Ukuhlolwa kweHormone ye-Anti-Müllerian

-Delile

• Kuyini ukuhlolwa kwe-anti-müllerian hormone (AMH)?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-AMH?
• Kwenzekani ngesikhathi sokuhlolwa kwe-AMH?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-AMH?
• Izinkomba

Kuyini ukuhlolwa kwe-anti-müllerian hormone (AMH)?

Lokhu kuhlolwa kukala izinga le-anti-müllerian hormone (AMH) egazini. I-AMH yenziwa ezicutshini zokuzala zabesilisa nabesifazane. Indima ye-AMH nokuthi ngabe amazinga ajwayelekile ancike kubudala bakho nobulili.

I-AMH ibamba iqhaza elibalulekile ekukhuleni kwezitho zocansi enganeni engakazalwa. Phakathi namasonto okuqala okukhulelwa, ingane izoqala ukukhula izitho zokuzala. Ingane isivele inezakhi zofuzo zokuba ngowesilisa (izakhi zofuzo ze-XY) noma ezesifazane (izakhi zofuzo ezingama-XX).

Uma ingane inezakhi zofuzo zesilisa (XY), kwenziwa amazinga aphezulu e-AMH, kanye namanye ama-hormone wesilisa. Lokhu kuvimbela ukukhula kwezitho zabesifazane futhi kuthuthukisa ukwakheka kwezitho zesilisa. Uma ingekho i-AMH eyanele yokumisa ukukhula kwezitho zabesifazane, izitho zabo bobabili ubulili zingakha. Uma lokhu kwenzeka, izitho zangasese zengane kungenzeka zingakhonjwa ngokusobala njengendoda noma owesifazane. Lokhu kwaziwa njenge-genitalia engaqondakali. Elinye igama lalesi simo yi-intersex.

Uma ingane engakazalwa inezakhi zofuzo zesifazane (XX) amanani amancane e-AMH enziwe. Lokhu kuvumela ukukhula kwezitho zokuzala zabesifazane. I-AMH inendima ehlukile yabesifazane ngemuva kokuthomba. Ngaleso sikhathi, ama-ovari (izindlala ezakha amangqamuzana amaqanda) aqala ukwenza i-AMH. Uma kunamaseli amaqanda amaningi, izinga le-AMH liyanda.

Kwabesifazane, amazinga e-AMH anganikeza imininingwane mayelana nokuzala, amandla okukhulelwa. Ukuhlolwa kungasetshenziselwa ukusiza ukuxilonga ukuphazamiseka kokuya esikhathini noma ukuqapha impilo yabesifazane abanezinhlobo ezithile zomdlavuza we-ovari.

Amanye amagama: Ukuhlolwa kwe-AMH hormone, i-müllerian-inhibiting hormone, i-MIH, into yokuvimbela i-müllerian, i-MIF, into evimbela i-müllerian, i-MIS

Kusetshenziselwa ini?

Ukuhlolwa kwe-AMH kuvame ukusetshenziselwa ukuhlola ikhono lowesifazane lokukhiqiza amaqanda angavundiswa ukukhulelwa. Amaqanda omuntu wesifazane angenza izinkulungwane zamaqanda phakathi neminyaka yakhe yokubeletha. Isibalo siyancipha njengoba owesifazane ekhula. Amazinga e-AMH asiza ukukhombisa ukuthi mangaki amangqamuzana amaqanda angaba khona owesifazane asele. Lokhu kwaziwa njengendawo yokugcina ama-ovarian.

Uma indawo yama-ovarian yowesifazane iphezulu, angaba nethuba elingcono lokukhulelwa. Angase futhi akwazi ukulinda izinyanga noma iminyaka ngaphambi kokuzama ukukhulelwa. Uma i-ovarian reserve iphansi, kungasho ukuthi owesifazane uzoba nenkinga yokukhulelwa, futhi akufanele abambezele isikhathi eside ngaphambi kokuzama ukuba nengane.

Ukuhlolwa kwe-AMH kungasetshenziselwa uku:

• Ukubikezela ukuqala kokunqamuka kokuya esikhathini, isikhathi empilweni yowesifazane lapho izikhathi zakhe zokuya esikhathini sezimile futhi angeke esakwazi ukukhulelwa futhi. Imvamisa iqala lapho owesifazane esondele eminyakeni engama-50 ubudala.
• Thola isizathu sokunqamuka kokuqala kokuya esikhathini
• Siza ukuthola isizathu se-amenorrhea, ukuntuleka kokuya esikhathini. Kuvame ukutholakala emantombazaneni angakaqali ukuya esikhathini aneminyaka engu-15 nakubesifazane abaphuthelwe yizikhathi eziningana.
• Siza ukuxilonga i-polycystic ovary syndrome (i-PCOS), isifo se-hormonal esiyimbangela evamile yokungazali kwabesifazane, ukungakwazi ukukhulelwa
• Bheka izingane ezinezitho zangasese ezingabonakali kahle njengowesilisa noma owesifazane
• Gada abesifazane abanezinhlobo ezithile zomdlavuza we-ovari

Kungani ngidinga ukuhlolwa kwe-AMH?

Ungadinga ukuhlolwa kwe-AMH uma ungowesifazane onenkinga yokukhulelwa. Ukuhlolwa kungasiza ukukhombisa ukuthi amathuba akho okukhulelwa umntwana angakanani. Uma usuvele ubona uchwepheshe wokuzala, udokotela wakho angasebenzisa isivivinyo ukubikezela ukuthi uzophendula kahle yini ekwelashweni, njenge-in vitro fertilization (IVF).

Amazinga aphezulu angasho ukuthi ungaba namaqanda amaningi futhi uzophendula kangcono ekwelashweni. Amazinga aphansi e-AMH asho ukuthi ungaba namaqanda ambalwa atholakalayo futhi kungenzeka ungaphenduli kahle ekwelashweni.

Ungadinga futhi ukuhlolwa kwe-AMH uma ungowesifazane onezimpawu ze-polycystic ovary syndrome (PCOS). Lokhu kufaka phakathi:

• Ukuphazamiseka kokuya esikhathini, kufaka phakathi ukuya esikhathini kokuqala noma i-amenorrhea
• Izinduna
• Ukukhula kwezinwele okweqile komzimba nobuso
• Ukwehla kobukhulu besifuba
• Ukuzuza kwesisindo

Ngaphezu kwalokho, ungadinga ukuhlolwa kwe-AMH uma welashwa ngomdlavuza we-ovari. Ukuhlolwa kungasiza ukukhombisa ukuthi ngabe umuthi wakho uyasebenza yini.

Kwenzekani ngesikhathi sokuhlolwa kwe-AMH?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile wokuhlolwa kwe-AMH.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Uma ungowesifazane ozama ukukhulelwa, imiphumela yakho ingasiza ukukhombisa ukuthi amathuba akho okukhulelwa angakanani. Kungakusiza nokuthi unqume ukuthi uzozama nini ukukhulelwa. Izinga eliphakeme le-AMH lingasho ukuthi amathuba akho angcono futhi ungaba nesikhathi esithe xaxa ngaphambi kokuzama ukukhulelwa.

Izinga eliphakeme le-AMH lingasho nokuthi une-polycystic ovary syndrome (i-PCOS). Alikho ikhambi le-PCOS, kepha izimpawu zingalawulwa ngemishanguzo kanye / noma noshintsho lwendlela yokuphila, njengokugcina ukudla okunempilo nokufaka i-waxing noma ukushefa ukususa izinwele zomzimba ezeqile.

Izinga eliphansi lingasho ukuthi ungaba nenkinga yokukhulelwa. Kungasho futhi ukuthi uqala ukuya esikhathini. Izinga eliphansi le-AMH lijwayelekile emantombazaneni amancane nakwabesifazane ngemuva kokunqamuka kokuya esikhathini.

Uma welashelwa umdlavuza we-ovari, ukuhlolwa kwakho kungakhombisa ukuthi ngabe ukwelashwa kwakho kuyasebenza yini.

Enganeni yesilisa, izinga eliphansi le-AMH lingasho inkinga yezofuzo kanye / noma yehomoni ebangela izitho zangasese ezingacaci kahle ukuthi zingowesilisa noma owesifazane. Uma amazinga e-AMH ejwayelekile, kungasho ukuthi ingane inamasende asebenzayo, kepha awekho endaweni efanele. Lesi simo singelashwa ngokuhlinzwa kanye / noma nge-hormone therapy.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-AMH?

Uma ungowesifazane owelashelwa izinkinga zokuzala, cishe uzothola ezinye izivivinyo, kanye ne-AMH. Lokhu kufaka phakathi ukuhlolwa kwe-estradiol ne-FSH, ama-hormone amabili abandakanyeka ekukhiqizeni.

Izinkomba

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