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ʻO ka maʻi polycystic ovary kahi ka maʻi hormonal e pili ana i hoʻokahi o ka ʻumi wahine a ʻo ia ke kumu helu ʻekahi o ka hānau ʻana o ka wahine. He aha nā lāʻau e hiki ai? Pehea e hana ʻia ai ka ʻike? He aha ka hyperandrogenism? Hoʻohou me ke kauka hānai.
Wehewehe: polycystic ovaries, he kumu maʻamau o ka infertility
ʻO nā ovaries kahi mea nui o ka hoʻohua. Ma lalo o ka hopena o nā hormones, ulu nā follicles, aia nā oocytes, i ka nui i ka wā o ka hoʻomaka ʻana o ka menstrual cycle. Ma hope mai, hoʻokahi wale nō e hoʻomau i kona ulu ʻana a hiki i ka hopena a hoʻokuʻu i kahi hua i hiki ke hoʻomoʻa ʻia. Akā i kekahi manawa pili ʻole ka hormonal imbalance i kēia kaʻina hana paʻakikī.
Polycystic ovary syndromePCOS) kekahi hōʻike o kēia. Kāhea ʻia ovarian dystrophy, keia ʻO ka maʻi hormonal e pili ana i ka 10% o nā wāhine hānau keiki. Hōʻike ʻia ia e ka piʻi maʻamau o ka hana ʻana o nā androgens (nā hormones kāne) i loko o nā ovaries e alakaʻi ana i ka piʻi ʻana o nā follicles ovarian a laila e hoʻoulu ai i ka hormonal imbalance. Kapa ʻia kēia ʻo hyperandrogenism.
ʻO kēia ke kumu o ka hele ʻole o ka menstrual cycle a me nā maʻi ovulation e paʻakikī i ka hāpai ʻana. I ka wā lōʻihi, hiki i ka PCOS ke hoʻoulu i nā pilikia olakino koʻikoʻi e like me ka maʻi diabetes a me ka maʻi puʻuwai. Eia nō naʻe, ʻaʻole i ʻike iki ʻia kēia maʻi maʻi i nā poʻe maʻi e lawe i kekahi mau makahiki e ʻike ʻia.
He aha nā hōʻailona o ka polycystic ovary syndrome (PCOS)?
Me he mea lā aia kekahi genetic predisposition i ka PCOS akā ʻaʻole naʻe i hōʻoia ʻia i ka ʻepekema. Hoʻokahi mea i maopopo: nā mea pili i ke kaiapuni, me ka momona, hoʻohuli i ka polycystic ovary syndrome.
E pili ana i nā hōʻailona, ʻike pinepine lākou i ka wā o ka menstrual cycles a ʻokoʻa mai kekahi wahine a i kekahi. ʻO nā hōʻailona maʻamau ka paʻakikī o ka hāpai ʻana ma muli o kahi maʻi ovulation. He kumu no hoi a hoʻopilikia i ka pōʻaiapili kāne, a laila hiki ʻole ke maʻamau, ʻoi aku ma mua o 35 a 40 mau lā, a i ʻole ke alakaʻi ʻana i ʻaʻohe manawa (amenorrhea).
ʻO nā hōʻailona ʻē aʻe o PCOS:
- ka waiwai waiwai
- acne
- hyperpilosity, ʻo ka hirsutism i loko o 70% o nā wahine (ka lauoho nui ma ka maka, ka umauma, ke kua a i ʻole ka ʻāʻī)
- ʻO ka lauoho lauoho, i kapa ʻia ʻo alopecia, aia ma ka piko o ke poʻo a ma ka pae o nā awāwa mua
- ka ʻike ʻana o nā wahi ʻeleʻele ma ka ʻili, ʻoi loa ma ke kua o ka ʻāʻī, nā lima a i ʻole ka ʻāʻī
- kaumaha
- ka iini
- hiamoe apnea
ʻO nā maʻi ovulation ke kuleana no ka infertility ma kahi o 50% o nā wahine me ka polycystic ovaries.
Pehea e ʻike ai i kēia maʻi a ʻike inā hopohopo mākou?
Ma keʻano laulā, no ka hōʻoia ʻana i ka PCOS, pono e hōʻike i ʻelua o kēia mau pae hoʻohālike ʻekolu: kahi abnormality o ka ovulation, ka nui o nā androgens a i ʻole ka nui o nā follicles i ʻike ʻia i ka wā o ka ultrasound. A ultrasound abdominopelvic a me ka ho'āʻo koko (ka hoʻopaʻa ʻia o ke kō koko, ka insulinemia, ke kaulike lipid no ka cholesterol a me ka triglyceride) ma ke ʻano maʻamau.
Ka mālama ʻana i ka ʻeha: pehea e hoʻōla ai i ka maʻi polycystic ovary?
Inā pilikia ʻoe i kekahi o nā hōʻailona e pili ana i ka PCOS, pono e nīnau mua i ke kauka nāna e hiki ke hana i nā hōʻoia kūpono a kāpae i nā kumu ʻē aʻe.
ʻAʻole hiki ke ho'ōla ʻia ka PCOS, akā he nui nā ala e hiki ai mālama i nā hōʻailona pono. Pono ʻoe e ʻike i ka emi ʻana o kēia maʻi ma hope o ka manawa no ka emi ʻana o ka mālama ovarian. I kekahi manawa, hiki i ka pohō kaumaha ke kōkua i ka hoʻihoʻi hou ʻana i kahi pōʻai ovulatory.
Ua hōʻike nā haʻawina i nā wahine momona, hiki i kahi hāʻule o 5% i kā lākou kino nui (BMI) hiki ke loaʻa ka hopena maikaʻi i ka polycystic ovary syndrome. A pākaukau pale pale Hiki iā ia ke kōkua i ka hoʻoponopono ʻana i ka pōʻaiapuni a i ʻole e hoʻēmi i nā pilikia ʻeha a i ʻole hyperpilosity.
Hāpai: hiki paha ke hāpai ʻoiai he PCOS?
Ka poe e hoao ana hāpai me ka PCOS Pono e ʻike i kahi loea fertility nāna e hiki ke nānā i nā pilikia ʻē aʻe, e like me ke keʻakeʻa ʻana o nā ʻōpū fallopian a i ʻole nā mea ʻino i ka spermogram, ma mua o ka ʻōlelo ʻana i kekahi lāʻau lapaʻau.
Le ʻO Clomifène Citrate (Clomid) kuhikuhi pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua e hoʻoulu i ka ovulation. Ke kamaʻilio nei mākou e pili ana i ka hoʻoulu ʻana i ka ovarian. ʻO kēia lāʻau lapaʻau, e koi ana i ka nānā ʻana i ka lāʻau lapaʻau koʻikoʻi, kūpono i nā maʻi ovulation ma 80% o nā hihia. Hiki nō hoʻi nā lāʻau lapaʻau ʻē aʻe e like me ka hoʻoulu ʻana o ka ovarian me nā gonadotropins a i ʻole In Vitro Fertilization (IVF).