I-Polycystic ovarian syndrome yimeko apho ii-ovari zingasebenzi kakuhle. Ukuba asiyikujongana nale ngxaki, ngekamva kuya kuba nefuthe kwimvelaphi ye-hormonal, ukukwazi ukuzala umntwana, ukubukeka nempilo yowesifazane. Umxholo wendaba yethu yanamhlanje yi "Polycystic ovary: unyango, iziyobisi."
Esi sifo sivame ukuphawula: umgangatho ophezulu we testosterone (uphawu olucacileyo lunokuba lunwele olugqithiseleyo emzimbeni okanye ubuso (i-hirsutism), ukunqunyulwa kweenwele entloko), ukungabikho okanye ukungahambi kakuhle kwexesha (ukulibaziseka kweveki ezi-3 ukuya kwiinyanga ezintandathu), ukukwazi ukukhulelwa, ukukhuluphala okanye ubunzima bomzimba obuninzi, i-oily acne (acne).
Ama-ovane ayingqingili yesini. Ngenyanga nganye, kwelinye la maqanda amabini ama-ovari, inkqubo yokukhula kweqanda ijika. Iqanda ngalinye lifumaneka kwintollicle - ibhola elizaliswe ngogesi. Inkqubo yokuphuka kwintolli kunye nokukhululwa kweqanda kubizwa ngokuthi i-ovulation. I-polycystic ovum ayifuni, i-follicle ayiqhubi, kodwa i-cysts efana ne "grape bunch" yenziwe. Ezi i-cysts zinobungozi kwaye unyango olufanelekileyo luyabonakala.
Kunzima kakhulu ukuchaza isizathu esona sizathu sokuphuhlisa i-ovary polycystic. Ekuphuhlisweni kwesi sifo kunokuchaphazela izifo zentsholongwane, ukuguqulwa okungapheliyo kweetoni, iimeko ezixinzelelekileyo, ukuphulwa kwezinga le-hormone ye-insulin, elijongene nokutyunjwa kweswekile emzimbeni. Akunakwenzeka ukungaqapheli ukubaluleka kwezinto ezizalwe njengefa. Ukuqinisekisa ukuxilongwa, ugqirha ubeka uviwo olubanzi lwesigulane. Okokuqala, igazi kwi-hormone ye-thyroid (i-TTG), i-hormone ye-pituitary (prolactin), i-hormone yesondo (i-LH, i-FSH, i-STH), i-hormone yeengxaki ze-adrenal (cortisol, testosterone), i-hormone ye-pancreas (insulin) ihlolwe. I-Ultrasound ingasetyenziselwa ukuqinisekisa ukuba ii-ovari zixhunyiwe kunye ne-cysts zikhoyo, kwaye uvavanyo lwe-uterine lunokubona ukunyuka kwe-endometrium, ebangelwa ukungena kwelanga ngokungavumelekanga.
Ukuba ukuhlalutya kwinqanaba le-hormone lihamba ngaphaya kwesiqhelo, ke uhlalutyo lwesibini luqhutyelwa kwaye luye lwafikelela kumaxesha amathathu. Iprolactin ephakanyisiweyo ibonisa ukuphazamiseka kwesigwegwe se-pituitary. Ngokuxhomekeke kumanani kunye neempawu, ugqirha ubeka imifanekiso ye-resonance magnetic (MRI) ye-pituitary gland, evumela ukufumana ubukho okanye ukungabikho kweprolactinoma.
Unyango kunye nesilwanyana " Dostinex " kwii-dosages ezikhethiweyo ezichanekileyo kunika ukwehla okukhulu kwiprolactin ngexesha elincinci kwaye kulungelelanisa umjikelezo wesini. Iqondo le-hormone ye-thyroid linokuguqulwa ngonyango okhethiweyo ugqirha.
Kodwa phambi kokuba ugqirha abone imithi, loo mfazi uya kuphulaphula amathiphu athile. Ngokukodwa, badibene neenguqu zokuphila, ukulinganiswa kwesisindo, ukutya okunomlinganiselo. Ibhinqa liya kufuneka iyancitshiswe ukusetyenziswa kwamagcabhehydrates ahlambulukileyo (iifomese, i-pastries, iifatate, njl.). Kuboniswa ukuba kufake phakathi kokutya okutya-okusanhlamvu, izithelo, imifuno, inyama enomzimba. Ngokuqhelekileyo kufuneka kube nokuzivocavoca umzimba, ngokuhambelana nobudala kunye nomgaqo-siseko. Konke oku kuya kunceda ukunciphisa amazinga e-glucose egazi, ukuphucula ukusetyenziswa komzimba kwe-insulin, ukulungelelanisa izinga lama-hormone emzimbeni. Kwaye u-10% ukulahleka kwesisindo kunokukwenza ukuba umjikelezo wesisigxina uqhubeke rhoqo.
Ukuxinezeleka kunokudambisa nje iimpawu ze-polycystosis, ngoko kufuneka ufumane iindlela zokufumana iimvakalelo ezintle. Izinwele ezingaphezulu zikwazi ukulawulwa ngokusebenzisa izixhobo zokucima ukutshatyalaliswa okanye ukuguqulwa kwezinto, ukucafa, ukuxuba. Ukukhishwa kweenwele ze Laser okanye i-electrolysis inokunika umphumo ongapheliyo, kodwa kufuneka yenziwe ngabachwephesha abaqeqeshiweyo.
Ukusetyenziswa kweziyobisi ngokubhekiselele ekutyunjweni kwemithi yokukhulelwa komlomo (i- Diane35) , ukunciphisa amanqanaba e-testosterone, ukunciphisa i-acne kunye neenwele ezingaphezulu. Isilwanyana iMetformin sinciphisa izinga le-insulin egazini, ngoko ukunciphisa izinga le-testosterone.
Ukuqhelisa ukusetyenziswa kwe-ovulation I- Clomifene -isilwanyana sokuqala esikhethiweyo, isetyenziselwa izigulane ezininzi. Ukuba i-clomiphene ayinakusebenza, i-metformin ingamiselwa, kodwa kumlinganiselo ophantsi. I-Gonadotropins nayo isetyenziswe, ixabisa ngakumbi kwaye inyuse umngcipheko wokukhulelwa okuphindaphindiweyo (amawele, ama-triplets).
Enye inketho i-in vitro fertilization (IVF). Le ndlela ikunika ithuba elihle lokukhulelwa nokubhetele ngakumbi ukuzalwa kwamawele. Kodwa, ii-IVF zibiza kakhulu, kwaye akukho nantoni ye-100% yesondlo sokuqala.
Ukungenelela kokusebenza kutyunjwe kuphela xa zonke iindlela zokwelashwa kweziyobisi zingasetyenziswanga. Ngoncedo lwe-laparoscopy, ugqirha wenza izinto ezincinci kwii-ovari. Lo msebenzi ungakhokelela ekunciphiseni kwamanqanaba e-testosterone kunye nooncedo lokuphefumula. Ngoku uyazi ukuba i-ovary polycystic yile: unyango, iziyobisi. Musa ukuzigulisa! Cinga ngokuqhubeka kweentsapho!
Yimpilo! Zikhathalele!