Umqondo wokumelana ne-insulin usho ukwehla kokuzwela kwamaseli ekukhiqizweni kwe-insulin ye-hormone. Lokhu kungalingani kuvame ukubonwa ezigulini ezinesifo sikashukela i-mellitus, kepha kwezinye izimo, ukumelana ne-insulin kubonakaliswa nakubantu abaphilile ngokuphelele.
Isifo esinjenge-polycystic ovary syndrome (PCOS) sivezwa kaningi kwabesifazane abahlushwa yizifo ze-endocrine. Kubonakala ngoshintsho ekusebenzeni kwe-ovarian (ukukhuphuka noma ukungabikho kwe-ovulation, ukubambezeleka kokujikeleza kokuya esikhathini). Ku-70% yeziguli, i-PCa ikhombisa ukuba khona kohlobo 2 lwesifo sikashukela.
Ukumelana kwe-Spy and insulin kuyimibono ehlobene kakhulu futhi okwamanje, ososayensi bachitha isikhathi esiningi befunda ngobudlelwano babo. Ngezansi, lesi sifo uqobo, ukwelashwa kwesifo se-polycystic, ukuxilongwa kanye namathuba okuba ukhulelwe ngokwemvelo, ubudlelwane phakathi kwe-polycystic ne-insulin ye-hormone, nokwelashwa kokudla kwalesi sifo kuzochazwa ngokuningiliziwe.
I-Polycystic
Lesi sifo satholakala ekuqaleni kwekhulu leminyaka edlule ososayensi ababili baseMelika - uStein noLeventhal, ukuze isifo se-polycystic sibizwe nangokuthi yi-Stein-Leventhal syndrome. I-etiology yalesi sifo ayikafundwa ngokugcwele. Olunye lwezimpawu eziphambili ukukhushulwa okukhulayo kwama-hormone ocansi abesilisa emzimbeni wowesifazane (hyperandrogenism). Lokhu kungenxa yomsebenzi we-adrenal noma i-ovarian.
Uma kwenzeka i-PCOS, i-ovary inophawu olubizwa ngokuthi yi-morphological - polycystosis, ngaphandle kwama-neoplasms. Esikhathini samaqanda, ukwakheka kokubumba kwe-corpus luteum kukhubazekile, ukukhiqizwa kweprogesterone kuvinjiwe, kukhona ukwephulwa komjikelezo we-ovulation nokuya esikhathini.
Izimpawu zokuqala ezibonisa iStein-Leventhal syndrome:
- Ukungabikho noma ukubambezeleka isikhathi eside kokuya esikhathini;
- Izinwele ngokweqile ezindaweni ezingafuneki (ubuso, emuva, esifubeni, amathanga angaphakathi);
- Umqubuko, isikhumba esinamafutha, izinwele ezinamafutha;
- Isisindo esimangazayo sifinyelela ku-10 kg ngesikhathi esifushane;
- Ukulahlekelwa izinwele
- Ukudonsa izinhlungu okuncane kancane esiswini esingezansi ngesikhathi sokuya esikhathini (i-acute pain syndrome akuyona evamile).
Umjikelezo ojwayelekile we-ovulation kubantu besifazane ulawulwa ngukushintshwa kwezinga lamahomoni akhiqizwa yi-pituitary and ovaries. Ngesikhathi sokuya esikhathini, i-ovulation yenzeka cishe amasonto amabili ngaphambi kokuba iqale. Amaqanda akhiqiza i-hormone estrogen, kanye ne-progesterone, elungiselela isibeletho ukwamukela iqanda elivundisiwe. Ngokwezinga elincane, bakhiqiza i-testosterone yabesilisa besilisa. Uma ukukhulelwa kungenzeki, khona-ke amazinga e-hormone ancishisiwe.
Nge-polycystosis, ama-ovaries enza isamba esinyukayo se-testosterone. Konke lokhu kungaholela ekungazalani kanye nezimpawu ezingenhla. Kuhle ukwazi ukuthi ama-hormone ocansi abesifazane abonakala emzimbeni kuphela ngenxa yobukhona bama-hormone besilisa, ewaguqula. Kuyavela ukuthi ngaphandle kokuba khona kwama-hormone owesilisa, owesimame nawo awakheki emzimbeni wowesifazane.
Lokhu kumele kuqondwe, ngoba ukwehluleka kulesi sixhumanisi kubangela i-ovary polycystic.
Ukuxilonga
Ukwenza ukuxilongwa kwe-polycystic, i-gynecologist iqala ukuqoqa i-anamnesis. Isiguli kufanele sitshele ngezikhalazo zayo nezimpawu zalesi sifo - ukubambezeleka kokuya esikhathini, ukungakwazi ukukhulelwa, izinhlungu esiswini esingezansi, ukukhula kwezinwele okungashayi eceleni, umqubuko. Kubalulekile ukukhombisa ukuthi izimpawu zaqala ukubonisa ngasiphi isikhathi.
Ngokulandelayo, i-gynecologist yenza ukuhlolwa, i-palpation yama-ovary enesifo kungenzeka. Kuthathwa umgogodla wesibeletho ukusungula inani le-estrogen. Ngokuvamile, ukuthatha i-anamnesis, ukudlula ukuhlolwa kwe-smear kanye ne-gynecological kunikeza umbono wokuqala wesizinda sehormone yesiguli.
Ukuhlaziywa okuyinhloko kokuxilongwa yi-transvaginal ultrasound, ekhombisa umthamo wamaqanda, ukuhlangana kwamaphaphu lawo, i-streral hyperplasia kanye nokuba khona kwama-cysts.
Ngokwalokho okungenhla, ungahlukanisa phakathi kwezigaba zokuxilongwa:
- Umlando ukuthatha;
- Ukuhlolwa kwe-gynecological;
- Ukuhlolwa kwamazinga ama-hormone;
- I-transvaginal ultrasound.
Kuyaqapheleka ukuthi ukuhlolwa kwe-hormonal akusebenzi njengesikhombisi esikhulu ekuhlonzweni, kepha okunye ukwelashwa kwesiguli kunqunywa kusuka kulezi zinkomba.
Ukwelashwa kanye nemiphumela
Kufanele kuqashelwe zisuka nje ukuthi ukwelashwa okuhlinzwa kwe-PCOS akuvamile kakhulu futhi akuqinisekisi ukuqedwa ngokuphelele kwesifo se-polycystic ngokuzayo. Konke ukwelashwa kususelwa ekuphuzeni izidakamizwa nasekulandeleni imithetho embalwa yeziguli.
Ukwelashwa kuqala ngokuqedwa kwezimpawu. Isiguli kufanele sisebenzele ukwehlisa isisindo ngesilinganiso esijwayelekile. Ukuze wenze lokhu, kunconywa ukulandela indlela yokudla lapho ukudla nsuku zonke kungu-1800 kcal. Ngaphezu kwalokho, ungenza i-massage ekhaya evuselela imisebenzi yokuvuselela kanye nokwenziwa kwemicu yezinzwa. Lapha udokotela ubophekile ukunikeza izincomo zakhe.
Ukulungiswa kwe-Glitazone kunqunywe phambi kwesifo sikashukela sohlobo 2. Zenzelwe ukunciphisa ukumelana ne-insulin, okucasulayo i-polycystic syndrome. Ukuqokwa okunjalo kufanele kwenziwe nge-endocrinologist. Emakethe yamakhemikhali kukhona ukukhetha okunabile kwamathebhulethi anjalo, athandwa kakhulu kuwo yilawa:
- I-Poiglitazone;
- I-Pioglara
- I-piouno
- I-Diaglitazone;
- I-Amalvia
- Izinkambiso zikaDeveli.
Ukwelashwa kwezidakamizwa kungahlinzekwa ngokugeza okufudumele, isibonelo:
- AmaConifers;
- USaline;
- Ukusuka ekuqoqeni amakhambi.
Ukubuyisela umjikelezo wokuya esikhathini njalo kungenye into ebalulekile ekwelashweni kokugcina umzimba. Lokhu, kusetshenziselwa izindlela zokuvimbela inzalo zomlomo ezihlanganisiwe, ezingezona ezemvelo. Ungakhetha okulandelayo:
- Belara;
- Vidora;
- Jarnin;
- Bonade;
- Marvelon
- AmaMersey amathathu;
- I-Regulon;
- Novinet.
Faka isicelo senyanga ngokusho kwemiyalo, emva kwalokho kufanele kuthathwe ikhefu lezinsuku ezingama-25 kuya kwengama-30. Kungcono ukuthi i-gynecologist ikhethe umuthi, ngoba ngisho nokwakheka okufanayo, ukusebenza kwawo kungahluka.
Ungakhohlwa ukuthatha amavithamini e-B, i-ascorbic acid ne-Vitamin E.
I-Polycystic ibangela ukungabi namuntu, kepha ilashwa ngempumelelo. Uma umuntu wesifazane engahleleli ukuthi ukhulelwe, khona-ke lokhu akusicekeli isidingo sokwelashwa komzimba.
Ngakho-ke, uma isiguli singaziphathi izimpawu zesifo, lokhu kungaholela ekukhuleni komdlavuza wokungena ngaphakathi kwesibeletho. Kubangelwa ukuthi i-hormone estrogen isebenza kuphela esigqokweni, ngenxa yalokho isibeletho singasusi ungqimba lwangaphakathi, njengasesimweni esijwayelekile somjikelezo wokuya esikhathini, kodwa sikhula ngevolumu.
Ngaphezu kwalokho, i-polycystic ingahambisana nokopha kakhulu lapho kukhona ukuya esikhathini kanye nobuhlungu obujwayelekile obujwayelekile.
Ukudla kokumelana ne-polycystic kanye ne-insulin
Njengoba sekuxoxiwe phambilini, imbangela yokuvela kwe-polycystic ovary syndrome ayiqondakali ngokuphelele, kepha izifundo eziningi zesayensi zikuqaphele ukwenzeka kwalesi sifo kubantu abanesifo sikashukela i-mellitus, ikakhulukazi uhlobo lwesibili. Ucwaningo oluningi lomtholampilo lwenziwe ngale ndaba.
I-Polycystic kanye nesifo sikashukela kuhlanganiswa uphawu olulodwa olujwayelekile - ukukhuluphala. Ukuthola futhi ulondoloze yonke imisebenzi yomzimba esimweni sokusebenza, kuyadingeka ukunciphisa isisindo kumaka ojwayelekile, ongabalwa yi-endocrinologist.
Ukudla kungenye yezigaba eziphambili zokwelashwa okulondoloziwe. Lapho udla, kufanele udle lokho kudla:
- Imifino
- Izithelo
- Imikhiqizo yobisi nemikhiqizo yobisi;
- Inyama nenhlanzi yezinhlobo ezinamafutha amancane.
Ngokuyisisekelo, wonke umuntu onesifo sikashukela uyazi ukuthi ukudla okhethwe kahle kungalawula ushukela wegazi, ozosebenza njengokuvimbela okuhle kakhulu kwe-polycystic. Uhlu lwemikhiqizo evunyelwe selubanzi impela futhi ukukhetha kwabo kufanele kususelwe enkombeni yenkomba ye-glycemic kanye nokuqukethwe kwekhalori.
Konke ukudla okuqondiswe ku-GI kufanele kukhethwe ngezinkomba ezilandelayo:
- Ku-50 PIECES - awukwazi ukukhawula ukusetshenziswa kwabo;
- Kufika kumayunithi angama-70 - akuvamile ekudleni;
- Kusuka amayunithi angama-70 nangaphezulu - ngaphansi kokuvinjelwa okuqinile.
I-Porridge ingumthombo ongabalulekanga wamandla kanye nesigcino sezinto ezilandelwayo, ngokwesibonelo, i-oatmeal inganelisa ngaphezu kwengxenye yemfuneko yansuku zonke yefayibha. Okulandelayo kuvunyelwe okusanhlamvu:
- I-Buckwheat;
- Ibhali;
- Irayisi elinsundu;
- Ilayisi le-rice (okuyi-bran, hhayi okusanhlamvu);
- I-Oatmeal (okusanhlamvu okuvinjelwe).
Ilayisi elimhlophe ne-semolina ekudleni kwesifo sikashukela kukhishwa ngokuphelele. Ilayisi elinsundu lisebenza njengendlela enhle kakhulu emhlophe futhi aliphansi ngokunambitheka, kufanele liphekwe isikhashana, imizuzu engama-40 kuya kwengama-45.
Izithelo zidliwa kangcono ngesikhathi sokudla kwasekuseni, ngoba ushukela ongena egazini ungeniswa kangcono ngumzimba, abantu abaningi abanawo ekuseni. Ingxenye yansuku zonke ayidluli ku-250 amagremu. Izithelo ezilandelayo zivunyelwe:
- I-Apple
- Pearl
- I-Apricot
- I-sweet cherry;
- I-Gooseberry;
- I-Nectarine;
- Strawberry
- Ama-raspberries;
- Noma yiziphi izithelo zamawolintshi - i-orange, i-mandarin, ilamula;
- I-Persimmon;
- I-Cherry iplamu;
- Ama-sitrobheli asendle;
- Ama-Blueberries
- Ama-currants abomvu namnyama;
- Ipomegranate
Imikhiqizo yobisi nobisi olunoshukela kuzoba isidlo sakusihlwa esihle kakhulu ngokumelana ne-insulin. cishe yonke le mikhiqizo ingamakhalori aphansi futhi ine-GI encane, ngaphandle kukakhilimu omuncu, curd nebhotela. Imikhiqizo yobisi elandelayo kanye nobisi olunoshukela kuvunyelwe:
- Ushizi wekotishi onamafutha amancane;
- Kefir;
- I-yogog;
- I-Ryazhenka;
- Ubisi luphelele;
- Ubisi lwesikhumba;
- Ubisi oludakayo;
- UTofu Cheese.
Izitsha zenyama nenyama kufanele zibe nsuku zonke etafuleni lesiguli, njengesitsha sasemini nesidlo sakusihlwa sokuqala. Zonke izinhlobonhlobo zenyama, i-offal nezinhlanzi zikhethiwe zonda, isikhumba sisuswa enyameni. Ungadla imikhiqizo enjalo:
- Inyama yenkukhu;
- ETurkey;
- Inyama yenkomo;
- Inyama yemvundla;
- Isibindi senkomo;
- Ulimi lwenkomo;
- Isibindi senkukhu;
- Pike
- Hake;
- Pollock.
Kungcono ukukhetha ibele enkukhu, kepha ungasebenzisa i-ham, ususe amanoni nesikhumba kuyo. Kuqukethe inani elikhulayo lezinto ezibaluleke njengokulandela njengensimbi.
Akuvunyelwe futhi ukuba kungabi ngaphezu kweqanda elilodwa ngosuku, noma i-GI yayo ingaphakathi kokujwayelekile okuvumelekile, kepha inani le-cholesterol ku-yolk lenyuke.
Imifino iyisisekelo sokwelashwa kokudla. Zingadliwa zombili ezisanda kulungiswa futhi zilungiselele izitsha eziseceleni zesifo sikashukela esiqukethe amavithamini namaminerali amaningi. Okulandelayo kuvunyelwe:
- Isitshalo seqanda
- Anyanisi;
- Garlic
- Utamatisi
- I-Turnip;
- Isithombo;
- Izaqathi (okusha kuphela);
- Broccoli
- Iklabishi emhlophe;
- Ikholifulawa;
- Upelepele oluhlaza okotshani obomvu;
- I-pepper emnandi.
Ukwelashwa okushisa kwemikhiqizo kufanele kwenzeke kuphela ngokulandelayo:
- Kwabashadikazi;
- Ubilise;
- Stew;
- E-grill;
- Ku-microwave;
- Kumpheki ohamba kancane.
Ukukhetha okulungile kwemikhiqizo nokulungiselela kwabo - lokhu kuyisiqingatha kuphela semithetho yokwelashwa kokudla. Udinga ukwazi ukuhlela uhlelo lokudla futhi unqume inani lokudliwayo.
Ukudla okunesifo sikashukela kufanele kube ngokuhlelekile, inani lokudla izikhathi ezingama-5-6 ngosuku, ngezingxenye ezincane. Futhi, umuntu akufanele akhohlwe ngenani loketshezi - okungenani amalitha amabili ngosuku. Futhi kungcono ukubala okujwayelekile ngokuya ngamakhalori asetshenzisiwe - ikhalori eyodwa ilingana no-ml owodwa we-kefir.
Zonke izitsha zilungiswa kangcono kusetshenziswa inani elilinganiselwe lamafutha zemifino, ukuze kunganyuswa okuqukethwe kwekhalori kokudla.
Amavithamini
Ukudla i-Vitamin kudlala indima enkulu ekugcineni yonke imisebenzi yomzimba, futhi lokhu kubaluleke kakhulu phambi kwe-polycystic ovary syndrome. Abesifazane abanohlobo lwesibili sikashukela abaphucwa ukukhulelwa nokuqalwa kwe-ovulation, kubalulekile ukwandisa ukwelashwa okulondolozayo ngamavithamini ekwelapheni i-PCOS.
Isibonelo, amavithamini afana ne-Doppelherz kwabanesifo sikashukela azothuthukisa umzimba wowesifazane ngama-B, E amavithamini amaningi, nezinto eziningi zokulandela umkhondo:
- I-calcium
- I-Chrome;
- Magnesium
- I-Zinc
- I-Folic acid;
- INicotinamide;
- I-Biotin.
Imithamo yabo ilula kakhulu, ithebhulethi elilodwa kuphela ngosuku lokudla. Amavithamini anjalo anomthelela kuzo zonke izinqubo ze-metabolic, andisa ukumelana komzimba ezifweni kanye namagciwane ama-etiologies ahlukahlukene.
Ngeshwa, ngesifo sikashukela, amavithamini nezakhi zokulandela akuqoqeki emzimbeni wesiguli inani elifanele. Kungakho isiguli sidinga ukuthathwa kwamavithamini njalo.
Ukudla okwanele kwamaqembu ahlukahlukene amavithamini kanye namaminerali kuvimbela ukukhula kwezifo eziningi futhi kuqinise amasosha omzimba. Amavithamini e-Doppelherz anesifo sikashukela aqukethe amavithamini ayishumi abalulekile kanye nezinto ezimbalwa ezilandelwayo zokulandela umkhondo, ukwakheka nakho kuyacetshiswa nge-selenium.
Kwividiyo ekulesi sihloko, isihloko se-polycystic syndrome kanye nobudlelwano bayo nokumelana ne-insulin kuyaqhubeka.
