Ese nawe ufite PCOS (Polycystic Ovary Syndrome)? Reka tubiganireho byose!

Ese imihango yawe igenda nabi? Cyangwa ufite umusatsi udashaka kumera mu maso cyangwa ku mubiri wawe? Ese urwara ibiheri? Ese ufite ikibazo cyo kugabanya ibiro? Niba ibi ari ibibazo bikunze kugaragara kuri wewe, ushobora kuba urwaye indwara yitwa PCOS. Ntugahangayike, uyu munsi turaganira kuri PCOS (Polycystic Ovary Syndrome) mu buryo bworoshye cyane ushobora gusobanukirwa.

PCOS (Polycystic Ovary Syndrome) ni iki?

Muri make, PCOS ni ihindagurika ry'imisemburo mu bagore. Ibaho iyo intanga zawe (ingingo zikora kandi zigasohora amagi) zikora imisemburo myinshi cyane . By'umwihariko, intanga zawe zikora imisemburo myinshi cyane yitwa androgens (izwi kandi nka hormones z'abagabo). Ibi bishobora gutuma uturemangingo tw'imyororokere tutagira ingano.

Kubera iyo mpamvu, abantu benshi barwaye PCOS bagira imihango idahwitse , nta mihango mu mezi amwe, kandi ntibagire imihango idahwitse (ovulation) . Hari igihe udukoko duto twuzuye amazi (follicle cysts) dushobora kugaragara kuri ultrasound scan y'intanga ngabo. Ariko, nubwo yitwa "polycystic", si abantu bose bafite PCOS bafite utu tugingo. Byongeye kandi, udukoko two mu ntanga ngabo ntabwo ari akaga cyangwa ngo tubabare.

PCOS ni imwe mu mpamvu zikomeye zitera ubugumba ku bagore . Yongera kandi ibyago byo kugira izindi ngorane z'ubuzima. Abaganga bashobora kuvura PCOS bitewe n'ibimenyetso byawe ndetse n'uko ugerageza gusama.

Ni nde urwara PCOS? Ese iyi ni indwara isanzwe?

PCOS ishobora kugaragara mu myaka iyo ari yo yose nyuma y'ubugimbi. Abagore benshi bafatwa nk'abafite iyi ndwara bari mu kigero cy'imyaka 20 cyangwa 30, cyane cyane iyo bashaka kubyara. Niba ufite umubyibuho ukabije (ubyibushye cyane), cyangwa niba hari umuntu wo mu muryango wawe ufite PCOS, uba ufite amahirwe menshi yo kurwara PCOS.

PCOS ni indwara ikunze kugaragara cyane . Abagore bagera kuri 15% bari mu kigero cyo kubyara, cyangwa abagore bagera kuri 15 kuri buri 100, basanzwe bafite PCOS. Rero niba usanze uyifite, ntugashake ko uri wenyine.

Ni ibihe bimenyetso byerekana niba ufite PCOS?

Ibi ni byo bimenyetso bikunze kugaragara bya PCOS:

• Gusimbuka imihango mu buryo butari bwo: Ibi bishobora kuba birimo gusimbuka imihango, kutayigira amezi menshi, cyangwa kuva amaraso menshi mu gihe cy'imihango.
• Gukura k'umusatsi ku buryo budasanzwe: Gukura k'umusatsi utabishaka mu maso, mu gituza, mu nda no mu maboko ( hirsutism) . Iki kimenyetso kigaragara ku bantu bagera kuri 70% bafite PCOS.
• Ibiheri:PCOS ishobora gutera ibiheri mu mugongo, mu gituza no mu maso. Iyi biheri ishobora gukomeza kugeza umuntu akuze kandi ikagorana kuyivura.
• Umubyibuho ukabije/umubyibuho ukabije: Hagati ya 40% na 80% by'abantu bafite PCOS bafite umubyibuho ukabije kandi bagorwa no kugumana ibiro byiza.
• Kwijima k'uruhu: Uruhu rushobora kwijima mu mipfundo y'ijosi, mu kwaha, mu gice cy'ikibuno (hagati y'amaguru), no munsi y'amabere. Ibi byitwa acanthosis nigricans .
• Ibisebe by'intanga ngore: Ku bantu benshi bafite PCOS, intanga ngore zo mu isuzuma rya ultrasound zishobora kuba nini kuruta izisanzwe cyangwa zikaba zirimo uduce twinshi duto tw'intanga ngore (follicles).
• Uduce duto tw’uruhu: Uduce duto, tumeze nk’udusimba twimanitse ku ruhu. Ibi bikunze kugaragara mu kwaha no mu ijosi.
• Kugabanya umusatsi/gutakaza: Abantu bafite PCOS bashobora gutakaza umusatsi cyangwa kugira uburibwe.
• Ubugumba: PCOS ni imwe mu mpamvu zikomeye zitera ubugumba ku bagore. Igabanya ubushobozi bwo gusama kuko intanga zidakora.

Hari abantu bashobora kuba badafite ibimenyetso bya PCOS. Hari abantu babibona gusa iyo batinze gutwita cyangwa iyo binjije ibiro mu buryo butunguranye.

Ni izihe mpamvu nyamukuru zitera PCOS?

Impamvu nyayo ya PCOS ntiramenyekana . Ariko, hari ibimenyetso bigaragaza ko ifite igice cy’uturemangingo. Ibi bivuze ko iyo umuntu wo mu muryango wawe ayifite, ushobora kuyirwara. Byongeye kandi, hari izindi mpamvu nyinshi, cyane cyane umubyibuho ukabije, zishobora kuyitera:

• Ubwiyongere bw'imisemburo y'abagabo yitwa androgens: Iyo iyi misemburo yiyongera, ibuza intanga ngore kurekura amagi. Ibi nibyo bitera imihango idahoraho. Iyo ovulation idahoraho, utubuto twuzuye amazi twavuzwe haruguru dushobora kwirema mu ntanga ngore. Ubwiyongere bwa androgens butera kandi ibiheri n'umusatsi udakenewe.
• Ubudahangarwa bwa insuline:Iyo urugero rwa insuline ruri hejuru, intanga ngabo zikora kandi zigasohora imisemburo myinshi y’abagabo (androgens). Iyi misemburo y’abagabo yiyongera igabanya intanga ngabo kandi igatera ibindi bimenyetso bya PCOS. Insulin ni imisemburo ifasha umubiri wacu kugenzura isukari (glucose) no gukora ingufu. Kudashyira insuline mu mubiri ni igihe umubiri udakira insuline neza. Ibi bitera isukari nyinshi mu maraso. Si abantu bose bafite ubudashyikirwa bwa insuline bazarwara diyabete, ariko kudashyira insuline mu mubiri bishobora gutera diyabete. Kubyibuha cyane cyangwa umubyibuho ukabije nabyo bishobora gutera ubudashyikirwa bwa insuline. Nubwo isukari mu maraso yawe yaba isanzwe, urugero rwa insuline ruri hejuru rushobora kuba ikimenyetso cy’ubudashyikirwa bwa insuline.
• Ububyimbirwe bwo mu rwego rwo hasi: Abantu barwaye PCOS bashobora kugira ububyimbirwe budakira, cyangwa igihe kirekire, bwo mu rwego rwo hasi (ubwoko bw'ububyimbirwe buba mu mubiri). Abaganga bashobora gupima ubu bubyimbirwe bakoresheje ibizamini by'amaraso (poroteyine ya C-reactive (CRP) n'urugero rw'uturemangingo tw'amaraso).

PCOS no gutwita

Ikibazo abantu benshi bibaza ni ukumenya niba PCOS ishobora gutera gukuramo inda. Kugira PCOS bishobora kongera ibyago byo kugira ibibazo bimwe na bimwe byo gutwita, ariko abantu benshi bafite PCOS bashobora kubyara neza.

Ingorane zishobora kubaho mu gihe cyo gutwita ziterwa na PCOS zirimo:

• Diyabete yo mu gihe cyo gutwita, preeclampsia (umuvuduko ukabije w'amaraso n'izindi ngorane mu gihe cyo gutwita), hamwe n'umuvuduko ukabije w'amaraso.
• Ingaruka zo kubyara umwana utarageza igihe (mbere y'ibyumweru 37) cyangwa kubyara hakoreshejwe uburyo bwo kubaga umwana bitewe n'umubyibuho ukabije, diyabete, cyangwa umuvuduko ukabije w'amaraso.

Ariko ntugatinye. Niba ufite PCOS, icy'ingenzi ni ukuganira na muganga akakugira inama n'ubuvuzi bikenewe.

Ni gute umuganga asuzuma PCOS?

Kenshi na kenshi, umuganga wawe ashobora gusuzuma PCOS agusuzumye akakubwira ibimenyetso byawe. Ashobora kandi gutumiza ibizamini by'amaraso cyangwa gupimwa hakoreshejwe ultrasound kugira ngo bigufashe gusuzuma.

Umuganga azakora ibi bikurikira:

• Vuga ibimenyetso byawe n'amateka y'ubuzima bwawe.
• Baza amateka y'ubuzima bw'umuryango wawe.
• Ibiro byawe n'umuvuduko w'amaraso bizapimwa.
• Akora isuzuma ry’umubiri - cyane cyane ashakisha umusatsi wo mu maso udakenewe, gutakaza umusatsi, ibiheri, ibara ry’uruhu, n’ibiheri by’uruhu.
• Hazakorwa isuzuma ry'ikibuno kugira ngo harebwe izindi mpamvu zitera kuva amaraso ku buryo budasanzwe.
• Gupima amaraso bitegetswe kugira ngo harebwe urugero rw'imisemburo n'urugero rwa glucose.
• Hazakorwa isuzuma rya ultrasound kugira ngo harebwe intanga ngabo, harebwe ubunini bw'urukuta rw'umura, kandi harebwe izindi mpamvu zitera kuva amaraso ku buryo budasanzwe.

Ubusanzwe, abaganga bafata umwanzuro w'uko ufite PCOS iyo ufite nibura ibimenyetso bibiri muri bitatu bikurikira :

1. Guhera mu mihango ku buryo butunguranye cyangwa kubura imihango (bamwe mu bantu bafite PCOS bashobora no kuva amaraso menshi mu gihe cy'imihango yabo).

2. Ibimenyetso by'imisemburo myinshi ya androgen, nko kurwara ibiheri cyangwa gukura k'umusatsi cyane. Cyangwa, ibisubizo by'amaraso byemeza urugero rwa androgen ruri hejuru.

3. Isuzuma rya ultrasound rigaragaza ko intanga ngabo zagutse cyangwa zifite polycystic ovaries (abantu benshi ntibagira izi cysts).

Ni ubuhe buryo bwo kuvura PCOS?

Muganga wawe azagufatira icyemezo cy'ubuvuzi akurikije ibimenyetso byawe, amateka y'ubuzima bwawe, izindi ndwara zawe, ndetse niba uteganya kubyara. Ubuvuzi bushobora kuba burimo imiti, impinduka mu mibereho yawe, cyangwa byombi.

Niba utarabyara umwana ubu, ibi bishobora gukoreshwa nk'uburyo bwo kuvura:

• Uburyo bwo kuboneza urubyaro bushingiye ku misemburo: Ibi bishobora kuba birimo ibinini byo kuboneza urubyaro, uduce duto, inshinge, impeta yo mu gitsina, cyangwa agakoresho ko mu nda ibyara (IUD). Uburyo bwo kuboneza urubyaro bushingiye ku misemburo bufasha mu kugenzura ukwezi kwawe kwa buri kwezi. Hari ubwoko bumwe na bumwe bushobora kandi kugenzura ibiheri n'imikurire y'umusatsi utifuzwa.
• Imiti yo kugabanya ubukana bwa insuline: Metformin ni umuti wa diyabete ufasha umubiri wawe gukoresha insuline neza. Iyo insuline igenzuwe, bamwe mu bantu bafite PCOS bashobora kubona ko imihango yabo igenda irushaho kuba myiza.
• Imiti ibuza Androgen: Hari imiti ishobora kugabanya ingaruka z'imisemburo ya androgen. Ibi bishobora gufasha mu kugenzura ibiheri cyangwa imikurire y'umusatsi. Vugana na muganga wawe niba ubwo buryo bw'ubuvuzi bukubereye.
• Guhindura imibereho: Kurya indyo yuzuye no kugira ibiro bizima bishobora kugira ingaruka nziza ku rugero rwa insuline. Ibi ni ingenzi cyane mu kugabanya ibimenyetso bya PCOS.

Niba utwite umwana ubu cyangwa mu gihe kizaza, ibi bishobora gukoreshwa nk'uburyo bwo kuvura PCOS:

• Imiti itera intanga ngore (ituma igi rikura kandi rikarekurwa): Gutwita neza bitangirana n'intanga ngore. Hari imiti yagaragaye ko itera intanga ngore ku bantu bafite PCOS. Clomiphene na Letrozole bifatwa mu kanwa. Gonadotropins zitangwa nk'inshinge.
• Kubaga: Hari uburyo bwo kubaga bushobora gufasha gusubiza intanga mu gihe cyo gukuraho uturemangingo mu dusabo tw’intanga dukora imisemburo ya androgen. Ariko, kubera imiti mishya, abaganga b’inzobere mu kubaga ni gake bakora ubu buryo.
• Gutera urubyaro hifashishijwe ikoranabuhanga rya IVF (in vitro fertilization):Ubu ni uburyo bwo gukoresha imiti ku bagore barwaye PCOS badashobora gutera intanga. Ibi bisaba ko muganga atera intanga imwe mu ntanga zawe akoresheje intanga z'umukunzi wawe muri laboratwari, hanyuma agashyira urusoro mu mura wawe.

Ese PCOS ishobora gukira burundu?

Nta muti wa PCOS uraboneka kugeza ubu . Ariko muganga wawe ashobora kugufasha kwihanganira ibimenyetso byawe. Ingaruka za PCOS zishobora guhinduka uko igihe kigenda gihita, kandi ushobora no kutamenya iyo ndwara cyane. Ariko, iyi si umuti uhoraho.

Iyo habayeho impinduka mu misemburo mu gihe cyo gucura, ibimenyetso bya PCOS bishobora kugabanuka cyane.

Ese PCOS ishobora gutera izindi ngorane z'ubuzima?

Ubushakashatsi bwagaragaje ko PCOS ishobora kongera ibyago byo kurwara indwara zikurikira:

• Diyabete `(Diabete Mellitus)`
• Umuvuduko ukabije w'amaraso
• Indwara z'umutima n'imitsi
• Ubwinshi bw'imbere mu mura bugabanuka (endometrial hyperplasia)
• Kanseri y'inkondo y'umura
• Indwara ziterwa no gusinzira nko kubura umwuka wo mu bitotsi
• Ihungabana n'imihangayiko

Ni ingenzi cyane kuvugana na muganga wawe kugira ngo wumve neza ibyago byawe byo kurwara izi ndwara.

Ese PCOS ishobora kwirindwa cyangwa ingaruka zayo zikagabanuka?

Nta buryo bwemewe bwo kwirinda PCOS. Ariko hari ibintu bike ushobora gukora kugira ngo ugabanye ibimenyetso by'indwara. Urugero, kurya indyo yuzuye, gukora imyitozo ngororamubiri buri gihe , no kugira ibiro byiza bishobora kugufasha kwirinda ingaruka za PCOS.

Nigute wabaho neza ufite PCOS?

Uburyo bwiza bwo kubaho neza urwaye PCOS ni ugukomeza kugira ibiro byiza, kurya indyo yuzuye, no gukora imyitozo ngororamubiri buri gihe . Izi mpinduka mu mibereho zishobora gufasha mu kugena urugero rw'imisemburo yawe, bishobora gufasha mu kugena ukwezi kwawe no kugabanya ibimenyetso.

Niba kumera umusatsi udashaka cyangwa ibiheri birimo kwangiza icyizere cyawe, byaba byiza ugiye kwivuza cyangwa ukabonana n'umuganga w'uruhu.

Hanyuma, niba ugerageza kubyara kandi ufite PCOS, ibuka ko utari wenyine. Hafi umuntu 1 kuri 10 afite PCOS. Muganga wawe ashobora kugufasha, niba ari byo wifuza, kubyara umwana.

Ni ryari ngomba kubonana na muganga?

Niba ukeka ko ufite PCOS, gana muganga. Bimwe mu bimenyetso bishobora kugaragaza PCOS birimo:

• Ukwezi guhindagurika (akenshi iminsi irenga 40 hagati y'imihango).
• Umusatsi ukura cyane, ibiheri, cyangwa ibindi bimenyetso by'imisemburo myinshi ya androgen.
• Kugorwa no gutwita umwana.

Ni iyihe misemburo igira uruhare muri PCOS?

Abantu barwaye PCOS bafite ikibazo cyo kudahuza kw'imisemburo. Ibi bishobora kubangamira imihango yabo ya buri kwezi, imisemburo y'intanga ngabo, ndetse wenda no ubushobozi bwabo bwo gusama. Iyi misemburo ni nk'urusobe rw'ibintu bigoye. Iyo umuntu ananiwe, sisitemu yose iragira ingaruka. Imisemburo y'ingenzi igira uruhare muri PCOS ni iyi:

• Androgens (nk'urugero rwa testosterone na androstenedione)
• Imisemburo ya Luteinizing (LH)
• Imisemburo itera imbaraga za follicle (FSH)
• Estrogen
• Progesterone
• Insulini `(Insulini)`

Ese PCOS na endometriosis ni kimwe?

PCOS na endometriosis ni indwara ebyiri zitandukanye. Ariko zombi zishobora gutera ubugumba mu miyoboro y'intanga no kutabyara. Endometriosis ni igihe igice cy'umura wawe (endometrium) gikurira ahandi hantu, nko mu dusabo tw'intanga, mu gitsina, cyangwa mu miyoboro y'inda. Ibi bikunze gutera ububabare mu nda yo hasi cyangwa kuribwa cyane mu mihango. Abantu bafite PCOS nabo bagira imihango idahoraho, imisemburo idahoraho, n'izindi ngaruka mbi ziterwa n'imisemburo myinshi y'abagabo.

Ibintu by'ingenzi cyane ugomba kwibuka

PCOS ni indwara ikunze kugaragara. Ishobora kugira ingaruka ku kwezi kwawe no gutera ibindi bimenyetso. Niba ukeka ko ufite PCOS, vugana na muganga wawe ku bimenyetso byawe. Guhindura imibereho yawe n'ubuvuzi bishobora kugufasha gucunga ibimenyetso byawe, kugabanya ibyago byo kurwara izindi ndwara, kandi (niba ari yo ntego yawe) bikagufasha kubyara umwana. Ntugahangayike, nturi wenyine, kandi hari uburyo bwo guhangana nabyo.

PCOS , Polycystic Ovary Syndrome, Kudahuza kw'imisemburo, Iminsi y'imihango ya buri kwezi, Intanga, Androgens, Kutabyara, Kurwanya insuline