Ib qho ntawm cov kabmob tshwm sim uas kev ua haujlwm tsis muaj zog yog polycystic ovary syndrome (PCOS). Tus kab mob no qhia tau nws tus kheej li cas? Cev xeeb tub puas yog qhov no? Kev xeeb tub nrog rau mob polycystic mus li cas?
PCOS: Kev Soj Ntsuam Tsis Txaus
Polycystic ovary syndrome yog qhov teeb meem uas ncaj ncees, raws li ntau qhov chaw, txhua tus thib tsib mus rau poj niam tsib raug mob los ntawm nws.
Cov tsos mob nyuab no suav nrog cov cim hauv qab no: kev ua dhau hwv, tsis xwm yeem ntas (qee lub sijhawm tsis ua poj niam), muaj teeb meem ntawm daim tawv nqaij (pob txuv ntawm lub ntsej muag, nraub qaum, hauv siab), txiv neej cov plaub hau loj dua (hirsutism), thaj chaw ntawm daim tawv nqaij hyperpigmentation, ntau cov hlwv hauv zes qe menyuam.
Cov kev hloov no tshwm sim vim yog ib qho dhau ntawm androgens thiab luteinizing hormone hauv lub cev. Ntau zaus ntau tshaj qhov tsis txaus hormonal yog muab tso ua ke nrog insulin kuj. Nyob rau hauv lub neej yav tom ntej, ntau yuav txhim kho arterial tawg.
Tsis yog txhua tus neeg mob nrog polycystic ovary syndrome yog rog dhau, tab sis kev rog yog qhov ntau. Ntau dhau ntawm daim ntaub adipose tso rau ntawm lub plab, hauv qab lub xub pwg, ntawm ib ncig ntawm cov kabmob.
Hauv 5-8% ntawm tus neeg mob, cov neeg mob PCOS qhia pom tias virilization: poob lub suab timbre, alopecia (khav theeb), clitoris hypertrophy.
Feem ntau ntawm cov poj niam uas muaj mob polycystic zes qe menyuam muaj kev mob dyshormonal ntawm cov qog mammary (mastopathy, fibroadenomas).
Hauv tsib ntawm cov neeg mob, colostrum yog tawm los ntawm cov qog mammary, txawm tias qhov tseeb tias lawv tsis cev xeeb tub lossis pub mis niam. Qhov no yog vim qhov khoom tsim tawm ntawm prolactin.
Thaum lub sij hawm kuaj mob gynecological, tus kws kho mob sau tseg tias tus neeg mob tau loj thiab ntom qe zes qe menyuam. Nrog rau ultrasound, koj tuaj yeem pom cov yam ntxwv hloov pauv: thickened membrane thiab stroma ntawm zes qe menyuam, ntau tshaj 10 lub hauv paus (hlwv) thaum ntsuas hauv ib lub dav hlau.
Lub pathogenesis ntawm PCOS yog qhov nyuaj heev. Nws tau raug pov thawj tias muaj kab mob tshwm sim los ntawm kab mob. Txawm li cas los xij, cov laj thawj ntawm qhov pib ntawm tus kab mob thiab cov tshuab ntawm nws cov chav kawm tseem tsis tau qhia tawm.
Nws muaj qhov version tias qhov teeb meem ntawm txoj kev kho tus kab mob pathological pib thaum tiav hluas. Hauv tshwj xeeb, yog tias, tawm tsam keeb kwm ntawm kev nkauj nraug, tus ntxhais hluas yuav raug cuam tshuam los ntawm ntau yam kab mob pathological, nrog rau kev ntxhov siab, mob hnyav, ntau yam kab mob.
PCOS Kho Mob Li Cas?
Kev kho mob polycystic ovary syndrome yog qhov nyuaj heev thiab siv sijhawm ntev. Qhov no yog ua los ntawm tus kws kho mob poj niam txiv neej thiab tus kws endocrinologist. Yuav tsum muaj kev sib koom ua ke ntawm qhov teeb meem:
Kev siv lub cev ua kom yuag thiab cov metabolism (ua kom ib ce tawm hws, noj zaub mov thiab tshuaj tshwj xeeb), txiav luam yeeb; Kev ua haujlwm ntawm lub cev ntas thiab kho dua ntawm ovulation (progestogens hauv kev sib xyaw ua ke ntawm qhov ncauj, tshuaj tiv thaiv estrogen, hCG tshuaj, gonadotropins, phais kev phais ovulation, thiab lwm yam); Kev tiv thaiv thiab kho kab mob pathological loj ntawm endometrium (txheej sab hauv ntawm lub tsev menyuam) nrog rau kev teem ntawm gestagens lossis lwm yam tshuaj hormonal; Kev tiv thaiv thiab kho kab mob ntawm daim tawv nqaij ntawm tus kab mob (saib xyuas kom tawv nqaij zoo nkauj, ntau txoj hauv kev ntawm kev tshem tawm cov plaub hau, thiab lwm yam). Puas yog nws puas muaj peev xwm cev xeeb tub nrog tus mob polycystic?
Polycystic zes qe menyuam mob yog ib qho mob rau cov poj niam muaj menyuam. Nws tau piav qhia los ntawm qhov tseeb tias cov neeg mob tsis zes qe menyuam tawm tsam keeb kwm ntawm kev tsim cov keeb tiv thaiv kabmob. Thaum lub cev xeeb tub tshwm sim, nws tus kheej rho menyuam hauv thawj peb hlis (kev nchuav menyuam) feem ntau tshwm sim.
Nws raug nquahu los npaj lub sijhawm muaj menyuam hauv PCOS tsuas yog tom qab kuaj tag thiab ib txoj kev khomob nkaus xwb. Nyob rau hauv tsis muaj mob yuav tsum xaiv koj txoj kev kho koj tus kheej lossis siv lub tswv yim ntawm cov phooj ywg. Tsuas yog txoj kev qhia ib tus zuj zus yuav pab daws daws qhov teeb meem uas twb muaj lawm.
Tom qab rov ua dua ntawm lub cev ntas thiab kev tsa tawm ntawm ovulation, lub caij nyoog tsis yog tsuas yog rau qhov tshwm sim ntawm cev xeeb tub, tab sis kuj rau nws txoj kev ua tiav kev coj tus kheej, nce ntxiv.
Ntxiv mus, qee cov neeg mob ntxiv lawm tom qab muaj ntau txoj kev xeeb menyuam. Hmoov tsis zoo, muaj qhov pheej hmoo ntawm kev xeeb menyuam mos, tab sis qhov no tsis tuaj yeem kwv yees ua ntej.
Nws yog ib qho tseem ceeb heev uas yuav tsum tau mus cuag kws kho mob poj niam lub cev tsis tu ncua thaum lub sijhawm cev xeeb tub txhua tus, kuaj qhov tsim nyog, thiab ua raws li cov lus pom zoo pom zoo. Qhov tseeb yog tias cev xeeb tub, uas tau tshwm sim tawm tsam ntawm keeb kwm ntawm PCOS, feem ntau muaj kev nyuaj los ntawm txoj kev kawm pathological, uas yog: mob ntshav qab zib hauv lub ntsej muag, cov kab mob preeclampsia, thiab cov teeb meem placental yog qhov ntau dua.
Txoj kev pheej hmoo ntawm kev hem thawj ntawm kev tshem tawm kev xeeb tub, kev yug menyuam ntxov ntxov. Cov niam uas tuaj yeem yuav tsum tau mus pw hauv tsev kho mob hauv chav kho mob hauv lub cev xeeb tub kom paub kho lub sijhawm sai sai ntawm cov kev ua txhaum uas tau tshwm sim thiab kev tiv thaiv ntawm kev yug menyuam ntxov.
Txawm tias lub cev xeeb tub tau zoo, koj tuaj yeem tsis so tom qab yug menyuam tas. Nws yog ib qho tsim nyog yuav tau txuas ntxiv mus saib lub zog los ntawm tus kws kho mob poj niam thiab cov kws kho mob endocrinologist thiab ua raws li tag nrho lawv cov lus pom zoo, txwv tsis pub muaj kev rov qab tshwm sim ntawm cov kab mob pathological yuav tshwm sim
Peb yuav tsum tsis txhob hnov qab txog kev kho mob, txawm hais tias tus poj niam tsis tuaj yeem npaj muaj menyuam. Qhov tseeb yog tias kev ua rog dhau mus thiab hloov zuj zus ntxiv thiab insulin tsis kam tuaj yeem ua rau kev tsim cov kev tsis txaus siab uas muaj kev phom sij, uas yuav ua rau lub xeev tsis muaj mob.