Hormone yochititsa chidwi yotchedwa Follicle, kapena FSH, ndi hormone yomwe imatulutsidwa mu ubongo wa ubongo mu ubongo umene umalimbikitsa kuti dzira lizikula mwezi uliwonse monga gawo la kusamba . Amayi omwe ali ndi PCOS nthawi zambiri sagwiritsa ntchito mwezi uliwonse chifukwa cha ma FSH otsika.
Ngati dokotala akudandaula kuti mutha kukhala ndi PCOS, iye adzakonza ntchito ya magazi kwa FSH pamodzi ndi magulu ena a mahomoni asanayambe kudziwa.
Akazi achikulire amakhala akukweza magazi a FSH , omwe amasonyeza kukula kwa ovarian. Ichi ndi chifukwa chakuti mahomoni ambiri amafunika kuti ovary adziwe ndikuwombera dzira.
Makhalidwe a FSH Panthawi Yanu
Pa nthawi yonse ya kusamba, ma FSH amasiyana. Madokotala nthawi zambiri amayesa ma FSH pa tsiku lachitatu lanu. Izi zimatengedwa kuti ndizomwe mumayambira. FSH ndi mbali ya kuvina kovuta kwa mahomoni omwe amaphatikizapo timadzi timene timayambitsa mahomoni (LH), estradiol, ndi gonadotropin-release hormone (GnRH). FSH imapangitsa kuti pulogalamu yachinyamatayo ikule. Kamakula, imatulutsa estradiol, yomwe imasonyeza kutulutsidwa kwa GnRH ndi LH, zomwe zimayambitsa ovulation.
Asanayambe kuvuta, ma FSH amaposa, kuwonetsa ovary kutulutsa dzira. Kamodzi kavalo kamakhala kochitika, magulu amabwereranso kapena amathira pang'ono patsinde. Masewu ovomerezeka ali pakati pa 4.7 ndi 21.5 mIU / ml mwa amayi omwe ali kusamba.
Mankhwala ena, monga mapiritsi olerera, clomiphene, digitalis, ndi levodopa, amatha kusintha zotsatira. Dokotala wanu akukulangizani kuti musamamwe mankhwalawa musanatenge mayeso a FSH. Pankhani ya kubadwa kwa mahomoni, iyenera kuyimitsidwa osachepera milungu isanayambe isanathe.
Kukonzekera kwa FSH ndi Kubereka
Popeza amayi omwe ali ndi PCOS amakhala ndi ma FSH otsika kwambiri ndipo motero sagwilitsila ntchito nthawi zonse, iye amawona katswiri wa chonde kapena chiberekero chodzera kuti athandizidwe kutenga mimba nthawi ikakhala yabwino.
Mapuloteni otchedwa endocrinologists amagwiritsa ntchito mawonekedwe a FSH pofuna kulimbikitsa mazira ochulukitsa mazira a IUI (intrauterine insemination) kapena IVF ( in vitro fertilization ). Awa ndiwo mankhwala ojambulidwa, omwe amadziwika kuti Gonal-f, Follistim, ndi Bravelle.
Amayi ambiri nthawi zambiri amafunitsitsa kumva kuti adzalandira ma shoti kuti athandize ovulation. Ngakhale kuti majekisoni sangakhale omasuka, ndikofunika kuti muyang'ane chithunzi chachikulu - kukhala ndi mwana.
FSH ndi Ovarian Reserve
Amayi omwe akufuna kutenga mimba m'tsogolo, ma FSH amagwiritsidwa ntchito poyesa malo odyera ovoanasi - kuchuluka kwa mazira omwe mayi wasiya ndi ubwino wa mazirawo. Dokotala wanu adzagwira ntchito ya magazi tsiku lachitatu la kusamba. Zotsatirazo zimapezeka mkati mwa maola 24 malinga ndi labu.
Masewu a Baseline FSH akukwera pamene amayi amalowa pang'onopang'ono, kusonyeza mazira omwe atsala. Kusintha kwa nthawi kumatenga zaka 4 pafupipafupi ndipo kumathera pamene mkazi alibe nthawi m'miyezi 12. Panthawi imeneyo, kumayamba kusamba kwa thupi kumayamba. MaseĊµera a FSH pamene amasiya kusamba amakhala oposa 30 mIU / mL ndi pamwamba.