PCOS ni iki? Ibimenyetso, Impamvu, n'Uburyo bwo kuyivura

PCOS, cyangwa syndrome ya polycystic ovary, ni indwara isanzwe y’imisemburo igira ingaruka ku bagore bagera kuri 1 kuri 10 bari mu myaka yo kubyara. Nubwo izina ryayo ribyerekanwa, ntabwo ukeneye kugira imikaya (cysts) ku myenda yawe kugira ngo ugire PCOS.

Iyi ndwara ibaho iyo imisemburo yawe idahura neza, cyane cyane insulin na androgens (imisemburo y’abagabo bose bafite mu bwinshi buke). Tekereza ko ari nk’itsinda ry’imisemburo mu mubiri wawe ritaririmba neza, ibyo bishobora kugira ingaruka ku mihango yawe, ubushobozi bwo kubyara, n’ubuzima bwawe muri rusange.

Ibimenyetso bya PCOS ni ibihe?

Ibimenyetso bya PCOS bishobora gutandukana cyane ukurikije umuntu ku wundi, kandi ushobora kutayibona byose. Ibimenyetso bisanzwe birimo imihango idahura neza cyangwa idahari, ibyo bibaho kuko imisemburo yawe idahura neza.

Dore ibimenyetso ushobora kubona, uhereye ku bisanzwe kugeza ku bidafite akenshi:

• Imihango idahura neza cyangwa idahari na gato
• Kugorana gutwite cyangwa kudapfa gutwite
• Ubushuhe bwinshi bw’ubusa ku maso, ku gatuza, cyangwa ku mugongo (bita hirsutism)
• Kubyibuha, cyane cyane mu gice cy’inda
• Ububabare cyangwa uruhu rurerure
• Igisubira cy’imisatsi y’abagabo cyangwa imisatsi yoroha ku mutwe
• Ibicurane by’umukara by’uruhu, cyane cyane ku ijosi cyangwa munsi y’amaboko
• Guhinduka kw’imitekerereze, harimo kwiheba cyangwa guhangayika
• Ibibazo byo kuryama cyangwa sleep apnea

Bamwe mu bagore bagira kandi ibimenyetso bidafite akenshi nko kubabara umutwe kenshi, kubabara mu kibuno, cyangwa ibimenyetso by’uruhu. Ibuka ko kugira PCOS ntibivuze ko uzabona ibyo bimenyetso byose, kandi uburemere bwabyo bushobora kuva kuke kugeza ku bugaragara cyane.

Amashyirahamwe ya PCOS ni ayahe?

Abaganga basanzwe bazi amashyirahamwe ane y’ingenzi ya PCOS, buri hamwe bufite impamvu z’ibanze zidafite kimwe. Gusobanukirwa ubwoko bwawe bishobora kugufasha kuyobora uburyo bwiza bwo kuvura.

Ubwoko bufite insulin-resistant ni bwo busanzwe, bugira ingaruka ku bagore bagera kuri 70% bafite PCOS. Umubiri wawe uhangana no gukoresha insulin neza, bigatuma hari insulin nyinshi ituma habaho androgens nyinshi.

PCOS y’uburwayi buhoraho ni uburwayi buhoraho buke mu mubiri wawe buhungabanya imisemburo isanzwe. Ubu bwoko busanzwe bugira ibimenyetso nko kubabara umutwe, kubabara mu ngingo, cyangwa ibibazo byo mu gifu hamwe n’ibimenyetso bisanzwe bya PCOS.

PCOS nyuma y’imiti y’imisemburo ishobora kuza nyuma yo guhagarika imiti y’imisemburo yo kuboneza urubyaro. Umubiri wawe ushobora gufata igihe kugira ngo wongere imisemburo isanzwe, by’agateganyo bikaba bigira ibimenyetso bisa na PCOS bikagenda bitinda mu mezi make.

PCOS ya Adrenal ni nke kandi ibaho iyo imisemburo yawe ya adrenal itanga imisemburo myinshi, akenshi kubera umunaniro uhoraho. Ubu bwoko bushobora kugenda neza cyane ukoresheje uburyo bwo guhangana n’umunaniro.

Impamvu za PCOS ni izihe?

Impamvu nyamukuru ya PCOS ntisobanuwe neza, ariko abashakashatsi bemeza ko iterwa n’imiterere y’imiryango n’ibindi bintu by’ibidukikije. Ntabwo uri amahano kuba ufite iyi ndwara, kandi nta kintu wakora ngo uyirinde.

Ibintu byinshi bishobora gukorera hamwe kugira ngo bibe PCOS:

• Imiryango - PCOS ikunda kuba mu miryango, ibyo bigaragaza ko ibintu byarazwe bigira uruhare
• Insulin resistance - uturemangingo twawe ntibisubiza neza insulin, bigatuma habaho imisemburo myinshi
• Uburwayi buhoraho - uburwayi buhoraho buke bushobora gutera imisemburo idahura neza
• Androgens nyinshi - imyenda yawe cyangwa imisemburo ya adrenal itanga imisemburo myinshi
• Ibintu by’ibidukikije - ibintu nko guhangayika, ibiryo, n’imibereho bishobora kugira ingaruka ku mibanire y’imisemburo

Ubushakashatsi bumwe buragaragaza ko kuba wahuye n’ibintu bimwe na bimwe cyangwa kuba ufite ibiro bike ugiye kuvuka bishobora kongera ibyago bya PCOS. Ariko, ibyo bisobanuro biracyiga kandi ntabwo ari impamvu zizewe.

Ni ryari ukwiye kubona muganga kubera PCOS?

Ukwiye gutekereza kubona umuganga niba ufite imihango idahura neza igihe kirekire cyangwa ugira ibibazo byo gutwite. Kumenya hakiri kare no kuvura bishobora gufasha kwirinda ingaruka mbi z’igihe kirekire no kunoza ubuzima bwawe.

Tegura gahunda yo kubona muganga niba ubona ibimenyetso byinshi bya PCOS biba rimwe, cyane cyane niba bigira ingaruka ku buzima bwawe bwa buri munsi cyangwa icyizere cyawe. Ntugatege amatwi ibimenyetso kugira ngo bikomeze kuba bibi mbere yo gushaka ubufasha.

Birakomeye cyane kubona muganga niba ugira impinduka zitunguranye mu mihango yawe, ukabyibuha vuba, ububabare bukabije budakira imiti yo kwivura, cyangwa impinduka zikomeye mu mitekerereze. Ibyo bishobora kugaragaza PCOS cyangwa izindi ndwara zikeneye ubuvuzi.

Ibyago bya PCOS ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kugira PCOS, nubwo kugira ibyago ntibivuze ko uzayirwara. Gusobanukirwa ibyo bintu bishobora kugufasha kumenya ubuzima bwawe.

Ibyago bikomeye birimo:

• Amateka y’umuryango wa PCOS, diyabete, cyangwa imihango idahura neza
• Kuba ufite ibiro byinshi cyangwa ukaba ubyibushye, cyane cyane ufite ibiro byinshi mu gice cy’inda
• Kugira insulin resistance cyangwa prediabetes
• Uburwayi buhoraho cyangwa indwara zifata umubiri wose
• Umunaniro ukabije igihe kirekire
• Kudakora imyitozo ngororamubiri

Ibyago bidafite akenshi bishobora kuba birimo kuba wavutse ufite ibiro bike, kuba wahuye n’ibintu bimwe by’ibidukikije, cyangwa gufata imiti runaka. Ariko, abagore benshi bafite PCOS nta kimwe muri ibyo byago bafite, bigaragaza ko iyi ndwara ishobora kuba ku muntu uwo ari we wese.

Ingaruka zishoboka za PCOS ni izihe?

Nubwo PCOS ishobora kuvurwa neza, ishobora gutera izindi ndwara niba idavuwe. Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa cyangwa kugabanuka ukoresheje uburyo bukwiye bwo kuvura n’impinduka mu mibereho.

Ingaruka zisanzwe ukwiye kumenya harimo:

• Diyabete yo mu bwoko bwa 2 - insulin resistance ishobora gutera diyabete
• Indwara z’umutima n’umuvuduko w’amaraso - ibyago byiyongereye kubera impinduka mu mibereho
• Sleep apnea - cyane cyane niba ubyibushye
• Cancer y’umuyoboro w’imihango - kubera kudapfa kubona imihango
• Kwiheba no guhangayika - byombi kubera impinduka z’imisemburo no guhangana n’ibimenyetso
• Ingaruka z’inda - harimo diyabete mu gihe cyo gutwite na preeclampsia

Ingaruka nke ariko zishoboka harimo indwara y’umwijima, cholesterol nyinshi, n’impanuka yo mu bwonko. Nubwo uru rutonde rushobora kugaragara nk’ubiteye impungenge, ibuka ko gukurikirana buri gihe no kuvura neza bigabanya cyane ibyo byago.

PCOS ishobora kwirindwa gute?

Ikibabaje ni uko ntushobora kwirinda PCOS burundu kuko imiryango igira uruhare rukomeye mu iterambere ryayo. Ariko, ushobora gufata ingamba zo kugabanya ibyago cyangwa kugabanya ibimenyetso niba uyirwaye.

Kugira ibiro byiza binyuze mu mirire yuzuye no gukora imyitozo ngororamubiri buri gihe ni imwe mu ngamba zikomeye zo kwirinda. Nubwo ufite imiryango igaragaza PCOS, kuguma ukora imyitozo ngororamubiri no kurya neza bishobora kugufasha kugira imisemburo ihura neza.

Guhangana n’umunaniro binyuze mu buryo nko gutekereza, yoga, cyangwa inama bishobora kandi gufasha kugabanya ibyago byawe. Umunaniro uhoraho ushobora guhungabanya imisemburo kandi ukaba utera PCOS ku bantu bafite ibyago.

Kuryama bihagije, kugabanya ibiryo byakorewe, no kwirinda itabi bishobora kandi gufasha ubuzima bw’imisemburo muri rusange. Nubwo ibyo bintu bitavuze ko bizirinda, biha umubiri wawe ibidukikije byiza byo kugira imisemburo ihura neza.

PCOS imenyekana ite?

Kumenya PCOS bisobanura guhakana izindi ndwara no guhura n’ibipimo byihariye, kuko nta kizami kimwe kigaragaza iyi ndwara. Muganga wawe azakoresha amateka yawe y’ubuzima, isuzuma ry’umubiri, n’ibizamini byo mu labo.

Uburyo bwo gupima busanzwe burimo kuganira ku bimenyetso byawe n’amateka y’imihango yawe. Muganga wawe azashaka kumenya ibirebana n’imihango yawe, ibibazo byo kugira ibiro, imiterere y’ubusa, n’amateka y’umuryango w’ibintu bisa.

Ibizamini by’amaraso bizasuzuma imisemburo yawe, harimo androgens, insulin, rimwe na rimwe imisemburo ya thyroid kugira ngo habeho guhakana izindi ndwara. Ushobora kandi gukora ibizamini byo kwihanganira glucose kugira ngo urebe insulin resistance cyangwa diyabete.

Ultrasound y’imyenda yawe ishobora kwerekana niba ufite imikaya myinshi mito, nubwo ibyo bitabaye ngombwa kugira ngo hamenyekane iyi ndwara. Muganga wawe ashobora kandi kureba ibindi bimenyetso nko guhumeka no gupima umuzenguruko w’inda.

Iyi ndwara isanzwe imenyekana niba uhuye n’ibipimo bibiri kuri bitatu: imihango idahura neza, ibimenyetso bya androgens nyinshi (ibizamini by’umubiri cyangwa amaraso), n’imyenda ya polycystic kuri ultrasound. Ubu buryo bushobora gufata ibyumweru byinshi muganga wawe akusanya amakuru yose akenewe.

Uburyo bwo kuvura PCOS ni buhe?

Uburyo bwo kuvura PCOS bugamije gucunga ibimenyetso byawe no kugabanya ibyago by’ubuzima mu gihe kirekire. Nta buryo bumwe bukoreshwa kuri bose, bityo gahunda yawe yo kuvura izahura n’ibyo ukeneye n’ibyo wifuza.

Impinduka mu mibereho akenshi zigira uruhare mu kuvura kandi zishobora kugira akamaro cyane. Ibiryo bihagije bifasha gucunga insulin, hamwe no gukora imyitozo ngororamubiri buri gihe, bishobora kunoza cyane ibimenyetso kuri benshi mu bagore.

Uburyo bwo kuvura imiti biterwa n’ibimenyetso byawe niba ugerageza gutwite:

• Imiti yo kuboneza urubyaro kugira ngo ihure neza imihango kandi igabanye androgens
• Metformin kugira ngo inoze insulin sensitivity kandi ifashe mu gucunga ibiro
• Spironolactone kugira ngo igabanye ubushuhe bw’ubusa n’ububabare
• Imiti yo kubyara nka clomiphene niba ugerageza gutwite
• Imiti yo kurwanya androgens kubera hirsutism ikomeye

Ku bagore bashaka gutwite, uburyo bwo kuvura bushobora kuba imiti yo gutera ovulation, uburyo bwo kubyara bufashwa, cyangwa uburyo bwo kubaga nk’ovarian drilling mu bihe bitoroshye. Muganga wawe azakorana nawe kugira ngo abone uburyo bukwiye bushingiye ku bimenyetso byawe n’intego zawe zo kubyara.

Uburyo bwo gucunga PCOS murugo ni buhe?

Uburyo bwo gucunga murugo bushobora kugira akamaro cyane mu kugenzura ibimenyetso bya PCOS no kunoza imibereho yawe muri rusange. Abagore benshi basanga uburyo buhoraho bw’imibereho bukora kimwe cyangwa kurusha imiti gusa.

Fata umwanya wo kurya ibiryo bihagije bishimangira ibiryo byuzuye kandi bifasha gutuza isukari y’amaraso. Ibyo bisobanura guhitamo karubone zikomeye, poroteyine zoroheje, amavuta meza, n’imboga nyinshi mugihe ugabanya ibiryo byakorewe n’isukari yongewemo.

Gukora imyitozo ngororamubiri buri gihe ni ingenzi mu gucunga insulin resistance no kugira ibiro byiza. Gerageza gukora imyitozo ngororamubiri ihagije mu cyumweru, ibyo bishobora kuba kugenda, koga, gusiganwa ku magare, cyangwa imyitozo yo gukomeza umubiri.

Uburyo bwo guhangana n’umunaniro nko gutekereza, imyitozo yo guhumeka cyangwa yoga bishobora gufasha guhuza imisemburo yawe. Kuryama amasaha 7-9 buri joro kandi bifasha imisemburo ikora neza.

Tegereza ibimenyetso byawe n’imihango yawe kugira ngo umenye ibintu byabiteye. Ibyo bishobora kugira akamaro kuri wowe na muganga wawe mu gucunga iyi ndwara neza.

Uko wakwitegura gusura muganga

Kwitoza neza mbere yo gusura muganga bizafasha guhamya ko uboneye uburyo bwiza bwo gupima no kuvura. Tangira gukurikirana ibimenyetso byawe n’imihango yawe byibuze ibyumweru bike mbere yo gusura.

Andika ibimenyetso byawe byose, nubwo bisa ntibihuye na PCOS. Shyiramo amakuru yerekeye igihe byatangiye, uburemere bwabyo, n’ibyabyongera cyangwa ibyabigabanya.

Tegura urutonde rw’ibibazo ushaka kubaza, nka:

• Ni ibihe bizamini nkeneye kugira ngo hamenyekane PCOS?
• Ni uburyo bwo kuvura buhe buri bwiza ku bimenyetso byanjye?
• Ibi bizagira iki ku bushobozi bwanjye bwo kubyara?
• Ni izihe mpinduka mu mibereho nkwiye gushyira imbere?
• Ngahe nkwiye gusura muganga?

Zana urutonde rw’imiti n’ibindi byongewemo byose ufashe, harimo ibyo ugura utabonye muganga. Kandi, kora amakuru yerekeye amateka y’ubuzima bw’umuryango wawe, cyane cyane amateka ya PCOS, diyabete, cyangwa imihango idahura neza.

Tegereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe kwibuka amakuru akomeye kandi bagutere inkunga mu gihe cyo gusura.

Icyingenzi kuri PCOS

PCOS ni indwara isanzwe, ishobora kuvurwa igira ingaruka ku bagore benshi, kandi kuyirwara ntibisobanura ubuzima bwawe cyangwa ntibigabanya ibyo ushobora gukora. Nubwo ishobora kugira ibibazo, abagore benshi bafite PCOS bagira ubuzima bwiza, buhamye ukoresheje uburyo bukwiye bwo kuyicunga.

Ikintu cy’ingenzi cyo kwibuka ni uko PCOS ivurwa cyane, kandi impinduka nke mu mibereho zishobora kugira akamaro cyane ku buryo wumva. Gukorana na muganga wawe kugira ngo utegure gahunda y’ubuvuzi ihuye n’ibyo ukeneye ni ingenzi mu gucunga ibimenyetso byawe neza.

Kumenya hakiri kare no kuvura bishobora kwirinda ingaruka nyinshi zishoboka kandi bikagufasha kugira ubuzima bwiza mu buzima bwawe bwose. Ntuzuze gushaka ubufasha niba ukekako ufite PCOS, kuko kubona ubuvuzi bwiza vuba bishobora kugira akamaro mu mibereho yawe.

Ibibazo byakenshi bibazwa kuri PCOS

Waba ushobora gutwite ufite PCOS?

Yego, abagore benshi bafite PCOS bashobora gutwite, nubwo bishobora gufata igihe kirekire kurusha uko bisanzwe. PCOS ishobora gutera ovulation idahura neza cyangwa idahari, ariko ukoresheje uburyo bukwiye bwo kuvura, harimo impinduka mu mibereho rimwe na rimwe imiti yo kubyara, abagore benshi bafite PCOS bashobora gutwite neza.

PCOS irakura yonyine?

PCOS ni indwara idakira burundu, ariko ibimenyetso bishobora gucungwa neza kandi bishobora no kunoza cyane ukoresheje uburyo bwo kuvura. Bamwe mu bagore basanga ibimenyetso byabo bigenda bigenda neza ukoresheje impinduka mu mibereho, abandi bashobora kubona kunoza nyuma ya menopause iyo imisemburo ihinduka.

PCOS ishobora gutera kubyibuha?

Yego, PCOS ishobora gutera kubyibuha no kugorana kugabanya ibiro kubera insulin resistance n’imisemburo idahura neza. Ariko, kubyibuha ntibiva, kandi abagore benshi bagabanya ibiro neza ukoresheje imirire myiza n’imyitozo ngororamubiri ihuye na PCOS.

PCOS ifitanye isano na diyabete?

PCOS yongera cyane ibyago byo kugira diyabete yo mu bwoko bwa 2 kubera insulin resistance, igira ingaruka ku bagore bagera kuri 70% bafite PCOS. Ariko, ibyo byago bishobora kugabanuka cyane binyuze mu mpinduka mu mibereho nko kugira imirire myiza, gukora imyitozo ngororamubiri buri gihe, no kugira ibiro byiza.

Umunaniro ushobora kuba mubi kuri PCOS?

Yego, umunaniro uhoraho ushobora kuba mubi kuri PCOS binyuze mu kongera cortisol, ishobora guhungabanya izindi misemburo kandi ikaba mbi kuri insulin resistance. Guhangana n’umunaniro binyuze mu buryo bwo kuruhuka, kuryama bihagije, n’uburyo bwiza bwo guhangana bishobora gufasha kunoza ibimenyetso bya PCOS n’imibereho muri rusange.