Mhinduro yakananga
Kuongororwa kweFSH kuongororwa kweropa kunoyera follicle-stimulating hormone, hormone yepituitary inokurudzira kukura kwefollicle ye ovarian uye kugadzirwa kwembeu. Vanachiremba vanoshandisa FSH test kuongorora kusabereka, kunonoka kana kusavapo panguva yekuenda kumwedzi, kunonoka kana kutanga kwekuyaruka, kufungidzirwa kuti kuenda kumwedzi uye matambudziko epituitary kana matesticular. FSH imwe chete haigone kuona zvirwere izvi yoga.
Key tora kutora
- FSH inoratidza axis yepituitary-gonadal, kwete kunaka kwemazai, huwandu hwembeu kana mukana wekubata pamuviri.
- Nguva inokosha kuvakadzi vachiri kuenda kumwedzi: FSH inowanzo torwa mushonga pakutanga kwedenderedzwa, kazhinji mazuva maviri kusvika mana.
- FSH inowanzoverengwa pamwe chete nemimwe miedzo zvakaita seLH, oestradiol, AMH, prolactin, TSH, testosterone kana kuongorora urume.
- Mishonga yekudzivirira pamuviri ine mahormone uye kurapa nemahormone zvinogona kuchinja FSH, saka mhedzisiro inogona kusaratidza basa rako riri pasi.
- Mareferensi akasiyana pakati pemarabhoritari neongororo; tsanangura mushumo wako uchienzanisa nehuwandu hwakadhindwa pauri, pamwe chete nachiremba akaraira bvunzo.
Pakuona
| mamiriro | umboo |
|---|---|
| chiratidza zvizhinji | Ropa remutsinga, rinowanzo bva paruoko |
| Chiyero chekuyera | IU/L (mIU/mL mune mamwe mareport; zvakafanana nenhamba) |
| Kutsanya | Hazviwanzodiwi paFSH chete; tevera mirairo yerabhoritari yako kana bvunzo dzikasanganiswa. |
| Nguva yekuenda kumwedzi muvakadzi | Kazhinji pakutanga kwefollicular phase (kazhinji mazuva 2-4); chiremba wako anogona kukuudza zvakasiyana |
| Kuverenga nguva muvarume | Kazhinji chero nguva yezuva; kutora sampuro mangwanani kunowanzo shandiswa kana testosterone yawedzerwa. |
| Inguva yekutorwa kweropa | Kazhinji maminetsi mashanu kusvika gumi, kusanganisira kunyoresa uye kuzorora mushure mezvo |
| Kazhinji akabatanidzwa ne | LH, oestradiol, AMH, prolactin, TSH, testosterone, kuongorora urume |
| Mhedzisiro inoda | Dudziro muchirongwa chekurapa nachiremba ari kukumbira |
Uyewo anozivikanwa se
- Kuongororwa kwemahomoni anokurudzira follicle
- Serum FSH
- Kuongororwa kweropa kwehomoni yeFSH
- "Kuongororwa kwehomoni yekubereka" (hazvina kurongeka, uye hazvina kururama kana zvikashandiswa chete)
- "Kuongororwa kwemahormone ezuva rechipiri / zuva rechitatu" kana kwarairwa pakutanga kwechikamu che follicular
- Inowanzo kumbirwa muIndia sechikamu che "mahomoni profile" kana "infertility profile" panel
Chii chinonzi bvunzo yeFSH
Hormone inokurudzira follicle inogadzirwa ne anterior pituitary gland iri pasi peuropi, ichidzorwa ne gonadotropin-releasing hormone kubva ku hypothalamus. Muvakadzi, FSH inokurudzira kukura kwe ovarian follicles, imwe neimwe iine zai, uye inotsigira kugadzirwa kwe oestradiol. Muvarume, FSH inoshanda pamasero eSertoli ari muma testes uye inotsigira kugadzirwa kwembeu.
Kuongororwa kweFSH kunoyera huwandu hwehomoni iyi inotenderera muropa panguva inotorwa sampuro. Nekuti FSH inoburitswa muropa uye inodzvinyirirwa kana kukurudzirwa nemhinduro kubva kuoestradiol, inhibin B uye testosterone, kukosha kwacho imufananidzo wesystem inoshanduka kwete nhamba yakatarwa.
Ndiani anofanira kufunga nezve bvunzo yeFSH
Bvunzo yeFSH ibvunzo inotungamirwa nachiremba kwete bvunzo yekuongorora yakajairika. Inowanzo shandiswa pa:
- Vakaroorana vari kuongorora kusabereka: kuvakadzi sechikamu chekuongorora mazai, uye kuvarume pamwe chete nekuongorora urume.
- Vakadzi vane nguva dzisina kurongeka, dzisingawanzoitiki kana kuti vasipo panguva yekutevera, kubatsira kupatsanura zvinokonzera mazai kubva kuzvikonzero zve hypothalamic kana pituitary.
- Vakadzi vari pasi pemakore makumi mana vane zviratidzo zvemenopause kana kuti nguva dzakamira, uko kusakwana kwemazai panguva isati yakwana kuri kufungwa nezvako.
- Vakadzi vane makore ari pakati pe45 zvichikwira avo vasingazivikanwi kuti vane chirwere cheperimenopause.Kuvakadzi vane makore anopfuura makumi mana nemashanu vane zviratidzo zvinowanzoonekwa uye kuchinja kwemaitiro emuviri, kuenda kumwedzi kunowanzoonekwa sechirwere uye kuongororwa kweFSH kunowanzo wedzera zvishoma.
- Varume vane mbeu shoma, mazamu madiki, libido yakaderera kana zviratidzo zve testosterone yakaderera, kubatsira kusiyanisa kukundikana kwemachende kubva kune chikonzero chepituitary kana hypothalamic.
- Vana nevachiri kuyaruka vane nguva yekuyaruka inononoka, vachiri kuyaruka kana kuti vane hurefu hupfupi, pasi pekutungamirirwa kwevana vane endocrinology.
- Vanhu vane chirwere chepituitary chinozivikanwa kana chinofungidzirwa, kupiswa nemwaranzi mumusoro, kuvhiyiwa kwepituitary kana kukuvara mumusoro.
- Vanhu vari kurapwa negonadotoxic, semamwe maitiro ekurapa chemotherapy, uko kushanda kwegomarara remudumbu kuri kutariswa.
Kuongororwa kweFSH hakuwanzo batsira sehomoni yekuongorora nguva dzose kumunhu ane nguva dzose dzekubereka uye asina matambudziko ekubereka, uye haisi nzira yakavimbika yekudzivirira pamuviri kana yekufanotaura kubereka.
Chikonzero nei bvunzo yeFSH ichiitwa
- Kutsvaga kuti dambudziko riri papi. FSH yakakwira ine mahormone epabonde akaderera inonongedza ku gonad (ovary kana testis). FSH yakaderera kana isina kurongeka ine mahormone epabonde akaderera inonongedza ku pituitary kana hypothalamus.
- Kutsigira kuongororwa kwekusakwana kwemazai nguva isati yakwana, izvo zvinowanzoda kuti FSH ikwidzwe kaviri kana kupfuura kwemavhiki akati wandei, pamwe chete nemufananidzo wekiriniki.
- Kubatsira kuongorora kuchengetwa kwemazai pamwe chete neAMH uye huwandu hwema follicles emudumbu usati watanga kurapwa kwekubereka.
- Kuongorora hypogonadism yevarume pamwe chete neLH ne testosterone.
- Kuongorora mamiriro ekuyaruka muvana, uko mapatani eFSH neLH anobatsira kusiyanisa zvikonzero zvepakati kubva kune zvekunze.
- Kutarisa mhinduro panguva yemamwe mapuroteni ekurapa kubereka, uko kuteverwa kwe oestradiol ne ultrasound follicles kunowanzo takura huremu hwakawanda kupfuura FSH.
Izvo zvisingakwanise kuonekwa kana kusaonekwa neFSH test
Ichi ndicho chikamu chinowanzo nzwisiswa zvisina kunaka, saka zvakakodzera kuverenga nokungwarira.
- FSH haiyere mhando yezai. Inopa chiratidzo chisina kunanga uye chisina kujeka nezvehuwandu hwema follicles asara.
- Kuongororwa kweFSH kwakajairika hakubvumidzi kuti munhu abereke, uye hazvibvisi kuvharika kwematubhu, endometriosis, kusagadzikana kwechibereko, kutadza kuita mazamu kana kusabereka nekuda kwezvikonzero zvevarume.
- Kuwanda kweFSH hazvirevi kuti hazvigoneke kubata pamuviri. Zvinoratidza kuti maovari ari kushanda nesimba kuti asaite zvakawanda. Mhedzisiro yacho inosiyana zvichienderana nemamiriro ezvinhu emuviri wega wega.
- FSH haigone kusimbisa kana kubvisa nyaya yekuti hapana kuenda kumwedzi. Munguva yekuenda kumwedzi, FSH inochinja-chinja zvakanyanya uye kukosha kwakajairika kamwe chete hakubvisi kuchinja.
- FSH haitauri huwandu hwembeu dzako. FSH yakajairika inoenderana ne azoospermia, kunyanya azoospermia inovhara. Kuongororwa kwembeu kunodiwa.
- FSH haiongorori PCOS. MuPCOS, FSH inowanzova yakajairika; chiyero cheLH:FSH hachidiwi uye hachina kukwana kuti chirwere chiongororwe pasi pezvinodiwa zviripo iye zvino.
- FSH haisi bvunzo yegomarara repituitary. Kuongororwa kweFSH kwakajairika hakubvisi pituitary adenoma; kutorwa mifananidzo uye kuongororwa kwakazara kwemahormone epituitary zvinodiwa kana zvichifungidzirwa kuti izvozvo zvinoitika.
- FSH haisi bvunzo yekuzvitakura uye haifanirwe kushandiswa kuona kana kubvisa pamuviri.
Mhedzisiro isina kunaka kana yakajairika inotsanangura zvakayerwa panguva iyoyo. Kana zviratidzo zvikaramba zviripo pasinei nemhedzisiro yakajairika, dzokera kuna chiremba wako, pamwe pangave pakudiwa kuongororwa kwakawanda kana kudzokorora.
Miedzo yakafanana asi yakasiyana
Miedzo iyi inowanzotaurwa pamwe chete uye inowanzo vhiringidzwa. Inopindura mibvunzo yakasiyana.
| bvunzo | Bvunza inopindura | Musiyano mukuru kubva kuFSH |
|---|---|---|
| LH (hormone ye luteinizing) | Ko pituitary ndiyo inokonzera ovulation here kana kuti testosterone yakagadzirwa? | LH inowedzera pakati pemwedzi uye inoshandiswa pakuita kuti mazai abude; FSH hainyatso tevera nguva yeovulation. |
| Oestradiol (E2) | Maovari ari kugadzira estrogen yakawanda sei pari zvino? | Oestradiol yakawanda inotorwa nekukurumidza inogona kuderedza FSH uye kuvharisa kukosha kwayo kwakakwira, saka izvi zviviri zvinowanzoverengwa pamwe chete. |
| AMH (anti-M 黮rian hormone) | Dziva re follicle rasara rakakura zvakadii? | AMH hainyanyi kutsamira pakutenderera kweropa pane FSH asi haisati yafanotaura kuti pamuviri unenge wava kungobereka nenzira yechokwadi. |
| Kuwanda kwemasero emudumbu (pelvic ultrasound) | Mangani madiki follicles anoonekwa? | Chiyero chekufungidzira, chinoenderana nemushandisi uye nemuchina; chinowedzera pane kutsiva bvunzo dzemahormone. |
| Kuongorora urume | Urume huripo here, uye hune huwandu hupi, kufamba uye chimiro chipi? | Kuongororwa kwekutanga kwekubereka kwevarume. FSH haigone kutsiva. |
| Testosterone | Ko testis inogadzira androgen yakakwana here? | Inoongorora mashandiro emasero eLeydig; FSH inonyanya kuratidza chikamu chinogadzira urume. |
| Prolactin neTSH | Dambudziko re thyroid kana prolactin riri kukonzera nyonganyonga yekufamba kwemuviri here? | Zvikonzero zvinowanzo rapa zvekuenda kumwedzi zvisina kurongeka izvo FSH isingazozvizivi. |
| Kumba "kuongororwa kwemenopause" urine FSH kits | FSH yemuweti iri pamusoro pemuganhu wakatemwa here? | Hongu/kwete zvinobuda chete, hapana mamiriro ezvinhu, uye hazvigone kumisa kuenda kumwedzi. Hazvitsivi kuongororwa kwekiriniki. |
Siyanisawo mubvunzo wepeji rebvunzo ("chii chinonzi bvunzo yeFSH") kubva kumubvunzo wepeji remhedzisiro ("FSH yangu yakakwira, chii ikozvino"). FSH yakakwira inzvimbo yekutanga kuongororwa, kwete kuongororwa.
Maitiro ekugadzirira
Mirayiridzo yekugadzirira inoshanda uye yakasiyana pakati pemarabhoritari nezvipatara. Mirayiridzo inopiwa nechikamu chinotora sampuro yako ndiyo inonyanya kukosha kupfuura chero gwara rekushandisa, kusanganisira peji rino.
- Nguva yekutenderera kwendege. Kana uri kuenda kumwedzi, bvunza kuti izuva ripi remwedzi rinodiwa. Kuongororwa kwekutanga kwemasero emudumbu (kazhinji mazuva 2-4, kuverenga zuva rekutanga rekubuda kweropa sezuva rekutanga) kunowanzoitika kana kuongororwa kweovarian kuri iko chinangwa. Dzimwe nguva dzinoshandiswa kune mimwe mibvunzo.
- Kutsanya. FSH chete haiwanzodi kutsanya. Kana glucose, lipids kana insulin zviri muchikamu chimwe chete, kutsanya kungadiwa, simbisa nerabhoritari.
- Mishonga. Uyai nerondedzero yakanyorwa, inosanganisira mapiritsi akabatanidzwa, progestogens, hormone therapy, clomiphene, letrozole, gonadotropin injections, GnRH agonists kana antagonists, testosterone, anabolic steroids, biotin supplements uye chero AYUSH kana mishonga yemishonga. Musatanga, kumisa kana kuchinja chero mushonga wakanyorwa kuti mugadzirire bvunzo iyi, tangai mataura nemunyori wemishonga.
- Kuongororwa kwazvino. Taura nezve radioisotope scan mumazuva mashoma apfuura, sezvo mamwe ma immunoasses anogona kukanganiswa.
- Rekodhi yezviratidzo. Cherechedza nguva yako yekupedzisira yekuenda kumwedzi, urefu hwemwedzi wako uye maitiro ako, uye chero kupisa, kuchinja kwemazamu, musoro kana zviratidzo zvekuona.
Kana uine pamuviri kana kuti ungave uine
Udza chiremba. FSH haishandiswi kuongorora pamuviri, uye mhedzisiro yekuzvitakura haigone kutsanangurwa nenzira yakajairika. Chero ultrasound yemwana asati aberekwa inoitwa muIndia inotongwa nePC-PNDT Act, 1994, uye kusarudzwa kwebonde kunorambidzwa nemutemo.
Kana ukashandisa mishonga yekudzivirira pamuviri ine mahormone kana hormone therapy
Mishonga yekudzivirira pamuviri yakasanganiswa, mahormone implants, majekiseni uye kurapwa kwemahormone ekuenda kumwedzi zvinogona kudzvinyirira kana kukanganisa FSH. Chiremba wako anogona kukukurudzira kuti uedze panguva yakasiyana kana kududzira mhedzisiro yacho uchifunga nezvazvo. Usarega kudzivirira pamuviri wega.
Vana nevechiri kuyaruka
Kutora sampuro dzevana kunofanirwa kurongwa kuburikidza nachiremba wevana kana chiremba we endocrinologist wevana, zvichienderana nezera ravo uye kupasa kwavo. Kutora sampuro imwe chete isina kurongeka yeFSH hakuwanzo kukwana muvana, uye bvunzo dzekukurudzira dzinogona kudiwa.
Vakuru vakuru, CKD nedzimwe zvirwere zvenguva refu
Chirwere cheitsvo chisingaperi, chirwere chechiropa, chirwere chakakomba uye mimwe mishonga yenguva refu zvinogona kuchinja huwandu hwegonadotropin. Taura zvese zvinoongororwa kuti mhedzisiro iverengerwe zvichienderana nemamiriro acho ezvinhu.
Zvirwere zvekubuda ropa kana mishonga yekuderedza ropa
Udza chiremba wephlebotomist kana ukatora mishonga inorwisa ropa kana mishonga inorwisa maplatelet kana kuti inokuvadza zviri nyore, saka simba rakasimba uye rinotora nguva refu rinogona kushandiswa mushure mekudhonza.
Chii chinoitika panguva yebvunzo
Chiremba wephlebotomist anochenesa nzvimbo iri paruoko rwemukati, oisa tourniquet uye otora ropa diki oriisa muchubhu ine zita rayo. Kumanikidzwa kunoiswa uye bhandeji rinoiswa. Nguva yetsono pachayo inowanzova pasi peminiti imwe chete; kushanya kwese, kusanganisira kunyoresa, kutora uye kuzorora kwenguva pfupi, kazhinji kunotora maminetsi angangoita gumi kusvika makumi maviri. Unogona kudzokera kumabasa ako enguva dzose nekukasika kunze kwekunge uchinzwa kupera simba.
Kunzwisisa mushumo wako weFSH
FSH inoonekwa muIU/L (mamwe marabhoritari anodhinda mIU/mL). Nguva dzekuongororwa dzinoenderana nepuratifomu yekuongorora, pamurume kana mukadzi, pazera uye, muvakadzi, padanho rekuenda kumwedzi, saka marabhoritari anoburitsa huwandu hwawo. Verenga kukosha kwako uchienzanisa nehuwandu hwakadhindwa pamushumo wako, kwete pahuwandu hunobva kune imwe rabhoritari kana webhusaiti. Dudziro ndeyachiremba akakumbira bvunzo.
Maitiro akafara anotariswa nachiremba wako
- FSH yakawanda ine oestradiol shoma (vakadzi): zvinoratidza kuti ovary haisi kupindura zvakanaka. Izvi zvinoonekwa mukusakwana kwe ovarian pakutanga, kuchinja kwekuenda kumwedzi uye mushure mekuenda kumwedzi. Kazhinji zvinoda kuongororwazve vasati vaonekwa kuti vane chirwere ichi mumadzimai madiki.
- Kuwanda kweFSH ne testosterone yakaderera kana yakajairika (varume): zvinoratidza matambudziko makuru ematesticular anokanganisa kugadzirwa kwembeu, semuenzaniso mushure me orchitis yemamumps, chemotherapy, undescended testis kana mu Klinefelter syndrome.
- FSH yakaderera ine mahormone epabonde akaderera: zvinoratidza hypothalamus kana pituitary: hypothalamic amenorrhoea ine chekuita nekushushikana kwakanyanya kwemuviri kana kwepfungwa kana kurovedza muviri kwakasimba, hyperprolactinaemia, chirwere chepituitary, kana kushandiswa kwe testosterone uye anabolic steroid muvarume.
- FSH yakajairika: zvinonyaradza nezve axis panguva iyoyo, asi hazvigadzirise mubvunzo wekubereka wega.
Hapana kana imwe yenzira idzi inoonekwa seyega. Dzinoverengwa pamwe chete nenhoroondo yako, kuongororwa, mamwe mahormone, mifananidzo, uye kana zvakakodzera, kuongororwa kwembeu.
Kana mhedzisiro yeFSH inogona kutsausa
Zvikonzero zveFSH yakakwira kana kuti yakakwira zvisirizvo
- Zuva rekufamba nebhasikoro risiri iro. Muenzaniso unotorwa pedyo nekukwira kweFSH pakati pemwedzi kana panguva yekusvika panguva yekumenopa unogona kutaridzika zvakanaka pasina kuratidza mashandiro ekutanga.
- Kuchinja-chinja kwemamiriro ekunze panguva yekusvika kumwedzi. FSH inogona kukwira zvakanyanya mwedzi mumwe chete uye inogona kunge yakajairika mumwedzi unotevera.
- Kusiyana kwekutsvaga follicle yeAntral pakati pematanho, zvichipa hunhu hwakasiyana mwedzi nemwedzi.
- Kupindira kweHeterophile kana anti-mhuka muongororo dzemuviri, chikonzero chisingawanzoitiki asi chinozivikanwa chemhedzisiro isingagoneki.
- Clomiphene kana letrozole mumazuva apfuura, izvo zvinosimudzira gonadotropins.
Zvikonzero zveFSH yakaderera kana kuti yakaderera zvisirizvo
- Kudzivirira pamuviri nehomoni, kurapwa nehomoni kana kushandiswa kweprogestogen munguva pfupi yapfuura, kudzvinyirira pituitary.
- Oestradiol yakakwira kubva paganda guru remazamu, ovarian cyst kana oestrogen-producing lesion, zvichivhara kuwedzera kweFSH, ndosaka oestradiol ichiwanzoyerwa neFSH.
- Testosterone yekunze kana anabolic steroids, kusanganisira zvekudya zvinovaka muviri zvisina kutaurwa kuti zvine ma steroids.
- Prolactin yakakwira, kubva kumishonga yakaita semishonga yekurwisa pfungwa neyokubuda ropa, kana kubva kuprolactinoma.
- Mishonga yekuwedzera ye biotin yakawanda, izvo zvinokanganisa mamwe ma immunoassays e streptavidin-biotin.
- Kurwara kwakanyanya, kuchinja huremu zvakanyanya kana kurovedza muviri kwakanyanya, izvo zvinodzvinyirira divi.
Matambudziko ehunyanzvi uye ekubika
- Kusiyana kwekuyedza nekuyedza. Hunhu hwema laboratori akasiyana hahuna kufanana nguva dzose; edza kushandisa laboratori imwe chete pakutevera.
- Kubuda kwemhepo kunorwadza. FSH inoburitswa mukuputika, saka maawa maviri ari pakati pemasampuli anogona kusiyana.
- Matambudziko ekugadzirisa mienzaniso zvakadai sekubvisa ropa kana kunonoka kugadziriswa zvinogona kukonzera chikumbiro chekudzokorora.
Njodzi nekuchengetedzeka
Kuongororwa kweFSH kunoda kutorwa kweropa mutsinga. Matambudziko akakomba haawanzoitiki, asi maitiro acho haana njodzi.
- Zvakajairika nezvidiki: kuvaviwa kwenguva pfupi, kukuvara kudiki, kana kurwadziwa panzvimbo yakaboorwa kwezuva rimwe kana maviri.
- Zvishoma zvakajairika: kunzwa musoro wakaneta kana kupera simba, kunyanya kana uchinetseka kana kuti usina kudya; kukuvara kukuru (hematoma) kana ukatora mishonga inobvisa ropa.
- Kazhinji: kudzokororwa kweropa nekuda kwekuti tsinga yakanga yakaoma kana kuti sampuli yakanga isina kukwana; kutsamwa kwetsinga kwenguva pfupi kuchikonzera kukwenya.
- Kazhinji: hutachiona hwemunzvimbo yacho panzvimbo yakaboorwa, izvo zvinoda kuongororwa nachiremba.
Hapana mwaranzi uye hapana chinhu chinodzivirira kupenya kweganda. Mhedzisiro uye kupora zvinosiyana zvichienderana nemamiriro ezvinhu ekurapa emunhu mumwe nemumwe.
Zviratidzo: nguva yekutsvaga rubatsiro pane kumirira kuongororwa ropa
Dambudziko izvozvi
- Musoro wakakomba kamwe kamwe unokonzeresa kurasikirwa nekuona, kuona kaviri kana kurereka kwemaziso, pamwe nekurutsa kana kusarutsa, pamwe nepituitary apoplexy.
- Kudonha, kuvhiringidzika kana kurutsa zvakanyanya nekuda kwechirwere chepituitary kana adrenal chinozivikanwa.
- Kubuda ropa rakawanda kubva muchibereko kunonyura mumachira awa imwe neimwe, pamwe nedzungu, kushaya mweya kana kufenda.
- Kurwadziwa kwakanyanya kamwe kamwe muchiuno kana mudumbu, pamwe nekukukurwa kwechibereko kana mudumbu.
Zuva rimwe chete kana mukati memaawa makumi maviri nemana kusvika makumi mana nemasere
- Musoro mutsva unoramba uchirwadziwa pamwe nekurasikirwa nekuona zvakanaka kwemuviri.
- Kubuda kwemukaka muzamu hakunei nekuyamwisa, kunyanya nemusoro kana kuchinja kwemaziso.
- Fivha, kutsvuka kunopararira, kuzvimba kana kuti urwa panzvimbo inotorwa ropa.
- Kuenda kumwedzi kwakamira kwemwedzi mitatu kana kupfuura nekupisa uye kudikitira husiku usati wasvika makore makumi mana.
- Bundu remazamu, kana kuti nyama yezamu iri kukura nekukurumidza mumurume.
Kugadzwa kwenguva dzose
- Kutenderera kweropa nguva dzose kupfupika kupfuura mazuva makumi maviri nerimwe kana kupfuura mazuva makumi matatu nemashanu, kana kubuda ropa rakawanda kana risingatarisirwi.
- Kuedza kubata pamuviri kwemwedzi gumi nemiviri asi hazvibudiriri, kana mwedzi mitanhatu kana mukadzi wacho aine makore anopfuura makumi matatu nemashanu.
- Kuderera kwerudo rwepabonde, kurasikirwa nekuita zvepabonde mangwanani kana kuneta kusinganzwisisike kuvarume.
- Kunonoka kuyaruka, kana shanduko dzekuyaruka dzinotanga zvisina kujairika mumwana achiri mudiki.
- Chero mhinduro yeFSH yawakagamuchira uye yausinganzwisisi.
Mamiriro ezvinhu anokosha
Kusvika panguva yekuenda kumwedzi uye kuenda kumwedzi
Kune vakadzi vazhinji vane makore anopfuura 45 vane zviratidzo zvinowanzoonekwa uye kuchinja kwemaitiro, kuenda kumwedzi kunoonekwa nekiriniki uye kuongororwa kweFSH kazhinji hakudiwi. FSH inobatsira zvikuru vari pasi pemakore 40, uye inogona kufungwa nezvayo pakati pemakore 40 ne45 kana mufananidzo wacho usina kujeka. Kusimbiswa kwekusakwana kweovarian nguva isati yakwana kunowanzoda kukwidziridzwa kaviri kwemavhiki akati wandei.
PCOS
PCOS ne "PCOD" zvinoreva chirwere chimwe chete; PCOD haisi chirwere chakasiyana. Kuongororwa kunoenderana nekusarongeka kweovulation, kliniki kana biochemical hyperandrogenism uye polycystic ovarian morphology, nezvimwe zvikonzero zvisingabatanidzwi. FSH inowanzo kuve yakajairika muPCOS uye inoyerwa zvakanyanya kubvisa zvimwe zvinokonzera kusarongeka kwemaitiro. Chiyero cheLH:FSH hachisi chiyero chekuongorora.
Varume vane kushaya mbereko
FSH inodudzirwa nehukuru hwemachende, LH, testosterone uye kanenge kamwe chete, kazhinji kaviri, kuongorora urume. FSH yakajairika ine azoospermia inowedzera mukana wekuvharika; FSH yakawanda ine machende madiki inoratidza kusagadzirwa kwembeu. Kushandisa steroid ye anabolic kana testosterone zvisina kuziviswa chinhu chakakosha uye chinowanzo gadziriswa chinokonzera kudzvinyirirwa kweFSH.
Vana nevechiri kuyaruka
Dudziro inoenderana nezera uye nguva yekuyaruka. Maitiro akajairika kumunhu mukuru anogona kunge asina kujairika kumwana. Kudzidziswa kwevana nezve endocrinology kunokurudzirwa, uye dzimwe nguva bvunzo dzinoshanda dzinodiwa.
Kurapa kenza uye kuchengetedza kubereka
FSH ndeimwe yemiedzo yakawanda inoshandiswa vasati vatora chemotherapy ine chepfu kana kuti pelvic radiotherapy, asi haisi nzira yakanaka yekuratidza nayo kuti munhu anogona kubereka. Taura nezvekuchengetedzwa kwekubereka usati watanga kurapwa pese pazvinogoneka.
Vanhu vane chirwere chethyroid kana prolactin
Chirwere chethyroid chikasarapwa uye prolactin yakakwira zvinogona kukanganisa kutenderera kweropa uye gonadotropins. Izvi zvinowanzoongororwa pamwe chete kana kuti FSH isati yasvika.
Bvunzo yeFSH muIndia
- Kurongeka kwakavakirwa papaneru kwakajairika. FSH inowanzo unganidzwa mumapakeji e "female hormone profile" kana "infertility profile". Mapakeji acho ari nyore asi anogona kusanganisira bvunzo dzausingade; bvunza chiremba ari kukumbira kuti ndezvipi zvikamu zvakakosha pamubvunzo wako.
- Kuzvitumira kumarabhoritari kwakawanda. Kunwa FSH pazuva rekuzvigadzirira kutenderera, pasina oestradiol kana mamiriro ekurapa, kunowanzo kukonzera kuzvidya mwoyo kusingadzivisike kana kuvimbiswa zvisirizvo. Chikumbiro chinotungamirirwa nachiremba chinobatsira zvikuru.
- Mishonga yekuwedzera uye steroid zvisina kurongeka. Mishonga yekurovedza muviri, testosterone inobayiwa jekiseni uye mimwe mishonga yemishonga kana yeAYUSH inogona kudzvinyirira FSH neLH muvarume. Taura zvese zvaunotora.
- Kuverenga mazuva ekutenderera kwebhasikoro. Mishumo yakawanda inotorwa pazuva risiri iro nekuti "zuva rekutanga" rakaverengwa kubva pakuonekwa kwenzvimbo kwete pazuva rekutanga rekubuda kwenzvimbo. Tsanangura izvi pakubhuka.
- Mutemo wekudzivirira pamuviri. Kana ultrasound ichiperekedzwa nekuongorora kubereka, zvinodiwa nePC-PNDT Act, 1994 zvinoshanda, kusanganisira kunyoreswa kwechipatara uye kurambidzwa kwekusarudza bonde.
- Mutemo wekushambadzira. Mutemo weMishonga neMashiripiti (Zviziviso Zvinopikisa) wegore ra1954 unorambidza kushambadzira kunotaura kuti kunorapa kusabereka kana kudzoreredza kubereka. Bata zvirevo zvakadaro nekusava nechokwadi.
- Dziviriro yedata. Mishumo inogoverwa kuburikidza nemaapp, maportals kana mameseji idata rehutano hwemunhu; kubata kwayo kunotongwa neDigital Personal Data Protection Act, 2023.
Mutengo neinishuwarenzi muIndia
Kuongororwa kweFSH muropa wega wega kazhinji inzira isingadhuri yekudzivirira chirwere, nepo mahormone anowedzera LH, oestradiol, AMH, prolactin, TSH kana testosterone achidhura zvakanyanya. Mitengo inosiyana zvakanyanya pakati pemaguta, pakati pehurumende nevanopa mishonga vega, uye pakati pemiedzo yega yega nemapakeji, saka kumbira kuti unyore quotation usati watora.
Zvinhu zvinokanganisa mari yaunobhadhara:
- Kunyangwe FSH yakarairwa yega kana mukati mepaneru ine mahormone akawanda
- Puratifomu yekuyedza uye chinzvimbo chekubvumidzwa kwerabhoritari
- Hurumende, trust, makambani kana rabhoritari yakazvimirira
- Guta nenzvimbo
- Mari yekuunganidza mienzaniso yemba
- Kugadziriswa nekukurumidza kana kwezuva rimwe chete, kana zvichidikanwa
- Kudzokorora bvunzo, izvo zvinowanzo dikanwa paFSH
- Ongororo dzekuwedzera dzakadai sekuongorora pelvic ultrasound kana kuongorora urume
Inishuwarenzi: bvunzo dzekuongorora varwere vari kunze kwechipatara hadziwanzo kuvharwa kunze kwekunge policy yako iine OPD kana rubatsiro rwekuongorora. Kuferefeta nekurapwa zvine chekuita nekushaya mbereko hazvibatanidzwi pasi pemitemo yakawanda yeinishuwarenzi yehutano yeIndia, kunyangwe izvi zvave kuchinja; tarisa manyorerwo epolicy yako uye chero nguva yekumirira. Miedzo inoitwa panguva yekugara muchipatara inowanzobatwa zvakasiyana neyekuongororwa varwere vari kunze kwechipatara.
Ngano nezvokwadi
| Nhema | chokwadi |
|---|---|
| Kubereka kwakajairika kunoreva kuti une mimba. | FSH haitauri chinhu nezvemachubhu, chibereko, kuvimbika kweovulation kana urume. FSH yakajairika haitsigire kubereka. |
| Kuwanda kweFSH zvinoreva kuti haugone kubata pamuviri. | Kukwidziridzwa kweFSH kunoratidza kudzikira kwemhinduro ye ovarian uye kunokanganisa kuronga kurapwa. Hazvisi chipingamupinyi zvachose. Mhedzisiro inosiyana zvichienderana nemamiriro ezvinhu emunhu. |
| Imwe bvunzo yeFSH inoongorora kumenopause. | FSH inochinja-chinja panguva yekuenda kumwedzi. Kuongororwa kwechirwere kunowanzoitwa nekiriniki, uye kuongororwazve kunodiwa kana FSH ikashandiswa kuvakadzi vadiki. |
| Chiyero chepamusoro cheLH:FSH chinoratidza PCOS. | Chiyero ichi hachisi chikamu chezviratidzo zvekuongorora chirwere uye chinowanzo itika zvakajairika muPCOS. |
| FSH inoudza murume huwandu hwembeu dzake. | Kuongororwa kwembeu chete ndiko kunogona kuongorora mbeu. FSH yakajairika inoenderana ne azoospermia. |
| Zvishandiso zveFSH zvemuweti wepamba zvinogona kukonzera kuenda kumwedzi. | Makiti aya anopa mhedzisiro inobva pachiyero chekuti hongu/kwete uye haagoni kutsiva kuongororwa kwekiriniki. |
| Kutsanya kunodiwa nguva dzose. | FSH yoga haidi kutsanya; zvinodiwa zvinoenderana nemimwe miedzo iri mupanel uye murabhoritari. |
| AMH neFSH zvinogona kuchinjana. | Vanoyera zvinhu zvakasiyana. AMH hainyanyi kutsamira pakutenderera kwemuviri; hapana kana mumwe wavo anofanotaura kuti munhu anogona kubatwa sei nemuviri nenzira yakavimbika. |
Mibvunzo inowanzobvunzwa
Kuongororwa kweFSH kunotora nguva yakareba sei, uye ndichawana riini mushumo wacho?
Kutorwa kweropa pachako kunotora miniti imwe chete kana maviri, uye kushanya kwese kunowanzoita maminetsi gumi kusvika makumi maviri. FSH inzira yekuongorora ropa yakajairwa, uye marabhoritari mazhinji anoiongorora mukati mezuva rimwe chete rekushanda kana rinotevera. Nguva dzekuburitswa kwemushumo dzinoenderana nehurongwa hwerabhoritari yega yega, saka bvunza panguva yekutora.
Nderipi zuva remwedzi wangu rinofanira kuitwa bvunzo yeFSH?
Kana kuongororwa kweovarian kuri iko chinangwa, kutora bvunzo dzekutanga dzema follicular kunoitika kazhinji, kazhinji mazuva 2-4, zvichiverengerwa zuva rekutanga rekuenda kumwedzi sezuva rekutanga. Mimwe mibvunzo yekiriniki inoda nguva dzakasiyana. Nekuti maitiro akasiyana, tevera zuva chairo rekufamba rinotarwa nachiremba wako kana rabhoritari.
Ndingaongororwa FSH here kana mwedzi wangu wamira zvachose?
Ehe. Kana pasina kuenda kumwedzi, hazvigoneke kuti nguva yekuenda kumwedzi isvike uye bvunzo inogona kutorwa chero zuva. Chiremba wako anowanzo kumbira oestradiol, prolactin neTSH panguva imwe chete, uye anowanzo dzokorora FSH mavhiki akati wandei mushure memwedzi asati asvika pamhedzisiro.
FSH kana AMH zviri nani here pakuongorora huwandu hwemazai?
Hapana ari nani pasi rose; anopindura mibvunzo yakasiyana zvishoma. AMH inosiyana zvishoma padanho rega rega uye inowanzova nyore, nepo FSH ine oestradiol inoratidza kuti pituitary iri kushanda nesimba sei pakutanga kwedanho iri. Kuongororwa kwakawanda kwekubereka kunoshandisa zvese pamwe nenhamba ye antral follicles.
Zvinorevei kuva neFSH yakakwira mumurume?
Kukwira kweFSH mumurume kunowanzo ratidza kuti chikamu chinogadzira mbeu yemurume mu testis hachishande zvakanaka, saka pituitary iri kuramba ichikwira zvakanyanya. Zvikonzero zvinosanganisira mumps orchitis yekare, undescended testis, chemotherapy uye mamiriro ezvinhu ejini akadai seKlinefelter syndrome. Kuongororwa kwembeu, kuongororwa kwembeu uye mimwe miedzo inodiwa usati waongororwa.
Mapiritsi ekudzivirira pamuviri achachinja mhedzisiro yangu yeFSH here?
Ehe, gadziriro yekudzivirira pamuviri ine mahormone inowanzo deredza FSH, saka mhedzisiro yacho ingasaratidze mashandiro emuviri wako kana pituitary. Udza chiremba chaizvo zvauri kushandisa uye kwenguva yakareba sei. Usarega gadziriro yekudzivirira pamuviri kuti uwane mhedzisiro "yakachena", tanga wakurukura nenguva yacho nemupi wemishonga.
Ndinofanira kutsanya ndisati ndaongororwa FSH here?
Kutsanya kazhinji hakudiwi paFSH chete. Kunogona kudiwa kana bvunzo dzeglucose, lipid kana insulin dzikatorwa panguva imwe chete. Kana uine chirwere cheshuga uye ukatora mishonga inoderedza shuga, usatsanye kwenguva yakareba usina kutanga wabvunza chiremba wako nezvemishonga uye nguva yekudya.
FSH yangu yakakwira kamwe chete uye yakajairika nguva inotevera. Ndeipi chaiyo?
Zvese zviri zviviri zvinogona kunge zviri zvechokwadi. FSH inobuda mukurova kwemoyo uye kushanduka-shanduka zvakanyanya panguva yekuenda kumwedzi uye pakati pekufamba kwemuviri. Ichi ndicho chikonzero nei vanachiremba vachidzokorora bvunzo uye vachiiverenga neoestradiol, zviratidzo uye kuongororwa pane kuita chimwe chinhu.
Kushushikana kana kuchinja kwehuremu zvinogona kukanganisa FSH here?
Ehe. Kushushikana kwakanyanya mumuviri kana mupfungwa, kudzikira kwehuremu, kudya zvine mwero uye kurovedza muviri zvakanyanya zvinogona kudzvinyirira chiratidzo che hypothalamic uye kuderedza FSH neLH, dzimwe nguva kumisa kuenda kumwedzi. Izvi zvinhu zvakakosha, zvinogona kugadziriswa izvo chiremba wako achafunga nezvazvo asati anyora maovari sedambudziko.
Sources
- National Institute for Health and Care Excellence, gwara rekuenda kumwedzi uye pamatambudziko ekushaya mbereko: kuongororwa nekurapwa
- European Society of Human Reproduction and Embryology, gwara rekudzivirira kusakwana kwemaovari nguva isati yakwana uye gwara repasi rose rine humbowo hwekuongorora nekutarisira chirwere chepolycystic ovary syndrome
- European Association of Urology, gwara rehutano hwepabonde nekubereka, kusanganisira hypogonadism yevarume uye kushaya mbereko kwevarume
- Sangano reHutano repasi rose, bhuku rekuongorora nekugadzirisa urume hwevanhu
- Gwaro rekurapa reEndocrine Society pakurapa testosterone uye hypogonadism yevarume
- Nguva dzekuongorora dzemurabhoritari yako, sezvakadhindwa pamushumo wako
