Binciken Harshen Diagnosing Polycystic Ovarian Syndrome (PCOS)
Hanyoyin dan tayi na waje shine ɗaya daga cikin kayan aikin da likita yake da shi idan aka gano cutar polycystic ovary (PCOS). Hotunan da aka samo a cikin duban dan tayi, tare da sakamakon sakamakon gwajin jini da kuma cikakken tarihin haƙuri da kuma jiki, ana amfani dashi don tantance wannan ciwo.
Diagnosing Polycystic Ovary Syndrome (PCOS)
Yawancin matakan da ke da magunguna, (male hormones kamar testosterone), polycystic ovary syndrome (PCOS) shi ne rashin daidaito na jima'i jima'i.
Tun da waɗannan kwayoyin sunada hannu cikin tsari na tsarin jiki wanda ya kasance daga haifuwa zuwa ƙazantarwa, yanayin zai iya haifar da alamun alamu da alamu na PCOS .
PCOS Exclusions
Mataki na farko a yayin da kake nazarin bayyanar cututtuka, jarrabawa da kuma binciken binciken binciken shine ya ware wasu cututtuka wanda zai iya haifar da waɗannan binciken . Waɗannan sharuɗɗan (wanda zai yi kama da PCOS amma sun bambanta) sun haɗa da:
- Thyroid cuta - Differentiating PCOS daga thyroid cutar da aka sanya mafi wuya a cewa wasu siffofin thyroid cuta ne mafi kowa a cikin mutane tare da PCOS, kuma wasu daga cikin gwaje-gwaje da aka yi amfani da su gano asalin maganin thyroid ne ba daidai ba a cikin mutane tare da PCOS.
- Hyperprolactinemia
- Abubuwan da suka dace na hyperplasia
- Cushing ta cuta
Bincike da aka gano na PCOS (The Rotterdam Criteria)
Ka'idojin bincike na yau da kullum ga mata da tsarin PCOS cewa mace tana da PCOS idan tana da biyu daga cikin wadannan sharuddan uku (tare da duk sauran ma'auni):
1. Bacewa ko rashin daidaitattun hanyoyi (takwas ko mintuna cikin shekara ɗaya). Tunda kawai biyu daga cikin waɗannan ka'idodin guda uku sun buƙaci a sadu da su, akwai wasu matan da za su dace da ka'idoji don ganewar asali na PCOS duk da ciwon haɗuwa ta kowane lokaci.
2. High androgens a kan aikin jini ko alamu na high androgens a cikin jiki kamar acne, wuce kima gashi ( hirsutism ), ko kuma namiji lalata hasara gashi ( etrogenic alopecia ).
Gwajin jini na nuna sau da yawa testosterone da matakan testosterone kyauta da matakan dehydroepiandrosterone sulfate (DHEAS) .
3. Kasancewa da ɓoye-wanda ake kira cysts kuskure-a kan duban dan tayi (duba bayani a kasa). Wasu sharudda sun nuna PCOS suna da ƙananan ƙwayoyin ƙwayar ƙwayar juyawa 12 (fiye da tara da tara mm) a duka ovaries. Duk da haka, a Amurka, likitoci ba su dogara ne kawai akan wannan ma'anar don yin ganewar asali. Akwai mata masu yawa wadanda ke da ovaries masu rauni ba tare da bayyanar cututtuka na hyperandrogenism ba, da kuma mata da yawa da aka gano tare da PCOS waɗanda basu da 'ovaries' '' 'kyama. Binciken da aka yi kwanan nan ya nuna cewa auna matakan hormone anti-Mulleria na iya zama mai amfani ga magungunan dan-adam na transraginal a wasu lokuta don ganewar asali na PCOS.
Idan Your ganewar asali ne wanda ba a sani ba
Idan ba ku da tabbas game da ganewar ku na PCOS (ko rashin ɗaya), ba zai iya ciwo don samun ra'ayi na biyu ba. Masu binciken endocrinologists da masu haifar da cututtuka su ne likitocin kiwon lafiya tare da ƙarin horo a kimantawa da kuma magance matsalar hormonal. Binciki Ƙungiyar Amurkan na Harkokin Ciniki ko Maganin Androgen da Ƙungiyar PCOS don shawarwarin gida.
Ta Yaya Yayi Mahimmancin Intanital?
Za a iya yin amfani da duban dan tayi a cikin ofishin likita. Domin hanya, ana iya tambayarka ka sha har zuwa 42 na hawan ruwa kafin gwajin ka cika mafitar ka, yana mai sauƙi don ganin ovaries. An sanya binciken bincike na duban dan tayi a cikin farji, wanda ke nuna hoto na gabobin ciki a kan allon. Wani mai amfani da duban dan tayi yayi amfani da hotuna na ovaries kuma ya raba su tare da likitan ku.
Shin Transvaginal Duban dan tayi Hurt?
Wasu mata zasu iya jin dadin rashin jin dadi yayin da mai fasaha ya kaddamar da shi a lokacin duban dan tayi (tuna, cikakken mafitsara!), Dangane da sauƙi wanda mai sonographer zai iya gano sassan jikin haihuwa .
Menene Doctor ke nema a kan duban dan tayi?
Mai sonographer zai bincika mahaifa, cervix, da mahaifa. Za'a kidaya adadin ƙwayoyin jikinku a kan ovary don samar da abin da aka sani da lambar ƙwayoyin maganin ruɗi (AFC).
Mene ne kwayoyin Antral Follicles?
Maganin ƙananan ƙwayoyin jiki sune nau'in ɓarke da aka samu a cikin ovary a farkon kowane juyayi. Sun kasance kamar kimanin mita biyu zuwa tara (girman ƙasa da rabin inci). Wani adadi mai mahimmanci mai mahimmanci ya nuna cewa mace tana da ƙwayar ƙwayar da take da ƙwayarta da, a wasu lokuta, PCOS.
Cysts vs. Follicles a PCOS
Dukansu kyakokiya da hawaye sun fi kowa a cikin mata tare da PCOS fiye da wadanda ba tare da yanayin ba. Mutane da yawa suna rikitar da cysts tare da hawaye.
Duk da sunansa, matan dake da PCOS ba su samar da kyakoki ba, amma ana amfani da su a matsayin ɓangare na ka'idojin bincike (duba ƙasa). An canza canjin sunan ga PCOS don kawar da rikice-rikice da kuma inganta ilimin likitoci da masu amfani da lafiya.
Mata da PCOS sun saba samar da kwayar cutar, wanda shine ƙananan tarin ruwa a cikin ovary kuma sakamakon shine, rashin mahimmancin jima'i na jima'i. Kowace wata, wata mace tana samar da tsutsoro wanda yayi girma kuma za'a fitar da shi daga ovaries domin a hadu. Saboda rashin daidaituwa na hormone, waɗannan kwayoyin ba su girma ba kuma bazai sake fitowa daga ovaries, wanda yakan haifar da rashin haihuwa. Ƙara koyo game da matsaloli da tushen matsalar tare da PCOS .
Ƙashin Rigon akan Lafiya na PCOS Tare da Duban dan tayi na Transvaginal
Sakamakon ganewa na PCOS zai iya zama cin lokaci da takaici. Sauran yanayi wanda zai iya haifar da alamun cututtuka irin wannan ya kamata a fara fitar da su, sa'an nan kuma an kwatanta cututtuka irin su abubuwan da ke damun mutum da kuma shaidar da ake amfani da su. Hanyoyin dan tayi na iya samar da bayanai mai mahimmanci game da kwayoyin halitta (kamar yadda tsayayya da kyakyawa wanda ya haifar da rikicewa a cikin shekaru.) Hanyoyin hormone na anti-Mulleria na iya samar da magungunan dan tayi a wasu yanayi.
Da zarar an gane ganewar asali, za a iya gwada hanyoyin zaɓuɓɓuka don PCOS don taimaka maka ka magance matsaloli masu yawa (da kuma wani lokacin tsanani) na yanayin.
Sources
- Bachanek, M., Abdalla, N., Cendrowski, K., da kuma W. Sawicki. Darajar Ultrasonography a cikin Gano Harshen Halitta na Magunguna na Polycystic - Wallafe-wallafe. Journal of Ultrasonography . 2015. 15 (63): 410-22.
- Dewailly, D. Mahimmancin Matsala ga PCOS: Akwai Bukatar Bukata? . Kyakkyawan Ɗabi'a da Bincike. Clinic Obstetrics da Gynecology . 2016. 37: 5-11.
- Matsuzaki, T., Munkhzaya, M., Iwasa, T. et al. Dangantaka tsakanin Suturar Harshen Mulki-Mulleriya da Harkokin Ginajen Halitta a Cikin Ciwon Magunguna na Polycystic. Endocrine Journal . 2017 Apr 1. (Epub gaba da bugu).
- McCartney, C., da J. Marshall. Ayyukan Gida. Maganin Ovary na Polcystic. Jaridar New England Journal of Medicine . 2016. 375 (): 54-64.