Kodi muli ndi PCOS (Polycystic Ovary Syndrome)? Tiyeni tikambirane zonse!

Kodi nthawi yanu ya msambo ndi yosakhazikika? Kapena tsitsi lanu silikukula bwino pankhope kapena m'thupi mwanu? Kodi mumadwala ziphuphu? Kodi mukuvutika kuchepetsa thupi? Ngati mavutowa ndi ofala kwa inu, mwina mukudwala matenda otchedwa PCOS. Musadandaule, lero tikambirana za PCOS (Polycystic Ovary Syndrome) m'njira yosavuta yomwe mungamvetse.

Kodi PCOS (Polycystic Ovary Syndrome) ndi chiyani?

Mwachidule, PCOS ndi kusalinganika kwa mahomoni mwa akazi. Kumachitika pamene mazira anu (ziwalo zomwe zimapanga ndi kutulutsa mazira) zimapanga mahomoni ambiri . Makamaka, mazira anu amapanga mahomoni ambiri otchedwa androgens (omwe amadziwikanso kuti mahomoni achimuna). Izi zingayambitse kuti njira yanu yoberekera isayende bwino.

Zotsatira zake, anthu ambiri omwe ali ndi PCOS amakhala ndi nthawi yosakhazikika ya msambo , osasamba m'miyezi ina, komanso ovulation yosakhazikika (ovulation) . Nthawi zina, ma cysts ang'onoang'ono odzaza ndi madzi (follicle cysts) amatha kuwoneka pa ultrasound scan ya mazira. Komabe, ngakhale dzina lakuti "polycystic," si aliyense amene ali ndi PCOS ali ndi ma cysts awa. Kuphatikiza apo, ma cysts a mazira si owopsa kapena opweteka.

PCOS ndi vuto lalikulu lomwe limayambitsa kusabereka mwa akazi . Limawonjezeranso chiopsezo cha mavuto ena azaumoyo. Madokotala amatha kuchiza PCOS kutengera zizindikiro zanu komanso ngati mukufuna kutenga pakati.

Ndani amadwala PCOS? Kodi vutoli ndi lofala?

PCOS imatha kufalikira pa msinkhu uliwonse mutakula msinkhu. Azimayi ambiri amapezeka ndi vutoli ali ndi zaka za m'ma 20 kapena 30, makamaka akamayesa kukhala ndi mwana. Ngati muli ndi kunenepa kwambiri (kunenepa), kapena ngati wina m'banja mwanu ali ndi PCOS, muli ndi mwayi waukulu wopeza PCOS.

PCOS ndi vuto lofala kwambiri . Pafupifupi 15% ya akazi a msinkhu wobereka, kapena pafupifupi 15 mwa akazi 100 aliwonse, adapezeka ndi PCOS. Choncho ngati mutapeza kuti muli nayo, musamadzimve kuti ndinu nokha.

Kodi zizindikiro zake ndi ziti ngati muli ndi PCOS?

Zizindikiro zodziwika bwino za PCOS ndi izi:

• Kusamba kosakhazikika: Izi zingaphatikizepo kudumpha msambo, kusasamba kwa miyezi ingapo, kapena kutuluka magazi ambiri panthawi ya msambo.
• Kukula kwa tsitsi kosazolowereka: Kukula kwa tsitsi kosafunikira pankhope, pachifuwa, pamimba, ndi m'manja ( hirsutism) . Chizindikiro ichi chimapezeka mwa anthu pafupifupi 70% omwe ali ndi PCOS.
• Ziphuphu:PCOS ingayambitse ziphuphu kumbuyo, pachifuwa, ndi kumaso. Ziphuphu zimenezi zimatha kupitirira mpaka munthu atakula ndipo zimakhala zovuta kuchiza.
• Kunenepa/kunenepa kwambiri: Pakati pa 40% ndi 80% ya anthu omwe ali ndi PCOS ndi onenepa kwambiri ndipo amavutika kukhala ndi kulemera koyenera.
• Kudetsa khungu: Khungu likhoza kukhala lakuda m'mapiko a khosi, m'khwapa, m'mimba (pakati pa miyendo), ndi pansi pa mabere. Izi zimatchedwa acanthosis nigricans .
• Ma cysts a Ovarian: Mwa anthu ambiri omwe ali ndi PCOS, mazira a ultrasound scan akhoza kukhala akuluakulu kuposa masiku onse kapena akhoza kukhala ndi ma cysts ambiri ang'onoang'ono (ma follicles).
• Zizindikiro za pakhungu: Tinthu tating'onoting'ono tofanana ndi mamole tomwe timapachikidwa pakhungu. Izi zimapezeka kwambiri m'khwapa ndi pakhosi.
• Kuchepetsa/kutayika kwa tsitsi: Anthu omwe ali ndi PCOS amatha kutaya tsitsi kapena kukhala ndi tsitsi losalimba.
• Kusabereka: PCOS ndi vuto lalikulu lomwe limayambitsa kusabereka mwa akazi. Limachepetsa kuthekera kotenga pakati chifukwa ovulation sichitika.

Anthu ena sangakhale ndi zizindikiro zilizonse za PCOS. Anthu ena amazindikira kuti ali ndi vutoli akachedwa kutenga pakati kapena akangonenepa mwadzidzidzi.

Kodi zifukwa zazikulu za PCOS ndi ziti?

Chifukwa chenicheni cha PCOS sichikudziwikabe . Komabe, pali umboni wakuti ili ndi gawo la majini. Izi zikutanthauza kuti ngati wina m'banja mwanu ali nayo, muli ndi mwayi waukulu woti muipeze. Kuphatikiza apo, zinthu zina zingapo, makamaka kunenepa kwambiri, zingayambitse vutoli:

• Kuchuluka kwa mahomoni achimuna otchedwa androgens: Pamene mahomoniwa akuwonjezeka, amaletsa mazira kutuluka m'mazira. Izi ndi zomwe zimayambitsa kusayenda bwino kwa msambo. Pamene kutuluka kwa ovulation sikukhazikika, ma cysts odzaza ndi madzi omwe atchulidwa pamwambapa amatha kupangika m'mazira. Kuchuluka kwa androgens kumayambitsanso ziphuphu ndi kukula kwa tsitsi kosafunikira.
• Kukana kwa insulin:Pamene kuchuluka kwa insulin kuli kokwera, mazira amapanga ndikutulutsa mahomoni ambiri achimuna (androgens). Kuwonjezeka kwa mahomoni achimuna kumeneku kumachepetsa ovulation ndipo kumathandizira ku zizindikiro zina za PCOS. Insulin ndi mahomoni omwe amathandiza thupi lathu kulamulira shuga (glucose) ndikupanga mphamvu. Kukana insulini kumachitika pamene thupi siliyankha bwino ku insulin. Izi zimayambitsa kuchuluka kwa shuga m'magazi. Si aliyense amene ali ndi insulin omwe adzadwala matenda a shuga, koma kukana insulini kungayambitse matenda a shuga. Kunenepa kwambiri kapena kunenepa kwambiri kungayambitsenso kukana insulini. Ngakhale shuga m'magazi mwanu ndi wabwinobwino, kuchuluka kwa insulin kungakhale chizindikiro cha kukana insulini.
• Kutupa kochepa: Anthu omwe ali ndi PCOS akhoza kukhala ndi kutupa kosatha, kapena kwa nthawi yayitali, kochepa (mtundu wa kutupa komwe kumachitika mkati mwa thupi). Madokotala amatha kuyeza kutupa kumeneku pogwiritsa ntchito mayeso a magazi (C-reactive protein (CRP) ndi kuchuluka kwa maselo oyera a magazi).

PCOS ndi mimba

Funso lomwe anthu ambiri ali nalo ndi lakuti kodi PCOS ingayambitse kutayika kwa mimba? Kukhala ndi PCOS kungapangitse kuti pakhale mavuto ena okhudzana ndi mimba, koma anthu ambiri omwe ali ndi PCOS amatha kubereka mwana bwino.

Mavuto omwe angabwere chifukwa cha PCOS panthawi ya mimba ndi awa:

• Matenda a shuga a mimba, preeclampsia (kuthamanga kwa magazi ndi mavuto ena panthawi ya mimba), komanso kuthamanga kwa magazi.
• Kuopsa kobereka mwana nthawi isanakwane (masabata 37 asanafike) kapena kubereka mwana mwa opaleshoni chifukwa cha kunenepa kwambiri, matenda a shuga, kapena kuthamanga kwa magazi.

Koma musachite mantha. Ngati muli ndi PCOS, chofunika kwambiri ndikulankhula ndi dokotala kuti mupeze upangiri ndi chithandizo chofunikira.

Kodi dokotala amazindikira bwanji PCOS?

Nthawi zambiri, dokotala wanu amatha kuzindikira PCOS mwa kukuyang'anirani ndikukambirana za zizindikiro zanu. Angakuuzeninso kuti muyesedwe magazi kapena kujambulidwa ndi ultrasound kuti akuthandizeni kupeza matendawa.

Dokotala adzachita zinthu izi:

• Kambiranani za zizindikiro zanu ndi mbiri yanu ya matenda.
• Funsani za mbiri ya matenda a banja lanu.
• Kulemera kwanu ndi kuthamanga kwa magazi zidzayesedwa.
• Amayesa thupi - makamaka kuyang'ana tsitsi losafunikira pankhope, kutayika kwa tsitsi, ziphuphu, kusintha kwa mtundu wa khungu, ndi ziphuphu pakhungu.
• Kuyezetsa m'chiuno kudzachitika kuti kuone ngati pali zifukwa zina zomwe zimayambitsa kutuluka magazi mosadziwika bwino.
• Mayeso a magazi amalamulidwa kuti aone kuchuluka kwa mahomoni ndi kuchuluka kwa shuga m'magazi.
• Kujambula kwa ultrasound kudzachitika kuti muwone mazira, kuwona makulidwe a khoma la chiberekero, ndikuwonanso zifukwa zina zomwe zimayambitsa kutuluka magazi kosazolowereka.

Kawirikawiri, madokotala amanena kuti muli ndi PCOS ngati muli ndi zizindikiro zitatu zotsatirazi :

1. Kusasamba nthawi zonse kapena kulephera kusamba (anthu ena omwe ali ndi PCOS amathanso kutuluka magazi ambiri panthawi ya kusamba kwawo).

2. Zizindikiro za mahomoni ambiri a androgen, monga ziphuphu kapena kukula kwa tsitsi kwambiri. Kapena, zotsatira za mayeso a magazi zomwe zimatsimikizira kuchuluka kwa androgen.

3. Kujambula kwa ultrasound kumasonyeza kuti mazira okulira kapena ochulukirapo (anthu ambiri sapeza ma cysts amenewa).

Kodi mankhwala a PCOS ndi ati?

Dokotala wanu adzasankha chithandizo kutengera zizindikiro zanu, mbiri yanu yachipatala, matenda ena, komanso ngati mukufuna kukhala ndi ana. Chithandizocho chingaphatikizepo mankhwala, kusintha moyo wanu, kapena kuphatikiza zonse ziwiri.

Ngati simukuyembekezera mwana pakadali pano, izi zingagwiritsidwe ntchito ngati chithandizo:

• Kuletsa kubereka pogwiritsa ntchito mahomoni: Izi zitha kuphatikizapo mapiritsi oletsa kubereka, mabala, jakisoni, mphete yolowera m'chiberekero, kapena chipangizo chamkati mwa chiberekero (IUD). Kuletsa kubereka pogwiritsa ntchito mahomoni kumathandiza kuwongolera nthawi yanu ya msambo pamwezi. Mitundu ina imathanso kuwongolera ziphuphu ndi kukula kwa tsitsi kosafunikira.
• Mankhwala ochepetsa kukhudzidwa kwa insulin: Metformin ndi mankhwala a shuga omwe amathandiza thupi lanu kugwiritsa ntchito insulin moyenera. Ngati insulin yayendetsedwa bwino, anthu ena omwe ali ndi PCOS angaone kuti nthawi yawo ya msambo ikuyenda bwino.
• Mankhwala oletsa Androgen: Mankhwala ena amatha kuchepetsa mphamvu ya mahomoni a androgen. Izi zingathandize kuchepetsa ziphuphu kapena kukula kwa tsitsi. Lankhulani ndi dokotala wanu ngati chithandizo chamtunduwu chili choyenera kwa inu.
• Kusintha kwa moyo: Kudya zakudya zopatsa thanzi komanso kukhala ndi thupi labwino kungathandize kwambiri pa kuchuluka kwa insulin m'thupi. Izi ndizofunikira kwambiri pothana ndi zizindikiro za PCOS.

Ngati mukuyembekezera mwana tsopano kapena mtsogolo, izi zingagwiritsidwe ntchito ngati mankhwala a PCOS:

• Mankhwala omwe amalimbikitsa dzira kukula ndi kutuluka: Mimba yopambana imayamba ndi dzira kukula. Pali mankhwala omwe awonetsedwa kuti amalimbikitsa dzira kukula mwa anthu omwe ali ndi PCOS. Clomiphene ndi Letrozole amamwedwa pakamwa. Ma Gonadotropin amaperekedwa ngati jakisoni.
• Opaleshoni: Pali njira yochitira opaleshoni yomwe ingathandize kubwezeretsa ovulation mwa kuchotsa minofu m'mazira omwe amapanga mahomoni a androgen. Komabe, chifukwa cha mankhwala atsopano, madokotala ochita opaleshoni nthawi zambiri sachita opaleshoni iyi.
• Ubereki wa mu vitro (IVF):Iyi ndi njira yabwino kwa akazi omwe ali ndi PCOS omwe sangathe kutulutsa mazira pogwiritsa ntchito mankhwala. Izi zimaphatikizapo dokotala kuyika mazira anu limodzi ndi umuna wa mnzanu mu labu, kenako n’kuika mluza m’chiberekero mwanu.

Kodi PCOS ingachiritsidwe kwathunthu?

Palibe mankhwala a PCOS pakadali pano . Koma dokotala wanu angakuthandizeni kuthana ndi zizindikiro zanu. Zotsatira za PCOS zimatha kusintha pakapita nthawi, ndipo mwina simungazindikire vutoli kwambiri. Komabe, iyi si mankhwala okhazikika.

Ndi kusintha kwa mahomoni komwe kumachitika panthawi ya kusamba, zizindikiro za PCOS zimatha kuchepa kwambiri.

Kodi PCOS ingayambitse mavuto ena azaumoyo?

Kafukufuku wasonyeza kuti PCOS ikhoza kuwonjezera chiopsezo cha matenda awa:

• Matenda a Shuga (Diabetes Mellitus)
• Kuthamanga kwa magazi
• Matenda a mtima
• Kukhuthala kwa mkati mwa chiberekero (endometrial hyperplasia)
• Khansa ya endometrial
• Matenda okhudzana ndi tulo monga sleep apnea
• Kuvutika maganizo ndi nkhawa

Ndikofunikira kwambiri kulankhula ndi dokotala wanu kuti mumvetse bwino za chiopsezo chanu chotenga matenda awa.

Kodi PCOS ingapewedwe kapena zotsatira zake zingachepe?

Palibe njira yotsimikizika yopewera PCOS. Koma pali zinthu zingapo zomwe mungachite kuti muchepetse zizindikiro zanu. Mwachitsanzo, kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse , komanso kukhala ndi thupi labwino kungakuthandizeni kupewa zotsatira za PCOS.

Kodi mungakhale bwanji bwino ndi PCOS?

Njira yabwino kwambiri yokhalira ndi PCOS ndikukhala ndi thupi labwino, kudya zakudya zopatsa thanzi, komanso kuchita masewera olimbitsa thupi nthawi zonse . Kusintha kwa moyo kumeneku kungathandize kuwongolera kuchuluka kwa mahomoni anu, zomwe zingathandize kuwongolera nthawi yanu ya msambo komanso kuchepetsa zizindikiro.

Ngati kukula kwa tsitsi kosafunikira kapena ziphuphu zikuwononga kudzidalira kwanu, zingakhale bwino kufunafuna chithandizo cha kukongola kapena kuwonana ndi dokotala wa khungu.

Pomaliza, ngati mukufuna kukhala ndi mwana ndipo muli ndi PCOS, kumbukirani kuti simuli nokha. Pafupifupi munthu m'modzi pa anthu 10 aliwonse ali ndi PCOS. Dokotala wanu angakuthandizeni, ngati ndi chiyembekezo chanu, kukhala ndi mwana.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati mukuganiza kuti muli ndi PCOS, pitani kwa dokotala. Zizindikiro zina zomwe zingasonyeze PCOS ndi izi:

• Kusamba kosakhazikika kwa mwezi (nthawi zambiri masiku opitilira 40 pakati pa kusamba).
• Kukula kwambiri kwa tsitsi, ziphuphu, kapena zizindikiro zina za mahomoni a androgen ochulukirapo.
• Kuvuta kutenga pakati.

Kodi ndi mahomoni ati omwe amakhudzidwa ndi PCOS?

Anthu omwe ali ndi PCOS ali ndi kusalinganika kwa mahomoni. Izi zimatha kusokoneza nthawi yawo ya mwezi uliwonse ya kusamba, ovulation, komanso mwina kuthekera kwawo kutenga pakati. Ma mahomoni awa ali ngati netiweki yovuta. Ngati munthu walephera, dongosolo lonse la thupi limakhudzidwa. Ma mahomoni akuluakulu omwe amapezeka mu PCOS ndi awa:

• Ma Androgens (monga testosterone ndi androstenedione)
• Homoni ya Luteinizing (LH)
• Homoni yolimbikitsa follicle (FSH)
• Estrogen
• Progesterone
• Insulin (Insulin)

Kodi PCOS ndi endometriosis ndi chinthu chimodzi?

PCOS ndi endometriosis ndi matenda awiri osiyana. Koma onsewa angayambitse ziphuphu za m'chiberekero komanso kusabereka. Endometriosis ndi pamene chiberekero chanu (endometrium) chimakula m'malo ena, monga mazira anu, nyini, kapena machubu a fallopian. Izi nthawi zambiri zimayambitsa kupweteka m'mimba kapena kupweteka kwambiri kwa msambo. Anthu omwe ali ndi PCOS amakhalanso ndi msambo wosakhazikika, ovulation yosakhazikika, ndi zotsatira zina zakuthupi zomwe zimachitika chifukwa cha kuchuluka kwa mahomoni a amuna.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

PCOS ndi vuto lofala kwambiri. Lingakhudze nthawi yanu ya mwezi uliwonse ya kusamba komanso kuyambitsa zizindikiro zina. Ngati mukuganiza kuti muli ndi PCOS, lankhulani ndi dokotala wanu za zizindikiro zanu. Kusintha kwa moyo wanu ndi chithandizo chamankhwala kungakuthandizeni kuthana ndi zizindikiro zanu, kuchepetsa chiopsezo cha matenda ena, komanso (ngati ndicho cholinga chanu) kukuthandizani kukhala ndi mwana. Musadandaule, simuli nokha, ndipo pali njira zothetsera vutoli.

PCOS , Polycystic Ovary Syndrome, Hormonal Imbalance, Kusamba kwa Mwezi, Mazira, Androgens, Kusabereka, Kukana Insulin