Kev Ntsuas Anti-Müllerian Lawm

Zoo Siab

• Tshuaj tiv thaiv anti-müllerian hormone (AMH) yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj yuav tsum tau kuaj AMH?
• Yuav muaj dab tsi tshwm sim thaum kuaj AMH?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj mob AMH?
• Ua tim khawv

Tshuaj tiv thaiv anti-müllerian hormone (AMH) yog dab tsi?

Qhov ntsuas ntshav no tau ntsuas cov qib ntawm cov tshuaj tiv thaiv kabmob mllllerian (AMH) hauv cov ntshav. AMH raug tsim nyob rau hauv cov ntaub so ntswg deev txiv neej thiab txiv neej. Lub luag haujlwm ntawm AMH thiab seb cov qib puas tseem nyob ntawm koj lub hnub nyoog thiab poj niam txiv neej.

AMH yog lub luag haujlwm tseem ceeb hauv kev txhim kho kabmob sib deev hauv menyuam mos. Hauv thawj lub lis piam thawj zaug ntawm cev xeeb tub, tus menyuam yuav pib txhim kho kev yug menyuam. Tus menyuam yuav muaj tus caj ces dhau los ua tus txiv neej (XY noob) lossis poj niam (XX noob).

Yog tias tus menyuam muaj tus txiv neej (XY) noob, nce siab ntawm AMH ua, nrog rau lwm cov tshuaj hormones txiv neej. Qhov no tiv thaiv kev txhim kho ntawm poj niam cov plab hnyuv siab raum thiab txhawb nqa kev tsim ntawm txiv neej cov plab hnyuv siab raum. Yog tias tsis txaus AMH los txwv txoj kev loj hlob ntawm poj niam cov plab hnyuv siab raum, kabmob ntawm ob leeg kuj yuav tsim. Thaum qhov no tshwm sim, tus pojniam lub chaw mos yuav tsis qhia meej tias yog txiv neej lossis poj niam. Qhov no yog hu ua tus tsis meej xwm yeem genitalia. Lwm lub npe rau tus mob no yog intersex.

Yog tias tus me nyuam hauv plab muaj tus poj niam (XX) caj ces me me ntawm AMH raug tsim. Qhov no tso cai rau kev txhim kho ntawm poj niam kev ua me nyuam plab hnyuv siab raum. AMH muaj lub luag haujlwm txawv rau cov poj niam tom qab tiav nkauj tiav nraug. Lub sijhawm ntawd, zes qe menyuam (qog ua qe qe) pib ua AMH. Cov qe ntau dua muaj, qib siab dua ntawm AMH.

Hauv cov poj niam, qib AMH tuaj yeem muab cov ntaub ntawv hais txog kev muaj menyuam, kev muaj peev xwm cev xeeb tub. Txoj kev ntsuam xyuas no tseem tseem siv tau los pab nrhiav kev coj khaub ncaws los yog tshuaj saib xyuas kev noj qab haus huv ntawm cov poj niam uas muaj qee hom mob qog qe ntshav.

Lwm lub npe: AMH hormone tshuaj ntsuam, müllerian-inhibiting hormone, MIH, müllerian inhibiting yam, MIF, müllerian-inhibiting tshuaj, MIS

Nws siv rau dab tsi?

Kev kuaj AMH feem ntau yog siv los kuaj xyuas tus poj niam lub peev xwm los tsim cov qe uas tuaj yeem yug menyuam tau hauv lub cev xeeb tub. Tus poj niam lub zes qe menyuam muaj peev xwm ua tau ntau txhiab lub qe thaum nws yug menyuam xyoo. Tus naj npawb tsis kam thaum tus poj niam laus zuj zus. Cov theem AMH pab qhia txog tias muaj qe npaum li cas cov qe ua poj niam tau tso tseg. Nov yog lub npe hu ua ntawm zes qe menyuam.

Yog tias tus poj niam lub zes qe menyuam tshwj xeeb heev, nws yuav muaj feem ntau dua kom muaj menyuam hauv plab. Tej zaum nws yuav tuaj yeem tos ntau hli lossis ntau xyoo uantej uas koj yuav xeebtub. Yog tias tus kabmob ntawm zes qe menyuam tsawg, nws yuav txhais tau tias tus poj niam yuav muaj teebmeem thaum cev xeeb tub, thiab yuav tsum tsis txhob ncua sijhawm ntev ua ntej yuav muaj menyuam.

Kev kuaj mob AMH kuj tseem siv tau rau:

• Kev kwv yees pib kev coj khaub ncaws, lub sijhawm nyob ntawm tus pojniam lub neej thaum nws coj khaub ncaws tsis ua hauj lwm lawm thiab nws tsis tuaj yeem cev xeeb tub lawm. Feem ntau nws pib thaum poj niam muaj ze li 50 xyoo.
• Tshawb xyuas qhov vim li cas ntxov ntxov
• Pab nrhiav kom paub qhov laj thawj ntawm kev mob plab, tsis muaj kev coj khaub ncaws. Feem ntau cov mob no tau pom muaj hauv cov menyuam ntxhais uas tsis tau pib mob thaum muaj hnub nyoog 15 xyoos thiab hauv cov poj niam uas tau ncua ntau lub sijhawm.
• Pab ntsuas txhawm rau polycystic ovary syndrome (PCOS), kev tsis txaus siab rau poj niam txiv neej uas yog qhov teeb meem ua rau tus poj niam muaj menyuam, tsis muaj peev xwm xeeb tub
• Kuaj cov menyuam mos uas muaj tus qau uas tsis qhia meej tias txiv neej lossis poj niam yog leej twg
• Soj ntsuam cov poj niam uas muaj tej hom mob ua qe hlav zes qe menyuam

Vim li cas kuv thiaj yuav tsum tau kuaj AMH?

Koj yuav tsum tau kuaj AMH yog tias koj yog tus poj niam uas muaj teeb meem cev xeeb tub. Qhov kev xeem no tuaj yeem pab qhia qhov koj muaj feem ntau yog xeeb menyuam. Yog tias koj twb pom tus kws tshaj lij kev xeeb tub, koj tus kws kho mob yuav siv qhov kev ntsuas los twv seb koj puas yuav teb tau zoo rau kev kho mob, xws li hauv vitro fertilization (IVF).

Qib siab yuav txhais tau tias tej zaum koj yuav muaj qe ntau dua thiab yuav teb tau zoo dua rau kev kho mob. Qeb tsawg ntawm AMH txhais tau tias koj yuav muaj qe tsawg dua thiab tej zaum yuav tsis teb zoo rau kev kho.

Koj tseem yuav xav tau kev kuaj AMH yog tias koj yog tus poj niam uas muaj mob polycystic ovary syndrome (PCOS). Cov no suav nrog:

• Kev coj khaub ncaws tsis so, nrog rau thaum ntxov lawm los yog mob plab
• Pob txuv
• Tshaj lub cev thiab cov plaub hau loj hlob
• Txo lub mis loj
• Qhov hnyav nce

Ib qho ntxiv, koj yuav xav tau kev kuaj AMH yog tias koj raug kho mob qog nqaij hlav rau zes qe menyuam. Qhov ntsuas yuav tuaj yeem qhia tau yog tias koj qhov kev kho mob ua haujlwm.

Yuav muaj dab tsi tshwm sim thaum kuaj AMH?

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav npaj tshwj xeeb rau kev kuaj AMH.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Yog tias koj yog tus poj niam uas xav cev xeeb tub, koj cov txiaj ntsig tuaj yeem pab qhia seb koj qhov kev pheej hmoo yog xeeb tub li cas. Nws tseem tuaj yeem pab koj txiav txim siab thaum lub sijhawm mus ua kom cev xeeb tub. Theem siab ntawm AMH tuaj yeem txhais tau tias koj muaj feem yuav zoo dua qub thiab koj yuav muaj sijhawm ntau dua uantej koj yuav ua kom cev xeeb tub.

Theem siab ntawm AMH kuj tseem txhais tau tias koj muaj polycystic ovary syndrome (PCOS). Tsis muaj kev kho mob rau PCOS, tab sis cov tsos mob tuaj yeem tswj tau nrog kev siv tshuaj thiab / lossis kev hloov pauv hauv kev ua neej, xws li tswj kev noj zaub mov zoo thiab ua pa los yog txhaws kom tshem cov plaub hau ntau dhau.

Theem qes nws txhais tau tias koj tuaj yeem muaj teeb meem cev xeeb tub. Nws kuj tseem txhais tau tias koj tab tom pib lawm. Qeb tsawg ntawm AMH yog ib txwm nyob ntawm cov tub ntxhais hluas ntxhais thiab cov poj niam tom qab lawm lawm.

Yog tias koj raug kho tus mob qog nqaij hlav zes qe menyuam, koj txoj kev kuaj yuav qhia pom tias koj txoj kev kho mob puas ua haujlwm.

Hauv cov txiv neej ua menyuam mos, qis dua AMH yuav txhais tau tias yog caj ces thiab / lossis teebmeem qhov teeb meem hormonal ua rau cov caj ces tsis meej txiv neej lossis poj niam. Yog tias AMH theem yog dab tsi, nws yuav txhais tau tias tus me nyuam muaj noob qes, tab sis lawv tsis nyob hauv qhov chaw raug. Tus mob no tuaj yeem kho nrog kev phais mob thiab / lossis kev kho tshuaj hormone.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj mob AMH?

Yog tias koj tus poj niam raug kho rau qhov muaj teeb meem txog kev muaj menyuam, tej zaum koj yuav mus kuaj lwm yam, nrog rau AMH. Cov no suav nrog kev ntsuam xyuas estradiol thiab FSH, ob lub tshuaj hormones koom nrog kev luam tawm.

Ua tim khawv

1. Carmina E, Fruzzetti F, Lobo RA. Tau nce qib kev tiv thaiv Mullerian qib qe thiab ovarian loj hauv ib pawg me me ntawm cov poj niam muaj lub cev ua haujlwm hypothalamic amenorrhea: ntxiv kev txheeb xyuas qhov sib txuas ntawm polycystic syndrome thiab ua haujlwm hypothalamic amenorrhea. Am J Obstet Gynecol [Internet]. 2016 Jun [hais 2018 2018 11]; 214 (6): 714.e1–714.e6. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pubmed/26767792
2. Center ntawm Tsev Kho Mob Luam Yeeb [Internet]. Houston: ntxiv lawm tshobTexas.com; c2018. AMH Kev Tshuaj Ntsuam Xyuas; [hais 2018 Dec 11]; [txog 4 ntxaij]. Muaj los ntawm: https://www.infertilitytexas.com/amh-testing
3. Grynnerup AG, Lindhard A, Sørensen S. Lub luag haujlwm ntawm kev tiv thaiv Müllerian hormone hauv poj niam kev muaj me nyuam thiab ntxiv muaj hluas dua-ib lub luag haujlwm. Acta Obstet Scand [Internet]. 2012 Nov [hais 2018 Dec 11]; 91 (11): 1252–60. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pubmed/22646322
4. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .; Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2018. Anti-Müllerian Lawm; [kho tshiab 2018 Sep 13; hais 2018 Dec 11; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/anti-mullerian-hormone
5. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .; Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2018. Kev coj khaub ncaws; [kho tshiab 2018 Tsib Hlis 30; hais 2018 Dec 11]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/menopause
6. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .; Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2018. Polycystic Ovary Syndrome; [kho tshiab 2018 Oct 18; hais 2018 Dec 11; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/polycystic-ovary-syndrome
7. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Amenorrhea: Cov tsos mob thiab ua rau; 2018 Lub Plaub Hlis 26 [muab 2018 2018 11]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/amenorrhea/symcepts-causes/syc-20369299
8. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Hauv vitro fertilization (IVF): Txog; 2018 Mar 22 [raug nplua 2018 Dec 11]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/tests-procedures/in-vitro-fertilization/about/pac-20384716
9. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Cov noob qes uas tsis cia siab: Kev kuaj mob thiab kev kho mob; 2017 Lub Yim Hli 22 [hais 2018 Dec 11]; [txog 4 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/undescended-testicle/diagnosis-treatment/drc-20352000
10. Mayo Clinic: Mayo Medical Laboratories [Is Taws Nem]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1995–2018. Test ID: AMH: Antimullerian Hormone (AMH), Ntshav: Soj Ntsuam thiab Txhais Lus; [hais 2018 Dec 11]; [txog 2 ntxaij]. Muaj los ntawm: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/89711
11. Mayo Clinic: Mayo Medical Laboratories [Is Taws Nem]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1995–2018. Daim Ntawv Kuaj ID: AMH: Antimullerian Hormone (AMH), Ntshav Ntshav: Txheej txheem cej luam; [hais 2018 Dec 11]; [txog 2 ntxaij]. Muaj los ntawm: https://www.mayocliniclabs.com/test-catalog/Overview/89711
12. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav; [hais 2018 Dec 11]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
13. NIH Lub Tebchaws Asmeskas Cov Tsev Kuaj Tshuaj (Genetics) Hauv Tsev [Hauv Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; AMH noob; 2018 Dec 11 [raug nplua 2018 Dec 11]; [txog 3 ntxaij]. Muaj los ntawm: https://ghr.nlm.nih.gov/gene/AMH
14. NIH Lub Tebchaws Asmeskas Cov Tsev Kuaj Tshuaj (Genetics) Hauv Tsev [Hauv Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Müllerian aplasia thiab hyperandrogenism; 2018 Dec 11 [raug nplua 2018 Dec 11]; [txog 2 ntxaij].Muaj los ntawm: https://ghr.nlm.nih.gov/condition/mullerian-aplasia-and-hyperandrogenism
15. Cov Tshuaj deev deev cov qub ntawm New Jersey [Internet]. RMANJ; c2018. Anti-Mullerian Hormone (AMH) Kev Tshuaj Ntsuam Ntawm Ovarian Reserve; 2018 Sep 14 [muab 2018 Dec 11]; [txog 4 ntxaij]. Muaj los ntawm: https://www.rmanj.com/anti-mullerian-hormone-amh-testing-of-ovarian-reserve
16. Sagsak E, Onder A, Ocal FD, Tasci Y, Agladioglu SY, Cetinkaya S Aycan Z. Koom Haum Amenorrhea Secondary rau Mullerian Anomaly. J Txiag Li Cas [Hauv Is Taws Nem]. 2014 Mar 31 [raug nplua 2018 Dec 11]; Teeb Meem Tshwj Xeeb: doi: 10.4172 / 2165-7920.S1-007. Muaj los ntawm: https://www.omicsonline.org/open-access/primary-amenorrhea-secondary-to-mullerian-anomaly-2165-7920.S1-007.php?aid=25121

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.