Uvavanyo lweNqanaba leFollicle-Stimulating Hormone (FSH)

Umxholo

• Luyintoni uvavanyo lwenqanaba lehormicle (FSH) yovavanyo?
• Isetyenziselwa ntoni?
• Kutheni le nto ndifuna uvavanyo lwamanqanaba e-FSH?
• Kwenzeka ntoni ngexesha lokuvavanywa kwamanqanaba e-FSH?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwenqanaba le-FSH?
• Izalathiso

Luyintoni uvavanyo lwenqanaba lehormicle (FSH) yovavanyo?

Olu vavanyo lilinganisela inqanaba le-follicle-evuselela i-hormone (FSH) egazini lakho. I-FSH yenziwa yidlala yakho yebhinqa, incindi encinci ephantsi kwengqondo. I-FSH idlala indima ebalulekileyo kuphuhliso lwesondo kunye nokusebenza.

• Kwabasetyhini, i-FSH inceda ukulawula umjikelo wokuya esikhathini kwaye ivuselele ukukhula kwamaqanda kwii-ovari. Amanqanaba e-FSH kwabasetyhini ayatshintsha kuwo wonke umjikelo wokuya exesheni, ngamanqanaba aphezulu enza nje ngaphambi kokuba iqanda likhutshwe yi-ovary. Oku kwaziwa njenge-ovulation.
• Emadodeni, i-FSH inceda ukulawula ukuveliswa kwesidoda. Ngokwesiqhelo, amanqanaba e-FSH emadodeni akatshintshi kakhulu.
• Kubantwana, amanqanaba e-FSH ahlala esezantsi ade afikise ebusheni, xa amanqanaba eqala ukunyuka. Kumantombazana, kuyanceda ukubonakalisa ii-ovari ukwenza i-estrogen. Kumakhwenkwe, kuyanceda ukutyikitya ii-testes zokwenza i-testosterone.

Uninzi lwe-FSH okanye oluncinci kakhulu lunokubangela iingxaki ezahlukeneyo, kubandakanya ukungachumi (ukungakwazi ukukhulelwa), ubunzima bokuya exesheni kwabasetyhini, ukuqhuba ngesondo okuphantsi emadodeni, kunye nokufikisa okanye ukulibaziseka ekufikiseni kubantwana.

Amanye amagama: i-follitropin, i-FSH, i-follicle evuselelayo yehomoni: i-serum

Isetyenziselwa ntoni?

I-FSH isebenza ngokusondeleyo nenye ihomoni ebizwa ngokuba yi-luteinizing hormone ukulawula imisebenzi yesondo. Ke uvavanyo luteinizing lwehomoni luhlala lusenziwa kunye novavanyo lwe-FSH. Olu vavanyo lusetyenziswa ngeendlela ezahlukeneyo, kuxhomekeka ekubeni ungumfazi, indoda, okanye umntwana.

Kwabasetyhini, ezi mvavanyo zihlala zisetyenziselwa:

• Nceda ufumane unobangela wokungachumi
• Fumanisa ukuba ngaba kukho ingxaki ngomsebenzi we-ovari
• Fumana isizathu sokungaqhelekanga okanye sokuyeka ukuya exesheni
• Qinisekisa ukuqala kokuyeka ukuya exesheni, okanye ixesha lokugqibela. Ukuyeka ukuya exesheni lixesha kubomi bomfazi xa amaxesha akhe okuya exesheni eyekile kwaye akakwazi ukuphinda akhulelwe. Ihlala iqala xa owasetyhini emalunga neminyaka engama-50 ubudala. I-Perimenopause lixesha lokutshintsha ngaphambi kokuyeka ukuya exesheni. Inokuhlala iminyaka eliqela. Uvavanyo lwe-FSH lunokwenziwa ukuphela kolu tshintsho.

Emadodeni, ezi mvavanyo zihlala zisetyenziselwa:

• Nceda ufumane unobangela wokungachumi
• Fumana isizathu senani eliphantsi lobudoda
• Fumanisa ukuba ngaba kukho ingxaki kumasende

Kubantwana, ezi mvavanyo zihlala zisetyenziselwa ukunceda ukufumanisa isifo ngaphambi kwexesha okanye ukulibaziseka.

• Ukufikisa kuthathwa kwangethuba ukuba iqala ngaphambi kweminyaka eyi-9 kumantombazana nangaphambi kweminyaka eyi-10 kubafana.
• Ukufikisa kuthathwa njengokulibaziseka ukuba akuqalanga ngeminyaka eli-13 kumantombazana nakwiminyaka eli-14 kubafana.

Kutheni le nto ndifuna uvavanyo lwamanqanaba e-FSH?

Ukuba ungumfazi, unokufuna olu vavanyo ukuba:

• Awukwazanga ukukhulelwa emva kweenyanga ezili-12 zokuzama.
• Umjikelo wakho wokuya esikhathini awuqhelekanga.
• Amaxesha akho anqamkile. Uvavanyo lunokusetyenziselwa ukufumanisa ukuba sele ugqithile ekuyekeni ukuya exesheni okanye ukwimeko yokuphela kwexesha

Ukuba uyindoda, unokufuna olu vavanyo ukuba:

• Khange ukwazi ukumithisa iqabane lakho emva kweenyanga ezili-12 uzama.
• Ukuqhuba kwakho ngesondo kuncitshisiwe.

Bobabini abesilisa nabasetyhini banokufuna ukuvavanywa ukuba baneempawu zesifo sokungabikho komzimba. Oku kubandakanya ezinye zeempawu ezidweliswe apha ngasentla, kunye noku:

• Ukudinwa
• Ubuthathaka
• Ukuhla ukusinda
• Ukunciphisa ukutya

Umntwana wakho unokufuna uvavanyo lwe-FSH ukuba akabonakali eqala ukufikisa kwinqanaba elifanelekileyo (nokuba kusekutsha kakhulu okanye emva kwexesha kakhulu).

Kwenzeka ntoni ngexesha lokuvavanywa kwamanqanaba e-FSH?

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Ukuba ungumfazi ongakhange aye esikhathini, umboneleli wakho unokufuna ukucwangcisa uvavanyo lwakho ngexesha elithile ngexesha lokuya esikhathini.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Intsingiselo yeziphumo zakho iya kuxhomekeka ekubeni ungumfazi, indoda, okanye umntwana.

Ukuba ungumfazi, amanqanaba aphezulu e-FSH anokuthetha ukuba unayo:

• Ukungabikho ngokwaneleyo kwe-ovari (POI), ekwabizwa ngokuba kukusilela kwe-ovari ngaphambi kwexesha. I-POI kukuphulukana nomsebenzi we-ovari ngaphambi kweminyaka engama-40.
• I-Polycystic ovary syndrome (i-PCOS), isifo esiqhelekileyo sehomoni esichaphazela ukuzala kwabasetyhini. Sesinye sezizathu eziphambili zokungachumi kwabasetyhini.
• Ukuqala ukuya exesheni okanye kukwexeshana
• Ithumba le-ovari
• I-Turner syndrome, isifo semfuza esichaphazela ukukhula ngokwesondo kwabasetyhini. Ihlala ibangela ukungachumi.

Ukuba ungumfazi, amanqanaba asezantsi e-FSH anokuthetha:

• Amaqanda akho awenzi ngokwaneleyo amaqanda.
• Idlala lengqula alisebenzi ngokuchanekileyo.
• Unengxaki ne-hypothalamus yakho, inxalenye yengqondo elawula i-pituitary gland kunye neminye imisebenzi ebalulekileyo yomzimba.
• Utyebe kakhulu.

Ukuba uyindoda, amanqanaba aphezulu e-FSH anokuthetha:

• Amatyhalarha akho omoshakele ngenxa yechemotherapy, radiation, usulelo, okanye utywala.
• Unesifo sikaKlinefelter, isifo semfuza esichaphazela ukukhula ngokwesondo emadodeni. Ihlala ibangela ukungachumi.

Ukuba uyindoda, amanqanaba asezantsi e-FSH anokuthetha ukuba unesifo se-pituitary gland okanye i-hypothalamus.

Kubantwana, amanqanaba aphezulu e-FSH, kunye namanqanaba aphezulu e-luteinizing hormone, kunokuthetha ukuba ukufikisa sele kumbovu okanye sele kuqalile. Ukuba oku kuyenzeka ngaphambi kweminyaka yobudala eli-9 kwintombazana okanye ngaphambi kweminyaka eli-10 kwinkwenkwe (ukufikisa kwangaphambili), inokuba luphawu loku:

• Ukuphazamiseka kwenkqubo ye-nervous system
• Ukwenzakala kwengqondo

Amanqanaba e-FSH asezantsi kunye ne-luteinizing hormone level ebantwaneni inokuba luphawu lokulibaziseka kokufikisa. Ukulibaziseka kokufikisa kunokubangelwa:

• Ukuphazamiseka kwamaqanda okanye amasende
• I-Turner syndrome kumantombazana
• I-Klinefelter's syndrome kubafana
• Usulelo
• Ukusilela kwehomoni
• Ingxaki yokutya

Ukuba unemibuzo malunga neziphumo zakho okanye iziphumo zomntwana wakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwenqanaba le-FSH?

Kukho uvavanyo lwasekhaya olulinganisa amanqanaba e-FSH kumchamo. Ikhithi yenzelwe abantu ababhinqileyo abafuna ukufumanisa ukuba iimpawu ezithile ezinje ngokungaqhelekanga, ukoma kwilungu lobufazi, kunye nokukhanya okutshisayo kunokuba ngenxa yokuyeka ukuya exesheni. Uvavanyo lunokubonisa ukuba unamanqanaba aphezulu e-FSH, uphawu lokuyeka ukuya exesheni okanye ixesha lokugqibela. Kodwa ayichongi nayiphi na imeko. Emva kokuthatha uvavanyo, kuya kufuneka uthethe nomboneleli wakho wezempilo malunga neziphumo.

Izalathiso

1. I-FDA: Ulawulo lwezoKutya noLawulo lweziyobisi [i-Intanethi]. ISilver Spring (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Ukuyeka ukuya exesheni; [icatshulwe nge-2019 ka-Agasti 6]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.fda.gov/medical-devices/home-use-tests/menopause
2. UHinkle J, uCheever K. Brunner kunye neSuddarth's Handbook yeLebhu kunye noVavanyo lokuChonga. 2nd Ed, Kindle. IPhiladelphia: Impilo yeWolters Kluwer, uLippincott Williams kunye noWilkins; Ngowama-2014. Ifollicle Ukukhuthaza iHormone (FSH), iSerum; iphe. 306-7.
3. Inethiwekhi yeHormone yezeMpilo [i-Intanethi]. Umbutho we-Endocrine; c2019. Ukulibazisa ukulibaziseka; [ihlaziywe ngo-2019 ngoMeyi; ikhankanywe ngo-2019 ngo-Agasti 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.hormone.org/diseases-and-conditions/puberty/delayed-puberty
4. Inethiwekhi yeHormone yezeMpilo [i-Intanethi]. Umbutho we-Endocrine; c2019. Indawo yolwimi lamathe; [ihlaziyiwe ngo-2019 Jan; ikhankanywe ngo-2019 ngo-Agasti 6]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.hormone.org/your-health-and-hormones/glands-and-hormones-a-to-z/glands/pituitary-gland
5. Impilo yaBantwana kwiNemours [kwi-Intanethi]. UJacksonville (FL): Isiseko seNemours; c1995–2019. Uvavanyo lweGazi: I-Follicle Stimulating Hormone (FSH); [icatshulwe nge-2019 ka-Agasti 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://kidshealth.org/en/parents/blood-test-fsh.html
6. Impilo yaBantwana kwiNemours [kwi-Intanethi]. UJacksonville (FL): Isiseko seNemours; c1995–2019. Ukufikisa kwangaphambili; [icatshulwe nge-2019 ka-Agasti 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://kidshealth.org/en/parents/precocious.html
7. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC; Umbutho waseMelika weKhemesti yezonyango; c2001–2019. Ifollicle- Ukukhuthaza iHormone (FSH); [ihlaziywe ngo-2019 Juni 5; cited 2019 Aug 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/follicle-stimulating-hormone-fsh
8. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC; Umbutho waseMelika weKhemesti yezonyango; c2001–2019. Ukungachumi; [ihlaziywe ngo-2017 Novemba 27; ikhankanywe ngo-2019 ngo-Agasti 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/conditions/infertility
9. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC; Umbutho waseMelika weKhemesti yezonyango; c2001–2019. IPolycystic Ovary Syndrome; [ihlaziywe ngo-2019 ngoJulayi 29; cited 2019 Aug 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/conditions/polycystic-ovary-syndrome
10. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC; Umbutho waseMelika weKhemesti yezonyango; c2001–2019. I-Turner Syndrome; [ihlaziyiwe ngo-2017 Jul 10; cited 2019 Aug 6]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://labtestsonline.org/glossary/turner
11. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi; [icatshulwe nge-2019 ka-Agasti 6]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health-topics/blood-tests
12. OWH: IOfisi yezeMpilo yabaseTyhini [kwi-Intanethi]. IWashington DC: I-U.S. ISebe lezeMpilo kunye neNkonzo zoLuntu; Izinto Ezisisiseko Zokuyeka Ukuya Exesheni; [ihlaziywe ngo-2019 nge-18 kaMatshi; ikhankanywe ngo-2019 ngo-Agasti 14]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.womenshealth.gov/menopause/menopause-basics#4
13. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. Uvavanyo lwegazi lwe-follicle-stimulating (FSH): Ubume; [ihlaziywe ngo-2019 Agasti 6; cited 2019 Aug 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/follicle-stimulating-hormone-fsh-blood-test
14. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. Isifo seKlinefelter; [ihlaziywe ngo-2019 Agasti 14; ikhankanywe ngo-2019 ngo-Agasti 14]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/klinefelter-syndrome
15. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. I-Turner syndrome; [ihlaziywe ngo-2019 Agasti 14; ikhankanywe ngo-2019 ngo-Agasti 14]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/turner-syndrome
16. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. I-Health Encyclopedia: IHormone-ekhuthaza iHormone; [icatshulwe nge-2019 ka-Agasti 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=follicle_stimulating_hormone
17. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ulwazi lwezeMpilo: I-Follicle-Stimulating Hormone: Iziphumo; [ihlaziywe ngo-2018 ngoMeyi 14; cited 2019 Aug 6]; [malunga nezikrini ezi-8]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/follicle-stimulating-hormone/hw7924.html#hw7953
18. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ulwazi lwezeMpilo: IHormone-evuselela iHormone: Uvavanyo ngokubanzi; [ihlaziywe ngo-2018 ngoMeyi 14; cited 2019 Aug 6]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/follicle-stimulating-hormone/hw7924.html#hw7927
19. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ulwazi lwezeMpilo: I-Follicle-Stimulating Hormone: Kutheni Yenziwe; [ihlaziywe ngo-2018 ngoMeyi 14; ikhankanywe ngo-2019 ngo-Agasti 6]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/follicle-stimulating-hormone/hw7924.html#hw7931

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.