Yintoni edibeneyo yohlobo lwe-hyperandrogenism?

Ukuchithwa kwenkqubo ye-neuroendocrine kwabasetyhini, okubangela ukuba kuvele ukungabikho kwengqondo, enye yeengxaki ezibalulekileyo zonyango, isisombululo seengxaki esichaphazela oogqirha kuwo wonke umhlaba. Le ngxaki ayikho nje yonyango, kodwa yintlalontle, kuba kumazwe amaninzi kukho iingxaki zokunyuka kwendalo, kwaye isisombululo sale mbambano sinokusombulula ingxaki yokungabikho kwabantwana abasetyhini.
Ngoko yintoni uhlobo oluxubekileyo lwe hyperandrogenism kwaye zeziphi izizathu zokuvela kwayo? Masizame ukuphendula lo mbuzo.

Kukho ama-hormone wesini kumadoda, abizwa ngokuba yi-androgens, aveliswa ngamadoda ngama-testes, nakwabasetyhini abane-ovari. Kwakhona la ma hormone akhiqizwa kumadoda nakwabesifazana kwiingqungquthela ze-adrenal.

Ezi ihomoni ziqinisekisa ukuphuhliswa kwezinto eziphathekayo eziphathekayo, ukulawula ukukhula nokuphuhliswa kwezitho zobulili kumadoda, kunye nokuthatha inxaxheba kwinkqubo yemetabolism, ukudala umphumo we-anabolic. Emzimbeni, abafazi kunye neerrogens zizinto eziluhlaza zokudala i-hormone yesini - i-estrogens, kwaye iququzelele inkqubo ye-ovulation. Ekubeni inani elikhulu le-androgens, inkqubo ye-ovulation ikhatyelwe, njengoko ingabandakanyeki ekuzaleni okupheleleyo kwe-oocyte. Kwakhona, ubukho bee-orrogens ezingaphezulu kunceda ukuvimbela ukuveliswa kweprogesterone, enokuchaphazela ukukhulelwa nokukhokelela ekuphumuleni. Emzimbeni, umgangatho we-hormone ephezulu kunye ne-androgen-testosterone ivela kwi-0.2 ukuya kwi-1 ng / ml.

I-Hyperandrogenia ikhuthaza ukubunjwa kwezidalwa zesilisa kumzimba wesetyhini, kwaye isizathu sokuba kwenzeke kwayo yinto eninzi kakhulu ye-androgens. Ukugqithiswa kwama-orrogens kunye no-adrenal kunye nama-ovari. Kwakhona, imbangela ye-androgens engaphezulu kweyona ndlela ingabangela ingxaki yokuxhamla.

I-Hyperandrogenism ye-adrenal gland ingenzeka ngezifo zengxube ye-pituitary kunye neengcambu ze-adrenal glands. I-ovarian hyperandrogenia ivela ebusweni be-tumor kwi-ovari okanye phambi kwe-polycystosis kuma-ovari.

Kwezinye iintlanga, i-hyperandrogenism inokuba yimeko eqhelekileyo, kuba i-hypersensitive to hormone androgen ukususela ekuzalweni.

Iimpawu eziphambili ze-hyperandrogenism zoluhlobo oluxubekileyo zilahlekelwa yintlungu okanye i-hairiness, utshintsho kumgaqo-siseko okanye ilizwi, kunye neenguqu kwiipropati zesikhumba. Ngeenwele esifubeni, emuva, izandla kunye nobuso bomntu, iinwele zikhula ngokukhawuleza. Ngaphezu koko, kwindoda, iinwele zoboya kwi-esifubeni zingahamba kunye ne-alopecia kwimimandla yetempileni nasebunzini, kunye nelizwi liphantsi, kwaye ulusu luba lukhuni, lukhuni, kwaye lukho no-acne. Kwakhona isakhiwo somzimba sitshintshi: ibhande lephepha liba likhulu, amathanga amancinci, kunye neengcambu zentloko ziyancipha.

Nge-hyperandrogenism yoluhlobo oluxubekileyo, umjikelezo wokuya esikhathini uyaqhekeka kwabasetyhini, kuze kubekho ukungena kwelanga ngokubanzi. Olu tshintsho kwi-carbohydrate metabolism lukhokelela ekuphuhlisweni kwesifo sikashukela kunye nokukhuluphala.

Zonke ezi zinto zenzeke ngakumbi kunye nezicubu ze-ovari kunye ne-adrenals.
Ukucacisa i-hyperandrogenia, umfazi ufumana izifundo ezizodwa zemvelaphi ye-hormonal, i-X-ray kunye nokuhlolwa kwe-ultrasound yama-ovari kunye nama-adrenals.

Ukuze uqale unyango olufunekayo ukufumanisa oko kubangele. Ukuba i-hyperandrogenia yoluhlobo oluxubekileyo ibangelwa yisisu, ngoko lizama ukususa. Ngesizathu esithile, iindlela zonyango ezincinane zonyango zisetyenziselwa-misela izidakamizwa, uqalise ama-hormone. Kodwa ukuba akukho miphumo yeziyobisi, kufuneka usebenzise iinkonzo zogqirha, ukuya kutshintshwa kweenxalenye zezitho.