Ukungonelanga kwee-Ovarian

Umxholo

• Isishwankathelo
• Yintoni ukungonelanga kwe-ovari ephambili (POI)?
• Yintoni ebangela ukungonelanga kwe-ovari ephambili (POI)?
• Ngubani osemngciphekweni wokungabikho ngokwaneleyo kwe-ovari (POI)?
• Zithini iimpawu zentswelo yokuqala ye-ovari (POI)?
• Zeziphi ezinye iingxaki ezinokubangela ukungonelanga kwe-ovari (POI)?
• Sifumana njani isifo sokungonelanga kwe-ovari (POI)?
• Unyango olusisiseko lwe-ovarian insufficiency (POI) luphathwa njani?

Isishwankathelo

Yintoni ukungonelanga kwe-ovari ephambili (POI)?

Ukunqongophala kwe-ovari yaseprayimari (POI), ekwabizwa ngokuba kukusilela kwe-ovari ngaphambi kwexesha, kwenzeka xa amaqanda esetyhini eyeka ukusebenza ngesiqhelo ngaphambi kokuba abe nama-40.

Abasetyhini abaninzi ngokwendalo bafumana amava okunciphisa ukuzala xa beneminyaka emalunga ne-40 ubudala. Banokuqala ukufumana ukuya exesheni ngokungaqhelekanga njengoko betshintshela ekuyekeni ukuya exesheni. Kwabasetyhini abane-POI, ixesha elingaqhelekanga kunye nokwehla kokuchuma kuqala ngaphambi kweminyaka yobudala engama-40. Ngamanye amaxesha ingaqala kwangoko kwiminyaka yeshumi elivisayo.

I-POI yahlukile ekuyekeni ukuya exesheni ngaphambi kwexesha. Ngokuyeka ukuya exesheni ngaphambi kwexesha, amaxesha akho ayayeka ngaphambi kweminyaka engama-40. Awusayi kuphinda ukhulelwe. Isizathu sinokuba sendalo okanye sisifo, uqhaqho, ichemotherapy, okanye imitha. Nge-POI, abanye abantu basetyhini banamaxesha athile. Banokude bakhulelwe. Kwiimeko ezininzi ze-POI, unobangela awaziwa.

Yintoni ebangela ukungonelanga kwe-ovari ephambili (POI)?

Malunga ne-90% yamatyala, esona sizathu se-POI asaziwa.

Uphando lubonisa ukuba i-POI inxulumene neengxaki zeefollic. Iifollicle zincinci zeesaka kwii-ovari zakho. Amaqanda akho ayakhula kwaye avuthwe ngaphakathi kuwo. Olunye uhlobo lwengxaki yenkqubo yokuba uphelelwe ziifollic zangaphambi kokuqhelekileyo. Enye into kukuba iifollic azisebenzi kakuhle. Kwiimeko ezininzi, oyena nobangela wengxaki yenkqubo ayaziwa. Kodwa ngamanye amaxesha unobangela unokuba njalo

• Iziphazamiso zemfuzo ezinje nge-Fragile X syndrome kunye ne-Turner syndrome
• Inani eliphantsi leefollic
• Izifo ezizimela ngokuzenzekelayo, kubandakanya i-thyroiditis kunye nesifo iAddison
• Chemotherapy okanye unyango ngemitha
• Ukuphazamiseka kwimetabolism
• Ityhefu, njengomsi wecuba, imichiza kunye nezibulala-zinambuzane

Ngubani osemngciphekweni wokungabikho ngokwaneleyo kwe-ovari (POI)?

Izinto ezithile zinokuphakamisa umngcipheko kumfazi kwi-POI:

• Imbali yosapho. Abasetyhini abanomama okanye udade abane-POI kunokwenzeka ukuba babe nayo.
• Imfuza. Olunye utshintsho kwimfuza nakwimeko yemfuza lubeka abasetyhini emngciphekweni omkhulu we-POI. Umzekelo, abafazi be-Fragile X syndrome okanye i-Turner syndrome basemngciphekweni omkhulu.
• Izifo ezithile, ezifana nezifo ezizimele kunye nokusuleleka kwintsholongwane
• Unyango lomhlaza, ezinje ngekhemotherapy kunye nonyango lwemitha
• Ubudala. Abafazi abancinci banokufumana i-POI, kodwa iya isiba yinto eqhelekileyo phakathi kweminyaka engama-35-40.

Zithini iimpawu zentswelo yokuqala ye-ovari (POI)?

Umqondiso wokuqala we-POI uhlala ungalunganga okanye uphoswe ngamaxesha. Iimpawu zexesha elizayo ziya kufana nezo zendalo:

• Kushushu
• Ukubila ebusuku
• Ukucaphuka
• Uxinzelelo olubi
• Ukuncipha kwesondo
• Intlungu ngexesha lokwabelana ngesondo
• Ukoma kwelungu lobufazi

Kwabafazi abaninzi abane-POI, inkathazo yokukhulelwa okanye ukungachumi sisizathu sokuba baye kumboneleli wabo wezempilo.

Zeziphi ezinye iingxaki ezinokubangela ukungonelanga kwe-ovari (POI)?

Kuba i-POI ibangela ukuba ube namanqanaba asezantsi amahomoni athile, usengozini enkulu yezinye iimeko zempilo, kubandakanya

• Ixhala kunye noxinzelelo. Utshintsho lwehomoni olubangelwa yi-POI lunokuba negalelo kuxinzelelo okanye lukhokelele kuxinzelelo.
• Isifo esamehlo esomileyo kunye nesifo kumphezulu wamehlo. Abanye abantu basetyhini abane-POI banenye yezi meko zamehlo. Zombini zinokubangela ukungonwabi kwaye zinokukhokelela kumbono ophazamisekileyo. Ukuba ayinyangwa, le meko inokubangela ukonakala kwamehlo okusisigxina.
• Isifo sentliziyo. Amanqanaba asezantsi e-estrogen anokuchaphazela izihlunu ezingaphakathi kwimithambo kwaye anokunyusa ukwanda kwecholesterol kwimithambo. Ezi zinto zonyusa umngcipheko we-atherosclerosis (ukuqina kwemithambo).
• Ukungachumi.
• Umsebenzi we-thyroid ophantsi. Le ngxaki ibizwa ngokuba yi-hypothyroidism. Idlala lengqula elenza amadlala alawula imetabolism yomzimba wakho kunye nenqanaba lamandla. Amanqanaba asezantsi ehomoni ye-thyroid anokuchaphazela imetabolism yakho kwaye kunokubangela amandla asezantsi kakhulu, ukonqena kwengqondo kunye nezinye iimpawu.
• Unyango. IHormone estrogen inceda ukugcina amathambo omelele. Ngaphandle kwe-estrogen eyaneleyo, abasetyhini abane-POI bahlala bekhulisa i-osteoporosis. Sisifo samathambo esibangela ukuba buthathaka, amathambo aphuke kancinci anokuqhekeka.

Sifumana njani isifo sokungonelanga kwe-ovari (POI)?

Ukuchonga i-POI, umboneleli wakho wezempilo unokuyenza

• Imbali yezonyango, kubandakanya ukubuza ukuba unazo na izihlobo ezine-POI
• Uvavanyo lokukhulelwa, ukuqinisekisa ukuba awukhulelwe
• Uvavanyo lomzimba, ukujonga iimpawu zezinye iingxaki ezinokubangela iimpawu zakho
• Uvavanyo lwegazi, ukujonga amanqanaba athile ehomoni. Unokuba novavanyo lwegazi ukwenza uhlalutyo lwe-chromosome. I-chromosome yinxalenye yeseli enolwazi ngemfuzo.
• I-ultrasound ye-pelvic, ukubona ukuba ii-ovari zandisiwe okanye azinazo iifollic ezininzi

Unyango olusisiseko lwe-ovarian insufficiency (POI) luphathwa njani?

Okwangoku, akukho lonyango luqinisekisiweyo lokubuyisela umsebenzi oqhelekileyo kwii-ovari zowasetyhini. Kodwa lukhona unyango kwezinye zeempawu ze-POI. Kukwakho neendlela zokunciphisa umngcipheko kwimpilo yakho kunye nokunyanga iimeko ezinokubangela i-POI:

• Unyango olungena endaweni yeHormone (HRT). I-HRT lolona nyango luqhelekileyo. Inika umzimba wakho i-estrogen kunye namanye amahomoni angenziwa ngamaqanda akho. I-HRT iphucula impilo yezesondo kwaye inciphisa umngcipheko wesifo sentliziyo kunye ne-osteoporosis. Uhlala uyithatha ide ibe malunga neminyaka engama-50; malunga neminyaka apho ukuya exesheni kuhlala kuqala.
• I-calcium kunye ne-vitamin D yongeza. Ngenxa yokuba abasetyhini abane-POI basemngciphekweni ophezulu we-osteoporosis, kuya kufuneka uthathe ikhalsiyam kunye nevithamin D yonke imihla.
• In vitro fertilization (IVF). Ukuba unayo i-POI kwaye unqwenela ukukhulelwa, unokucinga ngokuzama i-IVF.
• Ukusebenza rhoqo komzimba kunye nobunzima bomzimba osempilweni. Ukwenza umthambo rhoqo kunye nokulawula ubunzima bakho kunokuwunciphisa umngcipheko we-osteoporosis kunye nesifo sentliziyo.
• Unyango lweemeko ezinxulumene noko. Ukuba unemeko enxulumene ne-POI, kubalulekile ukuyiphatha nayo. Unyango lunokubandakanya amayeza kunye neehomoni.

I-NIH: Iziko leSizwe lezeMpilo yaBantwana noPhuhliso lwaBantu