS. Kugadziriswa kunogona kuitwa moga kana pamwe chete nemibatanidzwa inobatsira kurapa.
Zvigadzirwa
Kutsvakurudza kutsva ikozvino kuratidza zvikomborero zvevamwe zvidimbu zvekuvandudza ovulation, mazai evha, uye kudzorera hutoni muyero muCPOS.
Inositol
Kutora myo uye d-chiro inositol mune 40: 1 chikwata chave chiratidzwa kuti chivandudzire hutano hweii uye kuvhuvhuta kune vakadzi neCPOS munguva shoma semwedzi mitatu, uye inogona kushanda zvakanaka kupfuura metformin. Pakaenzaniswa ne metformin, kuwirirana kwemyo naDDI muhuwandu hwe40: 1 kwakaratidza migumisiro yakanakisisa maererano nekurema kwekurema, kuvhara, uye kutora mamiriyoni (46.7 vs11,2 muzana).
N-Acetylcysteine
N-Acetylcysteine ​​(NAC) inorwisa antioxidant ine simba rinorwisana nekushungurudzika kwehutano uye yakaratidzwa kunatsiridza kutakura uye kuvhara mazinga mukati mevakadzi vane PCOS kana vachienzaniswa ne placebo.
Vitamin D
Vitamini D haisi chete mavitamini asi hormone zvakare.
Vitamin D zvinogamuchirwa zvakawanikwa pavakadzi mazai. Kuwedzera kwevhitamini D kwakaratidzwa kuvandudza hutano hweii nehutachiona muvakadzi neCPOS pachavo kana kuti vachiri kubatsirwa kurapa kurapa.
Metformin
Metformin ndiyo inowanzozivikanwa nezvechirwere cheshuga chakange chave chichibatsira kuderedza insulin kumira mune vakadzi neCPOS. Kune vakadzi vazhinji vane PCOS, metformin inogonawo kuwedzera nguva yekuenda kumwedzi. Ikoko kune zvidzidzo zvinoratidza kuti metformin inogonawo kuderedza dambudziko rekusununguka pamuviri uye gestational chirwere cheshuga.
Clomid uye Letrozole
Dzimwe nguva vakadzi vane PCOS vachiri kuda rubatsiro rwekuvandudza maitiro avo pasinei nekudya uye mararamiro ehupenyu. Clomid yakagara ipiwa vakadzi kuti vashandise hutachiona. Kutsvakurudza kutsva kunoratidza kuti letrozole inogona kushanda zviri nani kupinda clomid yevakadzi vane PCOS. Letrozole haisimudze estrogen seye clomid uye inoratidzika kuva nemigumisiro shomanana yekuberekwa kwakawanda.
Gonadotropins yePCOS
Kushandiswa kwegonadotropin kunogonawo kubatsira vakadzi neCPOS vachifungidzira. Gonadotropins inogadzirwa nemarimoni e-sex FSH, LH, kana kusanganiswa kwemaviri. Chiremba wako angaratidza kuti akabatanidza mahomoni aya nemishonga yekubereka kana kuishandisa ivo pachavo. Semuenzaniso, letrozole ne "kutema" kupfurikidza kweLH pakati pemakore.
Chimwe chisarudzo chiremba wako angakurudzira kushandisa gonadotropin neIUI (intrauterine insemination) chirongwa. IUI inosanganisira kuisa semiti yakashambidzwa zvakananga mumuviri kuburikidza necatheter. Mbeu inogona kubva kumunhu anopa mhodzi kana mumwe wako.
Dambudziko guru re gonadotropin is ovarian hyperstimulation syndrome (OHSS). Iyi ndiyo apo mazai emuviri anonyanyisa kugadzirisa mishonga yekubereka. Kana isina kutorwa kana kuti yakaoma, inogona kuva yengozi.
Intrauterine Insemination
Intrauterine insemination (IUI) chirongwa chekubereka chinotarirwa kuti chienderane nehuvhu. Wokwako wako achakumbirwa kuti abudise mbeu yemuenzaniso. Mbeu iyo "inoshambidzwa" kana chirume chinoparadzaniswa kubva kune zvimwe zvikamu zvemukira uye zvinounganidza mune zviduku, zvakanyanya kuwedzera. Nechirangaridzo inowanikwa muchecheche, sterilized, soft catheter, uye yakagadzirirwa kushandiswa. A speculum, yakafanana neyakashandiswa panguva yekuongorora gynecological, inowanikwa mumudzimai uye chibereko chemuviri wako chinonatswa zvinyoro. Chiremba wako achaisa catheter mumudzimai uye osunungura hura muhutachi uterine. Chiremba wako anogona kukubvumira kuti urambe wakarara pasi kwemaminitsi mashomanana mushure mekutsvaga. Kubudirira kwehuwandu hweIUI inenge 15 kubva muzana kusvika ku20 muzana pahutano uye zvinosiyana maererano nezvinhu zvakasiyana-siyana, zvakadai sezera rako, rudzi rwekuvhara mavari, kushandiswa kwemunhu, pakati pevamwe.
In Vitro Fertilization
In vitro fertilization (IVF) inzira inoparadza uye inodhura yekubereka iyo dzimwe nguva inoshandiswa kana mamwe marapirwo ezvokubereka achikundikana. IVF inosanganisira kushandiswa kwemishonga inokonzera kushandiswa kuti iwedzere mazamu, kuitira kuti ipe huwandu hwemazai akakura. Mazai acho anobva adzorerwa kubva kumapapiro omukati uye anosanganiswa nehuta mu petri ndiro. Kana mazai acho akazadzwa, imwe kana maviri inotamirwa muchibereko. Iyi nzira inonzi inozivikanwa sekutumirwa kwembryo. Vhiki mbiri gare gare, chiremba wako anorayira kuongororwa kwepamuviri kuti aone kana kupoteredza kwacho kuchibudirira.
Nguva Yokutsvaga Rubatsiro Kana Iwe Uchiona Usingaiti
Kana wakanga uchiri kutambura kuti uwane pamuviri, unogona kutsvaga mazano ekuberekwa kwechirwere chekupedzisira, zvakare anonzi "vanachiremba vanobereka." Mhando idzi dzechiremba dzinonyanya kuzivikanwa mune zvepabonde uye dzinofanirwa kuva nemichina inoshandiswa mumashizha avo kuti ibatsire kuziva chikonzero chako yokushaya vana uye kupa chirongwa chinorayirwa.
Kurwisana nekushaya urombo kunonetsa kuvadzimai uye vakaroorana, kunyanya apo zvinoita sekuti munhu wese anenge akapoteredza iwe ari kutora pamuviri. Kana iwe ukawana kuberekwa kwave kutora marwadzo , funga kushanda nemudzidzisi wakadzidza utano hwepfungwa kana kujoka neboka rekushaya rubatsiro munharaunda yako.
> Sources:
Ghomian, A Randomized Clinical Trial pakufananidza Nhangemutange Maitiro Akasiyana-siyana Mazuva Ekutanga Mazuva eLetrozole Treatment muCommiphene Citrate Resistant PCOS Patients muIUI Cycles. Int J Fertil Steril. 2015 Apr-Jun; 9 (1): 17-26.
> Johansson J. Polycystic ovary syndrome: kushanda uye nzira dzekugadziriswa kwekuvhara muviri. Evid Akatevedzerwa Kuzadzisa Alternat Med. 2013; 2013: 762615. doi: 10.1155 / 2013/762615. Epub 2013 Sep 2.
> Le Donne M, Alibrandi A, Giarrusso R, Lo Monaco I, Muraca U. [Zvokudya, metformin uye inositol muvakadzi vanopfuura kuwandisa uye vanopfuvura ne polycystic ovary syndrome: zvinokonzerwa nemuumbi wemuviri]. Minerva ginecologica. 2012; 64 (1): 23-29.
> Ott J et al. Parameters for calcium metabolism kuvakadzi vane polycystic ovary syndrome vanoita clomiphene citrate stimulation: anotarisira boka rekudzidza. European J Endocrinol. 2012; 166 (5): 897-902.
> Thakker D, Raval A, Patel I, Walia R. N-acetylcysteine ​​ye polycystic ovary syndrome: kugadziriswa kwehutano uye meta-analysis yemakiriniki anochengetedzwa nemaitiro. Obstet Gynecol Int. 2015; 2015: 817849.