Nhengo yehutori inokurudzira hormone, kana FSH, inonzi hormone yakabudiswa kubva mumuchero wepituitary muuropi iyo inokurudzira mazai evha kuti ikure mwedzi mumwe nomumwe sechikamu chekuenda kumwedzi . Vakadzi vane PCOS kazhinji havakwanisi kuvhara mwedzi pamusana pekudzika kweFSH mazinga.
Kana chiremba wako achifungidzira iwe unogona kuva nePCOS, iye kana anoronga basa reropa re FSH pamwe nemamwe mazinga ehomoni asati aongororwa.
Vakadzi vakwegura vanowanzove vakakwidziridza mazinga emuropa eFSH , izvo zvinoratidza kukura kwevavari. Izvi ndezvokuti huwandu hwehomoni hunotarisirwa kuti ovary atore uye awedzere mazai evha.
FSH Nhamba Pakati Pako
Munguva yako yose yekuenda kumwedzi, mazinga eFSH akasiyana. Vanachiremba vanowanzoedza FSH mazinga pazuva 3 rekufamba kwako. Izvi zvinofungidzirwa kuti ndiyo nheyo dzekutanga. FSH chikamu chetambo yakaoma yehomoni inosanganisira luteinizing hormone (LH), estradiol, uye gonadotropin-releasing hormone (GnRH). FSH inokurudzira chipembenene chisina kukura. Kana yakura, inobudisa isradiol, iyo inoratidza kusunungurwa kweGnRH neLH, zvichiita kuti ovulation iite.
Vasati vashandura mafi, FSH mizinga yakareba, ichiratidza chivharo chekusunungura mazai. Pane imwe nguva ovulation yakaitika, maitiro anodzokera kana kuvhara zvishoma pasi pekutanga. Zviyero zvepasi zvaro zvinowanikwa pakati pe 4.7 uye 21.5 mIU / ml kune vakadzi vari kuenda kumwedzi.
Mimwe mishonga, yakadai sekuberekwa kwepiritsi yekudzivirira, clomiphene, digitalis, uye levodopa, inogona kuchinja migumisiro yekuedza. Chiremba wako achakurayiridza kuti urege kutora mishonga iyi usati watora kuongorora kweFSH. Muchiitiko chekuberekwa kwehomoni, inofanira kumiswa kwemavhiki masere isati yasvika.
FSH nekugadzirira Kuberekwa
Sezvo vakadzi vane PCOS vane zvikamu zvakaderera zveFSH uye saka havaiti nguva dzose, anozoona nyanzvi yekubereka kana endocrinology yekuberekera kubatsirwa pakubata pamuviri kana nguva yakarurama.
Maitiro ekubereka vana endocrinologists anoshandisa fomu yeFSH kukurudzira maovari kuti abudise egg follicles yeIUI (intrauterine insemination) kana IVF ( in vitro fertilization ). Izvi zvinodhaka mishonga, inowanzonzi Gonal-f, Follistim, uye Bravelle.
Vakadzi vazhinji vanowanzozvidya mwoyo kunzwa kuti vachada kutora shots kuti vashandise ovulation. Kunyange zvazvo majekiseni angave asinganzwisisiki, zvakakosha kuchengeta meso ako pamufananidzo mukuru - kuva nemwana.
FSH uye Ovarian Reserve
Madzimai vanoda kutora pamuviri mushure mehupenyu, FSH mazinga anoshandiswa kuedza mavhareji emvura - chiyero chemazai mukadzi akasiyiwa uye kunaka kweavo mazai. Chiremba wako achave nebasa reropa rakaswededzwa pazuva rechitatu rekuenda kwako kumwedzi. Migumisiro inowanzowanika mukati maawa makumi maviri nemaviri zvichienderana nebasa.
Baseline FSH mazinga anomuka sezvo vakadzi vanopinda muchimiro chemazuva , zvichiratidza kuti mazai akasara akaderera. Kupera kwemazuva kunotora makore mana zvichienzanisa uye kunoguma apo mukadzi asina kumbove nemwedzi gumi nemwedzi. Panguva iyoyo, kuenda kumwedzi kunotanga. FSH maitiro ekuguma kwekumera anogara achiwedzera kusvika 30 mIU / mL uye pamusoro.