Ngaba nawe unayo i-PCOS (i-Polycystic Ovary Syndrome)? Masithethe ngayo yonke loo nto!

Ingaba umjikelo wakho wokuya exesheni awuhambelani? Okanye ngaba uneenwele ezingafunekiyo ezikhula ebusweni okanye emzimbeni wakho? Ngaba uneempundu? Ngaba unengxaki yokunciphisa umzimba? Ukuba ezi ziingxaki eziqhelekileyo kuwe, usenokuba unesifo esibizwa ngokuba yi-PCOS. Ungakhathazeki, namhlanje siza kuthetha nge-PCOS (i-Polycystic Ovary Syndrome) ngendlela elula kakhulu onokuyiqonda.

Yintoni i-PCOS (i-Polycystic Ovary Syndrome)?

Ngamafutshane, i-PCOS kukungalingani kwamahomoni kwabasetyhini. Kwenzeka xa ama-ovari akho (amalungu avelisa kwaye akhupha amaqanda) evelisa amahomoni amaninzi kakhulu . Ngokukodwa, ama-ovari akho avelisa amahomoni amaninzi kakhulu abizwa ngokuba yi-androgens (ekwaziwa ngokuba ngamahomoni angamadoda). Oku kunokubangela ukuba inkqubo yakho yokuzala ingalingani.

Ngenxa yoko, abantu abaninzi abane-PCOS banemijikelo yokuya exesheni engacwangciswanga , ababikho exesheni kwezinye iinyanga, kwaye i- ovulation ayicwangciswanga. Ngamanye amaxesha, ii-cysts ezincinci ezizaliswe lulwelo (ii-follicle cysts) zinokubonwa kwi-ultrasound scan yama-ovari. Nangona kunjalo, nangona igama elithi "polycystic," ayinguye wonke umntu one-PCOS onale cysts. Ngaphezu koko, ii-cysts ze-ovari azinabungozi okanye azibuhlungu.

I-PCOS yeyona nto iphambili ebangela ukungazali kwabasetyhini . Ikwanyusa umngcipheko wezinye iingxaki zempilo. Oogqirha banokunyanga i-PCOS ngokusekwe kwiimpawu zakho kunye nokuba uzama ukukhulelwa na.

Ngubani ofumana i-PCOS? Ngaba le yimeko eqhelekileyo?

I-PCOS inokukhula nakubani na emva kokufikisa. Uninzi lwabasetyhini lufunyaniswa ukuba lune-PCOS xa lukwiminyaka yabo yama-20 okanye engama-30, ingakumbi xa bezama ukuba nomntwana. Ukuba utyebile kakhulu (utyebile kakhulu), okanye ukuba kukho umntu kusapho lwakho one-PCOS, unokuba ne-PCOS.

I-PCOS yimeko eqhelekileyo . Malunga ne-15% yabasetyhini abakwiminyaka yokuzala, okanye malunga ne-15 kwabasetyhini abali-100, baye bafunyaniswa bene-PCOS. Ngoko ke ukuba ufumanisa ukuba unayo, musa ukuziva uwedwa.

Zithini iimpawu ukuba une-PCOS?

Ezi zezona mpawu zixhaphakileyo ze-PCOS:

• Ukuya exesheni ngokungacwangciswanga: Oku kunokuquka ukutsiba ixesha, ukungabi nazo iinyanga ezininzi, okanye ukopha kakhulu ngexesha lokuya exesheni.
• Ukukhula kweenwele okungaqhelekanga: Ukukhula kweenwele okungafunekiyo ebusweni, esifubeni, esiswini, nasezingalweni ( i-hirsutism) . Olu phawu lubonakala kubantu abamalunga nama-70% abane-PCOS.
• I-acne:I-PCOS ingabangela i-acne emqolo, esifubeni, nasebusweni. Le -acne inokuhlala ixesha elide kwaye kube nzima ukuyinyanga.
• Ukutyeba/ukutyeba kakhulu: Phakathi kwama-40% nama-80% abantu abane-PCOS batyebile kakhulu kwaye banobunzima bokugcina ubunzima obusempilweni.
• Ukuba mnyama kwesikhumba: Ulusu lunokuba mnyama kwiindawo ezigobileyo zentamo, emakhwapheni, kwindawo yezihlunu (phakathi kwemilenze), nangaphantsi kwamabele. Oku kubizwa ngokuba yi -acanthosis nigricans .
• Ii-Ovarian Cysts: Kubantu abaninzi abane-PCOS, ii-ovari ze-ultrasound scan zinokuba nkulu kunesiqhelo okanye zinokuba nee-cysts ezininzi ezincinci (ii-follicles).
• Iithegi zesikhumba: Izihluma ezincinci ezifana nee-mole ezixhonywe eluswini. Ezi zibonakala kakhulu emakhwapheni nasentanyeni.
• Ukuncipha/ukulahleka kweenwele: Abantu abane-PCOS banokuphulukana neenwele okanye impandla.
• Ukungazali: I-PCOS yeyona nto iphambili ebangela ukungazali kwabasetyhini. Inciphisa amandla okukhulelwa umntwana kuba i-ovulation ayiveli.

Abanye abantu basenokungabi nazo naziphi na iimpawu ze-PCOS. Abanye abantu bafumanisa ukuba banale meko kuphela xa befika kade ekukhulelweni okanye xa betyeba ngequbuliso.

Ziziphi izizathu eziphambili ze-PCOS?

Isizathu esichanekileyo se-PCOS asikaziwa . Nangona kunjalo, kukho ubungqina bokuba inento eyenzeka kwimfuza. Oku kuthetha ukuba ukuba umntu kusapho lwakho unayo, unokuba nayo. Ukongeza, ezinye izinto ezininzi, ingakumbi ukutyeba kakhulu, zinokubangela oku:

• Amanqanaba aphezulu eehomoni zamadoda ezibizwa ngokuba zii-androgens: Xa ezi homoni zisanda, zithintela ama-ovari ekukhupheni amaqanda. Yiyo le nto ibangela imijikelo yokuya exesheni engacwangciswanga. Xa i-ovulation ingacwangciswanga, ii-cysts ezizaliswe lulwelo ezikhankanyiweyo apha ngasentla zinokwakheka kuma-ovari. Ukwanda kwe-androgens kukwabangela i-acne kunye nokukhula kweenwele okungafunekiyo.
• Ukuxhathisa i-insulin:Xa amanqanaba e-insulin ephezulu, ama-ovari avelisa aze akhuphe iihomoni ezininzi zamadoda (androgens). Ezi homoni zamadoda zinyuka zinciphisa i-ovulation kwaye zinegalelo kwezinye iimpawu ze-PCOS. I-insulin yihomoni enceda umzimba wethu ukulawula iswekile (i-glucose) kwaye ivelise amandla. Ukuxhathisa i-insulin kuxa umzimba ungaphenduli ngokufanelekileyo kwi-insulin. Oku kubangela amanqanaba aphezulu eswekile egazini. Ayingabo bonke abantu abanokuxhathisa i-insulin abaya kuba nesifo seswekile, kodwa ukuxhathisa i-insulin kunokukhokelela kwisifo seswekile. Ukutyeba kakhulu okanye ukutyeba kakhulu kunokubangela ukuxhathisa i-insulin. Nokuba amanqanaba eswekile egazini lakho aqhelekile, amanqanaba aphezulu e-insulin anokuba luphawu lokuxhathisa i-insulin.
• Ukudumba okuphantsi: Abantu abane-PCOS banokuba nokudumba okungapheliyo, okanye okuhlala ixesha elide, okuphantsi (uhlobo lokudumba okwenzeka ngaphakathi emzimbeni). Oogqirha banokulinganisa oku kudumba ngovavanyo lwegazi (i-C-reactive protein (CRP) kunye namanqanaba eeseli ezimhlophe zegazi).

I-PCOS kunye nokukhulelwa

Umbuzo abantu abaninzi abanawo kukuba ingaba i-PCOS inokubangela ukuphuphuma kwesisu na. Ukuba ne-PCOS kunokunyusa umngcipheko weengxaki ezithile zokukhulelwa, kodwa abantu abaninzi abane-PCOS bayakwazi ukuzala umntwana ngempumelelo.

Iingxaki ezinokwenzeka ngexesha lokukhulelwa ngenxa ye-PCOS ziquka:

• Isifo seswekile sokukhulelwa, i-preeclampsia (uxinzelelo lwegazi oluphezulu kunye nezinye iingxaki ngexesha lokukhulelwa), kunye noxinzelelo lwegazi oluphezulu.
• Umngcipheko wokuzalwa ngaphambi kwexesha (ngaphambi kweeveki ezingama-37) okanye ukuzalwa ngotyando ngenxa yokutyeba kakhulu, isifo seswekile, okanye uxinzelelo lwegazi oluphezulu.

Kodwa ungoyiki. Ukuba une-PCOS, eyona nto ibalulekileyo kukuthetha nogqirha kwaye ufumane iingcebiso kunye nonyango olufunekayo.

Ugqirha uyifumanisa njani i-PCOS?

Kwiimeko ezininzi, ugqirha wakho unokuxilonga i-PCOS ngokukuxilonga aze athethe ngeempawu zakho. Banokuyalela uvavanyo lwegazi okanye i-ultrasound scan ukunceda ekuxilongweni.

Ugqirha uza kwenza ezi zinto zilandelayo:

• Thetha ngeempawu zakho kunye nembali yakho yezonyango.
• Buza ngembali yempilo yosapho lwakho.
• Ubunzima bakho kunye noxinzelelo lwegazi luya kulinganiswa.
• Uhlola umzimba - ingakumbi ekhangela iinwele ezingafunekiyo ebusweni, ukulahleka kweenwele, amaqhakuva, ukutshintsha kombala wolusu, kunye neentsumpa zesikhumba.
• Kuza kwenziwa uvavanyo lwe-pelvic ukujonga ezinye izizathu zokopha okungaqhelekanga.
• Uvavanyo lwegazi luyalelwe ukujonga amanqanaba eehomoni kunye namanqanaba eglucose.
• Kuya kwenziwa i-ultrasound scan ukujonga ama-ovari, ukujonga ubukhulu bodonga lwesibeleko, kunye nokujonga ezinye izizathu zokopha okungaqhelekanga.

Ngokwesiqhelo, oogqirha bagqiba kwelokuba une-PCOS ukuba unezi mpawu zimbini kwezi zintathu zilandelayo :

1. Ukuya exesheni okungacwangciswanga okanye okungagqitywanga (abanye abantu abane-PCOS banokufumana ukopha okukhulu ngexesha lokuya exesheni).

2. Iimpawu zeehomoni ze-androgen eziphezulu, ezifana ne-acne okanye ukukhula kweenwele ngokugqithisileyo. Okanye, iziphumo zovavanyo lwegazi eziqinisekisa amanqanaba aphezulu e-androgen.

3. I-ultrasound scan ibonisa ukuba kukho ii-ovaries ezinkulu okanye ezine-polycystic (abantu abaninzi abazikhulisi ezi cysts).

Ziziphi iindlela zonyango lwe-PCOS?

Ugqirha wakho uza kugqiba ngonyango olusekelwe kwiimpawu zakho, imbali yezonyango, ezinye iimeko zempilo, kunye nokuba uceba ukuba nabantwana na. Unyango lunokubandakanya amayeza, utshintsho kwindlela ophila ngayo, okanye zombini ezi zinto.

Ukuba awulindelanga mntwana okwangoku, ezi zingasetyenziswa njengonyango:

• Ulawulo lokuzalwa lwehomoni: Oku kungabandakanya iipilisi zokulawula ukuzalwa, amabala, iinaliti, iringi yesini, okanye isixhobo sangaphakathi kwesibeleko (i-IUD). Ulawulo lokuzalwa lwehomoni lunceda ekulawuleni umjikelo wakho wokuya exesheni wenyanga. Ezinye iintlobo zinokulawula i-acne kunye nokukhula kweenwele okungafunekiyo.
• Amayeza okuva i-insulin: I-Metformin liyeza lesifo seswekile elinceda umzimba wakho usebenzise i-insulin ngokufanelekileyo. Xa i-insulin ilawulwa, abanye abantu abane-PCOS banokubona ukuba imijikelo yabo yokuya exesheni iyaphucuka.
• Amayeza okuthintela i-androgen: Amanye amayeza anokunciphisa imiphumo ye-androgen hormones. Oku kunokunceda ukulawula i-acne okanye ukukhula kweenwele. Thetha nogqirha wakho malunga nokuba olu hlobo lonyango lukulungele na.
• Utshintsho kwindlela yokuphila: Ukutya ukutya okunesondlo kunye nokugcina ubunzima obusempilweni kunokuba nefuthe elihle kumanqanaba e-insulin. Oku kubaluleke kakhulu ekulawuleni iimpawu ze-PCOS.

Ukuba ulindele umntwana ngoku okanye kwixesha elizayo, ezi zingasetyenziswa njengonyango lwe-PCOS:

• Amayeza avuselela ukuvuthwa kweqanda (okubangela ukuba iqanda likhule lize likhutshwe): Ukukhulelwa okuphumelelayo kuqala ngokuvuthwa kweqanda. Kukho amayeza abonakalisiweyo ukuba avuselela ukuvuthwa kweqanda kubantu abane-PCOS. I-Clomiphene kunye ne -Letrozole zithathwa ngomlomo. IiGonadotropins zinikwa njengeenaliti.
• Utyando: Kukho inkqubo yotyando enokunceda ukubuyisela i-ovulation ngokususa izicubu ezikwii-ovari ezivelisa ii-hormone ze-androgen. Nangona kunjalo, ngenxa yamayeza amatsha, oogqirha botyando abafane benze olu tyando.
• Ukuchumisa nge-in vitro (IVF):Olu khetho lulungiselelwe abafazi abane-PCOS abangakwaziyo ukukhupha amaqanda ngamayeza. Oku kubandakanya ugqirha ozalisa elinye lamaqanda akho ngesidoda seqabane lakho kwilebhu, aze afake i-embryo kwisibeleko sakho.

Ngaba i-PCOS inganyangeka ngokupheleleyo?

Akukho nyango lwe-PCOS okwangoku . Kodwa ugqirha wakho unokukunceda ulawule iimpawu zakho. Iziphumo ze-PCOS zinokutshintsha ngokuhamba kwexesha, kwaye usenokungayiboni kangako le meko. Nangona kunjalo, olu asilonyango oluhlala luhleli.

Ngotshintsho lweehomoni ezenzeka ngexesha lokuya exesheni, iimpawu ze-PCOS zinokuncitshiswa kakhulu.

Ngaba i-PCOS ingabangela ezinye iingxaki zempilo?

Uphando lubonise ukuba i-PCOS inokunyusa umngcipheko wezi meko zempilo zilandelayo:

• Isifo seswekile (iDiabetes Mellitus)`
• Igazi elonyukayo
• Isifo sentliziyo
• Ukujiya kolwelo lwangaphakathi lwesibeleko (i-endometrial hyperplasia)
• Umhlaza we-endometrial
• Izifo ezinxulumene nokulala ezifana ne-sleep apnea
• Uxinzelelo kunye nokuxhalaba

Kubaluleke kakhulu ukuthetha nogqirha wakho ukuze uqonde ngokupheleleyo umngcipheko wakho wokuba nezi meko.

Ngaba i-PCOS ingathintelwa okanye iziphumo zayo zincitshiswe?

Akukho ndlela iqinisekisiweyo yokuthintela i-PCOS. Kodwa ungenza izinto ezimbalwa ukunceda ukunciphisa iimpawu zakho. Umzekelo, ukutya ukutya okunesondlo, ukuzilolonga rhoqo , kunye nokugcina ubunzima obusempilweni kunokukunceda uphephe iziphumo ze-PCOS.

Ungaphila njani ngempumelelo ne-PCOS?

Eyona ndlela ilungileyo yokuphila ngempumelelo nge-PCOS kukugcina ubunzima obusempilweni, ukutya ukutya okunesondlo, kunye nokuzilolonga rhoqo . Olu tshintsho kwindlela ophila ngayo lunokunceda ekulawuleni amanqanaba akho eehomoni, nto leyo enokunceda ekulawuleni umjikelo wakho wokuya exesheni kunye nokunciphisa iimpawu.

Ukuba ukukhula kweenwele okungafunekiyo okanye i-acne kuyakonakalisa ukuzithemba kwakho, kunokuba luncedo ukufumana unyango lobuhle okanye ukubona ugqirha wesikhumba.

Okokugqibela, ukuba uzama ukuba nomntwana kwaye une-PCOS, khumbula ukuba awuwedwa. Malunga nomntu omnye kwabalishumi une-PCOS. Ugqirha wakho angakunceda, ukuba lithemba lakho, ukuba ube nomntwana.

Ndifanele ndibonane nogqirha nini?

Ukuba ukrokrela ukuba une-PCOS, bona ugqirha. Ezinye zeempawu ezinokuthi zibonise i-PCOS ziquka:

• Umjikelo wenyanga ongaqhelekanga wokuya exesheni (odla ngokuba ngaphezu kweentsuku ezingama-40 phakathi kokuya exesheni).
• Ukukhula kweenwele ngokugqithisileyo, i-acne, okanye ezinye iimpawu ze-androgen hormones ezigqithisileyo.
• Ubunzima bokukhulelwa umntwana.

Zeziphi iihomoni ezibandakanyekayo kwi-PCOS?

Abantu abane-PCOS banokungalingani kwamahomoni. Oku kunokuphazamisa umjikelo wabo wenyanga wokuya exesheni, ukukhutshwa kweqanda, kwaye mhlawumbi nokukwazi kwabo ukukhulelwa. La mahomoni afana nenethiwekhi entsonkothileyo. Ukuba umntu akasakwazi ukuzala, yonke inkqubo iyachaphazeleka. Iihomoni eziphambili ezibandakanyeka kwi-PCOS zezi:

• IiAndrogens (ezifana ne-testosterone kunye ne-androstenedione)
• I-hormone ye-Luteinizing (LH)
• Ihomoni evuselela i-follicle (FSH)
• I-estrogen
• Iprogesterone
• I-Insulin `(I-Insulin)`

Ngaba i-PCOS kunye ne-endometriosis ziyafana?

I-PCOS kunye ne-endometriosis ziimeko ezimbini ezahlukeneyo. Kodwa zombini zinokubangela ii-cysts ze-ovarian kunye nokungazali. I-Endometriosis kuxa ulwelo lwesibeleko sakho (i-endometrium) lukhula kwezinye iindawo, njengee-ovaries zakho, i-vagina, okanye ii-fallopian tubes. Oku kudla ngokubangela iintlungu zesisu esisezantsi okanye iintlungu eziqatha zokuya exesheni. Abantu abane-PCOS bakwanazo nee-eyes ezingaqhelekanga, i-ovulation engaqhelekanga, kunye nezinye iziphumo ebezingalindelekanga zomzimba ezibangelwa zii-hormones zamadoda ezigqithisileyo.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

I-PCOS yimeko eqhelekileyo. Ingayichaphazela indlela ohamba ngayo inyanga nenyanga kwaye ibangele ezinye iimpawu. Ukuba ukrokrela ukuba une-PCOS, thetha nogqirha wakho malunga neempawu zakho. Utshintsho kwindlela ophila ngayo kunye nonyango lwezonyango lunokukunceda ulawule iimpawu zakho, lunciphise umngcipheko wezinye iimeko zempilo, kwaye (ukuba yinjongo yakho leyo) lukuncede ube nomntwana. Ungakhathazeki, awuwedwa, kwaye kukho iindlela zokujongana nayo.

I- PCOS, i-Polycystic Ovary Syndrome, ukungalingani kweHormonal, uMjikelo wokuya exesheni wenyanga, ii-Ovaries, ii-Androgens, ukungazali, ukuxhathisa i-insulin