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Yashoda Hospitals > Izifo Nokwelashwa > I-Gynecology & Obstetrics > I-Polycystic Ovary Syndrome - i-PCOS noma i-PCOD

I-Polycystic Ovary Syndrome - i-PCOS noma i-PCOD

Izimbangela zayo, izimpawu, ukuxilongwa kanye nokwelashwa

Izinto okudingeka uzazi nge-PCOS noma i-PCOD

Iyini i-PCOD (i-Polycystic Ovarian Disease) / i-PCOS (i-Polycystic Ovary Syndrome)?

I-Polycystic ovarian syndrome noma isifo (PCOS/PCOD) yisifo samahomoni esithinta abesifazane abasebancane nabesifazane abasebasha, sitholakala kwabesifazane abaneminyaka eyi-1 kwabayi-10 abaseminyakeni yabo yokuzala. Uhlelo lokuzala lwabesifazane lulawulwa ukuhlangana okuyinkimbinkimbi kwamahomoni amahlanu okuzala okuyi-estrogen, i-gonadotropin-releasing hormone, i-follicle stimulating hormone, i-progesterone kanye ne-luteinizing hormone. Ukungalingani ngaphakathi kwala mahomoni kuholela enkingeni yamahomoni ebizwa ngokuthi i- polycystic ovary syndrome (PCOS) noma i-polycystic ovarian disease (PCOD) phakathi kwabesifazane abasebancane.

yini i-pcod noma i-pcos

I-Polycystic ovarian syndrome iphawuleka ngokuwohloka kwama-hormone okuzala kwabesifazane abaseminyakeni yokuzala. Kanye nokuphazamiseka ekulawulweni kwama-hormone kwabesifazane, ama-ovari akhipha inani elingavamile le-androgen (ama-hormone wesilisa). Lokhu kuwohloka kwama-hormone kuholela esikhathini esingajwayelekile noma eside sokuya esikhathini, izinwele zomzimba eziningi, induna kanye nokulahlekelwa izinwele. Ama-ovari e-Polycystic angase ahluleke ukwakha ama-follicle futhi akhulule amaqanda njalo, okubangela ubunzima ekukhulelweni.

Yiziphi izimbangela ze-PCOS noma i-PCOD?

Azikho izimbangela ezithile ze-PCOS, kodwa izici ezibangela lokhu zifaka:

  • I-androgen eningi: Ukukhiqizwa ngokweqile kwe-androgen ngama-ovari kungaholela ekuqhekekeni kwezinwele kanye ne-acne.
  • Ukukhiqizwa ngokweqile kwe-insulin: I-hormone ye-insulin ilawula amazinga kashukela egazini emzimbeni womuntu. Lapho amangqamuzana omuntu eba sengozini yokumelana nesenzo se-insulin, amazinga kashukela egazini ayanda. Ngenxa yalokho, umzimba ukhiqiza i-insulin eningi ukulawula leli zinga likashukela egazini elikhuphukile. Ukukhiqizwa kwe-insulin eningi kwandisa ukukhiqizwa kwama-androgens angama-hormone wesilisa, ngaphandle kwalokho kuncane kakhulu kwabesifazane. Ukukhiqizwa kwe-androgen ekhuphukile kubangela ubunzima nge-ovulation.
  • Ufuzo: Kungaba khona ubudlelwano obuthile bezakhi zofuzo ne-PCOS kwabesifazane.
  • Ukuba khona kokuvuvukala okuphansi: Abesifazane abane-PCOS babhekana nokuvuvukala okuphansi okungase kukhuthaze ama-ovary e-polycystic ukuthi akhiqize ama-androgens.

Yiziphi izimpawu nezimpawu ze-PCOS noma i-PCOD?

Abanye besifazane baqala ukuzwa izimpawu ngesikhathi sokuqala kokuya esikhathini. Izimpawu ze-PCOS zingase zihluke; noma kunjalo, izimpawu ngokuvamile zinzima kakhulu ezigulini ezikhuluphele kakhulu. Ezinye zezimpawu ze-PCOS ezivame ukubikwa zifaka:

  • induna
  • Ukuba mnyama kwesikhumba
  • I-Hirsutism (ukukhula okungavamile kwezinwele ebusweni nasemzimbeni)
  • Umjikelezo wokuya esikhathini ongavamile
  • Ama-ovari e-Polycystic, ngezinye izikhathi womabili ama-ovari angathinteka, okungukuthi ama-ovari e-Bilateral Polycystic noma ama-cyst ama-ovari.
  • Amathegi esikhumba
  • Izinwele zokucwenga
  • Inzuzo yesisindo

Esinye isimo sabesifazane esibizwa ngokuthi i-endometriosis singase sibe nezimpawu ezifanayo noma zombili zingase zibe khona kanye kanye.

Yiziphi izinkinga ezingaba khona ze-PCOS noma i-PCOD?

Ezinye zezinkinga ezingaba khona ze-PCOS yilezi:

  • Ukopha okungavamile kwesibeletho
  • Izinkinga zengqondo ezifana nokucindezeleka kanye nezinkinga zokudla
  • Umdlavuza we-Endometrial
  • Isifo sikashukela esibangelwa ukukhulelwa noma isifo sikashukela sokukhulelwa kanye/noma umfutho wegazi ophakeme
  • ukungazali
  • umzimba syndrome
  • Ukukhipha isisu noma ukuzalwa ngaphambi kwesikhathi
  • I-steatohepatitis engeyona utshwala
  • I-apnea yokulala
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I-PCOS noma i-PCOD ihlolwa kanjani?

Udokotela wakho wezifo zabesifazane angase akwazi ukuxilonga i-PCOS ngokusekelwe ku:

Umlando wezokwelapha: Ukuze uthole ulwazi oluningiliziwe mayelana nokuya esikhathini kanye noshintsho lwesisindo Ukuba khona okungenani kwezimpawu ezimbili kwezilandelayo kubonisa i-PCOS:

  • Izikhathi ezingajwayelekile
  • Izimpawu zamazinga aphezulu e-androgens
    • I-Hirsutism
    • induna
    • Ukuncipha kwezinwele zekhanda
  • Amazinga aphezulu egazi e-androgens
  • Ama-ovary e-Polycystic

Ukuhlolwa komzimba

  • Ukuhlolwa kwe-pelvic ukuhlola izitho zokuzala ukuze kutholakale ubuningi, ukukhula noma ezinye izinkinga

Ukuhlolwa:

  • Igazi, ukubekezelela ushukela, amazinga e-cholesterol kanye ne-triglyceride njll.
  • Ukufanekisa:
    •  I-Ultrasound: Ukuhlola ukubukeka kwama-ovari akho kanye nobukhulu bolwelwesi lwesibeletho sakho.

Ukuhlola okwengeziwe:

  • Ukuhlolwa kokucindezeleka nokukhathazeka
  • Ukuhlolwa kwe-obstructive sleep apnea

Iphathwa kanjani i-PCOS noma i-PCOD?

Ukwelashwa kwe-PCOS kugxile kakhulu ekuphathweni kwezinkinga eziyisisekelo njengokungazali, ukukhuluphala ngokweqile njll. Ukuphathwa kwenziwa kakhulu ngemithi noma izinguquko zendlela yokuphila:

Imithi ye:

  • Ukulawulwa komjikelezo wokuya esikhathini
  • Ukukhuthaza ukukhiqizwa kwamaqanda
  • Ukunciphisa ukukhula kwezinwele ngokweqile
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Yiziphi izinguquko zendlela yokuphila ezingaba wusizo kwabesifazane abane-PCOS?

Ezinye izinguquko zendlela yokuphila ezingasiza ekunciphiseni imiphumela ye-PCOS zifaka:

  • Ukulondoloza isisindo esinempilo: Ukwehlisa isisindo kunganciphisa amazinga e-insulin kanye ne-androgen futhi kungabuyisela ukukhiqizwa kwamaqanda.
  • Ukuphathwa kokudla kanye nomkhawulo ekusetshenzisweni kwama-carbohydrate: Ukudla okunama-carbohydrate amaningi kanye namafutha aphansi kungakhuphula amazinga e-insulin.
  • Vivinya umzimba njalo: Ukuzivocavoca kusiza ukwehlisa amazinga kashukela egazini nokulawula isisindo somzimba.

I-PCOS ingakuthinta kanjani ukukhulelwa?

Abesifazane abane-PCOS bangase babhekane nezinkinga ezilandelayo:

  • Isibonakaliso esandisiwe sokuhlinzwa kokubeletha
  • Isifo sikashukela sokukhulelwa
  • Ukushada
  • Preeclampsia
  • Ukuhlolwa kokuvuthwa kungenzeka kungabi okunembile

Ingozi yezinkinga ezibangelwa yi-PCOS ngesikhathi sokukhulelwa ingancishiswa ngezinye zezinyathelo ezilandelayo:

  • Ukufinyelela isisindo esinempilo ngaphambi kokukhulelwa
  • Ukufinyelela amazinga kashukela egazini ajwayelekile ngaphambi nangesikhathi sokukhulelwa
  • Izinga elifanele lezitolo zensimbi

Ukuze wazi kabanzi nge-PCOS, ungacela ukushayelwa ucingo futhi ochwepheshe bethu be-PCOS bazokushayela ucingo baphendule yonke imibuzo yakho.

 

Yiziphi izindlela zokwelapha iziguli ezine-PCOS ezihlela ukukhulelwa?

Ezinye zezinketho ezilandelayo zandisa amathuba okukhulelwa kwabesifazane abane-PCOS:

  • Ukuphathwa kwesisindo
  • Imithi njengoba eyalwe udokotela wabesifazane
  • Ukukhulelwa kwe-in vitro
  • Ukuhlinzwa
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