Kulephera Kwambiri Kwambiri Kumayeso

Zamkati

• Chidule
• Kodi kusowa kwa ovari yoyamba (POI) ndi chiyani?
• Nchiyani chimayambitsa kusakhazikika koyambirira kwa ovari (POI)?
• Ndani ali pachiwopsezo cha kusakwanira koyambirira kwa ma ovari (POI)?
• Kodi Zizindikiro za kusowa kwa ovari yoyamba (POI) ndi ziti?
• Ndi mavuto ena ati omwe angayambitse kusowa kwa mazira oyambira (POI)?
• Kodi matenda oyambira ovarian primary (POI) amapezeka bwanji?
• Kodi kusamalidwa koyambirira kwa ma ovari (POI) kumathandizidwa bwanji?

Chidule

Kodi kusowa kwa ovari yoyamba (POI) ndi chiyani?

Kulephera kwa ovariary koyambirira (POI), komwe kumadziwikanso kuti kulephera kwamazira msanga, kumachitika pomwe mazira azimayi amasiya kugwira ntchito bwino asanakwanitse zaka 40.

Amayi ambiri mwachibadwa amakumana ndi kuchepa kwachonde atakwanitsa zaka 40. Amatha kuyamba kusamba mosasinthasintha akamayamba kusamba. Kwa amayi omwe ali ndi POI, kusamba nthawi ndikuchepetsa kubereka amayamba asanakwanitse zaka 40. Nthawi zina zimatha kuyamba zaka zaunyamata.

POI ndiyosiyana ndi kusamba msanga. Ndi kusamba msanga msanga, nthawi yanu imatha musanakwanitse zaka 40. Simungathenso kutenga pakati. Zomwe zimayambitsa zitha kukhala zachilengedwe kapena matenda, opareshoni, chemotherapy, kapena radiation. Ndi POI, amayi ena amakhalabe ndi nthawi zina. Amathanso kutenga pakati. Nthawi zambiri za POI, chomwe chimayambitsa sichidziwika.

Nchiyani chimayambitsa kusakhazikika koyambirira kwa ovari (POI)?

Pafupifupi 90% ya milandu, chifukwa chenicheni cha POI sichidziwika.

Kafukufuku akuwonetsa kuti POI imakhudzana ndi zovuta ndi ma follicles. Zolembera ndimatumba ang'onoang'ono m'mimba mwanu. Mazira anu amakula ndikukhwima mkati mwawo. Mtundu umodzi wamavuto amtunduwu ndikuti mumatha kugwira ntchito molunjika kale kuposa masiku onse. China ndikuti ma follicles sakugwira ntchito moyenera. Nthawi zambiri, chomwe chimayambitsa vuto la follicle sichidziwika. Koma nthawi zina chimakhala chifukwa chake

• Matenda amtundu monga Fragile X syndrome ndi Turner syndrome
• Chiwerengero chochepa cha ma follicles
• Matenda osokoneza bongo, kuphatikizapo thyroiditis ndi matenda a Addison
• Chemotherapy kapena mankhwala a radiation
• Matenda amadzimadzi
• Poizoni, monga utsi wa ndudu, mankhwala, ndi mankhwala ophera tizilombo

Ndani ali pachiwopsezo cha kusakwanira koyambirira kwa ma ovari (POI)?

Zinthu zina zitha kuyambitsa chiopsezo cha amayi ku POI:

• Mbiri ya banja. Amayi omwe ali ndi amayi kapena mlongo yemwe ali ndi POI amakhala ndi mwayi wokhala nawo.
• Chibadwa. Zosintha zina ku majini ndi majini zimaika amayi pachiwopsezo chachikulu cha POI. Mwachitsanzo, azimayi a Fragile X kapena Turner syndrome ali pachiwopsezo chachikulu.
• Matenda ena, monga matenda omwe amadzimadzimadzi okhaokha komanso matenda opatsirana
• Mankhwala a khansa, monga chemotherapy ndi radiation radiation
• Zaka. Amayi achichepere amatha kutenga POI, koma imafala kwambiri pakati pa zaka 35-40.

Kodi Zizindikiro za kusowa kwa ovari yoyamba (POI) ndi ziti?

Chizindikiro choyamba cha POI nthawi zambiri chimakhala chosasinthika kapena chosowa nthawi. Zizindikiro zamtsogolo zitha kukhala zofananira ndi kusintha kwachilengedwe:

• Kutentha kotentha
• Kutuluka thukuta usiku
• Kukwiya
• Kusazindikira bwino
• Kuchepetsa kugonana
• Zowawa panthawi yogonana
• Kuuma kwa nyini

Kwa amayi ambiri omwe ali ndi POI, amavutika kutenga pakati kapena kusabereka ndichifukwa chake amapita kwa omwe amawathandiza.

Ndi mavuto ena ati omwe angayambitse kusowa kwa mazira oyambira (POI)?

Popeza POI imakupangitsani kuti muchepetse mahomoni ena, muli pachiwopsezo chachikulu cha zovuta zina, kuphatikizapo

• Kuda nkhawa ndi kukhumudwa. Kusintha kwa mahomoni komwe kumayambitsidwa ndi POI kumatha kubweretsa nkhawa kapena kudzetsa kukhumudwa.
• Matenda owuma ndi matenda amaso. Amayi ena omwe ali ndi POI amakhala ndi amodzi mwamaso awa. Zonsezi zimatha kuyambitsa mavuto ndipo zimatha kuyambitsa masomphenya. Ngati sanalandire chithandizo, izi zimatha kuwononga diso kwamuyaya.
• Matenda a mtima. Kutsika kwa estrogen kumatha kukhudza minofu yolumikizana ndi mitsempha ndipo kumatha kukulitsa kuchuluka kwa cholesterol m'mitsempha. Izi zimawonjezera chiopsezo chanu cha atherosclerosis (kuuma kwa mitsempha).
• Kusabereka.
• Ntchito yotsika ya chithokomiro. Vutoli limatchedwanso hypothyroidism. Chithokomiro ndimatenda omwe amapangitsa mahomoni omwe amalamulira kagayidwe kake ka thupi ndi mphamvu yanu. Mahomoni a chithokomiro otsika amatha kusokoneza kagayidwe kanu ndipo amatha kupangitsa mphamvu zochepa, ulesi wamaganizidwe, ndi zizindikilo zina.
• Kufooka kwa mafupa. Mahomoni a estrogen amathandiza kuti mafupa akhale olimba. Popanda estrogen yokwanira, azimayi omwe ali ndi POI nthawi zambiri amakhala ndi matenda a kufooka kwa mafupa. Ndi nthenda ya mafupa yomwe imayambitsa mafupa ofooka, osaphuka omwe amatha kusweka.

Kodi matenda oyambira ovarian primary (POI) amapezeka bwanji?

Kuti mupeze POI, wothandizira zaumoyo wanu akhoza kuchita

• Mbiri yazachipatala, kuphatikizapo kufunsa ngati muli ndi achibale omwe ali ndi POI
• Kuyezetsa mimba, kuonetsetsa kuti mulibe mimba
• Kuyezetsa thupi, kuyang'ana zizindikilo za zovuta zina zomwe zingayambitse matenda anu
• Kuyesa magazi, kuti muwone kuchuluka kwa mahomoni. Muthanso kuyesa magazi kuti mufufuze chromosome. Chromosome ndi gawo la khungu lomwe limakhala ndi chidziwitso cha majini.
• Chiuno cha ultrasound, kuti muwone ngati thumba losunga mazira likukulira kapena lili ndi ma follicles angapo

Kodi kusamalidwa koyambirira kwa ma ovari (POI) kumathandizidwa bwanji?

Pakadali pano, palibe chithandizo chotsimikizika chobwezeretsanso ntchito m'chiberekero cha mayi. Koma pali mankhwala ochizira zizindikiro zina za POI. Palinso njira zochepetsera mavuto anu azaumoyo ndikuchiza zomwe POI ingayambitse:

• Hormone m'malo mwake (HRT). HRT ndi chithandizo chofala kwambiri. Zimapatsa thupi lanu estrogen ndi mahomoni ena omwe mazira anu samapanga. HRT imakweza thanzi labwino ndikuchepetsa kuopsa kwa matenda amtima ndi kufooka kwa mafupa. Nthawi zambiri mumazitenga mpaka zaka pafupifupi 50; Ndizo pafupifupi zaka pamene kusamba kumayamba kaŵirikaŵiri.
• Calcium ndi vitamini D zowonjezera. Chifukwa amayi omwe ali ndi POI ali pachiwopsezo chachikulu cha kufooka kwa mafupa, muyenera kumwa calcium ndi vitamini D tsiku lililonse.
• In vitro feteleza (IVF). Ngati muli ndi POI ndipo mukufuna kutenga pakati, mungaganize zoyesera IVF.
• Kuchita masewera olimbitsa thupi pafupipafupi komanso kulemera thupi. Kuchita masewera olimbitsa thupi pafupipafupi komanso kuchepetsa thupi kungachepetse chiopsezo chanu cha kufooka kwa mafupa ndi matenda amtima.
• Chithandizo cha zinthu zogwirizana. Ngati muli ndi vuto lomwe likukhudzana ndi POI, ndikofunikira kuchitiranso izi. Mankhwalawa atha kuphatikizira mankhwala ndi mahomoni.

NIH: National Institute of Child Health and Human Development