Syndrom polycystických ovarií a metabolický syndrom

English version

Autoři: Aus Tariq Ali
Působiště autorů: Department of Chemical Pathology, Tygerberg Hospital and Stellenbosch Medical School, Cape Town, South Africa
Vyšlo v časopise: Ceska Gynekol 2015; 80(4): 279-289

Souhrn

Syndrom polycystických ovarií (PCOS) tvoří heterogenní skupinu onemocnění, jejímiž hlavními klinickými znaky jsou nepravidelnost menstruačního cyklu, snížená fertilita a hyperandrogenismus. Prevalence PCOS je závislá na etnické příslušnosti pacientky, na environmentálních a genetických faktorech a také na kritériích, která tento syndrom definují. Na druhé straně představuje metabolický syndrom soubor metabolických poruch zahrnujících hlavně abdominální obezitu, inzulinovou rezistenci, narušený metabolismus glukózy, hypertenzi a dyslipidémii. Tyto přidružené poruchy přímo úměrně zvyšují riziko vzniku diabetes mellitus typu 2 (DMT2), onemocnění koronárních tepen (CHD), onemocnění kardiovaskulárního aparátu (CVD) a karcinomu endometria. Mnoho pacientek s PCOS má znaky metabolického syndromu, jako je viscerální obezita, hyperinzulinémie a inzulinová rezistence. Pacientky s PCOS jsou ve vysokém riziku rozvoje kardiovaskulárních chorob (CVD), cukrovky typu 2 (DMT2) a gynekologických nádorů, hlavně karcinomu endometria. Výskyt metabolického syndromu je taktéž častější u neplodných žen s PCOS. Cílem tohoto přehledového článku je poskytnout jasné a nejnovější informace o PCOS a o jeho souvislostech s metabolickým syndromem a o možných interakcích mezi různými metabolickými poruchami.

klíčová slova:
syndrom polycystických ovarií, metabolický syndrom, inzulinová rezistence, hypertenze

Zdroje

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