Mayeso angathandizidwe pozindikira ngati zizindikiro sizidziwika
Hormone ya Anti-Müllerian (AMH), yomwe imadziwikanso kuti Müllerian inhibiting substance, ndiyo mtundu wa homoni wobisika ndi mtundu wa mazira pamene ukukula. Maseŵera a AMH ndiwunikira yofunika kwambiri poyerekeza ndi chiwerengero cha ma follicles omwe amapezeka pa ovary mwezi uliwonse.
Mapuloteni a Antral, omwe amatchulidwanso ndi mapulogalamu opuma, ndiwo omwe ali kumapeto kwa chitukuko.
Aliyense ali ndi mphamvu yotulutsa dzira akakula msinkhu.
Madokotala akhoza kuyesa ziwerengero za AMH pa zifukwa zingapo. Zina mwa izo, nambala yeniyeni ya follicles-yotchulidwa ngati malo odyetsera-ingapereke madokotala lingaliro la momwe opambana mu vitro feteleza (IVF) amawayendera bwino. Pamwamba pamtundu wotsalira, chiwerengero cha AMH chili pamwamba. Chiyanjano chili ndi phindu lalikulu pazomwezi.
AMH ndi zotsatira zake mu PCOS
Komabe, miyezo yomweyi ingakhale vuto kwa amayi omwe ali ndi matenda a polycystic ovary (PCOS) . Azimayi omwe ali ndi PCOS nthawi zambiri amakhala ndi nambala yambiri ya antrallicles ndipo, motero, ammwamba ofanana kwambiri a AMH m'magazi awo.
Vuto ndi izi ndikuti AMH yochuluka kwambiri imatha kuletsa ovulation kuti isadzachitike. Mu ovary yachibadwa, AMH imagwira ntchito polepheretsa chitukuko chisanafike msangamsanga ndipo kenako, kutulutsidwa kwa dzira lachisawawa pa nthawi yovunda. Pamene ma AMH ali apamwamba kwambiri, akhoza kuika mosakayikira mabaki pa njirayi, kuletsa kusasitsa kwa dzira pakatikati.
Momwemonso AMH ingathandize kuthandizira kuti njira ya IVF idzayendere bwino, ingathandize kuthandizira PCOS mwa amayi omwe sangakhale ndi zizindikiro zoonekeratu za matenda.
Kodi AMH mayeso angatiwuze bwanji?
Ma level AMH akhoza kuyeza ndi kuyesa magazi mosavuta. Magazi amatha kukopa tsiku lililonse kumapeto kwa msambo, ndipo pambuyo pake, amatumizidwa ku labu kuti afufuze.
Pobwerera, zotsatira zikhoza kutiuza ngati AMH ili pamwamba, yotsika, kapena yachibadwa.
- Mipamwamba ili pamwamba pa 5.0 ng / ml.
- Mapeto ake ali pakati pa 3.5 ng / ml ku 5.0 ng / ml.
- Zachibadwa zili pakati pa 0.7ng / ml kuti 3.5ng / ml.
- Mzere wam'mbali uli pakati pa 0.3 ng / ml ndi 0.7 ng / ml.
- Manambala otsika ali pansi pa 0.3 ng / ml.
Mwamba wokha sungathe kudziwa kuti PCOS kuyambira AMH amachepetsa kuchepa ndi zaka. Momwemo, madokotala adzafanizira msinkhu wa amayi ndi zotsatira za AMH ndikugwiritsa ntchito omwe angakuthandizeni kupanga matenda.
Pamene AMH Ndi Yofunikira Pozindikira PCOS
AMH ikhoza kukhala yothandiza kwambiri pakudziwa PCOS, makamaka kwa amayi oposa 35. Nthawi zambiri kulankhula, kutsimikizira kuti pulojekiti ya PCOS imatengedwa, mayi ayenera kuthana ndi zovuta ziwiri:
- Ovulation kuchedwa
- Mapuloteni a Polycystic pa mayeso a ultrasound
- Zotsatira za Lab zomwe zikusonyeza kuwonjezeka kwa mahomoni ena okhudzana ndi zizindikiro za PCOS (kuphatikizapo hirsutism, acne, hair loss, etc.)
Vuto ndi izi ndikuti ma polyysstic ovaries pa ultrasound ndi osowa mwa amayi omwe ali ndi PCOS atakwanitsa zaka 35. Choncho, ngati zizindikilo zina sizowoneka, pulogalamu ya PCO ikhoza kusowa kapena kusaganiziridwa.
Mwa kunyamula AMH okwezeka, madokotala nthawi zina amathandiza kuchipatala mosakayikira. Ngakhale kuti mayesowa sali olowa m'malo mwa polycystic ovary ultrasound, ali ndi chidziwitso chofunikira poyanjana ndi mayesero ena.
Komanso, mwa amayi omwe amadziwika kuti ali ndi PCOS, maimidwe okwera a AMH akugwirizana ndi kuwonjezereka kwa zizindikiro, ndikugwiritsa ntchito ntchito yofunikira kwambiri pakupeza ndi kuyang'anira matenda okhudzana ndi PCOS.
> Chitsime:
> Dumont, A .; Robin, G ;; Catteau-Jonard, S. et al. "Udindo wa Anti-Müllerian Hormone mu matenda opatsirana, matenda, ndi mankhwala a Polycystic Ovary Syndrome: Kubwereza." Kutsutsa Bwino Kwambiri. 2015; 13 (1): 137.