Loaʻa iā ʻoe ka PCOS (Polycystic Ovary Syndrome) pū kekahi? E kamaʻilio kākou e pili ana i kēia!

He ʻano ʻē anei kou pōʻaiapuni menstrual? A i ʻole he ulu lauoho makemake ʻole ʻia ma kou helehelena a i ʻole kou kino? Loaʻa iā ʻoe ka ʻākena? Ke pilikia nei ʻoe i ka lilo ʻana o ke kaumaha? Inā he mau pilikia maʻamau kēia nou, aia paha ʻoe i kahi maʻi i kapa ʻia ʻo PCOS. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ka PCOS (Polycystic Ovary Syndrome) ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

He aha ka PCOS (Polycystic Ovary Syndrome)?

I ka ʻōlelo maʻalahi, ʻo ka PCOS kahi ʻano kūlike ʻole o ka hormonal i nā wahine. Hana ʻia ia i ka wā e hana ai kāu mau ovaries (nā ʻōkana e hana a hoʻokuʻu i nā hua) i nā hormones he nui. ʻO ke kikoʻī, hana kāu mau ovaries i nā hormones he nui i kapa ʻia ʻo androgens (i ʻike ʻia hoʻi he mau hormones kāne). Hiki i kēia ke kumu i ke kaulike ʻole o kāu ʻōnaehana hānau.

ʻO ka hopena, he nui ka poʻe me PCOS i loaʻa nā pōʻaiapuni menstrual kūpono ʻole , ʻaʻohe wā i kekahi mau mahina, a me ka ovulation kūpono ʻole (anovulation) . I kekahi manawa, hiki ke ʻike ʻia nā cysts liʻiliʻi i piha i ka wai (follicle cysts) ma kahi scan ultrasound o nā ovaries. Eia naʻe, ʻoiai ka inoa "polycystic," ʻaʻole i loaʻa i nā kānaka a pau me PCOS kēia mau cysts. Eia kekahi, ʻaʻole weliweli a ʻeha paha nā ovarian cysts.

ʻO ka PCOS kekahi kumu nui o ka hānau ʻole ʻana o nā wāhine . Hoʻonui pū ia i ka pilikia o nā pilikia olakino ʻē aʻe. Hiki i nā kauka ke mālama i ka PCOS ma muli o kāu mau hōʻailona a inā ʻoe e hoʻāʻo nei e hāpai.

ʻO wai ka mea e loaʻa ana i ka PCOS? He maʻi maʻamau anei kēia?

Hiki ke ulu ka PCOS i kēlā me kēia makahiki ma hope o ka wā ʻōpio. Loaʻa ka hapa nui o nā wahine i ke ʻano i ko lākou mau makahiki 20 a 30 paha, ʻoiai ke hoʻāʻo nei lākou e loaʻa kahi pēpē. Inā he momona nui ʻoe (momona), a inā he PCOS kekahi o kou ʻohana, ʻoi aku ka nui o ka loaʻa ʻana o ka PCOS.

He maʻi maʻamau loa ka PCOS. Ma kahi o 15% o nā wāhine o ka makahiki hānau keiki, a i ʻole ma kahi o 15 o kēlā me kēia 100 wahine, ua ʻike ʻia me ka PCOS. No laila, inā ʻike ʻoe ua loaʻa iā ʻoe, mai manaʻo ʻoe ua mehameha ʻoe.

He aha nā hōʻailona inā loaʻa iā ʻoe ka PCOS?

ʻO kēia nā hōʻailona maʻamau o ka PCOS:

• Nā wā menstrual kūpono ʻole: Hiki i kēia ke komo pū me ka hoʻokuʻu ʻana i nā wā, ka loaʻa ʻole ʻana o lākou no nā mahina, a i ʻole ke kahe nui ʻana o ke koko i ka wā o ka menstruation.
• Ka ulu ʻana o ka lauoho maʻamau ʻole: Ka ulu ʻana o ka lauoho i makemake ʻole ʻia ma ka maka, ka umauma, ka ʻōpū, a me nā lima ( hirsutism) . ʻIke ʻia kēia hōʻailona ma kahi o 70% o ka poʻe me PCOS.
• ʻAkika:Hiki i ka PCOS ke hoʻoulu i ka ʻākena ma ke kua, ka umauma, a me ka maka. Hiki i kēia ʻākena ke hoʻomau a hiki i ka wā makua a paʻakikī ke mālama.
• Momona/momona nui: Ma waena o 40% a me 80% o ka poʻe me PCOS he momona a he paʻakikī ke mālama i ke kaumaha olakino.
• ʻEleʻele o ka ʻili: Hiki ke ʻeleʻele ka ʻili ma nā pelu o ka ʻāʻī, nā ʻauwae, ka ʻāpana groin (ma waena o nā wāwae), a ma lalo o nā umauma. Ua kapa ʻia kēia he acanthosis nigricans .
• ʻO nā Ovarian Cysts: I loko o nā poʻe he nui me PCOS, ʻoi aku ka nui o nā ovaries o kahi scan ultrasound ma mua o ka maʻamau a i ʻole he nui nā cysts liʻiliʻi (follicles).
• Nā hōʻailona ʻili: Nā ulu liʻiliʻi e like me ka mole e kau ana mai ka ʻili. ʻIke pinepine ʻia kēia mau mea ma nā ʻāʻī lima a me ka ʻāʻī.
• Ka lahilahi/nalowale o ka lauoho: Hiki i ka poʻe me PCOS ke loaʻa ka nalowale o ka lauoho ʻāpana ʻole a i ʻole ka ʻōhule.
• ʻAʻohe keiki: ʻO ka PCOS kekahi kumu nui o ka ʻaʻohe keiki i nā wahine. Hoʻemi ia i ka hiki ke hāpai i kahi keiki no ka mea ʻaʻole i loaʻa ka ovulation.

ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona o ka PCOS. ʻIke wale kekahi poʻe he maʻi ko lākou ke hāpai lohi lākou a i ʻole ke piʻi koke ke kaumaha.

He aha nā kumu nui o ka PCOS?

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka PCOS . Eia nō naʻe, aia nā hōʻike e hōʻike ana he ʻāpana genetic kona. ʻO ke ʻano kēia inā loaʻa i kekahi o kou ʻohana, ʻoi aku ka nui o kou loaʻa ʻana iā ia. Eia kekahi, hiki i kekahi mau kumu ʻē aʻe, ʻoiai ka momona, ke kōkua i ia mea:

• Hoʻonui ʻia nā pae o nā hormones kāne i kapa ʻia ʻo androgens: Ke piʻi aʻe kēia mau hormones, pale lākou i nā ovaries mai ka hoʻokuʻu ʻana i nā hua. ʻO kēia ke kumu o nā pōʻaiapuni menstrual irregular. Ke ʻano ʻole ka ovulation, hiki ke hana ʻia nā cysts i piha i ka wai i ʻōlelo ʻia ma luna i loko o nā ovaries. ʻO ka hoʻonui ʻia o nā androgens ke kumu o ka acne a me ka ulu ʻana o ka lauoho makemake ʻole ʻia.
• Ke kū'ē ʻana o ka insulin:Ke kiʻekiʻe nā pae insulin, hana nā ovaries a hoʻokuʻu i nā hormones kāne hou aʻe (androgens). ʻO kēia mau hormones kāne i hoʻonui ʻia e hōʻemi i ka ovulation a hāʻawi i nā hōʻailona ʻē aʻe o PCOS. ʻO ka insulin kahi hormone e kōkua i ko mākou kino e kāohi i ke kō (glucose) a hana i ka ikehu. ʻO ke kū'ē ʻana o ka insulin ka wā ʻaʻole pane pono ke kino i ka insulin. ʻO kēia ke kumu o ke kiʻekiʻe o ke kō koko. ʻAʻole nā ​​​​mea āpau me ke kū'ē ʻana o ka insulin e loaʻa i ka maʻi diabetes, akā hiki i ke kū'ē ʻana o ka insulin ke alakaʻi i ka maʻi diabetes. ʻO ka momona a momona paha ke kumu o ke kū'ē ʻana o ka insulin. ʻOiai inā maʻamau kou mau pae kō koko, hiki i nā pae insulin kiʻekiʻe ke lilo i hōʻailona o ke kū'ē ʻana o ka insulin.
• ʻO ka mumū haʻahaʻa: Loaʻa paha i ka poʻe me PCOS ka mumū haʻahaʻa mau loa, a i ʻole ka lōʻihi (kahi ʻano mumū e kū mai ana i loko o ke kino). Hiki i nā kauka ke ana i kēia mumū me nā hoʻāʻo koko (C-reactive protein (CRP) a me nā pae o nā cell koko keʻokeʻo).

PCOS a me ka hāpai ʻana

ʻO kahi nīnau a ka poʻe he nui, inā paha hiki i ka PCOS ke hoʻoulu i ka hāʻule ʻana o ka hāpai keiki. Hiki i ka loaʻa ʻana o ka PCOS ke hoʻonui i ka pilikia o kekahi mau pilikia hāpai, akā hiki i ka poʻe he nui me PCOS ke hānau pono i kahi pēpē.

ʻO nā pilikia e hiki ke kū mai i ka wā hāpai ma muli o ka PCOS:

• ʻO ka maʻi diabetes gestational, preeclampsia (ke koko kiʻekiʻe a me nā pilikia ʻē aʻe i ka wā hāpai), a me ke koko kiʻekiʻe.
• ʻO ka pilikia o ka hānau mua ʻana (ma mua o 37 mau pule) a i ʻole ka hānau ʻana ma o ka ʻoki cesarean ma muli o ka momona, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe.

Akā, mai hopohopo. Inā loaʻa iā ʻoe ka PCOS, ʻo ka mea nui loa, ʻo ia ke kamaʻilio me ke kauka a loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau e pono ai.

Pehea e ʻike ai ke kauka i ka PCOS?

I ka hapanui o nā hihia, hiki i kāu kauka ke ʻike i ka PCOS ma ka nānā ʻana iā ʻoe a me ke kamaʻilio ʻana e pili ana i kāu mau hōʻailona. Hiki iā lākou ke kauoha i nā hoʻokolohua koko a i ʻole kahi scan ultrasound e kōkua i ka ʻike ʻana.

E hana ke kauka i kēia mau mea:

• E kamaʻilio e pili ana i kāu mau hōʻailona a me kāu mōʻaukala olakino.
• E nīnau e pili ana i ka mōʻaukala olakino o kou ʻohana.
• Ua ana ʻia kou kaumaha a me ke koko.
• Hana i kahi hoʻokolokolo kino - e ʻimi pono ana i ka lauoho maka i makemake ʻole ʻia, ka hāʻule ʻana o ka lauoho, ka ʻākīkē, ka loli ʻana o ka ʻili, a me nā ʻōhū ʻili.
• E hana ʻia kahi hoʻokolohua pelvic e nānā i nā kumu ʻē aʻe o ke kahe koko kūpono ʻole.
• Hoʻoholo ʻia nā hoʻāʻo koko e nānā i nā pae hormone a me nā pae glucose.
• E hana ʻia kahi scan ultrasound e nānā i nā ovaries, e nānā i ka mānoanoa o ka paia uterine, a e nānā i nā kumu ʻē aʻe o ke kahe koko kūpono ʻole.

ʻO ka maʻamau, hoʻoholo nā kauka he PCOS kou inā loaʻa iā ʻoe ma ka liʻiliʻi ʻelua o nā hōʻailona ʻekolu :

1. Nā wā menstrual kūpono ʻole a hala paha (hiki i kekahi poʻe me PCOS ke ʻike i ke kahe nui ʻana o ke koko i ko lākou wā menstrual).

2. Nā hōʻailona o nā hormones androgen kiʻekiʻe, e like me ka ʻākena a i ʻole ka ulu nui ʻana o ka lauoho. A i ʻole, nā hopena hoʻāʻo koko e hōʻoiaʻiʻo ana i nā pae androgen kiʻekiʻe.

3. Hōʻike kahi scan ultrasound i nā ovaries i hoʻonui ʻia a polycystic paha (ʻaʻole nui ka poʻe i loaʻa i kēia mau cysts).

He aha nā lāʻau lapaʻau no ka PCOS?

E hoʻoholo kāu kauka i ka lāʻau lapaʻau ma muli o kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, nā kūlana olakino ʻē aʻe, a inā ʻoe e hoʻolālā nei e loaʻa nā keiki. Hiki i ka lāʻau lapaʻau ke komo pū me nā lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona, a i ʻole ka hui pū ʻana o nā mea ʻelua.

Inā ʻaʻole ʻoe e hāpai ana i kahi keiki i kēia manawa, hiki ke hoʻohana ʻia kēia mau mea ma ke ʻano he mau lāʻau lapaʻau:

• Kaohi hānau hormonal: Hiki i kēia ke komo pū me nā pila kaohi hānau, nā ʻāpana, nā inikini, kahi apo vaginal, a i ʻole kahi mea hana intrauterine (IUD). Kōkua ka kaohi hānau hormonal i ka hoʻoponopono ʻana i kāu pōʻaiapuni menstrual mahina. Hiki i kekahi mau ʻano ke kaohi i ka acne a me ka ulu ʻana o ka lauoho makemake ʻole ʻia.
• Nā lāʻau lapaʻau no ka maʻi diabetes: ʻO Metformin kahi lāʻau lapaʻau maʻi diabetes e kōkua i kou kino e hoʻohana pono i ka insulin. Ke kāohi ʻia ka insulin, ʻike paha kekahi poʻe me PCOS i ka holomua o kā lākou mau pōʻaiapuni menstrual.
• Nā lāʻau lapaʻau e ālai ana i ka Androgen: Hiki i kekahi mau lāʻau lapaʻau ke hōʻemi i nā hopena o nā hormones androgen. Hiki i kēia ke kōkua i ka kaohi ʻana i ka ulu ʻana o ka ʻākena a i ʻole ka lauoho. E kamaʻilio me kāu kauka e pili ana inā kūpono kēia ʻano lāʻau iā ʻoe.
• Nā Hoʻololi ʻAno Noho: ʻO ka ʻai ʻana i kahi meaʻai momona a me ka mālama ʻana i ke kaumaha olakino hiki ke loaʻa ka hopena maikaʻi i nā pae insulin. He mea nui loa kēia no ka mālama ʻana i nā hōʻailona PCOS.

Inā ʻoe e kali ana i kahi pēpē i kēia manawa a i ʻole i ka wā e hiki mai ana, hiki ke hoʻohana ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau no PCOS:

• Nā lāʻau lapaʻau e hoʻoulu ai i ka ovulation (kahi e hoʻoulu ai i ka hua manu e oʻo a hoʻokuʻu ʻia): Hoʻomaka ka hāpai holomua me ka ovulation. Aia nā lāʻau lapaʻau i hōʻike ʻia e hoʻoulu i ka ovulation i ka poʻe me PCOS. Lawe ʻia ʻo Clomiphene lāua ʻo Letrozole ma ka waha. Hāʻawi ʻia nā Gonadotropins ma ke ʻano he injections.
• ʻOki: Aia kekahi hana ʻoki e hiki ke kōkua i ka hoʻihoʻi ʻana i ka ovulation ma ka wehe ʻana i nā ʻiʻo i loko o nā ovaries e hana ana i nā hormones androgen. Eia nō naʻe, ma muli o nā lāʻau lapaʻau hou, ʻaʻole hana pinepine nā kauka i kēia ʻoki.
• Hoʻouluulu ʻana i loko o ka vitro (IVF):He koho kēia no nā wahine me PCOS i hiki ʻole ke ovulate me ka lāʻau lapaʻau. Pili kēia i kahi kauka e hoʻoulu ai i kekahi o kāu mau hua me ka sperm o kāu hoa i loko o kahi lab, a laila e hoʻokomo i ka embryo i loko o kou uterus.

Hiki ke ho'ōla loa ʻia ka PCOS?

ʻAʻohe lāʻau lapaʻau no ka PCOS i kēia manawa . Akā hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona. Hiki ke loli nā hopena o ka PCOS i ka hala ʻana o ka manawa, a ʻaʻole paha ʻoe e ʻike nui i ke ʻano. Eia naʻe, ʻaʻole kēia he lāʻau lapaʻau mau loa.

Me nā loli hormonal e hana ʻia i ka wā menopause, hiki ke hoʻemi nui ʻia nā hōʻailona PCOS.

Hiki i ka PCOS ke hoʻoulu i nā pilikia olakino ʻē aʻe?

Ua hōʻike ʻia nā noiʻi e hiki i ka PCOS ke hoʻonui i ka pilikia o nā kūlana olakino e hiki mai ana:

• ʻO ka maʻi diabetes (Diabetes Mellitus)
• Ke koko kiʻekiʻe
• Maʻi cardiovascular
• Ka mānoanoa o ka uhi o loko o ka ʻōpū (endometrial hyperplasia)
• Ka maʻi ʻaʻai endometrial
• Nā maʻi pili i ka hiamoe e like me ka apnea hiamoe
• Kaumaha a me ka Hopohopo

He mea nui loa e kamaʻilio me kāu kauka e hoʻomaopopo piha i kou pilikia o ka hoʻomohala ʻana i kēia mau kūlana.

Hiki ke pale ʻia ka PCOS a i ʻole e hōʻemi ʻia kona hopena?

ʻAʻohe ala i hōʻoia ʻia e pale aku ai i ka PCOS. Akā hiki iā ʻoe ke hana i kekahi mau mea e kōkua ai i ka hōʻemi ʻana i kāu mau hōʻailona. No ka laʻana, ʻo ka ʻai ʻana i ka meaʻai momona, ka hoʻoikaika kino mau , a me ka mālama ʻana i ke kaumaha olakino hiki ke kōkua iā ʻoe e pale aku i nā hopena o ka PCOS.

Pehea e ola ai me ka PCOS me ka pōmaikaʻi?

ʻO ke ala maikaʻi loa e ola kūleʻa ai me PCOS, ʻo ia ka mālama ʻana i ke kaumaha olakino, ka ʻai ʻana i ka meaʻai momona, a me ka hoʻoikaika kino mau . Hiki i kēia mau hoʻololi nohona ke kōkua i ka hoʻoponopono ʻana i kāu mau pae hormone, hiki ke kōkua i ka hoʻoponopono ʻana i kāu pōʻaiapuni menstrual a hōʻoluʻolu i nā hōʻailona.

Inā hōʻeha ka ulu ʻana o ka lauoho makemake ʻole ʻia a i ʻole ka ʻāʻī i kou hilinaʻi iā ʻoe iho, he mea pono paha ke ʻimi i ka lāʻau hoʻonani a ʻike paha i kahi dermatologist.

ʻO ka mea hope loa, inā ʻoe e hoʻāʻo nei e loaʻa kahi pēpē a loaʻa iā ʻoe ka PCOS, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. Ma kahi o 1 i loko o 10 mau kānaka i loaʻa ka PCOS. Hiki i kāu kauka ke kōkua iā ʻoe, inā ʻo ia kou manaʻolana, e loaʻa kahi pēpē.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā kānalua ʻoe he PCOS kou, e ʻike i ke kauka. ʻO kekahi o nā hōʻailona e hōʻike ana i ka PCOS:

• He ʻano kūlike ʻole o ke kaʻina hana menstrual o kēlā me kēia mahina (ʻoi aku ka nui ma mua o 40 mau lā ma waena o nā menstruations).
• ʻO ka ulu nui ʻana o ka lauoho, ka ʻākena, a i ʻole nā ​​​​hōʻailona ʻē aʻe o nā hormones androgen nui.
• Ka paʻakikī o ka hāpai ʻana i kahi keiki.

He aha nā hormones e pili ana i ka PCOS?

He kūlike ʻole ka hormonal o ka poʻe me PCOS. Hiki i kēia ke hoʻopilikia i ko lākou pōʻaiapuni menstrual mahina, ka ovulation, a me ko lākou hiki ke hāpai. Ua like kēia mau hormones me kahi pūnaewele paʻakikī. Inā hewa kekahi, ua pilikia ka ʻōnaehana holoʻokoʻa. ʻO nā hormones nui e pili ana i ka PCOS:

• ʻO Androgens (e like me ka testosterone a me ka androstenedione)
• ʻO ka hormone Luteinizing (LH)
• ʻO ka hormone hoʻouluulu follicle (FSH)
• ʻEstrogen
• Progesterone
• ʻInisulina `(Inisulina)`

He like anei ka PCOS a me ka endometriosis?

ʻElua mau kūlana like ʻole ʻo PCOS a me ka endometriosis . Akā hiki i nā mea ʻelua ke hana i nā cysts ovarian a me ka hānau ʻole. ʻO ka Endometriosis ka wā e ulu ai ka uhi o kou uterus (endometrium) ma nā wahi ʻē aʻe, e like me kāu ovaries, vagina, a i ʻole fallopian tubes. ʻO kēia ka mea maʻamau ke kumu o ka ʻeha o ka ʻōpū ma lalo a i ʻole nā ​​​​​​ʻeha menstrual koʻikoʻi. Loaʻa i ka poʻe me PCOS nā wā maʻamau ʻole, ka ovulation maʻamau ʻole, a me nā hopena kino ʻē aʻe i hoʻokumu ʻia e nā hormones kāne keu.

ʻO nā mea nui loa āu e hoʻomanaʻo ai

He maʻi maʻamau ka PCOS. Hiki iā ia ke hoʻopilikia i kāu pōʻaiapuni mahina a hoʻoulu i nā hōʻailona ʻē aʻe. Inā kānalua ʻoe he PCOS kou, e kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona. Hiki i nā hoʻololi ʻana i ke ʻano o ka nohona a me nā lāʻau lapaʻau ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona, ​​​​e hōʻemi i kou pilikia o nā kūlana olakino ʻē aʻe, a (inā ʻo ia kāu pahuhopu) kōkua iā ʻoe e loaʻa kahi pēpē. Mai hopohopo, ʻaʻole ʻoe hoʻokahi, a aia nā ala e hoʻoponopono ai.

ʻO PCOS, Polycystic Ovary Syndrome, Hormonal Imbalance, Monthly Menstrual Cycle, Ovaries, Androgens, Infertility, Insulin Resistance