Hōʻike koko Follicle-stimulate (FSH)
Hoʻomaopopo ka follicle stimulate hormone (FSH) i ke kiʻekiʻe o ka FSH i ke koko. ʻO ka FSH kahi hōmona i hoʻokuʻu ʻia e ka pituitary gland, aia ma ka ʻaoʻao lalo o ka lolo.
Pono kahi laʻana koko.
Inā he wahine ʻoe o ka hānau keiki ʻana, makemake paha kāu mea mālama ola iā ʻoe e hana i ka hoʻokolohua i kekahi mau lā o kou pōʻai menstrual.
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, kōkua ʻo FSH i ka mālama ʻana i ka pōʻai menstrual a hoʻoulu i nā ovaries e hana i nā hua. Hoʻohana ʻia ka hoʻāʻo e kōkua i ke kuhi a loiloi paha:
- Menopause
- ʻO nā wahine i loaʻa i ka maʻi polycystic ovary Syndrome, cist ovarian
- ʻO ke kahe kino ʻole a male paha paha
- ʻO nā pilikia e hāpai ana, a i ʻole infertility
I nā kāne, hoʻonāukiuki ʻo FSH i ka hana ʻana o ka sperm. Hoʻohana ʻia ka hoʻāʻo e kōkua i ke kuhi a loiloi paha:
- ʻO nā pilikia e hāpai ana, a i ʻole infertility
- ʻO nā kāne ʻaʻohe o lākou testicle a i ʻole hoʻomohala ʻia ko lākou mau kumuhana
I nā keiki, pili ʻo FSH me ka hoʻomohala ʻana i nā hiʻohiʻona moekolohe. Kauoha ʻia ka hoʻāʻo no nā keiki:
- ʻO wai e hoʻomohala i nā hiʻohiʻona moekolohe i ka wā ʻōpio
- ʻO wai ka mea i hoʻopaneʻe i ka hoʻomaka ʻana i ka wā ʻōpio
E ʻokoʻa nā pae FSH maʻamau, kaukaʻi ʻia i ka makahiki a me ka moekolohe o ke kanaka.
Kāne:
- Ma mua o ka ʻōpio - 0 a 5.0 mIU / mL (0 a 5.0 IU / L)
- I ka wā ʻōpio - 0.3 a 10.0 mIU / mL (0.3 a 10.0 IU / L)
- Makua - 1.5 a 12.4 mIU / mL (1.5 a 12.4 IU / L)
Wahine:
- Ma mua o ka ʻōpio - 0 a 4.0 mIU / mL (0 a 4.0 IU / L)
- I ka wā ʻōpio - 0.3 a 10.0 mIU / mL (0.3 a 10.0 IU / L)
- Nā wahine e hoʻomau hou nei i ka menstruating - 4.7 a 21.5 mIU / mL (4.5 a 21.5 IU / L)
- Ma hope o ka hala ʻana - 25.8 a 134.8 mIU / mL (25.8 a 134.8 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 me kāu kauka e pili ana i ke ʻano o kāu hopena hoʻokolohua kikoʻī.
Aia paha nā pae FSH kiʻekiʻe i nā wahine:
- I ka wā a ma hope paha o ka menopause, e komo pū me ka menopause ma mua
- Ke loaʻa ʻana o ka hoʻōla hormonone
- Ma muli o kekahi ʻano tumo i ka pituitary gland
- Ma muli o ka maʻi ʻo Turner
Loaʻa nā pae haʻahaʻa FSH i nā wahine ma muli o:
- ʻO ka underweight a i ʻole ka loaʻa koke ʻana o ke kaupaona
- ʻAʻole e hua ana i nā hua (ʻaʻole ovulate)
- ʻO nā ʻāpana o ka lolo (ka pituitary gland a i ʻole hypothalamus) ʻaʻole e hana ana i nā nui maʻamau o kekahi a i ʻole nā mea āpau āpau
- Hapai keiki
ʻO nā pae FSH kiʻekiʻe i nā kāne e manaʻo paha ʻaʻole holo pono nā testicle ma muli o:
- ʻO ka makahiki holomua (menopause kāne)
- Ka poino i nā testicle i hoʻokumu ʻia e ka ʻino, ka chemotherapy, a me nā radiation
- Nā pilikia me nā gen, e like me Klinefelter Syndrome
- Hoʻomaʻo me nā hormones
- ʻO kekahi mau tumors i ka pituitary gland
ʻO nā pae FSH haʻahaʻa i loko o nā kāne e manaʻo paha i nā ʻāpana o ka lolo (ka pituitary gland a hypothalamus) hana ʻole i nā nui maʻamau o kekahi a i ʻole nā mea āpau āpau.
ʻO nā pae FSH kiʻekiʻe ma nā keikikāne a kaikamahine paha e manaʻo paha e hoʻomaka ana ka ʻōpio.
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)
ʻO ka Follicle stimulate hormone; Menopause - FSH; Kahe koko - VH
Garibaldi LR, Chemaitilly W. Nā maʻi o ka ulu ʻana o ka pubertal. I: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 578.
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 RA. Infertility: etiology, diagnostic loiloi, hoʻokele, wānana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 42.