I-polycystic ovary: amalungiselelo yokwelapha


I-Polycystic ovarian syndrome yisimo lapho ama-ovari angasebenzi kahle. Uma singabhekane nale nkinga, esikhathini esizayo kuyosithinta isizinda se-hormonal, ikhono lokubeletha ingane, ukubukeka nempilo yowesifazane. Isihloko sendaba yethu yanamuhla sithi "i-Polycystic ovary: ukwelashwa, izidakamizwa."

Lesi sifo sivame ukuphawula: izinga eliphezulu le-testosterone (isibonakaliso esicacile singase sibe izinwele ezidlulele emzimbeni noma ebusweni (i-hirsutism), ukwehlisa izinwele ekhanda), ukungabikho noma ukungahambi kahle kokuya esikhathini (ukubambezeleka kwamasonto amathathu kuya ezinyangeni ezingu-6), ukungakwazi ukukhulelwa, ukukhuluphala ngokweqile noma isisindo somzimba esiningi ngokweqile, i-fatty acne (induna).

Ama-ovari yizinsikazi zobulili zesifazane. Inyanga ngayinye, kwelinye lama-ovarie amabili, inqubo yokuvuthwa kweqanda iphenduka. Iqanda ngalinye lise-follicle - i-bubble egcwele uketshezi. Inqubo yokuqhekeka kwe-follicle nokukhululwa kweqanda kubizwa ngokuthi ukuvuthwa. I-polycystic ovum ayivuthanga, i-follicle ayiqhubuki, kodwa ama-cysts afana ne- "i-grape bunch" akhiwa. La ma-cysts ahlanzekile futhi ukwelashwa okufanele kuphele.

Kunzima kakhulu ukuchaza isizathu esiqondile sokuthuthukiswa kwe-polycystic ovary. Ekuthuthukiseni lesi sifo kungathinta izifo ezibangelwa amagciwane, ukuvuvukala okungapheli kwamathoni, izimo ezicindezelayo, ukwephulwa kwezinga le-insulin hormone, elibhekene nokukhipha ushukela emzimbeni. Akunakwenzeka ukungaqapheli ukubaluleka kwesici sokuzalwa ngokwefa. Ukuqinisekisa ukutholakala, udokotela ubeka ukuhlolwa okuphelele kwesiguli. Okokuqala, i-hormone ye-thyroid (i-TTG), i-hormone ye-pituitary (i-prolactin), ama-hormone ocansi (i-LH, i-FSH, i-STH), ama-hormones we-grenatal adrenal (cortisol, testosterone), i-hormone ye-pancreas (insulin) iyahlolwa. I-Ultrasound ingasetshenziselwa ukuqinisekisa ukuthi ama-ovari ayakhonjiswa futhi ama-cysts akhona, futhi ukuhlola kwesibeletho kungabona ukuqina okwandayo kwe-endometrium, okubangelwa ukuya esikhathini okungavamile.

Uma kuhlaziywa izinga le-hormone elilodwa lingaphezu kwejwayelekile, khona-ke ukuhlaziywa kwesibili kwenziwa kanye nokuphindwe izikhathi ezintathu. I-prolactin ephakanyisiwe ibonisa ukuphazanyiswa kwegciwane le-pituitary. Ngokuya ngezinombolo nezibonakaliso, udokotela ubeka imifanekiso ye-resonance magnetic (MRI) ye-pituitary gland, evumela ukuthi kutholakale ukutholakala noma ukungabikho kweprolactinoma.

Ukwelashwa ngezidakamizwa "I- Dostinex " ezinyangeni ezikhethiwe kahle kunika ukwehla okukhulu kweprolactin ngesikhathi esifushane futhi kuvamile ukujikeleza kokuya esikhathini. Izinga le-hormone ye-thyroid lingabuye lilungiswe imithi ekhethwe udokotela ekhethwe udokotela.

Kodwa ngaphambi kokuba udokotela athole imithi, lo wesifazane kuzodingeka alalele amathiphu athile. Ngokuyinhloko, zihlobene nezinguquko zokuphila, ukulinganiswa kwesisindo, ukudla okunomsoco. Owesifazane kuyodingeka anciphise ukusetshenziswa kwe-carbohydrate ehlanjulisiwe (amaswidi, ama-pastries, amazambane, njll). Kuboniswa ukuthi kufaka phakathi kokudla okudla okusanhlamvu, izithelo, imifino, inyama enomzimba. Ngokuvamile kufanele kube nokuzivocavoca umzimba, kufanelana nobudala kanye nomthethosisekelo. Konke lokhu kuzokusiza ukunciphisa amazinga wegazi, ukuthuthukisa ukusetshenziswa komzimba kwe-insulini, ukuvuselela izinga lama-hormone emzimbeni. Ngisho no-10% ukulahlekelwa isisindo kungenza umjikelezo wesimiso ube njalo.

Ukucindezeleka kungadala kakhulu izimpawu ze-polycystosis, ngakho-ke udinga ukuthola izindlela zokufeza imizwelo emihle. Izinwele ezengeziwe zingalawulwa besebenzisa ama-creams ukuze kusetshenziswe noma ukuguqulwa kwegazi, ukushefa, ukuxuba. Ukususwa kwezinwele ze-Laser noma i-electrolysis kunganikeza umphumela ohlala njalo, kodwa kufanele kwenziwe ngabachwepheshe abaqeqeshiwe.

Ukuphathwa kwezidakamizwa kubhekisela ekuqokweni kokuhlanganiswa kokubeletha komlomo ( Diane35) , ukunciphisa amazinga e-testosterone, ukunciphisa izinwele kanye nezinwele ezingaphezulu. Isidakamizwa iMetformin sinciphisa izinga le-insulin egazini, ngaleyo ndlela kunciphisa izinga le-testosterone.

Ukujwayelekile ukusebenzisa i-ovulation ukusetshenziswa iComomifene - isilonda sokuqala sokuzikhethela, sisetshenziselwa iziguli eziningi. Uma i-clomiphene ingasebenzi, i-metformin ingahle ibekwe, kepha kumthamo ophansi. I-Gonadotropins nayo isetshenziselwa, ibiza ngaphezulu futhi ikhulise ingozi yokukhulelwa okuningi (amawele, ama-triplets).

Enye indlela i-in vitro fertilization (IVF). Le ndlela ikunikeza ithuba elihle lokuthola ukukhulelwa nokuqondisa kangcono ukuzalwa kwamawele. Kodwa, i-IVF iyabiza kakhulu, futhi ayikho isiqinisekiso esingu-100% sokukhulelwa kokuqala.

Ukungenelela kokusebenza kuqokwa kuphela uma zonke izindlela zokwelapha izidakamizwa zisebenziswanga ngempumelelo. Ngosizo lwe-laparoscopy, udokotela wenza izincazelo ezincane kuma-ovari. Lokhu kusebenza kungaholela ekunciphiseni kwamazinga e-testosterone kanye nokusizwa nge-ovulation. Manje uyazi ukuthi yini i-polycystic ovary: ukwelashwa, izidakamizwa. Musa ukuzibulala! Cabanga ngokuqhubeka komndeni!

Yiba nempilo! Zizinakekele!