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5 inoshanda PCOS mishonga

Dzidzo yehutano

Polycystic ovary syndrome, inowanzozivikanwa sePCOS, idambudziko rakaomarara rehormone rinokanganisa vangangoita 6-12% yevakadzi muUnited States mukati memakore avo ekubereka. Icho chimwewo chezvikonzero zvakajairika kuseri kwekushaya mbereko, sekureva kwe Nzvimbo dzeDziviriro Kudzora uye Kudzivirira (CDC), asi chiri chikonzero hachizivikanwe zvakanyanya. Izvo zvinoita kuti zvive zvakaoma kunongedza akanakisa PCOS kurapwa.

Ndezvipi zviratidzo zvePCOS?

Nekuda kwekusaenzana kwemazinga emahormone mumazai, zviratidzo zvinowoneka zvePCOS zvinosanganisira nguva dzakarasika kana dzisina kujairika, dzinorema nguva yekuenda kumwedzi, uye / kana kutadza kuburitsa mazai (kana ovulate). Kuvhiringidzika kwekuenda kumwedzi kunogona kutungamira kune zvimwe zviratidzo uye mhedzisiro, senge cysts mumazai. Zvakare, kana mukadzi ane PCOS aine yakawanda yemurume mahormone uyerogen, muviri wake ungango pindura nekukura muviri wakawandisa uye bvudzi kumeso, pamwe pamwe nekukura kwakanyanya acne uye mhanza-yechirume. Kurera huremu zvakare chiratidzo chePCOS.

PCOS haisi kutyisidzira hupenyu, asi inogona kuita kuti hupenyu hunetse, anodaro Shweta Patel, MD , OB / GYN kuOrlando Health Physician Associates muOrlando, Florida. Zvinogona kutungamira kune zvimwe zvisingafadzi uye zvekunze zviratidzo zviri pachena uye nekuita yako ovulatory hwindo chinhu chinofamba, nekudaro zvichiita kuti zviome-asi zvisingaiti-kubata panguva yakakodzera.

Chii chinokonzera PCOS?

Vazhinji semamiriyoni mashanu evakadzi vanotambura ne polycystic ovarian syndrome, asi chikonzero chacho hachizivikanwe zvakanyanya. Zvimwe zvishoma zvinowanzoisa njodzi zvinosanganisira:

genetics
kufutisa
yakakwira insulin mazinga (puroteni inobatsira kudzora mashuga eropa)
yakakwira uyerogenji mazinga

Chidzidzo che2018 chakaburitswa pamhepo mu Yepasi Pose Zvinyorwa zveEnharaunda Yekutsvagisa uye Veruzhinji Hutano akagumisa kuti hapana dzinza kana nzvimbo inoitisa chinzvimbo muPCOS.

Pane here mamwe mamiriro akabatana nePCOS?

Nekudaro, kutsvagurudza kunoratidza kuti hutano hwakawanda hwakabatana neichi chirwere-kunyangwe hazvo chisati chatemwa kana PCOS ichikonzera nyaya idzi kana zvinopesana. Iyo Hofisi pahutano hwevakadzi (iyo inotungamirwa neU.S. Department of Health & Human Services) inonyora matambudziko matanhatu enguva refu ehutano ane hukama nePCOS:

Chirwere cheshuga: Vanopfuura makumi mashanu muzana evakadzi vanoonekwa kuti vane PCOS vanoita chirwere cheshuga kana pre-chirwere cheshuga vane makore makumi mana, anodaro CDC .
Hypertension: Vakadzi vane PCOS vari pangozi yehutano yekuve nehuwandu hweropa, izvo zvinogona kutungamira kuchirwere chemoyo.
Hypercholesterolemia: Vakadzi vane PCOS vanowanzo kuve nemazinga akakwirisa eLDL (yakaipa) cholesterol kana ichienzaniswa nevakadzi vasina PCOS.
Kurara kufema: Vakadzi vane PCOS vari panjodzi yakanyanya yekukuvadzwa neichi chirwere chekufema, umo kufema kwechinguvana kunomisa kukanganisa kurara. Aya mamiriro anogona kutungamira kuchirwere chemwoyo uye chirwere cheshuga.
Kushungurudzika uye kushushikana: A 2016 yakarongeka kuongorora uye meta-ongororo yakaburitswa mumagazini Neuropsychiatric Chirwere uye Kurapa vakawana kuti vakadzi vane PCOS vangangoita katatu mukana wekutambura nekushushikana kana zvichienzaniswa nevakadzi vasina PCOS. Mhedzisiro yacho yaive yakafanana kune avo vakawanikwa vaine PCOS uye zviratidzo zvekuora mwoyo.
Kenza yeEndometrial: A 2018 vanhu-based cohort kudzidza kwakaburitswa mumagazini Mushonga akagumisa kuti vakadzi vane PCOS vaive nehuwandu hwakakura hwekukonzeresa kenza yechibereko.

PCOS inorapika here?

PCOS inowanzo kuve chirwere chinogona kutarisirwa kwete kurapwa nekuti chinowanzo dzoka, kunyanya kana murwere achiwana (kana kuwanazve) huremu hwemuviri uye / kana akaonekwa aine chirwere cheshuga, anotsanangura Jessica Mufudzi, MD , OB / GYN ine Minimally Invasive Gynecology kuBaylor University Medical Center muDallas, Texas. Sezvo zviratidzo zvichisiyana, Dr. Patel anowedzera kuti anowanzo gadzirisa kurapwa kune zvinangwa zvemurwere.

PCOS inorapwa sei?

Unogona kurapa PCOS nemubatanidzwa weinotevera mararamiro mararamiro nemishonga. Heano mashanu ePCOS ekurapa sarudzo aunogona kufunga.

1. Kudya

Dr. Shepherd vanoti kushandura maitiro ako ekudya (pamwe kune chirongwa chine mafuta mashoma) kunobatsira kudurura mapaundi asingadiwe. Mune zvimwe zviitiko, kurasikirwa nekurema kunogona kuvandudza insulin senzwi, kuenda kumwedzi, nekusimudzira kubereka. Zvakare, kushandurwa kwekudya kunogona kubatsira ne insulin kuramba uye kudzikisira mikana yekuti ive metabolic nyaya, iyo inogona kutungamira kuchirwere cheshuga, hypercholesterolemia, kana hypertension, anoenderera mberi.

2. Kuberekwa

Kune vakadzi vasingatarisire kubata pamuviri, zvekudzivirira pamuromo zvinogona kubatsira kudzora nguva uye nekupa cyclic estrogen, iyo inowanzo kanganiswa, Dr. Shepherd anodaro. Gynecologist anogona kupa mubatanidzwa mapiritsi ekudzivirira kubereka kana mamwe marudzi ekudzivirira kubata pamuviri ane zvese estrogen uye progestin (senge rin'i yemadzimai yemahomoni) kudzikamisa kubuda kweropa zvisina kujairika, kudzora kuwanda kwebvudzi, kudzikisa acne, uye kudzora njodzi yekenza yemendometri.

3. Metformin

Metformin [mushonga unorwisa chirwere cheshuga] wakaratidzirwa kukurudzira kutangazve kweakajairika, ovulatory kuenda kumwedzi mu40-90% yevarwere vakadzidza, Dr. Shepherd vanodaro. Anowedzera kuti uyu mushonga unonyorwa unogona zvakare kuvandudza kusangana pamwe nemitengo yepamuviri muvakadzi vane PCOS,kunyange chiri kushandiswa kwechiratidzo ichi kunoonekwa sekure-chitaridzi uye chinofanira kukurukurwa nachiremba wako. Chirevo med chiri chekirasi yemishonga inonzi biguanides, metformin yakagadzirirwa kuwedzera mhinduro yemuviri kune insulini kuitira kuyera glucose mazinga muvanhu vanoonekwa vane mhando 2 yeshuga. Chidzidzo cha2015 chakabudiswa mumagazini Chirwere cheshuga akawana kuti uyu mushonga unogona zvakare kudzikisa LDL cholesterol mwero. Glucophage izita rakakurumbira zita remetformin.

4. Anti-androgen mishonga

Rudzi rwemushonga unoshandiswa kuvharisa uyerogen (aka echikadzi mahormone ebonde anosanganisira testosterone), iyi mishonga inogona kubatsira kudzikisira chero hunhu hwechirume hune hukama nePCOS, senge mburwa, vhudzi risingadiwe, uye bvudzi rinodzikira. Kurapa zvakawandisa uyerogen zvinogona zvakare kuitwa kuburikidza nekushandisa spironolactone [diuretic inowanzo gadzirirwa kurapa yakakwira BP iyo ine anti-uyerogen mhedzisiro], kungave kune kwayo kana pamwe pamwe nepiritsi yekuzvarwa, Dr. Patel anoti. Uye Dr. Shepherd anowedzera kuti kudzikira kwechiito che testosterone kunogona kudzikisira hirsutism [murume-bvudzi rebvudzi kukura pavakadzi] zvibodzwa ne40%. Hofisi yehutano hwevakadzi inoyambira kuti iyi kirasi yemeds inogona kukonzera kunetseka panguva yekuzvitakura. Iwe unogona zvakare kubvunza wako endocrinologist nezve Vaniqa, inova yepamusoro misoro yekubvisa bvudzi.

5. Estrogen modulator

Kuti varape kushaya mbereko, Dr. Patel anoti vanachiremba vanowanzo gadza estrogen modulator, senge clomiphene citrate - mushonga wemumuromo unowanzozivikanwa seClomid, iri muchikamu chemishonga inonzi inokurudzira ovulatory. Inoshanda yakafanana neestrogen nekukurudzira maovari kukura uye kusunungura mazai. Chinyorwa cha2015 chakaburitswa mumagazini Makiriniki akataura kuti vakadzi vane PCOS vaishandisa clomiphene citrate seyekutanga-mishonga yekurapa kwekushaya mbereko vaive ne70% nhumbu yekubata.