Monga madera ena ambiri a zachipatala, matenda a umuna samayimilira, kugwiritsa ntchito mwachangu njira zatsopano zamakono kuti aphunzire zinsinsi za thupi lachikazi. Ngakhale izi, matenda ambiri a hafu yokongola yaumunthu safuna kutsegula zinsinsi zawo mpaka kumapeto. Imodzi mwa mavuto ovuta komanso osamvetsetseka ndi PCOS kapena ma polycystic ovary syndrome.
PCOS: zifukwa ndi zizindikiro
PCOS (dzina linalake la scleropolycystosis la ma losunga mazira) si matenda omwe amasonyeza zizindikiro ndi zifukwa zomveka bwino, koma m'malo mwake ndi mulu wonse wa mavuto m'thupi lonse, kuchokera ku zovuta zogonana ndi matenda a shuga. Mawonetseredwe a vutoli ndi osiyana kwambiri kotero kuti ndizosatheka kuwaphimba kwathunthu, kotero madokotala amangoganizira zizindikiro zazikulu za PCOS pamene akupeza:
- zosafunika mu ntchito ya mazira ochuluka - osapitirira mwezi kapena kupitirira kwa masiku oposa 40;
- hirsutism mwa akazi (kuchuluka kwa mahomoni a amuna, kuchititsa amuna amphongo, maonekedwe a acne, kuwonjezeka kwa mafuta a khungu);
- kuwonjezeka kwa kulemera kwa thupi ndi kuika mafuta ndi mtundu wamwamuna - mmimba;
- kuthamanga kwa magazi;
- kusowa;
- chithunzi cha khalidwe la ultrasound la losunga mazira - kuwonjezeka kwa kukula kwake, kupezeka kwa zingwe zazing'ono.
Tiyenera kudziwika kuti dokotala akhoza kuika matenda a PCOS pamalo otsiriza, osatchulapo zifukwa zina zonse zomwe zingayambitse matenda m'thupi (endocrine, cholowa, ndi zina zotero).
Tsoka ilo, chifukwa chenichenicho cha PCOS sichidziwikabe. Chofala kwambiri ndi chiphunzitso cha chibadwa, koma jini lomwe limayambitsa chitukuko cha PCOS silinapezekebe. Malingana ndi chiphunzitso china chodziwika, PCOS ikhoza kukhala chifukwa cha kusokoneza ntchito ya mapuloteni a mapuloteni omwe amagwiritsidwa ntchito powonongeka kwa mahomoni amtundu wa abambo mu thupi lachikazi.
PCOS: mankhwala
SPCS ndi vuto lomwe limafuna kuti mkazi, poyamba, asinthe njira yake yamoyo. Monga momwe tikudziwira, kupitirira kunenepa ndi kunenepa kwambiri ndi chimodzi mwa zinthu zomwe zimachitika pa PCOS. Ichi ndi chifukwa chake zakudya zabwino, kuchita zolimbitsa thupi, njira yogwira ntchito zimakhala zofunikira kwambiri kuti zithetse bwino maonekedwe a sycyromtic ovaries. Kudya mu PCOS kumaphatikizapo kuchuluka kwa zipatso ndi ndiwo zamasamba, nsomba zonenepa ndi nyama. Zakudya zomveka (maswiti, zakudya zamphongo ndi maswiti ena) ndi mafuta a nyama ayenera kutayidwa kwathunthu. Kawirikawiri, kuchepa kwa thupi kwa 10% kuchoka pachiyambi kumakhala chiyambi cha kubwezeretsa msambo komanso kuchotsa mavuto a khungu.
Njira yothandizira PCOS imadalira m'badwo wa wodwala komanso kupezeka kwa mavuto:
- Azimayi omwe samakonzekera mimba, kubwezeretsa kumaliseche kumathandiza kuthandizira kulera;
- Azimayi omwe akufuna kukhala ndi mwana posachedwa, adokotala adzalamula kuti progesterone idye mu gawo lachiwiri la kusamba;
- chifukwa kukondoweza kwa ovulation mu PCOS ntchito kukonzekera closedtilbehyde,
meformin, gonadotropin m'madzi otsika; - kuchepetsa kukula kwa mahomoni amphongo ndi kuchepetsa kukula kwa tsitsi kumasonyeza kugwiritsa ntchito antiandrogens;
- Ngati chiwopsezo sichingakhoze kukakamizidwa ndi mankhwala, minilaparoscopy ndi ovarian drills zimapangidwira - kutopetsa ovary.
Mzimayi amene ali ndi matendawa ayenera kukumbukira kuti sali chigamulo chimene chimapachika mtanda pa chikhalidwe chake chachikazi ndikupanga malingaliro osayembekezeka. M'malo mwake, ndizisonyezeratu kuti moyo umayenera kusintha, osadzisamalira okha ndipo nthawi zonse ukacheze ndi mayi wa zazimayi, wotchedwa endocrinologist.