Nsogbu gị na ọrịa polycystic ovary syndrome ( PCOS) bụ abụọ n'ime nsogbu ọrịa endocrine (ma eleghị anya, eleghara anya) na ụmụ nwanyị. Ọ bụ ezie na hypothyroidism na PCOS dị nnọọ iche, ndị a abụọ ọnọdụ òkè ọtụtụ ụdị atụmatụ.
Lee ihe dị mkpa 5 ndị inyom na PCOS kwesịrị ịma banyere hypothyroid.
Hypothyroidism dị oke na PCOS
Hypothyroidism, na karịsịa, Hashimoto's thyroiditis , na-emekarị karịa ụmụ nwanyị nwere PCOS karịa ndị nkịtị.
Hashimoto's bụ ọnọdụ autoimmune nke ahụ na-awakpo onwe ya.
Sinha na ndị ọrụ ibe ha chọpụtara na 22.5% nke ụmụ nwanyị nwere PCOS nwere hypothyroidism ma e jiri ya tụnyere 8.75% na njikwa na ọgwụ nje na-egosi na ọ dị ugbu a na pasent 27 nke ndị ọrịa na PCOS ruru 8% na njikwa. N'oge na-adịbeghị anya, nnyocha e bipụtara na Endocrine Research gosipụtara ọganihu dị elu nke Hashimoto na elu TSH (na-egosi hypothyroid) na ndị ọrịa PCOS.
Gịroid na PCOS bụ Interconnected
E kweere na mkpụrụ ndụ ihe nketa na gburugburu ebe obibi na-enye aka na nsogbu gị na PCOS. A maara Hypothyroidism iji mee ka ndị PCOS dị ka ovaries na ọnụmawanye nke PCOS na insulin resistance.
Hypothyroidism nwere ike ime ka ụbụrụ dịkwuo elu site n'ịbelata ọnọdụ nke hormone na-ejikọta globulin ( SHBG ), na-amụba ntọghata nke ịrịa aka na testosterone na estradiol, ma belata nkwụsị nke mgbochi nke mgbochi.
Enwere estrogen na estrogen / progesterone yiri ka a ga-etinye aka na ọgwụ dị elu nke thyroid antibody na ndị ọrịa PCOS.
Ọrịa gị na-emetụta Ahụ Gị dum
N'okpuru akpịrị gị na udi nru ububa, okpukpu gịroid na-achịkwa ọnụego nke ahụ gị na-agbanwe ihe oriri maka ume, na-arụ ọrụ dịka onye na-ahụ maka ịchịkwa ahụ metabolism na usoro ndị ọzọ.
Ọ bụrụ na ị na-arụ ọrụ ngwa ngwa ( hyperthyroid ), ọ na-agbatị ọsọ ọsọ gị. Ọ bụrụ na ọ na-arụ ọrụ nke ọma (hypothyroid) nke a na-eme ka ọ kwụsịlata metabolism gị, na-ebute uru bara uru ma ọ bụ ihe isi ike na-efu.
Mkpụrụ ndụ niile dị n'ime ahụ gị na-adabere na homonụ zoro ezo site na thyroid iji rụọ ọrụ nke ọma. Na mgbakwunye na ịchịkwa ọnụego nke ahụ gị na-agbanwe mmanụ carbohydrates, protein, na abụba n'ime mmanụ, hormones thyroid na-achịkwa obi gị ma nwee ike imetụta oge ị ga-agbaso, na-emetụta ọmụmụ.
TSH ezughị ezu
TSH naanị abụghị ihe a pụrụ ịdabere na ya iji chọpụta ọrụ gị na-arụ. TSH na-enyocha T4 ole na ole ka a jụrụ ajụ oyi. Nnwale TSH nwere ike ịpụta na ị nwere hypothyroidism. Ịtụkwasị obi na TSH naanị ezughị ezu iji chọpụta nyocha ziri ezi na otu ihe mere ọtụtụ ndị ji hypothyroid na-eche.
Ndị ọzọ thyroid ule gụnyere:
Ntụle T4 (Free T4, T4 T4 free, total T4): nyochaa ọnụego T4 gị thyroid na-emepụta.
Ajuju peroxidase gị (anti-TPO) (TgAb): ego maka ọgwụ nje gị na ịchọpụta autoimmune thyroid conditions like Hashimoto's.
T3 na Reverse T3 (rT3): nyochaa ego T3 gị thyroid na-arụpụta na ike iji tọghata T4 na T3.
Iodine Na-ahụ Nnukwu Ọrụ
Na thyroid ga-enwe iodine iji mee ka hormone gị. Isi nri nri nke ayodiin gụnyere nri ara ehi, ọkụkọ, anụ ehi, anụ ezi, azụ, na nnu iodized. Pink Himalayan na nnu oké osimiri adịghị abawanye ma ọ bụ iodine. Idebe ọgwụ mmepụta ihe na-eme ka ihe dị mma na-achọ ego kwesịrị ekwesị nke ayodiin. Obere ma ọ bụ nnukwu iodine nwere ike ime ma ọ bụ njọ hypothyroidism. Gị na dọkịta gị kwurịta tupu ị na- agbakwunye mgbakwunye iodine ma jiri nlezianya na-elekọta onye nlekọta ahụike.
> Isi mmalite:
> Hypothyroidism: Akwụkwọ edemede maka ndị ọrịa na ezinụlọ ha. A akwụkwọ nke American Thyroid Association (ATA)
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> Sinha U, Sinharay K, Saha S, Longkumer TA, Baul SN, Pal SK. Nsogbu oyi gị na polycystic ovarian syndrome na-achịkwa: Ọmụmụ ihe na-ekpuchi ụlọ ọgwụ ndị isi na Eastern India. Indian J Endocrinol Metab. 2013 Mar; 17 (2): 304-9.
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> Mueller A, Schöfl C, Dittrich R, Cupisti S, Oppelt PG, Schild RL, Beckmann MW, Häberle L. Ha na-ejikọta hormone ọgwụ na-akpali akpali na insulin eguzogide na-enweghị onwe ya na nchịkọta ahụ na afọ nke ụmụ nwanyị nwere ọrịa polycystic ovary. Na-ehicha. 2009 Nov; 24 (11): 2924-30.
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