Hōʻike Hormone Anti-Müllerian

Anter

• He aha ka hōʻailona anti-müllerian hormone (AMH)?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i kahi hōʻike AMH?
• He aha ka hana ma kahi hōʻike AMH?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike AMH?
• Nā kūmole

He aha ka hōʻailona anti-müllerian hormone (AMH)?

Ana kēia hōʻike i ke kiʻekiʻe o ka anti-müllerian hormone (AMH) i ke koko. Hana ʻia ʻo AMH i nā kiko hānau o nā kāne a me nā wahine. ʻO ke kuleana o ka AMH a inā he maʻa mau nā pae i kou makahiki a me kāu kāne.

He mea nui ka AMH i ka ulu ʻana o nā mea moekolohe ma kahi pēpē i hānau ʻole ʻia. I loko o nā hebedoma mua o ka hāpai ʻana, e hoʻomaka ana kahi pēpē e hoʻomohala i nā kino hānau. E loaʻa i nā pēpē nā genes e lilo i kāne (XY genes) a i ʻole i wahine (gen gen).

Inā loaʻa i nā pēpē nā genes kāne (XY), hana ʻia nā pae kiʻekiʻe o AMH, me nā homone kāne ʻē aʻe. Pale kēia i ka hoʻomohala ʻana o nā mea wahine a paipai i ka hoʻokumu ʻana i nā lālā kāne. Inā ʻaʻole lawa ka AMH e hoʻōki i ka hoʻomohala ʻana o nā mea wahine, hiki ke hana i nā ʻāpana o nā kāne ʻelua. Ke hiki kēia, ʻaʻole e ʻike maopopo ʻia nā genitalia o kahi pēpē ma ke ʻano he kāne a wahine paha. ʻIke ʻia kēia ʻo ke ʻano genitalia ʻole. ʻO intersect kekahi inoa no kēia ʻano.

Inā loaʻa nā genes wahine (XX) i ka pēpē i hānau ʻole ʻia mai nā liʻiliʻi o AMH. ʻAe kēia i ka hoʻomohala ʻana i nā lālā hānau wahine. He kuleana ʻokoʻa ko AMH no nā wahine ma hope o ka ʻōpio. I kēlā manawa, hoʻomaka nā ovaries (glands e hana i nā huna manu) i ka hana ʻana i ka AMH. ʻO ka nui o nā hunaola hua manu, ʻo ke kiʻekiʻe ke kiʻekiʻe o AMH.

I nā wahine, hiki i nā pae AMH ke hāʻawi i ka ʻike e pili ana i ka momona, ka hiki ke hāpai. Hiki paha ke hoʻohana i ka hōʻike e kōkua i ke kuhi ʻana i nā maʻi menstrual a i ʻole e nānā i ke olakino o nā wahine me kekahi ʻano o ka maʻi ʻaʻai ovarian.

Nā inoa ʻē aʻe: AMH hōmona hoʻokolohua, mūllerian-inhibiting hormone, MIH, müllerian mea hōʻemi, MIF, mūllerian-mea hōʻemi, MIS

No ke aha ia e hoʻohana ai?

Hoʻohana pinepine ʻia kahi hōʻike AMH e nānā i ka hiki i ka wahine ke hana i nā hua i hiki ke momona no ka hāpai keiki. Hiki i nā ovaries o ka wahine ke hana i nā hua manu he mau kaukani i kona wā hānau keiki. Hōʻole ka helu i ka ulu ʻana o ka wahine. Kōkua nā pae AMH i ka hōʻike ʻana i ka nui o nā hunaola hua manu i waiho ka wahine. ʻIke ʻia kēia ma ke ʻano he ovarian Reserve.

Inā kiʻekiʻe ka mālama ovarian wahine, loaʻa paha iā ia ka manawa kūpono e hāpai ai. Hiki paha iā ia ke kali i mau mahina a mau makahiki paha ma mua o ka hoʻāʻo ʻana e hāpai. Inā haʻahaʻa ka mālama ovarian, pili paha i ka wahine e pilikia i ka hāpai ʻana, a ʻaʻole pono e hoʻolohi lōʻihi ma mua o ka hoʻāʻo ʻana e hānau pēpē.

Hiki ke hoʻohana ʻia nā hōʻike AMH i:

• E wānana i ka hoʻomaka o ka menopause, kahi manawa i ke ola o ka wahine i ka wā i pau ai kāna mau manawa menstrual a ʻaʻole hiki iā ia ke hāpai hou. Hoʻomaka ka hoʻomaka ʻana inā 50 mau makahiki ka lōʻihi o ka wahine.
• E ʻike i ke kumu no ka menopause mua
• Kōkua e ʻike i ke kumu o ka amenorrhea, ka nele o ka menstruation. Hoʻomaopopo pinepine ʻia i nā kaikamahine i hoʻomaka ʻole i ka menstruating e ka makahiki 15 a i nā wahine i hala i kekahi mau manawa.
• Kōkua e hōʻoia i ka polycystic ovary syndrome (PCOS), kahi maʻi hormonal kahi kumu maʻamau o ka wahine infertility, ka hiki ʻole ke hāpai.
• E hōʻoia i nā pēpē me nā ʻōpū i hōʻike ʻole ʻia he kāne a wahine paha
• Nānā i nā wahine i loaʻa kekahi ʻano o ka maʻi ʻaʻai ovarian

No ke aha wau e pono ai i kahi hōʻike AMH?

Pono ʻoe i kahi hoʻokolohua AMH inā he wahine ʻoe e paʻakikī nei i ka hāpai ʻana. Hiki i ke hōʻike ke kōkua i ka hōʻike ʻana i kāu manawa e hāpai ai i kahi pēpē. Inā ʻoe e ʻike nei i kahi loea hānau, hiki i kāu kauka ke hoʻohana i ka hoʻokolohua e wānana ai e pane maikaʻi ʻoe i ka mālama ʻana, e like me ka vitro fertilization (IVF).

Hiki paha i nā pae kiʻekiʻe ke loaʻa he mau hua hou aʻe a e pane maikaʻi i ka mālama ʻana. ʻO nā pae haʻahaʻa o ka AMH he mea liʻiliʻi paha kāu mau hua i loaʻa a ʻaʻole paha e pane maikaʻi i ka lāʻau.

Pono paha ʻoe i kahi hoʻokolohua AMH inā he wahine ʻoe me nā ʻōuli o polycystic ovary syndrome (PCOS). Pākuʻi ʻia kēia mau mea:

• Nā maʻi maʻamau, e like me ka menopause mua a i ʻole ka amenorrhea
• Huehue
• ʻO ka nui o ke kino a me ka ulu lauoho maka
• Hoemi i ka nui o ka umauma
• Kaumaha hoʻonui

Eia hou, pono ʻoe i kahi hōʻike AMH inā mālama ʻia ʻoe no ka maʻi ʻaʻai ovarian. Hiki ke kōkua i ka hōʻoia inā hōʻike ʻia kāu hana.

He aha ka hana ma kahi hōʻike AMH?

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi hōʻike AMH.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā he wahine ʻoe e hoʻāʻo nei e hāpai, hiki i kāu mau hopena ke kōkua e hōʻike i kāu mau manawa no ka hāpai ʻana. Hiki iā ia ke kōkua iā ʻoe e hoʻoholo i ka wā e hoʻāʻo ai e hāpai. Hiki i ke kūlana kiʻekiʻe o ka AMH ke ʻoi aku ka maikaʻi o kou manawa a loaʻa paha iā ʻoe ka manawa hou ma mua o ka hoʻāʻo ʻana e hāpai.

ʻO ke kiʻekiʻe kiʻekiʻe o ka AMH i manaʻo paha he polycystic ovary syndrome (PCOS) kāu. ʻAʻohe lāʻau lapaʻau no PCOS, akā hiki ke mālama ʻia nā ʻōuli me nā lāʻau a me / a i ʻole nā ​​loli nohona, e like me ka mālama ʻana i ka papaʻai olakino a me ka wili ʻana a me ka ʻumiʻumi ʻana e hemo ai ka lauoho o ke kino.

Hiki i kahi pae haʻahaʻa ke manaʻo he pilikia paha kou i ka hāpai ʻana. Hiki iā ia ke manaʻo e hoʻomaka ana ʻoe i ka menopause. ʻO ka pae haʻahaʻa o ka AMH maʻamau i nā kaikamahine ʻōpio a i nā wahine ma hope o ka menopause.

Inā mālama ʻia ʻoe no ka maʻi ʻaʻai ovarian, hiki i kāu hoʻokolohua ke hōʻike inā ke holo nei kāu lāʻau.

I loko o kahi pēpē kāne, kahi pae haʻahaʻa o AMH paha ke ʻano o ka pilikia genetical a me / a i ʻole ka hormonal e hana ana i nā genital ʻaʻole maopopo he kāne a wahine paha. Inā maʻamau nā pae AMH, ʻo ia paha ka hana ʻana o ka pēpē i nā testicle, akā ʻaʻole lākou ma kahi kūpono. Hiki ke mālama i kēia ʻano me ke kahakaha a me / a i ʻole ka hoʻōla hormonone.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike AMH?

Inā he wahine ʻoe e mālama ʻia no nā pilikia hānau, e loaʻa paha iā ʻoe nā hoʻokolohua ʻē aʻe, me AMH. Hoʻopili kēia i nā hoʻokolohua no ka estradiol a me ka FSH, ʻelua mau hormones i pili i ka hana hou.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.