I-follicle evuselela i-hormone, noma i-FSH, i-hormone ekhishwe emgodini we-pituitary ebuchosheni obushukumisa i-follicle yeqanda ukuba ikhule inyanga ngayinye njengengxenye yomjikelezo wesimiso . Abesifazane abane-PCOS ngokuvamile abavumi ukuvota njalo ngenyanga ngenxa yamazinga aphansi e-FSH.
Uma udokotela wakho osolwa ukuthi ungaba ne-PCOS, uzokhipha umsebenzi wegazi we-FSH kanye namanye amazinga e-hormone ngaphambi kokuxilongwa.
Abesifazane abakhulile bavame ukuphakamisa amazinga e-FSH egazi , okubonisa ukukhula kwe-ovarian. Lokhu kungenxa yokuthi inani elikhulu le-hormone liyadingeka ukuze i-ovary ithole futhi ivuselele i-follicle yamaqanda.
Izinga le-FSH Phakathi Nesikhathi Sakho
Phakathi nomjikelezo wakho wokuya esikhathini, amazinga e-FSH ahlukahluka. Odokotela bavame ukuhlola amazinga e-FSH ngosuku lwesithathu lomjikelezo wakho. Lokhu kubhekwa njengamazinga akho okuqala. I-FSH iyingxenye yomdanso onzima wamahomoni ahlanganisa i-hormone i-luteinizing (LH), i-estradiol, ne-gonadotropin-release hormone (GnRH). I-FSH igqugquzela i-follicle encane ukuba ikhule. Uma usukhulile, kukhishwa i-estradiol, ekhombisa ukukhululwa kwe-GnRH ne-LH, okwenza i-ovulation.
Ngaphambi kokuvuvukala, amazinga e-FSH avela phezulu, asayine i-ovary ukukhipha iqanda. Uma kwenzeka ukuvuthwa kwegazi, amazinga abuyela noma afaka kancane ngaphansi kwesisekelo. Amazinga ayisisekelo avamile aphakathi kuka-4.7 no-21.5 mIU / ml kwabesifazane abaya esikhathini.
Imithi ethile, njengamaphilisi okulawula ukuzalwa, i-clomiphene, i-digitalis, ne-levodopa, ingashintsha imiphumela yokuhlolwa. Udokotela wakho uzokufundisa ukuba uyeke ukuthatha lezo zidakamizwa ngaphambi kokuthatha uhlolo lwe-FSH. Endabeni yokulawula i-hormonal, kufanele imiswe okungenani amasonto amane ngaphambi kokuhlolwa.
Ukuhlela kwe-FSH nokukhulelwa
Njengoba abesifazane abane-PCOS benamazinga aphansi e-FSH ngakho-ke abavuni njalo, uzobona ochwepheshe bokuzala noma i-endocrinology yokuzala ukuze uthole usizo lokukhulelwa uma isikhathi sikhona.
I-endocrinologists yokukhiqiza isebenzisa uhlobo lwe-FSH ukugqugquzela ama-ovari ukuba akhiqize ama-egg follicles we-IUI (intrauterine insemination) noma i- IVF ( in vitro fertilization ). Lezi yimithi ejova, eyaziwa ngokuthi i-Gonal-f, i-Follistim, ne-Bravelle.
Abesifazane abaningi bavame ukukhathazeka ukuzwa ukuthi kuzodingeka bathathe amahlumela ukuze bavuse ukuvuthwa. Ngesikhathi izijoka zingase zingakhululekile, kubalulekile ukugcina amehlo akho esithombeni esikhulu - unomntwana.
I-FSH ne-Ovarian Reserve
Kulabo besifazane abafuna ukukhulelwa esikhathini esizayo empilweni, amazinga e-FSH asetshenziselwa ukuhlola i-ovarian reserve - inani lamaqanda owesifazane osele kanye nekhwalithi lala maqanda. Udokotela wakho uzoba nomsebenzi wegazi okhishwe ngosuku lwesithathu lokuhamba kwakho kokuya esikhathini. Imiphumela ivame ukutholakala kungakapheli amahora angu-24 kuye ngokuthi ibha.
Izinga eliyisisekelo le-FSH liphakama lapho abesifazane befika ngesikhathi esisodwa , okubonisa ukuthi inani lezinyosi liyehla. Ukumiswa kwesikhashana sekuyiminyaka engama-4 ngokulinganisa futhi kuphela lapho owesifazane engakabi nesikhathi ezinyangeni ezingu-12. Ngaleso sikhathi, kuqala ukuphuma esikhathini. Amazinga e-FSH ekumeni kokuya esikhathini aphakanyiswe ngokuphindaphindiwe kuya ku-30 mIU / mL nangaphezulu.