Polycystic ovary chirwere

Polycystic ovary syndrome (PCOS) mamiriro ezvinhu apo mukadzi akawedzera huwandu hwehomoni dzevanhurume (androgens). Matambudziko mazhinji anoitika semhedzisiro yekuwedzera kwehomoni, kusanganisira:

• Kukanganisa kwekuenda kumwedzi
• Kushaya mbereko
• Matambudziko eganda akadai seacne uye kuwedzera bvudzi kukura
• Yakawedzera nhamba ye madiki cysts mune maovari

PCOS yakabatana neshanduko mumahormone mazinga anoita kuti zviomere mazai kuti aburitse mazai akura zvakakwana (akura). Zvikonzero zvekuchinja uku hazvina kujeka. Mahormone akanganiswa ndeaya:

• Estrogen uye progesterone, mahormone echikadzi anobatsira mazai emukadzi kuburitsa mazai
• Androgen, murume mahormone anowanikwa mune zvidiki muvakadzi

Kazhinji, rimwe kana mamwe mazai anosunungurwa panguva yekutenderera kwemukadzi. Izvi zvinozivikanwa se ovulation. Kazhinji, kusunungurwa kwemazai kunoitika anenge masvondo maviri mushure mekutanga kuenda kumwedzi.

MuPCOS, mazai akura haasunungurwe. Pane kudaro, vanogara mumazai ane shoma shoma yemvura (cyst) yakavakomberedza. Panogona kuve nezvakawanda zveizvi. Nekudaro, havazi vese vakadzi vane chirwere ichi vanozove nemazai ane ichi chitarisiko.

Vakadzi vane PCOS vane macircule uko ovulation isingaitike mwedzi wega wega izvo zvinokonzeresa kushaya mbereko Zvimwe zviratidzo zvechirwere ichi zvinokonzerwa neakakwira mahormone evarume.

Kazhinji yenguva, PCOS inowanikwa mumadzimai mumakore avo makumi maviri kana makumi matatu. Zvisinei, zvinogonawo kukanganisa vasikana vechidiki. Zviratidzo zvinowanzotanga kana nguva dzemusikana dzatanga. Vakadzi vane chirwere ichi vanowanzove naamai kana hanzvadzi vane zviratidzo zvakafanana.

Zviratidzo zvePCOS zvinosanganisira shanduko yekuenda kumwedzi, senge:

• Kwete kuwana nguva mushure mekunge iwe uine imwe kana zvimwe zvakajairika panguva yekuyaruka (yechipiri amenorrhea)
• Nguva dzisina kujairika dzinogona kuuya dzichienda, uye dzive dzakareruka kusvika kune dzinorema kwazvo

Zvimwe zviratidzo zvePCOS zvinosanganisira:

• Yakawedzera bvudzi remuviri rinokura pachipfuva, padumbu, kumeso, uye nekutenderedza minyatso
• Acne kumeso, chifuva, kana musana
• Ganda rinoshanduka, senge rakasviba kana rakakora ganda kumaka uye makomba akapoterera muhapwa, kugomera, mutsipa, uye mazamu

Iko kuvandudza kwehunhu hunhu hakujairire kwePCOS uye kunogona kuratidza rimwe dambudziko. Shanduko dzinotevera dzinogona kuratidza rimwe dambudziko kunze kwePCOS:

• Mvere dzakatetepa mumusoro patemberi, dzinonzi mhanza yemurume
• Kuwedzera kwechikorisiti
• Kudzika kwezwi
• Kuderera muhukuru hwezamu

Mutapi wako wezvehutano achaita bvunzo dzepanyama. Izvi zvinosanganisira bvunzo dzechiuno. Bvunzo dzinogona kuratidza:

• Akawedzera maovari ane akawanda madiki cysts akacherechedzwa pane ultrasound
• Yakawedzera clitoris (zvisingawanzoitika)

Aya anotevera mamiriro ehutano akajairika kune vakadzi vane PCOS:

• Insulin kuramba uye chirwere cheshuga
• Kuwedzera kweropa
• Cholesterol yakakwira
• Kurera huremu uye kufutisa

Mupiki wako anozotarisa huremu hwako uye nemuviri mashoma index (BMI) uye kuyera kukura kwedumbu rako.

Kuongororwa kweropa kunogona kuitwa kutarisa huwandu hwehomoni. Iyi bvunzo inogona kusanganisira:

• Chikamu cheestrogen
• FSH mwero
• LH nhanho
• Mahomoni echirume (testosterone) chikamu

Mimwe miedzo yeropa inogona kuitwa inosanganisira:

• Kutsanya glucose (shuga yeropa) uye kumwe kuyedzwa kwekusashivirira kweglucose uye insulin kudzivisa
• Lipid chikamu
• Kubata kwepamuviri (serum hCG)
• Chikamu cheprolactin
• Utachiona hwebasa

Wako mupi anogona zvakare kuraira ultrasound yemapapiro ako kuti utarise pamazai ako.

Kurera huremu uye kufutisa zvakajairika kune vakadzi vane PCOS. Kurasikirwa kunyangwe huremu hushoma hwehuremu kunogona kubatsira kubata:

• Hormone inochinja
• Mamiriro ezvinhu akadai seshuga, yakakwira BP, kana yakakwira cholesterol

Mupiki wako anogona kupa mapiritsi ekudzivirira kuberekwa kuti nguva dzako dziwedzere. Aya mapiritsi anogona zvakare kubatsira kudzikisira zvisina kujairika bvudzi kukura uye acne kana iwe ukaatora iwo kwemwedzi yakati wandei. Yenguva refu yekuita nzira dzekudzivirira kubata pamuviri mahormone, senge Mirena IUD, inogona kubatsira kumisa nguva dzisina kujairika uye kukura kwakasarudzika kwechibereko chechibereko.

Mushonga weshuga unonzi Glucophage (metformin) unogona zvakare kupihwa kune:

• Ita nguva yako nguva dzose
• Kudzivirira mhando 2 chirwere cheshuga
• Kubatsira iwe kuonda

Mimwe mishonga inogona kupihwa kubatsira kubatsira kuti nguva dzako dzive dzakajairwa uye nekubatsira iwe kubata pamuviri ndeiyi:

• LH-kusunungura mahormone (LHRH) analogs
• Clomiphene citrate kana letrozole, iyo inogona kubvumira mazai ako kuburitsa mazai uye kugadzirisa mukana wako wekubata

Iyi mishonga inoshanda zvirinani kana muviri wako mass index (BMI) iri makumi matatu kana zvishoma (pazasi pehuwandu hwakafuta).

Wako mupi anogona zvakare kuratidza mamwe marapirwo eakajairika bvudzi kukura. Zvimwe ndeizvi:

• Spironolactone kana flutamide mapiritsi
• Eflornithine kirimu

Maitiro anoshanda ekubvisa bvudzi anosanganisira electrolysis uye laser kubviswa bvudzi. Zvisinei, mishonga yakawanda inogona kudiwa. Mishonga inodhura uye mhedzisiro yacho kazhinji haisi yekusingaperi.

Laparoscopy yepelvic inogona kuitwa kubvisa kana kushandura ovary kuti irape kushaya mbereko. Izvi zvinovandudza mikana yekusunungura zai. Migumisiro yacho ndeyenguva pfupi.

Nekurapa, vakadzi vane PCOS vanowanzo gona kubata pamuviri. Panguva yekuzvitakura, pane njodzi yakawedzera ye:

• Kusabvisa pamuviri
• Kuwedzera kweropa
• Gestational chirwere cheshuga

Vakadzi vane PCOS vanowanzo kukura:

• Kenza yeEndometrial
• Kushaya mbereko
• Chirwere cheshuga
• Matambudziko ane hukama nehusimbe

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere ichi.

Polycystic mazai; Polycystic ovary chirwere; Stein-Leventhal chirwere; Polyfollicular ovarian chirwere; PCOS

• Endocrine masero
• Pelvic laparoscopy
• Mukadzi wekubereka anatomy
• Stein-Leventhal chirwere
• Uterus
• Follicle kuvandudza

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