Ua like ʻoe me Nadeesha? Nā hōʻailona a me nā hoʻonā o ka Polycystic Ovary Syndrome (PCOS)

I kēia lā ma koʻu keʻena lapaʻau, ua hālāwai au me kahi mea maʻi hoʻopilikia loa. He wahine ʻo ia he 25 ona makahiki i kapa ʻia ʻo Nadeesha. ʻOiai ʻo Nadeesha e noho ana ma luna o ka noho, ua piha kona mau maka i nā waimaka.

"He aha ka pilikia, e Nadeesha?" i nīnau aku ai au iā ia me ke aloha.

Ua kāohi ʻo Nadeesha i kona mau manaʻo a ʻōlelo akula, "E ke kauka, ʻaʻole au i loaʻa i koʻu wā maʻi i ʻehā mahina. Eia kekahi, ua hoʻomaka wau e ulu i ka lauoho mānoanoa e like me ke kāne ma koʻu maka a me koʻu ʻauwae. Ua uhi ʻia koʻu maka holoʻokoʻa i nā pimples. Makaʻu loa wau."

Ua paʻa au i nā lima o Nadeesha a hōʻoluʻolu iā ia. "E Nadeesha, mai hopohopo. ʻO nā hōʻailona āu e wehewehe nei e hōʻike ana ua loaʻa iā ʻoe kahi ʻano hormonal imbalance i kapa ʻia ʻo PCOS (Polycystic Ovary Syndrome) . Pale kēia ʻano i nā ovaries mai ka oʻo pono ʻana a me ka hoʻokuʻu ʻana i nā hua. ʻO ia ke kumu e lilo ai ke kaʻina hana menstrual i mea ʻē. E hana kākou i kahi ultrasound scan ʻōpū e hōʻoia i kēia ʻano."

🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka

ʻOiai ʻo ka PCOS he maʻi mau loa ia, inā loaʻa nā hōʻailona aʻe, pono ʻoe e ʻike koke i kahi kauka lapaʻau a me ke kauka wahine (Gynecologist) a e ʻimi i ka lāʻau lapaʻau:

• ʻO ke kahe koko ʻana o ka maʻi kāne i ʻoi aku ma mua o 21 mau lā a i ʻole he kaumaha loa (hiki i kēia ke alakaʻi i ka anemia).
• ʻEha koke, koʻikoʻi a hiki ʻole ke hoʻomanawanui ma ka ʻōpū lalo (hiki paha ke haki ka ovarian cyst a i ʻole ka ovary haki - Ruptured Cyst/Ovarian Torsion).
• Ke ala ʻana me ka hanu pōkole a i ʻole ka hū nui ʻana i ka wā e hiamoe ana i ka pō (Sleep Apnea).
• Ke kaumaha nui nei, ka hopohopo, a me ka pepehi iā ia iho.

Nā kumu e kōkua ai i ka PCOS

ʻOiai ʻaʻole i ʻike ʻia ke kumu kikoʻī o ka PCOS e ka ʻepekema lapaʻau, ua ʻike ʻia nā kumu e pili pono ana iā ia:

1. Ke Kūʻē ʻana o ka Insulin: Ke emi ka pane ʻana o nā pūnaewele o ke kino i ka hormone insulin, piʻi aʻe ke kiʻekiʻe o ke kō koko. A laila hana ka pancreas i ka insulin hou aʻe, a hoʻoulu kēia insulin keu i nā ovaries e hoʻonui i ka hana ʻana o nā hormones kāne.
2. Ka hana nui ʻana o nā hormones androgen: ʻOiai ke kino o nā wahine e hana pū ana i nā nui liʻiliʻi o nā hormones kāne, ma ka PCOS, hana nā ovaries i nā nui nui o nā androgens. Hiki i kēia ke alakaʻi i ka ulu ʻana o ka lauoho maka, ka ʻāʻī, a me ka hiki ʻole ke hoʻokuʻu pono i nā hua.
3. Ka mumū haʻahaʻa: I nā poʻe maʻi PCOS, hoʻoulu nā hunaola koko keʻokeʻo i ka mumū haʻahaʻa no ka manawa lōʻihi, kahi e hoʻoulu hou ai i ka hana ʻana o nā androgens e nā ovaries.
4. Nā ʻano hoʻoilina: Inā loaʻa i kou makuahine, kaikuahine, a ʻanakē paha ka PCOS, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi iā ʻoe.

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Nā pilikia lōʻihi e hiki mai ana o ka PCOS

Inā ʻaʻole i kaohi pono ʻia ka PCOS, hiki ke hoʻopilikia ʻia ka metabolism holoʻokoʻa o ke kino a hiki mai nā pilikia penei:

• ʻAʻole hānau keiki: He paʻakikī ke hāpai no ka mea ʻaʻole hoʻokuʻu nā ovaries i nā hua (Anovulation).
• Nā pilikia i ka wā hāpai: Hoʻonui ʻia ka pilikia o ka maʻi diabetes gestational, ke koko kiʻekiʻe, a me ka hāʻule ʻana.
• ʻO ka Metabolic Syndrome: ʻO ka hui pū ʻana o ke koko kiʻekiʻe, ke kō koko kiʻekiʻe, a me ka cholesterol e hoʻonui i ka pilikia o ka maʻi puʻuwai.
• ʻO ka steatohepatitis ʻaʻohe waiʻona (NASH): Nā waihona momona nui i loko o ke akepaʻa, e hoʻoulu ai i ka mumū o ke akepaʻa, ʻoiai me ka ʻole o ka inu ʻana i ka waiʻona.
• Ka Maʻi ʻAʻai Endometrial: ʻO ka hala ʻole o ka menstruation no ka manawa lōʻihi e hiki ai ke hoʻomānoanoa i ka uhi o ka uterus (endometrium), e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai.

Nā hoʻonā lapaʻau kūleʻa no ka PCOS

ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia ka PCOS, hiki ke mālama pono ʻia nā hōʻailona: