ọdịnaya
Polycystic ovary syndrome bụ a ọrịa hormonal na-emetụta otu n'ime ụmụ nwanyị iri ma bụrụ ihe mbụ na-ebute ịmụ nwa. Kedu ọgwụgwọ enwere ike? Kedu ka esi eme nchọpụta ahụ? Kedu ihe bụ hyperandrogenism? Melite site na dọkịta ọmụmụ.
Nkọwa: polycystic ovaries, ihe na-akpatakarị infertility
Ovaries bụ akụkụ dị mkpa nke ịmụ nwa. N'okpuru mmetụta nke homonụ, follicles, nke nwere oocytes, na-etolite n'ogo n'oge mmalite nke ịhụ nsọ. N'ikpeazụ, ọ bụ naanị otu na-aga n'ihu na mmepe ya ruo ọgwụgwụ wee hapụ akwa nke nwere ike ịmị. Ma mgbe ụfọdụ, ụkọ hormonal na-emetụta usoro a dị mgbagwoju anya.
Ọrịa ovary polycystic (PCOS) bụ otu ihe ngosi nke a. A na-akpọkwa ya ovary dystrophy, nke a ọrịa hormonal na-emetụta 10% nke ụmụ nwanyị na-amụ nwa. Ihe e ji mara ya bụ mmụba a na-adịghị ahụkebe na mmepụta androgens (hormone nwoke) na ovaries nke na-eduga n'ịbawanye n'ime oghere ovarian nke na-ebute ndakpọ nke hormonal. A na-akpọ nke a hyperandrogenism.
Nke a na-ebute ọgba aghara n'usoro ịhụ nsọ na nsogbu ịmụ nwa na-eme ka afọ ime sie ike. N'ime ogologo oge, PCOS nwekwara ike ịkpata nsogbu ahụike siri ike dị ka ọrịa shuga na ọrịa obi. Agbanyeghị, ọrịa a ka amachaghị ndị ọrịa na-ewe oge ụfọdụ ọtụtụ afọ ka a chọpụta ya.
Kedu ihe mgbaàmà nke polycystic ovary syndrome (PCOS)?
Ọ dị ka enwere ụdị mkpụrụ ndụ ihe nketa na PCOS mana nke a ka gosipụtara na sayensị. Otu ihe doro anya: ihe ndị metụtara gburugburu ebe obibi, gụnyere oke ibu, na-emetụta ọrịa ovary polycystic.
N'ihe gbasara mgbaàmà ndị ahụ, ha na-apụtakarị n'oge ịhụ nsọ nke mbụ ma na-adịgasị iche site n'otu nwanyị gaa na nke ọzọ. Ihe ịrịba ama a na-ahụkarị bụ ihe isi ike ịtụrụ ime n'ihi nsogbu nke ovulation. Ọ na-ebutekwa a nkwụsị nke okirikiri ịhụ nsọ, nke nwere ike bụrụ nke na-adịghị agbanwe agbanwe, na-adịru ihe karịrị ụbọchị 35 ruo 40, ma ọ bụ ọbụna na-eduga enweghị oge (amenorrhea).
Ihe mgbaàmà ndị ọzọ nke PCOS bụ:
- uru uru
- ihe otutu
- hyperpilosity, ọbụna hirsutism na 70% nke ụmụ nwanyị (ntutu oke na ihu, obi, azụ ma ọ bụ buttocks)
- ntutu isi, nke a na-akpọ alopecia, nke dị n'elu isi na n'ogo nke ihu ihu
- ọdịdị nke ntụpọ ojii na akpụkpọ ahụ, ọtụtụ mgbe n'azụ olu, ogwe aka ma ọ bụ ukwu
- ịda mbà n'obi
- nchegbu
- ụra apnea
Nsogbu ovulation bụ na-ahụ maka infertility n'ihe dịka 50% nke ụmụ nwanyị nwere ovaries polycystic.
Kedu ka esi achọpụta ọrịa a ma mara ma ọ bụrụ na anyị nwere nchegbu?
N'ozuzu, iji chọpụta PCOS, ọ dị mkpa ịnye ma ọ dịkarịa ala abụọ n'ime njirimara atọ a: ihe na-adịghị mma nke ovulation, oke nke androgens ma ọ bụ ọnụ ọgụgụ dị elu nke follicles a na-ahụ anya n'oge ultrasound. A abdominopelvic ultrasound na nyocha ọbara A na-enyekarị usoro onunu shuga ọbara, insulinemia, nguzozi lipid maka cholesterol na triglyceride.
Ọgwụgwọ mgbu: otu esi agwọ ọrịa polycystic ovary?
Ọ bụrụ na ị na-enwe mgbaàmà ọ bụla metụtara PCOS, ọ bụ ihe amamihe dị na ya ibu ụzọ kpọtụrụ dọkịta ga-enwe ike ịme nyocha ndị dị mkpa ma wepụ ihe niile nwere ike ime.
PCOS enweghị ike ịgwọta, mana enwere ọtụtụ ụzọ iji jikwaa mgbaàmà nke ọma. Ị ga-amarakwa na ọrịa a na-ebelata ka oge na-aga n'ihi na ihe nchekwa ovarian na-ebelata. Mgbe ụfọdụ, ibu ibu nwere ike inye aka nwetaghachi okirikiri ovulatory.
Nnyocha e mere egosiwo na n'ime ụmụ nwanyị buru ibu, 5% ịdaba na nchịkọta anụ ahụ ha (BMI) nwere ike inwe mmetụta dị mma na ọrịa polycystic ovary. A ọgwụ mgbochi afọ nwekwara ike inye aka ịhazi okirikiri ma ọ bụ belata ihe otutu ma ọ bụ nsogbu hyperpilosity.
Ime ime: ọ ga-ekwe omume ịtụrụ ime n'agbanyeghị inwe PCOS?
Ndị na-agbalị ime ime ime na PCOS kwesịrị ịhụ onye ọkachamara ọmụmụ nke ga-enwe ike ịlele maka nsogbu ndị ọzọ, dị ka nkwụsị nke tubes fallopian ma ọ bụ ihe na-adịghị mma na spermogram, tupu ịkwado ọgwụ ọ bụla.
Le Clomifène Citrate (Clomid) a na-enyekarị ya ka ọ bụrụ ọgwụgwọ nke mbụ iji kpalite ovulation. Anyị na-ekwu maka mkpali ovarian. Ọgwụgwọ a, nke chọrọ nleba anya ahụike siri ike, dị irè na nsogbu ovulation na 80% nke ikpe. Ọgwụgwọ ndị ọzọ dị ka mkpali ovarian na gonadotropins ma ọ bụ In Vitro Fertilisation (IVF) nwekwara ike ime.