I-antimulylerov hormone yehla - ngingakwazi yini ukukhulelwa?

I-hormone ka-Antimiller (AMG) isakhiwe emzimbeni womabili wesilisa nabesifazane. Inhloso yalo enkulu ukulawula ukukhiqizwa kwamaseli ocansi. Ngakho-ke, kumaduna, uthatha ingxenye eqondile ku-spermatogenesis, kubesifazane - ilawula izinqubo zokuvuthwa kweqanda. Ngakho-ke, lesi sici sinomthelela oqondile kumathuba okukhulelwa kwabesifazane. Yingakho besifazane, lapho bebhekene nesimo lapho i- antimulylerov ihlonyiswa khona, banesithakazelo ukuthi kungenzeka yini ukuthi bakhulelwe nokuthi bangayenza kanjani ekuhlungeni okuphansi.

Iyiphi inzuzo okufanele le nkhomba kufanele ibe nayo evamile?

Umkhuba wokuhlushwa egazini le-antimulylerova hormone kubantu besifazane ukuze kwenzeke ukukhulelwa ngu-1-2.5 ng / ml. Kumele kuqashelwe ukuthi lezi zindinganiso zijwayelekile kumantombazane avuthiwe ngokobulili, ngoba ukuhlushwa kwamantombazane kuncane kakhulu.

Ukuncipha kwe-AMH kukhonjiswe ezimweni lapho izinga layo liguquka ngaphakathi kuka-0.2-1 ng / ml.

Ngingakhulelwa yini nge-hormone ephansi ye-antimuller?

Njengomthetho, ukuphulwa okunjalo kwabesifazane, ukwehluleka kwama-ovari kuyatholakala. Yingakho bengakwazi ukukhulelwa ngokwemvelo.

Ezimweni lapho ukuhlushwa kwe-AMH kungaphansi kwe-0.2 ng / ml, isimo sibaluleke kakhulu, njll. ukutholakala kokukhulelwa kungenzeka kuphela yi- IVF usebenzisa i-egg donor.

Uma ukhuluma ngokuqondile ukuthi kungani ungakwazi ukukhulelwa ngezinga eliphansi le-hormone ye-antimulyurovogo, okokuqala kudingekile ukuphendukela kuzici zomzimba wezinsikazi.

Iqiniso liwukuthi ukuhlushwa kwe-AMG kusetshenziswa odokotela njengendlela yokukhomba okubizwa ngokuthi i-ovarian reserve (ikhono lokusebenza lezinsikazi zomzimba zobulili ukuze zithuthukise ama-follicle aphelele, okuvela kuwo amaqanda avuthiwe). Yingakho ukwehla kwe-AMH, okuwumphumela wokuphulwa ohlelweni lokuzala, futhi kubonisa ukuthi esikhathini esizayo esiseduze inqubo ye-ovulatory izophela ngokuphelele.

Ungakhulelwa kanjani i-hormone ephansi ye-antimuller?

I-algorithm yezenzo zokwelapha kuleso simo incike ngokuphelele ezintweni zokuphazamiseka kanye nezinga le-AMH. Noma kunjalo, kufanele kuthiwe ezimweni eziningi, ukunciphisa leli hormone egazini akuyona imbangela, kodwa umphumela wokuphulwa okwamanje. Kuneziningi zazo (kusukela ekukhulupheni kuya ekuphazanyeni kokukhulelwa, izifo zesimiso sokuzala) ukuthi akunakwenzeka njalo ukukhomba imbangela eyenza ukwehla ku-AMH.

Ngokuqondene nokwandisa ngokuqondile amathuba okukhulelwa nokuncipha i-antimulylerovom hormone, kufanele kuqashelwe ukuthi ngisho ne-hormone therapy ayikwazi ukusiza. Into ewukuthi emzimbeni wawo wonke owesifazane izinga laleli hormone ngokuqondile lixhomeke enani le-full-fledged, elikwazi ukuvuthwa, amaqanda amaqanda. Ngakho-ke, ngisho nokwethulwa kwe-AMG ekwenzeni umzimba ngeke kuholele ekunyuseni kwenani lezintambo.