Kei te whakaaro koe ki te whānau tamariki, ki te whānau rānei? Kātahi pea koe ka hiahia ki te mōhio, ki te manawa pākiki rānei, mō tō "karaka koiora," arā, te wā e pau ana ki te whānau tamariki. He mea noa kia puta ake ngā pātai pēnei i te "Kei te whai wā tonu ahau?" me te "Kei te pēhea taku momonatanga?". He waimarie, nā te mea kua matatau te pūtaiao hauora i ēnei rā, kei reira ngā whakamātautau hei āwhina i a tātou ki te whai whakaaro mō ēnei mea. Ko tētahi o aua whakamātautau e kōrerohia ana e te tini o te tangata, ā, he mea tino nui, ko te whakamātautau AMH. I tēnei rā, ka kōrerohia e tātou ngā mea katoa i roto i te huarahi tino māmā, i roto i te huarahi ka taea e koe te mārama.
He aha te AMH?
Ko te AMH te ingoa poto mō te Hormone Anti-Mullerian . He homoni tēnei e hangaia ana i roto i ō tātou tinana. Ka hangaia tēnei homoni i roto i te tinana o ngā tāne me ngā wāhine. Heoi, he rerekē tōna mahi me tōna hiranga mō ngā mea e rua.
Whakaarohia, i te wā e whanake ana te pēpi i roto i te kōpū, he mea tino nui te homoni e kiia nei ko te AMH mō te whanaketanga tika o ngā whekau ira tangata o te pēpi. Mena he tamaiti tāne, he tino teitei te taumata AMH i roto i tōna tinana. Ko te take o tēnei, nā te mea ka ārai te homoni AMH i te whanaketanga o ngā whekau whakaputa uri wahine (pērā i te kōpū) i roto i te tamaiti tāne. He iti noa te nui o tēnei homoni AMH e hiahiatia ana e te tamaiti wahine.
Nā, me kōrero tātou mō tētahi wahine kua eke ki te pakeketanga. Ko te homoni AMH o te wahine ka hangaia e ngā pūtau kei roto i ngā follicle i roto i ana ovaries. He rite ēnei follicle ki ngā pēke iti. Kei roto i ēnei pēke ngā hua manu e rongoa ana.
Anei te mea nui: mā te nui o te AMH i roto i te toto o te wahine ka kitea he aha te nui o ngā hua manu e toe ana i roto i tana ovary .
- Mena he teitei tō taumata AMH: Ko te tikanga he nui ake ngā hua manu e toe ana i roto i ō ovaries. Ko te tikanga he teitei te rahui o tō ovaries.
- Mena he iti tō taumata AMH: Ko te tikanga he iti noa ngā hua manu e toe ana i roto i ō ovaries. Ko te tikanga he iti tō rahui o tō ovaries.
Whakaarohia he rite ki te whai moni i roto i te pūkete peeke. Mā ngā taumata AMH ka kitea he aha te maha o ngā hua manu e toe ana i roto i tō "pūkete hua manu".
I roto i ngā āhuatanga hea ka tūtohu te tākuta kia whakamātauria te AMH?
I te nuinga o te wā ka tūtohu te tākuta wahine i tēnei whakamātautau ina hiahia rātou ki te aromatawai i tō momonatanga me tō hauora uri. Anei ētahi tauira:
- Mena kei te uaua koe ki te hapu i tētahi tamaiti: Mena kua kotahi tau, neke atu rānei, e ngana ana koe ki te hapu, ā, kāore anō kia hapu, ka tūtohutia pea he whakamātautau AMH hei tētahi o ngā whakamātautau e mahia ana hei rapu i te take.
- I te wā e whakamahere ana i ngā maimoatanga whakamomona: He mea nui te mōhio ki tō taumata AMH ina whakaarohia ana ngā maimoatanga pēnei i te IVF (In Vitro Fertilization) . Ko tō taumata AMH te mea e whakamahia ana e tō tākuta hei whakatau i te urupare a tō tinana ki ngā werohanga homoni e whakaoho ana i te whanaketanga o te hua manu. Mena he teitei tō taumata AMH, ka taea e koe te tumanako ka angitu te tiki mai i ētahi atu hua manu.
- I te whakamahere i tētahi whānau mō te heke mai: Kāore anō pea koe kia mārena, kei te whakamahere rānei koe kia whānau he tamaiti i roto i ngā tau torutoru e whai ake nei. Mēnā koinei te āhua, mā tēnei whakamātautau koe e āwhina ki te whai whakaaro whānui mō te nui o ō hua manu. Mā tēnei koe e āwhina ki te whakatau whai whakaaro mō te whakaroa i te whānautanga o tētahi tamaiti, kāore rānei.
- Mena he hītori whānau tōu mō te paheketanga wawe: Mena kua mutu te paheketanga o tō whaea, o tō tuahine rānei i mua i te 40 tau te pakeke, he mea whai hua pea tēnei whakamātautau hei tirotiro mena kei te mōrearea hoki koe.
- Ki te whakapae koe kei a koe te PCOS (Polycystic Ovary Syndrome): Nā te mea he nui ngā follicle iti i roto i ngā ovaries o ngā wāhine whai PCOS, tera pea ka nui ake ā rātou taumata AMH i te mea noa.
- I roto i te mate pukupuku ovarian: I roto i ētahi momo mate pukupuku ovarian onge (hei tauira, te pukupuku pūtau granulosa), ka whakamahia ngā taumata AMH hei tohu pukupuku. Ka taea te whakamahi i tēnei whakamātautau hei tirotiro mēnā kei te angitu te maimoatanga, mēnā rānei kua hoki mai te mate pukupuku.
He aha tā tātou e mōhio ai i tēnei whakamātautau AMH?
He taputapu kaha te whakamātautau AMH e whakarato ana i te maha o ngā mōhiohio nui e pā ana ki tō hauora uri.
1. He whakaaro whānui mō te maha o ngā hua manu e toe ana: Koinei te mea nui rawa atu. Mā tēnei ka kitea te maha o ngā hua manu e toe ana i roto i tō "pūkete hua manu".
2. Te Tere o te Pakeketanga o ngā Ovarian: Ka tere ake te pakeketanga o ngā ovarian o ētahi wāhine i tō rātou pakeketanga tuturu. Ko te tikanga o tēnei ka tere ake te mimiti o ā rātou rahui hua manu. Mā te titiro ki ō rātou taumata AMH, ka taea e koe te mōhio mēnā he iti iho ō rahui hua manu i te mea noa mō tō tau.
3. Matapihi Whakamomona: Ko te hekenga o te taumata AMH he tohu pea kei te poto haere tō matapihi whai wāhi ki te hapu. Kaua tēnei e manukanuka ki a koe, engari he mōhiohio nui hei whakaaroaro māu i te wā e whakatau ana mō te whānau tamariki.
4. Te urupare ki te maimoatanga IVF: E ai ki te kōrero i mua ake nei, ka āwhina ngā taumata AMH ki te matapae me pēhea te urupare a tō tinana ki ngā werohanga homoni e hoatu ana hei whakaoho i te whanaketanga o te hua manu i te wā IVF.
Ngā wāhi e hē ai te tini o te tangata: Ngā mea kāore e taea e te whakamātautau AMH te kōrero ki a koe!
He mea tino nui tēnei wāhanga. He tokomaha te hunga e whakaaro ana ka taea e te whakamātautau AMH te kī tika mēnā ka taea e rātou te whānau tamariki. He whakaaro hē rawa tēnei. He kōrero kei roto i te whakamātautau AMH, engari he kōrero anō kāore i roto .
Whakaarohia he kete māngo tāu. Ko te whakamātautau AMH anake e whakaatu ana i te maha o ngā māngo kei roto i te kete. Kāore te whakamātautau AMH e whakaatu ana mēnā he reka, he pakari, he pai rānei te āhua o ngā māngo.
Waihoki, ko te whakamātautau AMH anake e whakaatu ana i te nui o ngā hua manu . Kāore e whakaatu ana i te kounga o ngā hua manu . Pērā i te hiranga o te nui o ngā hua manu e hiahiatia ana hei hapu i te tamaiti, he mea tino nui anō hoki te kounga o aua hua manu. Ko te tau o te wahine te mea matua e whakatau ana i te kounga o ngā hua manu.
Nō reira kia maumahara, e kore rawa te whakamātautau AMH e kōrero ki a koe i ēnei mea:
- He matapae mō tō momonatanga: Ahakoa he iti ngā taumata AMH o te wahine, ka taea e ia te hapu ā-taiao. Waihoki, ko te wahine he teitei ngā taumata AMH, tera pea ka uaua ki te hapu mō ētahi atu take.
- Te wā tika ka pāngia koe e te menopause: Ahakoa ko te hekenga o ngā taumata AMH he tohu pea kei te tata mai te menopause, kāore e taea e tēnei whakamātautau te kī atu ki a koe te wā tika ka puta.
- Ētahi atu āhuatanga e pā ana ki te hapūtanga: He tukanga uaua te hapūtanga. He tini ngā āhuatanga kē atu e pā ana ki tēnei!
- tō tau
- Te maha o te parāoa me te nekehanga o tō hoa
- Ahakoa kei te whakaputa uri koe i ia wā, i ia wā rānei
- Kua āraia ngā ngongo fallopian?
- Ngā āhuatanga pēnei i te endometriosis
- Ngā pukupuku pērā i te fibroids i roto i te kōpū
- Ngā tikanga noho pēnei i te momi hikareti
Nō reira, ko te uara AMH he wāhanga noa iho o te pikitia katoa. Kaua e whakatau i runga i tēnā anake.
He aha te taumata AMH e tika ana kia noho i te nuinga o te wā?
Ka rerekē ngā taumata AMH i a koe e pakeke haere ana. Ko te tikanga ka piki ake ngā taumata AMH i te wā o te taiohitanga, ā, ka eke ki tōna taumata teitei i te 25 tau. Kātahi, i a koe e pakeke haere ana, ka tīmata te heke haere o ngā taumata AMH.
Ka inehia te AMH i roto i ngā nanograma mō ia miririta (ng/mL). Tērā pea he rerekētanga iti o ngā uara i runga i ngā taputapu e whakamahia ana i roto i ngā taiwhanga rerekē. Heoi, anei ētahi taumata e whakaaetia whānuitia ana:
| Taumata AMH | Uara (ng/mL) |
|---|---|
| Toharite | I waenga i te 1.0 ng/mL me te 3.0 ng/mL |
| Iti | I raro iho i te 1.0 ng/mL |
| Tino iti rawa | I raro iho i te 0.4 ng/mL |
He aha te taumata AMH mō tō tau?
I te mea he mea noa te hekenga o te AMH i te kaumātuatanga, me tumanako koe ka iti iho te taumata AMH o te tangata kei roto i te 30 me te 40 tau te pakeke i tērā o te tangata kei roto i te 25 tau te pakeke. Anei tētahi whakaaro whānui mōna.
| Tau | Taumata AMH noa (tata) |
|---|---|
| 25 tau | 3.0 ng/mL |
| 30 tau | 2.5 ng/mL |
| 35 tau te pakeke | 1.5 ng/mL |
| 40 tau | 1.0 ng/mL |
| 45 tau te pakeke | 0.5 ng/mL |
He mea nui:Ehara i te mea pai te taumata AMH teitei i ngā wā katoa. E ai ki te kōrero i mua ake nei, ko ētahi wāhine he PCOS (Polycystic Ovary Syndrome) he nui rawa atu ō rātou taumata AMH. Nō reira, kaua e whakatau tere i runga i tō taumata AMH anake. Me arotake e te tākuta me tō tau me ētahi atu mōhiohio haumanu.
Me pēhea te whakahaere i te whakamātautau, ā, me pēhea taku whakarite?
He tino māmā noa iho. He whakamātautau toto noa iho te whakamātautau AMH. Ka tangohia e te nēhi he tauira toto iti mai i tētahi uaua i tō ringa. He torutoru meneti noa iho te roa.
Ko tētahi o ngā painga nui o tēnei whakamātautau ko te taea te mahi i tētahi rā o tō huringa marama. Ahakoa me mahi ētahi atu whakamātautau homoni, pērā i te FSH, i ngā rā motuhake o te huringa, ka noho tonu ngā taumata AMH puta noa i te marama, nō reira ka taea e koe te mahi i tētahi rā e pai ana ki a koe.
Kāore he mea motuhake hei whakarite māu i mua i tēnei whakamātautau. Kāore koe e hiahia ki te whakawhāiti i tāu kai, ki te mahi rānei i tētahi atu mea.
I te nuinga o te wā, ki te tukuna e koe te tauira toto ki te taiwhanga, ka roa pea ētahi rā ka puta mai ngā hua. Kia tae mai ngā hua, ka waea atu tō tākuta ki a koe ka whakamārama i ngā hua ki a koe. Ehara i te mea ko tō taumata AMH anake ka whakaarohia e rātou, engari ko tō matawai ultrasound, ētahi atu whakamātautau homoni, me tō hītori hauora hei hoatu i te tohutohu me te mahere maimoatanga tino tika ki a koe.
Karere Tangohia ki te Kāinga
- He whakamātautau toto te whakamātautau AMH e homai ana he whakaaro pai mō te nui o ngā hua manu e toe ana i roto i ō ovaries.
- Kāore e taea e tēnei te matapae i te kounga o ō hua manu , me te kore rānei e taea e koe te whānau tamariki.
- Ahakoa he iti te taumata AMH, ehara i te mea kāore e taea e koe te whānau tamariki. Ā, ahakoa he tiketike te taumata AMH, ehara i te mea kāore he raruraru mōu.
- He maha ngā āhuatanga e pāngia ai te momonatanga, tae atu ki te tau, te hauora o te hoa, me te āhua o ngā ngongo ū. Ko te AMH tētahi wāhanga noa iho o te āhuatanga.
- Me arotake tonu ngā hua o tō whakamātautau AMH e tētahi tohunga . Kaua e whakatau i runga i ngā mōhiohio e kitea ana i te ipurangi.
- Ki te whakaaro koe kia whānau he tamaiti, kaua e wehi i ēnei whakamātautau, kōrero noa ki te tākuta, ā, me tiki ngā tohutohu e tika ana. Koinei te mea pai rawa atu ka taea e koe te mahi.
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