Unyango, izizathu, ukuxilongwa, kunye neZokwakha zentsapho
Ukungafihleki kwe-ovarian Primary (POI) yinto ebangela ukuba abantwana bangabikho . Eyaziwa nangokuthi ukungaphumeleli kwe-ovarian yangaphambi kwesikhathi, abafazi abane-POI abavumi rhoqo kwaye abanakwenzeka ukukhulelwa ngamaqanda abo. Inketho ephezulu yonyango yokuvelisa i-IVF ngeqanda okanye umxhasi wombindi.
Abasetyhini abane-POI bafumana iimpawu zeklinikhi kunye ngamanye amaxesha iimpawu zokuyeka umyeni ngaphambi kweminyaka engama-40.
(Umyinge wobudala bokumisa umama uphakathi ko-48 no-55.) Le ngxaki ingathunyelwa kwakhona njenge-hygongonodotropic hypogonadism (HH) okanye i-hypogonadism ephambili.
I-POI ayilona isisu. Ngoxa i-disorder yayibizwa nangokuthi "ukuphuma kwesigxina kwangaphambili," eli gama alichanekanga.
Abasetyhini abaye badlulela ekuphumeni komzimba abafumana ixesha, abanako ukuvuthisa, kwaye abakwazi ukukhulelwa ngamaqanda abo.
Abasetyhini abane-POI bangase bahlasele kwaye bafumane ukuphindwa kwexesha eliqhelekileyo lokuya esikhathini (nokuba iminyaka emva kokuxilongwa). Kwakhona, ukukhulelwa ngamaqanda abo akunakwenzeka ngokupheleleyo. (Okunye ngezantsi apha.)
Ukungafezeki kwe-ovarian yokuqala akuyona imbangela eqhelekileyo yokungabikho komntwana, kodwa akunjalo. Umngcipheko wokuxilongwa ukwanda ngokukhula:
- 1 ku-1 000 abafazi abaneminyaka eyi-15 ukuya kwe-29 bafumaneka ukuba bane-POI
- 1 ngo-250 kwabasetyhini abaneminyaka engama-30 ukuya kuma-35
- 1 kwi-100 kwabasetyhini abaneminyaka engama-35 ukuya kuma-40
Ukufumana ukuxilongwa kwe-primary ovarian insufficiency kungonakalisa.
Xa ugqirha wakho ekutshela ukuba ubunzima bakho bokuba nomntwana obunxulumene nezobufuzo buyinto engenakwenzeka, unokuziva udidekile, unomsindo, kwaye udabuke kakhulu. Unokuziva uhlazo kwaye ungathembeki. Ekuqaleni, unokuziva ungancibiliki okanye udidekile.
Le miva yesiqhelo ukuba ibe nayo .
Ukuba ufumene olu xilongwe, nceda ufumane inkxaso.
A
Thetha ugqirha wakho, ugqirha oqhelana no-ntsholongwane , kwaye, ukuba kunokwenzeka, iqela lokuxhaswa kwabantwana abangenabantwana , ngoko unokulilazela kwaye uhlolisise ngakumbi iinketho zakho.
Ngethuba lokuphilisa, kunokwenzeka ukuba ube nobomi obulisekileyo kunye nobomi obonwabileyo kunye nokungaqiniseki kwe-ovarian.
Kutheni Kulukhuni Ukuqonda Nge-Ovarian Primary Insufficiency?
Amaqanda omfazi omdala onempilo aqukethe amashumi amawaka eentlanga . Kwi-follicle nganye yintlobo yeqanda . Kuphela ipesenteji zale follicle ziza kukhula, zivuthwe, kwaye zikwazi ukuba ngumbungu.
Kuyinto yemvelo kwaye iyesiqhelo ukuba iifollicle zinciphise ngexesha.
Kwimeko kwinqanaba, intombazana enempilo izalwe ngamaqanda angaphezu kwezigidi ezi-1. Kodwa ngelixa efika ebusheni, uya kuba sele ehla ukuya kuma-300,000 kuphela.
Kuqhelekile ukuba i-follicle ekugqibeleni iyeke ukuphendula ngokufanelekileyo kwimimoni ekhuthaza ukukhula kwamaqanda kunye nokuvuthwa kwe-ovulation. Le yeso sizathu sentsholongwane yokuzalwa , kwaye kutheni abesifazane abaneminyaka engama-40 nangaphezulu abakwazi ukukhulelwa ngaphezu komfazi oneminyaka engama-30 ubudala.
Nangona kunjalo, kwabasetyhini abangenako ukuphelelwa kwe-ovarian, ama-ovari awo awasebenzi njengoko kulindeleke.
Ama-ovari angaba neentlobo ezincinci kunezinto eza kulindeleke ukuba umfazi wabo ubudala.
Isibalo sabo sokulandelelana (indlela yokuqikelela inani elipheleleyo lezinto ezikhoyo ezikhoyo kwiiyunithi) ziya kuba ziphantsi.
Kwakhona, ii-ovari kunye neentlobo ze-follicle aziyi kuphendula ngokufanelekileyo kwimimoni ehlose ukukhuthaza ukuvuthwa kwamaqanda kunye ne-ovulation. Ama-ovari angasakwazi ukuvelisa amanqanaba aqhelekileyo ye-estrogen.
Yingakho iziyobisi zonyango azisebenzi kakuhle kubasetyhini abanePPI.
Iziyobisi zonyango ziya kusebenza kuphela ukuba kukho iifollic ngokwaneleyo kwiiyunithi ukuba zivuselelwe kwaye ukuba ezo zifo ziza kuphendulwa xa zibonakaliswe kwi-hormone evuselela i-ovulation.
Kwi-POI, i-follicles "ayiyihoyi" okanye ubuncinane ayiphenduli ngokupheleleyo kwiziyobisi zokuzala.
I-Clomid okanye i- gonadotropins ngokujwayelekile ayiphumeli ukukhuthaza ukuphuhliswa kweqanda eliphilileyo okanye ukuvuthwa.
Nangona ziyakwazi ukudala i-ovulation, amaqanda anokuba ngumgangatho ombi. Oku kwenza ukuba ukukhulelwa kunye nokukhulelwa kube nzima.
Iimpawu zeNqununu ye-Ovarian Insufficiency
I-ovarian primary failure is a disorder disorder. Ezinye iimeko ze-POI zibi ngaphezu kwabanye.
Oku kuthetha ukuba abafazi baya kuba namaqondo ahlukeneyo.
Uphawu oluqhelekileyo luyixesha elingavumelekanga. Abafazi abanePPI banakho
- Akukho maxesha (amenorrhea)
- Ixesha elinokuthi lifike rhoqo (ngaphezu kweentsuku ezingama-35)
- Ixesha elinokungahambi ngokungafaniyo (lihluka ngaphezu kweentsuku ezimbalwa ukusuka ngenyanga ukuya kwinyanga)
- Unokuphuma kwindoda engaqhelekanga (ixesha elikhanyayo okanye ukuphawula)
Kwakhona kunokwenzeka ukuba umfazi ophethe i-POI ahambe ngaphandle kwexesha eliqhelekileyo lokuya esikhathini, kwaye ngokukhawuleza aqale ukuya esikhathini.
Abanye, kodwa kungekhona bonke, abafazi abaneempawu ze-POI ezivela kumanqanaba aphantsi e-estrogen. Ezi zimpawu zihlala zihlala zize zize zize zihambe.
Ezi zimpawu zingabandakanya:
- Ubuhlungu beentlobano zesini
- Ukuma komzimba
- Libido ephantsi
- Ukutshisa okutshisa kunye / okanye ukutshiza ebusuku
- Ukulahla okanye ubunzima bokulala
- Uxinzelelo kunye / okanye uxhalaba
Ukuba unemijikelezo engavumelekanga, kodwa ungenayo impawu eziphantsi ze-estrogen, ngaba oko kuthetha ukuba awunayo i-POI?
Akunjalo.
Phakathi kwama-50 no-75 ekhulwini kwabasetyhini abane-POI baya kunqumla kwaye bakhululwe i-estrogen ngezinye iinkhathi.
(Oku akufani nowesifazane oye wangena kwindoda yokuphela kwesisu. Emva kokumisa umva, i-ovulation kunye namazinga e-estrogen kwangaphambi kokumiselwa komzimba ayenzeki nhlobo.)
Nangona kunjalo, ngaphambi kokuba ukhathazeke, kukho ezininzi ezinokubangela ukuba kungabikho okungaqhelekanga okanye kungabikho .
Ngaphantsi kwama-10 ekhulwini kwabasetyhini abanezonyusa baya kuthi bafumane i-POI.
Izizathu eziqhelekileyo zokunyuka okungaqhelekiyo ziquka i- polycystic ovarian syndrome (i-PCOS) , i-hyperprolactinemia, kunye nokungabikho komzimba .
Ukuvavanywa kwezityalo kunye nokwenza ukuchongwa kwe-Ovarian Primary Insufficiency
Ukuxilongwa kwe-primary ovarian insufficiency ayinakwenziwa kwiimpawu zodwa.
Kukho ezinye izizathu ezinokuthi zenzeke ngokungaqhelekanga kunye namazinga aphantsi e-estrojeni, ngaphandle kokungenakucala kwe-ovarian.
Ugqirha wakho unokuyalela le mvavanyo elandelayo ngaphambi kokuxilongwa:
- Uvavanyo lokukhulelwa (ukuqinisekisa oku kungesizathu sokuba amaxesha akho ayeke)
- Amazinga e-FSH (aya kuba ngamanqanaba okumisa umntu nge-POI)
- Amanqanaba e-Estradiol (estrogen) (amaninzi aphantsi kwabasetyhini abane-POI, kodwa kungekho rhoqo)
- AMH (ukuvavanya iindawo zokugcina ii-ovarian )
- Iprolactin (ukulawula i-hyperprolactinemia)
- Inani le-folral follicle (i-ultrasound, kwakhona ukuvavanya i-ovarian reserves)
- Uvavanyo locelomngeni lwe-Clomid (ukuvavanya indlela ama-ovari akho asabela ngayo kwiidakamizwa zokuzala)
Ukuba amazinga akho e-FSH aphakamileyo ngokungaqhelekanga kunye nodidi lwama-menopausal, ugqirha wakho uya kuphinda ahlawule ukuvavanya kwinyanga ezayo ukuqinisekisa.
Ukuba iziphumo ziphinda, kwaye uneminyaka engama-40 okanye osemncinci, ugqirha wakho unokukufumanisa i-POI.
Yintoni ebangela i-Ovarian Primary Insufficiency?
Kwininzi yabasetyhini abane-POI, kuya kuhlala kungaziwa oko kubangele i-syndrome.
Ukungafezeki kwe-ovarian yokuqala kuhambelana neenani lezifo ezizimele, kuquka i-eyil-eye syndrome, i-rheumatoid arthritis, ne-lupus. Nangona kunjalo, indlela abahlobana ngayo ayilucacile.
Ezinye iimeko ze-POI zibangelwa ukuguquka kwemfuyo. I-Fragile-X ne- Turner syndrome inokubangela i-POI.
Nangona kunjalo, uphando olutsha lwezofuzo lufumene ukuba amaninzi angama-20 ukuya kuma-25 ekhulwini kwiimeko ze-POI zingabangelwa yimfuza (kuquka i-Fragile-X ne-Turner syndrome.)
Oku kusenqanaba lokuqala lophando, ngoko ku vavanyo oluchanekileyo alunakutholakali. Kwixesha elizayo, nangona kunjalo, ukuhlolwa kofuzo kungakwazi ukuqhubeka ukuchonga abo basengozini.
Ngenxa yokuba uxhumano lwezofuzo, akumangalisi ukuba imbali yentsapho ye-ovarian failure insufficiency ivela kwi-10 ukuya kwe-15 ekhulwini yamatyala.
Akungaziwa ukuba ngaba abafazi abanesisiseko sokungakwazi ukuzalisa i-ovarian bazalwe ngamaqanda ambalwa okanye ukuba ukuzala kwabo kunciphisa ngokukhawuleza.
Ukungafezeki kwe-ovarian yaseprayimari kuya kubangelwa unyango lwezonyango.
Olunye unyango lomhlaza, oluquka i-chemotherapy, i-radiation, kunye nokuhlinzwa, lunokukhokelela kwi-POI.
Ukungakwazi ukusebenza kwe-ovarian yokuqala eyenzeka kungekudala emva kokuba unyango lubizwa ngokuba yi-ovarian failure.
Kubalulekile ukwazi ukuba ukuncipha kwenzalo emva kokuba unyango lomhlaza aluhlali luhlala lugxina. Ingaba ukuzala kwakho kuya kubuya ngokukodwa okanye kuxhomekeke ngokupheleleyo kwiminyaka yakho xa ufumene unyango lomhlaza kunye naluphi unyango lomhlaza olusetyenziswayo.
Ukuba uye wafumanisa ukuba unomdlavuza, kwaye awukaqalanga unyango lomhlaza, xela ugqirha wakho malunga nokugcina ukuzala kwakho. Kungenzeka ukuba unqande amaqanda akho okanye izicubu ze-ovari .
Unyango lweZonyango lwe-Ovarian Primary Insufficiency
Okukhethwa kwindlela yokunonyango yonyango kunye nexesha elivakalayo kuphela kwenzalo yabasetyhini abanokuphelelwa yintsholongwane ye-ovarian eyona nto i- IVF kunye neqanda okanye umxhasi wombindi.
Ukuba ukongezelela kwi-POI kukho iingxaki ze-uterine, unokwenene ungasadingeka ukuba uthwale ukhulelwe. Kodwa oku akuqhelekanga.
Iqanda okanye umnikeli wombindi unokuba ngumnikeli owaziwayo-umhlobo okanye ilungu lentsapho-kodwa ngokuphindaphindiweyo, umnikeli akaziwa. Iklinikhi yakho yokuzala ingakunceda ufumane umxhasi weqanda, okanye unokusebenza nebhanki leqanda okanye i-arhente.
Umnikeli wombindi angalungiselelwa ngekliniki yakho yokuzala okanye i-agesi.
Qaphela kakhulu kwiintengiso ze-intanethi kunye neentengiso zeqanda okanye umnikelo wombindi. Kukho abantu belapho bekhangele ukuba baxhamle abazali abaxhamlileyo kwimali yabo.
I-IVF kunye ne-egg donor iphumelele kakhulu. Enyanisweni, i-egg donor IVF ineyona mpu melelo ephezulu yezokwelapha ze-IVF .
Olunye uphando lufumanise ukuba abafazi abagqibile ii-IVF kunye namaqanda abanikelayo babeneepesenti ezingama-90 zokukhulelwa.
Iindleko yiyona nto inqande kakhulu kwi-egg donor IVF.
Umjikelezo omtsha wokunikela ngeqanda ungabikho phakathi kwama-25,000 ukuya kuma-35,000. Xa ucinga ukuba unokufuna ukwenza imijikelezo emininzi, iindleko zinokukhawuleza ziba nzima.
Ukusebenzisa amaqanda aqingqiweyo ukusuka kwibhanki yeqanda kunokuncinci kakhulu, kuba "nokwabelana" nomnikezeli weqanda kunye nesibini isibini. Enye indlela yokunciphisa iindleko kukuba nomnikeli-owaziwayo, njengomhlobo okanye ilungu losapho.
Nangona kunjalo, umjikelo usenokuba kwi-15,000 ukuya kwi-20,000.
Umxhasi we-IVF unobuncinyane kakhulu, kwaye ungabizi kakhulu kune-IVF rhoqo.
Ngokwe-RESOLVE, umjikelezo wesibonelelo somyinge we-embryo kwindleko yekliniki yokuzala phakathi kwe-$ 2,500 ne-4,000.
Nangona kunjalo, loo ntlawulo ayibandakanyi ukusemthethweni nokucetyiswa kwengqondo. Umrhumo unokuba luphakamileyo xa ulungiswe nge-arhente.
Imilinganiselo yempumelelo yomnikelo wombindi ihluka kakhulu. Kuya kuxhomekeka kwikliniki yokuzala, imeko yesibini yomtshato eyanikela ngemibungu, kwaye nayiphi na into yokubeleka ingaba kukudlala.
Ukwenza isigqibo sokusebenzisa iqanda okanye umnikeli wombindi unokuba ngumoya kwaye unzima. Ukuvuma ukuba ungeke ukwazi ukufumana inzala yemvelo kunokukhathazeka.
Ukukhetha umnikeli wombindi kuthetha ukuba bobabini kunye neqabane lakho abayi kuba nezobufuzo eziphathelene nomntwana. Ngomnikelo weqanda, nguwe kuphela ongeke ube nezozalwane.
Ukucebisa ngumbhali ojongene nemicimbi yokuzala ayikhuthazwa kakhulu kuphela kodwa ifunwa yikliniki ezininzi phambi kokuba unyango luqale.
Ngaba Ndinokukhulelwa Ngamaqanda Ami? Ngaba Ngaba Ndiza Kusebenzisa I-Egg Donor?
Abafazi abaye baphathwa ngonyango lomhlaza bangakwazi ukusebenzisa amaqanda abo okanye ama-embrosi ukuba bathatha amanyathelo okugcina ukuzala ngaphambi kokunyanga. Oku kungenzeka ukuba kwakubandakanya iqhwa lokuqanda (i-vitrification) , i-ovarian tissue freezing, okanye i-cryopreservation ebombryo.
Kwakhona, abanye abasetyhini abafumana i-POI emva kokunyangwa konyango banokubuyisela umsebenzi we-ovarian.
Ukuba uzama ukukhulelwa emva komhlaza, xela ugqirha malunga neendlela ozikhethayo.
Ukuba awuzange uqhubeke nokulondolozwa kokuzala ngaphambi kokuxilongwa, ukukhulelwa ngamaqanda akho akunakwenzeka.
Nangona kunjalo, akunakwenzeka.
Uphando lufumene ukuba ama-5 ukuya kwe-10 ekhulwini kwabasetyhini abathweswe ukuba banesifo sokungakwazi ukuqala ukukhulelwa, baye bahlala bekhulelwe, ngamanye amaxesha.
Oku kungenzeka kunye okanye ngaphandle kweziyobisi. Kwakhona kubonakala kuqhelekileyo kubafazi abafumana unyango lwe-hormone (okubhekiselele ekujonganeni neempawu eziphantsi kwe-estrogen ze-POI.)
Amanye amabhinqa angena ekuxoxweni okwethutyana kwaye ayenokuthi amaqanda awo aqale ukusebenza kwakhona. Basenokuba nokuhamba kwabo kwemizi emva kweminyaka emininzi engekho okanye engekhoyo.
Akwaqondi kakuhle ukuba kutheni abanye besifazane bexolela okanye bacinge kwaye abanye abenzi.
Ugqirha wakho akakwazi ukuqikelela ukuba le nto iya kuba yimeko yakho. Ukuba ufuna ngokwenene ukuba nomntwana, enethemba lokuba uza kufakwa kwiqhankqalazi kwi-5 ukuya kwi-10 yeepesenti yeqela alikho icebo elihle.
Kukho ubungqina bokuba abanye abesifazana abane-POI banakho ukuvuthisa nokukhulelwa ngamaqanda abo ukuba bafumana unyango lwe-estrogen ngaphambi kokusetyenziswa kweziyobisi.
Uphando ngale ndlela-unyango lwe-estrogen olulandelwe unyango kunye ne-gonadotropins -ufumene iziphumo ezixubekileyo.
Nangona uphando oluthile lufumene impumelelo ethile, abanye abazange bafumane.
Gcina ukhumbule ukuba amazinga okuphumelela kwimichiza yokuzala, IUI , okanye i-IVF kunye namaqanda akho aphantsi kakhulu.
Njengoko iindleko zonyango, kunye neengxaki zengqondo zokuphumelela kwindlela yokunyanga, ukuhamba ngqo kwi- IVF kunye namaqanda abanikeli okanye ama-embroyiba unokuhamba ngokuhlakanipha.
Kakade, fumana umbono wesibini. Musa ukuya ngqo kwi-IVF kunye nomnikezi weqanda ngaphandle kokubonisana nodokotela abangaphezu kweyodwa.
Nangona kunjalo, nawe awufuni ukuchitha izibonelelo zemali kunye nemvakalelo kwizonyango ezingenakukwazi ukuphumelela.
Qaphela: ukuba awufuni ukukhulelwa, kwaye unayo i-POI, akufanele uxhomekeke kwiipilisi zokulawula ngokuzalwa rhoqo (okanye ukuxilongwa kwakho kokungafumaneki) kokukhulelwa. Iipilisi zokulawula ukuzalwa azizange zifundwe kubasetyhini abaneli ngxaki.
Abasetyhini abane-POI bakhulelwe kwiipilisi zolawulo lokuzalwa kunye ne-hormone therapy.
Ukuba ufuna ukukhusela ukukhulelwa, indlela yokukhawulela okanye i-intrauterine ifowuni ingaba ngcono.
Iindlela ezingasetyenziswayo ngaphandle kweZonyango zonyango
Nangona i-IVF eneqanda okanye umxhasi webungu kungenzeka ukuba ukhetho lwakho lokuqala lokunyanga, akuyena kuphela ukhetho lwakho lwentsapho.
Ezinye izibini zenza isigqibo sokuphishekela umntwana okanye umntwana okhulayo. Basenokuqwalasela ukutholwa komntwana ukususela ekuqaleni, okanye baye kwi-adoption xa unyango luphela.
- Iindlela ezili-15 zokwenza umehluko ebomini boBantwana
- Izizathu ezi-8 zokungabalandeli unyango okanye u-IVF
Ukukhetha ubomi obungabonwanga ngabantwana kukukhetha okongeziweyo.
Umcebisi unokukunceda uqwalasele zonke izinto ozikhethayo, ngoko unokwenza isigqibo esinolwazi.
Olongezelelweyo (Ukungabikho koLuntu) Ukuvavanywa Emva kokuxilongwa kwe-POI
I-POI idibene nezinye iingxaki zempilo. Ngesi sizathu, ugqirha wakho unokuyalela ukuba aqhubeke nokuvavanywa, kuquka:
Uvavanyo lokuxinwa kwethambo : Amanqanaba aphantsi e-estrogen anokubeka engozini ye-osteoporosis. I-hormone yokwelapha, ukutya okunempilo, kunye nokunyusa umzimba kunokunciphisa ingozi.
I-Karyotype kunye nokuhlolwa kofuzo : Ezinye iimeko ze-POI zibangelwa ukuguquka kwemfuza. Abanye abesifazana banokuba ne-X-chromosome enye esikhundleni sezinto ezimbini.
Uvavanyo lwe-Genetic luyakwazi ukujonga i-FMR1 yegazi, edibene ne-Fragile X syndrome kunye ne-POI.
I-hormone ye-thyroid : Abafazi abane-POI basengozini yokungalingani kwe-thyroid. Enyanisweni, phakathi kwama-14 no-27 ekhulwini kwabasetyhini abane-POI baya kuba ne-low -roid.
Icandelo leCortisol okanye uvavanyo lwe-corticotropin (ACTH) yokuvuselela : Abafazi abane-POI basengozini yeengxaki ze-adrenal gland.
Uphando lufumene ukuba malunga nama-3 ekhulwini kwabasetyhini abane-primary ovarian insufficiency bangakha isifo sika-Addison.
Ukuvavanya ngokuzenzekelayo : Kufike kuma-20 ekhulwini kwabasetyhini abane-POI baya kuba nezinye iingxaki zokuzivikela.
Abasetyhini abane-primary ovarian insufficiency banakho amathuba kunokuba uluntu jikelele lube neengxaki zempilo ezongezelelweyo, kodwa awunikwe.
Njengamaxesha onke, xela ugqirha ukuba unemibuzo okanye uxhalabisayo.
Impilo Yomzimba Nezobubele Emva kokuxilongwa kwe-POI
Abasetyhini abanamaqondo aphantsi e-estrogen basengozini ephezulu yesifo senhliziyo, ubunzima besini ( kuquka ukuziphatha okubi ) kunye ne-osteoporosis.
Enye inokwenzeka unyango wakho ugqirha unokucebisa ukuba i-hormone yonyango yokuguqula. Ngokuqhelekileyo udibaniso lwe-estrogen kunye neprogesterone, oku kunokunciphisa ezinye iimpawu zakho kwaye kunokunciphisa umngcipheko we-osteoporosis.
I-hormone yokwelapha inokukunceda ngokutshisa okutshisa kunye nomoya ophantsi ohambisana ne-estrogen ephantsi.
Unyango luhlala luhlala lude lude lufikelele kumyinge wexesha lokuyeka umyeni, xa kunokuqhelekileyo ukuba ne-estrogen ephantsi.
- I-Estrogen Therapy "Yokuqala Kwamathuba Okumisa Ixesha"
Njengazo zonke unyango, kukho iingozi kunye neenzuzo.
Akukho mntu uyazi ukuba yintoni ingozi yesikhathi eside yonyango lwe-hormone (okanye ungenzi unyango lwe-hormone) kwabasetyhini abane-POI.
Xoxa ngamanyathelo akho unyango kunye nogqirha wakho.
Abasetyhini abane-primary ovarian insufficiency nabo banokudandatheka kunye / okanye ukuxhalaba .
Oku kuyingcipheko ngenxa yamanqanaba e-estrojeni aphantsi, kodwa kwakhona, ukuxilongwa kunye nokubangelwa ukungabikho kwengqondo kunokukhokelela ekukhathazekeni kwengqondo . Ukuba kukho iingxaki ze-adrenal okanye ze-thyroid, ezi zinto zingabangela ukuba nomoya ophantsi.
Ukucebisa kunconywa kakhulu. Ingcali yezobuchwephesha, ngokukodwa umntu oqhelana nokungafumaneki, ingakunceda ukujamelana nokuxilongwa kwaye wenze izigqibo ezinolwazi malunga nokhetho lwakho lwentsapho.
Umntu ochasayo unokuba luncedo. Ungacingi ukuba awukwazi ukuthatha enye xa uzama ukukhulelwa. Le nto inokuxoxa ngayo nodokotela wakho wokuzala, ugqirha wezempilo oyintloko kunye nomcebisi.
> Imithombo:
> Umnikelo wombindi: Inkolelo kunye neNyaniso. UKUQHUBEKA: UMbutho weSizwe ongenakuncedo. Kufumaneka ngoJulayi 27, 2016.
> UNelson, Lawrence M. Ukubonakaliswa kweeNkcazo kunye nokuVavanywa koNyaka oPhezulu lwe-Ovarian Insufficiency (Ukusilela kwe-Ovarian ngaphambi kokuqala). UptoDate.com.
> Nelson, Lawrence M; Calis, uKarim Anton. "Ulawulo lwe-Ovarian Primary Insufficiency (Primary Fairy Ovarian Failure). "UptoDate.com.
> Nelson LM. Ukungabi Nokwanela kwe-Ovarian Primary. I-New England Journal of Medicine. 2009; 360 (6): 606-614. i-doi: 10.1056 / NEJMcp0808697.
> Qin Y1, Jiao X1, Simpson JL2, Chen ZJ3. "I-Genetics yase-Primary Ovarian Insufficiency: Uphuhliso olutsha kunye namathuba". 2015 uNgo-Dec; 21 (6): 787-808. i-doi: 10.1093 / i-humupd / dmv036. Epub 2015 uAgasti 4.