Ukuthi yini i-PCOS? Izimpawu, Izimbangela, Nokwelashwa

I-PCOS, noma i-polycystic ovary syndrome, yisimo esivamile se-hormonal esithinta abesifazane abangaba ngu-1 kwaba ngu-10 abaneminyaka yokuzala. Naphezu kwegama layo, awudingi ukuba ne-cysts kuma-ovari akho ukuze ube ne-PCOS.

Lesi simo senzeka uma ama-hormone akho ephuma ezingeni, ikakhulukazi ebandakanya i-insulin nama-androgens (ama-hormone oluhlobo lwabesilisa wonke abesifazane abanayo ngamanani amancane). Cabanga ngakho njengoba i-orchestra yama-hormone omzimba wakho idlala ngokungalingani kancane, okungathinta izikhathi zakho, ukukhulelwa, nempilo yakho yonke.

Ziyini izimpawu ze-PCOS?

Izimpawu ze-PCOS zingase zihluke kakhulu kumuntu nomuntu, futhi ungase ungaziboni zonke. Izibonakaliso ezivamile zihlanganisa izikhathi ezingavamile noma ezingapheli, okwenzeka ngoba ama-hormone akho awenzi i-cycle ngokujwayelekile.

Nazi izimpawu ongase uzibone, kusukela kwezithandwayo kuya kwezingavamile:

• Izikhathi ezingavamile noma azikho nhlobo izikhathi
• Ubunzima bokuthola ukukhulelwa noma ukungakhulelwa
• Ukukhula okukhulu kwezinwele ebusweni, esifubeni, noma emuva (okubizwa ngokuthi i-hirsutism)
• Ukukhuluphala, ikakhulukazi eduze kwesigamu sakho
• I-Acne noma isikhumba esinamanzi
• Ukuwa kwezinwele oluhlobo lwabesilisa noma ukuncipha kwezinwele ezingqondweni yakho
• Ama-patches amnyama esikhumba, ikakhulukazi eduze komphimbo wakho noma ezingalweni
• Ukushintsha kwemizwelo, kuhlanganise ukucindezeleka noma ukukhathazeka
• Izinkinga zokulala noma i-sleep apnea

Abanye abesifazane nabo baye baba nezimpawu ezingavamile njengezinhlungu zikhanda eziqhele ngokuphindaphindiwe, ubuhlungu be-pelvic, noma ama-skin tags. Khumbula, ukuba ne-PCOS akusho ukuthi uzobona zonke lezi zimpawu, futhi ubukhulu bungase bube bukhulu noma bucacile.

Ziyini izinhlobo ze-PCOS?

Odokotela ngokuvamile baye bazi izinhlobo ezine eziyinhloko ze-PCOS, ngayinye inezimbangela ezihlukile. Ukuqonda uhlobo lwakho kungasiza ekuholeni indlela yokwelapha ephumelelayo.

Uhlobo olumelana ne-insulin yilona eliqhele kakhulu, oluthinta abesifazane abangaba ngu-70% abane-PCOS. Umzimba wakho uyalwa ukusebenzisa i-insulin ngokuphumelelayo, okuholela emazingeni aphezulu e-insulin aqhuba ukukhiqizwa okukhulu kwe-androgen.

I-PCOS ye-inflammatory ihilela ukuvuvukala okuncane okungapheli emzimbeni wakho okuyephula ukukhiqizwa okujwayelekile kwe-hormone. Lolu hlobo ngokuvamile lubonakala ngezimpawu ezinjengezinhlungu zikhanda, ubuhlungu bamalunga, noma izinkinga zokugaya ukudla kanye nezibonakaliso ze-PCOS ezijwayelekile.

I-Post-pill PCOS ingase ithuthukiswe ngemuva kokumisa ukusetshenziswa kwe-hormonal birth control. Umzimba wakho ungase uthathe isikhathi sokuqala kabusha ukukhiqizwa kwawo okujwayelekile kwe-hormone, okwenza isikhashana izimpawu ezifana ne-PCOS ezivame ukuthuthuka phakathi nezinyanga.

I-Adrenal PCOS ayivamile futhi iyenzeka uma ama-glands akho e-adrenal ekhiqiza okukhulu kwama-hormone athile, ngokuvamile njengomphumela wokucindezeleka okungapheli. Lolu hlobo lungase luthuthuke kakhulu ngezindlela zokulawula ukucindezeleka.

Yini ebangela i-PCOS?

Imbangela eqondile ye-PCOS ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ithuthukiswa ngokuhlanganiswa kwezinto zofuzo nezimo ezingqongile. Awunacala ngokuba naleli simo, futhi ayikho into obungayenza ukuyivimba.

Izici eziningana cishe zisebenza ndawonye ukudala i-PCOS:

• I-Genetics - I-PCOS ngokuvamile ihamba emindenini, okubonisa ukuthi izinto eziwusifazi zidlalela indima
• Ukuphikisana kwe-insulin - amaseli akho awaphenduli kahle kwi-insulin, okuholela emazingeni aphezulu e-hormone
• Ukuvuvukala - ukuvuvukala okuncane okungapheli kungase kuqalise ukungalingani kwe-hormonal
• Ukukhiqizwa okukhulu kwe-androgen - ama-ovari akho noma ama-adrenal glands enza okukhulu kwalezi zinto
• Izimo ezingqongile - izinto ezinjengokucindezeleka, ukudla, nendlela yokuphila zingase zithinte ibhalansi ye-hormone

Ucwaningo oluthile lubonisa nokuthi ukukhishwa kwezinto ezithile noma ukuba nesisindo esincane sokuzalwa kungase kukhulise ingozi ye-PCOS. Noma kunjalo, le miqondiso isacwaningwa futhi ayizona izimbangela eziqinisekile.

Nini okumele ubona udokotela nge-PCOS?

Kufanele ucabange ukuya kudokotela uma uhlushwa izikhathi ezingavamile izinyanga eziningi noma unezinkinga zokuthola ukukhulelwa. Ukuxilongwa kwasekuqaleni nokwelashwa kungasiza ukuvimba izinkinga zesikhathi eside futhi kuthuthukise ikhwalithi yempilo yakho.

Hlela i-aphoyintimenti uma ubona izimpawu eziningi ze-PCOS ezivela ndawonye, ikakhulu uma zithinta impilo yakho yansuku zonke noma ukuzethemba kwakho. Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi ngaphambi kokufuna usizo.

Kubalulekile kakhulu ukubona udokotela uma uhlushwa ukushintsha okungazelelwe kwesikhathi sakho sokuya esikhathini, ukukhuluphala okusheshayo, i-acne ebuhlungu engaphenduli ekwelapheni kwe-over-the-counter, noma ukushintsha okukhulu kwemizwelo. Lokhu kungase kubonise i-PCOS noma ezinye izimo ezidinga ukunakekelwa kwezokwelapha.

Ziyini izinto ezikhuphula ingozi ye-PCOS?

Izici eziningana zingase zikhulise amathuba akho okuba ne-PCOS, yize ukuba nezinto ezikhuphula ingozi akusho ukuthi uzoba naleli simo. Ukuqonda lezi zinto kungasiza uhlale uqaphele impilo yakho.

Izinto ezikhuphula ingozi eziyinhloko zihlanganisa:

• Umlando womndeni we-PCOS, isifo sikashukela, noma izikhathi ezingavamile
• Ukuba ngumuntu onesisindo esingaphezulu noma olukhulu, ikakhulukazi ukuphatha isisindo eduze kwesigamu sakho
• Ukuba nokuphikisana kwe-insulin noma i-prediabetes
• Ukuvuvukala okungapheli noma izimo ze-autoimmune
• Amazinga aphezulu wokucindezeleka isikhathi eside
• Indlela yokuphila engasebenzi ngokwanele ngaphandle kwemisebenzi yomzimba

Izinto ezingavamile ezikhuphula ingozi zingase zihlanganise ukuba uzalwe unesindo esincane sokuzalwa, ukukhishwa kwezinto ezithile ezingqongile, noma ukusebenzisa imithi ethile. Noma kunjalo, abesifazane abaningi abane-PCOS abanazo lezi zinto ezikhuphula ingozi, okubonisa ukuthi lesi simo singase sithuthuke kunoma ubani.

Ziyini izinkinga ezingase zenzeke nge-PCOS?

Ngesikhathi i-PCOS ilawulwa ngokunakekelwa okufanele, ingase iholele kwezinye izinkinga zempilo uma ingalashwa. Izindaba ezinhle ukuthi izinkinga eziningi zingavimbeka noma zinciphisiwe ngokwelashwa okufanele nokushintsha indlela yokuphila.

Izinkinga ezivamile okufanele uzazi zihlanganisa:

• Isifo sikashukela sohlobo 2 - ukuphikisana kwe-insulin kungase kuqhubekele esifweni sikashukela esiphelele
• Isifo senhliziyo nokucindezeleka kwegazi - ingozi eyenyuka ngenxa yokushintsha kwe-metabolic
• I-Sleep apnea - ikakhulukazi uma unesondo esingaphezulu
• Umkhuhlane we-Endometrial - kusukela ekungabikho kokukhulelwa nokukhahlela isikhathi eside
• Ukucindezeleka nokukhathazeka - kokubili kusukela ekushintsheni kwe-hormone nokubhekana nezimpawu
• Izinkinga zokukhulelwa - kuhlanganise isifo sikashukela sokuthwala umntwana ne-preeclampsia

Izinkinga ezingavamile kodwa ezingase zenzeke zihlanganisa isifo se-fatty liver, i-cholesterol ephakeme, nokushaya.

Ingavimbeka kanjani i-PCOS?

Ngeshwa, awukwazi ukuvimba ngokuphelele i-PCOS ngoba i-genetics idlala indima ebalulekile ekuthuthukiseni kwayo. Noma kunjalo, ungathatha izinyathelo zokunciphisa ingozi yakho noma unciphise izimpawu uma uthuthukisa lesi simo.

Ukugcina isisindo esinempilo ngokudla okulinganiselayo nemisebenzi yomzimba eqhele ngokuphindaphindiwe ingenye yezindlela ezinhle kakhulu zokuvimbela. Ngisho noma ukhonjwe ngofuzo kwi-PCOS, ukuhlala usebenza nokudla kahle kungasiza ukugcina ama-hormone akho elinganiselayo.

Ukulawula ukucindezeleka ngezindlela ezinjengokucamngca, i-yoga, noma ukwelashwa kungasiza futhi kunciphise ingozi yakho. Ukucindezeleka okungapheli kungaphuca ukukhiqizwa kwe-hormone futhi kungenzeka kuthuthukise i-PCOS kubantu abathintekayo.

Ukuthola ukulala okwanele, ukulinganisela ukudla okucutshungulwayo, nokugwema ukubhema kungase futhi kusekele impilo ye-hormone yonke. Ngesikhathi lezi zinyathelo zingaqinisekisi ukuvimbela, zidala indawo engcono kakhulu yebhalansi ye-hormone yomzimba wakho.

I-PCOS ixilongwa kanjani?

Ukuxilongwa kwe-PCOS kuhilela ukukhipha ezinye izimo nokuhlangabezana nezindinganiso ezithile, ngoba ayikho i-test eyodwa eqinisekisa ngokuphelele lesi simo. Udokotela wakho cishe uzosebenzisa ukuhlanganiswa komlando wakho wezokwelapha, ukuhlolwa komzimba, nama-laboratory tests.

Inkqubo yokuxilonga ngokuvamile ihlanganisa ukuxoxa ngezimpawu zakho nomlando wesikhathi sakho sokuya esikhathini ngokuningiliziwe. Udokotela wakho uzothanda ukwazi ngezikhathi zakho, noma yiluphi ubunzima ngesisindo, izindlela zokukhula kwezinwele, nomlando womndeni wezimo ezifanayo.

I-blood tests izohlola amazinga akho e-hormone, kuhlanganise ama-androgens, i-insulin, futhi ngezinye izikhathi ama-hormone e-thyroid ukuze kukhishwe ezinye izimo. Ungase futhi ube ne-glucose tolerance testing ukuhlola ukuphikisana kwe-insulin noma isifo sikashukela.

I-ultrasound yama-ovari akho ingabonisa uma une-cysts eziningi ezincane, yize lokhu kungadingeki ekuxilongweni. Udokotela wakho angase futhi ahlole ezinye izibonakaliso ezinjengokucindezeleka kwegazi nokulinganisa i-waist.

Ukuxilongwa ngokuvamile kwenziwa uma uhlangabezana nezindinganiso ezimbili kwezintathu: ukukhahlela okungavamile, izibonakaliso zokukhuluphala kwe-androgens (ukuhlonzwa komzimba noma i-blood test), nama-polycystic ovaries kwi-ultrasound. Le nqubo ingathatha amasonto ambalwa njengoba udokotela wakho ebutha lonke ulwazi oluyimfuneko.

Yini ukwelashwa kwe-PCOS?

Ukwelashwa kwe-PCOS kugxila ekulawuleni izimpawu zakho ezithile nokunciphisa ingozi yempilo yesikhathi eside. Ayikho indlela eyodwa efanele bonke, ngakho-ke uhlelo lwakho lokwelapha luzolungiswa ngezidingo zakho zomuntu siqu nemigomo.

Ukushintsha indlela yokuphila ngokuvamile kuqala ukwelashwa futhi kungase kube nemiphumela emihle kakhulu. Ukudla okulinganiselayo okusiza ekulawuleni amazinga e-insulin, kuhlanganiswe nemisebenzi yomzimba eqhele ngokuphindaphindiwe, kungathuthukisa kakhulu izimpawu kwabesifazane abaningi.

Izinketho zemithi ziyahluka kuye ngezimpawu zakho ezithile nokuthi uzamile yini ukuthola ukukhulelwa:

• Amaphilisi okulawula izikhathi nokuncipha kwamazinga e-androgen
• I-Metformin ukuthuthukisa ukululama kwe-insulin nokusiza ekulawuleni isisindo
• I-Spironolactone ukunciphisa ukukhula okukhulu kwezinwele ne-acne
• Imithi yokukhulelwa enjenge-clomiphene uma uzamile ukuthola ukukhulelwa
• Imithi ye-anti-androgen ye-hirsutism ebuhlungu

Kwabesifazane abazama ukuthola ukukhulelwa, ukwelashwa kungase kuhlanganise imithi yokukhuthaza ukukhahlela, ubuchwepheshe obusizayo bokukhulelwa, noma izinketho zokucutshungulwa ezinjenge-ovarian drilling ezimweni ezingavamile. Udokotela wakho uzosisebenza nawe ukuthola indlela efanele kakhulu ngokuya ngezimpawu zakho nemigomo yakho yokuhlela umndeni.

Ungayilawula kanjani i-PCOS ekhaya?

Izindlela zokulawula ekhaya zingaba namandla kakhulu ekulawuleni izimpawu ze-PCOS nokuthuthukisa impilo yakho yonke. Abesifazane abaningi bathola ukuthi izindlela zokuphila eziqhubekayo zisebenza kahle njengoba zenza noma kangcono kunokwelashwa ngokwalo.

Gxilisa ukudla okulinganiselayo okugcizelela ukudla okugcwele futhi kusize ukulinganisa ushukela wakho wegazi. Lokhu ngokuvamile kusho ukukhetha ama-carbohydrates amaningi, amaprotheni ahlanzekile, amafutha anempilo, nezitshalo eziningi ngenkathi ugcina ukudla okucutshungulwayo noshukela owengeziwe.

Imisebenzi yomzimba eqhele ngokuphindaphindiwe ibalulekile ekulawuleni ukuphikisana kwe-insulin nokugcina isisindo esinempilo. Hlose okungenani imizuzu engu-150 yomsebenzi olinganiselayo ngesonto, okungase kuhlanganise ukuhamba okusheshayo, ukubhukuda, ukujika ibhayisikili, noma ukuqeqeshwa kwamandla.

Izindlela zokulawula ukucindezeleka ezinjengokucamngca, ukuzivocavoca kokuphefumula okujulile, noma i-yoga kungasiza ukulinganisa ama-hormone akho ngokwemvelo. Ukuthola amahora angu-7-9 okulala okuhle ubusuku ngalunye futhi kusekela ukukhiqizwa kwe-hormone enempilo.

Cabanga ngokulandelela izimpawu zakho nezindlela zakho zokukhahlela ukuze ubone izindlela nezinto ezibangela.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela kahle i-aphoyintimenti yakho kuzosinika isiqiniseko sokuthi uthola ukuxilongwa okuchane kakhulu nehlelo lokwelapha eliphumelelayo. Qala ngokulandelela izimpawu zakho nezindlela zakho zokukhahlela okungenani amasonto ambalwa ngaphambi kwendwendwelo yakho.

Bhala zonke izimpawu zakho, ngisho noma zibonakala zingahlobene ne-PCOS. Faka imininingwane mayelana nokuthi zaqala nini, ubukhulu bazo, nokuthi yini ezenza zibe ngcono noma zimbi.

Lungisa uhlu lwemibuzo ofuna ukuyibuza, njengalezi:

• Yiziphi izivivinyo engidinga ukuziqinisekisa i-PCOS?
• Yiziphi izinketho zokwelapha ezifanele izimpawu zami ezithile?
• Lokhu kuzothinta kanjani ikhono lami lokuba nabantwana?
• Yiziphi izinguquko zendlela yokuphila engizokugxila kuzo?
• Kufanele ngibe ne-follow-up appointments kangakanani?

Letha uhlu lwazo zonke imithi kanye ne-supplements oyithathayo, kuhlanganise nezinto ze-over-the-counter. Buye uqoqe ulwazi mayelana nomlando wezokwelapha womndeni wakho, ikakhulukazi noma yimuphi umlando we-PCOS, isifo sikashukela, noma izikhathi ezingavamile.

Cabanga ngokuletha umngani othembekile noma ilungu lomndeni ukuze likusize ukukhumbula ulwazi oluyimfuneko futhi linike ukwesekwa ngokomzwelo ngesikhathi se-aphoyintimenti.

Iyini into ebalulekile mayelana ne-PCOS?

I-PCOS yisimo esivamile, esilawuleka esithinta abesifazane abaningi, futhi ukuba naso akuchazi impilo yakho noma akulinganisi amathuba akho. Ngesikhathi kungase kube nezinkinga, abesifazane abaningi abane-PCOS bahola impilo enempilo, ezele ngokuphelele ngokulawulwa okufanele.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-PCOS iyakwelashwa kakhulu, futhi izinguquko ezincane zendlela yokuphila zingenza umehluko omkhulu endleleni ozizwa ngayo. Ukusebenza eduze nodokotela wakho ukuthuthukisa uhlelo lokwelapha oluqondene nomuntu siqu kuyisigaba esibalulekile ekulawuleni izimpawu zakho ngokuphumelelayo.

Ukuxilongwa kwasekuqaleni nokwelashwa kungavimbela izinkinga eziningi ezingase zenzeke futhi kusize ugcine impilo enhle kulo lonke impilo yakho. Unganqikazi ukufuna usizo uma ucindezela ukuthi ungase ube ne-PCOS, njengoba ukuthola ukunakekelwa okufanele ngokushesha kunokwengeziwe kungenza umehluko obalulekile ekuphileni kwakho.

Imibuzo evamile ebuzwa mayelana ne-PCOS

Ungakhulelwa yini nge-PCOS?

Yebo, abesifazane abaningi abane-PCOS bangakhulelwa futhi bakhulelwa, yize kungathatha isikhathi eside kunokujwayelekile. I-PCOS ingenza ukukhahlela kungavamile noma kungabi khona, kodwa ngokwelashwa okufanele, kuhlanganise izinguquko zendlela yokuphila futhi ngezinye izikhathi imithi yokukhulelwa, abesifazane abaningi abane-PCOS bangakhulelwa ngempumelelo.

Ingaphela yini i-PCOS ngokwayo?

I-PCOS yisimo esingapheli esivamile esingapheli ngokuphelele, kodwa izimpawu zingalawulwa ngokuphumelelayo futhi zingase zithuthuke kakhulu ngokwelashwa. Abanye abesifazane bathola ukuthi izimpawu zabo ziyaqala ukuba zilawuleka ngokushintsha indlela yokuphila, kuyilapho abanye bengase babone ukuthuthuka ngemuva kwe-menopause lapho amazinga e-hormone eshintsha ngokwemvelo.

Ingase i-PCOS ibingela ukukhuluphala?

Yebo, i-PCOS ingenza kube lula ukukhuluphala futhi kube nzima ukulahlekelwa isisindo ngenxa yokuphikisana kwe-insulin nokungahambisani kwe-hormonal. Noma kunjalo, ukukhuluphala akuyona into engaphepheki, futhi abesifazane abaningi bayaphumelela ekugcineni noma ekulahlekelweni kwesisindo ngokudla okufanele nemisebenzi yomzimba ehambisana ne-PCOS.

Ingabe i-PCOS ihlobene nesifo sikashukela?

I-PCOS ikhuphula kakhulu ingozi yakho yokuthuthukisa isifo sikashukela sohlobo 2 ngenxa yokuphikisana kwe-insulin, okuthinta abesifazane abangaba ngu-70% abane-PCOS. Noma kunjalo, le ngozi inganciphisa kakhulu ngokushintsha indlela yokuphila njengokugcina ukudla okunempilo, imisebenzi yomzimba eqhele ngokuphindaphindiwe, nokugcina isisindo esinempilo.

Ingabe ukucindezeleka kwenza i-PCOS ibe zimbi?

Yebo, ukucindezeleka okungapheli kungenza izimpawu ze-PCOS zibe zimbi ngokwandisa amazinga e-cortisol, angase aphuce ezinye ama-hormone futhi amake ukuphikisana kwe-insulin kube zimbi. Ukulawula ukucindezeleka ngezindlela zokupumula, ukulala okwanele, nezindlela zokubhekana nezimo ezinempilo kungasiza ekuthuthukiseni izimpawu ze-PCOS nempilo yonke.