Kua mutu te mahi a ō ovaries i mua atu i te wā i whakaarohia? Me ako tātou mō te Primary Ovarian Insufficiency (POI)!

Kua rerekē haere tō paheketanga ā-marama? Kua mutu ohorere rānei, ā, kāore e tīmata anō? Tērā pea kei te tīmata koe ki te pāngia e ngā tohu o te paheketanga i mua i tō ekenga ki te 40 tau? Ka taea e ēnei āhuatanga te whakararuraru i a koe, te mataku hoki. Kaua e manukanuka. I tēnei rā ka kōrero tātou mō tētahi take pea mō tēnei āhuatanga. Ko te ngoikore o te ovarian tuatahi, ko te poto rānei o te ingoa , ko te POI (Primary Ovarian Insufficiency) .

He aha te ngoikore o te whatukuhu tuatahi (POI)?

Ki te kī ngāwari, ko te POI (Primary Ovarian Insufficiency) ko te wā ka mutu te mahi tika o ō ovaries i mua i te pakeketanga noa, arā, i mua i te 40 tau. E mōhio ana koe, ko ngā ovaries o te kōtiro he repe iti e rua kei ia taha o te kōpū. Koinei ngā whekau e tuku ana i te hua manu i ia marama, e kiia nei e tātou ko te ovulation. Hei tāpiri, ka whakaputa hoki ēnei ovaries i ngā homoni e tika ana mō ngā mea nui maha pēnei i te paheketanga me te haputanga.

I te nuinga o te wā, ka mutu te whakaputanga o te hua manu o te wahine, arā, te menopause, i te 51 tau te pakeke. Heoi, ko ētahi tāngata e pāngia ana e te POI ka mutu ohorere te paheketanga. Mō ētahi atu, ka kitea te POI i muri i ngā marama, i ngā tau rānei o te paheketanga koretake.

I mua, i huaina tēnei āhuatanga ko "Premature Ovarian Failure." Engari i nāianei, he pai ake ki ngā tākuta te whakamahi i te kupu "Insufficiency." Nā te mea kua kitea e ngā rangahau he mahi ngā ovaries o ngā wāhine whai POI, arā, ka taea e rātou te whakaputa hua i ngā wā rerekē. Ko te tikanga, ahakoa he POI, ka taea tonu e te tangata whai POI te tuku i te hua manu ka hapu! Inaa, i waenga i te 5% me te 10% o te hunga whai POI ka hapu i a rātou anō me te kore he maimoatanga kore tamariki. Koia te take i huaina ai hoki te POI ko "Decreased Ovarian Reserve."

He pēhea te noa o tēnei āhuatanga?

He mate tino onge te POI. Tata ki te 1% o ngā wāhine i waenga i te 15 me te 44 tau te pakeke ka pāngia. Ka pāngia pea te hunga kua whānau tamariki me te hunga kāore anō kia whānau tamariki. Heoi, he nui ake te kitea i roto i ngā wāhine neke atu i te 30 tau te pakeke.

He aha te pānga o te POI ki tō tinana?

Nā te ngoikore o te ovary tuatahi ka iti te taumata o te homoni estrogen i roto i tō tinana. Ina heke te taumata o te estrogen, ka pāngia pea koe e ngā tohu e rite ana ki ngā tohu o te menopause. Hei tauira, ka pāngia pea koe e te werawera, te heke o te hiahia moepuku, me ngā huringa o te wairua. Ka taea hoki e ia te whakanui ake i tō tupono ki te whakawhanake i ētahi atu mate, pērā i te osteoporosis me te mate ngakau.

He maha ngā wāhine e pāngia ana e te mate hinengaro e pāngia ana e te mate hinengaro (POI) e uaua ana ki te whānau tamariki, arā, ko te kore tamariki.Tērā pea ka tupu. Heoi anō, tera pea ka taea e tō tākuta te āwhina i a koe kia hapu. He maimoatanga anō mō ​​tēnei, pērā i te tuku hua manu , te whakatōnga in vitro (IVF) , ngā rongoā whakatōnga rānei.

He aha ngā pūtake o te POI?

I te nuinga o te wā, kāore ngā tākuta e mōhio ki te tino take o te POI . Ka kiia tēnei ko te idiopathic POI . Heoi, kua whakaatuhia e ngā rangahau i roto i te hautoru o ngā wā, tera pea he hononga ira.

Ko ētahi atu take pea o te POI ko:

• Ngā mate pūnaha ārai mate: Hei tauira, te mate a Addison, te mate rumatiki, te mate tairoi rānei. I roto i ēnei mate, ka whakaekea e tō tātou ake pūnaha ārai mate ō tātou ake whekau. Ka taea e tēnei te kino i ngā ovaries.
• Ngā maimoatanga matepukupuku: Ka taea e ngā maimoatanga pēnei i te chemotherapy me te radiation te kino i ngā ovaries.
• Ngā mate ira: Hei tauira, ko te mate Turner – i puta mai i te rerekētanga o tētahi o ngā ira X e rua o te wahine. Me te mate Fragile X – i puta mai i ngā huringa o te ira e kiia nei ko te FMR1.
• Te tango i te kōpū: I ētahi wā, ina tangohia te kōpū , ka motuhia te rere o te toto ki ngā ovaries, ka whakaiti i tā rātou mahi. Heoi, ki te tangohia te kōpū anake, ā, ka waihotia ngā ovaries kia ora tonu, kāore te POI e puta.
• Ngā Mate Pukupuku: Ka taea hoki e ngā mate pēnei i te repe me te HIV te kino i ngā ovaries. E whakaarohia ana ko te take tēnei nā te mea ka whakaekea ngā ovaries e ngā paturopi i hangaia hei ārai i te mate.
• Te roa o te pānga ki ngā matū paitini: Ko te roa o te pānga ki ngā patupatu pepeke, te paowa hikareti, me ētahi atu paitini ka waiho hei take.

He aha ngā tohu o te POI?

Ko te tohu tino kitea o te POI ko te koretake o te paheketanga, te mutu katoa rānei o te paheketanga . Heoi, tera pea ētahi wāhine kāore e pāngia e ngā tohu nui ahakoa kei a rātou te POI.

Ko ētahi atu tohu pea ko:

• Te paheketanga koretake, te paheketanga kua mutu rānei.
• He uaua ki te hapu.
• Te hekenga o te hiahia moepuku.
• Te uaua ki te arotahi.
• Te riri me te pukuriri pinepine.
• Ngā kanohi maroke.
• Ngā mura wera me te werawera pō.
• Te maroke o te tara.
• Te moe mamae nā te maroke o te tara.

Whakaarohia, he hoa tōu kua roa nei kāore anō kia pāngia e te paheketanga. Kāore e taea e ia te moe i te pō, ka werawera ia, ā, ka riri ia mō ngā mea iti rawa. Tērā pea ka wareware ia ki ēnei mea, ka mea, "He ahotea pea." Engari he tohu pea ēnei o te POI.

Me pēhea te tautuhi i te POI?

Mena kei a koe ēnei tohu, me toro atu koe ki te tākuta. Ka tirotirohia e te tākuta tō tinana , ka tirotirohia te hope, me te hītori hauora. Ka pātai atu hoki tō tākuta mō tō huringa paheketanga, mēnā kua hapu koe i mua, ā, mēnā kei te whakamahi koe i te ārai whānau. Ka āwhina tēnei i tō tākuta ki te tautuhi i te POI.

Muri iho, ka tonoa pea e tō tākuta ētahi whakamātautau toto hei ine i ngā taumata o ētahi homoni i roto i tō tinana. Kei roto i ēnei ko te tirotiro i ngā taumata o ngā homoni Follicle Stimulating Hormone (FSH) , Estrogen, me Prolactin .

Ko ētahi atu whakamātautau ka whakamahia pea e te tākuta ko:

• Ko te whakamātautau karyotype he whakamātautau toto hei tirotiro i ngā mate ira.
• He whakamātautau ultrasound pelvic hei tirotiro i ngā ovaries me te kōpū.
• Whakamātautau haputanga .
• Ngā whakamātautau paturopi hei tirotiro i ngā mate pūnaha ārai mate.

Ka tātaritatia e ngā tākuta te POI mēnā kei raro iho koe i te 40 tau te pakeke, ā,:

• Mena kāore tō paheketanga i te marama, he rerekē rānei ō paheketanga.
• E whakaatu ana ngā whakamātautau toto kei te rite te taumata o ō homoni ki te taumata o tētahi wahine kua pāngia e te menopause.

Me pēhea te rongoā mō te POI?

He maha ngā huarahi hei rongoā i te POI. Kei runga i tō tau, i ngā tohu, me te hiahia rānei koe ki te whānau tamariki . Ko ngā maimoatanga mō te ngoikore o te whatukuhu tuatahi ko:

• Te whakarato i ngā homoni ki tō tinana kāore e hangaia ana e ō ovaries.
• Te rongoā i ngā tohu o te POI (hei tauira, te werawera i te pō, te maroke o te tara).
• Te whakaiti i te mōrearea o ētahi atu mate ka puta mai i te POI.
• Te rongoā i ngā āhuatanga hauora taketake e whakararuraru ana i ngā tohumate POI.

Te Whakaora Whakakapinga Hormone (HRT)

Ka whakakapia ngā homoni kāore e hangaia ana e ō ovaries e te rongoā whakakapinga homoni (HRT). Ka taea tēnei mā te hoatu i te estrogen anake ki a koe, mā te hoatu rānei i te estrogen me te progesterone ki a koe.Ka taea e te rongoā homoni te āwhina i te whakaiti i ngā tohu o te POI, pērā i te werawera i te pō me te maroke o te tara. Ka taea hoki e ia te whakaiti i tō tupono ki te osteoporosis me ētahi atu mate ka pā mai me te POI. Ka taea e tō tākuta te hoatu rongoā homoni ki a koe i ngā huarahi rerekē, pērā i ngā pire, ngā kirīmi, ngā kirikiri, ngā pāti, ngā mowhiti tara rānei.

Ki te tīmata koe i te HRT, me tango e koe te maimoatanga tae noa ki te tau e puta ai te menopause tūturu (51-52 tau). Me kōrero koe ki tō tākuta mō ngā painga me ngā huakore o te HRT, me te whakatau mēnā he tika mōu.

Haunga te HRT, ko ētahi atu maimoatanga ko:

• Te tango i ngā papa konupūmā me te huaora D hei whakaiti i te mōrearea o te angiangi o te wheua.
• Whakakorikori tinana auau, hiki i ngā taumaha (mō te hauora o ō wheua), me te pupuri i tō taumaha hauora.
• Ki te mea kei te hiahia koe ki te tīmata i tētahi whānau, ā, ki te whānau tamariki hoki, he mea nui kia tūhuratia ngā kōwhiringa maimoatanga mō te whakawhānau tamariki .

Ki te kore koe e whakaaro ana kia hapu, kaua e wareware ki te kōrero ki tō tākuta mō ngā tikanga ārai whānau.

Ka taea te whakakore i tēnei? Ka tīmata anō te mahi a ngā ovaries?

Kāo, kāore e taea te whakakore i te ngoikore o te whatukuhu tuatahi. Ka taea e ngā tākuta te rongoā i ngā tohu, ngā pānga taha, me ngā mate e pā ana, engari kāore e taea te whakaora katoa.

Tata ki te 25% o ngā wāhine whai POI ka taea te whakaputa uri i te iti rawa kotahi i muri i te tātaritanga . Heoi, kāore he maimoatanga i tēnei wā hei āwhina i ō ovaries ki te mahi anō. Ko te maimoatanga mō te POI e arotahi ana ki te whakahaere i ngā tohu me te whakaiti i te mōrearea o ētahi atu raruraru hauora ka puta mai i te POI.

Ka taea te ārai i te POI?

Kāore e taea te ārai i te ngoikore o ngā whatukuhu tuatahi. Heoi, ko ngā wāhine e tino mōrearea ana ki te whakawhanake i te POI, me whakaaro pea rātou ki te tiaki i te momonatanga mēnā kei te whakamahere rātou ki te whānau tamariki. Mēnā kei te āwangawanga koe mō te POI, kōrero ki tō tākuta.

Ko wai te mea tino mōrearea mō tēnei?

Ko ngā tāngata e whai ake nei he nui ake te mōrearea ki te whakawhanake i te ngoikore o te ovary tuatahi:

• Mō te hunga neke atu i te 35 tau te pakeke.
• Ngā mātua tipu mō te hunga whai POI.
• Mō te hunga whai mate pūnaha ārai mate, ētahi āhuatanga ira rānei.
• Ko te hunga kua pokangahia te hope, kua tukinotia ki te rongoā matū, ki te rongoā irahiko rānei.

Ka pēhea te āhua o te ao me te POI? (Te Matapae)

Ko te ngoikore o ngā whatukuhu tuatahi he mate pumau tonu.He maha ngā wāhine e pāngia ana e tēnei mate me tango i te rongoā homoni mō te wā roa hei whakahaere i ngā tohu me te whakaiti i te tūponotanga o ngā raruraru.

He maha ngā wā ka pouri koe, ka mokemoke, ka rite ki te mea kua ngaro tetahi mea i a koe e te POI. Ka tino kaha rawa atu tēnei kare ā-roto mēnā kei te ngana tonu koe ki te hapu. He rōpū tautoko me ngā ratonga tohutohu hei āwhina i a koe i tēnei wā. Mā tēnei āwhina, ka taea e koe te whakahaere i ō kare ā-roto me te kimi huarahi hei whakatau i te mate.

He aha atu ngā raruraru hauora ka puta mai i te POI?

He iti ngā taumata o te estrogen o ngā wāhine whai POI. Ina iti ngā taumata o te estrogen, ka tūpono koe ki ētahi atu raruraru hauora. Ko ētahi o ēnei raruraru ko:

• Osteoporosis
• Mate ngakau
• Te ngoikore o te tairoiti (te ngoikore o te tairoiti)
• Te kore tamariki
• Manukanuka me te pouri

Āhea koe me toro atu ki te tākuta?

Mena kāore anō kia toru marama tō paheketanga, me toro atu ki te tākuta tonu. He maha ngā take i mutu ai tō paheketanga, tae atu ki te haputanga, te ahotea, ngā huringa homoni rānei. Ka taea e tō tākuta te āwhina i a koe ki te rapu i te take e mutu ai tō paheketanga.

He aha ngā mea me pātai atu koe ki te tākuta?

Mena kei a koe te ngoikore o te ovary tuatahi, me pātai atu koe ki tō tākuta i ēnei pātai:

• He aha te pānga o te ngoikore o te whatukuhu tuatahi ki tōku hauora whānui?
• Me whai rongoā whakakapinga homoni (HRT) ahau? Kia pēhea te roa?
• Me whakamahi ahau i te ārai whānau?
• Kei hea ahau e whiwhi ai i te āwhina hinengaro me te tohutohu?
• He aha te kōwhiringa pai rawa atu māku mō te whāngai tamariki?

He aha te rerekētanga i waenga i te POI me te Premature Ovarian Fragile / Premature Menopause?

Ka whakamahia pea ēnei kupu e ngā tākuta hei whakaahua i te menopause i mua i te 40 tau te pakeke. Ko te menopause wawe ko te mutu o te paheketanga i mua i te 40 tau te pakeke, ā, kāore e taea e koe te hapu anō. I roto i te POI, ka mutu pea te mahi a ngā ovaries mō te wā poto, nō reira he rerekē te āhua.

Ka taea e koe te hapu me te POI?

Āe, tera pea ka hapu te wahine whai POI. Mena kei a koe te POI, ā, kei te ngana koe ki te hapu, ka taea e tō tākuta whakawhānau te tohutohu i a koe mō ō whiringa. Waihoki, ki te kore koe e ngana ki te hapu, kōrero ki tō tākuta mō ngā huarahi hei aukati i te haputanga.

Hei whakamutunga, he aha ngā mea hei maumahara

Ko te ngoikore o ngā whatukuhu tuatahi (Prime Ovarian Insufficiency - POI) he āhuatanga e mutu ai te mahi a ō whatukuhu i mua i te 40 tau te pakeke. Ka puta pea ngā tohu whakararuraru, ā, ka piki ake te mōrearea o ngā mate hauora pēnei i te osteoporosis, te mate ngakau rānei.

He mea noa te pōuri me te manukanuka ina kitea he POI tōu. Ina koa mēnā i tumanako koe kia whānau he pēpi. Engari mā te maimoatanga me te tautoko tika, ka taea e koe te noho ora tonu. Kōrero ki tō tākuta mō ō āwangawanga. Tikina te tautoko a tō hoa rangatira, tō whānau, me ō hoa hei āwhina i a koe ki te whakatau i tō raruraru. Kia maumahara, kāore koe i te mokemoke.

Te ngoikore o te ovarian , te ngoikore o te ovarian tuatahi, te POI, te menopause wawe, te hauora o ngā wāhine, te kore taurite o ngā homoni, te kore tamariki