Odee: Gregory Harris
OfbọChị Okike: 16 Onwa Epurel 2021
DatebọChị Mmelite: 1 Novemba 2024
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POGS CME JUNE Demystifying PCOS
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Kedu ihe bụ nnwale mgbochi müllerian (AMH)?

Ule a na-atụle ogo mgbochi mgbochi müllerian (AMH) n'ime ọbara. AMH ka emebere ya na akwa nke omumu nke nwoke na nwanyi. Ọrụ nke AMH na ma ọkwa dị iche na-adabere na afọ gị na okike.

AMH na-arụ ọrụ dị mkpa n’ime mmepe akụkụ ahụ nwoke na nwanyị n’afọ. N’izu ndị mbụ nke ịtụrụ ime, nwa ọhụrụ ga-ebido inwe akụkụ ọmụmụ. Nwa ọhụrụ ahụ enweworị mkpụrụ ndụ ihe nketa ịghọ nwoke (mkpụrụ ndụ XY) ma ọ bụ nwanyị (mkpụrụ ndụ ihe nketa XX).

Ọ bụrụ na nwatakịrị ahụ nwere mkpụrụ ndụ ihe nketa (XY), a na-eme AMH dị elu, yana homonụ ndị nwoke ndị ọzọ. Nke a na-egbochi mmepe nke akụkụ nwanyị ma na-akwalite nhazi nke akụkụ nwoke. Ọ bụrụ na ezughị ezu AMH iji kwụsị mmepe nke akụkụ nwanyị, akụkụ nke ma nwoke ma nwanyị nwere ike ịmalite. Mgbe nke a mere, a gaghị amata ihe akụkụ ahụ nwanyị ji bụrụ nwoke ma ọ bụ nwanyị n’ụzọ doro anya. Nke a na-mara dị ka ambiguous genitalia. Aha ọzọ maka ọnọdụ a bụ intersex.


Ọ bụrụ na nwa ebu n’afọ nwere mkpụrụ ndụ (XX) a na - eme obere nke AMH. Nke a na-enye ohere maka mmepe nke akụkụ ọmụmụ ụmụ nwanyị. AMH nwere ọrụ dị iche maka ụmụ nwanyị mgbe ha tozuru okè. N'oge ahụ, ovaries (glands nke na - eme mkpụrụ ndụ akwa) amalite imalite AMH. Ka mkpụrụ ndụ akwa dị, ogo AMH dị elu.

N'ime ụmụ nwanyị, ọkwa AMH nwere ike inye ozi gbasara ọmụmụ, ikike ịtụrụ ime. Enwere ike iji nnwale ahụ iji nyere aka chọpụta nsogbu nsogbu ịhụ nsọ ma ọ bụ iji nyochaa ahụike ụmụ nwanyị nwere ụdị ụfọdụ nke ọrịa kansa ovarian.

Aha ndị ọzọ: nnwale hormone AMH, hormone na-egbochi mitingllerian, MIH, ihe na-egbochi m factorllerian, MIF, ihe na-egbochi müllerian, MIS

Kedu ihe eji ya?

A na-ejikarị nnwale AMH iji chọpụta ikike nwanyị nwere ịmị akwa nke enwere ike ịmịpụta maka afọ ime. Akwa nwanyi nwere ike ime otutu puku akwa n’oge omumu ya. Ọnụ ọgụgụ ahụ na-ebelata ka nwanyị na-eme agadi. AMH etoju na-enyere aka igosi ole mkpụrụ ndụ akwa nwanyị fọdụrụ. A maara nke a dị ka ebe nchekwa ovarian.


Ọ bụrụ na nchekwa nke ovarian nwanyị dị elu, ọ nwere ike ịnwe ohere dị mma nke ịtụrụ ime. O nwekwara ike ichere ọnwa ma ọ bụ ọtụtụ afọ tupu ọ tụrụ ime. Ọ bụrụ na nchekwa ovarian dị obere, ọ nwere ike ịpụta na nwanyị ga-enwe nsogbu ịtụrụ ime, na ekwesịghị igbu oge ogologo oge tupu ịnwa ịmụ nwa.

Enwere ike iji AMH nwalee iji:

  • Kpebie mbido nsọ nwanyị, oge na ndụ nwanyị mgbe oge ịhụ nsọ ya kwụsịrị na ya enweghị ike ịtụrụ ime ọzọ. Ọ na-ebikarị mgbe nwanyị dị ihe dị ka afọ iri ise.
  • Chọpụta ihe kpatara mbido nsọ nwanyị
  • Nyere aka chọpụta ihe kpatara amenorrhea, enweghi nsọ nwanyị. A na-achọpụtakarị ya na ụmụ agbọghọ ndị na-amalitebeghị nsọ nwanyị site na afọ 15 na ụmụ nwanyị ndị hapụrụ ọtụtụ oge.
  • Nyere aka chọpụta polycystic ovary syndrome (PCOS), nsogbu hormonal nke bụkarịrị ihe na-akpata ịmụ nwa nwanyị, enweghị ike ịtụrụ ime
  • Lelee ụmụ aka nwere akwara nke anaghị amata nke ọma dị ka nwoke ma ọ bụ nwanyị
  • Lelee ụmụ nwanyị nwere ụdị ụfọdụ nke ọrịa kansa ovarian

Kedu ihe kpatara m ji chọọ nyocha AMH?

Nwere ike ịchọ nyocha AMH ma ọ bụrụ na ị bụ nwanyị na-enwe nsogbu ịtụrụ ime. Nnwale ahụ nwere ike inye aka gosipụta ohere ị nwere ịtụrụ ime nwa. Ọ bụrụ na ị na-ahụlarị ọkachamara n'ọrịa ọmụmụ, dọkịta gị nwere ike iji ule ahụ kwuo ma ị ga-azaghachi nke ọma na ọgwụgwọ, dị ka in vitro fertilization (IVF).


Ọkwa dị elu nwere ike ịpụta na ị ga-enwekwu akwa karịa ma ọ ga-aza ọgwụgwọ ka mma. Obere ala nke AMH pụtara na ị nwere obere nsen dị ma ọ nwere ike ọ gaghị azaghachi nke ọma na ọgwụgwọ.

Nwekwara ike ịchọ nyocha AMH ma ọ bụrụ na ị bụ nwanyị nwere mgbaàmà nke ọrịa polycystic ovary syndrome (PCOS). Ndị a gụnyere:

  • Nsogbu nwoke na nwanyị, tinyere nsọpụ n'oge ma ọ bụ amenorrhea
  • Ihe otutu
  • Bodygafe ntutu na ihu ntutu dị elu
  • Mbelata nke ara
  • Ibu ibu

Na mgbakwunye, ịnwere ike ịchọ nyocha AMH ma ọ bụrụ na a na-agwọ gị maka ọrịa kansa ovarian. Nnwale ahụ nwere ike inye aka igosi ma ọ bụrụ na ọgwụgwọ gị na-arụ ọrụ.

Kedu ihe na-eme n'oge ule AMH?

Onye ọkachamara ahụike ga-ewere ihe nyocha ọbara site na akwara aka gị, jiri obere agịga. Mgbe etinyere agịga ahụ, a ga-achịkọta obere ọbara n'ime ule nyocha ma ọ bụ vial. Nwere ike na-eche ntakịrị ihe mgbe agịga na-abanye ma ọ bụ na-apụta. Nke a na-ewe ihe na-erughị nkeji ise.

Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?

Don’tkwesighi nkwadebe ọ bụla pụrụ iche maka ule AMH.

Onwere ihe egwu di n’ule a?

O nwechaghị ihe egwu dị n’inyocha ọbara. May nwere ike ịnwe obere ihe mgbu ma ọ bụ mmerụ ahụ ebe etinyere agịga ahụ, mana ọtụtụ mgbaàmà na-apụ ngwa ngwa.

Kedu ihe nsonaazụ ahụ pụtara?

Ọ bụrụ na ị bụ nwanyị na-achọ ịtụrụ ime, nsonaazụ gị nwere ike inye aka gosipụta ohere ị nwere ịtụrụ ime. O nwekwara ike inyere gị aka ikpebi mgbe ị ga-achọ ịtụrụ ime. Ọdịdị dị elu nke AMH nwere ike ịpụta na ohere gị ka mma ma ị nwere ike ịnwekwu oge tupu ịnwa ịtụrụ ime.

Ọkwa dị elu nke AMH nwekwara ike ịpụta na ị nwere ọrịa polycystic ovary (PCOS). Enweghị ọgwụgwọ maka PCOS, mana enwere ike ijikwa mgbaàmà site na ọgwụ na / ma ọ bụ mgbanwe ndụ, dị ka ijigide nri dị mma na ịme waksị ma ọ bụ ịkpụ afụ iji wepụ ntutu dị oke.

Ọkwa dị ala nwere ike ịpụta na ị nwere ike ịnwe nsogbu ịtụrụ ime. O nwekwara ike ịpụta na ị malitere nsọ. Ọdịdị dị ala nke AMH dị mma na ụmụ agbọghọ na ụmụ nwanyị mgbe ha mechara.

Ọ bụrụ na a na-agwọ gị maka ọrịa kansa ovarian, ule gị nwere ike igosi ma ọgwụgwọ gị ọ na-arụ ọrụ.

N'ime nwatakịrị nwoke, ọkwa dị ala nke AMH nwere ike ịpụta nsogbu mkpụrụ ndụ na / ma ọ bụ hormonal na-akpata akụkụ ahụ nwoke na-abụghị nwoke ma ọ bụ nwanyị n'ụzọ doro anya. Ọ bụrụ na ọkwa AMH dị mma, ọ nwere ike ịpụta na nwa ahụ nwere testicles na-arụ ọrụ, mana ha anọghị ebe kwesịrị ekwesị. Enwere ike ịgwọ ọnọdụ a site na ịwa ahụ na / ma ọ bụ ọgwụgwọ hormone.

Ọ bụrụ na ị nwere ajụjụ gbasara nsonaazụ gị, gwa ndị ọrụ ahụike gị okwu.

Mụtakwuo maka ule nyocha ụlọ, akara ngosi, na nghọta nsonaazụ.

Enwere ihe ọ bụla ọzọ m kwesịrị ịma gbasara nnwale AMH?

Ọ bụrụ na ị bụ nwanyị a na-agwọ maka nsogbu ọmụmụ, ikekwe ị ga-enweta ule ndị ọzọ, yana AMH. Ndị a gụnyere ule maka estradiol na FSH, homonụ abụọ metụtara mmeputakwa.

Ntughari

  1. Carmina E, Fruzzetti F, Lobo RA. Mee ka mgbochi Mullerian na-arịwanye elu na nke ovarian na subgroup nke ụmụ nwanyị nwere ọrụ hypothalamic amenorrhea: njirimara ọzọ nke njikọ dị n'etiti ọrịa polycystic ovary na ọrụ hypothalamic amenorrhea. Am J Obstet Gynecol [Intanet]. 2016 Jun [akpọrọ 2018 Dec 11]; 214 (6): 714.e1-714.e6. E Nweta site na: https://www.ncbi.nlm.nih.gov/pubmed/26767792
  2. Oflọ Ọrụ Na-amụba Ọgwụ [Internet]. Houston: InfertilityTexas.com; c2018. Nyocha AMH; [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 4]. E Nweta site na: https://www.infertilitytexas.com/amh-testing
  3. Grynnerup AG, Lindhard A, Sørensen S. Ọrụ nke hormone mgbochi Müllerian na ọmụmụ ụmụ nwanyị na ịmụ nwa-nyocha. Acta Obstet Scand [Intanet]. 2012 Nov [zoro aka na 2018 Dec 11]; 91 (11): 1252–60. O nwere site na: https://www.ncbi.nlm.nih.gov/pubmed/22646322
  4. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington D.C ;; American Association maka Clinical Chemistry; C2001–2018. Mgbochi-Müllerian Hormone; [emelitere 2018 Sep 13; akpọrọ 2018 Dec 11; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/tests/anti-mullerian-hormone
  5. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington D.C ;; American Association maka Clinical Chemistry; C2001–2018. Om ụ nwoke; [emelitere 2018 May 30; akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/conditions/menopause
  6. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington D.C ;; American Association maka Clinical Chemistry; C2001–2018. Polycystic Ovary Ọrịa; [emelitere 2018 Oct 18; akpọrọ 2018 Dec 11; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/condition/polycystic-ovary-syndrome
  7. Yolọ Ọgwụ Mayo [Internet]. Ntọala Mayo maka Mmụta Ahụike na Nnyocha; C1998–2018. Amenorrhea: Mgbaàmà na ihe kpatara ya; 2018 Apr 26 [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 3]. E Nweta site na: https://www.mayoclinic.org/diseases-condition/amenorrhea/symptoms-causes/syc-20369299
  8. Yolọ Ọgwụ Mayo [Internet]. Ntọala Mayo maka Mmụta Ahụike na Nnyocha; C1998–2018. In vitro fatịlaịza (IVF): Banyere; 2018 Mar 22 [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 3]. Odi na site na: https://www.mayoclinic.org/tests-procedures/in-vitro-fertilization/about/pac-20384716
  9. Yolọ Ọgwụ Mayo [Internet]. Ntọala Mayo maka Mmụta Ahụike na Nnyocha; C1998–2018. Ule a na-enweghị atụ: Nchoputa na ọgwụgwọ; 2017 Aug 22 [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 4]. E si na: https://www.mayoclinic.org/diseases-condition/undescended-testicle/diagnosis-treatment/drc-20352000
  10. Yolọ Ọgwụ Mayo: Laboratories Mayo Medical [Internet]. Ntọala Mayo maka Mmụta Ahụike na Nnyocha; C1995–2018. Ule nyocha: AMH: Antimullerian Hormone (AMH), ọbara: Clinical and Interpretive; [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/89711
  11. Yolọ Ọgwụ Mayo: Laboratories Mayo Medical [Internet]. Ntọala Mayo maka Mmụta Ahụike na Nnyocha; C1995–2018. Ule nyocha: AMH: Antimullerian Hormone (AMH), Ọbara: Isi; [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://www.mayocliniclabs.com/test-catalog/Overview/89711
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  13. NIH US Library nke Ọgwụ: Nkọwapụta etlọ Jenetik [Internet]. Bethesda (MD): Ngalaba Ahụ Ike na Ọrụ Ndị Ọrụ U.S. Mkpụrụ ndụ AMH; 2018 Dec 11 [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 3]. O nwere site na: https://ghr.nlm.nih.gov/gene/AMH
  14. NIH US Library nke Ọgwụ: Nkọwapụta etlọ Jenetik [Internet]. Bethesda (MD): Ngalaba Ahụ Ike na Ọrụ Ndị Ọrụ U.S. Müllerian aplasia na hyperandrogenism; 2018 Dec 11 [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 2].O nwere site na: https://ghr.nlm.nih.gov/condition/mullerian-aplasia-and-hyperandrogenism
  15. Ndị mmekọ na-amụpụta omumu nke New Jersey [Internet]. RMANJ; c2018. Anti-Mullerian Hormone (AMH) Ule nke Nchekwa Ovarian; 2018 Sep 14 [akpọrọ 2018 Dec 11]; [ihe dị ka ihuenyo 4]. E Nweta site na: https://www.rmanj.com/anti-mullerian-hormone-amh-testing-of-ovarian-reserve
  16. Sagsak E, Onder A, Ocal FD, Tasci Y, Agladioglu SY, Cetinkaya S Aycan Z. Primary Amenorrhea Secondary na Mullerian Anomaly. J Case Rep [Intanet]. 2014 Mar 31 [akpọrọ 2018 Dec 11]; Okwu Pụrụ iche: doi: 10.4172 / 2165-7920.S1-007. E si na ya: https://www.omicsonline.org/open-access/primary-amenorrhea-secondary-to-mullerian-anomaly-2165-7920.S1-007.php?aid=25121

Ejila ozi dị na saịtị a dị ka onye dochie anya nlekọta ahụike ọkachamara ma ọ bụ ndụmọdụ. Kpọtụrụ onye na-ahụ maka ahụike ma ọ bụrụ na ị nwere ajụjụ gbasara ahụike gị.

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