He rite koe ki a Nadeesha? Ngā Tohu me ngā Whakaora o te Polycystic Ovary Syndrome (PCOS)

I tēnei rā i taku whare hauora, i tūtaki ahau ki tētahi tūroro tino whakararuraru. He wahine ia, e 25 tau te pakeke, ko Nadeesha tōna ingoa. Ahakoa i a Nadeesha e noho ana i runga i te tūru, kī tonu ōna kanohi i te roimata.

"He aha te raru, e Nadeesha?" ka pātai atu ahau me te aroha ki a ia.

I whakahaere a Nadeesha i ōna kare ā-roto, ā, ka mea ia, "E te tākuta, e whā marama kāore anō kia pā mai taku paheketanga. Kua tīmata hoki te tupu o ngā huruhuru matotoru, pērā i te tāne, i runga i tōku mata me tōku kauae. Kua kapi katoa tōku mata i ngā pīngore. Nui atu tōku mataku."

I pupuri ahau i ngā ringa o Nadeesha, ā, i whakamarie i a ia. "E Nadeesha, kaua e manukanuka. Ko ngā tohu e whakaahuahia ana e koe e tohu ana kei te pāngia koe e te kore taurite o ngā homoni e kiia nei ko te PCOS (Polycystic Ovary Syndrome) . Mā tēnei āhuatanga ka kore e pakari tika ngā ovaries me te tuku hua manu. Koia te take ka koretake te huringa paheketanga. Me mahi he matawai ultrasound puku hei whakaū i tēnei āhuatanga."

🚨 Ngā tohu whero e hiahia ana kia rapu awhina hauora tonu

Ahakoa he mate mau tonu te PCOS, ki te puta ngā tohu e whai ake nei, me toro atu tonu koe ki tētahi tākuta whānau me te tākuta wahine (Gynecologist) ka rapu maimoatanga:

• Te toto o te paheketanga e neke atu ana i te 21 ngā rā, he tino nui rānei (ka arahi pea tēnei ki te anemia).
• Te mamae ohorere, te mamae nui, kāore e taea te whakamanawanui i te puku o raro (tērā pea he pakaru o te whēkau ovarian, he pakaru rānei o te whēkau ovarian - Ruptured Cyst/Ovarian Torsion).
• Te oho ake me te poto o te manawa, te ngongoro nui rānei i te pō (Sleep Apnea).
• Te tino pouri, te manukanuka, me te whakamomori.

Ngā āhuatanga e whai wāhi ana ki te PCOS

Ahakoa kāore anō kia kitea e te pūtaiao hauora te tino pūtake o te PCOS, kua kitea ko ēnei āhuatanga e whai ake nei he pānga tika ki tēnei:

1. Te Ātete ki te Insulin: Ina kore e tino aro ngā pūtau o te tinana ki te homoni insulin, ka piki ake ngā taumata huka toto. Kātahi ka nui ake te insulin e whakaputaina ana e te repe taiaki, ā, ka whakaohohia e tēnei insulin nui ngā ovaries ki te whakanui ake i te hanga o ngā homoni tāne.
2. Te nui rawa o te whakaputanga o ngā homoni androgen: Ahakoa he iti noa ngā homoni tāne e hangaia ana e te tinana o ngā wāhine, i roto i te PCOS ka nui rawa ngā androgen e hangaia ana e ngā ovaries. Ka taea e tēnei te arahi ki te tupu o te huruhuru kanohi, te hakihaki, me te kore e taea te tuku tika i ngā hua manu.
3. Mumura iti: I roto i ngā tūroro PCOS, ka puta te mumura iti mō te wā roa i roto i ngā pūtau toto mā, ka whakaoho ake i te hanga o ngā androgens e ngā ovaries.
4. Ira: Mena he PCOS tō whaea, tō tuahine, tō whaea kēkē rānei, he nui ake te tūponotanga ka pāngia koe e te mate.

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Ngā raruraru roa pea o te PCOS

Ki te kore e tika te whakahaere i te PCOS, ka raru pea te pūnaha io katoa o te tinana, ā, ka puta pea ēnei raruraru:

• Te kore tamariki: He uaua ki te hapu nā te mea kāore ngā ovaries e tuku hua manu (Anovulation).
• Ngā raruraru i te wā e hapu ana: Te piki ake o te mōrearea o te mate huka hapūtanga, te toto toto tiketike, me te materoto.
• Te Mate Pūmua: Ko te whakakotahitanga o te toto toto tiketike, te huka toto tiketike, me te cholesterol ka whakanui ake i te mōrearea o te mate ngakau.
• Te mate ngako kore-waipiro (NASH): He nui rawa ngā ngako e putunga ana i roto i te ate, ka mumura ai te ate, ahakoa kāore i inu waipiro.
• Matepukupuku Endometrial: Mā te korenga o te paheketanga mō te wā roa ka matotoru te arai o te kōpū (endometrium), ka piki ake te tūponotanga ki te whakawhanake i te matepukupuku.

Ngā otinga hauora angitu mō te PCOS

Ahakoa kāore e taea te whakaora katoa i te PCOS, ka taea tonu te whakahaere i ngā tohumate: