Njengengxenye yesiphelo esisisiseko sokutsalana , ugqirha wakho uya kubeka umsebenzi wegazi ukujonga amanqanaba akho eFSH. Ngamanye amaxesha ubizwa ngokuba luvavanyo lukaSuku lwe-3 lwe-FSH, oku kuvavanyo olulula lwegazi oluthetha ukulinganisa inani le-follicle evuselela i-hormone kwigazi lakho. Umsebenzi wehomoni ukuxelela ii - oocytes , okanye amaqanda angaphambi kwexesha, kwiiyunithi zakho ukuqala ukukhula. I-oocyte nganye iqulethwe kwintollicle okanye isikhwama esincinci.
Ukukhula kunye nophuhliso lwe-oocytes yinxalenye yokuqala yenkqubo eya kuthi, ngokufanelekileyo, iholele ekuhambeni.
Ukuba amazinga e-FSH aphezulu kakhulu, oku kuthetha ukuba umzimba wakho ufuna i-hormone eninzi ukukhuthaza ukukhula kweqanda kunye nokuvuna. Oku kungabonisa ukuba umgangatho kunye nobungakanani bamaqanda kuma-ovari akho angaphantsi kobuhle. Le yinto eqhelekileyo yokuguga kwaye ixhaphake kakhulu kubafazi abaneminyaka engama-38 nangaphezulu .
Nangona kunjalo, nabasetyhini abaselula banokuba namazinga aphezulu e-FSH. Ngokomzekelo, nge -insufficiency ephambili ye-ovari (ukungaphumeleli kwe-ovarian premature) , umfazi oneminyaka engama-20 angaba namazinga aphezulu e-FSH.
Ukuba amazinga e-FSH aphantsi kakhulu, ngokuqhelekileyo enxulumene ne-LH ephantsi, oku kungabonisa ingxaki ngokusebenza kwe-pituitary okanye i-hypothalamus, iinxalenye ezimbini zengqondo edlala indima ebalulekileyo kwi-ovulation.
Xa iiNqanaba zeFSH zihlolwa
Ixesha lokuvavanya kwe-FSH kubalulekile. Ngenxa yokuba amazinga e-FSH ahluka phakathi kwimijikelezo yokuya esikhathini, inqanaba "eliqhelekileyo" lihluka ngemini.
Ukuvavanya okuvakalayo kokuzala kunye nokuvavanya iindawo zokugcina ii-ovari, kufuneka ube nokuhlolwa kwegazi ngosuku lwesithathu lomjikelezo wakho wokuya esikhathini . Oko kwathiwa, uninzi lwagqirha lukulungile kunye novavanyo olwenziweyo nanoma yimuphi umhla phakathi kweentsuku ezi-2 ukuya ku-4. Usuku lokuqala lomjikelezo wakho ngumhla wokuqalisa ixesha.
Amazinga e-FSH angabuye ahlolwe ngenye ixesha ngexesha lomjikelezo wesini, kodwa oku kuqhelekanga.
Kutheni iiNqanaba zeFSH zibalulekile
Amanqanaba aphezulu ye-FSH angabonisa iindawo ezikhuselekileyo ze-ovarian reserves . Kwimiqathango yomntu, kuthetha ukuba ubuninzi kunye nomgangatho wamaqanda akho aphantsi. Nangona amazinga aphezulu e-FSH abonisa ukuba unokufumana ubunzima bokukhulelwa, akuthethi ukuba awukwazi ukukhulelwa. Ziyinto enye nje ekufuneka ithathelwe ingqalelo.
Amazinga e-FSH asetyenziswa kwakhona ukuvavanya ukuba ingonyango ye-IVF okanye iziyobisi ezinokuzalisa injectable zingasebenza. Abasetyhini abanamazinga aphezulu e-FSH okanye amaziko omhlaba angamahlwempu angakwazi ukuphendula kumlinganiselo ophezulu weziyobisi zokuzala.
Cinga ngale ndlela: Xa amazinga akho e-FSH aphezulu kakhulu, oku kubangelwa ukuba amaqanda kuma-ovari akho akhulanga kumazinga aqhelekileyo e-FSH. Umzimba wakho uzama ukulungisa ingxaki ngokunyusa i-FSH, de (deba) kuthemba amaqanda. Nge-IVF okanye ngeziyobisi ezingenayo i-injection, i-hormone ye-FSH ifakwe kwi-ovaries. Kodwa njengama-ovari akho aphendulanga kwi-FSH yakho yemvelo, awanakwenzeka ukuba aphendule kwi-FSH inject.
Kwintombazana eneendawo zokugcina ama-ovarian, i-FSH injected hormone iya kubangela ukukhula kweqanda ezinamandla kuma-ovari. Kwinkwenkwekazi eneendawo ezikhuselekileyo ze-ovarian reserves, ii-ovaries aziyi kuphendula.
Konke okuthethi, amazinga aphezulu e-FSH ayithethi ukuba awukwazi ukukhulelwa ngamaqanda akho. Ugqirha wakho unokufuna nje ukuzama inkqubo ehlukile. Ukuba ugqirha ekuxelela ukuba i-IVF ayinakwenzeka ngaphandle kokusebenzisa umxhasi weqanda, fumana uluvo lwesibini ngaphambi kokuba uqhube phambili. Omnye ugqirha unokufumana indlela eya kukusebenzela.
Iinqanaba ze-FSH Izinga likaGawulayo lenziwe
Uvavanyo lwegazi lufana nolunye uvavanyo lwegazi. Ugqirha wakho uya kukuxelela xa uvavanyo luyenziwe. Ukuvavanywa, umongikazi uzakuthabatha igazi kwi-vein yengalo yakho. Unokuziva unento encinci, kodwa uvavanyo luba lukhululekile kwaye lulula.
Kukho nakwii -home FSH iimvavanyo ezithengiswayo.
Le nto isebenza kangangoko uvavanyo lokukhulelwa, ngokuba uvavanya umgangatho wakho kunye nomchamo. Uvavanyo luya kubonisa ukuba amanqanaba akho "aphezulu kakhulu." Unokulingwa ukuba uzame le mvavanyo, kodwa ayithembeki. Unokufumana uphawu "oluqhelekileyo" nokuba ngaba ingcali yenzalo yayiza kubhengeza amanqanaba akho aphezulu kunokoqhelekileyo. Musa ukuchitha imali yakho.
Izinto ezicingwa njengeZingqinisiso eziqhelekileyo ze-FSH
Uhlobo oluqhelekileyo luya kuhluka phakathi kwamalabhu. Kufuneka uthethe ugqirha wakho ngencazelo echanileyo. Kananjalo, uthelekisa amazinga akho we-LH kunye nama-estrogen (i-estradiol ngokukhethekileyo, okanye i-E2) iyadingeka, ukuze ufumane yonke imifanekiso.
Ngaloo nto, isifundo ngosuku lwe-3 lwe-FSH kunye neziphumo ze- IVF zibonise ukuba abafazi ngosuku lwe-FSH amanqanaba angaphantsi kwe-15 mIU / ml babe nethuba elingcono lokuphumelela ukukhulelwa nganye kwimizamo ye-IVF, xa kuthelekiswa nabasetyhini abanezinga le-FSH phakathi kwe-15 mIU / ml kunye ne-24.9 mIU / ml. Kubasetyhini ngama-3 ama-FSH ama-25 mIU / ml, ukukhulelwa kweerhafu nganye kwimizamo yokunciphisa.
Ngamanye amaxesha, amazinga e-FSH aqhelekileyo kodwa ama-3 e-estradiol amanqanaba aphezulu kakhulu. Ukuba i-estradiol yakho iphakamileyo kodwa amazinga akho e-FSH aqhelekileyo, usenokuba neendawo zokugcina ii-ovarian ezihluphekileyo. Amanqanaba aphezulu e-estradiol anokukhusela i-FSH. Oku kungenxa yokuba i-FSH kunye ne-estradiol isebenza kunye kwi-loop yengxelo. Xa ama-estrogen aphezulu, umzimba uphantsi kwe-FSH kwimpendulo.
Kuthetha ukuthini iiNqanaba eziPhakamileyo?
Ngokuqhelekileyo, i-FSH ephakamileyo kunye / okanye i-estradiol ingabonisa iindawo ezikhuselekileyo ze-ovarian reserves . Oku kunokubonisa ukuba iziyobisi zonyango ziya kusebenza ngempumelelo.
Nangona kunjalo, akuthethi ukuba iziyobisi ziza kusebenza. Olunye uphando lwabafazi abanamazinga aphakamileyo e-FSH azama unyango lwe-IVF. Bafumanise ukuba abanye abafazi baphendule kakuhle kunyango, ngoxa abanye babengenalo. Abo baphendule banezinga elifanelekileyo lokukhulelwa ngokuphumelelayo. Abaphandi baphetha ngelona ndlela efanelekileyo yokukwazi ukuba iziyobisi zonyango ziya kusebenza kukuzama. Amazinga e-FSH yodwa ayinakukwazi ukuba ngubani oya kuphumelela kwaye ongeke.
Iimvavanyo ezihambelanayo
Umhla we-3 amazinga e-FSH yindlela enye yokulinganisa ama-ovarian reserves. Ugqirha wakho uya kukhangelelwa kwiinkalo ezahlukeneyo phambi kokuba enze ukuxilongwa.
Ugqirha wakho unokuvavanya amanqanaba akho e-AMH. I-anti-Müllerian hormone ingasetyenziswa ekuncedeni i- PCOS kunye neendawo zokugcina ii-ovari. Uvavanyo lwegazi olulula.
Olunye uvavanyo olungasetyenziselwa kunye namanqanaba e-FSH luyi- folral follicle count ultrasound . Le yi -ultrasound engena ngaphaya kwendawo apho uchwepheli ebalwa inani leentlobo zobukhulu bobukhulu obukhethiweyo kuma-ovari.
Imithombo:
> Huang LN1, Jun SH2, iDrubach N2, Dahan MH1. "Iziganeko zokuqheliswa kwezichumiso ze-in vitro kubasetyhini abanamacandelo ama-hormone avuselela phezulu ≥ 12 i-IU / L: i-study class. " > PLoS One. 2015 kuMatshi 13; 10 (4): e0124789. i-doi: 10.1371 / iphephandaba.pone.0124789. > eCollection > 2015.
FSH. Uvavanyo lweLeb kwi-Intanethi. Umbutho waseMelika weKlinikhi yeKhemistry. http://labtestsonline.org/understanding/analytes/fsh/test.html
LH. Uvavanyo lweLeb kwi-Intanethi. Umbutho waseMelika weKlinikhi yeKhemistry. http://labtestsonline.org/understanding/analytes/lh/glance.html
Ukubikezelwa kobutyebi obunokwenzeka (i-Ovarian Reserve) kumaBhinqa. Iphepha loLwazi lweMonde. Umbutho waseMelika weMithi yokuzala. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Older_Female-Fact.pdf