Kobaca timaha oo kaliya ayaa muujinaysa inaad qabtid Polycystic Ovary Syndrome (PCOS), inkasta oo jimicsiga (timaha jirka aan loo baahnayn ama ka badan) uu yahay mid ka mid ah calaamadaha ugu dhib badan ee PCOS. Xaaladaha qaarkood, sababta dhabta ah ee timaha wajiga ee haweenka lama yaqaan, xaaladduna badi waxay ku dhacdaa qoysaska.
Hirsutism: Calaamadaha iyo Sababaha
Haweenka intooda badani waxay leeyihiin timo khafiif ah (oo loo yaqaan timo vellus) kuwaas oo koray korka bishimaha, garka, laabta, caloosha, ama dhabarka-badanaa waxaa loo yaqaannaa ciladda feeraha waxaana caadi ahaan lagu horumariyaa carruurnimada .
Marka ay haweenku leeyihiin tiro aan muuqan, oo muuqaal ah, timo madow oo ku koraya meeshii tuubooyinka vellus ee goobahaas, xaaladda waxaa la yiraahdaa hirsutism. Saacadahaas kookooban waxaa loo yaqaannaa curyaanka ama timirta, kuwaas oo inta badan kobcaya xilliga baaluqa. Si kastaba ha noqotee, haddii jidhka haweenku ka dhigto asrogyo badan ama hormoonnada labka ah sida testosterone, waxaad yeelan kartaa korriin timaha aan loo baahnayn, gaar ahaan qaybta dhexe ee jirkaaga (inta u dhexeysa naasahaaga, badhanka caloosha, bowdada gudaha).
Sababaha qaar ka mid ah wax soo saarka xad-dhaafka ah, oo sidaas darteed hirsutism, waxaa ka mid noqon kara shuruudaha soo socda:
- PCOS
- Buro ama kansar qanjidhada adrenal
- Buro ama kansar ah ugxan-sidaha
- Cudurka qaaxada
- Cudurka Cudurka
- Xinjirta adrenal hyperplasia
- Hyperthecosis (xaalad ay ugxan-siduhu soo saarto hormoonno lab ah oo badan)
- Isticmaalka daawooyinka qaarkood, sida ama aan ku xaddidneyn:
- Imtixaan
- Danazol
- Steroids anabolic
- DHEA
- Glucocorticoids
Marka PCOS laga yaabo in lagu eedeeyo timaha maqaarka ee haweenka
Inkastoo aysan jirin imtixaan loo baahan yahay PCOS, baaritaanka waxaa badanaa la sameeyaa ka dib markii dhakhtarkaagu sameeyo dib u eegis ballaaran oo taariikhdaada caafimaad ah iyo inuu xaqiijiyo jiritaanka astaamaha soo socda:
- Xilliyada caadada ama maqnaanshaha
- Calaamadaha jidhka wajiga ah ee maskaxda gariirka, timo lumis, iyo finan-aan lahayn cudur kale.
- Dhibaato miisaan iyo / ama sonkorow
Si loo kala saaro PCOS shuruudo kale, dhakhtarku wuxuu qaadan doonaa taariikhdaada caafimaad oo buuxa oo uu sameeyo baaritaanka jirka iyo miskaha si uu u eego calaamadaha PCOS (sida ukumo barar ah ama kintirka oo barara).
Badanaa, dhakhtarkaagu wuxuu sidoo kale ku amri doonaa tijaabo dhiig si loo cabbiro heerarka hoormoonka soo socda:
- Baaritaanka shaqada ee tirakoobka si loo ogaado hoormoonka tayroodhka ee uu soo saaro jirka
- Tijaabinta guluukoosta macaan si loo cabbiro heerka sonkorta dhiigga
- Qiyaasaha Lipid level si loo qiimeeyo kolestaroolka dhiigga
Tijaabooyinka kale ayaa sidoo kale lagu dalban karaa, sida:
- Ultrasound siilka oo u oggolaanaya dhakhtarkaaga haweenka inuu abuuro sawirro dhab ah waqtiga xubnaha tarankaaga.
- Laparoscopy (qalitaan qalliin) ayaa u oggolaanaya dhakhtarkaaga in uu hubiyo koritaanka ugxan-yariadaada adoo isticmaalaya kamarad yar.
- Haddii koritaanka maqaarku ay joogaan, waxaa laga yaabaa in baaritaan dheeraad ah laga qaado nudaha unugyada yar yar (biopsy).
Marka dhammaan baaritaanada la soo dhamaystiray la dhammeeyo, dhakhtarku wuxuu eegi doonaa dhammaan natiijooyinka iyo macluumaadka bukaan-socodka si loo helo baaritaan caafimaad. Haddii aad u maleyneyso in PCOS-gaaga uu sabab u yahay hirsutismkaaga, waa inaad u tagtaa dhakhtarkaaga calaamadahaaga.
Daaweynta Hirsutism
Maaddaama timuhu ku koraan marxalado kala duwan, muddo dheer oo lix bilood ah, hirsutism-ka guud ahaan waa xaalad wakhti dheer. Waxaa jira habab badan oo daaweyneed oo loogu talagalay timaha aan loo baahneyn iyo daweynaha qaar ka dheer kuwa kale. Tusaalooyinka qaarkood waxaa ka mid ah:
- Daawooyinka sida kiniiniyada xakameynta dhalmada iyo daawooyinka lidka-ka-hortagga (spironolactone)
- Electrolysis loo isticmaalo in si joogto ah u waxyeelo timaha timaha. Kharash badan sida daaweyn badan oo loo baahan yahay iyo halista waxaa ka mid ah barar, cirrid, iyo casaan maqaarka.
- Tamarta laydhka oo lagu faray timaha melanin. Habkani wuxuu si fiican ugu shaqeeyaa timo madow.
- Tuujinta
- Kiimikooyinka, rujinta, iyo maqaarka.
- Haweenka miisaankoodu sarreeyo ama cayilan, miisaanka ayaa kaa caawin kara yareynta kobaca timaha.
> Isha:
> Maktabadda Qaranka ee Mareykanka ee Medicine, Medline Plus. Timaha dheeraadka ah ama aan loo baahnayn ee haweenka.