Taksa chhunga mipa hormone pung zel tur pawh i ngaihtuah em? Hyperandrogenism chungchang hi han sawi ila!

I taksaa inthlak danglamna engemaw zat i ngaihtuah em? A chhan chu mipa hormone chi khat androgen taksaa a tam vang pawh a ni mai thei. Hetiang dinhmun hi damdawi lam chuan hyperandrogenism an ti a . Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Hyperandrogenism hi eng nge ni tak tak?

A awlsam zawngin hyperandrogenism tih awmzia chu i taksaah androgens a tam lutuk tihna a ni a, chu chu sex hormone chi khat a ni. Androgens hi puitlin hun atan te, nau neihna hriselna atan te, taksa thanna atan te a pawimawh hle.

Tunah en teh, hormone hi kan taksaah chemical a ni. Messenger ang mai an ni. Thisen kal tlangin kan taksa peng hrang hrang, taksa peng leh taksa peng dangte chu eng nge kan tih tur leh engtikah nge kan tih tur tih an hrilh thin.

Androgens hi mi zawng zawng taksaah siam chhuah a ni. Mahse mipa hian an siam chhuak tam ber. Hmeichhia hian mipa taksaa a zat hmun sawm leh pahnihna vel an siam chhuak thin. Heng androgens zingah hian Testosterone hi a lian ber a ni.

Androgens hi mipa testicles atanga siam a ni a, hmeichhiaah chuan ovary atanga siam a ni. Heng hormone te hi kan kal chunga awm adrenal glands te hian an siam chhuak bawk. Tin, androgen chak lo tak takte chu thau tissue leh vun ang chi hmunah te chak zawkah an chantir thei bawk.

He natna lanchhuahna, hyperandrogenism an tih hi i kum leh mipa leh hmeichhia a zirin a danglam thei a ni. A chhan awm thei engemaw zat a awm a, a enkawlna pawh a awm bawk.

Hyperandrogenism leh PCOS hi thil inang an ni em?

Mi tam tak chuan hyperandrogenism leh polycystic ovary syndrome (PCOS) te hi natna inang vek niin an ngai. An pahnih inkarah hian inzawmna nghet tak awm mah se, an inang lo.

Hyperandrogenism hi PCOS-a thil pawimawh tak a ni. PCOS hi hormone imbalance a ni a, ovary-in mipa hormone a siam tam lutuk vang a ni. Hmeichhia a nghawng a ni.

Chuvangin, PCOS hi hyperandrogenism thlentu tlangpui ni mahse, hyperandrogenism thlentu dang pawh a awm thei. Chutiang bawkin PCOS hian hyperandrogenism symptoms bakah hian symptom dang, ovarian cyst te a nei bawk.

He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?

Hyperandrogenism hian tu pawh a nghawng thei - naupang te, puitling, mi zawng zawng. Mahse, nau neih theih kum lama hmeichhiaah a tam ber .

Hmeichhia naupai kum 5% leh 10% inkarHetiang dinhmun hian nghawng a nei mek a ni. Chu chu hei hi i ngaihtuah angin a tlem lo tihna a ni.

Hetiang dinhmun hian mipa naupang leh mipa puitling a nghawng tlem hle.

Hei hi eng symptoms nge ni?

Hyperandrogenism symptoms hi i gender leh puberty i paltlang tawh leh tawh loh a zirin a inang lo.

Mahse hetah hian hriat reng tur pawimawh tak a awm. Heng symptoms te hi nei mah la, i thisen androgen level chu a normal thei a ni. Hei hi a chhan chu heng symptom tin hian chhan dang a nei thei a ni. Tin, thisen test-naah i androgen level a sang tih hmuhchhuah a nih pawhin symptom lian tham i nei lo mai thei bawk.

A pawimawh ber chu heng symptoms te hi rang tak leh rang taka lo lang a nih chuan a rang thei ang bera doctor pan ngei ngei tur a ni, a chhan chu chutiang hunah chuan a chhan chu androgen-secreting tumor a ni thei.

Tunah chuan hei hian mi hrang hrang a nghawng dan i lo en ang u.

Hmeichhe naupang (puberty hma) tan .

• Clitoris lian zawk .
• Acne leh vun thau tak.
• Taksa sam duh loh zawnga sei (hirsutism) . Chumi awmzia chu "light brown hair" chu hmui chunglam, hmui, rilru, pum, leh hnungzang ang chi hmunah sam hring, hring hring in a thlak tihna a ni.

Naupang mipa (puitling hma) tan .

• Penis lian zawk .
• Private area leh armpit-a sam sei hma emaw, a tam lutuk emaw.
• Aw thuk zawk.

Hmeichhe kum upa zawk tan

• Acne leh vun thau tak.
• Taksa sam hring ( hirsutism) duh loh zawnga lo thang lian .
• Thla tin thlasik hun mumal lo.
• Fa neih harsa (infertility) .
• Mipa pattern sam tlakchham ( androgenic alopecia) .

Mipa puitling tan

Hei hian mipa puitling a nghawng dan chu hormone extra chu adrenal glands atanga lo chhuak nge pawn lam atanga lak ( anabolic steroid injection ang chi) atanga lo chhuak emaw ah a innghat a ni. Adrenal glands atanga androgens lo chhuak a pun chuan mipa puitling chuan taksa lama inthlak danglamna lian tham an hmu lo mai thei. Amaherawhchu, testicles hnathawh a ti tlem thei a, fa neih a harsat phah thei a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Androgen hormone hi hmeichhiaah chuan ovary, adrenal glands leh fat cells atanga siam a ni a, mipa testicles leh adrenal glands atanga siam a ni bawk.

Heng androgens siam chhuah leh chhuah dan tichhe thei hormone dang engemaw zat a awm bawk. Entirnan , luteinizing hormone (LH) leh adrenocorticotrophic hormone (ACTH) te hi a ni. Heng hormone pahnih hi pituitary gland atanga chhuak a ni.

Heng taksa peng pakhat emaw, a aia tam emaw, emaw, heng hormone pakhat emaw hian hna a thawk tha lo a nih chuan hyperandrogenism a awm thei a ni.

Hei hi a chhan lian tak tak engemaw zat a awm a:

• Polycystic ovary syndrome (PCOS) - Hei hi a chhan tam ber a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a. Congenital Adrenal Hyperplasia (CAH) .
• Cushing natna a ni .
• Androgen chhuak thei tumor te.
• Damdawi thenkhat.

Tunah chuan heng chhan hrang hrangte hi chipchiar deuhin han thlir ila.

A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a.

Hmeichhe naupang leh upa zawkte zingah chuan PCOS hi puitlin hnua persistent hyperandrogenism awm chhan ber a ni . Hmeichhia hyperandrogenism vei zinga 80% leh 90% inkar chuan PCOS an nei bawk .

PCOS-ah chuan LH leh insulin (hyperinsulinemia) a tam reng avangin ovary-ah androgens tam zawk a siam chhuak thin. Chu bakah, insulin level sang chuan liver-in protein Sex Hormone Binding Globulin (SHBG) tih chu a siam chhuak thei lo bawk. Hei hian thisenah free testosterone level a tisang a ni.

Pianpui atanga adrenal hyperplasia awm `(CAH)`

Congenital adrenal hyperplasia (CAH) hi genetic condition pawl pakhat a ni a, adrenal glands te hi a nghawng a ni.

CAH-ah chuan genetic mutations hian taksain hormone siamna tura puitu enzyme 21-hydroxylase , a tlakchhamna a thlen a ni. CAH vei tam takah chuan he enzyme tlakchhamna hian adrenal glands te hian hormone dang, testosterone te chu a siam tam zawk thin.

Hmeichhe adrenal hyperplasia vei zingah hyperandrogenism thlentu ber chu non-classical congenital adrenal hyperplasia a ni. Hei hi enzyme 21-hydroxylase hi a then a tlakchhamna dinhmun a ni. He natna hian hyperandrogenism vei hmeichhia 2% vel a nghawng a ni.

Cushing natna a ni

Cushing natna hi Cushing syndrome tih hming pu a ni. Cushing syndrome hi taksain cortisol (hormone pawh a ni) a tam lutuk chuan a awm lo.

Cushing natna hi pituitary gland-a cancer awm lo tumor avanga lo awm a ni. He tumor hian ACTH (adrenocorticotropic hormone) tam lutuk a tichhuak a, chu chuan cortisol level a tisang a ni.

ACTH tam lutuk hian adrenal glands hian androgens tam lutuk a tichhuak a, hei hi hyperandrogenism thlentu a ni.

Cushing syndrome hian a lan chhuah dan dang a nei bawk:

• A pum chhungah purple stretch mark a awm.
• Hmai, pum leh kawr velah rang taka taksa rihna a pung.
• Thisen sang a sang.

Hetiang symptoms i neih chuan a rang thei ang bera Doctor pan a pawimawh hle.

Androgen chhuak thei tumor te

Adrenal gland tumor thenkhat, emaw ovaries emaw testicles-a tumor te hian androgens an siam thei a, an tichhuak thei bawk. Hei hian taksaa androgen level chu a pangngai aia sangin a tisang a ni. Heng tumor avanga hyperandrogenism natna hi a na hle fo thin a , a lo thleng nghal thin .

Hyperandrogenism, ovarian emaw adrenal tumor avanga lo awm hi a awm lo. Mi 0.2% vel chauh a nghawng a ni. Mahse, hyperandrogenism symptoms i neih thut chuan doctor pan nghal tur a ni.

Damdawi thenkhat

Damdawi thenkhat hian hyperandrogenism a thlen thei bawk. Hei hi a thlentu damdawi lian ber berte chu:

• Anabolic-androgenic steroids (hengte hi testosterone siam chhuah chi a ni a, infiammi thenkhatin performance tihsan nan an hmang dik lo).
• Synthetic progestins (hei hi nausen pum chhunga inthlak danglamna thlentu leh thil chi hrang hrang atana hman thin damdawi a ni).
• Antiepileptic damdawi ( seizure venna damdawi ).

Engtin nge hei hi i hmuh? (Diagnosis) tih a ni.

Hmeichhia i nih a, hyperandrogenism i vei nia i rinhlelh chuan i doctor chuan taksa enfiahna a nei ang a, sam sei duh loh ang chi symptoms a zawng ang. I medical history chungchangah zawhna tlemte an zawt bawk ang che:

• Hnute lo thanglian tan kum.
• Private area-a sam lo lang tan kum.
• Thlasik hmasa berah kum upa lam.
• Sam i paih (shave, laser hair removal i nei tawh em)?
• Doctor prescription tel lovin anabolic steroid emaw testosterone emaw i hmang tawh em?
• I period a lo thlen tam dan te, ni engzat nge a awm tih te, thisen i thisen chhuah zat te ang chi te.

I doctor chuan hyperandrogenism i nei nia a rinhlelh chuan hormone level thenkhat enfiah turin thisen test turin a ti ang. Heng test te hian natna hi a hriat theih nan a pui thei a ni.

Eng ang test nge tih thin?

Hyperandrogenism symptoms i neih chuan i doctor chuan hetiang hian thisen test a ti thei ang:

• Testosterone zawng zawng a awm: Hei hian i thisena testosterone awm zawng zawng a teh a ni. He level hi PCOS vei hmeichhiaah chuan a sang deuh thei. A sang hle a nih chuan ovary emaw testicles emaw a tumor a ni thei.
• Free testosterone : He testosterone hi protein engmah ah a inzawm lo. Hei hi total testosterone tlemte a ni. Hetiang level hi PCOS vei hmeichhiaah pawh a sang thei bawk.
• Androstenedione : Hei hi steroid hormone a ni a, taksaah androgenic effect a nei tlem hle. Mahse, taksaa testosterone leh estrogen siam chhuahnaah hian intermediate step angin a thawk ber a ni. A level a san chuan PCOS a awm thei.
• Dehydroepiandrosterone sulfate (DHEAS) : DHEAS hi adrenal glands atanga sex hormone siam chhuah a ni. Chuvangin, adrenal androgen siam chhuahna tilangtu tha tak a ni. PCOS vei hmeichhiate tan chuan DHEAS level sang deuh hi thil pangngai a ni. A sang hle a nih chuan adrenal tumor chhinchhiahna a ni thei.
• 17-hydroxyprogesterone : Thisena 17-hydroxyprogesterone level tehna hi non-classic congenital adrenal hyperplasia a awm leh awm loh enfiahna atana test bulpui a ni a, hei hi hyperandrogenism thlentu pakhat a ni.

Hyperandrogenism symptoms awm chhan dang a awm theih avangin, i doctor chuan chutiang chhan pawh chu paih chhuah tumin thisen test dang a ti ang.

Tin, hyperandrogenism awm chhan hriat nan heng ang imaging test te pawh hi tih theih a ni bawk:

• Pelvic ultrasound hmanga ovarian cyst (PCOS chhinchhiahna dang) emaw, lump dang emaw a awm leh awm loh enfiah thin.
• Adrenal gland tumor awm leh awm loh enfiah nan CT scan (Computed tomography - CT) emaw MRI scan (Magnetic resonance imaging - MRI) emaw test a ni.

Doctor-te chuan ovaries emaw adrenal glands atanga androgen siam chhuah tihtlem te, free androgen level tihtlem te, androgen action block te an tum a ni.

Mahse, hyperandrogenism vei te hian an natna lan chhuah dan ber, sam duh loh zawng, hmai vun, leh thlasik mumal lo te enkawl turin doctor thurawn an zawng tlangpui.

Hei hi eng enkawlna nge ni?

Hyperandrogenism enkawlna chu a chhan a innghat a ni. Entir nan:

• Adrenal hyperandrogenism hi corticosteroid dose tlem hmangin control theih a ni .
• Ovary, testicles emaw adrenal glands-ah tumor a awm chuan operation hmanga lakchhuah a ngai mai thei. Perimenopausal emaw menopausal hmeichhia hyperandrogenism na tak nei tan chuan oophorectomy (ovary pakhat emaw pahnih emaw surgery hmanga lakchhuah) a ngai thei bawk.
• Hyperandrogenism hi damdawi i ei avanga lo awm a nih chuan i doctor chuan damdawi chu tihtawp emaw, damdawi dang hman emaw a rawt ang.

Antiandrogen damdawi pawh hi hyperandrogenism enkawlna atana hman tlanglawn tak a ni. Androgens, testosterone ang chi te nghawng chu an block thin.

Antiandrogen damdawi chi hrang hrang a awm a:

• Ethhinyl estradiol (estrogen) leh antiandrogenic progesterone awmna pill ei: Naupai venna pill ei: Entirna atan cyproterone acetate (e.g. Diane®-35), drospirenone (e.g. Yasmin®, Yaz®) emaw dienogest (e.g. Valette®) awmna pill te hi a ni. Hengte hian acne, duh loh zawnga sam sei leh period mumal lo te a tidam thei a ni.
• Spironolactone (Aldactone®) : He antiandrogen hian hmai vun leh hormone avanga sam sei duh loh zawng a tidam a.
• Cyproterone : He damdawi hian PCOS a tidam a, testosterone level a tihhniam bakah hmai vun tirtu oil siamchhuah a ti tlem bawk.

Symptoms enkawl dan

Hyperandrogenism vei te hian an natna lan chhuah dan tur bik enkawlna an zawng thei a:

• Acne : Acne enkawlna atana hman tur damdawi chi hrang hrang, ei tur antibiotics tetracycline , antiandrogens (hormone therapy, naupai venna pills te pawh tel), leh isotretinoin pills te a ni.
• Hirsutism (sam sei duh loh) : Hirsutism vei hmeichhia tam tak chuan waxing, shaving, leh laser hmanga sam tihfai te hi an hmang thin. Birth control pill pawh an ei thei bawk.
• Period mumal lo : Hmeichhia hian hormone birth control hmangin an thlasik hun a tidanglam thei.

Heng symptoms te hian hormonal imbalance avanga standard treatment an dawn loh chuan i doctor chuan antiandrogen damdawi chak zawk a ngaihtuah thei ang.

Hei hi a veng thei lo em ni?

Vanduaithlak takin hyperandrogenism ven dan tur chiang tak a awm lo.

Hyperandrogenism thlentu ber PCOS ven dan tur finfiah a la awm lo. Mahse i symptoms tihtlem nan step tenau te i la thei. Entirnan, chaw tha tak ei hian, .Exercise neih fo leh i taksa rihna control hian PCOS leh hyperandrogenism nghawng a tihziaawm thei a ni.

Nakin hun chu eng nge ni ang? (Prognosis) tih a ni.

Hyperandrogenism thlentu dinhmun tam tak chu dam chhung enkawl a ngai a ni. A châng chuan PCOS vanga hyperandrogenism nei hmeichhiate chu an taksa rihna nasa takin an tlahniam ang a, an PCOS pawh a bo vek ang. Mahse, mi tam zawk chuan hyperandrogenism symptoms tihziaawmna turin dam chhung enkawlna an mamawh dawn a ni.

Hyperandrogenism symptoms hian mahni inngaihhlutna leh rilru hriselna a nghawng thei a ni. Heng symptoms te hian stress, lungkhamna leh/ emaw lungngaihna a thlen che a nih chuan psychiatrist emaw counselor emaw hnen atanga tanpuina lak a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Hyperandrogenism i vei tih hmuhchhuah a nih a, damdawi i ei a nih chuan i enkawlna a tha em tih hriat nan doctor i pan fo a ngai dawn a ni.

Hyperandrogenism hian i rilru hriselna a nghawng a nih chuan rilru lam doctor emaw counselor emaw hnenah tanpuina dil a pawimawh hle.

A tawp berah chuan take-home message:

Hyperandrogenism hi hmeichhiaah chuan a awm fo thin. A symptoms te hian mualphona leh nuam lo takin a siam thei che a ni. Mahse, nangmah chauh i ni lo tih hre reng la, he natna hi enkawl theih a ni. I doctor nen enkawl dan tur chungchang sawipui rawh. Tin, i rilru hriselna a nghawng a nih chuan rilru lam doctor emaw counselor emaw pan ngei ngei tur a ni. I hriselna enkawl hi a pawimawh ber a ni.

` Hyperandrogenism, Androgen, Testosterone, PCOS, Hirsutism, Acne, Hormone Imbalance, Hmeichhe hriselna, Hormone Imbalance