ʻO ka lawa ʻole o ka ovarian kumu

Anter

• Hōʻuluʻulu Manaʻo
• He aha ka lawa ʻole o ka ovarian mua (POI)?
• He aha ke kumu o ka lawa ʻole o ka ovarian mua (POI)?
• ʻO wai ka mea e makaʻu no ka lawa ʻole o ka ovarian mua (POI)?
• He aha nā hōʻailona o ka lawa ʻole o ka ovarian mua (POI)?
• He aha nā pilikia ʻē aʻe e hiki ai i ka lawa ʻole o ka ovarian mua (POI) ke kumu?
• Pehea e ʻike ʻia ai ka lawa ʻole o ka ovarian mua (POI)?
• Pehea e mālama ai i ka lawa ʻole o ka ovarian mua (POI)?

Hōʻuluʻulu Manaʻo

He aha ka lawa ʻole o ka ovarian mua (POI)?

ʻO ka lawa ʻole o ka ovarian mua (POI), ʻo ka mea i ʻike ʻia me ka holomua ovarian wā ʻole, hana ʻia ke kū nā ovaries o ka wahine ma mua o 40.

ʻIke maoli nā wahine he nui i ka hoʻemi ʻana i ka momona ke kokoke lākou i 40 mau makahiki. Hoʻomaka paha lākou i ka loaʻa ʻana o nā manawa paʻewa ʻole ke hele lākou i ka menopause. No nā wahine me POI, hoʻomaka nā wā kūpono ʻole a hoʻemi i ka momona ma mua o ka makahiki 40. Hiki i kekahi manawa ke hoʻomaka i ka wā ʻōpio.

ʻOkoʻa ka POI mai ka menopause ma mua. Me ka menopause premature, kū kou mau manawa ma mua o ka makahiki 40. ʻAʻole hiki iā ʻoe ke hāpai hou. Hiki i ke kumu ke kūlohelohe a i ʻole he maʻi, ʻoki kino, chemotherapy, a radiation paha. Me POI, loaʻa kekahi mau manawa i kekahi mau wahine. Hāpai paha lākou. I ka hapanui o nā hihia o POI, ʻike ʻole ʻia ke kumu.

He aha ke kumu o ka lawa ʻole o ka ovarian mua (POI)?

Ma kahi o 90% o nā hihia, ʻaʻole ʻike ʻia ke kumu kikoʻī o POI.

Hōʻike ka noiʻi e pili ana ʻo POI i nā pilikia me nā follicle. ʻO nā Follicle he mau ʻeke liʻiliʻi i kāu mau ovaries. E ulu a oʻo kāu mau hua i loko o lākou. ʻO kekahi o nā pilikia follicle ka pau ʻana o nā follicle hana ma mua o ka maʻamau. ʻO kekahi ka hana ʻole ʻana o nā follicle. I ka hapanui o nā hihia, ʻike ʻole ʻia ke kumu o ka pilikia follicle. Akā i kekahi manawa ke kumu

• Nā maʻi genetic e like me Fragile X syndrome a me Turner syndrome
• ʻO kahi helu haʻahaʻa o nā follicle
• Nā maʻi Autoimmune, me ka maʻi thyroiditis a me Addison
• Chemotherapy a i ʻole radiation radiation
• Nā maʻi Metabolic
• Nā Toxins, e like me ka uahi paka, nā kemika, a me nā pesticides

ʻO wai ka mea e makaʻu no ka lawa ʻole o ka ovarian mua (POI)?

Hiki i kekahi mau mea ke hāpai i ka makaʻu o ka wahine i ka POI:

• Mōʻaukala ʻohana. ʻO nā wahine i loaʻa ka makuahine a kaikuahine paha me POI e loaʻa paha iā ia.
• ʻO Genes. ʻO kekahi mau hoʻololi i nā genes a me nā kūlana genetics e waiho i nā wahine i ka makaʻu kiʻekiʻe no POI. ʻO kahi laʻana, ʻoi aku ka nui o ka makaʻu i nā wahine Fragile X Syndrome a i ʻole Turner Syndrome.
• Kekahi mau maʻi, e like me nā maʻi autoimmune a me nā maʻi viral
• Nā maʻi ʻaʻai, e like me chemotherapy a me radiation radiation
• Makahiki. Hiki i nā wahine ʻōpio ke loaʻa iā POI, akā lilo ia i mea maʻamau ma waena o nā makahiki o 35-40.

He aha nā hōʻailona o ka lawa ʻole o ka ovarian mua (POI)?

ʻO ka hōʻailona mua o ka POI maʻa mau a i hala ʻole paha i nā wā. Ma hope like paha nā ʻōuli me nā menopause kūlohelohe:

• ʻO nā kukuna wela
• Hoʻoulu ka pō
• Huhū
• Nānā maikaʻi ʻole
• Hoʻoiho hōʻemi moe kolohe
• ʻEha i ka wā o ka moekolohe
• Maloʻo maloʻo

No nā wahine he nui me ka POI, ʻo ka pilikia i ka hāpai ʻana a i ʻole ka hānau ʻole ke kumu a lākou e hele ai i kā lākou kahu mālama ola.

He aha nā pilikia ʻē aʻe e hiki ai i ka lawa ʻole o ka ovarian mua (POI) ke kumu?

Ma muli o ke kumu o ka POI iā ʻoe e loaʻa ai i nā pae haʻahaʻa o kekahi mau hormones, ʻoi aku kou makaʻala i nā kūlana olakino ʻē aʻe, e like me

• Ka pīhoihoi a me ke kaumaha. Hiki i nā loli hormonal i hoʻokumu ʻia e POI ke kōkua i ka hopohopo a i ʻole ke alakaʻi ʻana i ke kaumaha.
• ʻO ka maʻi maka maloʻo a me ka maʻi o ka maka. ʻO kekahi mau wahine me POI kekahi o kēia mau ʻano maka. Hiki i nā mea ʻelua ke hoʻonāukiuki a alakaʻi i ka ʻike maka ʻole. Inā mālama ʻole ʻia, hiki i kēia mau kumu ke hōʻeha i ka maka mau.
• Maʻi maʻi puʻuwai. Hiki i nā pae haʻahaʻa o ka estrogen ke hoʻopili i nā mākala e uhi ana i nā aʻa a hiki ke hoʻonui i ka buildup o ka kolesterol i nā aʻa. Hoʻonui kēia mau mea i kou makaʻu o ka atherosclerosis (paʻakikī o nā aʻa).
• Hoʻoipo.
• ʻO ka hana thyroid haʻahaʻa. Kapa ʻia kēia pilikia ʻo hypothyroidism. ʻO ka thyroid kahi gland e hana i nā homone e kāohi i ka metabolism o kou kino a me ka pae o ka ikehu. Hiki i nā hormonone thyroid haʻahaʻa ke hoʻopili i kāu metabolism a hiki ke hoʻohaʻahaʻa i ka ikehu haʻahaʻa loa, ka lohi o ka noʻonoʻo, a me nā ʻōuli ʻē aʻe.
• Osteoporosis. Kōkua ka hormone estrogen i ka ikaika o nā iwi. Me ka lawa ʻole o ka estrogen, hoʻomohala pinepine nā wahine me POI i ka osteoporosis. He maʻi iwi ia e nāwaliwali ai nā iwi palupalu e haki ka nui.

Pehea e ʻike ʻia ai ka lawa ʻole o ka ovarian mua (POI)?

E hōʻoia iā POI, hana paha kāu mea mālama ola

• He moʻolelo olakino, me ka nīnau ʻana inā he ʻohana ou me POI
• He hōʻike hāpai keiki, e hōʻoia inā ʻaʻole ʻoe hāpai
• He hōʻike kino, e nānā i nā hōʻailona o nā maʻi ʻē aʻe e hiki ke kumu i kāu mau ʻōuli
• Nā ho'āʻo koko, e nānā no kekahi mau pae hormone. Loaʻa paha iā ʻoe kahi hoʻokolohua koko e hana i kahi loiloi chromosome. ʻO kahi chromosome kahi ʻāpana o kahi pūnaewele e loaʻa ai ka ʻike genetika.
• ʻO kahi ultrasound pelvic, e ʻike ai a hoʻonui ʻia paha nā ovaries a i ʻole he mau follicle

Pehea e mālama ai i ka lawa ʻole o ka ovarian mua (POI)?

I kēia manawa, ʻaʻohe lapaʻau kūpono e hoʻihoʻi i ka hana maʻamau i nā ovaries o ka wahine. Akā he mau lapaʻau no kekahi o nā ʻōuli o POI. Aia kekahi mau ala e hoʻohaʻahaʻa ai i kāu mau olakino olakino a mālama i nā kūlana i hiki i ka POI ke hana:

• Hormone replacement therapy (HRT). ʻO ka HRT ka lapaʻau maʻamau. Hāʻawi ia i kou kino i ka estrogen a me nā hormones ʻē aʻe ʻaʻole i hana ʻia e kāu ovaries. Hoʻomaikaʻi ʻo HRT i ke olakino moekolohe a hoʻemi i nā makaʻi no ka maʻi puʻuwai a me ka osteoporosis. Lawe ʻoe ia a hiki i ka makahiki 50; pili kēlā i ka makahiki ke hoʻomaka maʻamau ka menopause.
• Kalipuna a me nā huaora D nā mea hoʻohui. Ma muli o ka hopohopo nui o nā wahine me POI no ka osteoporosis, pono ʻoe e lawe i ka calcium a me ka huaola D i kēlā me kēia lā.
• In vitro fertilization (IVF). Inā loaʻa iā POI a makemake ʻoe e hāpai, noʻonoʻo paha ʻoe e hoʻāʻo iā IVF.
• ʻO ka hoʻoikaika kino maʻamau a me ke kaumaha o ke kino olakino. ʻO ka loaʻa ʻana o ka hoʻoikaika kino pinepine ʻana a me ka kaohi ʻana i kou kaupaona hiki ke hoʻohaʻahaʻa i kou makaʻi no ka osteoporosis a me ka maʻi puʻuwai.
• Nā mālama no nā kūlana pili. Inā loaʻa iā ʻoe kahi ʻano e pili ana iā POI, he mea nui e mālama pū i kēlā. Hiki i nā lāʻau lapaʻau ke hoʻopili i nā lāʻau a me nā hormona.

NIH: Ke Kula Nui o ke olakino kamaliʻi a me ka ulu ʻana o kānaka