LH pane i ka hoʻāʻo koko GnRH
ʻO ka pane a LH iā GnRH kahi hōʻike koko e kōkua ai e hoʻoholo inā hiki i kāu pituitary gland ke pane pololei i ka gonadotropin hoʻokuʻu i ka hormone (GnRH). Kū ʻo LH no ka hormone luteinizing.
Lawe ʻia kahi laʻana koko, a laila hāʻawi ʻia ʻoe i kahi kī o GnRH. Ma hope o kahi manawa kikoʻī, lawe ʻia nā laʻana koko hou aʻe i hiki ke ana ʻia LH.
ʻAʻole pono kahi hoʻomākaukau kūikawā.
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.
ʻO GnRH kahi hormone i hana ʻia e ka hypothalamus gland. Hana ʻia ʻo LH e ka pituitary gland. Hana ʻo GnRH (stimulate) i ka pituitary gland e hoʻokuʻu iā LH.
Hoʻohana ʻia kēia hōʻike e haʻi i ka ʻokoʻa ma waena o ka hypogonadism mua a me ka lua. ʻO ka hypogonadism kahi kūlana kahi e hana ai nā aʻa wahine i nā hormones iki a ʻaʻohe paha. I nā kāne, ʻo ka wahine moe wahine (gonads) nā mea hoʻāʻo. I nā wahine, ʻo nā ʻōpū wahine nā ovaries.
Kaukaʻi ʻia i ke ʻano o ka hypogonadism:
- Hoʻomaka ka hypogonadism mua i ka testicle a i ʻole ka ovary
- Hoʻomaka ka hypogonadism lua i ka hypothalamus a i ʻole ka pituitary gland
E hana ʻia paha kēia hōʻike e nānā:
- ʻO ka pae testosterone haʻahaʻa i nā kāne
- ʻO ka pae haʻahaʻa estradiol i nā wahine
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 me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.
Hoʻonui ka pane LH hoʻonui i kahi pilikia i nā ovaries a i ʻole nā hōʻike.
Kuhi kahi pane LH hoʻemi ʻia i kahi pilikia me ka hypothalamus gland a i ʻole ka pituitary gland.
Nā hualoaʻa kūpono ʻole paha ma muli o:
- Nā pilikia pituitary gland, e like me ka hoʻokuʻu ʻana o ka nui o ka hormone (hyperprolactinemia)
- ʻO nā tumors pituitary nui
- Hoemi i nā homone i hana ʻia e nā gland endocrine
- Nui loa ka hao i ke kino (hemochromatosis)
- Nā maʻi ʻai, e like me anorexia
- ʻO ka pohō kaumaha nui i hala iho nei, e like me ma hope o ke koki bariatric
- Ua lohi a hele ʻole paha ke ʻōpio (Kallmann syndrome)
- Ka nele o nā manawa i nā wahine (amenorrhea)
- Ka momona
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 kaʻi ʻia 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)
ʻO ka pane hormonone luteinizing i ka homone hoʻokuʻu gonadotropin
ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. 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 24.
Haisenleder DJ, Marshall JC. ʻO Gonadotropins: ka hoʻoponopono o ka synthes a me ka huna. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 116.