Shuruudaha Aqoonsiga ee lagu ogaanayo cudurka Polycystic Ovarian Syndrome (PCOS)
Ultrasound Transvaginal waa mid ka mid ah qalabka ugu muhiimsan ee dhakhtar leeyahay marka ay timaado baaritaanka cudurka kansarka ugxanta ee loo yaqaan ' PCOS'. Sawirada laga helay ultrasound, oo ay weheliso natiijooyinka baaritaanka dhiigga iyo taariikhda bukaanka iyo jir ahaaneed, ayaa loo isticmaalaa in lagu ogaado cudurkaan.
Baadhitaanka Polycystic Ovary Syndrome (PCOS)
Calaamadaha heerarka sarreeya ee asrogens, (hormoonada labka ah sida testosterone), jinsiga (systolic syndrome) (PCOS) waa dheellitiro hormoonnada jinsiga.
Maaddaama hormoonadani ay ku lug leeyihiin nidaamka nidaamka jireed oo ka bilaabma dhalashada illaa metabolism, xaaladda waxay keeni kartaa calaamado iyo calaamado badan oo ah PCOS .
Diidmada PCOS
Talaabada koowaad ee qiimeynta calaamadahaaga, imtixaanka iyo natiijooyinka sheybaarka waa in laga saaro xanuunada kale ee keeni kara natiijooyinkan . Xaaladahan (oo laga yaabo inay u muuqdaan PCOS la mid ah laakiin way ka duwan yihiin) waxaa ka mid ah:
- Cudurka qanjidhka - Kala saarista PCOS ee cudurka qanjirka thyroid ayaa ka dhigeysa mid aad u adag in noocyada cudurada thyroid ay ku badan yihiin dadka qaba PCOS, iyo qaar ka mid ah baaritaanada loo isticmaalo in lagu ogaado cudurada thyroid-ka ayaa ku haboon dadka qaba PCOS.
- Hyperprolactinemia
- Xinjirta adrenal hyperplasia
- Cushing cudurka
Shuruudaha Qalabka ee PCOS (Shaxda Rotterdam)
Shuruudaha lagu ogaanayo ogaanshaha haweenka ee PCOS waxay sheegeysaa in haweeney ay leedahay PCOS haddii ay leedahay labo ka mid ah saddexda shuruudood ee soo socda (oo ay ka reebantahay dhamaan shuruudaha kale):
1. Cirbadaha caadada ama aan caadi ahayn (siddeed ama xilli ka yar hal sano). Maaddaama laba ka mid ah seddexdan shuruudood ee loo baahan yahay in la daboolo, waxaa jira haween kuwaas oo buuxin doona shuruudaha loogu talagalay cudurka PCOS inkastoo caadada caadada u ah caadada.
2. Dhaawaca sarreeya ee ka shaqeeya dhiigga ama astaamaha sare ee jidhka sida finanka, koritaanka timaha dheeraadka ah ( hirsutism ), ama timaha caadada ee labka ah ( iyo alopecia alopecia ).
Baadhitaanada dhiigga ayaa badanaa muujiya testosterone sare iyo heerarka testosterone oo lacag la'aan ah iyo sidoo kale heerka dehydroepiandrosterone sulfate (DHEAS) .
3. Jiritaanka qulubyada-badanaa loo yaqaano sida qalabka si qalad ah-ultrasound (fiiri caddaynta hoose). Shuruudaha qaarkood waxay tilmaamayaan PCOS iyagoo leh 12 ama kabadan yaryar (oo ah inta u dhaxaysa laba ilaa sagaal mm dhexroor) labadaba. Si kastaba ha noqotee, dalka Mareykanka, takhaatiirtu sida caadiga ah kuma kalsoonaan karaan qeexitaankaas si loo sameeyo baadhitaan. Waxaa jira haween badan oo qaba cystic ovary iyada oo aan lahayn astaamaha hyperandrogenism, iyo dumar badan oo laga helay PCOS kuwaas oo aan lahayn fasalka caadiga ah ee "cystic". Daraasadihii ugu dambeeyay waxay soo jeedinayaan in cabiraadda hormoonaha hormoonka anti-Mulleran uu noqon karo bedel faa'iido leh ultravaginal ultrasound mararka qaarkood xaaladaha cudurka PCOS.
Haddii Cudurkaaga Cudurkaaga aan la hubin
Haddii aanad hubin cudurkaaga PCOS (ama maqnaansho mid), ma dhaawici karto si aad u hesho ra'yi labaad. Dhakhaatiirta 'Endokrinologists' iyo takhaatiirta 'endocrinologists' ayaa ah khabiiro caafimaad oo leh tababar dheeraad ah qiimeynta iyo daaweynta xanuunka hormoonada. Ka fiiri Jaamicada Maraykanka ee Daawada taranka ama 'Androgen Excess' iyo 'PCOS Society' ee talobixinta deegaanka.
Sidee Loogu Talagalay Ultrasound Transvaginal?
Ultrasound-ka waxaa lagu samayn karaa xafiiska dhakhtarka. Nidaamka, waxaa laga yaabaa in lagu weydiisto inaad cabto ilaa 40 wiqiyadood oo dheecaan ah ka hor baaritaankaaga si aad u buuxiso kaadiheystaada, taas oo sahlaysa inaad aragto ugxan-yarikaaga. Baaritaanka ultrasound-ka ee la miiray ayaa la geliyaa gudaha gudaha siilka, kaas oo u gudbiya sawirada gudaha gudaha shaashadda. Farsamayaqaanka ultrasound ayaa markaa ka dibna cabbira sawirrada ugxan-yariadaada wuxuuna la wadaagaa dhakhtarkaaga.
Miyuu jiraa Ultrasound Transvaginal?
Dumarka qaarkood waxaa laga yaabaa inay dareemaan raaxo aad u yar inta ay farsamoyaqaanku hoos u riixayaan inta lagu jiro ultrasound (xusuusnow, kaadiheysta buuxa!), Iyada oo ku xidhan fududaanta sonographerku uu heli karo xubnaha taranka gudaha .
Waa maxay Dhakhtarka Raadinta Ultrasound?
Sonographerku wuxuu baari doonaa ilmo-galeenkaaga, ilma-galeenka, iyo ilmo-galeenka. Tirada qanjidhada ku jirta ugxan-yaridaada ayaa la tirin doonaa si loo soo saaro waxa loo yaqaan 'NPT'.
Maxay yihiin Antral Follicles?
Qalbooyinka Antral-ku wuxuu ku nasanayaa xididada laga helo ugxan-la'aanta bilowga caadada caadada. Waxay qiyaastoodu tahay laba illaa sagaal mm oo cabbir ah (ka yar nus nus). Tirada kalkaaliyaha faraha badan ee mujtamaca ayaa tilmaamaya in haweeney ay leedahay tiro badan oo ukun ah oo ku haray ugxan iyo ugxan kiisaska, PCOS.
Qaybaha iyo Follicles ee PCOS
Noocyada iyo xididdada labadaba waxay ku badan yihiin dumarka leh PCOS marka loo eego kuwa aan lahayn xaalad. Dad badan ayaa isku dhexfadhiya xididdada.
Inkasta oo magaceedu yahay, haweenka haysta PCOS maaha mid caadi ah soo saaraan fiix-yada, laakiin halkii ay ka soo jeedaan ayaa waxaa loo isticmaalaa qeyb ka mid ah shuruudaha cudurka (eeg hoos). Magaca isbeddelka PCOS ayaa la soo jeediyey si loo xakameeyo jahawareerka iyo si habboon u tababaro xirfadlayaasha caafimaadka iyo macaamiisha.
Haweenka haysta PCOS waxay u muuqdaan inay soo saaraan qulubyo, kuwaas oo ah ururinta yar ee dareeraha ee ugxan-sidaha, waana natiijada, maaha sababta, dheellitirka hormoonnada jinsiga. Bil kasta, haweeney waxay soo saartaa xididada qaangaar ah oo ka soo baxa ugxan-yare si loo bacrimiyo. Sababtoo ah isku dheelitir la'aanta hoormoonka, qulubyadani ma dhicin mana soo baxaan ugxan-yari, taasoo badanaa keenaysa dhalmo la'aan. Baro wax badan oo ku saabsan sababaha iyo asalka dhibaatada ee PCOS .
Khadadka Hooska ee lagu ogaado PCOS leh Ultrasound Ultrasound
Ciladda PCOS waxay noqon kartaa wakhti badan oo niyadjab leh. Xaalado kale oo keeni kara calaamado isku mid ah waxay u baahan yihiin in la soo celiyo marka hore, ka dibna calaamadaha sida sida caadiga ah ee caadada iyo caddaynta xad-dhaafka xajmiga. Ultrasound Transvaginal waxay ku siin kartaa macluumaad muhiim ah oo ku saabsan xididdada (oo ka soo horjeeda cysts taas oo keentay in badan oo wareer sanado badan.) Qiyaasta hormoonka anti-Mulleran ayaa laga yaabaa in ay beddesho bedelka ultrasound xaaladaha qaarkood.
Marka baaritaanka la sameeyo, fursadaha daaweynta ee PCOS dib ayaa loo eegi karaa si ay kaaga caawiyaan inaad ka hortagto cawaaqib xumada (iyo mararka qaarkood halis ah) ee xaaladda.
Ilaha
- Bachanek, M., Abdalla, N., Cendrowski, K., iyo W. Sawicki. Qiimaha Ultrasonografi ah ee Baaritaanka Polycystic Ovary Syndrome - Dib u Eegista Suugaanta. Wargeyska Ultrasonografi . 2015. 15 (63): 410-22.
- Dewailly, D. Shuruudaha Qeexitaanka ee PCOS: Miyuu Baahan Yahay Maqnaanshaha? . Tababarka ugu Fiican iyo Cilmi-baarista. Dhakhtarka Dumarka iyo Ginecology . 2016. 37: 5-11.
- Matsuzaki, T., Munkhzaya, M., Iwasa, T. et al. Xidhiidhka u dhexeeya Hormada Anti-Mulleran ee Hormoonada iyo Xakameynta Kiliiniga ee Polycystic Ovary Syndrome. Warshad Cusub . 2017 Abriil 1. (Epub ka hor daabac).
- McCartney, C., iyo J. Marshall. Tababar Caafimaad. Polycystic Ovary Syndrome. Wargeyska New England Journal of Medicine . 2016. 375 (): 54-64.