Kowace mata na kwarewar cutar ta polycystic Ovary (PCOS) na musamman saboda babu mata biyu suna daidai da wannan bayyanar. A halin yanzu an yarda akan ka'idojin bincike na PCOS yana haɗuwa da akalla biyu daga cikin ka'idoji guda uku masu zuwa:
1. Yanayi mara izini ko lokuta ba
2. Halittun kwayoyin halitta ko na jiki na hyperandrogenism (high androgens) ba tare da wata hanyar kiwon lafiya ba
3. Cikakken ƙananan ƙwayoyi a kan duban dan tayi
Nazarin jiki da kuma Tarihin Gida
Dikita zai so ya gwada jarrabawar jiki da kisa. Shi ko ita za su nema alamun daji na high androgens ko testosterone kamar nauyin haɓaka marar kyau (musamman a fuska, ƙananan ciki, baya, da kuma kirji), kuraje , takalma na launin fata , launi na namiji da kuma na Akanhosis na nigricans (darkened thick skin on the neck , thighs, armpits ko vulva).
Lokacin da mace ta kasance ba shi da yawa, ba shi da rashi ko kuma ba tare da wani lokaci ba (8 ko raguwa a cikin shekara guda), alama ce ta cewa kwayoyin halitta bazai faruwa ba kuma zai iya nuna PCOS. Dikita zai yi ƙoƙari ya yi sarauta daga wasu yanayi wanda zai iya haifar da lokaci maras lokaci, irin su thyroid cuta , hyperprolactinemia , Cushings ciwo ko kuma rashin jinin hyperplasia . Yana da muhimmanci a lura cewa mata da PCOS na iya samun jimawalin kowane wata kuma suna da PCOS.
Dikita zai tambaye ka game da duk wani alamar cututtuka wanda ka iya lura, don haka ka tabbata ka ambaci kowane damuwa.
Rubuta jerin kafin ka je zai taimake ka ka tuna da muhimman abubuwan da zasu tambayi game da. Za a tambayi ku game da lokacin ku; yadda yawancin lokaci suke da kuma tsawon lokaci tsakanin su. Wannan na iya taimakawa likitan ku ƙayyade idan kuna aiki.
Transvaginal duban dan tayi
Zai yiwu ko ba za a yi amfani da duban dan tayi ba.
A cikin binciken da aka yi amfani da duban dan tayi a cikin farji, wanda ya ba da damar likita don nazarin kwayoyin halitta da kuma neman abubuwan hauka. Za'a iya auna lokacin kauri na endometrium. Abinda ke ciki ga PCOS ya hada da kasancewar kwayoyin 12 ko fiye (2 zuwa 9 mm) a kowace ovary. Yawancin lokaci ana kiran su "cysts". Akwai mata masu yawa da ke fitowa ovaries ba tare da bayyanar cututtuka na hyperandrogenism ba, da kuma mata da yawa da aka gano tare da PCOS waɗanda ba su da jinsin ovaries. Wasu likitoci sun gano yadda ake amfani da duban dan tayi a cikin matasan ba dole ba.
Sakamako na Blood
A ƙarshe, za a iya ɗaukar aikin jini . Bayan gwajin hormonal, kamar ga testosterone, sauran jima'i na jima'i ya kamata a duba su kamar su hormone mai tayar da hankali, hormone da kwayar cutar da kuma prolactin, likitanku na iya gwada wasu yanayi masu dangantaka kamar high cholesterol da kuma insulin resistance . Wani sabon gwajin jini na jini, kallon mace AMH (Horman Mullerian) yanzu ana amfani da wasu likitoci a matsayin kayan bincike.
Endometrial Biopsy
Ana iya yin amfani da biopsy na endometrial domin sanin idan kayan jikinku yana cikin lokaci na daidai ko kuma gwada cutar ciwon endometrial .
Wannan haɗarin ciwon daji na endometrial ya ƙaru tare da adadin da tsawon lokaci tsakanin lokacin da aka rasa. Za a iya amfani da kwayar halitta a asibitin likitanka kuma ba shi da wata wahala, ko da yake za ka iya samun kwarewa kadan a yayin aikin. An cire ƙananan nau'in nama daga cikin mahaifa ta hanyar bakin ciki wanda aka sanya ta cikin cervix kuma cikin cikin mahaifa. An gano wannan nama a cikin mahallin sake zagayowar ku kuma an bincika kwayoyin cutar ciwon daji.
Menene Na gaba?
Duk da yake wannan yana iya kasancewa ya damu, tuna cewa ba kai kaɗai ba ne. A matsayin mafi yawancin cututtuka na endocrine tsakanin mata masu tsufa, akwai mata da yawa tare da PCOS wadanda suka kasance ta hanyar wannan.
Taimaka wa ƙungiyar goyon bayan da mutanen da suka damu da kai. Biyan shawarar likitanku da koya game da cutar ku shine hanya mafi kyau don sarrafa shi.
Sources:
Grassi A. PCOS: Jagoran Dietitian. 2nd edition. Luca Publishing. Bryn Mawr, PA.
Jensen, Jani R. da Ruben Alvero. "Magungunan Ovarian Polycystic." Tsarin Endocrinology da Hanyoyin Halitta: Abin da ake bukata a cikin ƙananan ƙwayoyin cuta da ƙwayoyin cutar. Ed. Mark Evans, MD. Philadelphia: Mosby, 2007. 65-75.