Pcos

Ko te syndrome o te ovaries polycystic he āhuatanga kei reira he torutoru, he rerekē, he roa rawa rānei ōu wā. I te nuinga o te wā ka puta mai tēnei i te nui rawa o te homoni tane e kiia nei ko te androgen. Ka horapa ngā peketua wai iti ki runga i ngā ovaries. Ā, pea ka kore e tukuna ngā hua i ia wā.

Ko te syndrome o te ovaries polycystic (PCOS) he raruraru ki ngā homoni e puta ana i ngā tau whānau tamariki. Ki te pēhea koe ki te PCOS, pea kore rawa ōu wā. Rānei pea ka roa ngā rā o ōu wā. Pea ka nui rawa hoki te homoni e kiia nei ko te androgen i roto i tōu tinana.

Ki te PCOS, ka horapa ngā peketua wai iti ki te taha o waho o te ovary. Ka kiia ēnei ko ngā cysts. Ko ngā peketua iti kī whakakiia ki te wai kei roto ngā hua kahore anō kia whāriki. Ka kiia ēnei ko ngā follicles. Ka kore ngā follicles e tukuna ngā hua i ia wā.

Kāhore e mōhiotia te take tino o te PCOS. Ko te whakamātautau wawe me te rongoā me te ngaro taumaha pea ka whakaiti i te tūponotanga o ngā raruraru roa penei i te mate huka momo 2 me te mate ngākau.

Ko ngā tohu o te PCOS e tīmata ana i te wā tata ki te tīmatanga o te wā o te whānau tuatahi. I etahi wā ka puta mai ngā tohu i muri mai i te wā kua roa koe e whiwhi ana i ngā wā. He rerekē ngā tohu o te PCOS. Ka mahia te tautuhi o te PCOS ina e rua neke atu rānei o ēnei: Ngā wā kore noa. Ko te torutoru o ngā wā o te whānau, te kore ranei o ngā wā e noa ana, he tohu noa iho o te PCOS. Pēnei anō te roa o ngā wā mō ngā rā maha atu i te tikanga mō te wā. Hei tauira, ka iti iho i te iwa ngā wā i te tau. Ā, ka nui atu i te 35 ngā rā i waenganui i aua wā. Ka uaua pea ki te whānau tamariki. He nui rawa te androgen. Ko ngā taumata teitei o te homoni androgen ka puta mai ai te nui o ngā huruhuru kanohi me te tinana. Ko te ingoa tenei ko te hirsutism. I etahi wā, ka puta mai te mate pukupuku nui me te ngaro o te makawe kāne. Ngā ovaries polycystic. Ka nui ake pea ō ovaries. Ka tupu pea ngā follicle maha e pupuri ana i ngā hua kore kua oti te whānau i te taha o te ovary. Kaore pea ngā ovaries e mahi i te ara e tika ana. Ko ngā tohu me ngā tohu o te PCOS e kaha ake ana i te nuinga i ngā tāngata e momona ana. Tirohia tō kaiwhakarato hauora mena kei te manukanuka koe mō ō wā, mena kei te uaua koe ki te whānau tamariki, ki te whai tohu rānei koe o te nui o te androgen. Ka uru pea ēnei ki te tipu o te huruhuru hou i ō kanohi me ō tinana, te mate pukupuku me te ngaro o te makawe kāne.

Tena tirohia tō kaiwhakarato hauora mena kei te manukanuka koe mō ō wā, mena kei te raruraru koe ki te hapu, ki te whai tohu rānei o te androgen nui. Ā, pea ngā tohu nei: te tipu hou o te huruhuru ki runga i tō mata me tō tinana, te pupuhi, me te ngaro o te makawe kāinga-tāngata.

Kāore i te mōhiotia te take tino o te PCOS. Ko ētahi take pea ka pānga atu ko:

• Te ātete ki te insulin. He homoni te insulin e hanga ana te pancreas. Ka taea e ia ngā pūtau te whakamahi i te huka, te pūngao matua o tō tinana. Ki te ātete ngā pūtau ki te mahi a te insulin, ka piki ake te taumata o te huka i roto i te toto. Ka taea e tēnei te whakaoho i tō tinana ki te hanga i te insulin atu hei whakaiti i te taumata o te huka i roto i te toto.

He nui rawa pea te insulin ka whakaoho i tō tinana ki te hanga i te homoni tane androgen. Ka raru pea koe ki te ovulation, te tukanga e tukuna atu ai ngā hua mai i te ovary.

Ko tētahi tohu o te ātete ki te insulin ko ngā wahi kiri pouri, ngawari i te taha raro o te kaki, ngā kauae, te uaua, i raro rānei i ngā u. Ko te hiahia nui ake me te piki o te taumaha pea ko ētahi atu tohu.

• Te mumura iti. Ka hanga ngā pūtau toto ma ngā mea hei whakautu ki te mate, ki te whara rānei. Ko tēnei whakautu te ingoa ko te mumura iti. Ka whakaatu te rangahau kei ngā tāngata he PCOS tētahi momo mumura roa, iti e ārahi ana i ngā ovaries polycystic ki te whakaputa i te androgen. Ka taea e tēnei te ārahi ki ngā raruraru o te ngakau me ngā oko toto.
• Te whakatupuranga. Ka whakaatu te rangahau pea ka hono etahi ira ki te PCOS. Ko te whakaaro he hitori whānau o te PCOS pea ka pānga ki te whanaketanga o te āhuatanga.
• Te nui o te androgen. Ki te PCOS, ka whakaputa pea ngā ovaries i ngā taumata teitei o te androgen. Ko te nui o te androgen ka whakaroa i te ovulation. Ko te tikanga, kāore ngā hua e whanaketia i runga i te tikanga, kāore hoki e tukuna atu mai i ngā follicles e whanaketia ana. Ka taea hoki e te nui o te androgen te hua i te hirsutism me te acne.

Te ātete ki te insulin. He homoni te insulin e hanga ana te pancreas. Ka taea e ia ngā pūtau te whakamahi i te huka, te pūngao matua o tō tinana. Ki te ātete ngā pūtau ki te mahi a te insulin, ka piki ake te taumata o te huka i roto i te toto. Ka taea e tēnei te whakaoho i tō tinana ki te hanga i te insulin atu hei whakaiti i te taumata o te huka i roto i te toto.

He nui rawa pea te insulin ka whakaoho i tō tinana ki te hanga i te homoni tane androgen. Ka raru pea koe ki te ovulation, te tukanga e tukuna atu ai ngā hua mai i te ovary.

Ko tētahi tohu o te ātete ki te insulin ko ngā wahi kiri pouri, ngawari i te taha raro o te kaki, ngā kauae, te uaua, i raro rānei i ngā u. Ko te hiahia nui ake me te piki o te taumaha pea ko ētahi atu tohu.

Kaore he uauatanga

Ko ngā raruraru pea o te PCOS e whai ake nei:

• Ngā uaua ki te whānau
• Ngā whānau mate kore rānei te wā o te whānau
• Te steatohepatitis kore waipiro—he mumura o te ate nui e puta mai ana i te hanga o te ngako ki te ate
• Te huka mate momo 2, te huka mate rānei
• Te moe ngenge
• Te mate pukupuku o te papanga o te kopu (te mate pukupuku endometrial)

He maha ngā wā e puta mai ai te taumaha nui me te PCOS, ā, ka taea e te taumaha nui te whakaiti i ngā raruraru o te mate.

Kaore he uauatanga

Whakamātau Pūkenga Whakawhānuihia te whakaahua Kati Whakamātau Pūkenga Whakamātau Pūkenga I te wā o te whakamātau pūkenga, ka whakauru te taakuta i tetahi ringa, i rua rānei o ngā ringaringa kōpeke ki roto i te weronga. Ma te pēhi i raro i te kopu i te wā kotahi, ka taea e te taakuta te tirotiro i te kopu, ngā ovaries me ētahi atu whekau. Ultrasound Transvaginal Whakawhānuihia te whakaahua Kati Ultrasound Transvaginal Ultrasound Transvaginal I te wā o te ultrasound transvaginal, ka takoto koe ki runga i tō tua i runga i tētahi tēpu whakamātau. Kei a koe tētahi taputapu pōro, he rite te āhua ki te rakau, kua whakauruhia ki roto i tō weronga. Ko te taputapu nei te ingoa ko te transducer. Ka whakamahi te transducer i ngā ngaru oro hei hanga i ngā whakaahua o ō ovaries me ētahi atu whekau pūkenga. He maha ngā putea kī kī, e kiia nei ko ngā follicles, kei roto i te ovary polycystic. Ko ia porowhita pouri e whakaaturia ana i runga ake nei ko tētahi follicle kei roto i te ovary. Kāore he whakamātau kotahi hei whakatau tika i te mate polycystic ovary syndrome (PCOS). Ko tō kaiwhakarato hauora pea ka tīmata ki te kōrero mō ō tohu, rongoā me ētahi atu āhuatanga hauora. Ka ui pea hoki tō kaiwhakarato mō ō wā, me ētahi huringa taumaha. Kei roto i te whakamātau tinana te tirotiro i ngā tohu o te tipu o te huruhuru nui, te ātete insulin me te mate pāpaku. Ka tūtohu pea tō kaiwhakarato hauora: Whakamātau pūkenga. I te wā o te whakamātau pūkenga, ka taea e tō kaiwhakarato te tirotiro i ō whekau whakaputa mō ngā mea nui, ngā tipu, me ētahi atu huringa. Whakamātau toto. Ka taea e ngā whakamātau toto te ine i ngā taumata homoni. Ka taea e tēnei whakamātau te whakakore i ngā take pea o ngā raruraru wā, i te nui o te androgen rānei e rite ana ki te PCOS. Ka pea koe ki ētahi atu whakamātau toto, pēnei i te taumata cholesterol me te triglyceride nohopuku. Ka taea e te whakamātau manawanui huka te ine i te whakautu o tō tinana ki te huka (huka). Ultrasound. Ka taea e te ultrasound te tirotiro i te ahua o ō ovaries me te mātotoru o te papanga o tō kopu. Ka whakanohoia tētahi taputapu rite rakau (transducer) ki roto i tō weronga. Ka tukuna e te transducer ngā ngaru oro ka whakawhitihia ki ngā whakaahua i runga i te mata rorohiko. Ki te whai koe i te whakatau o te PCOS, ka tūtohu pea tō kaiwhakarato i ētahi atu whakamātau mō ngā raruraru. Ka uru ēnei whakamātau ki: Te tirotiro noa i te pehanga toto, te manawanui huka, me ngā taumata cholesterol me te triglyceride Te whakamātau mo te pouri me te manukanuka Te whakamātau mo te mate moe moe ārai Tikanga i Mayo Clinic Ka taea e tā mātou rōpū manaaki o ngā tohunga Mayo Clinic te āwhina i a koe ki ō raruraru hauora e pā ana ki te mate polycystic ovary syndrome (PCOS) Tīmata konei Ētahi atu mōhiohio Tikanga mate polycystic ovary syndrome (PCOS) i Mayo Clinic Whakamātau cholesterol Whakamātau manawanui huka Whakamātau pūkenga Whakaaturia atu ngā mōhiohio e pā ana

Ko te rongoā mo te PCOS e āta whakahaere ana i ngā mea e awangawanga ana koe. Ā, pea ko te kore tamariki, te nui o te huruhuru, te mate huhu, te momona rānei. Ka āhei pea te rongoā motuhake ki te whakakapi i ngā tikanga ora, te rongoā rānei. Ngā whakakapi i ngā tikanga ora Ka tūtohu pea tō kaiwhakarongo hauora kia ngaro te taumaha mā te kai iti te kaha me te whakakotahi me ngā mahi whakakori tinana. Ahakoa te iti o te hekenga o tō taumaha—hei tauira, te ngaro o te 5% o tō taumaha—ka pai ake pea tō āhuatanga. Ka piki pea te kaha o ngā rongoā e tūtohu ana tō kaiwhakarongo mo te PCOS, ā, ka āhei te awhina i te kore tamariki. Ka taea e tō kaiwhakarongo hauora me te kaiwhakaako kai kua rēhita te mahi tahi me koe ki te whakatau i te mahere ngaro taumaha pai rawa atu. Ngā rongoā Hei whakahaere i ō wā, ka tūtohu pea tō kaiwhakarongo hauora: Ngā pire whakahaere whānau whakakotahi. Ka whakaitihia e ngā pire kei roto ngā estrogen me te progestin te whakaputa androgen me te whakahaere i te estrogen. Ka whakaitihia e te whakahaere i ō homoni tō tūponotanga o te mate pukupuku endometrial me te whakatika i te toto rere kore noa, te nui o te tipu huruhuru me te mate huhu. Te rongoā progestin. Ko te tango i te progestin mō ngā rā 10 ki te 14 i ia marama 1 ki te 2 ka taea te whakahaere i ō wā me te tiaki i te mate pukupuku endometrial. Kāo reira te rongoā progestin e whakapai ake ai i ngā taumata androgen, ā, e kore e ārai i te hapu. He pai ake te whiriwhiri i te minipill progestin-anō, te taputapu intrauterine kei roto te progestin rānei, ki te hiahia koe ki te karo i te hapu. Hei awhina i a koe ki te whānau kia taea ai e koe te hapu, ka tūtohu pea tō kaiwhakarongo hauora: Clomiphene. Ko tēnei rongoā anti-estrogen waha e tangohia ana i te wāhanga tuatahi o tō huringa marama. Letrozole (Femara). Ka taea e tēnei maimoatanga mate pukupuku u te mahi ki te whakaohooho i ngā ovaries. Metformin. Ko tēnei rongoā mo te mate huka momo 2 e tangohia ana e koe mā te waha e whakapai ake ana i te ātete insulin me te whakaiti i ngā taumata insulin. Ki te kore koe e hapu mā te whakamahi i te clomiphene, ka tūtohu pea tō kaiwhakarongo ki te tāpiri i te metformin hei awhina i a koe ki te whānau. Ki te pēnei koe i te prediabetes, ka taea e te metformin te whakaheke i te whānuitanga ki te mate huka momo 2 me te awhina i te ngaro taumaha. Gonadotropins. Ko ēnei rongoā homoni e hoatu ana mā te werohanga. Mēnā e hiahiatia ana, kōrero atu ki tō kaiwhakarongo hauora mō ngā tukanga ka āhei te awhina i a koe ki te hapu. Hei tauira, he whiringa pea te whakato i roto i te kohanga. Hei whakaiti i te nui o te tipu huruhuru, te whakapai ake rānei i te mate huhu, ka tūtohu pea tō kaiwhakarongo hauora: Ngā pire whakahaere whānau. Ka whakaitihia e ēnei pire te whakaputa androgen ka taea te tupu nui o te huruhuru me te mate huhu. Spironolactone (Aldactone). Ka aukati tēnei rongoā i ngā pānga o te androgen ki te kiri, tae atu ki te nui o te tipu huruhuru me te mate huhu. Ka taea e te spironolactone te whakaeke i ngā kōwhiringa whānau, no reira he mea tika te whakahaere whānau pai i te wā e tango ana i tēnei rongoā. E kore e tūtohuhia tēnei rongoā ki te hapu koe, ki te whakaaro rānei koe ki te hapu. Eflornithine (Vaniqa). Ka taea e tēnei kirikiri te whakaheke i te tipu huruhuru kanohi. Te tango huruhuru. Ko te electrolysis me te tango huruhuru laser he rua ngā whiringa mō te tango huruhuru. Ka whakamahi te electrolysis i te ngira iti e whakauruhia ana ki ia follicle huruhuru. Ka tuku te ngira i te pūkaha o te hiko. Ka pakaru te pūkaha, ka whakangaro i te follicle. Ko te tango huruhuru laser he tukanga hauora e whakamahi ana i te rama rama kaha ki te tango i te huruhuru e kore e hiahiatia. Ka hiahia pea koe ki ngā maimoatanga maha o te electrolysis, te tango huruhuru laser rānei. Ko te whakaheke, te toia, te whakamahi rānei i ngā kirikiri e whakangaro ana i te huruhuru e kore e hiahiatia pea ngā whiringa atu. Engari he mea tūturu ēnei, ā, ka mātotoru pea te huruhuru ina tipu anō. Ngā maimoatanga mate huhu. Ka āhei pea ngā rongoā, tae atu ki ngā pire me ngā kirikiri, ngā keemu rānei o runga, te whakapai ake i te mate huhu. Kōrero atu ki tō kaiwhakarongo hauora mō ngā whiringa. Tono kia whakaritea he whakatau He raru kei te whakaatuhia i raro nei, ā, tukuna anō te puka. Mai i te Kura Hauora Mayo ki tō pouakaroto Rēhita mō te kore utu, ā, kia whakahoutia ki ngā whakahaere rangahau, ngā tohu hauora, ngā kaupapa hauora o nāianei, me te mātauranga mō te whakahaere hauora. Pāwhiri konei mō te tirohanga īmēra. Wāhitau Īmēra 1 He hapa He mea tika te mara īmēra He hapa Whakauruhia he wāhitau īmēra tika Ako atu mō te whakamahinga raraunga a te Kura Hauora Mayo. Hei whakarato i a koe ki ngā korero tino tika me te whai hua, me te mārama ki ngā korero e whai hua ana, ka taea e mātou te whakakotahi i ō korero īmēra me te whakamahinga paetukutuku me ētahi atu korero kei a mātou mōu. Ki te mea he turoro koe o te Kura Hauora Mayo, ka taea tēnei te whakauru i ngā korero hauora tiaki. Ki te whakakotahi mātou i ēnei korero me ō korero hauora tiaki, ka whakahaere mātou i ngā korero katoa hei korero hauora tiaki, ā, ka whakamahi noa rānei, ka whakapuaki rānei i aua korero pera me te whakaritea i roto i tō whakamōhiotanga mō ngā mahi tūmataiti. Ka taea e koe te whakakore i ngā whakapā īmēra i tetahi wā mā te pāwhiri i te hononga whakakore i roto i te īmēra. Ohauru! Mauruuru koe mō te ohauru! Ka tīmata wawe koe ki te whiwhi i ngā korero hauora hou a te Kura Hauora Mayo i tonoa e koe ki tō pouakaroto. Aroha mai, he hapa i puta ki tō ohaurunga Tena koa, ngana anō i roto i ngā meneti torutoru Ngana anō

Kaore he uauatanga