Njengengxenye yesibalo sokuqala sokuzala , udokotela wakho cishe uzohleleka umsebenzi wegazi ukuhlola amazinga akho we-FSH. Ngezinye izikhathi kuthiwa yi-Day 3 FSH test, lokhu kuhlolwa okulula kwegazi okuhloswe ukukala inani le-follicle evuselela i-hormone egazini lakho legazi. Umsebenzi we-hormone ukutshela ama - oocyte , noma amaqanda angaphambi kwesikhathi, emaqanda akho amaqanda ukuze aqale ukukhula. I-oocyte ngayinye iqukethe ngaphakathi kwe- follicle noma isikhwama esincane samanzi.
Ukukhula nokuthuthukiswa kwama-oocyte yingxenye yokuqala yenqubo ezokwenza, ngokufanele, iholele ekuvuthweni .
Uma amazinga e-FSH ephakeme ngokungavamile, lokhu kusho ukuthi umzimba wakho udinga i-hormone engaphezulu ukugqugquzela ukuvuthwa kweqanda nokuvuthwa. Lokhu kungabonisa ukuthi ikhwalithi nobungakanani bamaqanda kuma-ovari akho angaphansi kokuhle. Lokhu kuyinto evamile yokuguga futhi ivame kakhulu kubantu besifazane abaneminyaka engu-38 nangaphezulu .
Kodwa-ke, ngisho nabesifazane abasha bangaba namazinga aphezulu e-FSH. Isibonelo, nge- insufficient eyinhloko ye-ovarian (ukuhluleka kwe-ovarian ngaphambi kwesikhathi) , owesifazane oneminyaka engu-20 angase abe namazinga aphezulu e-FSH.
Uma amazinga e-FSH aphansi kakhulu, ngokuvamile ahlanganiswa ne-LH ephansi, lokhu kungabonisa inkinga ngokusebenza kwe-pituitary noma i-hypothalamus, izingxenye ezimbili zobuchopho ezidlala indima ebalulekile ekuvuthweni.
Ngabe amazinga we-FSH ahloliwe
Isikhathi sokuhlola kwe-FSH kubalulekile. Ngenxa yokuthi amazinga e-FSH ahlukahluka phakathi nomjikelezo wesimiso, ububanzi "obuvamile" buhluka ngosuku.
Ukuze uthole ukuhlolwa okuyisisekelo kokuvuna nokuhlola ama-ovarian reserves, udinga ukuhlolwa kwegazi ngosuku lwesithathu lomjikelezo wakho wokuya esikhathini . Lokho kusho ukuthi odokotela abaningi balungile ngokuhlolwa okwenziwe nanoma yiluphi usuku phakathi kwezinsuku ezimbili kuya ku-4. Usuku lokuqala lomjikelezo wakho usuku oluqala ngalo isikhathi sakho.
Amazinga e-FSH angabuye ahlolwe ngesinye isikhathi ngesikhathi sokuya esikhathini, kepha lokhu akuvamile.
Kungani amazinga e-FSH abalulekile
Amazinga aphezulu e-FSH angabonisa izindawo ezimbi ezigcina ama-ovarian . Ngokwemigomo ye-layman, kusho ukuthi ubungakanani nekhwalithi yamaqanda akho aphansi. Ngenkathi amazinga aphezulu e-FSH akhombisa ukuthi ungase ube nobunzima obukhulu bokukhulelwa, akusho ukuthi awukwazi ukukhulelwa. Ziyisici esisodwa okufanele sicatshangelwe.
Amazinga e-FSH asetshenziselwa ukuhlola ukuthi imithi ye-IVF noma izidakamizwa zokuzala injectable ingasebenza yini. Abesifazane abanamazinga aphezulu e-FSH noma ama-reserves ama-ovarian abampofu akakwazi ukuphendula emithini ephakeme yokwelapha izidakamizwa.
Cabanga ngakho ngale ndlela: Uma amazinga akho e-FSH ephakeme ngokungavamile, lokhu kungenxa yokuthi amaqanda kuma-ovari akho akhulumi emazingeni ajwayelekile e-FSH. Umzimba wakho uzama ukulungisa inkinga ngokwandisa i-FSH, kuze kube (ngethemba) amaqanda avuthiwe. Nge-IVF noma izidakamizwa zokuzala ezijova, i-hormone i-FSH iyafakwa ukuze ivuse ama-ovaries akho. Kodwa njengama-ovarie akho awaphenduli ku-FSH yakho yemvelo, futhi kungenzeka ukuthi ayiphendule ku-FSH ejojelwe.
Kuwesifazane ophethe ama-ovarian amahle, i-FSH injected hormone iyoholela ekukhuleni kwamaqanda aqinile emaqanda ayo. Kuwesifazane onamafu omzimba ompofu, ama-ovari angeke aphendule.
Konke okushiwo, amazinga aphezulu e-FSH akusho ukuthi awukwazi ukucabanga ngamaqanda akho. Udokotela wakho angase nje adinge ukuzama i-protocol ehlukile. Uma udokotela etshela ukuthi i-IVF ayinakwenzeka ngaphandle kokusebenzisa ama -egg donor, thola umbono wesibili ngaphambi kokuqhubeka. Omunye udokotela angase abe nenqubo engakusiza.
Amazinga e-FSH ahlolwa kanjani ngegazi
Ukuhlolwa kwegazi kufana nanoma yikuphi ukuhlolwa kwegazi. Udokotela wakho uzokutshela ukuthi uzohlolwa nini. Ukuze kuvivinywe, umhlengikazi uzothatha igazi emthonjeni osesandleni sakho. Ungase ube nomuzwa omncane, kodwa ukuhlolwa akusizi kahle futhi akulula.
Kukhona nokuhlolwa kwe-FSH ekhaya .
Lokhu kusebenza okuningi njengokuhlola kokukhulelwa, ngokuthi uhlola izinga lakho ngomchamo. Uhlolo luzobonisa ukuthi amazinga akho "aphakeme kakhulu." Ungase uzame ukuzama lezi zivivinyo, kodwa azithembeki. Ungathola isibonakaliso "esivamile" ngisho noma isazi sochwepheshe sokuzala singasho ukuthi amazinga akho aphakeme kunejwayelekile. Ungadli imali yakho.
Yini Okubhekwa Njengamazinga Ajwayelekile E-FSH
Ibanga evamile lizohluka phakathi kwamalabhu. Udinga ukukhuluma nodokotela wakho ukuze uthole incazelo enembile. Futhi, uma uqhathaniswa namazinga akho e-LH namazinga e-estrogen (i-estradiol ngokuqondile, noma i-E2) iyadingeka, ukuze uthole isithombe sonke.
Ngalokho kusho ukuthi isifundo ngosuku lwama-3 ama-FSH kanye nemiphumela ye- IVF yabonisa ukuthi abesifazane abanezinsuku ezingu-3 FSH ezingaphansi kuka-15 mIU / ml babe nethuba elingcono lokuphumelela ukukhulelwa ngomzamo we-IVF, uma kuqhathaniswa nabesifazane abanamazinga e-FSH phakathi kuka-15 mIU / ml kanye no-24.9 mIU / ml. Kwabesifazane abanezinsuku ezingu-3 ze-FSH ezingaphezu kuka-25 mIU / ml, amanani wokukhulelwa ngomzamo ngamunye ayephansi nakakhulu.
Ngezinye izikhathi, amazinga e-FSH ajwayelekile kodwa amazinga e-estradiol ayi-3 aphezulu kakhulu. Uma i-estradiol yakho iphakeme kepha amazinga akho e-FSH ajwayelekile, ungase ube namanzi okugcina ama-ovarian. Amazinga aphezulu e-estradiol angaqeda i-FSH. Lokhu kungenxa yokuthi i-FSH ne-estradiol isebenza ndawonye ku-loop yempendulo. Lapho amazinga e-estrogen ephakeme, umzimba unciphisa i-FSH ekuphenduleni.
Kusho ukuthini Amazinga Aphezulu?
Ngokuvamile, i-FSH ephakeme kanye / noma i-estradiol ingabonisa ukuthi kukhona ama- ovarian amakhemikhali aphansi . Lokhu kungase kusiphakamise ukuthi izidakamizwa zokuzala ngeke zisebenze kangako.
Nokho, akusho ukuthi izidakamizwa zokuzala ngeke zisebenze. Ucwaningo olulodwa lwabafazi abanezinga eliphezulu le-FSH bazama ukwelashwa kwe-IVF. Bathola ukuthi abanye besifazane baphendule kahle ekwelapheni, kanti abanye abazange baphendule. Labo abasabelayo banamazinga aphezulu okukhulelwa okukhulelwa. Abacwaningi baphetha ngokuthi indlela engcono kakhulu yokwazi ukuthi izidakamizwa zokuzala zizosebenza yini ukuzama. Amazinga e-FSH kuphela azikwazi ukubikezela ukuthi ubani ozophumelela futhi ongeke.
Izivivinyo ezihlobene
Usuku lwama-3 amazinga e-FSH yindlela eyodwa kuphela yokukala ama-ovarian reserves. Udokotela wakho cishe uzobheka izinkomba ezihlukahlukene ngaphambi kokuthola ukuxilongwa.
Udokotela wakho angahlola futhi amazinga akho e-AMH. I-anti-Müllerian hormone ingasetshenziswa ukusiza ukuxilongwa kwe-PCOS kanye nama-ovarian reserves. Ukuhlolwa kwegazi okulula.
Olunye uhlolo olungasetshenziswa eceleni kwamazinga e-FSH luyi- antral follicle count ultrasound . Lokhu kuyi- ultrasound engenaweni lapho i-ochwepheshe ebala inani lezintambo zesayizi esithile kuma-ovari.
Imithombo:
> Huang LN1, Jun SH2, Drubach N2, Dahan MH1. "Izibikezelo zemiphumela ye-in vitro fertilization kwabesifazane abanezinga eliphezulu kakhulu le-horlicone elivuselela ama-hormone ≥ 12 IU / L: isifundo seqembu elizoba khona. " > PLoS One. 2015 Apr 13; 10 (4): e0124789. i-doi: 10.1371 / iphephandaba.pone.0124789. > eCollection > 2015.
FSH. Ukuhlolwa kwebhu ku-intanethi. Association American for Clinical Chemistry. http://labtestsonline.org/understanding/analytes/fsh/test.html
LH. Ukuhlolwa kwebhu ku-intanethi. Association American for Clinical Chemistry. http://labtestsonline.org/understanding/analytes/lh/glance.html
Ukubikezela Ukulimala Okungenzeka (i-Ovarian Reserve) kwabesifazane. Iphepha Lokungapheli Elibekezelayo. I-American Society of Medicine Yokuzala. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Older_Female-Fact.pdf