Njengamanye amaninzi kwimiba yezokwelapha, i-gynecology ayigxininisi, isebenzise ngokutsha iindlela zendlela zobuchwepheshe zokufunda iimfihlelo zomzimba wesetyhini. Nangona kunjalo, izifo ezininzi zesigqibo esihle sabantu asifuni ukuvula zonke iimfihlo zabo ekupheleni. Enye yeengxaki ezinzima kwaye eziyimfihlakalo yi-PCOS okanye i-polycystic ovary syndrome.
I-PCOS: izizathu kunye neempawu
I-PCOS (elinye igama elingu-scleropolycystosis lama-ovari) ayikho isifo esichaze iimpawu kunye nezizathu ezicacileyo ezicacileyo, kodwa kunoko yonke into ephazamisayo emzimbeni ngokubanzi, ukususela kwimingcipheko yesondo kwisifo sikashukela. Ukubonakaliswa kwele ngxaki kubanzi kangangokuthi akunakwenzeka ukuwafihla ngokupheleleyo, ngoko ke oogqirha banokuqwalasela kuphela iimpawu eziphambili ze-PCOS xa ufumanisa:
- ukungaqhelekanga kumsebenzi wee-ovari - ukungaqhelekanga nyangazonke okanye ubude bemizuzu engaphezulu kweentsuku ezingama-40;
- i-hirsutism kwabasetyhini (umxholo okwandisiweyo wee-hormone zamadoda, kubangele iimbazi ezininzi, ukubonakala kwe-acne, ukwanda kwamanqina ekhumba);
- ukwanda kobunzima bomzimba kunye nokufakela kweenqatha ngohlobo lwesilisa - esiswini;
- uxinzelelo lwegazi oluphezulu;
- ukungabikho;
- umfanekiso wesimo se-ultrasound of ovaries - ukwanda kwayizikhulu, ubuninzi bee-cysts ezincinci.
Kufuneka kwaziwe ukuba ugqirha unokubeka ukuxilongwa kwe-PCOS kwindawo yokugqibela, ngaphandle kokunye okunye okubangela izimbandezelo emzimbeni (endocrine, ifa, njl.).
Ngelishwa, isizathu esona sizathu se-PCOS asikaziwa. Into eqhelekileyo yimbali yezofuzo, kodwa i-gene eyenza ukuphuhliswa kwe-PCOS ingazange ifunyanwe. Ngokweminye imfundiso eyaziwayo, i-PCOS ingahlakulela ngenxa yokuphazamisa umsebenzi weprotheni-enzymes ezibandakanyekayo kwi-hormone yesini kwindoda yabasetyhini.
PCOS: unyango
I-SPCS yinkinga efuna umfazi, okokuqala, ukutshintsha indlela yakhe yokuphila. Njengoko kuyaziwa, ukugqithisa kakhulu kunye nokukhuluphala komnye kungumnye wezinto ezilindileyo zePCOS. Yingakho isondlo esifanelekileyo, umsebenzi osebenzayo ngokufanelekileyo, indlela yokusebenza yobomi iba yinto ebalulekileyo yokuphumelela ukukhutshwa kwemibonakalo yesifo se-polycystic ovaries. Ukutya kwi-PCOS kufuneka kufake inani elaneleyo lezityalo kunye nemifuno, iintlanzi ezincinci kunye nenyama. I-carbohydrates edibeneyo (iisweets, i-pastries kunye nezinye iiswidi) kunye namafutha emfuyo kufuneka angabandakanywa ngokupheleleyo. Kwiimeko ezininzi, ukuhla kwe-10% kwisisindo somzimba ukususela kwisiseko kuseyona ndlela yokuqala yokubuyisela umjikelezo wesini nokukhupha iingxaki zesikhumba.
Indlela yokonyango kwe-PCOS incike kwixesha lokugula kunye nobukho beengxaki ezihamba kunye nazo:
- Abasetyhini abangacwangcisi ukukhulelwa, ukubuyisela umjikelezo wokuya esikhathini kuya kunceda i-contraceptive ye-hormonal;
- abasetyhini abafuna ukuba nomntwana kwixesha elizayo, ugqirha uya kubalela ukutyiwa kweprogesterone kwisigaba sesibini somjikelezo wesini;
- ukwenzela ukukhuthazwa kwe-ovulation kwi-PCOS ukusebenzisa amalungiselelo e-clostilbehyde,
i-meformin, i-gonadotropins kwixabiso eliphantsi; - ukunciphisa izinga lamahomoni wesintu kunye nokunciphisa ukukhula kweenwele kubonisa ukusebenzisa i-antiandrogens;
- kwimeko apho i-ovulation ayikwazi ukuvuselelwa ngamachiza, i-minilaparoscopy kunye ne-ovarian drill ziyenziwa-zibopha i-ovary.
Ibhinqa elinokuxilongwa kufuneka likhumbule ukuba akayiyo isigwebo esenza isiphambano kwisithwathwa sakhe sesetyhini kwaye yenza umama ungaphupha. Kunoko, luphawu lokuba indlela yokuphila idinga ukwenza utshintsho, ungazigibeli impilo kwaye rhoqo uvakashele i-gynecologist-endocrinologist.