Izinketho Zendlela Yokuphila Yokuphila Nokunakekelwa Kwezinzalo ze-PCOS
I-Polycystic ovarian syndrome (i-PCOS) ingenye yezimbangela ezivame kakhulu zokungabi nabesifazane, okuthinta abesifazane abangaba yizigidi ezingu-5. Kodwa ungakhulelwa nge-PCOS. Kunezinhlobo eziningi zokwelapha okuphumelelayo ezitholakalayo, kusukela ku- Clomid kuya ku- gonadotropini kuya ku- IVF .
Abaningi besifazane bazokwazi ukukhulelwa ngenhlanganisela yokushintsha kwempilo kanye nemithi yokuzala.
Ngesikhathi abanye besifazane abane-PCOS bedinga i-IVF, iningi labo lizokhulelwa besebenzisa imithi yokwelapha ephansi.
Nazi ezinye zezindlela wena nodokotela wakho ongazihlola.
Ukulahlekelwa Isisindo Ukuqalisa Ukuvuthwa
Abaningi (kodwa hhayi bonke) abesifazane abane-PCOS balwela ukukhuluphala. Lokhu kungenxa yokuthi i-PCOS ithinta kabi indlela umzimba wakho uqhuba ngayo i-insulin, okungaholela ekuzuzeni isisindo.
Esinye sezizathu eziyinhloko abesifazane abangenawo i-PCOS abakwazi ukukhulelwa ukuthi abavuni. Noma abavuni njalo. Abesifazane abane-PCOS abakhuluphele kakhulu banokuzwa ukukhukhumeza okukhulu, izinyanga eziphakathi kwezinkathi.
Ucwaningo luye lwathola ukuthi ukulahlekelwa kwesisindo esengeziwe kungabuyisa ukuvuthwa.
Awudingi ukulahlekelwa sonke isisindo. Ngokusho kocwaningo, ukulahlekelwa ngu-5 kuya ku-10% wesisindo sakho samanje kungenzeka ngokwanele ukuqaqa-qala imijikelezo yakho yokuya esikhathini.
Ngeshwa, akukho ubufakazi obuningi bokuthi ukulahlekelwa isisindo kuzokusiza ukuba ukhulelwe ngokwakho.
Usengadinga izidakamizwa zokuzala. Ucwaningo seluthole ukuthi abesifazane abaye balahlekelwa isisindo banethuba elikhulu lokuba nempumelelo yokwelashwa kokuzala.
Ukulahlekelwa isisindo akulula kunoma ubani, futhi kungase kube nzima ngisho nakakhulu kulabo abane-PCOS.
Qiniseka ukuthi udokotela wakho uhlola amazinga akho e-insulin. Uma u-insulin ukumelana, ukuthatha i-metformin yezidakamizwa zesifo sikashukela kungaphatha ukumelana nesifo se-insulin futhi kungakusiza ukuba ulahlekelwe isisindo esengeziwe.
Kungakusiza futhi ukukhulelwa .
Ukudla, Ukuzivocavoca, ne-PCOS
Ukudla ukudla okunempilo kubaluleke kakhulu kubesifazane abane-PCOS. Lokhu kungenxa yemingcipheko ephakeme yokuba ngokweqile, futhi ngenxa yezinkinga zabo zomzimba nge-insulin umthethonqubo.
Ingabe kukhona ukudla okulodwa okungcono kakhulu kwe-PCOS? Lokho kuyindaba yokuphikisana.
Ucwaningo oluthile luthi ukudla okuphansi kwe-carb yiyona engcono kunazo zonke ze-PCOS, kodwa ezinye izifundo azitholanga inzuzo ephansi ye-carb.
Into ebaluleke kakhulu ukuqiniseka ukuthi ukudla kwakho kucebile ukudla okunomsoco kanye neprotheyini ewanele futhi okuphansi kokudla ushukela. Ukugwema ukudla okungenamsoco nokudla okucutshungulwayo ukubheja kwakho okuhle kakhulu.
Ukuzivocavoca njalo kuye kwafunyanwa ukusiza ngezimpawu ze-PCOS. Esinye isifundo, inhlanganisela yokuhamba njalo nokudla ukudla okunempilo ngcono ukuhamba komjikelezo njalo nge 50%.
Kungakhathaliseki ukuthi ukudla nokuzivocavoca wedwa kuzokusiza yini ukukhulelwa akucacile. Noma kunjalo, indlela yokuphila enempilo ingasiza imithi yakho yokwelapha isebenze kangcono, futhi ngokuqinisekile iyokusiza uzizwe ungcono.
Njengoba ukulahlekelwa isisindo, kufanelekile umzamo uma ufuna ukukhulelwa.
Ukwelashwa kwe-Metformin
I-Metformin imithi yesifo sikashukela esetshenziselwa ukwelapha ukuvimbela i-insulin. Ngezinye izikhathi kubhalelwe abesifazane nabakwa-PCOS, noma ngabe empeleni ayinqamuki.
Ukusebenzisa i-metformin ye-PCOS kubhekwa njengokusetshenziswa kwelebula. Noma kunjalo, izidakamizwa ziphephile futhi zingasiza abesifazane ne-PCOS ukuba bakhulelwe.
Ngokusho kocwaningo, i-metformin ingase ...
- Siza ukuthi ulahlekelwe isisindo
- Qala kabusha imijikelezo ejwayelekile yokuya esikhathini
- Thuthukisa ukuphumelela kwemithi ethile yokuzala
- Nciphisa izinga lokukhulelwa kwesisu
I-Clomid Treatment
I-Clomid iyisidakamizwa esivame ukusetshenziswa kakhulu, futhi futhi ukwelashwa okuvame ukusetshenziswa kakhulu kwabesifazane abane-PCOS. Abesifazane abaningi abane-PCOS bazokhulelwa ngeComomid.
Noma kunjalo, akuphumelelanga wonke umuntu. Abanye besifazane abane-PCOS bazothola ukumelana ne-Clomid . Yilapho i-Clomid ingabangeli ukuvota njengokulindelwe.
Izifundo zithole ukuthi inhlanganisela ye-metformin ne-Clomid ingasiza ukushaya ukumelana kwe-Clomid.
Uma lokhu kungaphumeleli, udokotela wakho angabheka i-letrozole yezidakamizwa.
Ukwelapha Ukwelashwa Nge-Letrozole
I-Letrozole, eyaziwa negama layo elibizwa ngokuthi i-Femara, akuyona imithi yokuzala kodwa isetshenziswa njalo njengowesifazane kwabakwa-PCOS.
I-Letrozole empeleni imithi yomdlavuza. Kodwa-ke, ucwaningo luye lwathola ukuthi lungasebenza kakhulu kune-Clomid ekukhuthazeni ukuvuthwa kwezingane ku-PCOS.
Ungesabi ukuthi iqiniso lokuthi umuthi ekuqaleni uhloswe njengomuthi womdlavuza. Imiphumela emibi ilula, futhi iye yacwaningwa kakhulu kwabesifazane abazama ukukhulelwa.
I-Gonadotropins ye-PCOS
Uma i-Clomid noma i-letrozole ingaphumelelanga, isinyathelo esilandelayo yizidakamizwa zokuzala ezijova noma i-gonadotropin.
I-Gonadotropin yenziwa ngama-hormone FSH, LH, noma inhlanganisela yale mibini. Amagama we-Brand ongawaqaphela yi-Gonal-F, Follistim, Ovidrel, Bravelle, ne-Menopur.
Udokotela wakho angase asikisele ukuhlanganiswa kwemithi yokwelapha ngomlomo nangenjojo. Isibonelo, i-Clomid ene-"trigger" edutshulwa ngu-LH phakathi nonyaka.
Enye indlela engumjikelezo nge-gonadotropin nje.
Noma, udokotela wakho angase asikisele i-gonadotropin ngenqubo ye-IUI (intrauterine insemination). U-IUI uhilela ukubeka isisu esikhethekile ngqo esibelethweni nge-catheter. Umuthi ungase uvela kumnini wesilisa noma umlingani wakho.
Enye yezingozi ezikhona ze-gonadotropins yi-ovarian hyperstimulation syndrome (OHSS). Yilapho ama-ovari aphelelisa kakhulu emithini yokuzala. Uma ungaphathwa kabi noma unzima, kungaba yingozi.
Abesifazane abane-PCOS basengozini enkulu yokuthuthukisa i-OHSS. Udokotela wakho angasebenzisa izilinganiso eziphansi zemithi yokuzala engenayo ukugwema lokhu. Okufanelekile, udokotela wakho kufanele asebenzise umthamo ophansi kakhulu.
Ngesikhathi ukwelashwa, uma unayo izimpawu ze-OHSS, qiniseka ukuthi utshele udokotela wakho.
IVF (In Vitro Fertilization) noma IVM (In Vitro Maturation)
Uma i-gonadotropini ingaphumeleli, isinyathelo esilandelayo yi-IVF noma IVM.
Kungenzeka ukuthi usuzwile nge-IVF, noma ngo-fertilizer in vitro. I-IVF ihilela ukusebenzisa izidakamizwa ezikhulayo ezingenayo ukugqugquzela ama-ovari ukuze zihlinzeke ngenani elihle lamaqanda avuthiwe.
Amaqanda atholakala kuma-ovari ngesikhathi senqubo eyaziwa ngokuthi ukubuyisa amaqanda.
Lezo amaqanda zibekwe ndawonye kanye nesidoda zibe izitsha zikaPetri. Uma konke kuhamba kahle, insimu izothela amanye amaqanda.
Ngemuva kwamaqanda akhulelwe aphakathi kwezinsuku ezintathu kuya kwezingu-5 ukuhlukanisa nokukhula, eyodwa noma ezimbili zidluliselwa esibelethweni. Le nqubo ibizwa ngokuthi ukudluliswa kombungu.
Ngemva kwamasonto amabili, udokotela wakho uzoyala ukuhlolwa kokukhulelwa ukubona ukuthi umjikelezo uphumelele noma cha.
Njengokwelashwa kwe-gonadotropin yedwa, enye yezingozi ze-IVF, ikakhulukazi kwabesifazane abane-PCOS, ixoshwa kakhulu ngama-ovari.
Yilapho i-IVM ingena khona.
I-IVM imele ukuvuthwa kwe-vitro . Esikhundleni sokukunika izidakamizwa eziphezulu zemithi yokuzala ukuphoqa amaqanda akho ukuba avuthwe amaqanda amaningi, nge-IVM uthola noma cha izidakamizwa zokuzala noma amanani aphansi kakhulu.
Udokotela uthola amaqanda omzimba, ama-ovari amaqanda amancane, abese evuthwa kulabhu. Ngakho igama elithi in vitro (lab) lokuvuthwa (ukuvuthwa).
I-IVM ayinikezwa emitholampilo yonke yokuzala. Lokhu kuyinto okufanele uyicabangele lapho ukhetha umtholampilo wokuzala.
Imithombo:
UMoran LJ1, uHutchison SK, Norman RJ, Teede HJ. "Izinguquko zokuphila ngendlela yabesifazane abane-polycystic ovary syndrome." Cochrane Database Syst Rev. 2011 Feb 16; (2): i-CD007506. i-doi: 10.1002 / 14651858.CD007506.pub2. http://www.ncbi.nlm.nih.gov/pubmed/21328294
I-Mahoney D1. "Ukungenelela kokuphila kokuphila komzimba phakathi kwamandla angaphezu kwamandla omzimba anesifo sofuba futhi abakhuluphele kakhulu abane-polycystic ovariary syndrome." J Am Assoc Nurse Pract . 2014 Jun; 26 (6): 301-8. i-doi: 10.1002 / 2327-6924.12073. I-Epub 2013 Sep 3. http://www.ncbi.nlm.nih.gov/pubmed/24170708
Iphepha leqiniso le-Polycystic ovary syndrome (PCOS). Womenshealth.gov. Kufinyelelwe ku-Agasti 31, 2015. https://www.womenshealth.gov/az-topics/polycystic-ovary-syndrome
Kuyini Ukuvuthwa Kwe-Vitro? I-Fact Sheets. Society for Medicine Yokuzala. Ifinyelele ngo-2 Septhemba 2015. http://www.sart.org/FACTSHEET_What_is_in_vitro_maturation_IVM/