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Indlela ichiza leswekile elisetyenziselwa ngayo ukunyanga iPCOS

Indlela ichiza leswekile elisetyenziselwa ngayo ukunyanga iPCOSUlwazi lweziyobisi

I-Polycystic Ovary Syndrome (i-PCOS) yi Ingxaki yehomoni echaphazela ngokurhabaxa 5 yezigidi abasetyhini eUnited States. Iimpawu ze-PCOS ziyahluka-kumntu, ezinokwenza ukuba kube nzima ukufumanisa. Abasetyhini abaninzi bayasokola bethule, behlala bengafunyaniswanga iminyaka.





Imibutho engenzi nzuzo kulo lonke elaseMelika isebenza ukusasaza ulwazi malunga neempawu kunye neendlela ezikhoyo zonyango-ukusuka kulawulo lokuzalwa ukuya kwi-metformin. Kodwa ihlala yenye yezona zinto zibaluleke kakhulu, ezingagcinwanga kakuhle, ezingafunyaniswanga kwaye ezingafumani nkxaso mali zichaphazela impilo yabasetyhini, utsho USasha Ottey, umlawuli olawulayo we-PCOS Challenge Inc.



Kutheni le nto abanye abantu basetyhini befumana iPCOS, kwaye ibachaphazela njani?

UGqirha Felice Gersh , I-OB-GYN ephumelele amabhaso, ithi i-PCOS yeyona ngxaki ixhaphakileyo ye-endocrine yabafazi abaneminyaka yokuzala-kodwa ibandakanya yonke imiba yomzimba womfazi. Ichaphazela yonke imisebenzi ye-metabolic kunye nayo yonke imiba yokuya exesheni kunye nokuzala. Iimpawu eziqhelekileyo inokubandakanya: akukho xesha, ixesha elingaqhelekanga, okanye ixesha elinzima; iintlungu zangasese; ukukhula okungaphezulu kweenwele ebusweni bakho, okwaziwa ngokuba yi-hirsutism; induna; ukutyeba okanye ubunzima ekunciphiseni ubunzima bomzimba; namabala amnyama esikhumba esimnyama.Ngoku ka EndrocrineWeb , Abasetyhini abane-PCOS banokuba nama-cysts angama-25 okanye ngaphezulu kwi-ovary enye.

Kukho iifayile ze- ezahlukeneyo izizathu Kutheni le nto umfazi okwiminyaka yokuzala enokuphuhlisa i-PCOS, kodwa uphando lubonisa ukuba ufuzo, ukumelana ne-insulin, kunye ne-androgen egqithisileyo (ekwabizwa ngokuba zihomoni zesilisa) zonke izinto ezinokuba semngciphekweni.

I-PCOS ifuthe kwabasetyhini abavela kuluhlu olwahlukeneyo lweemvelaphi. Abasetyhini bazo zonke iintlanga kunye nobuhlanga basemngciphekweni we-PCOS, utsho UGqirha Kate Killoran i-OB-GYN eMaine. Abafazi kunye nabafazi abatyebe ngembali yosapho kunokwenzeka ukuba bachaphazeleke.



Luthini unyango lwe-PCOS?

Ngelixa lungekho unyango lwe-PCOS, kukho iindlela zokulawula iimpawu. Isicwangciso sonyango sesigulana ngasinye siya kwahluka kancinci, ngokusekwe kwiimpawu zazo ezithile.

Ugqirha Killoran uthi kukho amayeza ambalwa anokumiselwa abaguli be-PCOS, kuxhomekeka ekubeni imeko ibachaphazela njani. Olu ayilo luhlu lupheleleyo, kodwa lubandakanya:

  • Ukulawula inzala inokunceda ukulawula ukungahambi kakuhle kokuya exesheni.
  • Izinto zokucwangcisa ngomlomo Eziqulathe iestrogen inokunceda ukuphucula amabala.
  • IMetformin okanye amanye amayeza okubonisa ubuntununtunu kwi-insulin anokunceda kukungaziphathi kakuhle kwemetabolism kwaye kuphuculwe nokuzala.
  • Iletrozole kunokubangela i-ovulation xa abasetyhini abane-PCOS bezama ukukhulelwa.

Ukulungiswa kwendlela yokuphila, ngakumbi ukuzivocavoca kunye notshintsho lwekhalori lokutshintsha ukutya kunokuphucula okanye kuguqule iPCOS, utshilo uGqr. Killoran.



Yenza ntoni i-metformin ye-PCOS?

I-Metformin liyeza eliqhelekileyo elisetyenziselwa ukunyanga iimpawu ze-PCOS. Yayicwangcisiwe kwasekuqaleni kwaye iyalelwa ukuba inyange i-Type 2 Diabetes, isifo se-metabolic esifana ne-PCOS, utsho UGqirha Laurence Gerlis , ingcali eLondon, eNgilani.

Indima ye-metformin emzimbeni ukulawula iswekile yegazi ngokunceda umzimba uphendule ngcono kwi-insulin eyenzayo ngokwemvelo, ukunciphisa inani leswekile elenziwa sisibindi, kunye nokunciphisa inani leswekile emathunjini ayifunxa ukutya, ngokukaKutya noLawulo lweeDrug (FDA).

UGqirha Gerlis uthi i-metformin ye-PCOS, xa ithathwa rhoqo, iya kuthoba amanqanaba eglucose yegazi ngokulinganisa amanqanaba e-insulin kunye nokunciphisa ezinye iziphumo ze-metabolic kwimeko.



Ngaba kukho iziphumo ebezingalindelekanga zokuthatha i-metformin ye-PCOS?

Kukho imiba embalwa yokhuseleko enxulumene nokusetyenziswa rhoqo kwe-metformin, ngaphandle kokukhululwa kwamathumbu, utshilo uGqirha Gerlis. Irhasi, urhudo, kunye nentlungu esiswini zezinye iziphumo ebezingalindelekanga eziqhelekileyo ze-metformin.

UDkt. Gersh, kwelinye icala, akachazi i-metformin kwizigulana zakhe kuba zichongwe njenge Isiphazamiso se-endocrine ngoososayensi abathile bokusingqongileyo. Nangona kukho impikiswano enkulu ejikeleze bona, ii-endocrine discrases kurhanelwa ukuba bayayanyaniswa ngomsebenzi wokuzala oguqulweyo, umhlaza webele, iipateni zokukhula ngokungaqhelekanga, nokunye okuninzi.



Ndingakanani i-metformin ekufuneka ndiyithathile i-PCOS? Kufuneka ithathwe ixesha elingakanani i-metformin kwi-PCOS?

Akukho sivumelwano malunga nedosi esemgangathweni okanye ixesha le-metformin ye-PCOS; idosi ephakathi ye-1,500 mg mihla le. Oogqirha rhoqo qala izigulane kwi-500 mg mihla le, kwaye wandise idosi ngokuthe ngcembe ukunciphisa iziphumo ebezingalindelekanga ze-metformin.

I-Metformin ifumaneka ngommiselo kagqirha kuphela, kwaye yamkelwa yi-Food and Drug Administration (FDA) in Ngo-1994 eUnited States. I-Metformin ithathwa ngomlomo, kwaye kunjalo iyafumaneka phantsi kweempawuFortamet, Iswekile yeglucophage , Uqhulo , kunye noRiomet.



Kuba i-metformin isekwe kakuhle kunye neprofayili efanelekileyo yokhuseleko, kuyacetyiswa ukuba uyiqale kwangoko kulawulo lwe-PCOS, uGqirha Gerlis ucebisa.

Imetformin inceda njani i-PCOS kunye nokulahleka kwesisindo? I-metformin inceda njani ngokungachumi?

Ukwehla kobunzima kunye nokungachumi, ukusebenza kwe-metformin akufani nokusikwa okucacileyo.



Ugqirha Killoran uthi izigulana ezine-PCOS ezinokufuna ukuzama unyango lwe-metformin ukulawula iimpawu zazo zihlala zityebe kakhulu okanye zityebe kakhulu kwaye zizama ukukhulelwa, okanye zizama ukukhusela isifo se-metabolic, isifo sentliziyo, okanye isifo sikashukela esonyukayo.

Ngelixa ukusetyenziswa kwe-metformin kunxulunyaniswa nokulahleka kobunzima, iziphumo azingqinelani, utshilo.

Ngaba zikhona ezinye iindlela zendalo zemetformin yePCOS?

UGqirha Gersh ukholelwa kwelokuba eyona ndlela yokujongana ne-PCOS kukutshintsha indlela ophila ngayo kunye nemikhwa emitsha, njengokutya ukutya okusekwe kwizityalo, ukunciphisa uxinzelelo, ukujonga ukulala, kunye nokwenza umthambo. Unyango lwendalo oluqhelekileyo olucetyiswayo lwe-PCOS lufumana iindlela zokuba zisebenze ngakumbi kunye nokutya ukutya okupheleleyo.

Kwizigulana zakhe, uGqirha Gersh ucebisa iintlobo ngeentlobo zeevithamini, ngokudibeneyo kunye notshintsho kwindlela yokutya kunye nokuzilolonga ukunyanga iimpawu zePCOS. Umzekelo, ivithamini B12 inokucetyiswa ukuba ithathwe kunye okanye emva konyango lwe-metformin, njengoko i-malabsorption ye-vitamin B12 inokuba nefuthe le-metformin ukuba isetyenziswe ixesha elide.

Ngeli xesha, uGqr Killoran uthi iPCOS ichaphazela umntu ngamnye ngokwahlukileyo. Uthi kubalulekile ukunyanga iPCOS nokuba iimpawu zesigulana azikhathazi, okwangoku. Bonke kufuneka baqonde umngcipheko wabo kwiingxaki zonyango ezinje ngesifo se-metabolic kunye nesifo sentliziyo, uyacebisa. Isigqibo sokunyanga i-PCOS kunye nokuba kufanele kusekelwe kwintoni iimpawu zomfazi kodwa ukunciphisa umngcipheko.

Ukuba ucinga nge-metformin, cwangcisa ukulandelelana nogqirha wakho ukuze ubone okukufaneleyo.