Thawj Tus Neeg Ovarian Insufficiency

Zoo Siab

• Ntsiab lus
• Tus thawj ntawm zes qe menyuam tsis txaus (POI) yog dab tsi?
• Dab tsi ua rau tus thawj ntawm zes qe menyuam tsis txaus (POI)?
• Leej twg yuav muaj feem muaj teeb meem rau thawj cov zes qe menyuam tsis txaus (POI)?
• Cov tsos mob ntawm tus thawj ntawm zes qe menyuam tsis muaj txhij txhua (POI) yog dab tsi?
• Lwm yam teeb meem dab tsi tuaj yeem ua rau tsis xav tau ntawm zes qe menyuam (POI) ua rau?
• Yuav kuaj li cas thiaj tsis paub meej ntawm zes qe menyuam (POI)?
• Yuav kho tus mob ntawm zes qe menyuam tsis txaus (POI) li cas?

Ntsiab lus

Tus thawj ntawm zes qe menyuam tsis txaus (POI) yog dab tsi?

Thawj lub zes qe menyuam tsis muaj txhij txhua (POI), tseem hu ua zes qe menyuam tsis muaj hnub nyoog ntxov, tshwm sim thaum tus poj niam lub zes qe menyuam tsis ua haujlwm ib txwm muaj ua ntej nws muaj 40 xyoo.

Coob tus pojniam muaj teeb meem kev xeeb tub me nyuam thaum lawv txog 40 xyoo. Lawv yuav pib tau khaub ncaws tsis xwm yeem thaum lawv hloov rau lub cev ntas. Rau cov poj niam nrog POI, cov sij hawm tsis xwm yeem thiab txo kev muaj menyuam muaj peev xwm pib ua ntej hnub nyoog 40. Qee zaum nws tuaj yeem pib ua ntej thaum hnub nyoog hluas.

POI txawv ntawm qhov ua lub hnub nyoog pib lawm. Nrog lub cev ntas ntxov, koj coj khaub ncaws nres ua ntej hnub nyoog 40. Koj tsis tuaj yeem cev xeeb tub lawm. Qhov ua rau muaj peev xwm yog ntuj lossis nws tuaj yeem yog tus kab mob, phais mob, kho mob, lossis hluav taws xob. Nrog rau POI, qee tus poj niam tseem muaj qee lub sijhawm. Tej zaum lawv tseem yuav muaj menyuam. Feem ntau ntawm POI, qhov ua rau tseem tsis tau paub.

Dab tsi ua rau tus thawj ntawm zes qe menyuam tsis txaus (POI)?

Hauv kwv yees li 90% ntawm cov teeb meem, qhov tseeb ntawm POI tsis tau paub tseeb.

Kev tshawb fawb qhia tau tias POI cuam tshuam rau cov teeb meem nrog cov hauv paus. Cov hauv qab yog cov hnab me me hauv koj cov zes qe menyuam. Koj cov qe yuav loj hlob thiab paub tab hauv lawv. Ib hom teeb meem ntawm cov hauv paus yog koj khiav tawm ntawm cov neeg ua haujlwm ua haujlwm ntxov dua li ib txwm. Ib qho ntxiv yog cov hauv paus tsis ua haujlwm zoo. Feem ntau, qhov ua rau cov teeb meem follicle tsis paub. Tab sis qee zaum kuj ua rau

• Kev mob caj ces xws li Fragile X syndrome thiab Turner syndrome
• Tsawg tsawg ntawm cov hauv paus
• Cov kab mob autoimmune, nrog rau cov mob qog thiab Addison
• Kws khomob los xoo hluav taws xob
• Kev ntshaib plab metabolic
• Tso mob, xws li cov luam yeeb, luam yeeb, thiab tshuaj tua kab

Leej twg yuav muaj feem muaj teeb meem rau thawj cov zes qe menyuam tsis txaus (POI)?

Qee yam ua tau tuaj yeem tsa tus poj niam txoj kev pheej hmoo ntawm POI:

• Keeb kwm tsev neeg. Cov poj niam uas muaj niam los yog txiv muam nrog POI yog tus yuav muaj feem ntau.
• Cov Noob. Qee qhov kev hloov pauv rau cov caj ces thiab caj ces ua rau cov poj niam muaj kev pheej hmoo siab rau POI. Piv txwv li, cov poj niam Fragile X syndrome lossis Turner syndrome yuav muaj feem ntau dua.
• Ib co kab mob, xws li autoimmune kab mob thiab kis kab mob
• Kev kho mob cancer, xws li kev khomob rau tshuaj thiab hluav taws xob
• Lub hnub nyoog. Cov poj niam yau dua tuaj yeem tau txais POI, tab sis nws tau dhau los ua cov hnub nyoog 35-40.

Cov tsos mob ntawm tus thawj ntawm zes qe menyuam tsis muaj txhij txhua (POI) yog dab tsi?

Thawj qhov cim npe ntawm POI feem ntau tsis xwm yeem lossis ncua sijhawm. Cov tsos mob tom qab tej zaum yuav zoo li cov uas lub cev ntas:

• Kub muag kub
• Hmo ntuj tawm hws
• Vauv
• Kev tsis zoo mloog
• Tsawg tus txiv neej tsav tsav
• Mob thaum sib deev
• Vaginal dryness

Rau ntau tus poj niam nrog POI, teeb meem muaj menyuam hauv plab los yog muaj menyuam hauv plab yog qhov laj thawj uas lawv mus rau lawv tus kws kho mob.

Lwm yam teeb meem dab tsi tuaj yeem ua rau tsis xav tau ntawm zes qe menyuam (POI) ua rau?

Txij li POI ua rau koj muaj qis dua qee yam tshuaj hormones, koj muaj feem yuav muaj feem ntau dua lwm cov mob, suav nrog

• Ntxhov siab vim thiab kev nyuaj siab. Kev hloov kho cov hlav vim los ntawm POI tuaj yeem pab txhawb kev ntxhov siab lossis ua rau muaj kev nyuaj siab.
• Qhov muag qhuav mob ntsws thiab mob rau sab qhov muag. Qee tus poj niam nrog POI muaj ib qho ntawm cov kab mob no qhov muag. Ob qho tib si tuaj yeem ua rau tsis xis nyob thiab yuav ua rau tsis pom kev. Yog tias tsis kho, cov mob no tuaj yeem ua rau lub qhov muag puas tsuaj.
• Kab mob plawv. Kev qis qis ntawm cov tshuaj estrogen tuaj yeem cuam tshuam cov leeg nqaij hauv cov hlab ntsha thiab tuaj yeem ua rau cov roj (cholesterol) hauv cov hlab ntsha nce ntxiv. Cov xwm txheej no ua rau koj muaj kev pheej hmoo ntawm atherosclerosis (ua kom tawv ntawm cov hlab ntsha).
• Ntxiv lawm tshob.
• Tsawg lub qog ua haujlwm. Qhov teeb meem no tseem hu ua hypothyroidism. Cov thyroid yog ib lub caj pas ua cov tshuaj hormones uas tswj hwm koj lub cev hauv lub cev cov metabolism thiab qib zog. Qes qis qog yuav ua rau koj cov metabolism thiab ua rau lub zog poob qis, ua rau lub hlwb qeeb qeeb, thiab lwm cov tsos mob.
• Kab mob hauv. Cov tshuaj hormones estrogen pab ua rau cov pob txha muaj zog. Yog tias tsis muaj cov tshuaj estrogen txaus, cov poj niam uas muaj POI feem ntau ua rau osteoporosis. Nws yog cov pob txha mob uas ua rau cov pob txha tsis muaj zog, lub cev uas tawg yooj yim dua.

Yuav kuaj li cas thiaj tsis paub meej ntawm zes qe menyuam (POI)?

Kev kuaj mob POI, koj tus kws kho mob yuav ua

• Keeb kwm kev kho mob, suav nrog kev nug seb koj puas muaj neeg txheeb ze nrog POI
• Kev kuaj cev xeeb tub, Nco ntsoov tias koj tsis tau xeeb tub
• Lub cev soj ntsuam, mus saib rau cov cim qhia ntawm lwm yam kev tsis sib haum xeeb uas tuaj yeem ua rau koj cov tsos mob
• Kuaj ntshav, txhawm rau kuaj qee theem qog. Koj kuj tseem yuav tau tso ntshav ntsuas mus ntsuas cov chromosome tsom. Lub chromosome yog ib feem ntawm lub cell uas muaj cov ntaub ntawv keeb kwm.
• Tus mob hu ua pelvic ultrasound, txhawm rau saib puas muaj ovaries loj lossis ntau lub hauv paus

Yuav kho tus mob ntawm zes qe menyuam tsis txaus (POI) li cas?

Tam sim no, tsis muaj pov thawj kho kho kom rov zoo li qub rau tus poj niam lub zes qe menyuam. Tab sis muaj kev kho rau qee qhov tsos mob ntawm POI. Nws tseem muaj txoj hauv kev txo koj cov teeb meem kev noj qab haus huv thiab kho cov xwm txheej uas POI tuaj yeem ua rau:

• Kev hloov kho Hormone (HRT). HRT yog cov kev kho mob feem ntau. Nws ua rau koj lub cev estrogen thiab lwm yam tshuaj hormones uas koj lub zes qe menyuam tsis yog. HRT pab txhim kho kev noj qab haus huv kev sib deev thiab txo qis kev pheej hmoo rau kab mob plawv thiab osteoporosis. Koj ib txwm coj nws txog thaum hnub nyoog 50; Uas yog hais txog lub hnub nyoog thaum lawm lub hnub nyoog ib txwm pib.
• Tshuaj ntxiv calcium thiab vitamin D. Vim tias cov poj niam nrog POI muaj kev pheej hmoo siab txaus, koj yuav tsum noj tshuaj calcium thiab vitamin D txhua hnub.
• Hauv tshuaj tua kab mob hlwb (IVF). Yog tias koj muaj POI thiab koj xav kom cev xeeb tub, koj tuaj yeem txiav txim siab sim tshuaj IVF.
• Kev tawm dag zog tas li thiab lub cev noj qab nyob zoo. Kev tawm dag zog kom ib ce tawm hws thiab tswj koj qhov hnyav tuaj yeem txo koj txoj kev pheej hmoo txhaws thiab mob plawv.
• Kev kho mob rau cov mob uas cuam tshuam nrog. Yog tias koj muaj mob uas cuam tshuam nrog POI, nws tseem ceeb uas yuav tsum tau kho qhov ntawd thiab. Cov kev kho yuav yog tshuaj noj thiab tshuaj hormones.

NIH: Lub Koom Haum Hauv Tebchaws ntawm Kev Noj Qab Haus Huv thiab Tib Neeg Kev Loj Hlob