Ingabe nawe une-PCOS (i-Polycystic Ovary Syndrome)? Ake sixoxe ngakho konke!

Ingabe umjikelezo wakho wokuya esikhathini awujwayelekile? Noma ingabe unezinwele ezingafuneki ezikhula ebusweni noma emzimbeni wakho? Ingabe unama-acne? Ingabe unenkinga yokunciphisa isisindo? Uma lezi kuyizinkinga ezivamile kuwe, kungenzeka ukuthi unesifo esibizwa ngokuthi i-PCOS. Ungakhathazeki, namuhla sizokhuluma nge-PCOS (i-Polycystic Ovary Syndrome) ngendlela elula kakhulu ongayiqonda.

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

Kalula nje, i-PCOS ukungalingani kwama-hormone kwabesifazane. Kwenzeka lapho ama-ovari akho (izitho ezikhiqiza futhi zikhiphe amaqanda) ekhiqiza ama-hormone amaningi kakhulu . Ngokukhethekile, ama-ovari akho akhiqiza ama-hormone amaningi kakhulu abizwa ngokuthi ama-androgens (aziwa nangokuthi ama-hormone wesilisa). Lokhu kungabangela ukuthi uhlelo lwakho lokuzala lungalingani.

Ngenxa yalokho, abantu abaningi abane-PCOS banemijikelezo yokuya esikhathini engajwayelekile , ababi nezikhathi kwezinye izinyanga, kanye nokuvuthwa kweqanda okungajwayelekile (ukuvutshelwa kweqanda) . Ngezinye izikhathi, ama-cyst amancane agcwele uketshezi (ama-cyst e-follicle) angabonakala ku-ultrasound scan yama-ovari. Kodwa-ke, naphezu kwegama elithi "polycystic," akubona bonke abane-PCOS abanala ma-cyst. Ngaphezu kwalokho, ama-cyst e-ovari awayona ingozi noma abuhlungu.

I-PCOS iyimbangela ehamba phambili yokungazali kwabesifazane . Iphinde inyuse ingozi yezinye izinkinga zempilo. Odokotela bangayilapha i-PCOS ngokusekelwe ezimpawini zakho nokuthi uzama yini ukukhulelwa.

Ubani othola i-PCOS? Ingabe lesi yisimo esivamile?

I-PCOS ingakhula kunoma yimuphi ubudala ngemva kokuthomba. Iningi labesifazane litholakala linalesi simo eminyakeni yabo yama-20 noma yama-30, ikakhulukazi uma bezama ukuba nomntwana. Uma ukhuluphele ngokweqile (ukhuluphele ngokweqile), noma uma othile emndenini wakho ene-PCOS, kungenzeka kakhulu ukuthi ube ne-PCOS.

I-PCOS iyisimo esivame kakhulu . Cishe u-15% wabesifazane abaseminyakeni yokuzala, noma cishe abesifazane abangu-15 kwabayi-100, batholakale benesifo se-PCOS. Ngakho-ke uma uthola ukuthi unayo, ungazizwa uwedwa.

Yiziphi izimpawu uma une-PCOS?

Lezi yizimpawu ezivame kakhulu ze-PCOS:

• Ukuya esikhathini okungajwayelekile: Lokhu kungafaka phakathi ukweqa ukuya esikhathini, ukungazitholi izinyanga eziningi, noma ukopha ngokweqile ngesikhathi sokuya esikhathini.
• Ukukhula kwezinwele okungavamile: Ukukhula kwezinwele okungafuneki ebusweni, esifubeni, esiswini nasezingalweni ( i-hirsutism) . Lesi sibonakaliso sibonakala kubantu abangaba ngu-70% abane-PCOS.
• Induna:I-PCOS ingabangela induna emhlane, esifubeni, nasebusweni. Le nduna ingaqhubeka ize ibe umuntu omdala futhi kube nzima ukuyiphatha.
• Ukukhuluphala/ukukhuluphala ngokweqile: Abantu abaphakathi kuka-40% no-80% abane-PCOS bakhuluphele kakhulu futhi banenkinga yokugcina isisindo esinempilo.
• Ubumnyama besikhumba: Isikhumba singaba mnyama emagoqweni entamo, emakhwapheni, endaweni yezinsini (phakathi kwemilenze), nangaphansi kwamabele. Lokhu kubizwa ngokuthi i-acanthosis nigricans .
• Ama-Ovarian Cysts: Kubantu abaningi abane-PCOS, ama-ovari e-ultrasound scan angaba makhulu kunokuvamile noma angaba nama-cyst amaningi amancane (ama-follicle).
• Amathegi esikhumba: Izimila ezincane ezifana nama-mole ezilenga esikhumbeni. Lezi zivame ukubonakala emakhwapheni nasentanyeni.
• Ukuncipha/ukulahlekelwa izinwele: Abantu abane-PCOS bangase babe nokulahlekelwa izinwele okunamabala noma impandla.
• Ukungazali: I-PCOS iyimbangela ehamba phambili yokungazali kwabesifazane. Inciphisa ikhono lokukhulelwa ngoba ukukhishwa kwamaqanda akwenzeki.

Abanye abantu bangase bangabi nazimpawu ze-PCOS. Abanye abantu bathola ukuthi banalesi simo kuphela lapho sebephuzile ukukhulelwa noma lapho bekhuluphala ngokuzumayo.

Yiziphi izimbangela eziyinhloko ze-PCOS?

Imbangela eqondile ye-PCOS ayikakaziwa . Kodwa-ke, kunobufakazi bokuthi inesici sofuzo. Lokhu kusho ukuthi uma othile emndenini wakho enayo, kungenzeka ukuthi uyithole. Ngaphezu kwalokho, ezinye izici eziningana, ikakhulukazi ukukhuluphala ngokweqile, zingaba nomthelela kuyo:

• Amazinga aphezulu ama-hormone wesilisa abizwa ngokuthi ama-androgen: Uma la ma-hormone enyuka, avimbela ama-ovari ekukhipheni amaqanda. Yilokhu okubangela imijikelezo yokuya esikhathini engajwayelekile. Uma ukuvuthwa kweqanda kungajwayelekile, ama-cyst agcwele uketshezi okukhulunywe ngawo ngenhla angakheka kuma-ovari. Ama-androgen ayanda nawo abangela induna nokukhula kwezinwele okungafuneki.
• Ukumelana ne-insulin:Uma amazinga e-insulin ephezulu, ama-ovari akhiqiza futhi akhiphe ama-hormone amaningi wesilisa (ama-androgens). Lawa ma-hormone wesilisa akhuphukile anciphisa ukuvuthwa kweqanda futhi afaka isandla kwezinye izimpawu ze-PCOS. I-insulin iyi-hormone esiza umzimba wethu ukulawula ushukela (i-glucose) futhi ikhiqize amandla. Ukumelana ne-insulin kwenzeka lapho umzimba ungaphenduli kahle ku-insulin. Lokhu kubangela amazinga aphezulu kashukela egazini. Akuwona wonke umuntu omelana ne-insulin ozoqala isifo sikashukela, kodwa ukumelana ne-insulin kungaholela kusifo sikashukela. Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile nakho kungabangela ukumelana ne-insulin. Ngisho noma amazinga akho kashukela egazini ejwayelekile, amazinga aphezulu e-insulin angaba uphawu lokumelana ne-insulin.
• Ukuvuvukala okuphansi: Abantu abane-PCOS bangase babe nokuvuvukala okungapheli, noma kwesikhathi eside, okuphansi (uhlobo lokuvuvukala okwenzeka ngaphakathi emzimbeni). Odokotela bangalinganisa lokhu kuvuvukala ngokuhlolwa kwegazi (i-C-reactive protein (CRP) kanye namazinga amhlophe egazi).

I-PCOS nokukhulelwa

Umbuzo abantu abaningi abanawo ukuthi ngabe i-PCOS ingabangela yini ukuphuphuma kwesisu. Ukuba ne-PCOS kungandisa ingozi yezinkinga ezithile zokukhulelwa, kodwa abantu abaningi abane-PCOS bayakwazi ukubeletha umntwana ngempumelelo.

Izinkinga ezingaba khona ngesikhathi sokukhulelwa ngenxa ye-PCOS zifaka:

• Isifo sikashukela sokukhulelwa, i-preeclampsia (umfutho wegazi ophakeme kanye nezinye izinkinga ngesikhathi sokukhulelwa), kanye nomfutho wegazi ophakeme.
• Ingozi yokuzalwa ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37) noma ukubeletha ngokuhlinzwa ngenxa yokukhuluphala, isifo sikashukela, noma umfutho wegazi ophakeme.

Kodwa ungesabi. Uma une-PCOS, into ebaluleke kakhulu ukukhuluma nodokotela bese uthola iseluleko nokwelashwa okudingekayo.

Udokotela uyixilonga kanjani i-PCOS?

Ezimweni eziningi, udokotela wakho angakuxilonga i-PCOS ngokukuhlola nokukhuluma ngezimpawu zakho. Bangase futhi bacele ukuhlolwa kwegazi noma ukuskena nge-ultrasound ukuze kusize ekuxilongweni.

Udokotela uzokwenza lezi zinto:

• Khuluma ngezimpawu zakho kanye nomlando wezokwelapha.
• Buza ngomlando wezokwelapha womndeni wakho.
• Isisindo sakho kanye nomfutho wegazi kuzolinganiswa.
• Uhlola umzimba - ikakhulukazi ebheka izinwele zobuso ezingadingeki, ukulahleka kwezinwele, izinduna, ukushintsha kombala wesikhumba, kanye nezinhlungu zesikhumba.
• Kuzohlolwa i-pelvic ukuze kuhlolwe ezinye izimbangela zokopha okungavamile.
• Ukuhlolwa kwegazi kuyalelwe ukuhlola amazinga ama-hormone kanye namazinga kashukela.
• Kuzokwenziwa i-ultrasound scan ukuze kubhekwe ama-ovari, kuhlolwe ukujiya kodonga lwesibeletho, futhi kuhlolwe nezinye izimbangela zokopha okungavamile.

Ngokuvamile, odokotela baphetha ngokuthi une-PCOS uma okungenani unezimpawu ezimbili kwezithathu ezilandelayo :

1. Ukungayi esikhathini ngendlela engajwayelekile noma ukungabi khona esikhathini (abanye abantu abane-PCOS bangase babe nokopha kakhulu ngesikhathi beya esikhathini).

2. Izimpawu zama-hormone aphezulu e-androgen, njengezinduna noma ukukhula kwezinwele ngokweqile. Noma, imiphumela yokuhlolwa kwegazi eqinisekisa amazinga aphezulu e-androgen.

3. I-ultrasound scan ikhombisa ama-ovary amakhulu noma ama-polycystic (abantu abaningi abawakhi la ma-cyst).

Yiziphi izindlela zokwelapha i-PCOS?

Udokotela wakho uzonquma ukwelashwa ngokusekelwe ezimpawini zakho, umlando wezokwelapha, ezinye izimo zempilo, nokuthi uhlela ukuba nezingane yini. Ukwelashwa kungafaka imithi, izinguquko zendlela yokuphila, noma inhlanganisela yakho kokubili.

Uma ungalindele umntwana okwamanje, lokhu kungasetshenziswa njengokwelashwa:

• Ukulawula ukubeletha ngama-hormone: Lokhu kungafaka phakathi amaphilisi okulawula ukubeletha, ama-patches, imijovo, indandatho yesitho sangasese sowesifazane, noma idivayisi yangaphakathi kwesibeletho (i-IUD). Ukulawula ukubeletha ngama-hormone kusiza ukulawula umjikelezo wakho wokuya esikhathini wanyanga zonke. Ezinye izinhlobo zingalawula nezinduna nokukhula kwezinwele okungafuneki.
• Imithi yokuzwela i-insulin: I-Metformin umuthi wesifo sikashukela osiza umzimba wakho ukusebenzisa i-insulin ngendlela efanele. Uma i-insulin ilawulwa, abanye abantu abane-PCOS bangase babone ukuthi imijikelezo yabo yokuya esikhathini iyathuthuka.
• Imithi yokuvimbela i-androgen: Eminye imithi inganciphisa imiphumela yama-hormone e-androgen. Lokhu kungasiza ekulawuleni ukukhula kwe-acne noma izinwele. Khuluma nodokotela wakho mayelana nokuthi lolu hlobo lokwelashwa lukulungele yini.
• Izinguquko zendlela yokuphila: Ukudla ukudla okunomsoco nokugcina isisindo esinempilo kungaba nomthelela omuhle emazingeni e-insulin. Lokhu kubaluleke kakhulu ekulawuleni izimpawu ze-PCOS.

Uma ulindele umntwana manje noma esikhathini esizayo, lokhu kungasetshenziswa njengokwelapha i-PCOS:

• Imithi ekhuthaza ukuvuthwa kweqanda (okubangela ukuthi iqanda likhule futhi likhishwe): Ukukhulelwa okuphumelelayo kuqala ngokuvuthwa kweqanda. Kunemithi ekhonjisiwe ukuthi ikhuthaza ukuvuthwa kweqanda kubantu abane-PCOS. I-Clomiphene ne -Letrozole zithathwa ngomlomo. Ama-Gonadotropin anikezwa njengomjovo.
• Ukuhlinzwa: Kukhona inqubo yokuhlinzwa engasiza ekubuyiseleni ukuvuthwa kweqanda ngokususa izicubu ezikhiqiza ama-hormone e-androgen. Kodwa-ke, ngenxa yemithi emisha, odokotela abahlinzayo abavamile ukwenza lokhu kuhlinzwa.
• Ukukhulelwa kwe-in vitro (IVF):Lokhu kuyindlela yabesifazane abane-PCOS abangakwazi ukukhipha amaqanda ngemithi. Lokhu kuhilela udokotela ukufaka iqanda elilodwa ngesidoda somlingani wakho elebhu, bese efaka iqanda esibelethweni sakho.

Ingabe i-PCOS ingalapheka ngokuphelele?

Akukho ukwelashwa kwe-PCOS okwamanje . Kodwa udokotela wakho angakusiza ukuthi uphathe izimpawu zakho. Imiphumela ye-PCOS ingashintsha ngokuhamba kwesikhathi, futhi ungase ungasiboni ngisho nesimo. Kodwa-ke, lokhu akulona ikhambi elihlala njalo.

Ngezinguquko zamahomoni ezenzeka ngesikhathi sokunqamuka kokuya esikhathini, izimpawu ze-PCOS zingancishiswa kakhulu.

Ingabe i-PCOS ingabangela ezinye izinkinga zempilo?

Ucwaningo lukhombisile ukuthi i-PCOS ingandisa ingozi yezimo zempilo ezilandelayo:

• Isifo Sikashukela (i-Diabetes Mellitus)`
• Umfutho wegazi ophakeme
• Isifo senhliziyo
• Ukuqina kolwelwesi lwangaphakathi lwesibeletho (i-endometrial hyperplasia)
• Umdlavuza we-endometrial
• Izinkinga ezihlobene nokulala ezifana ne-sleep apnea
• Ukucindezeleka Nokukhathazeka

Kubaluleke kakhulu ukukhuluma nodokotela wakho ukuze uqonde ngokugcwele ingozi yakho yokuthola lezi zimo.

Ingabe i-PCOS ingavinjelwa noma imiphumela yayo incishiswe?

Ayikho indlela eqinisekisiwe yokuvimbela i-PCOS. Kodwa ungenza izinto ezimbalwa ukusiza ekunciphiseni izimpawu zakho. Isibonelo, ukudla ukudla okunomsoco, ukuzivocavoca njalo , nokugcina isisindo esinempilo kungakusiza ugweme imiphumela ye-PCOS.

Ungaphila kanjani ngempumelelo ne-PCOS?

Indlela engcono kakhulu yokuphila ngempumelelo ne-PCOS ukugcina isisindo esinempilo, ukudla ukudla okunempilo, nokuzivocavoca njalo . Lezi zinguquko zendlela yokuphila zingasiza ekulawuleni amazinga akho ama-hormone, okungasiza ekulawuleni umjikelezo wakho wokuya esikhathini nokuqeda izimpawu.

Uma ukukhula kwezinwele okungafuneki noma induna kuphazamisa ukuzethemba kwakho, kungaba yinzuzo ukufuna ukwelashwa kobuhle noma ukubona udokotela wesikhumba.

Okokugcina, uma uzama ukuba nomntwana futhi une-PCOS, khumbula ukuthi awuwedwa. Cishe umuntu oyedwa kwabayi-10 une-PCOS. Udokotela wakho angakusiza, uma lokho kuyithemba lakho, ukuthi ube nomntwana.

Ngingayibona nini udokotela?

Uma usola ukuthi une-PCOS, bona udokotela. Ezinye zezimpawu ezingase zibonise i-PCOS zifaka:

• Umjikelezo wokuya esikhathini wenyanga ongajwayelekile (ngokuvamile othatha izinsuku ezingaphezu kuka-40 phakathi kokuya esikhathini).
• Ukukhula kwezinwele ngokweqile, induna, noma ezinye izimpawu zama-hormone e-androgen amaningi.
• Ubunzima bokukhulelwa umntwana.

Yimaphi ama-hormone ahilelekile ku-PCOS?

Abantu abane-PCOS banokungalingani kwama-hormone. Lokhu kungaphazamisa umjikelezo wabo wokuya esikhathini wanyanga zonke, ukukhishwa kwamaqanda, futhi mhlawumbe ngisho nekhono labo lokukhulelwa. La ma-hormone afana nenethiwekhi eyinkimbinkimbi. Uma umuntu engasakwazi ukukhulelwa, lonke uhlelo luyathinteka. Ama-hormone ayinhloko ahilelekile ku-PCOS yilawa:

• Ama-Androgens (njenge-testosterone ne-androstenedione)
• I-hormone ye-luteinizing (LH)
• I-hormone evuselela i-follicle (i-FSH)
• I-estrogen
• I-Progesterone
• I-insulini (i-insulini)

Ingabe i-PCOS ne-endometriosis ziyafana?

I-PCOS kanye ne-endometriosis yizimo ezimbili ezihlukene. Kodwa zombili zingabangela ama-cyst esibelethweni kanye nokungabi nabantwana. I-Endometriosis yilapho ulwelwesi lwesibeletho sakho (i-endometrium) lukhula kwezinye izindawo, njengezibeletho zakho, isitho sangasese sowesifazane, noma amashubhu esibeletho. Lokhu kuvame ukubangela ubuhlungu besisu esingezansi noma ubuhlungu obukhulu bokuya esikhathini. Abantu abane-PCOS nabo banezikhathi zokuya esikhathini ezingajwayelekile, ukuvuthwa kweqanda okungajwayelekile, kanye neminye imiphumela emibi engokomzimba ebangelwa ama-hormone wesilisa amaningi.

Izinto ezibaluleke kakhulu okufanele uzikhumbule

I-PCOS iyisimo esivamile. Ingathinta umjikelezo wakho wokuya esikhathini wanyanga zonke futhi ibangele ezinye izimpawu. Uma usola ukuthi une-PCOS, khuluma nodokotela wakho ngezimpawu zakho. Izinguquko zendlela yokuphila kanye nokwelashwa kwezokwelapha kungakusiza ukuphatha izimpawu zakho, kunciphise ingozi yakho yezinye izimo zempilo, futhi (uma lokho kuyinjongo yakho) kukusize ube nomntwana. Ungakhathazeki, awuwedwa, futhi kunezindlela zokubhekana nazo.

I- PCOS, i-Polycystic Ovary Syndrome, Ukungalingani Kwama-Hormonal, Umjikelezo Wokuya Esikhathini Kwanyanga Zonke, Ama-Ovaries, Ama-Androgens, Ukungazali, Ukumelana Ne-Insulin