Ciwon rashin hankalin androgen

Ciwon rashin lafiyar androgen (AIS) shine lokacin da mutumin da yake jinsin namiji (wanda yake da ɗayan X da Y chromosome) yana da juriya ga homonin namiji (wanda ake kira androgens). A sakamakon haka, mutum yana da wasu halaye na zahiri na mace, amma yanayin halittar namiji.

AIS yana faruwa ne sakamakon lahani na kwayoyin halitta akan X chromosome. Wadannan lahani suna sanya jiki ya kasa amsa ga homonin da ke haifar da bayyanar namiji.

Ciwon ya kasu kashi biyu:

• Kammala AIS
• Sashin AIS

A cikakkiyar AIS, azzakari da sauran sassan jikin namiji sun kasa bunkasa. A lokacin haihuwa, yaron yana kama da yarinya. Cikakken nau'in cututtukan yana faruwa kusan kusan 1 cikin haihuwar haihuwa 20,000.

A cikin AIS na nuna bambanci, mutane suna da halaye daban-daban na halayen maza.

Sashin AIS na iya haɗawa da wasu rikice-rikice, kamar:

• Rashin gwajin ko ɗaya ko duka biyun ya sauka a cikin mahaifa bayan haihuwa
• Hypospadias, yanayin da buɗewar fitsarin yake a ƙasan azzakari, maimakon a ƙarshen
• Ciwon Reifenstein (wanda aka fi sani da ciwon Gilbert-Dreyfus ko cutar Lubs)

Hakanan ana ɗauke da cutar rashin lafiyar namiji a matsayin wani ɓangare na m AIS.

Mutumin da ke da cikakkiyar AIS ya bayyana cewa mace ce amma ba shi da mahaifa. Ba su da ƙananan hamata da gashin kai. A lokacin balaga, halayen halayen mata (kamar su nono) suna haɓaka. Amma dai, mutumin baya yin haila sai ya zama mai haihuwa.

Mutanen da ke da AIS na iya zama suna da halaye na jiki na namiji da na mace. Da yawa suna da rufe farji na waje, da kara girman duri, da gajeriyar farji.

Za a iya samun:

• Farji amma babu mahaifar mahaifa ko mahaifa
• Ingantaccen hernia tare da gwaji wanda za'a iya ji yayin gwajin jiki
• Kirjin mace na al'ada
• Gwaji a cikin ciki ko wasu wurare marasa kyau a jiki

Cikakken AIS yana da wuya a gano shi lokacin yarinta. Wani lokaci, ana jin ci gaba a cikin ciki ko dusar ƙanƙara wanda ya zama kwaya idan aka bincika ta tare da tiyata.Mafi yawan mutane masu wannan matsalar ba a bincikar su har sai sun sami lokacin al'ada ko kuma suna da matsalar yin ciki.

M AIS galibi ana gano shi yayin ƙuruciya saboda mutum na iya samun halaye na zahiri na mace da na miji.

Gwaje-gwajen da aka yi amfani dasu don tantance wannan yanayin na iya haɗawa da:

• Yin aikin jini don duba matakan testosterone, hodar luteinizing (LH), da kuma kwayar motsawar kwayar halitta (FSH)
• Gwajin kwayoyin halitta (karyotype) don ƙayyade yanayin halittar mutum
• Pelvic duban dan tayi

Sauran gwaje-gwajen jini za'a iya yi don taimakawa gaya bambanci tsakanin AIS da rashi androgen.

Ba a cire ƙwayoyin halittar da ke wurin da ba daidai ba har sai yaro ya gama girma kuma ya balaga. A wannan lokacin, za a iya cire gwajin saboda za su iya kamuwa da cutar kansa, kamar kowane ƙwayar da ba ta dace ba.

Ana iya tsara maye gurbin Estrogen bayan balaga.

Jiyya da sanya jinsi na iya zama matsala mai rikitarwa, kuma dole ne a keɓance shi ga kowane mutum.

Hangen nesa na cikakken AIS yana da kyau idan aka cire kayan ƙwanji a lokacin da ya dace don hana cutar kansa.

Matsalolin sun hada da:

• Rashin haihuwa
• Abubuwan da suka shafi tunani da zamantakewa
• Ciwon kwayar cutar

Kira mai ba da sabis na kiwon lafiya idan ku ko yaranku suna da alamu ko alamomin ciwo.

Gwajin mazajen mata

• Jikin haihuwa na namiji
• Tsarin haihuwa na mata
• Tsarin haihuwa na mata
• Karyotyping

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