Ke noʻonoʻo nei ʻoe e loaʻa kahi keiki a i ʻole e hoʻomaka i kahi ʻohana? A laila, he mea hoihoi iki paha ʻoe, a hopohopo paha, e pili ana i kāu "uaki olaola," ʻo ia hoʻi, ka manawa e loaʻa ai kahi keiki. He mea maʻamau ka noʻonoʻo ʻana i nā nīnau e like me "Loaʻa iaʻu ka manawa?" a me "Pehea koʻu hānau keiki?". ʻO ka mea pōmaikaʻi, no ka mea ua holomua ka ʻepekema lapaʻau i kēia lā, aia nā hoʻokolohua e kōkua iā mākou e loaʻa kahi manaʻo o ia mau mea. ʻO kekahi o ia mau hoʻokolohua i kamaʻilio ʻia e nā poʻe he nui, a he mea nui loa ia, ʻo ia ka hoʻokolohua AMH. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka AMH?
ʻO AMH ka inoa pōkole no ka Anti-Mullerian Hormone . He hormone kēia i hana ʻia i loko o ko kākou kino. Hana ʻia kēia hormone i loko o ke kino o nā kāne a me nā wahine. Eia nō naʻe, ʻokoʻa kona kuleana a me ke koʻikoʻi no nā mea ʻelua.
E noʻonoʻo e pili ana i ia mea, i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū, he mea nui loa ka hormone i kapa ʻia ʻo AMH no ka ulu pono ʻana o nā ʻōpū moekolohe o ke pēpē. Inā he fetus kāne ia, kiʻekiʻe loa ka pae AMH i loko o kona kino. ʻO ke kumu o kēia, ʻo ia ka pale ʻana o ka hormone AMH i ka ulu ʻana o nā ʻōpū hānau wahine (e like me ka uterus) i loko o ke fetus kāne. Pono ka fetus wahine i kēia hormone AMH ma nā ʻāpana liʻiliʻi loa.
I kēia manawa, e kamaʻilio kākou e pili ana i kahi wahine i hiki i ka wā ʻōpio. Hoʻopuka ʻia ka hormone AMH o ka wahine e nā pūnaewele i loko o nā follicles i loko o kāna mau ovaries. Ua like kēia mau follicles me nā ʻeke liʻiliʻi. I loko o kēia mau ʻeke e mālama ʻia ai nā hua.
Eia ka mea nui: ʻo ka nui o ka AMH i loko o ke koko o ka wahine e hāʻawi iā mākou i kahi manaʻo maikaʻi o kāna waihona ovarian , ʻo ia hoʻi, ka nui o nā hua manu āna i waiho ai.
- Inā kiʻekiʻe kou pae AMH: ʻO ia hoʻi, he nui aku nā hua i koe i loko o kāu mau ovaries. ʻO ia hoʻi, ua kiʻekiʻe kou waihona ovarian.
- Inā haʻahaʻa kou pae AMH: ʻO ke ʻano kēia he kakaikahi nā hua i koe i loko o kāu mau ovaries. ʻO ke ʻano kēia ua haʻahaʻa kāu waihona ovarian.
E noʻonoʻo e like me ka loaʻa ʻana o ke kālā ma kahi waihona panakō. Hōʻike mai nā pae AMH iā mākou i kahi manaʻo maʻamau o ka nui o nā hua i koe i kāu "moʻokāki hua."
I nā kūlana hea e ʻōlelo ai ke kauka i kahi hoʻokolohua AMH?
ʻO ka maʻamau, ʻōlelo aʻo ke kauka wahine i kēia hoʻokolohua ke pono lākou e loiloi i kou momona a me ke olakino hānau hou. Eia kekahi mau laʻana:
- Inā pilikia ʻoe i ka hāpai ʻana i kahi keiki: Inā ua hoʻāʻo nei ʻoe no hoʻokahi makahiki a ʻoi aku paha a ʻaʻole i hāpai i kahi keiki, hiki ke manaʻo ʻia kahi hoʻāʻo AMH ma ke ʻano he hoʻokolohua i hana ʻia e ʻike ai i ke kumu.
- I ka hoʻolālā ʻana i nā lāʻau lapaʻau hānau keiki: He mea nui loa ka ʻike ʻana i kou pae AMH i ka wā e noʻonoʻo ai i nā lāʻau lapaʻau e like me IVF (In Vitro Fertilization) . ʻO kou pae AMH ka mea a kāu kauka e hoʻohana ai e hoʻoholo ai pehea e pane ai kou kino i nā inikini hormone e hoʻoulu ai i ka ulu ʻana o ka hua. Inā kiʻekiʻe kou pae AMH, hiki iā ʻoe ke manaʻo e loaʻa hou aku nā hua.
- I ka hoʻolālā ʻana i kahi ʻohana no ka wā e hiki mai ana: Malia paha ʻaʻole ʻoe i mare, a i ʻole ke hoʻolālā nei ʻoe e loaʻa kahi keiki i nā makahiki e hiki mai ana. I kēlā hihia, e kōkua kēia hoʻāʻo iā ʻoe e loaʻa kahi manaʻo maʻamau o kāu waihona hua manu. E kōkua kēia iā ʻoe e hoʻoholo i ka hoʻopaneʻe ʻana i ka loaʻa ʻana o kahi keiki a i ʻole.
- Inā he moʻolelo ʻohana kou o ka menopause mua: Inā ua pau ka menstruation o kou makuahine a kaikuahine paha ma mua o 40 mau makahiki, he mea pono paha kēia hoʻāʻo e ʻike inā he pilikia pū kekahi ʻoe.
- Inā kānalua ʻoe he PCOS (Polycystic Ovary Syndrome) kou: No ka mea, he nui nā follicles liʻiliʻi o nā wahine me PCOS i loko o kā lākou ovaries, ʻoi aku paha ke kiʻekiʻe o kā lākou pae AMH ma mua o ka maʻamau.
- I ke kanesa ovarian: I kekahi mau ʻano kanesa ovarian kakaikahi (e.g., granulosa cell tumor), hoʻohana ʻia nā pae AMH ma ke ʻano he māka tumor. Hiki ke hoʻohana ʻia kēia hoʻāʻo e ʻike inā ua holomua ka lāʻau a inā ua hoʻi mai ke kanesa.
He aha kā mākou e ʻike maoli ai mai kēia hoʻāʻo AMH?
He mea hana ikaika ka hoʻāʻo AMH e hāʻawi ana i ka ʻike nui e pili ana i kou olakino hānau hou.
1. He manaʻo maʻamau o ka nui o nā hua i koe: ʻO kēia ka mea nui loa. Hāʻawi ia iā ʻoe i ka hōʻailona maikaʻi loa o ka nui o nā hua i koe i kāu "moʻokāki hua."
2. Ka nui o ka ʻelemakule ʻana o nā ovaries: ʻOi aku ka wikiwiki o ka ʻelemakule ʻana o nā ovaries o kekahi mau wahine ma mua o ko lākou mau makahiki maoli. ʻO ke ʻano kēia, ʻoi aku ka wikiwiki o ka pau ʻana o kā lākou waihona hua. Ma ka nānā ʻana i kā lākou mau pae AMH, hiki iā ʻoe ke ʻike inā ʻoi aku ka haʻahaʻa o kāu waihona hua ma mua o ka maʻamau no kou mau makahiki.
3. Puka Manawa Hoʻohua: ʻO ka emi ʻana o ka pae AMH e hōʻike ana paha e pōkole ana kou puka manawa kūpono e hāpai ai. ʻAʻole kēia e hopohopo iā ʻoe, akā he ʻike koʻikoʻi ia e noʻonoʻo ai i ka wā e hoʻoholo ai e pili ana i ka loaʻa ʻana o nā keiki.
4. Pane i ka mālama ʻana i ka IVF: E like me ka mea i ʻōlelo ʻia ma mua, kōkua nā pae AMH i ka wānana pehea e pane ai kou kino i nā inikini hormone i hāʻawi ʻia e hoʻoulu i ka ulu ʻana o ka hua manu i ka wā IVF.
Kahi e hana hewa ai ka poʻe he nui: Nā mea i hiki ʻole i ka hoʻāʻo AMH ke haʻi iā ʻoe!
He mea nui loa kēia ʻāpana. Manaʻo ka poʻe he nui e hiki i ka hoʻāʻo AMH ke haʻi pololei iā lākou inā hiki iā lākou ke hānau keiki a ʻaʻole paha. He manaʻo hewa loa kēia. Aia kekahi mau mea a ka hoʻāʻo AMH e ʻōlelo nei, akā aia kekahi mau mea ʻaʻole ia e ʻōlelo nei .
E noʻonoʻo he hīnaʻi mango kāu. Hōʻike wale ka hoʻāʻo AMH iā ʻoe i ka nui o nā mango i loko o ka hīnaʻi. ʻAʻole haʻi ka hoʻāʻo AMH iā ʻoe i kekahi mea e pili ana i ka ʻono o nā mango, pala, a i ʻole ke kūlana maikaʻi.
Pēlā nō, ʻo ka hoʻāʻo AMH wale nō e haʻi iā ʻoe e pili ana i ka nui o nā hua . ʻAʻole ia e haʻi iā ʻoe i kekahi mea e pili ana i ka maikaʻi o nā hua . E like me ka nui o nā hua e pono ai e hāpai i kahi keiki he mea nui, he mea nui nō hoʻi ka maikaʻi o kēlā mau hua. ʻO ka makahiki o ka wahine ka mea nui e hoʻoholo ai i ka maikaʻi o nā hua.
No laila, e hoʻomanaʻo, ʻaʻole loa e haʻi aku ka hoʻāʻo AMH iā ʻoe i kēia mau mea:
- He wānana e pili ana i kou hānau keiki ʻana: Hiki i kahi wahine me nā pae AMH haʻahaʻa ke hāpai kūlohelohe. Pēlā nō, hiki i kahi wahine me nā pae AMH kiʻekiʻe ke paʻakikī i ka hāpai ʻana no nā kumu ʻē aʻe.
- ʻO ka manawa kikoʻī e ʻike ai ʻoe i ka menopause: ʻOiai ʻo ka emi ʻana o nā pae AMH e hōʻike ana e hoʻokokoke mai ana ka menopause, ʻaʻole hiki i kēia hoʻāʻo ke haʻi pololei iā ʻoe i ka wā e hiki mai ai.
- Nā kumu ʻē aʻe e hoʻopilikia ai i ka hāpai ʻana: He hana paʻakikī ka hāpai ʻana. Nui nā kumu ʻē aʻe e hoʻopilikia ai!
- kou mau makahiki
- Ka helu sperm a me ka neʻe ʻana o kāu hoa
- Inā paha ʻoe e ovulate pinepine ʻole
- Ua ālai ʻia nā ʻōpū fallopian?
- Nā kūlana e like me ka endometriosis
- Nā puʻupuʻu e like me ka fibroids i loko o ka ʻōpū
- Nā ʻano nohona e like me ka puhipaka
No laila, hoʻokahi wale nō ʻāpana o ke kiʻi holoʻokoʻa ka waiwai AMH. Mai hoʻokumu i kāu mau hoʻoholo ma luna o ia mea wale nō.
He aha ka pae AMH maʻamau?
Hoʻololi nā pae AMH me kou mau makahiki. Hoʻonui pinepine ʻia nā pae AMH i ka wā ʻōpio a piʻi aʻe ma kahi o 25 mau makahiki. A laila, i kou wā ʻelemakule, hoʻomaka maoli nā pae AMH e emi mālie.
Ua ana ʻia ka AMH ma nā nanograms no ka milliliter (ng/mL). Aia paha he mau ʻokoʻa iki o nā waiwai ma muli o nā lako i hoʻohana ʻia ma nā keʻena hoʻokolohua like ʻole. Eia nō naʻe, eia kekahi mau pae i ʻae ʻia maʻamau:
| Pae AMH | Waiwai (ng/mL) |
|---|---|
| ʻAwelike | Ma waena o 1.0 ng/mL a me 3.0 ng/mL |
| Haʻahaʻa | Ma lalo o 1.0 ng/mL |
| Haʻahaʻa loa | Ma lalo o 0.4 ng/mL |
He aha kou pae AMH no kou mau makahiki?
Ma muli o ka mea maʻamau no ka emi ʻana o ka AMH me ka ʻelemakule, pono ʻoe e manaʻo e haʻahaʻa ka pae AMH o kekahi kanaka ma ko lākou mau makahiki 30 a me 40 ma mua o kekahi kanaka ma ko lākou mau makahiki 25. Eia kahi manaʻo maʻamau o ia mea.
| Makahiki | Pae AMH maʻamau (kokoke) |
|---|---|
| 25 mau makahiki | 3.0 ng/mL |
| 30 mau makahiki | 2.5 ng/mL |
| 35 makahiki | 1.5 ng/mL |
| 40 mau makahiki | 1.0 ng/mL |
| 45 makahiki | 0.5 ng/mL |
Mea nui:ʻAʻole maikaʻi mau ka pae AMH kiʻekiʻe. E like me ka mea i ʻōlelo ʻia ma mua, hiki i kekahi mau wahine me PCOS (Polycystic Ovary Syndrome) ke loaʻa nā pae AMH kiʻekiʻe loa. No laila, mai lele i nā hopena ma muli o kou pae AMH wale nō. Pono e loiloi ʻia e ke kauka me kou makahiki a me nā ʻike lapaʻau ʻē aʻe.
Pehea e hana ʻia ai ka hoʻokolohua a pehea e hoʻomākaukau ai?
He maʻalahi loa ia. He hoʻāʻo koko maʻalahi wale nō ka hoʻāʻo AMH. Lawe kekahi kahu maʻi i kahi hāpana koko liʻiliʻi mai kahi aa koko ma kou lima. He mau minuke wale nō ia.
ʻO kekahi o nā pono nui o kēia hoʻāʻo ʻana, hiki ke hana ʻia i kēlā me kēia lā o kāu pōʻaiapuni mahina. ʻOiai pono e hana ʻia kekahi mau hoʻāʻo hormone ʻē aʻe, e like me FSH, i nā lā kikoʻī o ke kaʻina hana, e mau ana nā pae AMH i loko o ka mahina, no laila hiki iā ʻoe ke hana ia mea i kēlā me kēia lā e kūpono iā ʻoe.
ʻAʻohe mea kūikawā āu e pono ai e hoʻomākaukau ma mua o kēia hoʻokolohua. ʻAʻole pono ʻoe e kaupalena i kāu ʻai a hana paha i kekahi mea ʻē aʻe.
ʻO ka maʻamau, inā ʻoe e hoʻouna i ka hāpana koko i kahi keʻena hoʻokolohua, hiki ke hala kekahi mau lā no ka hoʻi ʻana mai o nā hopena. Ke loaʻa nā hopena, e kāhea hou aku kāu kauka iā ʻoe a wehewehe i nā hopena iā ʻoe. E noʻonoʻo lākou ʻaʻole wale i kou pae AMH, akā, i kāu ultrasound scan, nā hoʻokolohua hormone ʻē aʻe, a me kou mōʻaukala olakino e hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo kūpono loa a me ka hoʻolālā lapaʻau.
Leka Lawe-Home
- ʻO ka hoʻāʻo AMH kahi hoʻāʻo koko e hāʻawi i kahi manaʻo maikaʻi o ka nui o nā hua i waiho ʻia i loko o kāu ovaries.
- ʻAʻole hiki i kēia ke wānana i ka maikaʻi o kāu mau hua a i ʻole inā hiki iā ʻoe ke loaʻa kahi pēpē.
- ʻAʻole manaʻo ka pae AMH haʻahaʻa ʻaʻole loa ʻoe e loaʻa keiki. A ʻo ka pae AMH kiʻekiʻe ʻaʻole ia manaʻo ʻaʻohe ou pilikia.
- Hoʻopilikia ʻia ka hānau keiki e nā kumu he nui, me ka makahiki, ke olakino o ka hoa, a me ke kūlana o nā ʻōpū fallopian. ʻO ka AMH hoʻokahi wale nō ʻāpana o ke kiʻi.
- E loiloi mau i kāu mau hopena hoʻāʻo AMH e kahi loea . Mai hoʻoholo ma muli o ka ʻike i loaʻa ma ka pūnaewele.
- Inā ʻoe e noʻonoʻo ana e loaʻa kahi keiki, mai makaʻu i kēia mau hoʻokolohua, e kamaʻilio ākea me ke kauka, a e kiʻi i ke alakaʻi e pono ai. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana.
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