He aha te PCOS? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te PCOS, te Polycystic Ovary Syndrome rānei, he āhuatanga horomona noa e pā ana ki te 1 o te 10 wahine o te tau whakaputa uri. Ahakoa tōna ingoa, kaore koe e hiahia ki te whai i ngā cysts i runga i ō ovaries kia whai PCOS.

Ka puta tēnei āhuatanga ina kore te rite o ō horomona, ina koa ko te insulin me ngā androgens (ngā horomona momo tane e whai ana ngā wahine katoa i roto i ngā rahinga iti). Whakaarohia he rite tēnei ki te oroketere horomona o tō tinana e takaro ana i te iti te tika, ka pā pea tenei ki ō wā, ki tō hua, me tō hauora whānui.

He aha ngā tōmhanga o te PCOS?

Ka rereke haere ngā tōmhanga o te PCOS mai i te tangata ki te tangata, ā, kaua pea e pā katoa ki a koe. Ko ngā tohu tino noa ko ngā wā kore ranei te kore o ngā wā, ka puta nā te kore e huri noa ō horomona.

Ko ēnei ngā tōmhanga ka kite pea koe, mai i te tino noa ki te iti ake te noa:

• Ngā wā kore ranei kaore he wā
• Te uaua ki te hapu ranei te kore hua
• Te nui o te tipu o te huruhuru i te mata, te uma, te tuara rānei (e kiia nei ko te hirsutism)
• Te nui o te taumaha, ina koa i te taha waenganui o tō tinana
• Te mate huhu ranei te kiri hinu
• Te ngaro o te huruhuru momo tane ranei te ngaro o te huruhuru i runga i tō pane
• Ngā wahi pouri o te kiri, ina koa i te taha o tō kaki ranei o ō ringa
• Ngā huringa ngākau, tae atu ki te pouri ranei te manukanuka
• Ngā raruraru moe ranei te moe apnea

Ka pā pea ki ētahi wahine ngā tōmhanga iti ake te noa penei i ngā mamae o te upoko, te mamae o te kopu, te tohu kiri rānei. Kia mahara, ko te whai PCOS kaore e tikanga ka pā katoa ēnei tōmhanga ki a koe, ā, ka rereke te kaha mai i te ngawari ki te tino kitea.

He aha ngā momo o te PCOS?

Ka mohiotia e ngā tākuta e whā ngā momo matua o te PCOS, he iti ngā take rerekē kei raro. Ko te mārama ki tō momo ka āwhina i te huarahi maimoatanga tino pai.

Ko te momo insulin-resistant te tino noa, e pā ana ki te 70% o ngā wahine e whai ana i te PCOS. Ka whawhai tō tinana ki te whakamahi pai i te insulin, ka arahi ki ngā taumata insulin teitei e whakaoho ana i te nui o te whakaputa androgen.

Ko te PCOS mumura e pā ana ki te mumura iti-iti roa i roto i tō tinana e whakaroa ana i te whakaputa horomona noa. Ka puta pea tēnei momo me ngā tōmhanga penei i ngā mamae o te upoko, te mamae o ngā hononga, te raruraru o te pūnaha kai rānei i te taha o ngā tohu PCOS noa.

Ka puta pea te PCOS muri-piri i muri i te mutu o te whakahaere horomona. Ka roa pea tō tinana ki te tīmata anō i tōna whakaputa horomona tūturu, ka hanga wawetia ngā tōmhanga rite ki te PCOS e pai ake ana i roto i ngā marama.

Ko te PCOS adrenal he iti ake te noa, ka puta ina nui rawa te whakaputa a ō whekau adrenal i ētahi horomona, te nuinga o te wā hei whakautu ki te ahotea roa. Ka pai ake pea tēnei momo me ngā tikanga whakahaere ahotea.

He aha ngā take o te PCOS?

Kaore i tino mārama te take tika o te PCOS, engari e whakapono ana ngā kairangahau ka puta mai i te whakakotahitanga o ngā take ira me ngā taiao. Kāore koe e whakawakia mō te whai i tēnei āhuatanga, kāore hoki he mea ka taea e koe te mahi hei aukati i taua mea.

He maha ngā take ka mahi tahi hei hanga i te PCOS:

• Ngā ira - Ka noho tahi te PCOS i roto i ngā whānau, e whakaatu ana he wāhi ngā take i whakawhiwhia.
• Te ātete ki te insulin - Kāore ō pūtau e whakautu tika ana ki te insulin, ka arahi ki ngā taumata horomona teitei.
• Te mumura - Ka whakaoho pea te mumura iti-iti roa ki ngā koretake horomona.
• Te nui o te whakaputa androgen - Ka nui rawa te whakaputa a ō ovaries ranei a ō whekau adrenal i ēnei horomona.
• Ngā take taiao - Ngā mea penei i te ahotea, te kai, me te oranga ka pā pea ki te rite o ngā horomona.

Ka whakaatu ano ētahi rangahau ko te whakamahinga ki ētahi matū ranei te iti o te taumaha whānau ka piki pea te tūpono o te PCOS. Heoi, kei te ako tonu ēnei hononga, kāore hoki he take tino.

Nōhea te haere ki te tākuta mō te PCOS?

Me whakaaro koe ki te haere ki te kaiwhakarato hauora mēnā kei te pāngia koe e ngā wā kore noa mō ngā marama maha, kei te uaua rānei ki te hapu. Ka āwhina te tautuhi wawe me te maimoatanga ki te aukati i ngā raruraru roa, ki te whakapai ake hoki i tō kounga ora.

Whakaritea he hui mēnā ka kite koe i ngā tōmhanga maha o te PCOS e puta tahi ana, ina koa mēnā kei te pānga ki tō oranga o ia rā, ki tō whakawhirinaki ki a koe anō rānei. Kaua e tatari kia kaha ngā tōmhanga i mua i te rapu awhina.

He mea nui rawa te haere ki te tākuta mēnā ka pāngia koe e ngā huringa ohorere i tō huringa marama, te nui o te taumaha, te mate huhu nui e kore e whakautu ki ngā maimoatanga i runga i te kaute, te huringa ngākau nui rānei. Ka taea e ēnei te tohu i te PCOS, i ētahi atu āhuatanga rānei e hiahia ana ki te tiaki hauora.

He aha ngā take tūpono mō te PCOS?

He maha ngā take ka piki pea tō tūpono ki te whanake i te PCOS, ahakoa ko te whai i ngā take tūpono kaore e whakamana ka whanake koe i taua āhuatanga. Ka āwhina te mārama ki ēnei take ki a koe ki te noho mataara ki tō hauora.

Ko ngā take tūpono tino nui ko ēnei:

• Te hītori whānau o te PCOS, te mate huka, te wā kore ranei.
• Te nui o te taumaha, ina koa te mau i te taumaha i te taha waenganui o tō tinana.
• Te whai i te ātete ki te insulin, te mate huka rānei.
• Te mumura roa, te āhuatanga autoimmune rānei.
• Ngā taumata ahotea teitei mō ngā wā roa.
• Te oranga noho kore mahi, te iti o te mahi tinana rānei.

Ko ngā take tūpono iti ake pea ko te whānau mai me te iti o te taumaha whānau, te whakamahinga ki ētahi matū taiao, te tango rānei i ētahi rongoā. Heoi, he tokomaha ngā wahine e whai ana i te PCOS kaore he take tūpono, e whakaatu ana ka taea te whanake i taua āhuatanga ki te tangata.

He aha ngā raruraru pea o te PCOS?

Ahakoa ka taea te whakahaere i te PCOS me te tiaki tika, ka arahi pea ki ētahi atu take hauora mēnā kaore i te maimoatia. Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati, te whakaiti rānei me te maimoatanga tika me ngā huringa oranga.

Ko ngā raruraru tino noa me mōhio koe ko ēnei:

• Te momo 2 o te mate huka - Ka taea te haere tonu te ātete ki te insulin ki te mate huka.
• Te mate ngakau me te teitei o te toto - Te piki o te tūpono nā ngā huringa metabolic.
• Te moe apnea - Ina koa mēnā kei te nui tō taumaha.
• Te mate pukupuku endometrial - Mai i te kore o te ovulation me ngā wā roa.
• Te pouri me te manukanuka - Mai i ngā huringa horomona me te whakahaere i ngā tōmhanga.
• Ngā raruraru haputanga - tae atu ki te mate huka gestational me te preeclampsia.

Ko ngā raruraru iti ake te noa engari pea ko te mate ate ngako, te nui o te cholesterol, me te pōka. Ahakoa ka āwangawanga pea tēnei rārangi, kia mahara ko te tirotiro noa me te maimoatanga tika ka whakaiti nui i ēnei tūpono.

Me pēhea te aukati i te PCOS?

Aroha mai, kāore e taea e koe te aukati katoa i te PCOS nā te mea he wāhi nui ngā ira ki tōna whanaketanga. Heoi, ka taea e koe te tango i ngā mahi hei whakaiti i tō tūpono, hei whakaiti rānei i ngā tōmhanga mēnā ka whanake koe i taua āhuatanga.

Ko te pupuri i te taumaha hauora mā te kai rite me te mahi tinana noa tētahi o ngā mahi aukati tino whai hua. Ahakoa kei te whakapae koe ki te PCOS, ko te noho mahi me te kai pai ka āwhina ki te pupuri i ō horomona kia rite ake.

Ko te whakahaere i te ahotea mā ngā tikanga penei i te whakaaroaro, te yoga, te tohutohu rānei ka āwhina pea ki te whakaiti i tō tūpono. Ka taea e te ahotea roa te whakaroa i te whakaputa horomona, ā, ka whakaoho pea i te PCOS ki ngā tangata e ngawari ana.

Ko te whiwhi i te moe tika, te whakaiti i ngā kai tukatuka, me te karo i te wāhine ka āwhina pea ki te hauora horomona whānui. Ahakoa kāore ēnei mahi e whakamana i te aukati, ka hanga e rātou te taiao pai rawa atu mō te rite o ngā horomona tūturu o tō tinana.

Me pēhea te tautuhi i te PCOS?

Ko te tautuhi i te PCOS e pā ana ki te whakakore i ētahi atu āhuatanga me te whakatutuki i ngā tikanga motuhake, nā te mea kaore he whakamātautau kotahi e whakamana tino ana i taua āhuatanga. Ka whakamahi pea tō tākuta i te whakakotahitanga o tō hītori hauora, te whakamātautau tinana, me ngā whakamātautau taiwhanga.

Ko te tukanga tautuhi e whakauru ana ki te kōrero mō ō tōmhanga me tō hītori marama. Ka hiahia tō tākuta ki te mōhio mō ō wā, te uaua ki te taumaha, ngā tauira tipu huruhuru, me te hītori whānau o ngā āhuatanga rite.

Ka tirotirohia e ngā whakamātautau toto ō taumata horomona, tae atu ki ngā androgens, te insulin, me ētahi wā ngā horomona thyroid hei whakakore i ētahi atu āhuatanga. Ka taea pea e koe te whakamātautau manawanui huka hei tirotiro mō te ātete ki te insulin, te mate huka rānei.

Ka taea e te ultrasound o ō ovaries te whakaatu mēnā kei a koe ngā cysts iti maha, ahakoa kaore tēnei e hiahiatia mō te tautuhi. Ka tirotiro pea hoki tō tākuta mō ētahi atu tohu penei i te toto toto me te ine pūhaka.

Ka mahia te tautuhi mēnā ka whakatutuki koe i rua o ngā tikanga e toru: te koretake o te ovulation, ngā tohu o te nui o ngā androgens (whakamātautau tinana, whakamātautau toto rānei), me ngā ovaries polycystic i runga i te ultrasound. Ka roa pea tēnei tukanga kia maha ngā wiki i te wa e kohikohi ana tō tākuta i ngā mōhiohio katoa e hiahiatia ana.

He aha te maimoatanga mō te PCOS?

Ko te maimoatanga PCOS e aro ana ki te whakahaere i ō tōmhanga motuhake me te whakaiti i ngā tūpono hauora roa. Kaore he huarahi kotahi e pai ana mō te katoa, no reira ka whakaritea tō mahere maimoatanga ki ō hiahia me ō whāinga motuhake.

Ko ngā huringa oranga te nuinga o te wā te turanga o te maimoatanga, ā, ka tino whai hua. Ko te kai rite e āwhina ana ki te whakahaere i ngā taumata insulin, te mahi tinana noa rānei, ka taea te whakapai ake i ngā tōmhanga mō te tokomaha o ngā wahine.

Ko ngā whiringa rongoā e whakawhirinaki ana ki ō tōmhanga motuhake me te mea kei te ngana koe ki te hapu:

• Ngā pire whakahaere whānau hei whakahaere i ngā wā me te whakaiti i ngā taumata androgen.
• Metformin hei whakapai ake i te ngawari ki te insulin me te āwhina ki te whakahaere taumaha.
• Spironolactone hei whakaiti i te nui o te tipu huruhuru me te mate huhu.
• Ngā rongoā hua penei i te clomiphene mēnā kei te ngana koe ki te hapu.
• Ngā rongoā anti-androgen mō te hirsutism nui.

Mō ngā wahine e ngana ana ki te hapu, ko ngā maimoatanga ka whakauru pea i ngā rongoā whakaoho ovulation, ngā hangarau whakawhānau awhina, ngā whiringa pokanga rānei penei i te ovarian drilling i ngā keehi onge. Ka mahi tahi tō tākuta me koe ki te kimi i te huarahi tino tika e pā ana ki ō tōmhanga me ō whāinga whakatōpūtanga whānau.

Me pēhea te whakahaere i te PCOS i te kāinga?

Ka tino kaha ngā rautaki whakahaere kāinga mō te whakahaere i ngā tōmhanga PCOS me te whakapai ake i tō oranga whānui. He tokomaha ngā wahine e kite ana ko ngā huarahi oranga pumau e mahi ana pera rānei i te pai atu i ngā rongoā anake.

Aro atu ki te kai i te kai rite e whakamahi ana i ngā kai katoa me te āwhina i te whakau i tō huka toto. Ko te tikanga tenei ko te whiriwhiri i ngā kāreti konupū, ngā pūmua ngawari, ngā ngako hauora, me te maha o ngā huawhenua i te wa e whakaiti ana i ngā kai tukatuka me ngā huka tāpiri.

He mea nui te mahi tinana noa mō te whakahaere i te ātete ki te insulin me te pupuri i te taumaha hauora. Whakaarohia te iti rawa o te 150 meneti o te mahi tinana noa ia wiki, ka taea te whakauru i te hikoi tere, te kauhoe, te hikoi paihikara, te whakangungu kaha rānei.

Ka taea e ngā tikanga whakahaere ahotea penei i te whakaaroaro, ngā mahi manawa hohonu, te yoga rānei te āwhina ki te rite i ō horomona. Ko te whiwhi i te 7-9 haora o te moe kounga ia pō ka tautoko hoki i te whakaputa horomona hauora.

Whakaarohia te whai i ō tōmhanga me ō huringa marama hei kimi i ngā tauira me ngā whakaoho. Ka taea te whai hua tēnei mōhiohio mōu me tō kaiwhakarato hauora ki te whakahaere i tō āhuatanga.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite pai mō tō hui ka āwhina ki te whakarite ka whiwhi koe i te tautuhi tino tika me te mahere maimoatanga whai hua. Tīmata mā te whai i ō tōmhanga me ō huringa marama mō te iti rawa o ngā wiki i mua i tō haerenga.

Tuhia katoa ō tōmhanga, ahakoa kaore pea e hono ki te PCOS. Whakauruhia ngā kōrero mō te wā i tīmata ai, te kaha o rātou, me te aha e pai ake ai, e kino ake ai rānei.

Whakaritea he rārangi o ngā pūrongo e hiahia ana koe ki te ui, penei i:

• He aha ngā whakamātautau e hiahia ana ahau ki te whakamana i te PCOS?
• He aha ngā whiringa maimoatanga pai rawa atu mō ōku tōmhanga motuhake?
• Me pēhea te pānga o tēnei ki taku kaha ki te whānau tamariki?
• He aha ngā huringa oranga me tino whakarite ahau?
• Nōhea me whai hui whai muri ahau?

Kawe mai he rārangi o ngā rongoā me ngā taapiri katoa e tango ana koe, tae atu ki ngā taonga i runga i te kaute. Huihuia hoki ngā mōhiohio mō te hītori hauora o tō whānau, ina koa tetahi hītori o te PCOS, te mate huka, te wā kore ranei.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato i te tautoko ngākau i te hui.

He aha te mea nui mō te PCOS?

Ko te PCOS he āhuatanga noa, ka taea te whakahaere e pā ana ki te tokomaha o ngā wahine, ā, ko te whai kaore e whakatau i tō hauora, kāore hoki e whakaiti i ō āhei.

Ko te mea nui rawa kia mahara ko te PCOS ka taea te maimoatia, ā, ka taea e ngā huringa oranga iti te whakarereke nui i tō āhua. Ko te mahi tata atu ki tō kaiwhakarato hauora hei whakawhanake i te mahere maimoatanga whaiaro he mea nui ki te whakahaere i ō tōmhanga.

Ka taea e te tautuhi wawe me te maimoatanga te aukati i ngā raruraru pea maha, ā, ka āwhina i a koe ki te pupuri i te hauora pai i roto i tō oranga. Kaua e whakaroa ki te rapu awhina mēnā kei te whakaaro koe pea kei a koe te PCOS, i te mea ko te whiwhi i te tiaki tika i mua atu i muri mai ka taea te whakarereke nui i tō oranga pai.

Ngā pūrongo e ui pinepinetia ana mō te PCOS

Ka taea te hapu me te PCOS?

Ae, he tokomaha ngā wahine e whai ana i te PCOS ka taea te hapu, ahakoa ka roa pea atu i te noa. Ka taea e te PCOS te koretake ranei te iti o te ovulation, engari me te maimoatanga tika, tae atu ki ngā huringa oranga me ētahi wā ngā rongoā hua, ka taea e te nuinga o ngā wahine e whai ana i te PCOS te hapu.

Ka ngaro noa atu rānei te PCOS?

Ko te PCOS he āhuatanga roa e kore pea e ngaro rawa, engari ka taea te whakahaere pai ngā tōmhanga, ā, ka pai ake pea me te maimoatanga. Ka kite ētahi wahine ka pai ake ngā tōmhanga me ngā huringa oranga, ka kite ētahi atu i ngā whakapaitanga i muri i te menopause ina huri noa ngā taumata horomona.

Ka taea e te PCOS te nui o te taumaha?

Ae, ka taea e te PCOS te ngāwari ake ki te nui o te taumaha me te uaua ki te ngaro i taua mea nā te ātete ki te insulin me ngā koretake horomona. Heoi, kaore te nui o te taumaha e kore e taea, ā, he tokomaha ngā wahine e whakahaere pai ana i te taumaha, e ngaro ana rānei i te taumaha me ngā rautaki kai me te mahi tinana e tika ana mō te PCOS.

He hononga rānei te PCOS ki te mate huka?

Ka piki nui te PCOS i tō tūpono ki te whanake i te momo 2 o te mate huka nā te ātete ki te insulin, e pā ana ki te 70% o ngā wahine e whai ana i te PCOS. Heoi, ka taea te whakaiti nui i tēnei tūpono mā ngā huringa oranga penei i te pupuri i te kai hauora, te mahi tinana noa, me te pupuri i te taumaha hauora.

Ka taea e te ahotea te kino ake i te PCOS?

Ae, ka taea e te ahotea roa te kino ake i ngā tōmhanga PCOS mā te piki i ngā taumata cortisol, ka taea te whakaroa i ētahi atu horomona me te kino ake i te ātete ki te insulin. Ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te moe tika, me ngā rautaki whakahaere hauora ka āwhina ki te whakapai ake i ngā tōmhanga PCOS me te oranga pai whānui.