So wo mmadwoa agyae adwumayɛ ntɛm sen sɛnea na wohwɛ kwan? Momma yensua Primary Ovarian Insufficiency (POI) ho ade!

So wo nna a ɛba ɔsram biara no abɛyɛ nea ɛnkɔ so daa mpofirim? Anaasɛ agyae mpofirim na ɛte sɛ nea ɛremfi ase bio? Ebia woafi ase renya brayɛ ho sɛnkyerɛnne ansa na woadi mfe 40? Nneɛma a ɛte sɛɛ betumi ama ehu aka wo na woahaw paa. Nanso mma ɛnhaw wo. Ɛnnɛ yɛrebɛka ade biako a ebetumi ama tebea yi aba ho asɛm. Ɛno ne awotwaa a entumi nyɛ adwuma titiriw, anaasɛ sɛnea yɛfrɛ no tiawa no , POI (Primary Ovarian Insufficiency) .

Dɛn ne Mfitiaseɛ Ovarian Insufficiency (POI)?

Sɛ yɛbɛka no tiawa a, POI (Primary Ovarian Insufficiency) yɛ bere a wo mmadwoa gyae adwumayɛ yiye ansa na woadi mfe a ɛfata, kyerɛ sɛ, ansa na woadi mfe 40. Sɛnea wunim no, abeawa mmadwoa yɛ ntini nketenkete abien a ɛwɔ awotwaa no afã abien no nyinaa. Eyinom ne akwaa ahorow a ɛma nkesua bi fi hɔ ɔsram biara, na yɛfrɛ no ovulation. Nea ɛka ho no, saa awotwaa yi nso ma nkwaadɔm a ɛho hia ma nneɛma a ɛho hia pii te sɛ brayɛ ne nyinsɛn.

Mpɛn pii no, ɔbea bi ovulation gyae, anaasɛ ne bratwa, bɛyɛ mfe 51. Nanso, nnipa binom a wɔwɔ POI gyae brayɛ mpofirim. Wɔ afoforo fam no, wohu POI bere a wɔde asram anaa mfe pii mpo ayɛ nna a ɛnkɔ so daa akyi.

Kan no na wɔfrɛ saa tebea yi "Premature Ovarian Failure." Nanso mprempren nnuruyɛfo pɛ sɛ wɔde asɛmfua "Insufficiency" di dwuma. Eyi te saa efisɛ nhwehwɛmu ada no adi sɛ ɛtɔ mmere bi a mmea a wɔwɔ POI no nya mmadwoa a ɛyɛ adwuma, a ɛkyerɛ sɛ wotumi yi mmadwoa wɔ mmere a ɛyɛ nwonwa mu. Eyi kyerɛ sɛ ɛtɔ mmere bi a obi a ɔwɔ POI mpo da so ara tumi gyae ɛmo na wanyinsɛn! Nokwarem no, nnipa a wɔwɔ POI no mu 5% kosi 10% nyinsɛn wɔn ankasa a wonnya awo a wontumi nwo ho ayaresa biara. Ɛno nti na wɔsan frɛ POI "Decreased Ovarian Reserve."

Saa tebea yi abu so dɛn?

POI yɛ tebea a ɛntaa nsi ankasa . Ɛka mmea a wɔadi fi mfe 15 kosi 44 bɛyɛ 1%. Ɛbɛtumi aka wɔn a wɔawo mma ne wɔn a wɔnwoo mma da nyinaa. Nanso, ɛtaa ba mmea a wɔadi boro mfe 30 so.

Ɔkwan bɛn so na POI ka wo nipadua?

Primary Ovarian Insufficiency ma wo nipadua mu hormone a wɔfrɛ no estrogen no sua . Sɛ estrogen dodow so tew a, ebia wubehu sɛnkyerɛnne ahorow a ɛte sɛ nea ɛba bere a wogyae brayɛ no. Sɛ nhwɛso no, ebia wo ho bɛtɔ wo, nna ho akɔnnɔ so atew, na wo adwene asakra. Ebetumi nso ama asiane a ɛwɔ hɔ sɛ wubenya tebea afoforo te sɛ nnompe mu yare ne komayare no ayɛ kɛse.

Ɛyɛ den ma mmea pii a wɔwɔ POI sɛ wɔbɛwo, a ɛkyerɛ sɛ wontumi nwo.Ebetumi aba. Nanso, ebia wo duruyɛfo betumi aboa wo ma woanyinsɛn abofra. Ayaresa ahorow wɔ hɔ a wɔde sa eyi, te sɛ nkesua a wɔde ma , in vitro fertilization (IVF) , anaa nnuru a wɔde ma awo.

Dɛn ne nneɛma a ɛde POI ba?

Mpɛn pii no, nnuruyɛfo nnim nea ɛde POI ba ankasa . Wɔfrɛ eyi idiopathic POI . Nanso, nhwehwɛmu ada no adi sɛ wɔ nsɛm no mu bɛyɛ nkyem abiɛsa mu biako mu no, ebia awosu mu abusuabɔ bi wɔ hɔ.

Nneɛma afoforo bi a ebetumi de POI aba ne:

• Nyarewa a nipadua no tumi ko tia nyarewa: Sɛ nhwɛso no, Addison yare, ntini mu yare, anaa thyroid yare. Wɔ saa nyarewa yi mu no, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa akwaa ahorow so. Eyi betumi asɛe awotwaa no.
• Kokoram ayaresa: Ayaresa te sɛ nnuru a wɔde sa yare ne mframa a wɔde sa yare betumi asɛe awotwaa no.
• Awosu mu yare: Sɛ nhwɛso no, Turner syndrome – a ɛnam ɔbea bi X chromosome abien no biako mu a ɛnyɛ ne kwan so na ɛba. Na Fragile X syndrome – a ɛnam nsakraeɛ a ɛba wɔ awosu mu abɔdeɛ bi a wɔfrɛ no FMR1 mu.
• Hysterectomy: Ɛtɔ mmere bi a, sɛ woyi awotwaa no fi hɔ a, mogya a ɛkɔ awotwaa no mu no tumi twa, na ɛno betumi atew wɔn dwumadi so. Nanso, sɛ woyi awotwaa no nkutoo na wogyaw awotwaa no ma ɛnyɛ hwee a, mpɛn pii no POI mma.
• Nyarewa: Nyarewa te sɛ akisikuru ne HIV nso betumi asɛe awotwaa no. Wosusuw sɛ eyi te saa efisɛ nnuru a ɛko tia ɔyare mmoawa no tow hyɛ awotwaa no so.
• Nnuru a awuduru wom a wɔde wɔn ho bɛhyɛ mu bere tenten: Nnuru a wɔde kum mmoawa, sigaret wusiw, ne awuduru afoforo a wɔde wɔn ho bɛhyɛ mu bere tenten nso betumi ayɛ nea ɛde ba.

Dɛn ne POI ho sɛnkyerɛnne ahorow?

POI ho sɛnkyerɛnne a ɛtaa ba ne brayɛ a ɛnkɔ so daa anaasɛ onnyae koraa . Nanso, ebia mmea binom renhu sɛnkyerɛnne atitiriw biara sɛ wɔwɔ POI mpo a.

Nsɛnkyerɛnne afoforo betumi ayɛ:

• Brayɛ a ɛnkɔ so daa anaasɛ ennyae.
• Ɔhaw a ɛba nyinsɛn mu.
• Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛso tew.
• Ɛyɛ den sɛ wode w’adwene besi biribi so.
• Abufuw ne abufuw a ɛtaa ba.
• Aniwa a ɛyɛ mmerɛw.
• Ɔhyew a ɛyɛ hyew ne fifiri a ɛba anadwo.
• Vaginal a ɛyɛ kusuu.
• Ɔbarima ne ɔbea nna a ɛyɛ yaw esiane ɔbea awotwaa a ɛyɛ kusuu nti.

Fa no sɛ wowɔ w’adamfo bi a onnyaa nna mu asram pii. Ɔntumi nna anadwo, ne ho fifiri, na ne bo fuw wɔ nneɛma nketenkete ho. Ebia obebu saa nneɛma yi animtiaa, na waka sɛ, "Ɛbɛyɛ sɛ ɛyɛ adwennwen." Nanso eyinom nso betumi ayɛ POI ho sɛnkyerɛnne.

Ɔkwan bɛn so na wobetumi ahu POI?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu , akyi berɛmo mu nhwehwɛmu, ne aduruyɛ ho abakɔsɛm. Wo duruyɛfo nso bebisa wo brayɛ ho asɛm, sɛ ebia woanyinsɛn pɛn, ne sɛ ebia wode awo ano aduru redi dwuma anaa. Eyi betumi aboa wo duruyɛfo ma wahu POI.

Afei, ɛda adi sɛ wo duruyɛfo no bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu kakraa bi na ama wɔahu sɛnea hormone ahorow bi wɔ wo nipadua mu. Eyinom bi ne sɛ wobɛhwɛ sɛnea wo hormone Follicle Stimulating Hormone (FSH) , Estrogen, ne Prolactin .

Nhwehwɛmu afoforo a oduruyɛfo no betumi de adi dwuma no bi ne:

• Karyotype nhwehwɛmu yɛ mogya mu nhwehwɛmu de hwɛ sɛ awosu mu nyarewa bi wɔ hɔ anaa.
• Pelvic ultrasound yɛ sɔhwɛ a wɔde hwɛ awotwaa ne awotwaa no.
• Nyinsɛn mu nhwehwɛmu .
• Nkwammoaa a ɛko tia nyarewa mu nhwehwɛmu de hwɛ sɛ ebia nyarewa a nipadua no tumi ko tia nyarewa no wɔ hɔ anaa.

Nnuruyɛfo hu sɛ wowɔ POI sɛ wunnii mfe 40 na:

• Sɛ worennya wo bra ɔsram biara anaasɛ wo bra no nyɛ nea ɛkɔ so daa a.
• Mogya mu nhwehwɛmu kyerɛ sɛ wo hormone dodow te sɛ ɔbea a wakɔ brayɛ mu.

Ɔkwan bɛn so na wɔsa POI?

Akwan pii wɔ hɔ a wɔfa so sa POI. Egyina mfe a woadi, yare no ho sɛnkyerɛnne, ne sɛ wopɛ sɛ wowo mma so . Ayaresa a wɔde sa awotwaa a entumi nyɛ adwuma titiriw no bi ne:

• Hormone ahorow a wo mmadwoa ntumi nyɛ bio a wode bɛma wo nipadua no.
• POI ho sɛnkyerɛnne a wɔsa (e.g., fifiri a ɛba anadwo, ɔbea awotwaa mu a ɛyɛ kusuu).
• Asiane a ɛwɔ hɔ sɛ wobenya nyarewa afoforo a POI betumi de aba no so tew.
• Ayaresa mu tebea horow a ɛda adi a ɛma POI ho sɛnkyerɛnne no sɛe kɛse a wɔbɛsa.

Hormone a Wɔde Si Ananmu (HRT) .

Hormone replacement therapy (HRT) si hormone a wo mmadwoa ntumi nyɛ no ananmu. Wobetumi ayɛ eyi denam estrogen nkutoo a wɔde bɛma wo anaasɛ estrogen ne progesterone nyinaa a wɔde bɛma wo so.Hormone ayaresa betumi aboa ma POI ho sɛnkyerɛnne te sɛ fifiri a ɛba anadwo ne ɔbea awotwaa mu a ɛyɛ kusuu so atew. Ebetumi nso atew asiane a ɛwɔ hɔ sɛ wubenya nnompe mu yare ne nyarewa afoforo a ebetumi aba wɔ POI mu no so. Wo duruyɛfo betumi ama wo hormone ayaresa wɔ akwan horow so, te sɛ nnuru a wɔde sa yare, nnuru a wɔde sa yare, gel, aduru a wɔde hyɛ nipadua no mu, anaa nkaa a wɔde hyɛ ɔbea no awotwaa mu.

Sɛ wufi HRT ase a, ɛho behia sɛ wofa ayaresa kosi mfe a abɔde mu brayɛ taa ba (mfe 51-52). Ɛsɛ sɛ wo ne wo duruyɛfo susuw mfaso ne ɔhaw ahorow a ɛwɔ HRT so ho na wusi gyinae sɛ ɛfata wo anaa.

HRT akyi no, ayaresa afoforo bi ne:

• Calcium ne vitamin D aduru a wɔnom de tew asiane a ɛwɔ hɔ sɛ nnompe a ɛyɛ mmerɛw no so.
• Fa wo ho hyɛ apɔw-mu-teɛteɛ mu daa , ma nneɛma a emu duru so (ma wo nnompe akwahosan), na kura mu duru a ɛfata mu.
• Sɛ wowɔ anidaso sɛ wubefi abusua ase na woawo mma a, ɛho hia sɛ wohwehwɛ awo ho ayaresa a wubetumi apaw .

Sɛ wonyɛ nhyehyɛe sɛ wubenyinsɛn a, mma wo werɛ mmfi sɛ wo ne wo duruyɛfo bɛkasa afa akwan a wɔfa so siw awo ano ho.

So wobetumi adan eyi? So awotwaa no befi ase ayɛ adwuma bio?

Dabi, wontumi nsakra Primary Ovarian Insufficiency no. Nnuruyɛfo betumi asa yare no ho sɛnkyerɛnne, nea efi mu ba, ne tebea horow a ɛbata ho, nanso wontumi nsa no koraa.

Mmea a wɔwɔ POI no mu bɛyɛ 25% tumi yi ovulate anyɛ yiye koraa no pɛnkoro bere a wɔahu sɛ wɔanya bi no akyi . Nanso, mprempren ayaresa biara nni hɔ a ebetumi ama wo mmadwoa no afi ase ayɛ adwuma bio. POI ayaresa twe adwene si sɛnkyerɛnne ahorow a wobedi so na wɔatew asiane a ɛwɔ akwahosan ho haw afoforo a ebetumi aba esiane POI nti no so.

So wobetumi asiw POI ano?

Mpɛn pii no, wontumi nsiw Primary Ovarian Insufficiency ano. Nanso, ebia mmea a asiane kɛse wom sɛ wobenya POI no bɛpɛ sɛ wosusuw awo a wɔbɛkora so ho sɛ wɔreyɛ nhyehyɛe sɛ wɔbɛwo mma a. Sɛ POI ho asɛm haw wo a, wo ne wo duruyɛfo nkasa.

Hena na ɔwɔ asiane kɛse ma eyi?

Nnipa a wodi so yi wɔ asiane kɛse mu sɛ wobenya Primary Ovarian Insufficiency:

• Wɔn a wɔadi boro mfe 35 no fam.
• Awofo a wɔwoo wɔn ma wɔn a wɔwɔ POI.
• Wɔn a wɔwɔ autoimmune disorders anaa awosu mu tebea horow bi fam no.
• Wɔn a wɔayɛ wɔn akyi berɛmo oprehyɛn, nnuru a wɔde sa yare, anaa mframa a wɔde sa yare no.

Asetra bɛyɛ dɛn wɔ POI ho? (Nkɔmhyɛ) .

Mpɛn pii no, Primary Ovarian Insufficiency yɛ tebea a ɛtra hɔ daa.Ɛsɛ sɛ mmea pii a wɔwɔ saa tebea yi fa hormone therapy bere tenten na ama wɔadi yare no ho sɛnkyerɛnne ahorow so na wɔatew asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no so.

POI taa ma wote awerɛhow nka, woyɛ ankonam, na ɛte sɛ nea woahwere biribi. Saa atenka yi betumi ayɛ kɛse titiriw sɛ woda so ara rebɔ mmɔden sɛ wubenyinsɛn a. Mmoa akuo ne afotuo dwumadie bi wɔ hɔ a ɛbɛboa wo wɔ saa berɛ yi mu. Sɛ wode saa mmoa yi di dwuma a, wubetumi adi wo nkate so na woanya akwan a wobɛfa so agyina tebea no ano.

Akwahosan ho haw afoforo bɛn na POI betumi de aba?

Mmea a wɔwɔ POI no estrogen dodow sua. Sɛ estrogen dodow sua a, wowɔ asiane mu nso sɛ wubehyia akwahosan ho haw afoforo. Ɔhaw ahorow yi bi ne:

• Nnompe mu yare
• Koma mu yare
• Hypothyroidism (Thyroid a ɛnyɛ adwuma) .
• Awo a wontumi nwo
• Dadwen ne Adwenemhaw

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ woankɔ nna asram abiɛsa a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ebia nneɛma pii nti na wo nna agyae, a nea ɛka ho ne nyinsɛn, adwennwen, anaa nkwaadɔm mu nsakrae. Wo duruyɛfo betumi aboa wo ma woahu nea ɛma wo bra gyae ankasa.

Dɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wowɔ Primary Ovarian Insufficiency a, ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ eyinom:

• Ɔkwan bɛn so na Primary Ovarian Insufficiency ka m’akwahosan nyinaa?
• So mehia ayaresa a wɔde si hormone ananmu (HRT)? Bere tenten ahe?
• So mehia awo ano aduru?
• Ɛhe na metumi anya adwene mu mmoa ne afotu?
• Dɛn ne ɔkwan a eye sen biara a mɛfa so agye abofra?

Nsonsonoe bɛn na ɛda POI ne Premature Ovarian Failure / Premature Menopause ntam?

Nnuruyɛfo betumi de nsɛmfua yi adi dwuma de akyerɛkyerɛ bratwa a ɛba ansa na wadi mfe 40. Bere a brayɛ gyae ansa na woadi mfe 40 na wuntumi nyinsɛn bio. Wɔ POI mu no, ɛtɔ mmere bi a awotwaa no tumi gyae adwumayɛ bere tiaa bi, enti ɛyɛ soronko kakra.

So wubetumi anyinsɛn POI?

Yiw, hokwan wɔ hɔ sɛ ɔbea a ɔwɔ POI betumi anyinsɛn. Sɛ wowɔ POI na worebɔ mmɔden sɛ wubenyinsɛn a, wo awo ho oduruyɛfo betumi atu wo fo wɔ akwan horow a wubetumi apaw ho. Afei nso, sɛ woremmɔ mmɔden sɛ wubenyinsɛn a, wo ne wo duruyɛfo nkasa nkyerɛ akwan a wobɛfa so asiw nyinsɛn ano.

Awiei koraa no, nea ɛsɛ sɛ yɛkae

Primary Ovarian Insufficiency (POI) yɛ tebea a ɛma wo mmadwoa gyae adwumayɛ ansa na woadi mfe 40. Eyi betumi ama woanya sɛnkyerɛnne a ɛnyɛ dɛ na ama asiane a ɛwɔ hɔ sɛ wubenya akwahosan tebea horow te sɛ nnompe mu yare anaa komayare no ayɛ kɛse.

Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne dadwen nka bere a wuhu sɛ wowɔ POI no. Titiriw sɛ na wowɔ anidaso sɛ wobɛwo akokoaa a. Nanso sɛ wonya ayaresa ne mmoa a ɛfata a, wubetumi akɔ so atra ase a ahoɔden wom. Wo ne wo duruyɛfo nkasa mfa nneɛma a ɛhaw wo ho. Nya wo hokafo, w’abusua, ne wo nnamfo mmoa na aboa wo ma woagyina ano. Kae sɛ ɛnyɛ wo nko ara.

Ovarian a ɛnyɛ adwuma yiye, ovarian a entumi nyɛ adwuma yiye titiriw, POI, brayɛ a ɛba ntɛm, mmea akwahosan, hormone a ɛnkari pɛ, awo a wontumi nwo