Mathata a qoqotho le lefu la ovary polycystic ( PCOS) ke tse peli tse tloaelehileng (le mohlomong li hlokomolohuoa) mathata a endocrine ho basali. Le hoja hypothyroidism le PCOS li fapane haholo, maemo ana a mabeli a na le likarolo tse ngata tse tšoanang.
Mona ke lintho tse 5 tsa bohlokoa tseo basali ba nang le PCOS ba lokelang ho li tseba ka hypothyroid.
Hyothyothyism e Tloaelehileng haholo ka PCOS
Hyspothyroidism, haholo-holo, Hashimoto's thyroiditis , e tloaelehile haholo ho basali ba nang le PCOS ho feta batho ba bangata.
Hashimoto ke boemo bo ikhethileng boo 'mele o ipehelang oona.
Sinha le basebetsi-'moho le bona ba fumane hore basali ba 22,5% ba nang le PCOS ba na le hypothyroidism ha ho bapisoa le 8.75% ho laola le likokoana-hloko tsa qoqotho li teng ho 27% ea bakuli ba nang le PCOS le 8% ho laola. Morao tjena, phuputso e phatlalalitsoeng phuputsong ea Endocrine e bontšitse ho ata ha Hashimoto le TSH e phahameng (e bontšang hypothyroid) bakuli ba PCOS.
Thyroid le PCOS lia kopanngoa
Ho nahanoa hore lintho tse peli tsa liphatsa tsa lefutso le tikoloho li tlisa mathata a qoqotho ka PCOS. Hyspothyroidism e tsejoa ho baka li-ovaries tsa PCOS-le ho senyeha ha PCOS le ho hanyetsa insulin.
Hyspothyroidism e ka eketsa testosterone ka ho fokotsa boemo ba li-hormone tse tlamang globulin ( SHBG ), ho eketsa phetoho ea androenenoneone ho testosterone le estradiol, le ho fokotsa tumello ea methapo ea androstenedione.
Tekanyo ea estrogen e eketsehileng le estrogen / progesterone e bonahala e ameha ka kotloloho maemong a phahameng a likokoana-hloko tsa qoqotho ho bakuli ba PCOS.
Thyroid e Ama 'Mele oa Hao Oohle
Sebakeng sa molaleng oa hao le sebōpeho sa serurubele, qoqotho ea qoqotho e laola tekanyo eo 'mele oa hao o fetolang lijo bakeng sa matla, e sebetsang joaloka thermostat ho laola metabolism ea' mele le mekhoa e meng.
Haeba u sebetsa ka potlako haholo ( hyperthyroid ) e atisa ho potlakisa metabolism ea hau. Haeba e sebetsa butle haholo (hypothyroid) sena se atisa ho fokotsa metabolism ea hau, e leng ho etsang hore u be le boima ba 'mele kapa mathata a fokolang.
Lisele tsohle tsa 'meleng oa hau li itšetlehile ka lihomone tse sirelelitsoeng ke thyroid ea hao hore li sebetse hantle. Ho phaella ho laola tekanyo eo 'mele oa hao o fetolang lik'habohaedreite, liprotheine le mafura ka oli, li-hormone tsa qoqotho li boetse li laola sekhahla sa pelo ea hau' me se ka ama nako ea ho ea khoeling, e amanang le tsoalo.
TSH Feela ha ea lekana
TSH feela hase teko e ka tšeptjoang ho fumana hore na thyroid e sebetsa joang. TSH e lekanya hore na T4 ea qoqotho e botsoa ho etsa eng. Tlhahlobo e sa tloaelehang ea TSH e ka 'na ea bolela hore u na le hypothyroidism. Ho itšetleha ka TSH ka boeona ha hoa lekana ho etsa hore motho a hlahlobe hantle le lebaka le le leng leo ka lona batho ba bangata ba nang le hypothyroid ba sa tsebeng hantle .
Liteko tse ling tsa qoqotho li kenyelletsa:
Liteko tsa T4 (Free T4, Index T4 mahala, T4 eohle): Hlahloba tekanyo ea T4 thyroid ea hau e hlahisa.
Anti- peroxidase antibody (anti-TPO) (TgAb): e hlahloba likokoana-hloko tsa qoqotho le ho lemoha maemo a qoqotho ea qoqotho joaloka Hashimoto.
T3 le ho fetola T3 (r3): ho lekanya palo ea T3 thyroid ea hau e hlahisa le matla a eona a ho fetola T4 ho ea ho T3.
Iode e Bapala Karolo e Khōlō
Thyroid e lokela ho ba le iodine ho etsa hormone ea thyroid. Lintho tse ka sehloohong tsa lijo tsa iodine li kenyelletsa lihlahisoa tsa lebese, khoho, nama ea khomo, nama ea kolobe, tlhapi le letsoai la iodized. Liphala tsa Himalayan le maoatleng a leoatle ha lia rua mohloli kapa iodine. Ho boloka tlhahiso ea li-hormone ea qoqotho ho leka-lekaneng ho hloka hore o iodine e nepahetseng . Iodine e nyenyane haholo kapa e ngata haholo e ka baka kapa e mpe haholoanyane ea hypothyroidism. Buisana le ngaka ea hau pele u noa li- supplement ea iodine 'me u hlokomele' me u le tlas'a taolo ea mofani oa tlhokomelo ea bophelo.
> Mehloli:
> Hyspothyroidism: Buka ea Bakuli le Malapa a Bona. Sengoliloeng sa American Thyroid Association (ATA)
> Singji Rajiv, Yashdeep Gupta, Manju Khemani, le Sameer Aggarwal. Mathata a Thyroid le lefu la ovary ea ovary: Kamano e hlahelang. Indian J Endocrinol Metab. 2015 Jan-Feb; 19 (1): 25-29.
> Sinha U, Sinharay K, Saha S, Longkumer TA, Baul SN, Pal SK. Mathata a li-thyroid lihloohong tsa polycystic ovarian syndrome: Thuto ea sepetlele e thehiloeng sepakapakeng e tsoang ho Bochabela India. Indian J Endocrinol Metab. 2013 Mar; 17 (2): 304-9.
> Garelli S, Masiero S, Plebani M, Chen S, Furmaniak J, Armanini D, Betterle C. Ho ata ha thyroiditis e sa foleng ho bakuli ba nang le lefu la ovary syndrome. Eur J Obstet Gynecol e nyelisoang Biol. 2013 Jul; 169 (2): 248-51.
> Arduc A, Dogan BA, Bilmez S, > Imga > Nasiroglu N, Tuna MM, Isik S, Berker D, Guler S. Phahameng ea Hashimoto's thyroiditis ho bakuli ba nang le lefu la ovary syndrome: Na ho se leka-lekane pakeng tsa estradiol le progesterone li phetha karolo ? Endocr Res. 2015 Mar. 30: 1-7.
> Mueller A, Schöfl C, Dittrich R, Cupisti S, Oppelt PG, Schild RL, Beckmann MW, Häberle L. Thyroid-stimulating hormone e amahanngoa le insulin ho hanyetsa ntle le 'mele oa boitsebiso ba' mele le lilemo ho basali ba nang le polycystic ovary syndrome. Ho tlotloloha. 2009 Nov; 24 (11): 2924-30.
> Hefler-Frischmuth K, Walch K, Huebl W, le al. Serologic markers of autoimmunity ho basali ba nang le lefu la ovary syndrome. Fertil Steril 2010; 93: 2291-4.