An gane ganewar asali ta hanyar watsar da duk wasu mawuyacin yiwuwar
Akwai yanayin kiwon lafiya wanda ba za'a iya bincikar da shi tare da gwajin jini, biopsy, al'adu, ko duk wani nau'in gwajin gwaji. Ciwon ƙwayar cutar ovarycy (PCOS) ɗaya ne. Saboda bayyanar cututtuka na PCOS na iya kwatanta waɗanda ke cikin sauran yanayi, likitoci sun buƙaci ɗauka duk wani mawuyacin hali kafin a iya gane asali.
Wannan tsari ana kiransa bayyanar ganewa .
Abin sani kawai ta hanyar taƙaita lissafin waɗanda ake tuhuma, ɗayan ɗaya, cewa likitoci zasu iya zuwa ƙarshe ƙarshe kuma fara magani.
Yayinda aka kafa wata sanarwa ta daban don PCOS, wasu bincike mafi yawa zasu hada da cututtukan thyroid, hyperprolactinemia, hyperplasia na al'ada, da Cushing syndrome. Dangane da lafiyar da tarihin mutum, wasu abubuwan da za a iya bincika.
Thyroid cuta
Glandar thyroid shine karamin kwayar da ke gaban gwiwar da yake sarrafa yawancin jikin mutum. Ya haifar da kwayoyin hormones guda biyu, da aka sani da T3 da T4, waɗanda suke da muhimmanci wajen tsara yawancin ayyuka na jiki ciki har da murmurewa, da zuciya, nauyin jiki, ƙarfin tsoka, da haɗuwa da mutum.
Yayin da akwai kwayar cutar ƙanƙarar ƙanƙara ( hypothyroidism ) ko yawa (hyperthyroidism ), wadannan ayyuka zasu iya jefa su cikin rikici, wanda zai haifar da bayyanar cututtukan da suke kama da PCOS.
Wadannan zasu iya haɗuwa da haɗuwa da haɗari, haɓakaccen nauyin nauyin nauyi, gajiya, rashin haƙuri mai tsanani, kuma, a game da hypothyroidism, rashin haihuwa.
Za a iya gano cututtukan Thyroid ta hanyar yin gwaje-gwajen jini don kimanta matakan T3 da T4. Za a yi karin gwaje-gwaje don nuna dalilin da ya sa.
Hyperprolactinemia
Prolactin wani hormone ne wanda glanden kafa ya haifar da ya yi a kan gland na mammary don inganta lactation. Hyperprolactinemia yana da yanayin da aka samar da prolactin mai yawa, wanda ya haifar da haila da kuma lactation ( galactorrhea ) ba bisa ka'ida ba. Kwamfutar PCOS na iya haifar da ƙara yawan matakan prolactin.
Ɗaya daga cikin abubuwan da ke tattare da hyperprolactinemia shine magungunan kwakwalwa wanda ake kira prolactinoma. Kwararriya zai iya zama babba ko ƙananan kuma ya fi sau da yawa (wanda ba zai yiwu ba). Hyperprolactinemia kuma yana buƙatar ganewar asali don ware cuta thyroid a matsayin hanyar. Ana iya amfani da jarrabawar yanayin haɓaka mai kwakwalwa (MRI) don tabbatar da kasancewar ƙari.
Abun da ke ciki na ciwon zuciya
Cikakken jini na al'ada (CAH) wani cututtukan kwayoyin halitta ne wanda ke haifar da glandon da zai haifar da ƙananan cortisol da aldosterone. Cortisol shine babban hazamar jikin jiki, yayin da aldosterone ke taimakawa wajen daidaita tsarin sodium da sauran masu zafin jiki a jiki. A lokaci guda kuma, CAH na iya haifar da ƙananan kayan samar da androgens , jigon da ke hade da halaye namiji.
Wadannan nau'ikan za su iya haifar da mata su fuskanci lokuta na rashin daidaito, wuce gona da iri ( hirsutism ), da rashin cin zarafin (amenorrhea).
Ba kamar PCOS ba, ana iya bincikar CAH tare da gwajin kwayoyin.
Cushing ta Syndrome
Cushing ta ciwo shi ne cuta da ke haifar da ingancin hawan hormones. Yawanci ya faru ne ta hanyar ciwon magunguna wanda ake kira adenoma wanda ya canza aikin glandar da ke ciki kuma yana haifar da ƙwayar cortisol da androgens.
Cushing ta ciwo yana da alamun bayyanar cututtukan da suke kama da kamfanonin PCOS, ciki har da samun karuwar, hirsutism, fatar fuska, ƙara urination, da canje-canje a cikin fata.
Kamar yadda yake tare da PCOS, babu wata gwaji don tabbatar da ganewar Cushing. Yawanci, zubar da fitsari da gwaje-gwaje na yin amfani da su don aunawa da kuma kimanta irin tsarin samar da cortisol daidai da Cushing ta ciwo.
> Source:
> William, T; Mortada, R .; da kuma Porter, S. "Sanin ganowa da Jiyya na Ciwon Magunguna na Polcystic." Amer Fam Phys. 2016; 94 (2): 106-13. PMID: 27419327.