Muedzo unogona kubatsira nekuongorora kana zviratidzo zvisinganzwisisiki
Anti-Müllerian hormone (AMH), iyo inozivikanwawo seMüllerian inhibiting substance, inorudzi rwehomoni yakachengetwa nehupenzi hwemapurisa sezvo ichikura. AMH mazinga ndiwo anokosha ekuongorora chirwere sezvaanobatanidzwa zvakananga nenhamba ye folral folral inowanikwa pavhavhariyoni pamwedzi.
Antral follicles, iyo inoshandiswawo kuzorodza follicles, ndiyo iyo iri muchikamu chekupedzisira chekugadzirwa.
Mumwe nomumwe ane mukana wekusunungura maza kana akazara zvakakwana.
Vanachiremba vanogona kuongorora huwandu hweHIM nokuda kwezvikonzero zvakawanda. Pakati pavo, nhamba chaiyo ye follicles-inozivikanwa seyakachengetwa-inogona kupa vanachiremba pfungwa yekubudirira kwaiitwa mu vitro fertilization (IVF). Iyo yakakwirira ye antral follicle count, yakakwirira kuma AMH. Kushamwaridzana kune unhu hunokosha hwekufananidzira munguva ino.
AMH nemigumisiro yaro muCPOS
Kune rumwe rutivi, zviyero izvi zvakafanana zvinogona kuva dambudziko kuvakadzi vane polycystic ovary syndrome (PCOS) . Vakadzi vane PCOS vachawanzoita nhamba yakakwirira ye antral follicles uye, sechikonzero, ine yepamusoro yepamusoro ye AMH muropa ravo.
Dambudziko neizvi ndechokuti AMH yakawanda inogona kusimbisa ovulation kubva pakuitika. Muchivako chinowanzoitika, AMH inoshanda kuburikidza nekudzivirira kufambira mberi kwenguva isati yasvika yeporolicle uye, zvakare, kusunungurwa kweii mazai munguva yekuvhota. Apo AMH maitiro akareba kwazvo, vanogona kuisa zvisinganzwisisiki pa mabheki pane izvi, nekugadzirisa kusimwa kweii pakatikati.
Nenzira imwechete iyo AMH inogona kubatsira kufanotaura kuitika kwekubudirira kweIVF, inogona kubatsira kuongorora PCOS kune vakadzi vanogona kunge vasina zviratidzo zvakajeka zvechirwere.
Iko AMH Test Inogona Kutiudza
AMH mazinga anogona kuyerwa neine nyore kuongorora ropa. Ropa rinogona kukweverwa kune rimwe zuva rekuenda kumwedzi uye, pashure pacho, rakatumirwa kubasa rekuongorora.
Kana zvadzoka, zvigumisiro zvinogona kutiudza kana AMH yakakwirira, yakaderera, kana yakasikwa.
- Mazinga akakwirira ari pamusoro pe 5.0 ng / ml.
- Borderline yakakura iri pakati pe 3.5 ng / ml kusvika ku 5.0 ng / ml.
- Kazhinji iri pakati pe 0.7ng / ml kusvika 3.5ng / ml.
- Borderline pasi iri pakati pe 0.3 ng / ml kusvika ku 0.7 ng / ml.
- Kuderera kwakadzika kuri pasi pe 0.3 ng / ml.
Nzvimbo yakakwirira yega haigoni kuongorora PCOS kubva kuma AMH maitiro anowanzoderera nezera. Sezvo zvakadaro, vanachiremba vachafananidza makore evakadzi nemakore ekuAmH uye vanoshandisa avo kubatsira kuti vaongororwe.
Apo AMH Inokosha Pakutsvaga PCOS
AMH inogona kubatsira zvikuru pakutsvaga PCOS, kunyanya kuvakadzi vanopfuura 35. Kazhinji kutaura, kugadzirisa PCOS diagnostic, mukadzi anofanira kutarisana nezvikamu zvitatu zvekutsvaga:
- Kuderedza ovulation
- Polycystic ovaries muongororo ye ultrasound
- Mhinduro dzeBab dzinoratidza kuwedzera mune mamwe mahomoni anowanikwa nezviratidzo zvePCOS (kusanganisira hirsutism, acne, kupera misoro, nezvimwewo)
Dambudziko neizvi nderokuti polycystic ovaries pa ultrasound haigoneki kune vakadzi neCPOS mushure mezera remakore makumi matatu nemashanu. Sezvo zvakadaro, kana zvimwe zviratidzo zvisinganzwisisiki, PCO chirwere chinogona kushaikwa kana kusafungidzirwa chisingaenzaniswi.
Nokunyora AMH yakakwirira, vanachiremba vanogona dzimwe nguva kutsigira kuongororwa nekutenda kwakanaka. Kunyange zvazvo muedzo wacho usingafungi kuti unotsiva polycystic ovary ultrasound, une hutano hunokosha mukubatana nedzimwe mimwe miedzo.
Uyezve, mumadzimai anozivikanwa kuti ane PCOS, maHM akakwirira anoenderana nekuwedzera kwezviratidzo, zvichiita kuti kushandiswa kwayo kuve kunonyanya kukosha pakutsvaga nekucherechedza zvirwere zvine chokuita neCPOS.
> Kwakabva:
> Dumont, A .; Robin, G ;; Catteau-Jonard, S. et al. "Basa reAn anti-Müllerian Hormone muzvirwere zvepathophysiology, kuongororwa, uye kurapwa kwePolycystic Ovary Syndrome: Kuongorora." Reprod Biol Endocrinol. 2015; 13 (1): 137.