Ho hlahisa li-ovarian ka bongata
Ho hlahisa li-ovaria ho feta tekano ke boemo boo mae a bomme a etsang testosterone e ngata haholo. Sena se lebisa ho nts'etsopele ea litšobotsi tsa monna ho mosali. Androgens e tsoang likarolong tse ling tsa 'mele le eona e ka baka litšobotsi tsa banna ho hola ho basali.
Basali ba phetseng hantle, mae a bomme le litšoelesa tsa adrenal li hlahisa 40% ho 50% ea testosterone ea 'mele. Lihlahala tsa mae a bomme le polycystic ovary syndrome (PCOS) ka bobeli li ka baka tlhahiso e ngata ea androgen.
Boloetse ba cushing ke bothata ba tšoelesa ea pituitary e lebisang ho li-corticosteroids tse ngata. Corticosteroids e baka phetoho ea mmele ho basali. Lihlahala tsa litšoelesa tsa adrenal le tsona li ka baka tlhahiso e ngata haholo ea li-androgen mme li ka lebisa ho litšobotsi tsa 'mele oa banna ho basali.
Mefuta e phahameng ea li-androgens ho mosali e ka baka:
- Makhopho
- Liphetoho sebopeho sa basali
- Fokotseha ka boholo ba matsoele
- Eketsa moriri oa 'mele ka mokhoa oa monna, joalo ka sefahlehong, seledung le mpeng
- Ho hloka nako ea ho ilela khoeli (amenorrhea)
- Letlalo le mafura
Liphetoho tsena li kanna tsa etsahala hape:
- Eketsa ka boholo ba clitoris
- Ho teba ha lentsoe
- Eketsa mesifa
- Ho kuta moriri le ho lahleheloa ke moriri ka pele hloohong mahlakore ka bobeli a hlooho
Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Liteko life kapa life tsa mali le litšoantšo tse laetsoeng li tla latela matšoao a hau, empa li ka kenyelletsa:
- Teko ea 17-hydroxyprogesterone
- Teko ea ACTH (e sa tloaelehang)
- Liteko tsa mali tsa cholesterol
- CT scan
- Teko ea mali ea DHEA
- Teko ea tsoekere
- Teko ea insulin
- Pelvic ultrasound
- Teko ea Prolactin (haeba linako li sa tla hangata kapa che)
- Teko ea testosterone (testosterone ea mahala le e felletseng)
- Teko ea TSH (haeba ho na le tahlehelo ea moriri)
Kalafo e ipapisitse le bothata bo bakang tlhahiso e eketsehileng ea androgen. Meriana e ka fanoa ho fokotsa tlhahiso ea moriri ho basali ba nang le moriri o feteletseng oa 'mele, kapa ho laola linako tsa ho ilela khoeli. Maemong a mang, ho ka hlokahala opereishene ho tlosa hlahala ea mahe a bomme kapa adrenal.
Katleho ea kalafo e latela sesosa sa tlhahiso e fetelletseng ea androgen. Haeba boemo bo bakoa ke hlahala ea mahe a bomme, ho buuoa ho tlosa hlahala ho ka lokisa bothata. Boholo ba lihlahala tsa mae a bomme ha li na mofets'e (li kotsi) 'me ha li na ho khutla kamora hore li tlosoe.
Ho polycystic ovary syndrome, mehato e latelang e ka fokotsa matšoao a bakoang ke maemo a phahameng a androgen:
- Tlhokomelo e hlokolosi
- Ho fokotsa boima ba 'mele
- Liphetoho tsa lijo
- Meriana
- Ho ikoetlisa ka matla kamehla
Ho hloka thari le mathata nakong ea bokhachane li ka hlaha.
Basali ba nang le polycystic ovary syndrome ba ka ba kotsing e kholo ea:
- Lefu la tsoekere
- Khatello ea mali e phahameng
- Cholesterol e phahameng
- Botenya
- Kankere ea popelo
Basali ba nang le polycystic ovary syndrome ba ka fokotsa liphetoho tsa mathata a nako e telele ka ho boloka boima bo tloaelehileng ka ho ja lijo tse nepahetseng le ho ikoetlisa khafetsa.
- Ho hlahisa mae a bomme haholo
- Nts'etsopele ea folakha
Bulun SE. Physiology le pathology ea karolo ea basali ea ho ikatisa. Ka: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, bahlophisi. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 17.
Huddleston HG, Quinn M, Gibson M. Polycystic ovary syndrome le hirsutism. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 567.
Lobo RA. Hyperandrogenism le fetello ea androgen: physiology, etiology, phapang ea phapang, taolo. Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 40.
Rosenfield RL, Barnes RB, Ehrmann DA. Hyperandrogenism, hirsutism, le lefu la ovary la polycystic. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 133.