Polycystic ovary ciwo

Ciwon ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta (PCOS) shine yanayin da mace ta ƙaru da matakan homon namiji (androgens). Matsaloli da yawa suna faruwa sakamakon wannan haɓakar hormones, gami da:

• Rashin bin jinin al'ada
• Rashin haihuwa
• Matsalar fata kamar su kuraje da kara gashi
• Numberara yawan ƙananan ƙwayaye a cikin ƙwarjin mahaifa

PCOS tana da alaƙa da canje-canje a matakan hormone wanda zai sa ya zama da wuya ga ƙwarjin ƙwai su saki ƙwai cikakke. Dalilan wadannan canje-canje basu tabbata ba. Hanyoyin da aka shafa sune:

• Estrogen da progesterone, kwayoyin halittar mata wadanda ke taimakawa kwayayen mace su saki kwai
• Androgen, wani sinadarin namiji ne wanda ake samun sa da yawa a cikin mata

A ka’ida, ana sakin daya ko fiye da kwai yayin da mace take zagayawa. Wannan an san shi da yin ƙwai. A mafi yawan lokuta, wannan sakin ƙwai yakan faru ne kimanin makonni 2 bayan farawar jinin al'ada.

A cikin PCOS, ba a saki ƙwai masu girma ba. Madadin haka, suna zama a cikin kwayayen tare da karamin ruwa (mafitsara) a kusa da su. Zai iya zama da yawa daga waɗannan. Koyaya, ba duk matan da ke da wannan yanayin ne ke da ƙwai da wannan bayyanar ba.

Matan da ke da PCOS suna da hawan keke inda kwayayen baya faruwa a kowane wata wanda zai iya taimakawa ga rashin haihuwa Sauran cututtukan da ke tattare da wannan cuta sun faru ne saboda yawan matakan homon namiji.

Yawancin lokaci, ana bincikar PCOS a cikin mata masu shekaru 20 ko 30. Koyaya, hakan na iya shafar 'yan mata matasa. Alamomin sukan fara ne lokacin da al’adar yarinya ta fara. Mata masu wannan matsalar galibi suna da uwa ko sisterar uwa wacce ke da irin wannan alamun.

Kwayar cututtukan PCOS sun haɗa da canje-canje a cikin yanayin al'ada, kamar su:

• Rashin samun lokaci bayan an gama al'ada ko daya a lokacin balaga (amenorrhea na biyu)
• Lokaci na yau da kullun da zai iya zuwa ya tafi, kuma ya zama mai sauƙi zuwa nauyi sosai

Sauran cututtukan PCOS sun haɗa da:

• Hairarin gashin jiki wanda ke tsiro a kirji, ciki, fuska, da kewaye nonuwa
• Kuraje a fuska, kirji, ko baya
• Canje-canje na fata, kamar alamar duhu ko lokacin farin ciki da ƙyallen da ke kewaye da gaɓar hanta, makogwaro, wuya, da ƙirjin

Ci gaban halaye na maza ba al'ada bane na PCOS kuma yana iya nuna wata matsala. Canje-canje masu zuwa na iya nuna wata matsala baya ga PCOS:

• Siririn gashi a kan kai a cikin haikalin, ana kiran sa sanƙirin namiji
• Girman kirinji
• Zurfafa muryar
• Rage girman nono

Mai ba da lafiyar ku zai yi gwajin jiki. Wannan zai hada da jarrabawar mara. Jarabawar na iya nuna:

• Kara girman ovaries da yawa kananan cysts lura a kan duban dan tayi
• Ciwon daɗaɗaɗaɗɗa (ƙwarai da gaske)

Yanayin kiwon lafiya masu zuwa suna gama gari ga mata masu PCOS:

• Rashin insulin da ciwon suga
• Hawan jini
• Babban cholesterol
• Kiba da kiba

Mai ba ku sabis zai duba nauyinku da ma'aunin jikinku (BMI) kuma ya auna girman cikinku.

Ana iya yin gwajin jini don bincika matakan hormone. Wadannan gwaje-gwajen na iya haɗawa da:

• Matsayin Estrogen
• FSH matakin
• LH matakin
• Mace hormone (testosterone) matakin

Sauran gwaje-gwajen jini da za'a iya yi sun haɗa da:

• Glucose mai sauri (sukarin jini) da sauran gwaje-gwaje don rashin haƙuri da glucose da juriya na insulin
• Matsayin Lipid
• Gwajin ciki (magani HCG)
• Matakan Prolactin
• Gwajin aikin thyroid

Mai ba da sabis ɗinku na iya yin odar duban dan tayi na duburar ku don kallon kwayayen ku.

Karuwar nauyi da kiba sun zama gama gari ga mata masu cutar PCOS. Rasa koda da karamin nauyi na iya taimakawa wajen magance:

• Hormone ya canza
• Yanayi kamar su ciwon suga, hawan jini, ko kuma yawan cholesterol

Mai ba ka sabis zai iya rubuta magungunan hana haihuwa don yin lokutan ka na yau da kullun. Wadannan kwayoyin zasu iya taimakawa wajen rage yawan ci gaban gashi da kuraje idan ka sha su tsawon watanni. Hanyoyin aiki na dogon lokaci na kwayoyin halittar hana daukar ciki, kamar su Mirena IUD, na iya taimakawa wajen dakatar da lokutan da ba na al'ada ba da kuma ci gaban da ba na al'ada ba.

Hakanan za'a iya ba da maganin ciwon sukari da ake kira Glucophage (metformin) zuwa:

• Sanya lokutanku na yau da kullun
• Hana irin ciwon sukari na 2
• Taimaka ka rasa nauyi

Sauran magungunan da za'a iya bada umarni don taimakawa lokutan zaman ku da kuma taimaka muku yin ciki sune:

• Analogs masu sakewa na LH (LHRH)
• Clomiphene citrate ko letrozole, wanda zai iya ba da damar ovaries ku saki ƙwai kuma inganta damar ku na ciki

Wadannan magunguna suna aiki da kyau idan ma'aunin jikinka (BMI) yakai 30 ko kasa da haka (kasa da zangon kiba).

Mai ba ku sabis na iya ba da shawarar wasu magunguna don ci gaban gashi mara kyau. Wasu sune:

• Spironolactone ko ƙwayoyin flutamide
• Kirkin Eflornithine

Hanyoyi masu inganci na cire gashi sun hada da wutar lantarki da cire gashin laser. Koyaya, ana iya buƙatar magunguna da yawa. Magunguna suna da tsada kuma yawancin lokuta sakamakon ba na dindindin bane.

Za'a iya yin laparoscopy na pelvic don cirewa ko canza ƙwan ƙwai don magance rashin haihuwa. Wannan yana inganta damar sakin kwai. Illolin na ɗan lokaci ne.

Tare da magani, matan da ke da PCOS galibi suna iya ɗaukar ciki. A lokacin daukar ciki, akwai ƙarin haɗarin:

• Zubewar ciki
• Hawan jini
• Ciwon suga na ciki

Mata masu cutar PCOS zasu iya haɓaka:

• Ciwon daji na endometrium
• Rashin haihuwa
• Ciwon suga
• Matsalolin da suka shafi kiba

Kira mai ba ku sabis idan kuna da alamun wannan matsalar.

Polycystic ovaries; Polycystic kwayar cutar; Ciwon Stein-Leventhal; Polyfollicular ovarian cuta; PCOS

• Endocrine gland
• Pelvic laparoscopy
• Tsarin haihuwa na mata
• Ciwon Stein-Leventhal
• Mahaifa
• Ci gaban follicle

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Anna Katarina Tsarin ilimin haihuwa da rashin haihuwa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 223.

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