Kei a koe anō te PCOS (Polycystic Ovary Syndrome)? Me kōrero tātou mō tēnei mea!

He rerekē te huringa o tō paheketanga? He huruhuru kāore e hiahiatia te tupu i tō mata, i tō tinana rānei? He hakihaki tōu? He uaua ki a koe te whakaiti i tō taumaha? Mena he raruraru noa ēnei māu, tera pea kei te pāngia koe e te mate e kiia nei ko te PCOS. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō te PCOS (Polycystic Ovary Syndrome) i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

He aha te PCOS (Polycystic Ovary Syndrome)?

Ki te kī ngāwari, ko te PCOS he kore taurite o ngā homoni i roto i ngā wāhine. Ka puta mai ina nui rawa ngā homoni e whakaputaina ana e ō ovaries (ngā whekau e whakaputa ana, e tuku ana hoki i ngā hua manu). Ina koa, he nui rawa ngā homoni e whakaputaina ana e ō ovaries e kiia nei ko ngā androgens (e mōhiotia ana ko ngā homoni tāne). Ka raru pea tō pūnaha whakaputa uri i te taurite.

Nā reira, he maha ngā tāngata whai PCOS he rerekē ā rātou huringa paheketanga , kāore he paheketanga i roto i ētahi marama, ā, he rerekē te whakaputa uri (anovulation) . I ētahi wā, ka kitea ngā kiore iti kī tonu i te wai (ngā kiore follicle) i runga i te matawai ultrasound o ngā ovaries. Heoi, ahakoa te ingoa "polycystic," ehara i te katoa he kiore kei a rātou. Hei tāpiri, ehara ngā kiore ovarian i te mea morearea, i te mea mamae rānei.

Ko te PCOS tētahi o ngā tino take o te kore tamariki i roto i ngā wāhine . Ka piki ake hoki te mōrearea o ētahi atu raruraru hauora. Ka taea e ngā tākuta te rongoā i te PCOS i runga i ō tohu me te mea kei te ngana koe ki te hapu.

Ko wai ka pāngia e te PCOS? He mate noa tēnei?

Ka taea te whakawhanake i te PCOS i ngā tau katoa i muri i te pakeketanga. Ko te nuinga o ngā wāhine ka kitea he mate pēnei i roto i ō rātou tau 20, 30 rānei, inā koa i te wā e ngana ana rātou ki te whānau tamariki. Mena he taumaha rawa koe (momona), ki te mea rānei he PCOS tō tētahi o tō whānau, he nui ake te tūponotanga ka pāngia koe e te PCOS.

He mate tino noa te PCOS. Tata ki te 15% o ngā wāhine e whānau ana, ara tata ki te 15 i roto i te 100 o ngā wāhine, kua kitea he PCOS. Nō reira, ki te kitea e koe kei a koe tēnei mate, kaua e noho mokemoke.

He aha ngā tohu mēnā he PCOS tōu?

Koinei ngā tohu tino kitea o te PCOS:

• Te paheketanga koretake: Kei roto i tēnei ko te kore paheketanga, te kore paheketanga mō ngā marama, te toto nui rānei i te wā paheketanga.
• Te tupu huruhuru rerekē: Te tupu huruhuru kāore e hiahiatia ana i te mata, te uma, te puku, me ngā ringa ( hirsutism) . Ka kitea tēnei tohu i roto i te 70% o te hunga whai PCOS.
• hakihaki:Ka puta te hakihaki ki te tuara, ki te uma, me te mata i te PCOS. Ka mau tonu tēnei hakihaki tae noa ki te pakeketanga, ā, he uaua ki te rongoā.
• Momona/momona rawa: I waenga i te 40% me te 80% o te hunga whai PCOS he momona rawa, ā, he uaua ki a rātou te pupuri i te taumaha hauora.
• Te pōuriuri o te kiri: Ka pōuriuri pea te kiri i ngā kokonga o te kaki, o ngā kēkē, o te rohe o te uma (i waenganui i ngā waewae), me raro i ngā ū. Ka kiia tēnei ko te acanthosis nigricans .
• Ngā Pūkahukahu Ovarian: Mō te tini o te hunga whai PCOS, ka nui ake pea ngā ovarian i te mea noa i te wā e kitea ana he ultrasound, ka nui rānei ngā pūkahukahu iti (follicles) kei roto.
• Ngā tohu kiri: He iti nei ngā tupu rite ki te kiore e iri ana i te kiri. Ko te nuinga o ēnei ka kitea i roto i ngā kēkē me te kaki.
• Te angiangi/te ngaro o te makawe: Tērā pea ka pāngia te hunga whai PCOS e te ngaronga o te makawe, e te pakira rānei.
• Kore tamariki: Ko te PCOS tētahi o ngā tino take o te kore tamariki i roto i ngā wāhine. Ka whakaiti i te kaha ki te hapu i te tamaiti nā te mea kāore e puta te whakaputa uri.

Kāore pea ētahi tāngata e pāngia e ngā tohu o te PCOS. Ka kitea noa e ētahi tāngata kei a rātou te mate ina kua roa rātou e hapu ana, ina piki ohorere rānei tō rātou taumaha.

He aha ngā tino take o te PCOS?

Kāore anō kia mōhiotia te tino pūtake o te PCOS . Heoi, kei reira ngā taunakitanga e whakaatu ana he āhuatanga ira tōna. Ko te tikanga, ki te pāngia tētahi o tō whānau e tēnei mate, ka nui ake te tūponotanga ka pāngia koe e tēnei mate. Hei tāpiri, he maha atu anō ngā āhuatanga, inā koa te momonatanga :

• Te pikinga ake o ngā taumata o ngā homoni tāne e kiia nei ko ngā androgens: Ina piki ake ēnei homoni, ka ārai i ngā ovaries ki te tuku hua manu. Koinei te take e kore e taurite ai ngā huringa paheketanga. Ina kore e taurite te whakaputa uri, ka taea te hanga i ngā cysts kī tonu i te wai i roto i ngā ovaries. Ka puta hoki i te pikinga ake o ngā androgens te hakihaki me te tipu o ngā makawe kāore e hiahiatia.
• Te ātete ki te insulin:Ina teitei ngā taumata o te insulin, ka nui ake ngā homoni tāne (androgens) ka puta mai i ngā ovaries. Ka whakaitihia te whakaputanga o te hua manu e ēnei homoni tāne kua piki ake, ā, ka whai wāhi atu ki ētahi atu tohu o te PCOS. Ko te insulin he homoni e āwhina ana i tō tātou tinana ki te whakahaere i te huka (glucose) me te whakaputa pūngao. Ko te ātete insulin ko te wā kāore te tinana e aro tika ki te insulin. Ka puta he taumata huka toto tiketike. Ehara i te mea ko te hunga katoa he ātete insulin ka pāngia e te mate huka, engari ka taea e te ātete insulin te arahi ki te mate huka. Ko te taumaha rawa, te momona rānei ka taea hoki te puta he ātete insulin. Ahakoa he noa ō taumata huka toto, ko ngā taumata insulin teitei he tohu pea o te ātete insulin.
• Mumura iti: Ko te hunga whai PCOS ka pāngia pea e te mumura iti mau tonu, te mumura roa rānei (he momo mumura e puta ana i roto i te tinana). Ka taea e ngā tākuta te ine i tēnei mumura mā te whakamātautau toto (pūmua C-reactive (CRP) me ngā taumata toto toto mā).

PCOS me te haputanga

Ko tētahi pātai a te tini tāngata ko te mea ka taea e te PCOS te whakatōtō i te whānautanga. Mā te PCOS ka piki ake te mōrearea o ētahi raruraru hāputanga, engari he tokomaha ngā tāngata whai PCOS ka taea te whānau angitu i tētahi pēpi.

Ko ngā raruraru pea ka puta i te wā e hapu ana nā te PCOS ko:

• Te mate huka hāputanga, te preeclampsia (te toto toto tiketike me ētahi atu raruraru i te wā e hapū ana), me te toto toto tiketike.
• Ko te mōrearea o te whānautanga o mua (i mua i te 37 wiki) me te whānautanga mā te pokanga nā te momona, te mate huka, te toto toto tiketike rānei.

Kaua e mataku. Mena he PCOS tōu, ko te mea nui ko te kōrero ki te tākuta me te tiki i ngā tohutohu me ngā maimoatanga e tika ana.

Me pēhea te tātaritanga a te tākuta i te PCOS?

I te nuinga o te wā, ka taea e tō tākuta te tautuhi i te PCOS mā te tirotiro i a koe me te kōrero mō ō tohumate. Tērā pea ka tonoa e rātou he whakamātautau toto, he matawai ultrasound rānei hei āwhina i te tautuhi.

Ka mahia e te tākuta ēnei mahi:

• Kōrerohia ō tohumate me tō hītori hauora.
• Pātai atu mō te hītori hauora o tō whānau.
• Ka inehia tō taumaha me tō toto toto.
• Ka tirotirohia te tinana - inā koa mēnā he huruhuru kanohi kāore e hiahiatia, he ngaronga huruhuru, he hakihaki, he rerekē te tae o te kiri, me ngā kirikawa.
• Ka whakahaerehia he whakamātautau hope hei tirotiro i ētahi atu take o te toto rerekē.
• Ka tonoa he whakamātautau toto hei tirotiro i ngā taumata homoni me ngā taumata huka.
• Ka whakahaerehia he matawai ultrasound hei tirotiro i ngā ovaries, hei tirotiro i te matotoru o te pakitara uterine, me te tirotiro mō ētahi atu take o te toto rerekē.

Ko te tikanga, ka whakatau ngā tākuta he PCOS tōu mēnā kei a koe kia rua, kia toru rānei ngā tohu e whai ake nei :

1. Te paheketanga koretake, te ngaro rānei o te paheketanga (tērā pea ka pāngia ētahi tāngata whai PCOS e te toto nui i te wā o te paheketanga).

2. Ngā tohu o ngā homoni androgen teitei, pērā i te hakihaki, te tupu nui rānei o te makawe. Mēnā rānei, ngā hua o te whakamātautau toto e whakaū ana i ngā taumata androgen teitei.

3. Ka kitea i roto i te matawai ultrasound ngā ovaries kua nui haere, kua polycystic rānei (he maha ngā tāngata kāore e pāngia e ēnei cysts).

He aha ngā maimoatanga mō te PCOS?

Ka whakatauhia e tō tākuta te maimoatanga i runga i ō tohu, tō hītori hauora, ētahi atu āhuatanga hauora, me te whakaaro rānei kei te whakamahere koe ki te whānau tamariki. Tērā pea ka uru atu ki te maimoatanga ngā rongoā, ngā huringa āhua noho, ngā whakakotahitanga rānei o ngā mea e rua.

Mena kāore koe e hapu ana i tēnei wā, ka taea te whakamahi i ēnei hei maimoatanga:

• Ngā ārai whānau homoni: Kei roto i tēnei ko ngā pire ārai whānau, ngā pāti, ngā werohanga, he mowhiti tara, he taputapu intrauterine (IUD) rānei. Ka āwhina ngā ārai whānau homoni ki te whakahaere i tō huringa paheketanga ia marama. Ka taea hoki e ētahi momo te whakahaere i te hakihaki me te tipu o ngā makawe kāore e hiahiatia.
• Ngā rongoā aro ki te insulin: He rongoā mate huka te Metformin e āwhina ana i tō tinana ki te whakamahi tika i te insulin. Ina whakahaeretia te insulin, ka kite pea ētahi tāngata whai PCOS kua pai ake ā rātou huringa paheketanga.
• Ngā rongoā ārai-androgen: Ka taea e ētahi rongoā te whakaiti i ngā pānga o ngā homoni androgen. Ka taea e tēnei te āwhina ki te whakahaere i te hakihaki, te tipu rānei o te makawe. Kōrero ki tō tākuta mēnā he tika tēnei momo maimoatanga māu.
• Ngā huringa āhua noho: Mā te kai i ngā kai totika me te pupuri i te taumaha hauora ka pā pai ki ngā taumata insulin. He mea tino nui tēnei mō te whakahaere i ngā tohumate o te PCOS.

Mena kei te hapu koe i nāianei, i te heke mai rānei, ka taea te whakamahi i ēnei hei rongoā mō te PCOS:

• Ngā rongoā e whakaoho ana i te whakaputanga o te hua manu (e meinga ai te pakeketanga o te hua manu kia tukuna): Ka tīmata te haputanga angitu i te whakaputanga o te hua manu. Kua whakaatuhia he rongoā hei whakaoho i te whakaputanga o te hua manu i roto i te hunga whai PCOS. Ka tangohia te Clomiphene me te Letrozole mā te waha. Ka hoatu ngā Gonadotropins hei werohanga.
• Pokanga: Tērā tētahi tikanga pokanga hei āwhina i te whakahoki mai i te whakaputanga hua mā te tango i te kiko i roto i ngā ovaries e whakaputa ana i ngā homoni androgen. Heoi, nā ngā rongoā hou, he onge te mahi a ngā taote pokanga i tēnei pokanga.
• Te whakatōtōtanga i roto i te vitro (IVF):He kōwhiringa tēnei mā ngā wāhine whai PCOS kāore e taea te whakaputa uri mā te rongoā. Ko te tikanga o tēnei, me whakamomona e te tākuta tētahi o ō hua manu ki te parāoa o tō hoa i roto i te taiwhanga, kātahi ka whakatōkia te kukune ki roto i tō kōpū.

Ka taea te whakaora katoa i te PCOS?

Kāore anō kia kitea he rongoā mō te PCOS . Engari ka taea e tō tākuta te āwhina i a koe ki te whakahaere i ō tohumate. Tērā pea ka rerekē ngā pānga o te PCOS i roto i te wā, ā, kāore pea koe e tino kite i te āhua. Heoi, ehara tēnei i te rongoā tuturu.

Nā ngā huringa homoni e puta ana i te wā menopause, ka kitea te tino heke o ngā tohu o te PCOS.

Ka taea e te PCOS te whakararu i ētahi atu raruraru hauora?

Kua whakaatuhia e ngā rangahau ka piki ake pea te mōrearea o ngā mate hauora e whai ake nei nā te PCOS:

• Mate huka `(Diabetes Mellitus)`
• toto toto tiketike
• Mate pūnaha manawa
• Te matotoru o te arai o roto o te kōpū (endometrial hyperplasia)
• Matepukupuku endometrial
• Ngā mate moe pēnei i te moe pōrearea
• Te pouri me te manukanuka

He mea tino nui kia kōrero koe ki tō tākuta kia tino mārama ai koe ki te tūponotanga o te whakawhanake i ēnei āhuatanga.

Ka taea te ārai i te PCOS, te whakaiti rānei i ōna pānga?

Kāore anō kia whai huarahi kua whakamātauhia hei ārai i te PCOS. Engari ka taea e koe te mahi i ētahi mea hei āwhina i te whakaiti i ō tohu. Hei tauira, mā te kai i tētahi kai totika, te whakakori tinana i ngā wā katoa , me te pupuri i te taumaha hauora ka āwhina i a koe ki te karo i ngā pānga o te PCOS.

Me pēhea te noho angitu me te PCOS?

Ko te huarahi pai ki te noho angitu me te PCOS ko te pupuri i te taumaha hauora, te kai i ngā kai totika, me te whakakori tinana i ngā wā katoa . Ka taea e ēnei huringa āhua noho te āwhina i te whakahaere i ō taumata homoni, ka āwhina hoki ki te whakahaere i tō huringa paheketanga me te whakamamae i ngā tohu.

Mena kei te pā kino te tupu o ngā huruhuru kāore e hiahiatia, te hakihaki rānei, he mea pai pea te rapu maimoatanga whakapaipai, te toro atu rānei ki tētahi tākuta kiri.

Hei whakamutunga, ki te mea kei te ngana koe ki te whānau tamariki, ā, he PCOS tōu, kia mahara ehara i te mea ko koe anake. Tata ki te 1 i roto i te 10 tāngata he PCOS. Ka taea e tō tākuta te āwhina i a koe, ki te mea koinā tō tumanako, kia whānau he pēpi.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Ki te whakapae koe he PCOS tōu, tirohia he tākuta. Ko ētahi o ngā tohu e tohu ana i te PCOS ko:

• He huringa paheketanga koretake o ia marama (he maha ngā wā neke atu i te 40 ngā rā i waenga i ngā paheketanga).
• Te tupu nui o te makawe, te hakihaki, ētahi atu tohu rānei o te nui rawa o ngā homoni androgen.
• Te uaua ki te hapu i te tamaiti.

He aha ngā homoni e whai wāhi ana ki te PCOS?

He koretake te taurite o ngā homoni o te hunga whai PCOS. Ka raru pea tēnei i te huringa paheketanga o ia marama, te whakaputa uri, tae atu ki te kaha ki te hapu. He rite ēnei homoni ki tētahi whatunga matatini. Ki te kore tetahi e pai, ka pāngia te pūnaha katoa. Ko ngā homoni matua e pā ana ki te PCOS ko:

• Ngā androgens (pērā i te testosterone me te androstenedione)
• Hormone Luteinizing (LH)
• Te homoni whakaoho-pūmua (FSH)
• Estrogen
• Progesterone
• Inihurini `(Inihurini)`

He rite tonu te PCOS me te endometriosis?

He rerekē ngā mate o te PCOS me te endometriosis . Engari ka taea e ēnei e rua te whakaputa i ngā whēkau ovarian me te kore tamariki. Ko te Endometriosis te wā e tipu ai te arai o tō kōpū (endometrium) ki ētahi atu wāhi, pērā i ō ovaries, te tara, ngā ngongo fallopian rānei. Ko te tikanga ka puta he mamae o te puku o raro, he mamae nui rānei i te paheketanga. Ka pāngia hoki te hunga whai PCOS e te paheketanga koretake, te whakaputa uri koretake, me ētahi atu pānga taha tinana e puta mai ana i te nui rawa o ngā homoni tāne.

Ngā mea tino nui hei maumahara māu

He mate noa te PCOS. Ka pā pea ki tō huringa paheketanga o ia marama, ā, ka puta mai ētahi atu tohu. Ki te whakaaro koe he PCOS tōu, kōrero ki tō tākuta mō ō tohu. Mā ngā huringa āhua noho me ngā maimoatanga hauora ka āwhina i a koe ki te whakahaere i ō tohu, ki te whakaiti i tō tupono ki ētahi atu mate hauora, ā, (ki te mea koinā tō whāinga) ka āwhina i a koe ki te whānau pēpi. Kaua e manukanuka, ehara i te mea ko koe anake, ā, he huarahi hei whakatau i tēnei.

PCOS , Mate Pūkahukahu Polycystic, Tauritekore o ngā Hormone, Huringa Paheketanga o ia Marama, Ngā Pūkahukahu, Ngā Androgens, Kore Tamariki, Ātete ki te Insulin