POLİKİSTİK OVER SENDROMUNDA YEME BOZUKLUKLARI

Öz

Polikistik over sendromu (PKOS), kadın infertilitesinin en önemli nedeni sayılabilen ve vücutta birçok metabolik durumu etkileyen endokrin bir hastalıktır. Dünyada ve ülkemizde üreme çağındaki kadınların büyük bir kısmında görünmekteyken, hala tanı almamış birçokkadınbulunmaktadır. Vücutta oluşan belirtiler ve tanı kriterleri, androjen hormon varlığının artışıyla aynı doğrultuda ilerlemektedir. Hormon dengesizlikleri sistemik bir inflamasyona ve çevresel dokularda insülin direncine neden olmaktadır. PKOS’lu bireylerde insülin direncine bağlı olarak obeziteye yatkınlık görülse de PKOS, normal vücut ağırlığında ya da zayıf olan kişilerde de görülmektedir. Hormonların dengesiz bir şekilde artış göstermesi sonucu klinik ve psikolojik belirtilerin gelişmesi, PKOS’lu kadınlarda hem duygu durum bozukluklarına hem de buna bağlı gelişen yeme bozukluklarına yol açmaktadır. PKOS ile başa çıkabilmek için öncelikle bireylerin erken teşhis edilmesi, sonrasında da psikolojik sorunlar ve yeme bozukluğu açısından taranması gerekmektedir. Bütün belirtilerin asıl kaynağı olan hormon dengesizliklerini gidermek amacıyla çeşitli tedavi seçenekleribulunmakta olsa da en etkili öneri, beslenme davranışı değişikliğini de içeren kalıcı yaşam tarzı değişikliğidir.Bu derlemede PKOS’lu bireylerde yeme bozukluğu gelişiminin nedenlerinden ve bu durumun önlenebilmesinde beslenme tedavisinin öneminden bahsedilecektir.

Anahtar Kelimeler

• PKOS
• yeme bozukluğu
• duygudurum
• infertilite
• diyet

EATING DISORDERS IN POLYCYSTIC OVARY SYNDROME

Öz

Polycystic ovary syndrome is an endocrin edisease that can be considered the most important cause of female infertility and affects many body metabolic conditions. While PCOS is more common in women of reproductive age in the world and our country, there are more women stil undiagnosed. Symptoms and diagnostic criteria in the body go in line with the increase in androgen hormone. Hormone imbalances cause systemic inflammation and insulin resistance in peripheral tissues. Although individuals with PCOS are prone to obesity due to insulin resistance, it can also be found in people with normal body weight or under weight. The development of clinical and psychological symptoms resulting from the unbalanced increase of hormones causes mood disorders and eating behavior disorders related to these women. To cope with PCOS, individuals must be diagnosed early and screened for psychological problems and eating disorders. Although exercise, nutrition, and pharmacological treatment are among the options in treating PCOS disease to eliminate the hormone imbalances that are the main source of all symptoms, the most effective suggestion is a permanent life style change, including nutritional behavior change. In this article, were viewed the reasons for developing eating disorders in individuals with PCOS. Moreover, the importance of nutritional therapy in preventing this situation was mentioned.

Anahtar Kelimeler

• Diet
• eating disorder
• infertility
• mood
• PCOS.

Kaynakça

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