Obesity, acne, and not easy to conceive … Many women will doubt whether they have "polycystic ovary syndrome" when they have symptoms.Chen Yajun, director of the medical examination department of Nanjing Maternal and Child Health Hospital, said that the core of the laboratory diagnosis of the "polycystic ovary syndrome" is currently mainly Kinenemia.Traditional detection methods can only detect tworogens, while steroid hormone detection can detect a variety of androgen, which greatly reduces the misunderstanding rate of polycystic ovary syndrome.
With typical symptoms, do you definitely point to the polycystic ovary syndrome?
The prevalence of polycystic ovaries syndrome has reached 5.6%among women in my country.The reporter learned that the disease will not only cause reproductive health (difficulty in pregnancy), mental health (anxiety, depression, physical image, etc.), but also the high risk factors of diabetes, hypertension and endometrial cancer, which seriously affects the quality of life.
Menstrual disorders are the main symptoms of polycystic ovary syndrome.The menstrual flow is less or amenorrhea, and it can also be manifested as irregular uterine bleeding, and the menstrual or menstrual periods are not regular.At the same time, obesity, hairy, acne, and female hair loss are also mainly the most common manifestations of advanced androgens.In addition, black spiny skin is gray -brown pigmentation, such as the neck back, underarms, lower breasts, and groin, which may also be a manifestation of polycystic ovary syndrome.
But those who are not these symptoms must be polycystic ovary syndrome.Ms. Fang, 37, has been diagnosed as polycystic ovary syndrome, and has not improved for many years.Recently, Ms. Fang chose to go to Nanjing Maternal and Child Health Hospital for treatment.After steroid hormone testing, it is likely that patients are likely to be a relatively rare adrenal cortical hyperplasia. This disease is easily misdiagnosed as a polycystic ovary syndrome.In the end, Ms. Fang was clearly diagnosed with atypical congenital adrenal hyperplasia. She suggested that she was transferred to a comprehensive hospital for treatment, and the symptoms were significantly improved.
Mass spectrometer detection steroid hormone, catch "real murderer"
"According to the" Guidelines for Diagnosis and Treatment of Polycystic Ovarian Syndrome (2018) ", the core of the laboratory diagnosis of polycystic ovary syndrome is mainly aquariamia." Chen Yajun, director of the medical examination department of Nanjing Maternal and Child Health Hospital, said that polycysticThe exact cause of the ovarian syndrome (PCOS) is still unclear, and it may now be considered the result of the common role of genetic and environmental factors.Therefore, if you want to diagnose the polycystic ovary syndrome, you need a number of examinations to obtain an accurate diagnosis. The symptoms can be determined by the symptoms that may be confused with other diseases and misdiagnosis."Traditional detection methods can only detect tworogens, and steroid hormone detection can detect a variety ofrogens, which greatly reduces the misunderstanding rate of the diagnosis of polycystic ovary syndrome."
What is steroid hormone?Director Chen Yajun told reporters that steroid hormones mainly include adrenal corticosteroids and sex hormones, which can not only affect the growth, development and emotional performance of a normal person, but also an important factor in maintaining the balanced operation of various organs in the body.Once the level of steroids in the body is imbalanced, it will affect the functions of sleep, basic metabolic rate and immune system, and cause a series of endocrine -related diseases, such as: polycystic ovary syndrome, adrenal hereditary disease, adrenal tumor, hypertension, Ku Xin, Ku XinSyndrome, etc.
"In order to obtain more accurate test results, the hospital uses mass spectrometry to detect steroid hormone." Director Chen Yajun introduced that the mass spectrometry method is a detection method with accurate measurement and simultaneous detection.Essence
It is understood that the male hormone level is extremely low.Therefore, Director Chen Yajun pointed out that the measurement range of traditional methods cannot be accurately covered.The mass spectrometry technology solves these problems well. Its measurement range is more accurate, and it is particularly suitable for material testing with extremely low content in the body.
"Many diseases such as polycystic ovary syndrome, Ku Xin syndrome, adrenal tumor, and certain enzyme defect diseases will cause similar clinical manifestations, which is easy to misdiagnose and delay treatment."The type of androgen is limited, and the mass spectrometer can simultaneously detect a variety ofrogens, which can assist in the more accurate clinical identification of these diseases.
Correspondent Wang Ningyan
Yangzi Evening News/Zi Niu News Reporter Lu Yanlin