Mukati
- Tsanangudzo: ma<em>polycystic ovaries, chikonzero chinowanzokonzera kushaya mbereko
- Ndezvipi zviratidzo zve polycystic ovary syndrome (PCOS)?
- Nzira yekuongorora chirwere ichi uye kuziva kana isu tine hanya?
- Kurapa kurwadziwa: nzira yekurapa polycystic ovary syndrome?
- Kubata pamuviri: zvinoita here kubata pamuviri kunyangwe uine PCOS?
Polycystic ovary syndrome ndeye chirwere chehomoni chinokanganisa mumwe muvakadzi gumi uye ndicho chikonzero chekutanga chekushaya mbereko kwevakadzi. Ndeapi marapirwo anobvira? Kuongororwa kunoitwa sei? Chii chinonzi hyperandrogenism? Update nachiremba wembereko.
Tsanangudzo: ma<em>polycystic ovaries, chikonzero chinowanzokonzera kushaya mbereko
Maovari inhengo inokosha yekubereka. Pasi pekuita kwehomoni, follicles, iyo ine oocytes, inokura muhukuru panguva yekutanga kwekuenda kumwedzi. Zvadaro, imwe chete inoenderera mberi nekukura kwayo kusvika kumagumo uye inobudisa zai rinokwanisa kusanganiswa. Asi dzimwe nguva kusaenzana kwehomoni kunokanganisa nzira iyi yakaoma.
Polycystic ovary syndrome (PCOS) ndeimwe kuratidzwa kweizvi. Zvakare kunzi ovarian dystrophy, ichi chirwere chehomoni chinokanganisa 10% yevakadzi vezera rekubereka. Iyo inoratidzirwa nekuwedzera kusingawanzo kugadzirwa kwe androgens (mahomoni echirume) mumaovari anotungamira kuwedzera kweiyo ovarian follicles izvo zvinobva zvakonzera kusaenzana kwehomoni. Izvi zvinonzi hyperandrogenism.
Izvi zvinokonzeresa kusarongeka kwekufamba kwekuenda kumwedzi uye kuvhiringika kweovulation kunokanganisa kubata pamuviri. Mukufamba kwenguva, PCOS inogonawo kukonzera matambudziko akanyanya ehutano akadai seshuga uye chirwere chemoyo. Nekudaro, iyi syndrome inoramba ichizivikanwa zvishoma kune varwere dzimwe nguva vanotora makore kuti vaongororwe.
Ndezvipi zviratidzo zve polycystic ovary syndrome (PCOS)?
Zvinoita sekuti pane genetic predisposition kuPCOS asi izvi hazvisati zvave zvichiratidzwa nesainzi. Chinhu chimwe ndechechokwadi: zvinhu zvakatipoteredza, kusanganisira kufutisa, zvinopesvedzera polycystic ovary syndrome.
Nezvezviratidzo, zvinowanzoonekwa panguva yekutanga kuenda kumwedzi uye zvinosiyana kubva kumukadzi kuenda kune mumwe. Chiratidzo chakanyanya kunetsa kubata pamuviri nekuda kweovulation disorder. Zvinokonzerawo a kukanganiswa kwekuenda kumwedzi, iyo inogona kuzove isina kujairika, inopedza mazuva anopfuura makumi matatu nemashanu kusvika makumi mana, kana kutotungamira hapana nguva (amenorrhea).
Zvimwe zviratidzo zvePCOS ndezvi:
- kurema kuwanikwa
- acne
- hyperpilosity, kunyange hirsutism mu70% yevakadzi (bvudzi rakawandisa pachiso, chipfuva, musana kana mabheti)
- bvudzi kurasikirwa, kunonzi alopecia, iri pamusoro pemusoro uye pamwero wepamberi gulfs
- kuonekwa kwemavara matema paganda, kazhinji kuseri kwemutsipa, maoko kana kugomera
- kusuruvara
- kufunganya
- hope kufema
Ovulation matambudziko ari inokonzera kushaya mbereko mune inenge 50% yevakadzi vane polycystic ovaries.
Nzira yekuongorora chirwere ichi uye kuziva kana isu tine hanya?
Kazhinji, kuti uongorore PCOS, zvinodikanwa kuti uratidze zvingangoita zviviri zvezvitatu izvi: kusaenzana kweovulation, kuwandisa kwe androgens kana nhamba yakawanda yefollicles inoonekwa panguva ye ultrasound. A abdominopelvic ultrasound uye kuongorora ropa (dosage yeshuga yeropa, insulinemia, lipid balance yecholesterol uye triglyceride) inowanzotaurwa.
Kurapa kurwadziwa: nzira yekurapa polycystic ovary syndrome?
Kana iwe uchitambura kubva kune chero chezviratidzo zvine chekuita nePCOS, zvinokurudzirwa kutanga wabvunza chiremba anozokwanisa kuita macheki anodiwa uye kutonga kunze kwezvimwe zvikonzero zvinokonzeresa.
PCOS haigone kurapwa, asi kune nzira dzinoverengeka dzekuita gadzirisa zviratidzo zvinobudirira. Iwe unofanirwawo kuziva kuti chirwere ichi chinowanzo dzika nekufamba kwenguva nekuti iyo ovarian reserve inodzikira. Dzimwe nguva, kurasikirwa uremu kunogona kubatsira kudzoreredza ovulatory cycle.
Zvidzidzo zvakaratidza kuti muvakadzi vakafuta, kudonha kwe5% mumuviri wavo misa index (BMI) inogona kuve nemhedzisiro yakanaka pa polycystic ovary syndrome. A piritsi rekudzivirira kubata pamuviri inogonawo kubatsira kugadzirisa kutenderera kana kuderedza acne kana hyperpilosity matambudziko.
Kubata pamuviri: zvinoita here kubata pamuviri kunyangwe uine PCOS?
Avo vanoedza kubata pamuviri nePCOS anofanira kuona mazvikokota wembereko anozokwanisa kutarisa zvimwe zvinonetsa, sekuvhara machubhu e fallopian kana kusakwana paspermogram, asati akurudzira chero mushonga.
Le Clomifène Citrate (Clomid) inowanzo kurongerwa semutsetse wekutanga kurapa kukurudzira ovulation. Tiri kutaura nezve ovarian stimulation. Kurapa uku, kunoda kutariswa kwakasimba kwechiremba, kunoshanda pamatambudziko ekuvhuvhuta mu80% yezviitiko. Mamwe marapirwo akadai sekukurudzira ovarian negonadotropins kana In Vitro Fertilization (IVF) anogona zvakare.