txheem
- Txhais: polycystic zes qe menyuam, ib qho ua rau muaj menyuam tsis taus
- Cov tsos mob ntawm polycystic zes qe menyuam syndrome (PCOS) yog dab tsi?
- Yuav kuaj tus kab mob no li cas thiab paub seb peb puas txhawj xeeb?
- Kev kho mob: yuav ua li cas kho polycystic zes qe menyuam syndrome?
- Cev xeeb tub: Puas muaj peev xwm xeeb tub txawm tias muaj PCOS?
Polycystic zes qe menyuam syndrome yog ib tug Cov kab mob hormonal uas cuam tshuam rau ib ntawm kaum tus poj niam thiab yog tus thib ib ua rau poj niam infertility. Yuav kho li cas? Kev kuaj mob li cas? Hyperandrogenism yog dab tsi? Hloov kho nrog tus kws kho mob fertility.
Txhais: polycystic zes qe menyuam, ib qho ua rau muaj menyuam tsis taus
Lub zes qe menyuam yog lub cev tseem ceeb ntawm kev yug me nyuam. Nyob rau hauv cov nyhuv ntawm cov tshuaj hormones, cov hauv paus hniav, uas muaj cov oocytes, loj hlob nyob rau hauv loj thaum pib ntawm kev coj khaub ncaws. Tom qab ntawd, tsuas yog ib qho txuas ntxiv nws txoj kev loj hlob mus txog thaum kawg thiab tso lub qe uas tuaj yeem fertilized. Tab sis qee zaum qhov tsis txaus ntawm hormonal cuam tshuam rau cov txheej txheem nyuaj no.
Polycystic zes qe menyuam syndrome (PCOS) yog ib qho kev tshwm sim ntawm qhov no. Kuj hu ua zes qe menyuam dystrophy, qhov no Cov kab mob hormonal cuam tshuam rau 10% ntawm cov poj niam ntawm cov menyuam muaj hnub nyoog. Nws yog tus cwj pwm los ntawm qhov txawv txav ntawm kev tsim cov androgens (txiv neej cov tshuaj hormones) hauv cov zes qe menyuam ua rau muaj qhov nce hauv zes qe menyuam follicles uas tom qab ntawd ua rau hormonal tsis txaus. Qhov no hu ua hyperandrogenism.
Qhov no ua rau muaj qhov tsis sib xws hauv kev coj khaub ncaws thiab ovulation teeb meem uas ua rau muaj kev xeeb tub. Nyob rau lub sijhawm ntev, PCOS tuaj yeem ua rau muaj teeb meem kev noj qab haus huv ntau dua xws li ntshav qab zib thiab kab mob plawv. Txawm li cas los xij, tus mob no tseem tsis tshua paub rau cov neeg mob uas qee zaum siv sijhawm ntau xyoo los kuaj mob.
Cov tsos mob ntawm polycystic zes qe menyuam syndrome (PCOS) yog dab tsi?
Nws zoo nkaus li tias muaj cov caj ces predisposition rau PCOS tab sis qhov no tseem tsis tau muaj pov thawj tshawb fawb. Ib yam yog qhov tseeb: ib puag ncig yam, suav nrog kev rog, cuam tshuam polycystic zes qe menyuam syndrome.
Hais txog cov tsos mob, lawv feem ntau tshwm sim thaum thawj zaug kev coj khaub ncaws thiab sib txawv ntawm ib tug poj niam mus rau lwm tus. Cov tsos mob tshwm sim feem ntau yog nyuaj rau cev xeeb tub vim muaj teeb meem ovulation. Nws kuj ua rau a cuam tshuam kev coj khaub ncaws, uas tuaj yeem ua rau tsis xwm yeem, kav ntev dua 35 mus rau 40 hnub, lossis tseem ua rau tsis muaj sij hawm (amenorrhea).
Lwm cov tsos mob ntawm PCOS yog:
- koj qhov hnyav nce
- pob txuv
- hyperpilosity, txawm tias hirsutism hauv 70% ntawm cov poj niam (cov plaub hau ntau dhau ntawm lub ntsej muag, hauv siab, nraub qaum lossis pob tw)
- plaub hau poob, hu ua alopecia, nyob rau sab saum toj ntawm lub taub hau thiab nyob rau theem ntawm lub frontal gulfs
- qhov tsos ntawm cov pob dub ntawm daim tawv nqaij, feem ntau nyob rau sab nraub qaum ntawm caj dab, caj npab los yog puab puab
- kev nyuaj siab
- ntxhov siab vim
- pw tsaug zog apnea
Cov kab mob ovulation yog Lub luag haujlwm rau kev xeeb tub hauv li 50% ntawm cov poj niam uas muaj polycystic zes qe menyuam.
Yuav kuaj tus kab mob no li cas thiab paub seb peb puas txhawj xeeb?
Feem ntau, txhawm rau kuaj xyuas PCOS, nws yog ib qho tsim nyog yuav tsum tau nthuav tawm yam tsawg kawg ob ntawm peb cov txheej txheem: qhov txawv txav ntawm ovulation, ntau dhau ntawm androgens lossis ntau cov follicles pom thaum lub sij hawm ultrasound. A abdominopelvic ultrasound thiab kuaj ntshav (cov koob tshuaj ntawm cov ntshav qab zib, insulinemia, lipid tshuav nyiaj li cas rau cov roj cholesterol thiab triglycerides) feem ntau tau sau tseg.
Kev kho mob: yuav ua li cas kho polycystic zes qe menyuam syndrome?
Yog tias koj raug kev txom nyem los ntawm ib qho ntawm cov tsos mob cuam tshuam nrog PCOS, nws raug nquahu kom sab laj nrog kws kho mob uas yuav tuaj yeem ua tiav cov kev kuaj xyuas tsim nyog thiab txiav txim siab tag nrho lwm yam ua tau.
PCOS tsis tuaj yeem kho tau, tab sis muaj ntau txoj hauv kev tswj cov tsos mob ua tau zoo. Koj yuav tsum paub tias qhov mob no feem ntau txo qis thaum lub sijhawm vim tias cov zes qe menyuam qis qis. Qee zaum, kev poob phaus tuaj yeem pab rov qab lub voj voog ovulatory.
Cov kev tshawb fawb tau pom tias hauv cov poj niam rog rog, 5% poob rau hauv lawv lub cev qhov ntsuas (BMI) tuaj yeem muaj kev cuam tshuam zoo rau polycystic zes qe menyuam syndrome. A tshuaj tiv thaiv kab mob tuaj yeem pab tswj lub voj voog lossis txo cov pob txuv lossis teeb meem hyperpilosity.
Cev xeeb tub: Puas muaj peev xwm xeeb tub txawm tias muaj PCOS?
Cov uas sim ua cev xeeb tub nrog PCOS yuav tsum mus ntsib tus kws kho mob tshwj xeeb uas yuav tuaj yeem kuaj xyuas lwm yam teeb meem, xws li kev cuam tshuam ntawm cov hlab ntsha hauv plab lossis qhov txawv txav ntawm cov spermogram, ua ntej pom zoo siv tshuaj.
Le Clomifène Citrate (Clomid) feem ntau yog muab raws li kev kho thawj kab los txhawb ovulation. Peb tab tom tham txog ovary stimulation. Qhov kev kho mob no, uas yuav tsum tau saib xyuas kev kho mob nruj, muaj txiaj ntsig zoo rau kev mob ovulation hauv 80% ntawm cov neeg mob. Lwm yam kev kho mob xws li kev ua kom zes qe menyuam nrog gonadotropins lossis In Vitro Fertilization (IVF) kuj ua tau.