Uvavanyo lunokukuncedisa ukuxilongwa xa iimpawu zingekho
I-hormone ye-Anti-Müllerian (AMH), eyaziwa nangokuthi i-Müllerian inhibiting substance, luhlobo lwe-hormone olufihliweyo ngepolisi ye-ovari njengoko ikhula. Aman ama-AMH ayimilinganiselo ebalulekileyo yokuxilongwa njengoko zihambelana ngqo nenani lezinto ezinobungqina obushushu obufumaneka kwi-ovari ngenyanga nganye.
Ii-folral follicles, ezibhekiselele kwiifollicle zokuphumla, zizo zikwinqanaba lokugqibela lophuhliso.
Ngamnye unako ukukhulula iqanda xa ukhula ngokugcwele.
Oogqirha banokuvavanya amanqanaba e-AMH ngezizathu ezininzi. Phakathi kwabo, inani langempela le-follicles-ekuthethwa ngalo njenge-ovarian reserve-linganika oogqirha ingcamango malunga nokuphumelela kwi-vitro fertilization (IVF). Ukuphakama kwamanani e-antral follicle, iphakamileyo lama-AMH. Umbutho unexabiso eliphezulu lokuqikelela kwimeko.
AMH kunye neMiphumo Yalo kwi-PCOS
Ngakolunye uhlangothi, le miqathango efanayo inokuba yinkinga kubasetyhini abane- polycystic ovary syndrome (i-PCOS) . Abasetyhini kunye ne-PCOS baya kubakho inamba ephakamileyo yama-antral follicles kwaye, ngenxa yoko, iqondo elilinganayo eliphezulu le-AMH egazini labo.
Ingxaki ngolu hlobo kukuba i-AMH kakhulu ingakwazi ukuyeka u-ovulation ukuba ingenzeki. Kwi-ovary evamile, i-AMH isebenza ngokuthintela ukuphuhliswa kwexesha langaphambili kwintolishi kwaye, kwakhona, ukukhutshwa kweqanda elidala ngexesha lokuvuthwa. Xa ama-AMH ephakamileyo kakhulu, angakwazi ukubeka ngokungenakugqithiswa kwiibhuleki kule nkqubo, ekunqumeni ukuvuthwa kweqanda phakathi kweqanda.
Ngendlela efanayo ne-AMH inokukunceda ukuqikelela ubungqina benkqubo ephumelelayo ye-IVF, inokukunceda ukuxilonga i-PCOS kwabasetyhini abangenayo imiqondiso ecacileyo yesifo.
Yintoni i-AMH Test Can Tell Us
Aman ama-AMH angalinganiswa nokuhlolwa kwegazi olulula. Igazi liyakudityaniswa nanoma yimaphi umjikelezo wokuya esikhathini, kwaye emva koko, ithunyelwe ebhodini yokuhlalutya.
Xa ubuya, iziphumo zingasitshela ukuba i-AMH iphakamileyo, iphantsi okanye iyaqhelekile.
- Amanqanaba aphakamileyo angaphezu kwama-5.0 ng / ml.
- Ukuphakama kwemida ephakathi kwe-3.5 ng / ml ukuya kwi-5.0 ng / ml.
- Eqhelekileyo iphakathi kwe-0.7ng / ml ukuya ku-3.5ng / ml.
- Umgangatho ophantsi ophakathi kwe-0.3 ng / ml ukuya kwi-0.7 ng / ml.
- Amanqanaba aphantsi aphantsi kwe-0.3 ng / ml.
Umgangatho ophezulu wodwa awukwazi ukuxilonga i-PCOS ukusuka kumazinga e-AMH ngokunciphisa ubudala. Ngaloo ndlela, oogqirha baya kuqhathanisa iminyaka yobufazi kunye neziphumo ze-AMH kwaye basebenzise abo ukuze bancede benze ukuxilongwa.
Xa i-AMH ibalulekileyo ekuboneni i-PCOS
I-AMH ingaba luncedo kakhulu ekufumaneni i-PCOS, ngakumbi kwabasetyhini abangaphantsi kwama-35. Ngokuqhelekileyo ethetha, ukuqinisekisa ukuxilongwa kwe-PCOS, ibhinqa liya kufuneka lihlangabezane neendlela ezintathu zokuxilonga:
- Ukuchithwa kwe-ovulation
- Iipolycystic ovaries kwi-ultrasound test
- Iziphumo zeLab ezibonisa ukunyuka kwamahomoni athile anxulumene neempawu ze-PCOS (kuquka i-hirsutism, i-acne, ukulahleka kweenwele, njl.
Ingxaki ngolu hlobo kukuba i-polycystic ovaries kwi-ultrasound ayinqabile kubasetyhini abane-PCOS emva kweminyaka engama-35. Ngaloo ndlela, ukuba ezinye iimpawu zingacacanga, ukuxilongwa kwe-PCO kusenokungabikho okanye kuthathwa ngokungagqibekanga.
Ngokuthabatha i-AMH ephakamileyo, oogqirha banokubambisana nokuxilongwa ngokuzithemba. Nangona u vavanyo lungaqwalaselwa njengendlela ye-polycystic ovary ultrasound, linokuxabisa ukuxubusha ngokuhambelana nezinye iimvavanyo.
Ngaphezu koko, kubasetyhini abaziwa ngokuba ne-PCOS, amazinga e-AMH aphakanyisiweyo ahambelana nokunyuka kweempawu, okwenza ukusetyenziswa kwayo kubaluleke kakhulu ekuhloleni nasekujongeni izifo ezihlobene ne-PCOS.
> Umthombo:
> IDumont, A .; Robin, G; Catteau-Jonard, S. et al. "Indima ye-Anti-Müllerian Hormone kwi-pathophysiology, ukuxilongwa, kunye nokunyangwa kwePolycystic Ovary Syndrome: Ukuhlaziywa." I-Reprod Biol Endocrinol. 2015; 13 (1): 137.