PCOD

Ukwelashwa kwe-PCOS/PCOD e-Hyderabad, e-India

I-PCOD noma i-PCOS iyinkinga ethinta ama-ovari, akhiqiza amahomoni e-progesterone ne-estrogen alawula ukuya esikhathini futhi akhiqize amanani amancane amahomoni e-inhibin, ukuphumula, namahomoni wesilisa aziwa ngokuthi ama-androgens.

Abesifazane abane-PCOS bakhiqiza amahomoni wesilisa amaningi kunabesifazane abane-PCOD. Ngenxa yalokhu kungalingani kwe-hormone, bayeqa izikhathi zabo zokuya esikhathini futhi babe nesikhathi esinzima kakhulu sokukhulelwa.

Baningi abesifazane abane-PCOD/PCOS abangazi ngayo. Izimpawu ezilandelayo zithinta i-ovulation nama-ovari:

• Ama-cysts ama-ovari

• Amazinga anyukile amahomoni wesilisa

• Izikhathi ezeqiwe noma ezingajwayelekile

Ngakho-ke kubalulekile ukufuna uchwepheshe onolwazi ukuze asingathe abaphathi bawo. Ezibhedlela ze-CARE, ithimba lochwepheshe linikeza iziguli izeluleko mayelana nendlela yokuphila futhi linikeza imithi yabesifazane abanezimpawu ezivamile ezifana nokuthanda abantu. Ngaphansi kophahla olulodwa, odokotela bethu bezifo zabesifazane abanolwazi lwamashumi eminyaka banikeza ukunakekelwa okuphelele ezigulini, kanye nochwepheshe abafana nodokotela bezokudla, izazi zokusebenza kwengqondo, nobuchwepheshe bethu besimanje.

Izimpawu nezimpawu ze-PCOD / PCOS

Owesifazane angase abone izimpawu ngesikhathi sakhe sokuqala, kuyilapho abanye bethola izimpawu ngemva kokuba nobunzima bezama ukukhulelwa. Inkinga ye-PCOD kanye ne-PCOS ibonakala ngezimpawu nezimpawu ezilandelayo:

• I-Oligomenorrhea ibhekisela ekuyeni esikhathini okungajwayelekile.

• I-Amenorrhea ibhekisela ekungabikho kokuya esikhathini.

• I-Menorrhagia isho ukopha okukhulu kokuya esikhathini.

• Ukukhula kwezinwele ebusweni nasemzimbeni, okuhlanganisa nomhlane, isisu, nesifuba

• Izinduna (ubuso, isifuba, nomhlane ongenhla)

• Inzuzo yesisindo

• Ukuqothuka kwezinwele (izinwele ekhanda ziba mncane futhi ziwe)

• Isikhumba sibe mnyama (Intamo, e-groin, nangaphansi kwamabele)

Izinkinga ze-PCOD

Asinaso isiqiniseko sokuthi i-PCOD ibathinta kanjani abesifazane, kodwa kunezici ezithile okufanele zicatshangelwe:

• Ukukhiqizwa kwe-insulin ngokweqile: Amazinga aphezulu e-insulin emzimbeni angakhuphula ukukhiqizwa kwe-androgen (ihomoni yabesilisa abesifazane abayikhiqiza kancane kakhulu) ephazamisa ukuphuma kweqanda.

• Ukukhiqizwa kwe-androgen ngokweqile: Ukweqile kwamahomoni e-androgen akhiqizwa ama-ovari kungaholela esikhunjeni kanye ne-hirsutism (ukukhula kwezinwele ebusweni nasemzimbeni).

• Ukuvuvukala kwebanga eliphansi: Abesifazane abane-PCOD banokuvuvukala kwebanga eliphansi okubangela ukwanda kokukhiqizwa kwe-androgen, okungaholela emithanjeni yegazi noma ezinkingeni zenhliziyo.

• Ifa: Izici ezithile zofuzo zihlotshaniswa ne-PCOD.

Ukuxilongwa kwe-PCOD / PCOS

Ucwaningo lwezithombe noma ukuhlolwa kwegazi kungasetshenziswa ukuxilonga i-PCOD noma i-PCOS, zombili ezithinta amasistimu omzimba. Odokotela bezifo zabesifazane babuza ngomlando wezempilo, indlela yokudla, imithi, amavithamini, nezithako ezithathwe isiguli. Le mibuzo isekelwe kuzimpawu ezifana nokuya esikhathini, ukukhula kwezinwele okungafuneki okuyiphethini yabesilisa, izinduna, noma ukuncipha kwezinwele zekhanda.

Udokotela wezifo zabesifazane angase atuse lezi zivivinyo ezilandelayo ukuze ahlonze i-PCOD noma i-PCOS:

• Ukuhlolwa kwe-pelvic: Ukuhlola ngokomzimba izitho zokuzala ukuze kutholwe uquqaba, okungavamile, noma ukukhula.

• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kuzosiza ukuhlonza amazinga amahomoni, okuhlanganisa iphrofayili ye-lipid ezila ukudla (ukuhlola amazinga egazi e-cholesterol, i-high-density lipoproteins (HDL), ama-triglycerides, nama-low-density lipoproteins (LDL)), ukuhlolwa kokubekezelela ushukela.

• Ukuhlolwa kwesithombe: I-Ultrasound imaging isetshenziselwa ukuhlola ubukhulu bama-ovari, ulwelwesi lwesibeletho, nama-cysts kuma-ovari.

Ukwengeza, udokotela wezifo zabesifazane angase ancome ezinye izivivinyo ukuze anqume ukuthi zikhona yini izinkinga. Lezi zivivinyo zingabandakanya:

• Umfutho wegazi, ukubekezelelwa kwe-glucose, i-cholesterol, namazinga e-triglyceride kufanele kuqashelwe njalo.

• Hlola ukukhathazeka nokucindezeleka. 

• Ihlola i-obstructive sleep apnea (OSA).

Izinkinga ze-PCOS/PCOD inkinga

Lapho abesifazane bethola i-PCOD noma i-PCOS, bangase bazibuze mayelana nemiphumela yempilo yabo, njengoba amazinga e-androgen aphakeme angaba nezinkinga ezihlukahlukene ezidinga ukunakekelwa kwezokwelapha. Lokhu kubandakanya:

• Ukopha okungajwayelekile kwesibeletho
• Ukungazali noma ukwanda kwengozi yomfutho wegazi ophakeme
• Thayipha i-2 sikashukela
• Ukubeletha ngaphambi kwesikhathi nokuzalwa ngaphambi kwesikhathi
• I-Metabolic syndrome, ebeka engcupheni yoshukela ophezulu wegazi, umfutho wegazi ophakeme, isifo senhliziyo, isifo sikashukela, kanye nesifo sohlangothi
• I-NASH (i-steatohepatitis engeyona utshwala)
• Ukucindezeleka, ngokuvamile okuvela ekukhuleni kwezinwele okungafunwa nezinye izimpawu
• I-apnea yokulala, ikakhulukazi kwabesifazane abakhuluphele, okuholela ekuphumuzeni okuphindaphindiwe kokuphefumula ebusuku nokuphazamiseka kokulala.
• Ingozi eyengeziwe yomdlavuza we-endometrial ngenxa yokuqina kwesibeletho
• Ukuphuphuma kwesisu, okubonisa ukulahlekelwa okuzenzakalelayo kokukhulelwa

Ukwelashwa kwe-PCOD / PCOS

Ukwelashwa kwakho kwe-PCOD/PCOS kuzoqondisa izinkinga ezithile, njengokungajwayelekile isikhathi, ukukhuluphala, ukungazali, induna, noma i-hirsutism. Ukwelashwa okuvame kakhulu kuhilela uhlelo lokudla nokuzivocavoca kanye nokuncipha kwesisindo. Ngokunciphisa amaphesenti angu-5 kuya kwangu-10 kuphela esisindo somzimba wakho, umjikelezo wakho wokuya esikhathini ungalawuleka kangcono.

Izimpawu ezifana nokukhula kwezinwele, izinduna, nokuphazamiseka kwe-metabolic kuzonquma ukwelashwa. Lokhu kubandakanya:

• Imithi ingalawula umjikelezo wokuya esikhathini ngokwelapha ukungalingani kwamahomoni kanye nokumelana ne-insulin.

• Ngokusebenzisa imithi yomlomo nemijovo, ungenza i-ovulation (ikhwalithi kanye nenani).

• Imithi yokuzala isetshenziselwa ukwelapha inzalo.

• Ukunciphisa ukukhula kwezinwele ngokweqile.

• Ukwelapha izinduna kanye pigmentation.

• Inqubo yokumba i-ovarian isetshenziswa esimweni seziguli ze-PCOS ezingakwazi ukuphendula ekwelashweni kwamahomoni.

Izidlo zokulahlekelwa isisindo zingaba usizo esimweni sakho. Noma kunjalo, ezinye izinhlobo zokudla zizuzisa kakhulu kunezinye. Ukulahlekelwa isisindo kunganciphisa isifo senhliziyo nesifo sikashukela, kanye nokuthuthukisa amazinga e-cholesterol kanye namazinga e-insulin aphansi.

Abesifazane bangehlisa isisindo ngokuzivocavoca imizuzu engu-20 ngomfutho olinganiselwe izinsuku ezinhlanu ngesonto. Ukuzivocavoca kusiza ukuthuthukisa i-ovulation namazinga e-insulin kanye nokuncipha kwesisindo.

Ukwelashwa okungcono kakhulu kwe-PCOD ne-PCOS kuzobandakanya ukuxilongwa ngesikhathi, kanye nezindlela zokwelashwa ezifanele ukuze kunqobe izimpawu. Ukwelapha ukungalingani kwama-hormone kanye nezimo ezihlobene nakho, ukulondoloza indlela yokuphila enempilo kubalulekile ngokufanayo.

Ukwelashwa kwe-Polycystic Ovarian Syndrome (PCOS) ngokuvamile kuhilela inhlanganisela yokuguqulwa kwendlela yokuphila, imithi, futhi, kwezinye izimo, ukungenelela kokuhlinzwa. Kubalulekile ukuqaphela ukuthi indlela ingahluka ngokuya ngezimpawu nezinjongo zomuntu ngamunye. Nazi izindlela zokwelapha ezijwayelekile ze-PCOS:

Izinguquko Zendlela Yokuphila:

• Ukuguqulwa Kokudla: Ukwamukela ukudla okulinganiselayo nokunomsoco kungasiza ekulawuleni isisindo futhi kuthuthukise ukuzwela kwe-insulin. Ukugxila ekudleni okuphelele, izithelo, imifino, namaphrotheni angenalutho ngokuvamile kuyanconywa.
• Ukuzivocavoca Okuvamile: Ukuzivivinya umzimba njalo kungasiza ekulawuleni isisindo futhi kuthuthukise ukuzwela kwe-insulin. Kokubili ukuzivocavoca kwe-aerobic nokuqeqeshwa kwamandla kungase kube yinzuzo.

Imithi:

• Amaphilisi Okulawula Ukuzalwa: Imithi yokuvimbela inzalo ivame ukunikezwa ukulawula imijikelezo yokuya esikhathini, ukunciphisa amazinga e-androgen, nokulawula izimpawu ezifana nezinduna kanye ne-hirsutism (ukukhula kwezinwele ngokweqile).
• Imithi Ye-Anti-Androgen: Imithi efana ne-spironolactone ingase ibekwe ukuze ibhekane nemiphumela ye-androgens ephakeme, ukubhekana nezimpawu ezifana nezinduna nokukhula kwezinwele okungafunwa.
• I-Metformin: Lo muthi uvame ukusetshenziselwa ukuthuthukisa ukuzwela kwe-insulin futhi ulawule imijikelezo yokuya esikhathini, ikakhulukazi ezimeni lapho ukumelana ne-insulin kuyisici.

Ukwelashwa Kwenzalo:

• I-Clomiphene Citrate: Le mithi ingase ibekwe ukuze yenze i-ovulation kwabesifazane abazama ukukhulelwa.
• I-Letrozole: Enye inketho yokwehlisa i-ovulation, ikakhulukazi kwabesifazane abanokuzala okuhlobene ne-PCOS.
• Ukuphathwa Kwesisindo:
• Ukuncipha Kwesisindo: Kubantu abakhuluphele ngokweqile abane-PCOS, ukulahlekelwa isisindo ngokusebenzisa inhlanganisela yokudla nokuzivocavoca kungathuthukisa kakhulu izimpawu futhi kubuyisele ibhalansi ye-hormonal.

Ukungenelela Kokuhlinzwa:

• Izinqubo Zokungeniswa Kwe-Ovulation: Ezimweni lapho imithi iyodwa ingasebenzi, ubuchwepheshe bokuzala obusizayo (njengokufaka i-in vitro fertilization) bungacatshangelwa.
• I-Ovarian Drilling: Inqubo yokuhlinzwa lapho izimbobo ezincane zenziwa kuma-ovari ukuze kukhuthazwe ukuphuma kweqanda okuvamile. Lokhu akuvamile ukusetshenziswa ngenxa yokuba khona kwemithi esebenzayo.

Ukuphathwa Kwezimpawu Ezithize:

• Ukwelashwa Kwama-Topical: Ukuphatha induna noma i-hirsutism, ukwelashwa kwe-topical noma izindlela zokususa izinwele zinganconywa.
• I-Psychotherapy: Ezimeni lapho inhlalakahle yomzwelo ithinteka, ukwelulekwa noma ukwelashwa kwengqondo kungase kube yinzuzo.

Kubalulekile ukuthi abantu abane-PCOS basebenzisane eduze nochwepheshe bezokunakekelwa kwempilo ukuze benze uhlelo lokwelashwa olubhekana nezimpawu zabo ezithile, okubakhathazayo, kanye nezinjongo zabo zokuzala. Ukuqapha njalo nokulungiswa kohlelo lokwelapha kungase kudingeke ngokuhamba kwesikhathi.