Chii chinonzi Kallmann Syndrome
Zvemukati
Kallman's syndrome chirwere chisingawanzozivikanwa chinoratidzirwa nekunonoka mukuyaruka uye kudzikisira kana kusavapo kwehwema, nekuda kwekushomeka mukugadzirwa kwegonadotropin-inosunungura mahormone.
Kurapa kunosanganisira kuitiswa kwegonadotropin uye mahormone ebonde uye inofanirwa kuitwa nekukurumidza sezvazvinogona kudzivirira mhedzisiro yemuviri uye yepfungwa.
Ndezvipi zviratidzo
Zviratidzo zvinoenderana nemajini anochinja shanduko, chakanyanya kuve kusavapo kana kudzikisira hwema hwekunonoka mukuyaruka.
Nekudaro, zvimwe zviratidzo zvinogona kuitika, senge kupofomara kwemavara, shanduko yekuona, matsi, kupenga kwemukanwa, renal uye kusagadzikana kwetsinga uye kusavapo kwedzinza remachende muchikanda.
Zvinogona kukonzerwa
Kallmann's syndrome inomhanya nekuda kwekuchinja kwemajini ayo anonamira mapuroteni anokonzeresa kusimudzira kweeuronal, zvichikonzera shanduko mukukudziridzwa kwegirobhu rinonamira uye shanduko inotevera mumatanho egonadotropin-inosunungura mahormone (GnRH).
Congenital GnRH kushomeka zvinoreva kuti mahormone LH neFSH haana kugadzirwa muhuwandu hwakakwana kukurudzira nhengo dzepabonde kuburitsa testosterone uye estradiol, semuenzaniso, kunonoka kuyaruka. Ona kuti ndedzipi shanduko dzemuviri dzinoitika pakuyaruka.
Maitiro ekuongororwa kunoitwa
Vana vasingatange kukura pabonde vangangoita makore gumi nematatu ekuberekwa muvasikana uye makore gumi nemana muvakomana, kana vana vasingafambire zvakanaka panguva yekuyaruka, vanofanirwa kuongororwa nachiremba.
Chiremba anofanirwa kuongorora nhoroondo yemunhu yekurapa, kuita ongororo yemuviri uye kukumbira kuyerwa kwemazinga eplasma gonadotropin.
Kuongororwa kunofanirwa kuitwa munguva yekutanga mahormone kutsiva kurapwa uye kudzivirira mhedzisiro yepanyama neyepfungwa yekunonoka kuyaruka
Chii chinonzi kurapwa
Kurapa mune varume kunofanirwa kuitwa munguva yakareba, pamwe nekutungamirwa kwechorionic gonadotropin kana testosterone uye mumadzimai ane cyclic estrogen uye progesterone.
Chibereko chinogona kudzoreredzwa nekupa gonadotropin kana kushandisa pombi inotakurika yekumisikidza kuburitsa pulsed subcutaneous GnRH.