Uyini uhlobo oluxubile lwe-hyperandrogenism?

Ukuphulwa kwesistimu ye-neuroendocrine yabesifazane, okubangela ukuba kuvele ukungabi nokuzala, ingenye yezinkinga ezibaluleke kakhulu zomuthi, isisombululo senkinga esibhekene nodokotela emhlabeni jikelele. Le nkinga akuyona nje kuphela ezokwelapha, kodwa futhi inhlalakahle, ngoba emazweni amaningi kunezinkinga zokunyuka kwemvelo, futhi isixazululo salolu daba singasombulula inkinga yokungabi nabantwana kwabesifazane.
Ngakho-ke yiyiphi i-hyperandrogenism ehlanganisiwe futhi yiziphi izimbangela zalokho okwenzekayo? Ake sizame ukuphendula lo mbuzo.

Kukhona ama-hormone ocansi emadodeni, okuthiwa i-androgens, akhiqizwa emadodeni ngama-testes, nakwabesifazane abane-ovaries. Futhi la ma-hormone akhiqizwa emadodeni nakwabesifazane kulezi zinhlayiya ze-adrenal.

La mahomoni aqinisekisa ukuthuthukiswa kwamagciwane omzimba, ukulawula ukukhula nokuthuthukiswa kwezitho zobulili emadodeni, futhi ahlanganyele nenqubo ye-metabolism, ekwakheni umphumela we-anabolic. Emzimbeni, abesifazane ne-orrogens yizinto ezibonakalayo zokudala ama-hormones e-sex - ama-estrogens, futhi ahlinzekela nenqubo yokugcoba. Lapho kukhona inqwaba ye-androgens, inqubo yokuvota iyashesha, njengoba ingenzi iqhaza ekuvuthweni okuphelele kwe-oocyte. Futhi, ukuba khona kwe-androgens ngokweqile kusiza ukuvimbela ukukhiqizwa kwe-progesterone, engathinta ukukhulelwa futhi ibangele ukukhulelwa kwesisu. Emzimbeni, izinga le-hormone i-androgen-testosterone livela ku-0.2 kuya ku-1 ng / ml.

I-Hyperandrogenia ikhuthaza ukwakheka kwezici zesilisa emzimbeni wesifazane, futhi imbangela yalokho kwenzeka khona yi-androgens eningi ngokweqile. Kule-androgens engaphezulu kwehola kanye ne-adrenal kanye nama-ovaries. Futhi, imbangela ye-androgens ngokweqile ingaba isifo somzimba.

I-hyperandrogenism ye-grenal adrenal ingenzeka ngezifo ze-pituitary gland kanye nezicubu zezingqungquthela ze-adrenal. I-hyperandrogenia yama-ovari ivela phambi kwesisu ngaphakathi kwama-ovari noma phambi kwe-polycystosis ema-ovari.

Kwezinye izizwe, i-hyperandrogenism ingase ibe esimweni esivamile, ngoba i-hypersensitivity i-hormone androgen kusukela ekuzalweni.

Izibonakaliso eziyinhloko ze-hyperandrogenism yohlu oluxutshwe yizinwele ezilahlekile noma izinwele, ukuguquka komthethosisekelo noma izwi, kanye nezinguquko ezakhiweni zesikhumba. Ngezinwele esifubeni, emuva, izandla nobuso bomuntu, izinwele zikhula ngokushesha. Ngaphezu kwalokho, emadodeni, izinwele zibopha esifubeni zingahambisana ne-alopecia ezindaweni zethempelini nasemabunzini, nezwi liphansi, futhi isikhumba siyaba nesibindi, siba nomoya ogcweleyo, kanti futhi kungaba khona ama-acne. Futhi isakhiwo somzimba sishintsha: ibhande lehlombe liba likhulu, amathanga amancane, kanti izinhlayiya ze-mammary ziyancipha.

Nge-hyperandrogenism yehlobo oluxubekile, umjikelezo wokuya esikhathini usuphukile kwabesifazane, kuze kube yilapho engekho isikhathi sokuya esikhathini. Lokhu kuguqulwa kwe-carbohydrates metabolism kuholela ekuthuthukiseni isifo sikashukela nokukhuluphala.

Zonke lezi zenzakalo zenzeka ngaphezulu ngamathumba ama-ovari nama-adrenals.
Ukuze unqume i-hyperandrogenia, lona wesifazane ufunda ngezifundo ezikhethekile ze-hormonal background, i-X-ray kanye nokuhlolwa kwe-ultrasound kwama-ovari nama-adrenals.

Ukuze uqale ukwelashwa udinga ukunquma ukuthi yini eyabangela. Uma i-hyperandrogenia yohlobo oluxubekile ibangelwa isisu, khona-ke lizama ukususa. Ngezinye izizathu, kusetshenziselwa izindlela eziningi zokwelapha ezinomusa-ukubeka izidakamizwa, ukwethula amahomoni. Kodwa uma kungekho umthelela wezidakamizwa, kufanele usebenzise izinsizakalo zesigqirha, ukuze kususwe izingxenye zezitho.