Mayeso a FSH (Mayeso a Magazi a Hormone Yolimbikitsa Follicle): Cholinga, Nthawi, Zotsatira ndi Malire

Njira zazikulu

• FSH imawonetsa mzere wa pituitary-gonadalosati ubwino wa mazira, kuchuluka kwa umuna kapena mwayi wokhala ndi pakati.
• Nthawi ndi yofunika kwa akazi omwe akusambabeFSH nthawi zambiri imayesedwa koyambirira kwa nthawi yobereka, nthawi zambiri pafupifupi masiku 2-4.
• FSH nthawi zambiri imawerengedwa pamodzi ndi mayeso ena monga LH, oestradiol, AMH, prolactin, TSH, testosterone kapena kusanthula umuna.
• Mankhwala oletsa kubereka a mahomoni ndi mankhwala a mahomoni amatha kusintha FSH, kotero zotsatira zake sizingasonyeze ntchito yanu yoyambira.
• Ma reference ranges amasiyana pakati pa ma laboratories ndi mayeso; tanthauzirani lipoti lanu poyerekeza ndi kuchuluka kwa zomwe zalembedwa pamenepo, ndi dokotala amene adalamula kuti muyesedwe.

Pang'onopang'ono

Amadziwikanso monga

• Kuyesa kwa mahomoni oyambitsa follicle
• Seramu ya FSH
• Kuyezetsa magazi kwa mahomoni a FSH
• "Kuyesa kwa mahomoni obereka" (kosavomerezeka, komanso kolakwika ngati kumagwiritsidwa ntchito kokha)
• "Mayeso a mahomoni a tsiku lachiwiri / tsiku lachitatu" akalamulidwa kumayambiriro kwa gawo la follicular
• Kawirikawiri amapemphedwa ku India ngati gawo la gulu la "mahomoni" kapena "mahomoni osabereka".

Kodi mayeso a FSH ndi chiyani?

Homoni yolimbikitsa follicle imapangidwa ndi anterior pituitary gland yomwe ili pansi pa ubongo, motsogozedwa ndi gonadotropin-releasing hormone kuchokera ku hypothalamus. Mwa akazi, FSH imalimbikitsa kukula kwa ma follicles a ovarian, iliyonse ili ndi dzira, ndipo imathandizira kupanga oestradiol. Mwa amuna, FSH imagwira ntchito pa maselo a Sertoli m'ma testes ndipo imathandizira kupanga umuna.

Kuyesa kwa FSH kumayesa kuchuluka kwa mahomoni amenewa omwe amayendayenda m'magazi panthawi yomwe chitsanzocho chatengedwa. Chifukwa FSH imatulutsidwa mu pulses ndipo imachepetsedwa kapena kusonkhezeredwa ndi mayankho ochokera ku oestradiol, inhibin B ndi testosterone, mtengo wake ndi chithunzi cha dongosolo losinthasintha osati nambala yokhazikika.

Ndani ayenera kuganizira za mayeso a FSH

Kuyezetsa kwa FSH ndi mayeso otsogozedwa ndi dokotala osati mayeso owunikira anthu onse. Nthawi zambiri ndi koyenera pa:

• Okwatirana akufufuza za kusabereka: mwa akazi ngati gawo la kuwunika mazira, ndi mwa amuna pamodzi ndi kusanthula umuna.
• Azimayi omwe ali ndi msambo wosakhazikika, wosachitika kawirikawiri kapena osapezekapo, kuthandiza kusiyanitsa zomwe zimayambitsa mazira kuchokera ku zomwe zimayambitsa hypothalamic kapena pituitary.
• Azimayi osakwana zaka 40 omwe ali ndi zizindikiro za kusamba kapena nthawi zomwe zasiya, komwe kusakwanira kwa mazira msanga kukuganiziridwa.
• Azimayi azaka zapakati pa 45 ndi kupitirira apo omwe matenda a perimenopause sakudziwika bwino.Kwa akazi azaka zopitilira 45 omwe ali ndi zizindikiro zodziwika bwino komanso kusintha kwa kayendedwe ka thupi, kusamba nthawi zambiri kumakhala matenda achipatala ndipo kuyezetsa kwa FSH nthawi zambiri sikuthandiza kwenikweni.
• Amuna omwe ali ndi umuna wochepa, ma testes ang'onoang'ono, chilakolako chochepa cha kugonana kapena zizindikiro za testosterone yotsika, kuti tithandize kusiyanitsa kulephera kwa testicular ndi chifukwa cha pituitary kapena hypothalamic.
• Ana ndi achinyamata omwe ali ndi msinkhu wochedwa kutha msinkhu, msinkhu woyambirira kwambiri kapena wamfupi, motsogozedwa ndi endocrinology ya ana.
• Anthu omwe ali ndi matenda odziwika kapena omwe akuganiziridwa kuti ali ndi pituitary, kuunikira mutu, opaleshoni ya pituitary kapena kuvulala mutu.
• Anthu omwe akulandira chithandizo cha gonadotoxic, monga njira zina zochizira matenda a chemotherapy, komwe ntchito ya gonadal imayang'aniridwa.

Kuyezetsa kwa FSH nthawi zambiri sikothandiza ngati hormone yowunikira nthawi zonse mwa munthu amene ali ndi nthawi yozungulira komanso alibe nkhawa zobereka, ndipo si njira yodalirika yodziwira kubereka kapena njira yodziwira kubereka.

Chifukwa chiyani mayeso a FSH amachitika

• Kuti tipeze vuto. FSH yochuluka yokhala ndi mahomoni ocheperako imaloza ku gonad (ovary kapena testis). FSH yotsika kapena yosayenera bwino yokhala ndi mahomoni ocheperako imaloza ku pituitary kapena hypothalamus.
• Kuthandizira kuzindikira matenda osakwanira a ovarian msanga, zomwe nthawi zambiri zimafuna kuti FSH ikwezedwe kawiri kapena kuposerapo milungu ingapo, pamodzi ndi chithunzi chachipatala.
• Kuthandiza kuwunika malo osungira mazira pamodzi ndi AMH ndi kuchuluka kwa ma follicle a m'mimba musanalandire chithandizo cha chonde.
• Kuwunika hypogonadism ya amuna pamodzi ndi LH ndi testosterone.
• Kuwunika momwe mwana alili paubwana mwa ana, komwe mawonekedwe a FSH ndi LH amathandiza kusiyanitsa pakati ndi zomwe zimayambitsa matenda a m'mimba.
• Kuyang'anira momwe zinthu zikuyendera panthawi ya njira zina zothandizira kubereka, komwe kutsata kwa oestradiol ndi ultrasound follicle nthawi zambiri kumakhala ndi kulemera kwakukulu kuposa FSH.

Zimene mayeso a FSH sangathe kuzizindikira kapena kuzichotsa

Iyi ndi gawo lomwe nthawi zambiri silimamvetsetsedwa bwino, choncho ndi bwino kuliwerenga mosamala.

• FSH siimayesa ubwino wa dzira. Imapereka chizindikiro chosalunjika komanso chosamveka bwino chokhudza kuchuluka kwa ma follicle otsala.
• FSH yabwinobwino siitsimikizira kubereka, ndipo sichichotsa kutsekeka kwa dzira, endometriosis, vuto la chiberekero, kulephera kwa ovulation kapena kusabereka chifukwa cha amuna.
• Kuchuluka kwa FSH sikutanthauza kuti kutenga mimba n'kosatheka. Izi zikusonyeza kuti mazira akugwira ntchito molimbika kuti achepetse kuyankha kwa matendawa. Zotsatira zake zimasiyana malinga ndi momwe matenda amachitikira.
• FSH singathe kutsimikizira kapena kuletsa kusamba yokha. Pa nthawi ya kusamba, FSH imasinthasintha kwambiri ndipo mtengo umodzi wamba suchotsa kusinthaku.
• FSH sikutanthauza kuchuluka kwa umuna wanu. FSH yabwinobwino imagwirizana ndi azoospermia, makamaka azoospermia yotsekeka. Kuwunika umuna ndikofunikira.
• FSH siizindikira PCOS. Mu PCOS, FSH nthawi zambiri imakhala yachibadwa; chiŵerengero cha LH:FSH sichifunika ndipo sichikwanira kuti munthu azindikire matenda motsatira njira zomwe zilipo panopa.
• FSH si mayeso a chotupa cha pituitary. Kupezeka kwa FSH yabwinobwino sikuchotsa pituitary adenoma; kujambula ndi kuwunika kwathunthu kwa mahomoni a pituitary ndikofunikira ngati zikukayikiridwa kuti zimenezo zichitika.
• FSH si mayeso a mimba ndipo sayenera kugwiritsidwa ntchito kuzindikira kapena kuchotsa mimba.

Zotsatira zoyipa kapena zabwinobwino zimafotokoza zomwe zidayesedwa panthawiyo. Ngati zizindikiro zikupitirira ngakhale zotsatira zake zili bwino, bwererani kwa dokotala wanu, kapena mungafunike kuyezetsanso mobwerezabwereza.

Mayeso ofanana koma osiyana

Mayeso amenewa nthawi zambiri amatchulidwa pamodzi ndipo nthawi zambiri amasokonezeka. Amayankha mafunso osiyanasiyana.

Komanso siyanitsani funso la patsamba loyesa ("kodi mayeso a FSH ndi chiyani") ndi funso la patsamba lotsatira ("FSH yanga ndi yokwera, tsopano chiyani"). FSH yokwera ndi poyambira poyesa, osati matenda.

Momwe mungakonzekerere

Malangizo okonzekera ndi ogwirira ntchito ndipo amasiyana pakati pa ma laboratories ndi zipatala. Malangizo operekedwa ndi gulu losonkhanitsa chitsanzo chanu ndi ofunika kwambiri kuposa malangizo onse, kuphatikizapo tsamba lino.

• Nthawi yoyendera. Ngati mukuyamba kusamba, funsani kuti mukufuna tsiku liti la msambo. Kuyesa koyambirira kwa follicular (nthawi zambiri masiku 2-4, kuwerengera tsiku loyamba la kutuluka kwathunthu ngati tsiku 1) kumachitika kawirikawiri pamene cholinga cha kuyesa mazira ndicho kuyesa mazira. Nthawi zina zimagwiritsidwa ntchito pa mafunso ena.
• Kusala kudya. FSH yokha nthawi zambiri siimafuna kusala kudya. Ngati shuga, mafuta kapena insulin zili m'gulu lomwelo, kusala kudya kungafunike, tsimikizirani ndi labotale.
• Mankhwala. Bweretsani mndandanda wolembedwa, kuphatikizapo mapiritsi ophatikizana, ma progestogen, mankhwala a mahomoni, clomiphene, letrozole, jakisoni wa gonadotropin, ma GnRH agonists kapena ma antagonists, testosterone, ma anabolic steroids, zowonjezera za biotin ndi mankhwala aliwonse a AYUSH kapena zitsamba. Musayambe, kuyimitsa kapena kusintha mankhwala aliwonse olembedwa kuti mukonzekere mayesowa, lankhulani ndi dokotala kaye.
• Kusanthula kwaposachedwa. Tchulani njira iliyonse yowunikira ma radioisotope m'masiku angapo apitawa, chifukwa mayeso ena a immunoalysis amatha kukhudzidwa.
• Zolemba za zizindikiro. Zindikirani nthawi yanu yomaliza ya msambo, kutalika kwa nthawi yanu ndi momwe imakhalira, komanso kutentha kulikonse, kusintha kwa mawere, mutu kapena zizindikiro zowoneka.

Ngati muli ndi mimba kapena muli ndi

Uzani dokotala. FSH siigwiritsidwa ntchito poyesa mimba, ndipo zotsatira za mimba sizingathe kufotokozedwa mwanjira yachizolowezi. Kuyeza kulikonse kwa ultrasound komwe kumachitika ku India kumayendetsedwa ndi PC-PNDT Act, 1994, ndipo kutsimikiza kugonana n'koletsedwa ndi lamulo.

Ngati mukugwiritsa ntchito njira zolerera za mahomoni kapena mankhwala a mahomoni

Mankhwala oletsa kubereka ophatikizana, ma implants a mahomoni, jakisoni ndi mankhwala a mahomoni oletsa kubereka amatha kuletsa kapena kusokoneza FSH. Dokotala wanu angakulangizeni kuti muyesedwe nthawi ina kapena kutanthauzira zotsatira zake poganizira zimenezo. Musasiye kugwiritsa ntchito njira zoletsa kubereka nokha.

Ana ndi achinyamata

Kusankha zitsanzo za ana kuyenera kukonzedwa kudzera mwa dokotala wa ana kapena katswiri wa matenda a endocrinologist wa ana, ndi kutanthauzira kogwirizana ndi zaka ndi kutha msinkhu. FSH imodzi mwachisawawa nthawi zambiri sikokwanira mwa ana, ndipo kuyezetsa kolimbikitsa kungafunike.

Akuluakulu, matenda a CKD ndi matenda ena a nthawi yayitali

Matenda a impso osatha, matenda a chiwindi, matenda oopsa komanso mankhwala ena a nthawi yayitali amatha kusintha kuchuluka kwa gonadotropin. Tchulani matenda onse kuti zotsatira zake ziwerengedwe motsatira zomwe zili.

Matenda otuluka magazi kapena mankhwala ochepetsa magazi

Uzani dokotala wa phlebotomist ngati mumwa mankhwala oletsa magazi kuundana kapena mankhwala oletsa magazi kutuluka m'magazi kapena kuvulala mosavuta, kuti mphamvu yolimba komanso yayitali igwiritsidwe ntchito mukamaliza kumwa mankhwalawa.

Chimachitika ndi chiyani panthawi ya mayeso

Dokotala wa phlebotomist amatsuka malo omwe ali mkati mwa mkono, amapaka tourniquet ndikuyika magazi pang'ono m'chubu cholembedwa. Kupanikizika kumayikidwa ndikuyika bandeji. Nthawi ya singano nthawi zambiri imakhala yosakwana mphindi imodzi; nthawi yonse yoyendera, kuphatikizapo kulembetsa, kutengedwa ndi kupuma pang'ono, nthawi zambiri imatenga mphindi 10-20. Nthawi zambiri mutha kubwerera ku zochita zanu zachizolowezi nthawi yomweyo pokhapokha mutamva kukomoka.

Kumvetsetsa lipoti lanu la FSH

FSH imanenedwa mu IU/L (ma laboratories ena amasindikiza mIU/mL). Nthawi zowerengera zimadalira njira yoyesera, kugonana, zaka, komanso, mwa akazi, pa gawo la msambo, kotero ma laboratories amafalitsa milingo yawoyawo. Werengani mtengo wanu poyerekeza ndi milingo yosindikizidwa pa lipoti lanu, osati motsutsana ndi milingo yochokera ku labotale ina kapena tsamba lawebusayiti. Kutanthauzira ndi kwa dokotala amene anapempha mayesowo.

Mapangidwe akuluakulu omwe dokotala wanu amawafuna

• FSH yapamwamba yokhala ndi oestradiol yotsika (akazi): zikusonyeza kuti dzira silikugwira ntchito bwino. Zimaganiziridwa kuti ndi matenda oyamba a ovarian osakwanira, kusintha kwa kusamba ndi kusamba pambuyo pa kusamba. Nthawi zambiri amafunika kuyezetsa mobwerezabwereza asanadziwike ndi amayi achichepere.
• Kuchuluka kwa FSH ndi testosterone yotsika kapena yachibadwa (amuna): ikusonyeza mavuto akuluakulu a ma testicular omwe amakhudza kupanga umuna, mwachitsanzo pambuyo pa mumps orchitis, chemotherapy, undescended testis kapena matenda a Klinefelter.
• FSH yochepa yokhala ndi mahomoni ocheperako ogonana: zimasonyeza hypothalamus kapena pituitary: hypothalamic amenorrhoea yokhudzana ndi kupsinjika kwakukulu kwakuthupi kapena kwamalingaliro kapena kuchita masewera olimbitsa thupi kwambiri, hyperprolactinaemia, matenda a pituitary, kapena kugwiritsa ntchito testosterone ndi anabolic steroid mwa amuna.
• FSH yachibadwa: kutsimikizira za nkhwangwa panthawiyo, koma sikuthetsa funso lokhudza kubereka lokha.

Palibe njira iliyonse mwa izi yomwe imadziwira matenda yokha. Imawerengedwa pamodzi ndi mbiri yanu, mayeso anu, mahomoni ena, zithunzi zanu, ndipo ngati kuli kofunikira, kusanthula umuna.

Pamene zotsatira za FSH zingakhale zosokeretsa

Zifukwa za FSH yokwera molakwika kapena yosokeretsa

• Tsiku lolakwika la kuzungulira. Chitsanzo chotengedwa pafupi ndi kukwera kwa FSH pakati pa nthawi yapakati kapena nthawi yopuma chimawoneka ngati chapamwamba popanda kuwonetsa ntchito yoyambira.
• Kusintha kwa nyengo yopuma. FSH ikhoza kukhala yokwera kwambiri mwezi umodzi ndipo yotsatira ikhoza kukhala yabwinobwino.
• Kusiyanasiyana kwa kusankhidwa kwa follicle ya Antral pakati pa ma cycle, zomwe zimapatsa miyeso yosiyana mwezi ndi mwezi.
• Kusokoneza kwa ma antibodies a heterophile kapena anti-animal mu mayeso a chitetezo chamthupi, chifukwa chosazolowereka koma chodziwika bwino cha zotsatira zosayembekezereka.
• Clomiphene kapena letrozole m'masiku apitawo, zomwe zimapangitsa kuti mahomoni a gonadotropins achuluke.

Zifukwa za FSH yotsika molakwika kapena yotsika molakwika

• Kuletsa kubereka pogwiritsa ntchito mahomoni, mankhwala a mahomoni kapena kugwiritsa ntchito progestogen posachedwapa, kuletsa pituitary.
• Oestradiol yapamwamba Kuchokera ku follicle yayikulu, ovarian cyst kapena chotupa chomwe chimapanga estrogen, zomwe zimabisa kukwera kwa FSH, ichi ndichifukwa chake oestradiol nthawi zambiri imayesedwa ndi FSH.
• Testosterone yakunja kapena ma steroid a anabolic, kuphatikizapo zowonjezera pa masewera olimbitsa thupi zomwe sizikutchulidwa kuti zili ndi ma steroids.
• Prolactin yokwera, kuchokera ku mankhwala monga mankhwala ena oletsa matenda amisala ndi oletsa kutsekula m'mimba, kapena kuchokera ku prolactinoma.
• Zakudya zowonjezera za biotin zambiri, zomwe zimasokoneza mayeso ena a streptavidin-biotin immunoassays.
• Matenda aakulu kwambiri, kusintha kwakukulu kwa kulemera kapena kuchita masewera olimbitsa thupi kwambiri, zomwe zimaletsa mzera.

Mavuto aukadaulo ndi malipoti

• Kusiyana kwa mayeso ndi mayeso. Miyezo yochokera ku ma laboratories osiyanasiyana siili yofanana nthawi zonse; yesani kugwiritsa ntchito labotale yomweyo potsatira.
• Kutulutsa kwamphamvu kwa thupi. FSH imatulutsidwa m'mabowo, kotero zitsanzo ziwiri zotalikirana zimatha kusiyana.
• Mavuto okhudza kusamalira zitsanzo monga kuchotsedwa kwa magazi kapena kuchedwa kukonza kungayambitse pempho lobwerezabwereza.

Zoopsa ndi chitetezo

Kuyezetsa kwa FSH kumafuna kuti magazi a m'mitsempha azitengedwa nthawi zonse. Mavuto akuluakulu ndi osazolowereka, koma njirayi siili ndi zoopsa.

• Zofala komanso zazing'ono: kupweteka kwakanthawi, kuvulala pang'ono, kapena kupweteka pamalo obowoledwa kwa tsiku limodzi kapena awiri.
• Zosazolowereka: kumva mutu wopepuka kapena kukomoka, makamaka ngati muli ndi nkhawa kapena simunadye; kuvulala kwakukulu (hematoma) ngati mutenga mankhwala ochepetsa magazi.
• Zachilendo: kukoka mobwerezabwereza chifukwa chakuti mtsempha unali wovuta kapena chitsanzo sichinali chokwanira; kuyabwa kwa mitsempha kwakanthawi komwe kumayambitsa kumva kuwawa.
• Zosowa: matenda am'deralo pamalo obowoledwa, zomwe zimafunika kuunikiridwa ndi dokotala.

Palibe mankhwala owunikira komanso osiyanitsa kuwala. Zotsatira zake ndi kuchira kwake zimasiyana malinga ndi momwe matenda alili.

Zinthu zapadera

Kusamba nthawi zonse ndi kusamba

Kwa amayi ambiri azaka zopitilira 45 omwe ali ndi zizindikiro zodziwika bwino komanso kusintha kwa nthawi yogonana, kusamba kumadziwika ndi dokotala ndipo nthawi zambiri kuyezetsa FSH sikofunikira. FSH ndi yothandiza kwambiri kwa ana azaka zopitilira 40, ndipo ingaganizidwe kuti ndi yothandiza kwambiri kwa ana azaka zopitilira 40 mpaka 45 pamene chithunzicho sichikudziwika bwino. Kutsimikizira kuti mazira sanakwanitse nthawi yobereka nthawi zambiri kumafuna kuti mazira akwere kawiri pa sabata zingapo.

PCOS

PCOS ndi "PCOD" amatanthauza vuto lomweli; PCOD si matenda osiyana. Kuzindikira matendawa kumadalira pa ovulation yosakhazikika, matenda a hyperandrogenism kapena biochemical ndi mawonekedwe a polycystic ovarian, ndipo zifukwa zina sizimachotsedwa. FSH nthawi zambiri imakhala yachibadwa mu PCOS ndipo imayesedwa makamaka kuti ichotse zifukwa zina zomwe zimayambitsa kuzungulira kosakhazikika. Chiŵerengero cha LH:FSH si chizindikiro chodziwira matenda.

Amuna osabereka

FSH imatanthauzidwa ndi kukula kwa machende, LH, testosterone ndi kusanthula kamodzi, nthawi zambiri kawiri, umuna. FSH yabwinobwino yokhala ndi azoospermia imabweretsa mwayi wotsekeka; FSH yambiri yokhala ndi machende ang'onoang'ono imasonyeza kuti umuna sunapangidwe bwino. Kugwiritsa ntchito mankhwala oletsa kubereka kapena testosterone osatchulidwa ndi chifukwa chofunikira komanso chosinthika cha FSH yochepetsedwa.

Ana ndi achinyamata

Kutanthauzira kumadalira zaka ndi nthawi ya ubwana. Miyezo yachibadwa kwa munthu wamkulu ingakhale yachilendo kwa mwana. Kupereka kwa ana ku endocrinology kumalangizidwa, ndipo nthawi zina kuyezetsa kwamphamvu kumafunika.

Chithandizo cha khansa ndi kusunga chonde

FSH ndi imodzi mwa mayeso angapo omwe amagwiritsidwa ntchito musanayambe komanso mutatha kugwiritsa ntchito mankhwala a gonadotoxic chemotherapy kapena radiotherapy ya m'chiuno, koma si njira yabwino yodziwira kubereka. Kambiranani za kusunga chonde musanayambe chithandizo momwe zingathere.

Anthu omwe ali ndi vuto la chithokomiro kapena prolactin

Matenda a chithokomiro osachiritsidwa komanso kuchuluka kwa prolactin kungasokoneze kayendedwe ka magazi ndi gonadotropins. Izi nthawi zambiri zimawunikidwa pamodzi ndi FSH kapena isanafike nthawi yobereka.

Kuyesa kwa FSH ku India

• Kukonza zinthu pogwiritsa ntchito gulu la anthu n'kofala. FSH nthawi zambiri imaphatikizidwa mu phukusi la "female hormone profile" kapena "infertility profile". Ma phukusi ndi osavuta koma amatha kuphatikiza mayeso omwe simukufunikira; funsani dokotala amene akufunsani kuti ndi zigawo ziti zomwe zili zofunika pa funso lanu.
• Kudzitumiza ku malo oyesera matenda ndi kofala kwambiri. Kumwa FSH tsiku lililonse popanda oestradiol kapena mankhwala enaake, nthawi zambiri kumabweretsa nkhawa zomwe zingapeweke kapena chitsimikizo chabodza. Pempho loperekedwa ndi dokotala ndilothandiza kwambiri.
• Zakudya zowonjezera ndi ma steroid zosalamulirika. Zakudya zowonjezera pa masewera olimbitsa thupi, testosterone yobayidwa ndi mankhwala ena azitsamba kapena AYUSH zimatha kuletsa FSH ndi LH mwa amuna. Nenani chilichonse chomwe mumamwa.
• Kuwerengera masiku a njinga. Malipoti ambiri amatengedwa pa tsiku lolakwika chifukwa "tsiku loyamba" linawerengedwa kuchokera pakuwona malo m'malo mwa tsiku loyamba la kutuluka kwathunthu. Fotokozani izi posungitsa malo.
• Malamulo a mimba isanakwane. Ngati ultrasound ikugwirizana ndi kuwunika kwa chonde, malamulo a PC-PNDT Act, 1994 amagwira ntchito, kuphatikizapo kulembetsa chipatala ndi kuletsa kusankha kugonana.
• Lamulo la malonda. Lamulo la Mankhwala ndi Mankhwala Amatsenga (Zotsatsa Zotsutsa) la 1954 limaletsa malonda omwe amanena kuti amachiritsa kusabereka kapena kubwezeretsa kubereka. Chitani zonena zotere ndi kukayikira.
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Mtengo ndi inshuwalansi ku India

Kuyesa kwa FSH m'magazi kodziyimira pawokha nthawi zambiri kumakhala kotsika mtengo, pomwe ma hormone omwe amawonjezera LH, oestradiol, AMH, prolactin, TSH kapena testosterone amawononga ndalama zambiri. Mitengo imasiyana kwambiri pakati pa mizinda, pakati pa boma ndi mabungwe achinsinsi, komanso pakati pa mayeso odziyimira pawokha ndi ma phukusi, choncho funsani mtengo wolembedwa musanatenge.

Zinthu zomwe zimakhudza zomwe mumalipira:

• Kaya FSH yayitanidwa yokha kapena mkati mwa gulu la mahomoni ambiri
• Pulatifomu yoyesera ndi momwe zilili zovomerezeka mu labotale
• Boma, trust, makampani kapena malo ochitira kafukufuku wodziyimira pawokha
• Mzinda ndi dera
• Ndalama zosonkhanitsira zitsanzo zapakhomo
• Kukonza mwachangu kapena tsiku lomwelo, komwe kuperekedwa
• Kubwereza mayeso, komwe nthawi zambiri kumakhala kofunikira pa FSH
• Kafukufuku wowonjezera monga ultrasound ya m'chiuno kapena kusanthula umuna

Inshuwalansi: mayeso owunikira odwala omwe akupita kuchipatala nthawi zambiri saphimbidwa pokhapokha ngati inshuwalansi yanu ikuphatikizapo OPD kapena phindu lowunikira. Kafukufuku ndi chithandizo chokhudzana ndi kusabereka sizimaphatikizidwa ndi ma inshuwaransi ambiri azaumoyo aku India, ngakhale izi zakhala zikusintha; onani mawu a inshuwaransi yanu ndi nthawi iliyonse yodikira. Mayeso omwe amachitika panthawi yomwe muli kuchipatala nthawi zambiri amachitidwa mosiyana ndi mayeso a odwala omwe akupita kuchipatala.

Nthano ndi mfundo zenizeni

MAFUNSO OFUNSIDWA KAWIRIKAWIRI

Kodi mayeso a FSH amatenga nthawi yayitali bwanji, ndipo ndilandira liti lipotilo?

Kutenga magazi kokha kumatenga mphindi imodzi kapena ziwiri zokha, ndipo nthawi zonse kukaonana ndi dokotala nthawi zambiri kumatenga mphindi 10-20. FSH ndi njira yodziwira matenda yomwe imachitika nthawi zonse, ndipo ma laboratories ambiri amaigwiritsa ntchito mkati mwa tsiku lomwelo kapena lotsatira. Nthawi yotulutsa malipoti imadalira nthawi ya labotale, choncho funsani nthawi yoti mutenge.

Kodi mayeso a FSH ayenera kuchitidwa tsiku liti la msambo wanga?

Ngati cholinga cha kuwunika mazira ndi kuyesa mazira, kuyesa koyamba kwa follicular kumachitika mwachizolowezi, nthawi zambiri masiku 2-4, kuwerengera tsiku loyamba la kusamba kwathunthu ngati tsiku loyamba. Mafunso ena azachipatala amafuna nthawi yosiyana. Popeza njira zosiyanasiyana zimasiyana, tsatirani tsiku lenileni la kuzungulira lomwe dokotala wanu kapena labotale yanu wanena.

Kodi ndingathe kuyesedwa FSH ngati msambo wanga watha kwathunthu?

Inde. Ngati palibe msambo, nthawi ya msambo siingatheke ndipo chitsanzocho chikhoza kumwedwa tsiku lililonse. Dokotala wanu nthawi zambiri amapempha oestradiol, prolactin ndi TSH nthawi imodzi, ndipo nthawi zambiri amabwereza FSH milungu ingapo pambuyo pake asanafike pamfundo iliyonse.

Kodi FSH kapena AMH ndi bwino poyesa kuchuluka kwa mazira m'magazi?

Palibe chilichonse mwa izi chomwe chili chabwino kuposa zonse; zimayankha mafunso osiyana pang'ono. AMH imasiyana pang'ono munthawi yonse ya msambo ndipo nthawi zambiri imakhala yosavuta, pomwe FSH yokhala ndi oestradiol imasonyeza momwe pituitary imagwirira ntchito koyambirira kwa msambo. Kuyesa kubereka kumagwiritsa ntchito zonse ziwiri kuphatikiza kuchuluka kwa ma follicle a m'mimba.

Kodi kuchuluka kwa FSH m'magazi mwa mwamuna kumatanthauza chiyani?

Kukwera kwa FSH mwa mwamuna nthawi zambiri kumasonyeza kuti gawo lopanga umuna mu testis silikugwira ntchito bwino, kotero pituitary ikukakamira kwambiri. Zomwe zimayambitsa izi ndi monga matenda a mumps orchitis, undescended testis, chemotherapy ndi matenda a majini monga Klinefelter syndrome. Kusanthula umuna, kufufuza ma testicular ndi mayeso ena amafunika musanazindikire matenda aliwonse.

Kodi mapiritsi oletsa kubereka asintha zotsatira zanga za FSH?

Inde, njira yolerera ya mahomoni nthawi zambiri imaletsa FSH, kotero zotsatira zake sizingasonyeze ntchito yanu ya m'chiberekero kapena pituitary. Uzani dokotala zomwe mukugwiritsa ntchito komanso nthawi yomwe mukugwiritsa ntchito. Musasiye njira yolerera kuti mupeze zotsatira "zoyera", kambiranani nthawi ndi dokotala poyamba.

Kodi ndiyenera kusala kudya ndisanayambe mayeso a FSH?

Kusala kudya nthawi zambiri sikofunikira pa FSH yokha. Kungafunike ngati mayeso a shuga, mafuta kapena insulin atengedwa nthawi yomweyo. Ngati muli ndi matenda a shuga ndipo mwamwa mankhwala ochepetsa shuga, musale kudya kwa nthawi yayitali popanda kufunsa dokotala wanu za mankhwala ndi nthawi yodyera kaye.

FSH yanga inali yokwera kwambiri kamodzi ndipo nthawi ina inali yabwinobwino. Ndi iti yolondola?

Zonsezi zingakhale zolondola. FSH imatulutsidwa m'ma pulses ndi kusinthasintha kwakukulu panthawi ya kusamba komanso pakati pa nthawi yopuma. Ichi ndichifukwa chake madokotala amabwereza mayesowo ndikuwerenga ndi oestradiol, zizindikiro ndi mayeso m'malo mochitapo kanthu pamtengo umodzi.

Kodi kupsinjika maganizo kapena kusintha kwa thupi kungakhudze FSH?

Inde. Kupsinjika kwakukulu kwa thupi kapena maganizo, kuchepetsa thupi kwambiri, kudya mopitirira muyeso komanso kuchita masewera olimbitsa thupi kwambiri kungathe kuletsa chizindikiro cha hypothalamic ndikuchepetsa FSH ndi LH, nthawi zina kuletsa msambo. Izi ndi zifukwa zofunika, zomwe zingathe kusinthidwa zomwe dokotala wanu angaganizire asanatchule mazira kuti ndi vuto.

magwero

• National Institute for Health and Care Excellence, malangizo okhudza kusamba kwa msambo komanso mavuto okhudzana ndi kubereka: kuwunika ndi chithandizo
• European Society of Human Reproduction and Embryology, malangizo okhudza kusakwanira kwa mazira msanga komanso malangizo apadziko lonse lapansi ozikidwa pa umboni wowunikira ndikuwongolera matenda a polycystic ovary syndrome
• European Association of Urology, malangizo okhudza thanzi logonana ndi kubereka, kuphatikizapo hypogonadism ya amuna ndi kusabereka kwa amuna
• Bungwe la World Health Organization, buku lothandizira kufufuza ndi kukonza umuna wa munthu
• Malangizo azachipatala a Endocrine Society pa chithandizo cha testosterone ndi hypogonadism ya amuna
• Nthawi zowerengera za mayeso anu a labotale, monga momwe zalembedwera pa lipoti lanu