Hōʻike koko Luteinizing (LH)

Ke ana ka LH koko i ka nui o ka luteinizing hormone (LH) i ke koko. ʻO LH kahi hōmona i hoʻokuʻu ʻia e ka pituitary gland, aia ma ka ʻaoʻao lalo o ka lolo.

Pono kahi laʻana koko.

E noi ana kāu mea mālama ola iā ʻoe e hoʻokū iki i nā lāʻau i hiki ke hoʻololi i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. Pākuʻi ʻia kēia mau mea:

• Pila pale hānau
• Hoʻoikaika Hormone
• Testosteroma
• DHEA (kahi pākuʻi)

Inā he wahine ʻoe o ka hānau keiki ʻana, pono paha e hana i ka hōʻike ma kekahi lā kikoʻī o kāu pōʻai menstrual. E haʻi i kāu mea hāʻawi inā ua hōʻike koke ʻia ʻoe i nā radioisotopes, e like me ka wā o ka hoʻokolohua lāʻau nukila.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

I nā wahine, ʻo ka hoʻonui ʻana o ka pae LH ma waena o ka pōʻaiapuni ke kumu o ka hoʻokuʻu ʻia ʻana o nā hua (ovulation). Kauoha kāu kauka i kēia hōʻike e ʻike inā:

• Ke hele nei ʻoe i ovulate, ke pilikia ʻoe i ka hāpai ʻana a i ʻole he mau manawa maʻamau ʻole
• Ua hōʻea ʻoe i ka menopause

Inā he kāne ʻoe, kauoha ʻia paha ka hoʻokolohua inā he mau hōʻailona kou o ka infertility a i ʻole ka hoʻoneʻe hoʻohaʻahaʻa hoʻohaʻahaʻa ʻia. Kauoha ʻia paha ka hōʻoia inā loaʻa iā ʻoe nā hōʻailona o ka pilikia pituitary gland.

Nā hopena maʻamau no nā wahine makua:

• Ma mua o ka menopause - 5 a 25 IU / L
• ʻOi aku nā kiʻekiʻe o ka pae ma kahi o ka waena o ka pōʻai menstrual
• E piʻi aʻe ke kiʻekiʻe ma hope o ka menopause - 14.2 a 52.3 IU / L

LH haʻahaʻa nā pae LH i ka wā kamaliʻi.

ʻO ka hopena maʻamau no nā kāne ma mua o 18 mau makahiki ma kahi o 1.8 a 8.6 IU / L.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu hopena hoʻokolohua kikoʻī.

I nā wahine, ʻike ʻia kahi kiʻekiʻe ma mua o ka pae maʻamau o LH:

• Ke hoʻohālikelike ʻole nā ​​wahine o ka wā hānau
• Ke loaʻa ʻole ke kaulike o nā homone wahine (e like me polycystic ovary syndrome)
• I ka wā a ma hope paha o ka menopause
• ʻO Turner Syndrome (kahi ʻano laha ʻole kahi e loaʻa ʻole ai ka wahine i ka lua maʻamau o 2 X chromosome)
• Ke hana iki nā ovaries a ʻaʻohe paha i nā hormones (ovarian hypofunction)

I nā kāne, ʻo ke kiʻekiʻe ma mua o ka pae maʻamau o LH ma muli o:

• Ka loaʻa ʻole o nā testes a i ʻole nā ​​hōʻike i hana ʻole (anorchia)
• ʻO ka pilikia me nā gen, e like me Klinefelter Syndrome
• Endocrine glands i overactive a hana i kahi tumo (mau endocrine neoplasia)

I nā keiki, ʻike ʻia kahi kiʻekiʻe ma mua o ka pae maʻamau i ka wā ʻōpio (precocious) ʻōpio.

ʻO kahi haʻahaʻa ma mua o ka pae maʻamau o LH ma muli o ka pituitary gland ʻaʻole e lawa ana ka hormone (hypopituitarism).

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

ICSH - hōʻoia koko; Luteinizing hōmona - hōʻoia koko; ʻO ke kinona stimulusial cell - hoʻāʻo koko

ʻO Jeelani R, Bluth MH. ʻO ka hana hoʻohua a me ka hāpai ʻana. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 25.

Lobo R. Infertility: etiology, loiloi diagnostic, hoʻokele, wānana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 42.