Sanin Polycystic Ovarian Syndrome Symptoms, Diagnosis, da Jiyya
Sashin ciwo na ovarian polycystic, ko PCOS , wani cuta ne na endocrine da kuma dalilin da ya faru na rashin haihuwa a cikin mata. A PCOS, halayen da suka shafi tsarin haifuwa suna da mahaukaci, suna haifar da jahilci ko jarabawa. Cibiyar ta PCOS ita ce cuta ta yau da kullum, ta shafi har zuwa kashi 8 na mata.
Mata da PCOS sau da yawa suna da polycystic ovaries. Wannan yana nufin cewa ovaries suna da ƙananan ƙananan ƙwayoyi, marasa lafiya da marasa lafiya.
A lokacin jarrabawar duban dan tayi, ƙananan yara na iya yi kama da lu'u lu'u-lu'u. Duk da haka, polycystic ovaries ba kullum nuna wa PCOS ba. Binciken binciken sun gano cewa wasu mata suna da ovaries polycystic, kwayoyin halitta, da kuma sauran alamun rashin lafiya na endocrin kamar PCOS.
Sanarwar da aka gano tare da PCOS shine ƙananan ƙwayoyin hormones. Yayinda ake samun ciwon daji a cikin maza da mata, an dauke su a matsayin magungunan maza ne. Hakanan halayen maɗaukaki suna hade da wasu daga cikin bayyanar cututtuka na PCOS, ciki har da ƙwayar cuta da ciwo mai maganganci.
Mene ne alamun ilimin cututtuka na polycystic Ovarian Syndrome?
Hanyoyin cututtukan cututtuka na polycystic ovarian na iya hada da:
- rashin haihuwa
- jahilci ko jaraban jima'i ba ( anovulation )
- amenorrhea (rashi na kowane hawan lokaci) ko oligomenorhhea (wanda bai bi ka'ida ba a kowane wata)
- maimaita rikicewa
- rashin ciwo mai haɗari, wanda aka sani da hiwanci, wanda aka samo a kan lebe na sama, chin, a kusa da nipples, ko a ciki
- kuraje
- musamman m fata da gashi
- namiji abin hawa
- kiba
- gaban polycystic ovaries a lokacin jarrabawa jarrabawa
- insulin juriya
- high matakan androgens, kuma da aka sani da hyperandrogenism
- matakan da aka haɓaka na LH hormone (yin gwajin gwagwarmaya ta gida da wuya a yi amfani)
Ba ku buƙatar samun kowace alama a sama da za a bincikar da ku tare da PCOS, kuma PCOS ba ta nuna kanta a hanya ɗaya ga kowane mace ba.
Alal misali, yawancin matan da ke tare da PCOS ba su da ciwon haushi maras kyau kuma suna lafiya. Wasu matan da ke tare da PCOS bazai da wata damuwa na tsawon watanni a lokaci daya, yayin da wasu matan da ke da PCOS zasu iya samun rawanin lokaci kaɗan kawai.
Domin ana bincikar PCOS ta hanyar kallon hoto mafi girma, kuma ta hanyar ban da wasu cututtuka masu yiwuwa wanda zai iya haifar da alamun bayyanar, yana da muhimmanci a ga likitan ku don ganewar asali.
Ta yaya Polycystic Ovarian ciwo haifar da rashin amfani?
Hanyoyin hormone masu haɗari da suka shafi PCOS suna haifar da matsaloli tare da kwayar halitta. Wadannan rashin daidaituwa a cikin kwayar halitta sune babban dalilin rashin haihuwa.
PCOS kuma hade da haɗari mafi girma na farkon kuskure. Bincike a kan PCOS ya nuna cewa zubar da ciki zai iya zama kamar yadda kashi 20 zuwa 40, wanda ya fi sau biyu a cikin yawan jama'a.
Ba ya bayyana a fili dalilin da yasa bacewa yafi kowa a cikin mata tare da PCOS, amma wasu ka'idoji sun haɗa da wadannan:
- mummunan kwai kwai, wanda ya shafi jabu ko jima'i
- insulin juriya
- wani yanayi mai ƙarancin ciki ga amfrayo don shigarwa a cikin rufin mahaifa (saboda matakan hormone masu haɗari da suka shafi PCOS)
Ta Yaya Yayi Magunguna na Ovarian Syndrome?
Ba kowa ba ne ya yarda akan ka'idodin maganin PCOS, kuma an fassara ma'anarta a cikin shekaru.
Wannan ya ce, mafi yawan maganganun bincike da ake amfani dashi yanzu ana amfani da su biyu daga cikin uku na waɗannan masu biyowa don amfani:
- raunin da ba daidai ba ko raguwa, wanda ya haifar dasu ta hanyar sakewa
- ko dai tabbatarwar gwajin jini ko alamomin waje na manyan nau'o'in androgens (nau'in haɓaka mai haɗari, kuraje)
- gaban polycystic ovaries, kamar yadda gani ta duban dan tayi jarrabawa
Bugu da ƙari, dole ne a kawar da wasu mawuyacin mawuyacin motsawa ko matakan high androgen. Wannan yakan hada da gwajin don hyperplasia na adrenal na jiki, da ciwon sukari na asrogen-secreting, da hyperprolactinemia.
Wane irin gwaje-gwajen da ke tattare da cutar ƙwayar cutar ta Polycystic?
Za a umurci aikin jini don duba matakan hormone, matakan jini (don insulin resistance), da kuma matakan lipid.
Ana iya ba da umurni a kan duban dan tayi na transvaginal , don ganin idan ovaries ya bayyana polycystic.
Samun cikakken tarihin kuma wani muhimmin ɓangare na ƙwarewar PCOS. Dandanku zai so ya san yadda yawancin ku na tsawon lokaci, kuma kuyi tambaya game da ci gaban gashi maras so. Ana iya jarabce ku kada ku furta girman gashi ba tare da kunya ba, amma yana da muhimmanci ku gaya wa likitan ku game da wannan matsala idan kuna da shi.
Mene ne Maganganu na Musamman ga PCOS?
Jiyya ga PCOS zai dogara akan ko ko kuna ƙoƙarin samun ciki. Idan ciki ba abu ne mai fifiko ba, ana iya ba da izinin maganin kwayoyin haihuwa don taimakawa wajen daidaita motsinka kuma taimakawa rage ƙwayar cuta da kuma rashin karfin gashi maras so.
Wasu mata suna jin tsoron ci gaba da yin maganin kwayoyin haihuwa saboda suna tunanin zai cutar da haihuwa. Binciken da aka yi game da kulawar haihuwa bai riga ya sami wannan gaskiya ba. Tsarin haihuwa ba zai cutar da haihuwa ba .
Duk da haka, yana da mahimmanci a san cewa kwayar ba ta "warke" ka PCOS ba. Za ka iya fara samun hawan lokaci yayin da kake kan kwaya. Wadannan an halicce su. Da zarar ka daina karɓar kwaya, idan kawancinka sun kasance marasa bin doka a gabani, za su kasance ba daidai ba ne.
Idan kana da kwarewa a matsayin wani ɓangare na PCOS, ya kamata ka je ganin likitan dermatologist. Kwayoyin maganin haihuwar haihuwa zai iya rage ƙwayar cuta, amma ba koyaushe ba. Idan kuna ƙoƙarin samun ciki, ko da yake, kulawar haihuwa ba zai zama wani zaɓi mai kyau ba. Wasu maganin magunguna ba su da lafiya don amfani da su lokacin da kake kokarin samun ciki, don haka ka tabbata ka gaya wa likitanka idan kana ƙoƙarin yin ciki.
Ga wadanda suke ƙoƙari su yi juna biyu, magani ga PCOS yana kama da maganin da ake amfani dasu don magance maɓuɓɓuka. Likita na farko shine magani na Clomid , wanda ake amfani dashi don taimakawa wajen bunkasa kwayoyin halitta.
Metformin -wanda ake kira Glucophage-yana amfani da miyagun ƙwayoyi don magance insulin resistance. Wani lokaci ana amfani da su don biyan PCOS, koda kuwa ba ku da juriya na insulin.
Ana amfani da Letrozole-magani na maganin ciwon daji - a wani lokacin ana amfani da shi-lakabin don ƙarfafa ovulation. Yana aiki kamar yadda Clomid yayi. Letrozole na iya samun nasara a wajen taimakawa mata da PCOS da suka fi tunanin Clomid.
Idan waɗannan magunguna ba su taimaka ba, to ana iya gwada gonadotropins . Wadannan magungunan ƙwayoyi masu amfani ne.
Idan magunguna kadai ba su aiki ba, ko kuma idan akwai dalilai masu yawa da ke haifar da rashin haihuwa, IUI ko IVF za a iya bada shawarar.
Wasu nazarin sun nuna cewa matan da suke da karba tare da PCOS zasu iya sake farawa da kwayar halitta ta hanyar rasa nauyin kashi 10 cikin nauyin nauyin da suke ciki yanzu . Kyakkyawan abinci mai kyau da kuma motsa jiki na yau da kullum zai iya taimakawa wajen dawo da jima'i na yau da kullum a wasu, amma ba duka ba, mata da PCOS.
Shin da juna biyu tare da PCOS Duk wani Bambanci?
Mata da PCOS suna da haɗari ga haɗarin matsala. Mata masu amfani da PCOS sun fi dacewa su ci gaba da ciwon sukari da ke ciki, ciki har da hawan jini, preeclampsia, da kuma aiki na farko. Baban da aka haifa ga mata tare da PCOS suna da haɗarin haɗari na neman NICU bayan haihuwa.
Dalili na wadannan haɗari ƙari zai iya fitowa daga ƙwayar cutar ta PCOS ko insulin juriya. Hanya mafi kyau don rage waɗannan hadarin shine don samun lafiyar lafiya (ko mafi lafiya) kafin daukar ciki (idan ya yiwu), tabbatar da samun kulawar kulawa ta yau da kullum, kuma ku ci abinci mai kyau. Hakika, zaka iya yin duk abubuwan da ke daidai kuma har yanzu suna fuskantar matsaloli.
Sources:
> Barbieri, Robert; Ehrmann, Dauda. Harkokin na asibiti na ciwon ƙwayoyin cuta na polycystic ovary a cikin manya. Na zamani.
> Barbieri, Robert; Ehrmann, Dauda. Binciken asalin polycystic ovary ciwo a cikin manya.
> Fauser BC1, Tarlatzis BC, Rebar RW, Legro RS, Balen AH, Lobo R, Carmina E, Chang J, Yildiz BO, Laven JS, Boivin J, Petraglia F, Nasarawa CN, Norman RJ, Dunaif A, Franks S, Wild RA, Dumesic D, Barnhart K. "Mahimmanci game da harkokin lafiyar mata na polycystic ovary syndrome (PCOS): Amsterdam ESHRE / ASRM-Sponsored 3rd PCOS Consensus Workshop Group. "Fertil Steril. 2012 Janairu 97 (1): 28-38.e25. Doi: 10.1016 / j.fertnstert.2011.09.024. Afub 2011 Dec 6.