Kuyini ukuxhumana phakathi kwePolycystic Ovarian Syndrome (PCOS) neSifo sikashukela?

-Delile

• Ziyini izimpawu ze-PCOS?
• Ngabe i-PCOS ihlobana kanjani nesifo sikashukela?
• Uthini ucwaningo nge-PCOS nesifo sikashukela?
• Ingabe ukwelapha isimo esisodwa kuyaphatha okunye?
• Yini okuthatha abantu abane-PCOS noma isifo sikashukela?

Yini i-PCOS?

Kudala kusolwa ukuthi kunokuxhumana phakathi kwe-polycystic ovary syndrome (PCOS) nohlobo 2 lwesifo sikashukela. Ngokwandayo, ochwepheshe bakholelwa ukuthi lezi zimo zihlobene.

Isifo i-PCOS siphazamisa uhlelo lwe-endocrine yowesifazane futhi sandisa amazinga aso e-androgen, abizwa nangokuthi i-hormone yabesilisa.

Kukholelwa ukuthi ukumelana ne-insulin, ikakhulukazi, kungadlala indima ekubangeleni i-PCOS. Ukuphikiswa kwe-insulin ngama-receptors we-insulin kuholela emazingeni aphezulu e-insulin akhiqizwa amanyikwe.

Ngokusho kweMayo Clinic, ezinye izinto ezingaba khona zokuba ne-PCOS zifaka ukuvuvukala okusezingeni eliphansi nezici zofuzo.

Ucwaningo lwango-2018 lwamagundane luphakamise ukuthi kubangelwa ukuvezwa ngokweqile, esibelethweni, ku-anti-Müllerian hormone.

Ukulinganiswa kokutholakala kwe-PCOS kuyahlukahluka kakhulu. Kubikwa ukuthi kuthinta noma yikuphi kusuka kumaphesenti alinganiselwa ku-2.2 kuya kwangu-26 abesifazane emhlabeni wonke. Ezinye izilinganiso zikhomba ukuthi kuthinta abesifazane abaneminyaka yobudala yokuzala e-United States.

Ziyini izimpawu ze-PCOS?

I-PCOS ingadala lezi zimpawu ezilandelayo:

• ukuya esikhathini okungajwayelekile
• ukukhula ngokweqile kwezinwele kuphethini yokusabalalisa owesilisa
• induna
• ukukhulisa isisindo ngokungenhloso noma ukukhuluphala

Kungaphinde futhi kuthinte nekhono lowesifazane lokuba nengane (ukungazali). Kuvame ukutholakala lapho ama-follicles amaningi ebonakala kumaqanda esifazane ngesikhathi se-ultrasound.

Ngabe i-PCOS ihlobana kanjani nesifo sikashukela?

Eminye imibono iphakamisa ukuthi ukumelana ne-insulin kungadala ukusabela okungalungile okubandakanya uhlelo lwe-endocrine futhi, ngale ndlela, kungasiza ukuletha uhlobo lwesifo sikashukela sohlobo 2.

Uhlobo lwesibili sikashukela lwenzeka lapho amaseli omzimba engamelana ne-insulin, kwenziwa inani elingajwayelekile le-insulin, noma kokubili.

Abantu baseMelika abangaphezu kwezigidi ezingama-30 banohlobo oluthile lwesifo sikashukela, ngokusho kwe.

Ngenkathi uhlobo lwesifo sikashukela se-2 luvikeleka noma luphathwa ngokuzivocavoca umzimba kanye nokudla okufanele, ucwaningo lukhombisa ukuthi i-PCOS iyisici esizimele sengozi yokuzimela sikashukela.

Eqinisweni, abesifazane abahlangabezana ne-PCOS ebusheni obudala basengozini ephakeme yesifo sikashukela futhi, mhlawumbe, izinkinga zenhliziyo ezibulalayo, kamuva empilweni.

Uthini ucwaningo nge-PCOS nesifo sikashukela?

Abaphenyi e-Australia baqoqe idatha kubantu besifazane abangaphezu kwe-8,000 futhi bathola ukuthi labo abane-PCOS babenamathuba ama-4 kuye kwayi-8.8 kakhulu okuthuthukisa uhlobo lwesifo sikashukela sohlobo 2 kunabesifazane ababengenayo i-PCOS. Ukukhuluphala ngokweqile kwakuyinto ebaluleke kakhulu engcupheni.

Ngokuya ngocwaningo oludala, cishe amaphesenti angama-27 abesifazane besandulela ngculazi abanesifo sikashukela sohlobo 2 nabo bane-PCOS.

Ucwaningo lwango-2017 lwabesifazane baseDenmark lwathola ukuthi labo abane-PCOS babenamathuba amane okuthuthukisa uhlobo lwesifo sikashukela sohlobo lwe-2. Abesifazane abane-PCOS nabo bathambekele ekutholakaleni ukuthi banesifo sikashukela eminyakeni engu-4 ngaphambili kunabesifazane abangenayo i-PCOS.

Ngalokhu kuxhumana okubonwayo, ochwepheshe bancoma ukuthi abesifazane abane-PCOS bavame ukuhlolelwa uhlobo lwesifo sikashukela phambilini futhi kaningi kunabesifazane abangenayo i-PCOS.

Ngokuya ngocwaningo lwase-Australia, abesifazane abakhulelwe abane-PCOS bacishe babe namathuba aphindwe kathathu kunabesifazane abangenawo wokuthola isifo sikashukela sokukhulelwa. Njengabesifazane abakhulelwe, ngabe abesifazane abakhulelwe kufanele bahlolwe njalo isifo sikashukela sokukhulelwa?

Ucwaningo oluningi lukhombisile ukuthi i-PCOS nezimpawu zayo kutholakala kaningi nakwabesifazane abanesifo sikashukela sohlobo 1.

Ingabe ukwelapha isimo esisodwa kuyaphatha okunye?

Ukuvivinya umzimba njalo kubalulekile ekugcineni umzimba uphilile, ikakhulukazi uma kukhulunywa ngokulwa nokukhuluphala nokuthayipha isifo sikashukela sohlobo lwesibili. Futhi kukhonjisiwe ukuthi kusiza ngezimpawu ezihambisana ne-PCOS.

Ukuzivocavoca umzimba kusiza nomzimba ukushisa ushukela wegazi ngokweqile futhi - ngoba ukuzivocavoca umzimba kusiza ukwehlisa isisindo sibe isisindo esijwayelekile - amaseli azwela kakhulu ku-insulin. Lokhu kuvumela umzimba ukuthi usebenzise i-insulin ngempumelelo, kuhlomulise abantu abanesifo sikashukela kanye nabesifazane abane-PCOS.

Ukudla okunomsoco nakho kuyisihluthulelo ekusizeni ukunciphisa ubungozi besifo sikashukela nasekulawuleni isisindo. Qiniseka ukuthi indlela odla ngayo ibandakanya lokhu kudla okulandelayo:

• okusanhlamvu okuphelele
• amaprotheni anciphile
• amafutha enempilo
• izithelo nemifino eningi

Kodwa-ke, ukwelashwa okuqondile kwalezi zimo zombili kungasizana noma kucasulelane.

Isibonelo, abesifazane abane-PCOS nabo baphathwa ngamaphilisi okulawula ukubeletha. Amaphilisi okulawula ukubeletha asiza ukulawula ukuya esikhathini nokucacisa izinduna, kwezinye izimo.

Amanye amaphilisi okulawula ukubeletha nawo anganyusa amazinga kashukela egazini, inkinga kubantu abasengozini yesifo sikashukela. Kodwa-ke, i-metformin (i-Glucophage, i-Glumetza), umuthi womugqa wokuqala wesifo sikashukela sohlobo 2, nayo isetshenziselwa ukwelapha ukumelana ne-insulin ku-PCOS.

Yini okuthatha abantu abane-PCOS noma isifo sikashukela?

Uma une-PCOS noma isifo sikashukela, khuluma nodokotela wakho mayelana nokuthi yiziphi izindlela zokwelashwa ezizosebenza kangcono esimweni sakho esithile.

Izinguquko ezithile zendlela yokuphila nemithi ingakusiza ukuphatha impilo yakho.