Tlhahlobo e entsoe ka ho qoba lintho tse ling tse ka hlahang
Ho na le maemo a bongaka a ke keng a fumanoa a e-na le tlhahlobo ea mali, biopsy, setso kapa mofuta leha e le ofe oa tlhahlobo ea ho hlahloba. Polycystic ovary syndrome (PCOS) ke boemo bo le bong bo joalo. Hobane matšoao a PCOS a ka etsisa maemo a mang, lingaka li hloka ho hlokomoloha lintho tse ling tsohle pele ho hlahlojoa.
Ts'ebetso ena e bitsoa phapang ea ho khetholla .
Ke feela ka ho fokotsa lenane la ba belaelang, ka bonngoe, hore lingaka li ka fihlela qeto e hlakileng le ho qala kalafo.
Nakong ea ho theha khethollo ea sekhetho bakeng sa PCOS, tse ling tsa lipatlisiso tse tloaelehileng li ka kenyelletsa lefu la thyroid, hyperprolactinemia, congenital adrenal hyperplasia le lefu la Cushing. Ho itšetlehile ka bophelo bo botle le pale ea motho ka mong, lisosa tse ling li ka boela tsa hlahlojoa.
Matšoao a Thyroid
Tšoelesa ea qoqotho ke setho se senyenyane se ka pele ho molaleng o laolang boholo ba 'mele oa metabolism. E hlahisa li-hormone tse peli, tse tsejoang e le T3 le T4, tse bohlokoa ho laola mesebetsi e mengata ea 'mele e kenyelletsang ho akarelletsa ho hema, pelo ea' mele, boima ba 'mele, matla a mesifa le ho ea khoeling.
Ha ho na le hormone ea qoqotho e nyane haholo ( hypothyroidism ) kapa e ngata haholo (hyperthyroidism ), mesebetsi ena e ka lahleloa moferefere, e lebisang matšoao a ts'oanang le PCOS.
Tsena li ka kenyeletsa maemo a tloaelehileng a ho ea khoeling, liphetoho tse sa hlalosoang tsa boima, mokhathala, ho se mamellane ha mocheso, 'me, tabeng ea hypothyroidism, ho hloka matla.
Lefu la qoqotho le ka fumanoa ka ho etsa liteko tsa mali ho hlahloba litekanyetso tsa T3 le T4. Litlhahlobo tse ling li ne li tla etsoa ho hlalosa hore na sesosa se bakoang ke eng.
Hyperprolactinemia
Prolactin ke hormone e hlahisoang ke lesela la pituitary le sebetsang liphatseng tsa mammary ho ntšetsa pele li-lactation. Hyperprolactinemia ke boemo boo ho nang le prolactin e ngata haholo e hlahisoang, e lebisang ho ea matsatsing a sa tloaelehang le lactation ( galactorrhea ). PCOS e ka etsa joalo ka tsela e tšoanang le ea prolactin.
E 'ngoe ea lisosa tse tloaelehileng tsa hyperprolactinemia ke hlahala ea pituitary e bitsoang prolactinoma. Prolactinoma e ka ba khōlō kapa e nyane mme e atisa ho ba le bothata (e seng kankere). Hyperprolactinemia e boetse e hloka hore ho khetholloa ho fapane ho khetholle lefu la qoqotho e le sesosa. Teko ea magnetic resonance imaging (MRI) e ka sebelisoa ho tiisa boteng ba hlahala.
Congenital Adrenal Hyperplasia
Congenital adrenal hyperplasia (CAH) ke lefu la liphatsa tsa lefutso le etsang hore litšoelesa tsa adrenal li hlahise cortisol e nyenyane haholo le aldosterone. Cortisol ke hormone ea khatello ea 'mele, ha aldosterone e thusa ho laola boemo ba sodium le li-electrolyte tse ling' meleng. Ka nako e ts'oanang, CAH e ka baka tlhahiso e feteletseng ea androgens , lihomone tse amanang le litšoaneleho tsa banna.
Ho se leka-lekane hona ho ka etsa hore basali ba be le linako tse sa tloaelehang, ho hōla ha moriri o feteletseng ( hirsutism ) le ho hloleha ho ea khoeling (amenorrhea).
Ho fapana le PCOS, CAH e ka fumanoa e e-na le tlhahlobo ea liphatsa tsa lefutso.
Cushing's Syndrome
Cushing's syndrome ke boloetse bo bakang ho eketseha ha lihomone tsa adrenal. E atisa ho bakoa ke hlahala e nang le bothata e bitsoang pituitary adenoma e fetola mosebetsi oa sekhahla sa adrenal mme e etsa hore ho be le tlhahiso e feteletseng ea cortisol le androgens.
Cushing's syndrome e khetholloa ke matšoao a tšoanang le a PCOS, ho kopanyelletsa le boima ba 'mele, hirsutism, boikhohomoso ba sefahleho, ho eketseha ha metsi, le ho fetoha ha letlalo.
Joaloka le PCOS, ha ho na teko e le 'ngoe ho netefatsa hore Cushing o fumaneha. Ka tloaelo, liteko tsa motsoako le mathe li etsoa ho lekanya le ho hlahloba mokhoa oa tlhahiso ea cortisol e lumellanang le Cushing's syndrome.
> Mohloli:
> William, T .; Ho ipolaea, R .; le Porter, S. "Tlhahlobo le Phekolo ea Polycystic Ovary Syndrome." Amer Fam Phys. 2016; 94 (2): 106-13. PMID: 27419327.