Qhov Tseem Ceeb Qhov txawv - Polycystic Ovaries vs PCOS
PCOS lossis Polycystic ovarian syndrome yog ib qho kev mob ntawm zes qe menyuam uas muaj ntau yam me me hauv lub zes qe menyuam thiab los ntawm kev tsim cov androgen ntau dhau ntawm zes qe menyuam. Ntawm qhov tod tes, polycystic zes qe menyuam tuaj yeem txhais tau tias yog ultrasound scan duab ntawm zes qe menyuam uas zoo li polycystic. Polycystic zes qe menyuam syndrome (PCOS) yog suav hais tias yog ib qho kev tshwm sim loj heev, tab sis polycystic zes qe menyuam yog cov xwm txheej zoo uas feem ntau pom tshwm sim thaum lub sijhawm kuaj ultrasound ua rau qee qhov teeb meem. Qhov no yog qhov sib txawv tseem ceeb ntawm polycystic zes qe menyuam thiab PCOS.
PCOS (Polycystic Ovarian Syndrome) yog dab tsi?
Polycystic zes qe menyuam syndrome yog ib qho kev mob ntawm zes qe menyuam uas muaj ntau yam me me hauv lub zes qe menyuam thiab los ntawm kev tsim cov androgen ntau dhau ntawm zes qe menyuam. (thiab rau qhov tsawg dua los ntawm cov qog adrenal). Cov theem siab ntawm androgens muaj nyob rau hauv cov ntshav thaum lub sij hawm PCOS vim txo cov theem ntawm kev sib deev hormone binding globulin. Nws tau xav tias muaj GnRH ntau ntxiv hauv PCOS, uas ua rau nce LH thiab androgen secretion.
Hauv PCOS, hyperinsulinemia thiab insulin tsis kam yog nquag pom. Vim li no, feem ntau ntawm hom 2 mob ntshav qab zib mellitus yog 10 npaug ntawm cov poj niam uas muaj PCOS ntau dua li cov neeg ib txwm muaj. PCOS ua rau muaj kev pheej hmoo hyperlipidemia thiab kab mob plawv los ntawm ntau qhov quav. Cov txheej txheem uas txuas cov pathogenesis ntawm polycystic zes qe menyuam nrog anovulation, hyperandrogenism thiab insulin kuj tseem tsis tau paub. Feem ntau, muaj tsev neeg keeb kwm ntawm hom 2 mob ntshav qab zib lossis PCOS uas qhia txog kev cuam tshuam ntawm caj ces.
Tshuaj Kho Mob
Tsis ntev tom qab menarche, cov neeg mob feem ntau muaj PCOS, raug kev txom nyem los ntawm amenorrhea / oligomenorrhea thiab / los yog hirsutism thiab pob txuv.
- Hirsutism - Qhov no tuaj yeem ua rau muaj kev ntxhov siab loj hauv cov poj niam hluas thiab tuaj yeem cuam tshuam tsis zoo rau kev sib raug zoo ntawm tus neeg mob.
- Hnub nyoog thiab nrawm ntawm qhov pib - Hirsutism ntsig txog PCOS feem ntau tshwm sim nyob ib puag ncig menarche thiab nce qeeb thiab tsis tu ncua hauv cov hluas thiab thaum ntxov
- Nrog kev zoo siab
- rog dhau lossis rog
Nyob zoo ib tsoom niam txiv kwv tij neej tsas
Kev tshawb nrhiav
- Serum tag nrho Testosterone - Nws feem ntau nce siab
- Lwm cov qib androgen ex: Androstenedione thiab Dehydroepiandrosterone sulfate
- 17 alpha-hydroxyprogesterone ntau ntau
- Gonadotropin qib
- qib Estrogen
- Ovarian ultrasound-Qhov no tuaj yeem pom cov tshuaj ntsiav tuab, ntau 3-5 hli hlwv, thiab hyperechogenic stroma
- YSerum prolactin
Dexamethasone kev sim tshuaj tua kab mob, CT lossis MRI ntawm adrenals thiab xaiv cov venous sampling raug pom zoo yog tias tus qog androgen-secreting yog xav tias kho mob lossis tom qab tshawb xyuas.
Diagnosis
Ua ntej tuaj txog ntawm kev kuaj pom tseeb ntawm PCOS, muaj peev xwm ntawm lwm yam ua rau xws li CAH, Cushing syndrome thiab virilizing qog ntawm zes qe menyuam lossis adrenals yuav tsum raug cais tawm.
Raws li Rotterdam Cov Txheej Txheem luam tawm xyoo 2003, tsawg kawg ob ntawm peb cov txheej txheem hais hauv qab no yuav tsum muaj tam sim no los kuaj xyuas PCOS.
- Tshuaj kho mob thiab / lossis biochemical pov thawj ntawm hyperandrogenism
- Oligo-ovulation thiab/los yog anovulation
- Polycystic zes qe menyuam ntawm ultrasound
Kev tswj hwm
Kev kho hauv zos rau Hirsutism
Depilatory creams, waxing, bleaching, plucking lossis shaving feem ntau yog siv los txo tus nqi thiab faib cov plaub hau tsis xav tau. Cov txheej txheem zoo li no tsis ua rau mob hnyav lossis txhim kho qhov mob hnyav ntawm hirsutism. Siv ntau hom 'laser' tshem tawm cov plaub hau thiab electrolysis yog ntau qhov kev daws teeb meem. Cov txheej txheem no muaj txiaj ntsig zoo thiab kim heev tab sis tseem yuav tsum tau rov kho dua mus ntev. Eflornithine cream tuaj yeem cuam tshuam cov plaub hau kev loj hlob, tab sis tsuas yog siv tau rau qee tus neeg mob xwb.
YSystemic Therapy rau Hirsutism
Kev kho mob mus sij hawm ntev yog ib txwm xav tau vim qhov teeb meem zoo li rov tshwm sim dua thaum kev kho mob tsis txuas ntxiv. Cov tshuaj nram qab no tuaj yeem siv rau hauv kev kho mob ntawm hirsutism.
- Estrogen
- YCyproterone acetate
- Spironolactone
- Finasteride
- YFlutamide
Tshuaj Kho Mob Menstrual Disturbance
Kev tswj hwm ntawm cyclical estrogen / progestogen yuav tswj kev coj khaub ncaws thiab tshem tawm cov tsos mob ntawm oligo-lossis amenorrhea. Vim tias muaj kev sib koom ua ke ntawm PCOS thiab insulin tsis kam, Metformin (500mg peb zaug ib hnub) feem ntau muab rau cov neeg mob PCOS.
Kev kho rau Fertility hauv PCOS
- YClomifene
- Low-dose FSH
Polycystic Ovary yog dab tsi?
Polycystic zes qe menyuam tuaj yeem txhais tau tias yog ultrasound scan duab ntawm zes qe menyuam uas zoo li polycystic. Polycystic zes qe menyuam feem ntau muaj qhov ntom ntom ntawm cov follicles paub tab. Nws tsis yog kab mob. Cov theem siab ntawm androgen thiab lwm cov tsos mob ntawm PCOS tsis pom nyob rau hauv tus mob no. PCOS feem ntau muaj txog li ib feem peb ntawm cov poj niam uas muaj hnub nyoog muaj menyuam.
Daim duab 01: Polycystic Ovary
Txawm hais tias PCO muaj nyob rau hauv lub neej thaum ntxov, nws tau kuaj pom qhov xwm txheej thaum lub sijhawm kuaj mob vim tsis muaj tsos mob. Lub xub ntiag ntawm polycystic zes qe menyuam tsis cuam tshuam rau fertility.
Dab tsi zoo sib xws ntawm Polycystic Ovary thiab PCOS?
- Ob kab mob yog cov kab mob pathological cuam tshuam rau zes qe menyuam.
- Ntawm kev kuaj ultrasound, qhov polycystic ntawm zes qe menyuam tuaj yeem txheeb xyuas tau ob zaug
Qhov txawv ntawm Polycystic Ovaries thiab PCOS yog dab tsi?
Polycystic Ovaries vs PCOS |
|
| Polycystic ovarian syndrome yog ib qho mob ntawm zes qe menyuam uas muaj ntau lub hlwv me me hauv lub zes qe menyuam thiab ntau dhau ntawm androgen ntau lawm los ntawm zes qe menyuam. | Polycystic zes qe menyuam tuaj yeem txhais tau tias yog ultrasound scan duab ntawm zes qe menyuam uas zoo li polycystic. |
| Nov yog kab mob. | No tsis yog kab mob. |
| Nruab nrab ntawm kev sib cais | |
| Androgen qib hauv cov ntshav nce siab. | Tsis muaj kev hloov pauv hauv cov qib androgen hauv cov ntshav. |
| Cross Linkage | |
| Hirsutism thiab lwm yam tsos mob tshwm sim hauv tus mob no. | tus mob no tsis muaj tsos mob. |
| Ntoj thaj tsam rau Volume Ratio | |
| Qhov no cuam tshuam rau fertility. | Qhov no tsis cuam tshuam rau kev muaj menyuam. |
Summary – Polycystic Ovaries vs PCOS
Polycystic zes qe menyuam tuaj yeem txhais tau tias yog ultrasound scan duab ntawm zes qe menyuam uas zoo li polycystic. Polycystic zes qe menyuam syndrome yog ib qho mob ntawm zes qe menyuam uas tshwm sim los ntawm ntau cov hlwv me me hauv lub zes qe menyuam thiab los ntawm ntau tshaj androgen ntau lawm los ntawm zes qe menyuam. Txawm hais tias qhov zoo sib xws hauv lawv cov npe hauv kev pom kev kho mob, ob qho xwm txheej no poob rau ntawm ob qhov kawg ntawm cov spectrum uas faib cov kab mob raws li lawv qhov hnyav. Polycystic zes qe menyuam syndrome yog ib qho mob hnyav uas yuav tsum tau kho mob thaum lub zes qe menyuam polycystic yog ib qho mob hnyav uas tsis tau suav tias yog kab mob. Qhov no yog qhov txawv ntawm polycystic zes qe menyuam thiab PCOS.
Download PDF Version of Polycystic Ovaries vs PCOS
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Polycystic Ovaries thiab PCOS.
