Ngaba ufana noNadeesha? Iimpawu kunye nezisombululo zePolycystic Ovary Syndrome (PCOS)

Namhlanje ekliniki yam, ndidibene nesigulana esiphazamisayo kakhulu. Libhinqa elineminyaka engama-25 ubudala eligama linguNadeesha. Nangona uNadeesha wayehleli esitulweni, amehlo akhe ayezele ziinyembezi.

"Yintoni ingxaki, Nadeesha?" ndambuza ngothando.

UNadeesha walawula iimvakalelo zakhe wathi, "Gqirha, andikaze ndiye exesheni kwiinyanga ezine. Kwakhona, ndiqalile ukukhula iinwele ezinde ezifana nezamadoda ebusweni nasesilevini. Ubuso bam bonke bugcwele amaqhakuva. Ndiyoyika kakhulu."

Ndibambe izandla zikaNadeesha ndamthuthuzela. "Nadeesha, ungakhathazeki. Iimpawu ozichazayo zibonisa ukuba unengxaki yokungalingani kwamahomoni okubizwa ngokuba yiPCOS (Polycystic Ovary Syndrome) . Le meko ithintela ama-ovari ukuba akhule kakuhle aze akhuphe amaqanda. Yiyo loo nto umjikelo wokuya exesheni uba ngongahambelaniyo. Masenze i -ultrasound scan yesisu ukuqinisekisa le meko ngokuqinisekileyo."

🚨 Iiflegi ezibomvu ezifuna unyango olukhawulezileyo

Nangona i-PCOS idla ngokuba sisifo esingapheliyo, ukuba ezi mpawu zilandelayo ziyavela, kufuneka ngoko nangoko ubone ingcali yokubelekisa kunye ne-gynecologist (Gynecologist) kwaye ufumane unyango:

• Ukopha okuhlala ixesha elingaphezulu kweentsuku ezingama-21 okanye okunzima kakhulu (oku kunokukhokelela kwi-anemia).
• Intlungu ekhawulezileyo, enzima nenganyamezelekiyo kwisisu esisezantsi (isenokuba yi-ovarian cyst eqhumayo okanye i-ovary eqhumayo - i-Ruptured Cyst/Ovarian Torsion).
• Ukuvuka uphefumla kancinci okanye urhona kakhulu xa ulele ebusuku (Sleep Apnea).
• Ukuziva uxinezelekile kakhulu, uxhalabile, kwaye uzibulale.

Izinto ezibangela i-PCOS

Nangona unobangela we-PCOS ungekafunyanwa yisayensi yezonyango, ezi zinto zilandelayo zifunyenwe zinempembelelo ngqo kuyo:

1. Ukumelana ne-Insulin: Xa iiseli zomzimba zingasabeli kakuhle kwi-hormone ye-insulin, amanqanaba eswekile egazini ayanyuka. I-pancreas ivelisa i-insulin engakumbi, kwaye le insulin igqithisileyo ivuselela ama-ovari ukuba anyuse imveliso yee-hormone zamadoda.
2. Ukuveliswa kakhulu kweehomoni ze-androgen: Nangona imizimba yabasetyhini ivelisa inani elincinci leehomoni zamadoda, kwi-PCOS ii-ovari zivelisa inani elikhulu lee-androgens. Oku kunokukhokelela ekukhuleni kweenwele zobuso, i-acne, kunye nokungakwazi ukukhupha amaqanda ngokufanelekileyo.
3. Ukudumba okuphantsi: Kwizigulane ze-PCOS, iiseli ezimhlophe zegazi zibangela ukudumba okuphantsi kwexesha elide, okubangela ukuba kukhuthazwe ngakumbi ukuveliswa kwee-androgens ngama-ovari.
4. I-genetics: Ukuba umama wakho, udadewenu, okanye umakhulu wakho une-PCOS, unamathuba amaninzi okuba nesi sifo.

Iingxaki ezinokwenzeka zexesha elide ze-PCOS

Ukuba i-PCOS ayilawulwa ngokufanelekileyo, yonke imetabolism yomzimba inokuphazamiseka kwaye oku kunokubangela iingxaki ezilandelayo:

• Ukungazali: Kunzima ukukhulelwa kuba ama-ovari awakhuphi amaqanda (i-Anovulation).
• Iingxaki ngexesha lokukhulelwa: Umngcipheko ophezulu wesifo seswekile sokukhulelwa, uxinzelelo lwegazi oluphezulu, kunye nokuphuphuma kwesisu.
• Isifo seMetabolic Syndrome: Ukudibana koxinzelelo lwegazi oluphezulu, iswekile ephezulu yegazi, kunye ne-cholesterol kwandisa umngcipheko wesifo sentliziyo.
• I-steatohepatitis engeyotywala (i-NASH): Ukuqokelelwa kwamafutha amaninzi esibindini, okukhokelela ekuvuvukeni kwesibindi, nokuba awuselanga utywala.
• Umhlaza we-Endometrial: Ukungabikho kwexesha elide exesheni kunokubangela ukuba ulwelo lwesibeleko (i-endometrium) lube lukhuni, nto leyo eyonyusa umngcipheko wokuba nomhlaza.

Izisombululo zonyango eziphumelelayo ze-PCOS

Nangona i-PCOS ingenakunyangwa ngokupheleleyo, iimpawu zinokulawulwa ngempumelelo:

1. Utshintsho kwindlela yokuphila (unyango oluphambili):

• Ukunciphisa umzimba: Ukunciphisa umzimba wakho nge-5% ukuya kwi-10% kunokunceda ukubuyisela umjikelo wakho wokuya exesheni.
• Ukutya: Nciphisa ukutya okune-carbs ezininzi kunye neswekile, kwaye utye ukutya okune-fiber eninzi, imifuno, iziqhamo kunye neproteni.
• Ukuzilolonga imihla ngemihla: Ukuzilolonga ubuncinane imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki, kunciphisa ukuxhathisa i-insulin.

2. Unyango ngamayeza:

• Ukulawula umjikelo wokuya exesheni: Oogqirha bacebisa iipilisi zokulawula ukuzalwa (iipilisi zokuthintela ukukhulelwa ezithathwa ngomlomo) eziqulethe iihomoni.
• Ulawulo lwe-insulin: I-Metformin, iyeza lesifo seswekile, inciphisa ukumelana ne-insulin kwaye ivuselela ukukhutshwa kweqanda.
• Ukukhulelwa: Oogqirha banika iipilisi ezikhethekileyo zokukhuthaza ukukhululwa kwamaqanda.

Izinto ekufuneka zenziwe nezo kufuneka zingayenzi

Imithombo yesayensi (Iingxelo)

• 📚I-Polycystic ovary syndrome (PCOS) - i-NHS
• 📚 I-Polycystic ovary syndrome kunye nefuthe layo elibanzi kwimpilo yengqondo yabasetyhini: Uphononongo olubalisayo - PMC