So wowɔ PCOS (Polycystic Ovary Syndrome) nso? Momma yɛnka ne nyinaa ho asɛm!

So wo brayɛ nna nkɔ so daa? Anaasɛ w’anim anaa wo nipadua mu nhwi nyin a wompɛ? So wunya akisikuru? So worehyia ɔhaw wɔ wo mu duru a wobɛtew so? Sɛ eyinom yɛ ɔhaw ahorow a ɛtaa ba wo so a, ebia worehu amane wɔ tebea bi a wɔfrɛ no PCOS mu. Mma ɛnhaw wo, ɛnnɛ yɛbɛka PCOS (Polycystic Ovary Syndrome) ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.

Dɛn ne PCOS (Polycystic Ovary Syndrome) a ɛwɔ nipadua no mu?

Sɛ yɛbɛka no tiawa a, PCOS yɛ hormone a ɛnkari pɛ wɔ mmea mu. Ɛba bere a wo mmadwoa (akwaa a ɛma nkesua na ɛma ɛba) no yɛ nkwaadɔm pii dodo no. Ne titiriw no, wo mmadwoa no ma nkwaadɔm a wɔfrɛ no androgens (a wɔsan frɛ no mmarima hormone) pii dodo. Eyi betumi ama w’awo nhyehyɛe no ayɛ nea ɛnkari pɛ.

Ne saa nti, nnipa pii a wɔwɔ PCOS no bra nna a ɛnkɔ so daa , wɔn bra nna wɔ asram bi mu, na wɔn ovulation (anovulation) . Ɛtɔ mmere bi a, wotumi hu akisikuru nketenkete a nsu ahyɛ mu ma (follicle cysts) wɔ ultrasound scan a wɔde hwɛ awotwaa no so. Nanso, ɛmfa ho sɛ wɔtoo din "polycystic" no, ɛnyɛ obiara a ɔwɔ PCOS na ɔwɔ saa akisikuru yi. Bio nso, ovarian cysts nyɛ asiane anaasɛ ɛnyɛ yaw.

PCOS yɛ ade titiriw a ɛma mmea ntumi nwo . Ɛma asiane a ɛwɔ hɔ sɛ wobenya akwahosan ho haw afoforo nso yɛ kɛse. Nnuruyɛfo betumi agyina wo sɛnkyerɛnne ne sɛ ebia worebɔ mmɔden sɛ wubenyinsɛn so asa PCOS.

Henanom na wonya PCOS? So eyi yɛ tebea a abu so?

PCOS betumi aba wɔ mfe biara mu wɔ mmerantebere ne mmabaabere akyi. Wohu sɛ mmea dodow no ara anya tebea no wɔ wɔn mfe 20 anaa 30 mu, titiriw bere a wɔrebɔ mmɔden sɛ wɔbɛwo akokoaa no. Sɛ wo mu duru boro so (woyɛ kɛse mmoroso), anaasɛ obi a ɔwɔ w’abusua mu wɔ PCOS a, ɛda adi sɛ wubenya PCOS.

PCOS yɛ tebea a abu so yiye . Mmea a wɔadi mfe a wɔbɛwo no mu bɛyɛ 15%, anaa mmea 100 biara mu bɛyɛ 15 na wɔahu sɛ wɔwɔ PCOS. Enti sɛ wuhu sɛ wowɔ bi a, nte nka sɛ wo nkutoo na wowɔ.

Sɛ wowɔ PCOS a, dɛn ne sɛnkyerɛnne ahorow no?

Eyinom ne PCOS ho sɛnkyerɛnne a ɛtaa ba:

• Brayɛ a ɛnkɔ so daa: Eyi betumi ayɛ bra a wohuruw, asram pii a wonnya, anaasɛ mogya a ɛbɛtɔ dodo bere a obi rekɔ brayɛ no.
• Nwi a enyin a ɛnteɛ: Nwi a enyin a wɔmpɛ wɔ anim, moma so, yafunu, ne abasa so ( hirsutism) . Wohu saa sɛnkyerɛnne yi wɔ nnipa a wɔwɔ PCOS no mu bɛyɛ 70% mu.
• Akisikuru: .PCOS betumi ama akyi, moma so, ne anim ayɛ akisikuru. Saa akisikuru yi betumi atra hɔ akosi mpanyin afe so na ɛyɛ den sɛ wɔbɛsa.
• Kɛse mmoroso/kɛse mmoroso: Nnipa a wɔwɔ PCOS no mu 40% kosi 80% yɛ kɛse mmoroso na ɛyɛ den ma wɔn sɛ wɔbɛkɔ so akura mu duru a ɛfata mu.
• Wora a ɛyɛ tuntum: Wora no betumi ayɛ tuntum wɔ kɔn no mpopaho, abasa, asen no fã (nan ntam), ne nufu ase. Wɔfrɛ eyi sɛ acanthosis nigricans .
• Ovarian Cysts: Wɔ nnipa pii a wɔwɔ PCOS mu no, ebia awotwaa a wɔde ultrasound scan yɛ no bɛyɛ kɛse asen sɛnea ɛte daa anaasɛ ebia cysts nketewa (follicles) pii wom.
• Skin tags: Nnua nketenkete a ɛte sɛ mole a ɛsensɛn honam ani. Wɔtaa hu eyinom wɔ abasa ne kɔn mu.
• Nwi a ɛyɛ mmerɛw/ɛyera: Nnipa a wɔwɔ PCOS no betumi anya ti nhwi a ɛyɛ mmerɛw anaasɛ ɛyɛ ti nhwi a ɛyɛ mmerɛw.
• Awo a wontumi nwo: PCOS yɛ ade titiriw a ɛma mmea ntumi nwo. Ɛtew tumi a obi tumi nyinsɛn abofra no so efisɛ ovulation mma.

Ebia nnipa binom rennya PCOS ho sɛnkyerɛnne biara. Nnipa binom hu sɛ wɔwɔ tebea no bere a wɔka akyi wɔ nyinsɛn mu anaasɛ wɔn mu duru yɛ kɛse mpofirim nkutoo.

Dɛn ne nneɛma atitiriw a ɛde PCOS ba?

Wɔda so ara nnim nea ɛde PCOS ba ankasa . Nanso, adanse wɔ hɔ a ɛkyerɛ sɛ ɛwɔ awosu mu ade bi. Eyi kyerɛ sɛ, sɛ obi wɔ w’abusua mu a, ɛda adi sɛ wubenya bi. Nea ɛka ho no, nneɛma afoforo pii, titiriw kɛseyɛ mmoroso, betumi ama aba:

• Mmarima mu nkwaadɔm a wɔfrɛ no androgens dodow a ɛkɔ soro: Sɛ saa nkwaadɔm yi kɔ soro a, ɛmma awotwaa no ntumi nyi nkesua mfi mu. Eyi ne nea ɛde brayɛ a ɛnkɔ so daa ba. Sɛ ovulation nyɛ nea ɛkɔ so daa a, cysts a nsu ahyɛ mu ma a yɛadi kan aka ho asɛm no betumi ayɛ wɔ ovaries no mu. Androgens a ɛkɔ soro nso ma akisikuru ne nhwi nyin a wɔmpɛ.
• Insulin a ɛko tia:Sɛ insulin dodow kɔ soro a, awotwaa no ma mmarima mu nkwaadɔm (androgens) pii ba na woyi fi mu. Saa mmarima mu nkwaadɔm a ɛkɔ soro yi brɛ ovulation ase na ɛboa ma PCOS ho sɛnkyerɛnne afoforo ba. Insulin yɛ hormone a ɛboa yɛn nipadua ma ɛhwɛ asikre (glucose) so na ɛma ahoɔden. Insulin a wɔko tia ne bere a nipadua no ntumi nyɛ insulin ho biribi yiye. Eyi ma asikre dodow kɔ soro wɔ mogya mu. Ɛnyɛ obiara a insulin tumi ko tia no na obenya asikreyare, nanso insulin a ɛko tia no betumi ama wanya asikreyare. Sɛ obi mu duru boro so anaasɛ ɔyɛ kɛse mmoroso a, ebetumi ama insulin ayɛ no den nso. Sɛ asikre dodow a ɛwɔ wo mogya mu no yɛ nea ɛfata mpo a, insulin dodow a ɛkɔ soro no betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ insulin ntumi nkɔ nipadua no mu.
• Ɔfe a ɛba fam: Ebia nnipa a wɔwɔ PCOS no benya ɔfe a ɛba fam a enni sabea, anaasɛ ɛtra hɔ kyɛ (ɔfe bi a ɛba nipadua no mu). Nnuruyɛfo betumi de mogya mu nhwehwɛmu (C-reactive protein (CRP) ne mogya mu nkwammoaa fitaa dodow) asusuw ɔfe yi.

PCOS ne nyinsɛn a wɔde di dwuma

Asɛmmisa bi a nnipa pii wɔ ne sɛ ebia PCOS betumi ama nyinsɛn agu anaa. PCOS a obi nya no betumi ama asiane a ɛwɔ hɔ sɛ obenya nyinsɛn mu nsɛnnennen bi no ayɛ kɛse, nanso nnipa pii a wɔwɔ PCOS no tumi wo akokoaa yiye.

Nsɛnnennen a ebetumi aba wɔ nyinsɛn mu esiane PCOS nti no bi ne:

• Asikreyare a ɛba wɔ nyinsɛn mu, preeclampsia (mogya mmoroso ne nsɛnnennen afoforo a ɛba bere a wɔyem), ne mogya mmoroso.
• Asiane a ɛwɔ hɔ sɛ wɔbɛwo awo ntɛm (ansa na wɔadi adapɛn 37) anaasɛ wɔbɛwo denam oprehyɛn a wɔde oprehyɛn so esiane kɛseyɛ mmoroso, asikreyare, anaa mogya mmoroso nti.

Nanso mma wo ho nnyɛ wo hu. Sɛ wowɔ PCOS a, ade a ɛho hia sen biara ne sɛ wo ne oduruyɛfo bɛkasa na woanya afotu ne ayaresa a ɛho hia.

Ɔkwan bɛn so na oduruyɛfo hu PCOS?

Mpɛn pii no, wo duruyɛfo betumi ahu PCOS denam wo mu nhwehwɛmu ne wo sɛnkyerɛnne ahorow a ɔbɛka ho asɛm no so. Wobetumi nso ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu anaasɛ wɔnyɛ ultrasound scan na aboa ma wɔahu yare no.

Oduruyɛfo no bɛyɛ saa nneɛma yi:

• Ka wo yare no ho sɛnkyerɛnne ne w’aduruyɛ ho abakɔsɛm ho asɛm.
• Bisa w’abusua aduruyɛ ho abakɔsɛm.
• Wosusuw wo mu duru ne wo mogya mmoroso.
• Ɔyɛ nipadua mu nhwehwɛmu - titiriw hwehwɛ anim nhwi a wɔmpɛ, ti nhwi a ɛtɔ, akisikuru, honam ani kɔla a ɛsakra, ne honam ani akisikuru.
• Wɔbɛyɛ akyi berɛmo mu nhwehwɛmu de ahwɛ sɛ ebia nneɛma afoforo a ɛde mogya tu a ɛnyɛ ne kwan so ba anaa.
• Wɔhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ sɛnea hormone dodow ne glucose dodow te.
• Wɔbɛyɛ ultrasound scan de ahwɛ awotwaa no, ahwɛ sɛnea awotwaa no fasu no mu yɛ duru, na wɔahwɛ sɛ ebia nneɛma afoforo a ɛde mogya tu a ɛnyɛ ne kwan so ba anaa.

Mpɛn pii no, nnuruyɛfo de ba awiei sɛ wowɔ PCOS sɛ anyɛ yiye koraa no wowɔ sɛnkyerɛnne abiɛsa a edidi so yi mu abien a :

1. Brayɛ a ɛnkɔ so daa anaasɛ ɛmpa (nnipa binom a wɔwɔ PCOS nso betumi anya mogya a ɛtɔ kɛse wɔ wɔn brayɛ mu).

2. Nsɛnkyerɛnne a ɛkyerɛ sɛ androgen hormone dɔɔso, te sɛ akisikuru anaa nhwi a enyin dodo. Anaasɛ, mogya mu nhwehwɛmu aba a ɛkyerɛ sɛ androgen dodow kɔ soro.

3. Ultrasound scan kyerɛ sɛ ovaries ayɛ kɛse anaasɛ polycystic (nnipa pii nnya saa cysts yi).

Dɛn ne ayaresa ahorow a wɔde sa PCOS?

Wo duruyɛfo no begyina wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, akwahosan tebea afoforo, ne sɛ ebia woreyɛ nhyehyɛe awo mma so asi ayaresa ho gyinae. Ayaresa no betumi ayɛ nnuru, asetra mu nsakrae, anaa n’abien nyinaa a wɔaka abom.

Sɛ mprempren worenhwɛ abofra kwan a, wobetumi de eyinom adi dwuma sɛ ayaresa:

• Hormone a wɔde siw awo ano: Eyi betumi ayɛ nnuru a wɔde siw awo ano, aduru a wɔde siw awo ano, nnuru a wɔde twitwiw nipadua no mu, awotwaa mu mpɛtea, anaa afiri a wɔde fa awotwaa mu (IUD). Hormone awo ano aduru boa ma wo brayɛ bere a wokɔ ɔsram biara no yɛ adwuma yiye. Ahorow bi nso tumi siw akisikuru ne nhwi a enyin a wɔmpɛ so.
• Nnuru a ɛma insulin te nka: Metformin yɛ asikreyare aduru a ɛboa ma wo nipadua de insulin di dwuma yiye. Sɛ wɔhwɛ insulin so a, ebia nnipa binom a wɔwɔ PCOS behu sɛ wɔn brayɛ tu mpɔn.
• Nnuru a esiw androgen ano: Nnuru bi betumi atew androgen hormone ahorow no nkɛntɛnso so. Eyi betumi aboa ma wɔadi akisikuru anaa ti nhwi nyin so. Wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ayaresa a ɛte sɛɛ fata wo anaa.
• Asetra mu nsakrae: Aduan a ahoɔden wom a wodi na wo mu duru a ɛfata betumi anya insulin dodow so nkɛntɛnso pa. Eyi ho hia yiye ma PCOS sɛnkyerɛnne ahorow a wobedi ho dwuma.

Sɛ worehwɛ akokoaa kwan mprempren anaa daakye a, wobetumi de eyinom adi dwuma sɛ PCOS ayaresa:

• Nnuru a ɛkanyan ovulation (a ɛma ɛwo nyin na ɛba): Nyinsɛn a edi mu fi ase denam ovulation so. Nnuru bi wɔ hɔ a wɔada no adi sɛ ɛkanyan ovulation wɔ nnipa a wɔwɔ PCOS mu. Wɔnom Clomiphene ne Letrozole wɔ anom. Wɔde gonadotropins ma sɛ nnuru a wɔde twitwiw nipadua no mu.
• Oprehyɛn: Oprehyɛn bi wɔ hɔ a ebetumi aboa ma ovulation asan aba denam ntini a ɛwɔ awotwaa mu a ɛma androgen hormone no a wobeyi afi hɔ no so. Nanso, esiane nnuru foforo nti, nnuruyɛfo a wɔyɛ oprehyɛn ntaa nyɛ oprehyɛn yi.
• Nnuru a wɔde hyɛ nipadua mu (IVF): .Eyi yɛ ɔkwan a mmea a wɔwɔ PCOS a wontumi mfa nnuru nnye ovulate no betumi apaw. Eyi hwehwɛ sɛ oduruyɛfo de wo hokafo mmadwoa ma wo nkesua biako wɔ aduruyɛdan mu, afei ɔde awotwaa no hyɛ w’awotwaa mu.

So wobetumi asa PCOS koraa?

Wɔnnya nnyaa PCOS aduru biara . Nanso wo duruyɛfo betumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma. Ebia PCOS nkɛntɛnso bɛsakra bere a bere kɔ so no, na ebia worenhu tebea no kɛse mpo. Nanso, eyi nyɛ aduru a ɛtra hɔ daa.

Esiane nsakrae a ɛba wɔ nipadua mu nkwaadɔm mu bere a obi agyae brayɛ nti, wobetumi atew PCOS ho sɛnkyerɛnne ahorow so kɛse.

So PCOS betumi de akwahosan ho haw afoforo aba?

Nhwehwɛmu ada no adi sɛ PCOS betumi ama asiane a ɛwɔ akwahosan tebea horow a edidi so yi mu no ayɛ kɛse:

• Asikreyare `(Asikreyare)`
• Mogya mmoroso
• Koma ne ntini mu yare
• Awotwaa no mu ntini a ɛyɛ den (endometrial hyperplasia) .
• Kokoram a ɛwɔ akyi berɛmo mu
• Nyarewa a ɛfa nna ho te sɛ nna mu ahomegye
• Adwenemhaw ne Dadwen

Ɛho hia yiye sɛ wo ne wo duruyɛfo kasa na ama woate asiane a ɛwɔ hɔ sɛ wubenya saa tebea horow yi ase yiye.

So wobetumi asiw PCOS ano anaasɛ wɔatew ne nkɛntɛnso so?

Ɔkwan biara nni hɔ a wɔada no adi sɛ wɔbɛfa so asiw PCOS ano. Nanso wubetumi ayɛ nneɛma kakraa bi de aboa ma wo yare no ho sɛnkyerɛnne no so atew. Sɛ nhwɛso no, aduan a ahoɔden wom a wubedi, apɔw-mu-teɛteɛ daa , ne wo mu duru a ɛfata betumi aboa wo ma woakwati PCOS nkɛntɛnso.

Ɔkwan bɛn so na wobɛtra ase yiye wɔ PCOS ho?

Ɔkwan a eye sen biara a wobɛfa so atra ase yiye wɔ PCOS ho ne sɛ wobɛkɔ so ayɛ wo mu duru a ɛfata, adi aduan a ahoɔden wom, na woateɛteɛ w’apɔw mu daa . Saa asetra mu nsakrae yi betumi aboa ma wo hormone dodow akɔ soro, na ebetumi aboa ma wo brayɛ akɔ so yiye na ama sɛnkyerɛnne ahorow no afi hɔ.

Sɛ ti nhwi a ɛrenyin a wompɛ anaasɛ akisikuru rehaw wo ho a, ebia mfaso bɛba so sɛ wobɛhwehwɛ aduru a wɔde siesie wo ho anaasɛ wobɛkɔ honam ani yare ho oduruyɛfo nkyɛn.

Nea etwa to no, sɛ worebɔ mmɔden sɛ wobɛwo akokoaa na wowɔ PCOS a, kae sɛ ɛnyɛ wo nkutoo na wowɔ hɔ. Nnipa 10 biara mu bɛyɛ 1 wɔ PCOS. Wo duruyɛfo betumi aboa wo, sɛ ɛno ne w’anidaso a, ama woawo akokoaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wowɔ PCOS a, kɔ oduruyɛfo nkyɛn. Nsɛnkyerɛnne a ebetumi akyerɛ sɛ PCOS wɔ hɔ no bi ne:

• Ɔsram biara brayɛ a ɛnkɔ so daa (mpɛn pii no ɛboro nnafua 40 wɔ nna ntam).
• Nwi a enyin dodo, akisikuru, anaa androgen hormone a ɛboro so ho sɛnkyerɛnne afoforo.
• Ɛyɛ den sɛ wobɛnyinsɛn abofra.

Hormone ahorow bɛn na ɛka PCOS ho?

Nnipa a wɔwɔ PCOS no wɔ hormone a ɛnkari pɛ. Eyi betumi asiw wɔn brayɛ a ɛba ɔsram biara, ovulation, ne ebia wɔn tumi a wotumi nyinsɛn mpo kwan. Saa nkwaadɔm yi te sɛ nhama a ɛyɛ den. Sɛ biako ntumi nyɛ adwuma yiye a, ɛka nhyehyɛe no nyinaa. Nkwammoaa atitiriw a ɛka PCOS ho ne:

• Androgens (te sɛ testosterone ne androstenedione) .
• Nnuru a ɛma mogya tu (LH) .
• Hormone a ɛkanyan ntini mu ntini (FSH) .
• Estrogen a ɛma nipadua no yɛ adwuma
• Progesterone a ɛwɔ nipadua no mu
• Insulin `(Insulin)`

So PCOS ne endometriosis yɛ ade koro?

PCOS ne endometriosis yɛ tebea horow abien a ɛsono emu biara. Nanso abien no nyinaa betumi ama awotwaa mu akisikuru ne awo a wontumi nwo. Endometriosis yɛ bere a w’awotwaa mu ntini (endometrium) no nyin wɔ mmeae afoforo te sɛ wo mmadwoa, wo awotwaa, anaa wo awotwaa mu ntini. Eyi taa ma yafunu ase yɛ yaw anaasɛ brayɛ mu akisikuru a emu yɛ den. Nnipa a wɔwɔ PCOS nso nya nna a ɛnkɔ so daa, mmadwoa a ɛnyɛ daa, ne nipadua mu nsunsuanso afoforo a mmarima mu nkwaadɔm a ɛboro so de ba.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae

PCOS yɛ tebea a ɛtaa ba. Ebetumi aka wo brayɛ bere a wokɔ ɔsram biara no na ɛde sɛnkyerɛnne afoforo aba. Sɛ wususuw sɛ wowɔ PCOS a, wo ne wo duruyɛfo nka wo sɛnkyerɛnne ahorow ho asɛm. Asetra mu nsakrae ne ayaresa betumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma, atew asiane a ɛwɔ hɔ sɛ wubenya akwahosan tebea afoforo so, na (sɛ ɛno ne wo botae a) aboa wo ma woawo akokoaa. Mma ɛnhaw wo, ɛnyɛ wo nko ara, na akwan bi wɔ hɔ a wobɛfa so agyina ano.

` PCOS, Polycystic Ovary Syndrome, Hormonal Imbalance, Ɔsram Biara Brayɛ Kyinhyia, Ovaries, Androgens, Awo a wontumi nwo, Insulin a wɔko tia