Kukho ubudlelwane obusondeleyo kodwa obunzima phakathi kobunzima kunye ne-polycystic ovary syndrome (PCOS). Ngaphezu kwesiqingatha sabasetyhini abane-PCOS banzima kakhulu. Imeko ngunobangela oqhelekileyo wokungafumani bantwana kwaye inokunyusa umngcipheko womntu wokuba nesifo sentliziyo kunye nohlobo lwesi-2 seswekile.
Abantu abane-PCOS banamathuba amaninzi okufumana ubunzima kwaye bahlala beba nexesha elinzima lokulahlekelwa iipounds ezingaphezulu. Kodwa kutheni ubunzima buxhaphake kakhulu kwi-PCOS? Ngaba akhona amaqhinga okunceda ukugcina ubunzima obusempilweni?
Ngaba i-PCOS ibangela ubunzima?
Oku kufana nombuzo wokuba ingaba yinkukhu okanye iqanda: akucaci. Akukaziwa ukuba ngaba i-PCOS ibangela ubunzima, okanye ngokuchaseneyo.
Ukungalingani kwehormonal
Ukuba unayo i-PCOS, mhlawumbi unamanqanaba aphezulu androgens, iihomoni ezibizwa ngokuba “zendoda” njenge testosterone. Nangona wonke umntu une-androgens emzimbeni, amanqanaba aphakanyisiwe ngokubanzi kubantu abane-syndrome xa kuthelekiswa nabantu abane-ovari abangenayo imeko.
Oku kwanda kwe-androgens akuncedi kuphela ekuzuzeni ubunzima, kodwa kukwabandakanyeka kwiimpawu ze-PCOS eziqhelekileyo, ezifana namaxesha angaqhelekanga kunye neenwele ezingafunekiyo zobuso (ezibizwa ngokuba hirsutism).
Ukuxhathisa kwe-insulin
Ukumelana ne-insulin yinxalenye ephambili yobudlelwane phakathi kobunzima kunye ne-PCOS. Oku kwenzeka xa umzimba ungawusebenzisi insulin, ihomoni eveliswa yipancreas, njengoko kufanelekile. Ngokuqhelekileyo, i-insulin ithatha iswekile kukutya okutyayo egazini lakho kwaye iyifake kwiiseli zakho ukuze zisebenzise amandla.
Kodwa ngokuxhathisa kwe-insulin, iswekile ihlala egazini kwaye ayigcinwa kwiiseli. Kunoko, ithunyelwa kumanqatha. Lo ngumngcipheko wokuba uhlobo lweswekile 2. Enyanisweni, ngaphezu kwesiqingatha sabantu abafunyanwe ukuba bane-PCOS bahlakulela uhlobo lwe-2 yeswekile ngaphambi kweminyaka engama-40. I-insulin inokuba negalelo kumanqanaba aphezulu e-androgen.
Kutheni kunzima ukunciphisa umzimba ukuba unayo i-PCOS?
Abasetyhini abaninzi banobunzima bokulahlekelwa ezo khilos ezongezelelweyo. Oku kunokuba ngenxa Ukunganyangeki kwi-insulin, njengoko iswekile yegazi iguqulwa ibe ngamafutha endaweni yokuba igcinwe ukuze ibe namandla.
Ubunzima obugqithisileyo bunokuba nemiphumo yengqondo ephindwe kabini lo bunzima. Enye kukuzixabisa. Iimpawu ezinje nge-hirsutism kunye nobunzima obugqithisileyo bunokuguqukela ekutyeni ngokweemvakalelo, nto leyo enokwenza ingxaki ibe mandundu.
Nantsi into esiyaziyo: ukunciphisa umzimba, ukuba kuyimfuneko, kunokunceda ukukhulula iimpawu ze-PCOS, ezifana amaxesha angaqhelekanga kunye nobudlolo. Kwakhona kunokunciphisa umngcipheko weengxaki zexesha elizayo ezifana isifo senhliziyo kunye nohlobo lwe-2 yeswekile.
Ngokuqhelekileyo, ubunzima beempawu ze-PCOS buyanda njengoko umntu efumana ubunzima.
Kwakhona, isayensi yalatha indima yokumelana ne-insulin. Kubantu abane-polycystic ovary syndrome, ukunciphisa umzimba kuphucule ukuxhathisa kwe-insulin ngelixa kuncitshiswa amanqanaba eswekile yegazi, isalathisi sobunzima bomzimba, ubunzima, kunye namafutha esisu, ngokutsho kohlalutyo lwemeta kaJulayi 2020. XNUMX kwiJenali yeClinical Endocrinology kunye neMetabolism.
Ungayilawula njani i-PCOS kunye nobunzima?
Akukho nonyango lwe-syndrome, ngoko oogqirha bathembele kumayeza ukukhulula iimpawu ezithile kwaye, ngokungathandabuzekiyo, utshintsho lwendlela yokuphila. Phezulu kwoluhlu lweenguqu zokuphila: ukunciphisa umzimba okanye ukugcina ubunzima obunempilo.
Ukutya kunye nokuzivocavoca
Akukho ukutya okusemthethweni (okanye okungekho semthethweni) kwe-PCOS. Endaweni yoko, bacetyiswa ukuba balandele uhlobo olufanayo lokutya okunesondlo esifanele silulandele sonke, sigxininise izihlandlo ezimbalwa.
- Kubandakanya onke amaqela okutya. Kubalulekile ukuquka iicarbohydrates, iiproteni kunye namafutha anempilo kwizidlo zakho. Ukutya okukhawulelwe kwikhalori kunye nokutya kwe-DASH kunokuba yinto efanelekileyo yokunciphisa umzimba kunye nokuphucula ukuxhathisa kwe-insulin, ngokutsho kwe-meta-analysis kwi-Journal ye-Clinical Endocrinology kunye ne-Metabolism.
- Gxininisa kwiziqhamo, imifuno kunye nefayibha evela kwiinkozo ezipheleleyo. Ifayibha inceda ukulawula iswekile esegazini, nto leyo egcina amandla akho enyuka, nto leyo enceda ekwenzeni umthambo.
- Yenza amanqatha akho abe sempilweni. Oko kuthetha ukuba i-polyunsaturated kunye ne-monounsaturated fats, kunye ne-Omega-3s, eninzi kwiintlanzi ezinamafutha (ezifana nesardadi, i-salmon, i-mackerel, i-tuna), imbewu yeflakisi, isipinatshi kunye ne-walnuts.
- Qwalasela ukutya okunegwele neziselo ezifana neyogathi, i-kefir kunye ne-sauerkraut. Abantu abane-PCOS banokuba neebhaktheriya ezincinci ezihlukeneyo emathunjini abo, ngokutsho kophononongo lwe-pilot kaJanuwari 2017 kwi-PLOS One. Ukuba neebhaktheriya ezininzi ezahlukeneyo zihambelana nempilo engcono. Kukho ubungqina bokuba abantu abane-PCOS banokuzuza koku kutya okuvundisiweyo. Ukuzitya kwazisa iiprobiotics, ezikwabizwa ngokuba ziibhaktheriya ezilungileyo kuwe, emathunjini akho.
- Ungatyi emva kwexesha kakhulu. Ngelishwa, abantu abaninzi baseSpeyin batya isidlo esikhulu sangokuhlwa baze balale. Ngokufanelekileyo, kufuneka ugqibe ukutya malunga ne-7 okanye 7:30.
El ukusetyenziswa Ikwabalulekile, njengoko uphononongo lubonisa ukuba inokuchaphazela umjikelezo wesinqe kunye namafutha omzimba. Umsebenzi womzimba kufuneka ube yinxalenye ye-equation yokulahleka kwesisindo.
Ukulala ngokwaneleyo kukwayinto ephambili ekunciphiseni umzimba. Xa singalali, luxinzelelo lomzimba kwaye lunokwenza ukuncipha komzimba kube nzima kakhulu.
Amayeza
La metformin liyeza lesifo seswekile abathi ngamanye amaxesha oogqirha bachaze njengonyango lwe-PCOS ukunceda ukulawula iswekile yegazi kunye ne-insulin. Abanye abantu baphinde banciphise umzimba kumayeza. Isiphumo esingalindelekanga (kodwa esiqhele ukuba sesomzuzwana) sisenokuba sisicaphucaphu.
Utyando lokunciphisa umzimba
Utyando lwe i-bypass yesisu Sisigqibo sokugqibela kubantu abane-PCOS. Ubungqina buvela ukuba ezi nkqubo zinokusombulula iingxaki ezifana nokuxhathisa kwe-insulin, ngokutsho kophononongo lukaJulayi 2020 kwi-Therapeutic Advances in Endocrinology and Metabolism.