Kunobudlelwano obuseduze kodwa obuyinkimbinkimbi phakathi kwesisindo kanye nesifo se-polycystic ovarian (PCOS). Ngaphezu kwesigamu sabesifazane abane-PCOS bakhuluphele ngokweqile. Lesi simo siyimbangela evamile yokungabi nanzalo futhi singandisa namathuba omuntu okuba nesifo senhliziyo nesifo sikashukela sohlobo 2.
Abantu abane-PCOS nabo banamathuba amaningi okuzuza isisindo futhi ngokuvamile bakuthola kunzima ukulahlekelwa amakhilogremu engeziwe. Kodwa kungani ukuzuza kwesisindo kuvame kakhulu ku-PCOS? Ingabe akhona amaqhinga okusiza ukugcina isisindo esinempilo?
Ingabe i-polycystic ovary syndrome ibangela ukukhuluphala?
Lokhu kufana nombuzo wokuthi inkukhu noma iqanda lafika kuqala: akucaci. Akukaziwa ukuthi i-PCOS ibangela ukukhuluphala, noma okuphambene nalokho.
Ukungalingani kweHormonal
Uma une-PCOS, ungase ube namazinga aphezulu i-androgens, okuthiwa "abesilisa" hormone ezifana testosterone. Nakuba wonke umuntu enama-androgens emizimbeni yakhe, amazinga ngokuvamile aphakanyisiwe kubantu abane-syndrome uma kuqhathaniswa nabantu abanama-ovari abangenaso isimo.
Lokhu kwanda kwe-androgens akugcini nje ukufaka isandla ekuzuzeni isisindo, kodwa kuphinde kufakwe ezimpawu ezivamile ze-PCOS ezifana nezikhathi ezingavamile kanye nezinwele zobuso ezingafuneki (okuthiwa hirsutism).
Ukumelana ne-insulin
Ukumelana ne-insulin kuyingxenye ebalulekile yobudlelwano phakathi kwesisindo ne-PCOS. Lokhu kwenzeka lapho umzimba ungawusebenzisi insulini, i-hormone ekhiqizwa amanyikwe, njengoba kufanele. Imvamisa, i-insulin ithatha ushukela ekudleni okudlayo egazini lakho iwufake emangqamuzaneni akho ukuze usetshenziselwe amandla.
Kodwa ngokumelana ne-insulin, ushukela uhlala egazini futhi awugcinwa kumaseli. Kunalokho, ithunyelwa emafutheni. Lokhu kuyingozi engozini thayipha isifo sikashukela 2. Eqinisweni, ngaphezu kwesigamu sabantu abatholakala bene-PCOS bahlakulela isifo sikashukela sohlobo 2 ngaphambi kweminyaka engama-40. I-insulin nayo ingaba nomthelela emazingeni aphezulu e-androgen.
Kungani kunzima ukulahlekelwa isisindo uma une-PCOS?
Abesifazane abaningi banenkinga yokulahlekelwa lawo maphawundi engeziwe. Lokho kungase kube ngenxa ukumelana ne-insulin, njengoba ushukela osegazini uguqulwa ube amafutha esikhundleni sokuba ugcinwe ukuze uthole amandla.
Isisindo eseqile singabuye sibe nemiphumela engokwengqondo ephinda kabili lobu bunzima. Enye iwukuzihlonipha. Izimpawu ezifana ne-hirsutism kanye nokukhuluphala ngokweqile zingashintsha zibe ukudla okungokomzwelo, okungandisa inkinga.
Nansi into eyodwa esiyaziyo: Ukwehlisa isisindo, uma kunesidingo, kungasiza ekwehliseni izimpawu ze-PCOS, njengokuthi izikhathi ezingajwayelekile kanye nokungatholi abantwana. Kungase futhi kunciphise ingozi yezinkinga zesikhathi esizayo ezifana isifo senhliziyo kanye nesifo sikashukela sohlobo 2.
Ngokuvamile, ubunzima bezimpawu ze-PCOS buyanda njengoba umuntu ethola isisindo.
Nakulokhu, isayensi ikhomba indima yokumelana ne-insulin. Kubantu abane-PCOS, ukuncipha kwesisindo kuthuthukise ukumelana ne-insulin ngenkathi kwehlisa amazinga kashukela egazini, inkomba yesisindo somzimba, isisindo kanye namafutha esisu, ngokusho kokuhlaziywa kwe-meta kaJulayi 2020. XNUMX ku-Journal of Clinical Endocrinology and Metabolism.
Ungayilawula kanjani i-polycystic ovarian syndrome nesisindo?
Alikho ikhambi le-syndrome, ngakho odokotela bathembele emithini ukuze bakhulule izimpawu ezithile futhi, ngokumangalisayo, izinguquko zokuphila. Okuphezulu ohlwini lwezinguquko zendlela yokuphila: yehlisa isisindo noma ugcine isisindo esinempilo.
Ukudla nokuzivocavoca
Akukho ukudla okusemthethweni (noma okungagunyaziwe) kwe-PCOS. Kunalokho, kuyalulekwa ukuthi balandele uhlobo olufanayo lokudla okunomsoco okufanele sonke silulandele, ngokugcizelela okumbalwa okwengeziwe.
- Kufaka wonke amaqembu okudla. Kubalulekile ukufaka ama-carbohydrate, amaprotheni, namafutha anempilo ekudleni kwakho. Izidlo ezikhawulelwe ngamakhalori kanye nokudla kwe-DASH kungase kube izinketho ezinhle zokunciphisa isisindo nokuthuthukisa ukumelana ne-insulin, ngokusho kokuhlaziywa kwe-meta ku-Journal of Clinical Endocrinology and Metabolism.
- Gxila ezithelweni, imifino, kanye ne-fiber evela kuzinhlamvu eziphelele. I-fiber isiza ukulawula ushukela wegazi, ogcina amandla akho ekhuphuka, okusiza ekuzilolongeni.
- Yenza amafutha akho abe nempilo. Lokho kusho amafutha e-polyunsaturated kanye ne-monounsaturated, kanye ne-Omega-3s, egcwele izinhlanzi ezinamafutha (njenge-sardines, i-salmon, i-mackerel, i-tuna), i-flaxseeds, isipinashi, nama-walnuts.
- Cabangela ukudla okubilile neziphuzo njenge-yogurt, i-kefir ne-sauerkraut. Abantu abane-PCOS bangase babe namabhaktheriya ahlukahlukene kancane emathunjini abo, ngokusho kocwaningo lokuhlola lukaJanuwari 2017 ku-PLOS One. Ukuba namabhaktheriya ahlukahlukene ahlukahlukene kuhlotshaniswa nempilo engcono. Kunobunye ubufakazi bokuthi abantu abane-PCOS bangazuza kulokhu kudla okuvutshiwe. Ukuwadla kungenisa ama-probiotics, aziwa nangokuthi amagciwane alungele wena, emathunjini akho.
- ungadli sekwephuze kakhulu. Ngeshwa, abantu abaningi baseSpain badla isidlo sakusihlwa futhi balala ukuze balale. Okufanelekile, kufanele uqede ukudla cishe ngo-7 noma u-7:30.
El ukuzivocavoca Kubalulekile futhi, njengoba ucwaningo lukhombisa ukuthi lungathinta ukuzungeza okhalweni namafutha omzimba. Umsebenzi womzimba kufanele ube yingxenye yezibalo zokuncipha kwesisindo.
Ukulala okwanele nakho kubalulekile ekunciphiseni isisindo. Uma singalali, kuyawucindezela umzimba futhi kungenza ukuncipha kube nzima kakhulu.
Imithi
La metformin umuthi wesifo sikashukela ngezinye izikhathi odokotela abawunikeza njengokwelashwa kwe-PCOS ukusiza ukulawula ushukela wegazi ne-insulin. Abanye abantu baphinde banciphise isisindo ngomuthi. Umphumela wangaphambi kwesikhathi (kodwa ngokuvamile owesikhashana) ungase ube isicanucanu.
ukuhlinzwa kwesisindo
ukuhlinzwa i-bypass yesisu Kuyindlela yokugcina yabantu abane-PCOS. Kuyavela ubufakazi bokuthi lezi zinqubo zingaxazulula izinkinga ezifana nokumelana ne-insulin, ngokocwaningo lwangoJulayi 2020 ku-Therapeutic Advances in Endocrinology and Metabolism.