Bala tlhahisoleseding leha e le efe e mabapi le polycystic ovary syndrome ( PCOS ) mme o tla netefatsa ho fumana maikutlo a ho lahleheloa ke boima ba 'mele. Ha e le hantle, ho fokotseha ha boima ho ka ntlafatsa likarolo tse peli tsa lik'hemik'hale tsa PCOS (ho fokotsa tsoekere, insulin le ho fokotsa kotsing ea lefu la tsoekere) hammoho le likarolo tsa ho ikatisa (ho laola nako ea ho ea khoeling le ho ntlafatsa tlhahiso ea mali). Empa ho thoe'ng haeba o na le PCOS mme o sa feteletse ho feta?
Mefuta e phahameng ea insulin e ntse e ka etsahala ho basali ba mahlahahlaha ba behang kotsing ea lefu la tsoekere ea mofuta oa 2. Ka sebele ho ba boima bo tlaase ho 'mele ho ka ama tšebetso ea ho tlohela mali ha mafura a' mele a ka etsa hore nako ea ho ilela khoeli e khaotse. Ka hona, tahlehelo ea boima ba 'mele hase mokhoa oa kalafo bakeng sa basali ba nang le PCOS ba itšetlehileng. Joale ho ka etsoa eng?
Mona ke lisebelisoa tse 4 tse ts'oanelang basali ba nang le PCOS ba ka e etsang ho ntlafatsa tsoalo ea bona, ho laola matšoao, le ka kakaretso ho ntlafatsa boleng ba bophelo ba bona.
Etsa Borobo Lijo Tsa Haholo ka ho Fetisisa Mehleng eo
Phuputsong e phatlalalitsoeng Sensing Clinic , basali ba 60 ba mahlahahlaha ba PCOS ba ne ba e-na le lihlopha tse peli tsa ho aroloa ha lijo: Sehlopha se seng se ne se ja lijo tsa hoseng tsa calorie le lichelete tsa lijo tsa motšehare le tsa lijo tsa motšehare (980 lik'hilograma tsa hoseng, lijo tsa motšehare tsa 640 le lik'hilojule tse 190 ka lijo tsa motšehare) le sehlopha se seng se jang haholo hamorao motšehare (lik'hilojule tse 190 hoseng, lik'hilojule tse 640 tsa motšehare le lik'hilojule tse 980 nakong ea lijo tsa motšehare). Ba qalileng letsatsi ka lijo tsa hoseng tse kholoanyane ba ile ba fumana ho fokotseha ha insulin, glucose, le testosterone hammoho le litekanyetso tse eketsehileng tsa ho tlohela likhahla.
Nka vithamine D
Vithamine D , bobeli ba hormone le vithamine, e bontša tšepiso ea ho thusa basali hore ba nahane le ho fokotsa kotsi ea lefu la tsoekere. Tlhahlobo ea lipatlisiso tse ileng tsa hlahloba kamano pakeng tsa vithamine D le fertility, e hatisitsoeng Europe Journal of Endocrinology , e bontšitse bopaki ba hore vithamine D e kenyelelitsoe ho hlahisa basali ho kenyeletsa le liphello tsa IVF le PCOS.
Bangoli ba ile ba fana ka maikutlo a hore ho basali ba PCOS, vithamine D ea tlatsetso e ka 'na ea ntlafatsa maqhubu a ho ilela khoeli le khatello ea metsoako.
Ho haella ha vithamine D ho tloaelehile ho basali ba nang le PCOS. Phuputso e 'ngoe Europe Journal of Endocrinology e fumane hore ho ata ha vithamine D ho haella ke 73% ho basali ba nang le PCOS. Matšoao a mangata a ka ama boemo ba vithamine D ho kenyeletsa ho ja lijo tse ngata tsa vithamine D, sebaka se sireletsang letsatsi, le sebaka sa libaka (libaka tse ka leboea li fumana letsatsi le fokolang). Basali ba nang le PCOS ba lokela ho ba le lihlopha tsa bona tsa vithamine D selemo le selemo 'me ba nke lisebelisoa haeba ho loketse. E le hore u fumane hore na u lokela ho nka vithamine D e kae, ikopanya le ngaka ea hao kapa mohlokomeli oa lijo tsa ho iphelisa .
U se ke Ua Lebala Mafura a Omega-3
Mafura a Omega-3 a ka atleha ho ntlafatsa insulin ho hanyetsa le hirsutism ho basali ba mahlahahlaha ba nang le PCOS. Phuputsong e phatlalalitsoeng ho Journal of Obstetrics le Gynecology , basali ba mashome a mane a metso e mehlano ba sa nyenyehang ba nang le PCOS ba ile ba fuoa ligrama tse 1 500 tsa mafura a omega-3 ka likhoeli tse tšeletseng. Ho fokotseha ho BMI le maemo a insulin a fumanoe hammoho le ntlafatso ea LH, testosterone le SHBG.
Mehloli e fanoeng ke limela tsa oli ea omega-3 e kenyelletsa khase, linate le peo. Litlhapi tsa metsi a mangata a kang saalmon, tuna le trout ke mehloli e ntle ea oli ea omega-3.
Mekhoa ea mmuso e khothalletsa Amerika hore e je litlhapi tse peli beke le beke ho fumana litekanyo tse hlokahalang tsa mafura a omega-3 a hlokahalang bakeng sa bophelo bo botle. Ho feta moo, ho tlatsetsoa ha oli ea tlhapi ho ka boela ha thusa ho finyella litlhoko.
Nahana ka Inositol
E 'ngoe ea lijo tse ngata tse fumanoang haholo lijong tsa PCOS ke inositol . 'Me ka mabaka a utloahalang: Myo (MYO) le d-Chiro-inositol (DCI) inositol mefuta e bontšitsoe ho ntlafatsa likarolo tse ngata tsa metsoele le tsa ho ikatisa tsa PCOS. Melemo ena e kenyeletsa ntlafatso ea k'holeseterole, insulin, le androgens. Habohlokoa ka ho fetisisa, MYO e bontšitsoe ho matlafatsa tsoalo ka ho ntlafatsa boleng ba lehe le ho tsosolosa nako ea ho ilela khoeli.
Phuputsong e phatlalalitsoeng ho Journal of Archives of Gynecology and Obstetrics , basali ba nang le PCOS ba nang le IVF ba ile ba phekoloa ka motsoako oa MYO le DCI karolelano ea physiologic ea 40: 1 kapa limiligrama tse 500 tsa DCI feela. Phekolo e kopantsoeng e ile ea khona ho ntlafatsa boleng ba lehe le bokhachane, hammoho le litekanyetso tsa bokhachane, ho bontša hore MYO e bapala karolo ea bohlokoa haholo ho basali ba PCOS le melemo ea MYO le DCI ka mokhoa o nepahetseng.
> Mehloli:
> Colazingari S, Treglia M, Najjar R, Bevilacqua A. Phekolo e kopanetsoeng myo-inositol hammoho le D-chiro-inositol, ho e-na le D-chiro-inositol, e khona ho ntlafatsa liphello tsa IVF: liphello tsa tlhahlobo e laoloang ka nako e tloaelehileng. Sepheo sa Arch Gynecol. 2013 Dec; 288 (6): 1405-11.
> Jakubowicz D, Barnea M, Wainstein J, Froy O. Liphello tsa caloric nako ea ho sebelisa insulin ho hanyetsa le hyperandrogenism ho basali ba mahlahahlaha ba nang le polycystic ovariary syndrome. Clin Sci . 2013 Nov; 125 (9): 423-32.Lerchbaum E, Obermayer-Pietsch B. Vithamine D le tsoalo: tlhahlobo e tsitsitseng. European J Endocrinol. 2012; 166 (5): 765-778.
> Oner G, Muderris, II. Tlhahlobo ea omega-3 e phekoloang ke lefu la polycystic ovary syndrome. J Obstet Gynaecol. 2013; 33 (3): 289-291.Wehr E, Schweighofer N, Giuliani A. Mokhatlo oa hypovitaminosis D o nang le likhohlano tsa metsolic in polycystic ovariary syndrome. Europ J Endo . 2009; 161: 575-582.