Dispensary bvunzo seti yebvunzo uye zvidzidzo zvinokurudzirwa nachiremba panguva dzakasiyana (asi kamwechete pamakore maviri ega ega).
Chinhu chekutanga chaunofanira kuita ndechekuyeuka nhoroondo yemhuri yako: chii chakafa vanasekuru vako, uye kana vachiri vapenyu, zvirwere zvipi zvisingaperi zvavanotambura nazvo. Chokwadi ndechekuti, kuziva kuti madzitateguru ako airwara nei uye kubva kune zvavakafa, zvichave nyore kuna chiremba kuti akurongedze chirongwa chekuongorora kurapwa kwako. Asi kunyangwe tikarasa hunhu hwemuti wako wekuzvarwa, vakadzi vese, pasina kusarudzika, vanoda:
tora kuongororwa ropa (kubva pamunwe kana kubva mutsinga),
pfuura general weti test,
pfuura biochemical blood test yehuwandu hwezviratidzo, pamusoro peiyo nyaya ichave gare gare,
kuongororwa na gynecologist,
kuongororwa na mammologist,
kuongororwa maruva emukadzi,
kuongorora mammary glands (ultrasound - kana iwe usati wava nemakore 35-40, mammography - kana iwe watova nemakore makumi matatu nemashanu kana makumi mana; chiremba, mushure mekuteerera anamnesis yako, mumiganhu yemiganhu, nezera, sarudza kuti ndeipi bvunzo yakakunakira iwe),
kuita ultrasound yenhengo dzepelvic (kuona zvirwere uye neoplasms),
kuita colposcopy (kuongororwa kwematishu emuchibereko kuti asabvisa kuderera kwemasero kuita zvakaipa),
tarisa iyo lipid profile (icharatidza kuti yakakura sei njodzi yekuvhara ropa),
kuita ECG,
kupa ropa kune shuga (kuitira kuti usapotsa kutanga kwekukura kwechirwere cheshuga mellitus),
tarisa okomarkers (tora kuongororwa ropa kweanokwana matatu mabundu mamaki: CA-125 - yegomarara reovarian, CA-15-3 - yegomarara rezamu, CA-19-19 - yecolon uye rectal cancer, iri munzvimbo yechitatu ne kuwanda kwevakadzi mushure mekenza yemazamu nemapapu),
shanyira chiremba wepfungwa,
kuongororwa kwehomoni (inofanira kutorwa pakutanga uye pazuva rechimakumi maviri rekutenderera). Icharatidza kuti mazai ako uye thyroid gland zviri kushanda sei.
Kuongororwa kwechiremba gore negore
Ngatienderere mberi nekududzira zviratidzo zvekuongororwa kweropa rebiochemical.
Alanine aminotransferase (AMT) inoratidza kana paine kukuvara kwechiropa (chisingaperi hepatitis, cirrhosis, kana cancer). Kana chiyero chayo chichiwedzerwa, ichi ndicho chikonzero chekuti vanachiremba vafungidzire chirwere. Ichokwadi, zvakaoma kuita chirwere chakarurama maererano nekuongorora uku, saka tsvakurudzo yekuwedzera inogona kudiwa.
Amylase yakazara mu serum - enzyme ye pancreas. Muedzo uchakuudza kana uine pancreatitis kana kumwe kukuvadza mudumbu mako. Zvakare, kana chiyero chayo chichiwedzerwa, ipapo vanachiremba vacharidza alarm, asi havazokwanisi kutaura zvechokwadi kuti chii chakaipa newe: tsvakurudzo yakawanda inodiwa.
Antibodies kune thyroperoxidase - chiratidzo che autoimmune thyroid chirwere.
Antithrombin III ine kuora mwoyo kwekuita pakuvhara ropa. Kuderera kwehuwandu hwayo kunoratidza kuti kune ngozi yekuvhara ropa.
Total whey protein... Mapuroteni eropa akakamurwa kuva albumin (yakagadzirwa kubva muprotein inowaniswa nechikafu muchiropa) uye maglobulins (anotsigira kudzivirirwa kwezvirwere, kutakura zvinovaka muviri kuenda kumatishu, kuona kugwamba kweropa kwenguva dzose, uye anomiririrwawo nemaenzayimu nemahomoni. Vanachiremba vangave vachinetseka pamusoro penyaya iyi. kuti chiyero cheprotein chawakaderedza, uye vanofarira kukosha kwakakwana, uye kwete hama, iyo inobva pakunonoka kana, zvakasiyana, kurasikirwa kwemvura.Saka, kana mhedziso yeprotein muropa inoderedzwa , zvino izvi zvinogona kuratidza kukanganisa kweprotein metabolism, iyo pachayo inogona kuva chiratidzo chekushaya simba kwechiropa (sezvo zvinyorwa zvealbumin zvinowanzoderera), itsvo kana endocrine system disorders.Muzhinji, kana vakaona kuti chimwe chinhu chakaipa, ipapo vachapa imwe ongororo.
Zvose bilirubin - bilirubin, chigadzirwa chekuparara chehemoglobin chiri mumasero matsvuku eropa anofa ega kana chimwe chinhu chinomutsa kufa kwavo. Kazhinji, 1% ye erythrocytes inoparara mumunhu ane utano pazuva; maererano naizvozvo, inenge 100-250 mg yebilirubin inopinda muropa. Bilirubin inogona kuwedzera nekuda kwekuwedzera kuparara kwemasero matsvuku eropa (izvo zvinowanzoitika kune mamwe marudzi eanemia) kana kukuvara kwechiropa (somuenzaniso, nehepatitis). Ichokwadi ndechokuti kuwedzera kushandiswa kwebilirubin kunoitika muchiropa kuitira kuti ibvise kubva mumuviri, zvisinei, kana chiropa chakakuvadzwa nenzira ipi zvayo, ipapo bilirubin inosunungurwa kubva mumasero akakuvadzwa, ichipinda muropa. Kuwedzera kwebilirubin kunogonawo kusanganiswa nekunetseka kwekubuda kwe bile (semuenzaniso, kana iyo bile duct ikamanikidzwa nechimwe chinhu, semuenzaniso, bundu, yakawedzera lymph node, dombo kana vanga), ipapo mamiriro aya inonzi bile duct dyskinesia. Kuti uone kana iwe uine chimwe cheizvi zvisizvo mumabasa emuviri, kuongorora uku kunorayirwa.
Gamma-glutamyltranspeptidase (GGT) - enzyme inowanikwa mumasero echiropa uye bile ducts, zvichiteerana, mhedzisiro inoratidza zvakare kuti chiropa chako chinoshanda sei. Mhedzisiro yebvunzo ichabatsira kuziva kana uine bile stasis (holistasis). Panguva imwecheteyo, kugadzirwa kweiyo enzyme kunokonzerwawo nedoro, saka, manheru ekuongorora, haufanirwe kunwa kana kutora paracetamol kana phenobarbital (iri muCorvalol), iyo inowedzerawo GGT index.
Plasma glucose… Izvi hazvisi zvachose nezvemuimbi ane mukurumbira pascreen, asi nezvemhedzisiro ichakubatsira iwe kuziva kana uine chirwere cheshuga. Izvi zvakakosha nekuti chirwere cheshuga chinotanga nezviratidzo zvidiki zvinogona kufuratirwa. Kuongorora kunonyanya kudiwa kune avo vane genetic predisposition kune chirwere cheshuga (hama yepedyo ine chirwere cheshuga), vakafuta, kana iwe uri pamusoro pemakore makumi mana nemashanu.
Homocysteine... Kuungana mumuviri, homocysteine inotanga kurwisa madziro emukati etsinga dzeropa, intima, yakarongedzwa ne endothelium. Uye muviri unotsvaka kuporesa mikaha inoguma. Nokuda kweizvi, muviri une cholesterol uye calcium, iyo inoumba atherosclerotic plaques pamadziro emidziyo yakakuvadzwa. Uye zvese zvingave zvakanaka kana aya maplaque asina kupedzisira atungamira kuvharika kwemidziyo iri kugadziriswa! Homocysteine inofanira kuongororwa kana nhengo dzemhuri yako dzepedyo dzine ropa, chirwere chemwoyo, kana sitiroko nekurwadziwa kwemoyo. Zvinonyanya kukosha kutarisa chiyero chayo kana zvirwere zvakadaro zvikakura mumhuri isati yasvika makore makumi mashanu.
Iron mu serum… Hausi munjodzi yekuve mutemi wehuni kana ongororo yako iri yakajairika. Kana uine anemia, ipapo chiratidzo ichi chichabatsira kuziva kana chakabatana nesimbi yakaderera mumuviri kana, zvichida, yakagadzirwa, semuenzaniso, nekuda kwekushayikwa kwevhitamini B12. Kana simbi yako, pane zvinopesana, ichiwedzerwa, zvino izvi zvinogona kunge zvakakonzerwa nehemochromatosis yenhaka (chirwere chinosanganiswa nekuwedzera kunyura uye kuunganidzwa kwesimbi) kana kuwandisa kwegadziriro yesimbi.
Serum calcium… Calcium ndicho chinhu chikuru chekuvaka chemuviri, pamusoro pezvo, inobatanidzwa mukudhonzwa kwetsandanyama nemoyo. Iyi mineral inogara ichienderana ne phosphorus. Ndiko kuti, kana huwandu hwe calcium muropa hunoderera, zvinyorwa zve phosphorus zvinokwira, uye zvakasiyana. Nokudaro, vanotaura nezve phosphorus-calcium metabolism. Izvo zviri mu calcium muropa zvinogadziriswa neparathyroid uye thyroid glands. Muedzo uyu unoratidza calcium metabolism mumuviri, iyo yakakosha pakuongorora kushanda kweitsvo (inoburitsa calcium), inoongorora zvisina kunanga kana paine kenza yemazamu, yemapapu, yeuropi kana yehuro, kana paine myeloma (rudzi rwegomarara reropa), zvakare zvisina kunanga. inoratidza hyperthyroidism (kana iyo calcium level yakakwirira). Nekudaro, kuongororwa uku hakuzoudze vanachiremba chero chinhu nezve calcium yemukati mumapfupa e skeleton! Kuti uongorore chiratidzo ichi, pane imwe nzira yakasiyana - densiometry.
Coagulogram (prothrombin maererano neKukurumidza uye INR) - chigumisiro chinoratidza kuti ropa rinoputika sei.
Leukocyte formula (leukogram) inoratidza, kutanga, kuti muviri unogona sei kurwisa utachiona, uye chechipiri, inogona kuratidza, kana uchienda kuruboshwe (kureva, kuwedzera kwema-immature leukocytes), kenza yeimwe nhengo, kusanganisira mazamu.