Hewa ovarian ma mua
Hoʻoemi ʻia ka hana ovarian mua ʻole o nā ovaries (e like me ka hoʻemi ʻana o ka hana o nā hormones).
Hoʻokumu ʻia paha ka ʻole ovarian ma mua e nā kumu kūlohelohe e like me nā kino chromosome. Hiki paha iā ia me kekahi mau maʻi autoimmune nāna e hoʻopilikia i ka hana maʻamau o nā ovaries.
ʻO Chemotherapy a me radiation therapy hiki i ke kumu ke kū i ke ʻano.
Hiki i nā wahine me ka ʻole ovarian kūleʻa ke hoʻomōhala i nā ʻōuli o ka menopause, i hoʻopili ʻia:
- ʻO nā kukuna wela
- Nā wā kū ʻole a i ʻole hele pū kekahi
- Swings hāhuli
- Hoʻoulu ka pō
- Maloʻo maloʻo
Hiki i kēia ʻano ke paʻakikī i ka wahine e hāpai.
E hana ʻia kahi hōʻoia koko e nānā i kāu pae o ka hormone follicle-stimulate, a i ʻole FSH. ʻOi aku ka kiʻekiʻe o ka pae FSH ma mua o ka maʻamau i nā wahine me ka maikaʻi ʻole o ka ovarian.
Hana ʻia paha nā hoʻokolohua koko ʻē aʻe e nānā no nā maʻi autoimmune a i ʻole ka maʻi thyroid.
ʻO nā wahine me ka ʻole o ka ovarian hiki ʻole ke hāpai e hopohopo paha i ko lākou hiki ke hāpai. ʻO ka poʻe ʻōpio ma mua o 30 mau makahiki i loaʻa i kahi kālailai chromosome e nānā no nā pilikia. I ka hapanui o nā hihia, ʻaʻole pono nā wahine ʻelemakule kokoke i ka menopause i kēia hōʻike.
Kōkua pinepine ka lāʻau Estrogen i nā hōʻailona menopausal a pale i ka nalo ʻana o ka iwi. Eia naʻe, ʻaʻole ia e hoʻonui i kou manawa e hāpai ai. Ma mua o 1 i 10 mau wahine me kēia ʻano e hiki ai ke hāpai. Hoʻonui ka manawa o ka hāpai ʻana i 50% ke hoʻohana ʻoe i kahi hua donor fertilized (kahi hua manu mai kahi wahine ʻē aʻe).
Kāhea i kāu kahu mālama ola inā:
- ʻAʻole ʻoe i loaʻa i nā manawa mahina.
- Loaʻa iā ʻoe nā ʻōuli o ka menopause mua.
- Ke paʻakikī nei ʻoe i ka hāpai ʻana.
Hypofunction ovarian; Ka lawa ʻole o ovarian
- ʻO hypofunction ovarian
Broekmans FJ, Fauser BCJM. Hoʻokomo wahine: ka loiloi a me ka hoʻokele. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 132.
Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 17.
Douglas NC, Lobo RA. Reproductive endocrinology: neuroendocrinology, gonadotropins, sex steroid, prostaglandins, ovulation, menstruation, hoʻoweliweli hormone. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 4.
Dumesic DA, Gambone JC. Amenorrhea, oligomenorrhea, a me nā maʻi hyperandrogenic. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 33.