Hormone tests
Kuongororwa kweHormone kunowanzo kurongedzerwa nemagynecologists, endocrinologists, urologists kana vanachiremba vezvimwe hunyanzvi kana paine zviratidzo zvepathologies zvine chekuita nekusawirirana kwehomoni. Kuti zvigumisiro zvive zvakarurama, zvakakosha kutevera mitemo yekutora bvunzo.

Mahomoni makemikari emakemikari anogadzirwa nemiviri yedu kuti agadzirise mabasa akasiyana-siyana, kubva kumetabolism kusvika pakuda kudya uye kunyange kurova kwemoyo uye kufema. Kunyanya kana kushoma kwemamwe mahomoni (hormonal imbalance) inokanganisa hutano uye inomutsa zvirwere zvakasiyana.

Iwe unogona kuziva dambudziko nerubatsiro rwekuongorora kwehomoni, iyo inobatsira kuongorora kusaenzana kwehomoni. Mazuvano ekuongorora maitiro emarabhoritari anotibvumira kuwana kurapa kwakakwana mune ramangwana.

Mahomoni mazinga anochinja nezera, uye kune vamwe kunyange zuva rose. Vanachiremba vanoshandisa bvunzo dzemahomoni kuona uye kuongorora kusaenzana kwehomoni kunogona kurwarisa murwere. Kuongororwa kwehomoni kunowanzoitwa nesampuli yeropa, asi kumwe kuongorora kunoda weti kana mate.

Kazhinji akaedzwa mazinga:

  • estrogen uye testosterone, progesterone;
  • adrenal mahomoni akadai se cortisol;
  • kukura kwehomoni, prolactin nemamwe mahomoni epituitary;
  • thyroid mahormone akadai thyroxine.

Dzimwe nguva kukurudzirwa kwehomoni uye kudzvinyirira kuyedzwa kunoitwa kuongorora kusaenzana kwehomoni. Vanachiremba vanotanga vapa murwere ma<em>hormone nezvimwe zvinhu zvinotanga (zvinonyandura) kana kuti kumisa (kudzvinyirira) kugadzirwa kwemamwe mahomoni. Zvadaro vanoongorora maitiro emuviri.

Mhando dzakajairika dzekukurudzira uye kudzvinyirira bvunzo dzinosanganisira.

  • Kukura kwehomoni kupindura kune glucagon. Muchidzidzo ichi, hormone glucagon inobaiwa munyama yetsandanyama, uye ipapo mwero wayo unoyerwa mukati memaawa mana. Uyu muedzo unobatsira kusimbisa kana kubvisa kukura kwehomoni kushayikwa muvakuru.
  • Cortisol mhinduro kune cosyntropin. Mukuedza uku, murwere anopiwa cosyntropin, iyo inoshanda sehomoni inonzi adrenocorticotropic iyo inogadzirwa nepituitary gland uye inokurudzira adrenal glands kuti ibudise cortisol. Cortisol mazinga anoyerwa ega ega maminetsi makumi matatu kweawa. Uyu muedzo unobatsira kusimbisa adrenal insufficiency.
  • Glucose tolerance test. Muchiitiko ichi, murwere anopiwa chinwiwa chine shuga, iyo inofanira kuderedza chiyero chekukura kwehomoni. Ipapo mwero wekukura kwehomoni muropa unoyerwa maawa maviri ega ega. Uyu muedzo unobatsira kusimbisa acromegaly.
  • Cortisol mhinduro kune dexamethasone. Murwere anotora piritsi ye dexamethasone usiku, iyo inofanirwa kuvhara kugadzirwa kwecortisol. Zuva rinotevera, sampuli yeropa inotorwa kubva kwaari kuti ayere chiyero chehomoni iyi. Muedzo unobatsira kusimbisa kana kubvisa Cushing's syndrome.
  • Metyrapone kudzvinyirira bvunzo. Pano chirongwa chacho chakafanana - usiku murwere anotora piritsi ye metyrapone, iyo inofanira kuvhara kugadzirwa kwe cortisol. Zuva rinotevera, sampuli yeropa inotorwa kubva kwaari kuyera cortisol yake uye adrenocorticotropic hormone levels. Uyu muedzo unobatsira kusimbisa kana kubvisa adrenal insufficiency.

Ndeipi miedzo inopihwa mahormone

Kuongororwa kwehomoni, ropa, makwapa eropa akaomeswa pabepa rakakosha, mate, weti yega samples, uye XNUMX-awa weti bvunzo dzinowanzotorwa. Rudzi rwesample runobva pane chiri kuyerwa, chokwadi chinodiwa, kana zera remurwere.

Hormone test results inogona kukanganiswa nekudya, kunwa, kuzorora, kurovedza muviri, uye kumwedzi, izvo zvinogona kutungamirira kumigumisiro isina kururama. Yakanyanya data data inowanikwa muyedzo ine simba, apo ongororo inotorwa kaviri kana kupfuura mukati meimwe nguva yenguva.

Pane zvakawanda zvingasarudzwa zvezvidzidzo zvehomoni.

Mukadzi hormonal profile

Nhoroondo yemahomoni echikadzi inosanganisira bvunzo dzinotevera:

  • FSH (follicle stimulating hormone);
  • estradiol (iyo inonyanya kushanda yeesrogen);
  • progesterone;
  • testosterone;
  • DHEA-S (dehydroepiandrosterone sulfate);
  • vitamini D

Kutsvakurudza, kuongororwa ropa kunowanzotorwa, asi urinalysis inogona kukurudzirwa (kusanganisira panguva yekuzvitakura).

Murume Hormonal Profile

Izvi zvinosanganisira bvunzo dze:

  • PSA (prostate specific antigen);
  • estradiol;
  • progesterone;
  • testosterone;
  • DHEA-S (dehydroepiandrosterone sulfate);
  • SHBG (sex hormone-binding globulin).

Kazhinji kupa ropa, zvichida kugadzwa kwekuongorora weti uye zvimwe zvingasarudzwa.

Thyroid Profile

Thyroid profile test inosanganisira:

  • TSH (thyroid-stimulating hormone);
  • mahara T4;
  • mahara T3;
  • thyroid antibodies;
  • antibodies kune thyroid peroxidase.

Kuongororwa kwemazinga e calcium uye bone metabolism

Muchiitiko ichi, tsvaga:

  • 25-hydroxyvitamin D;
  • 1,25 dihydroxyvitamin D;
  • parathyroid hormone.

Kuongorora basa readrenal glands

Muchiitiko ichi, tarisa chiyero:

  • aldosterone;
  • renin;
  • cortisol: hapana weti yeawa XNUMX, serum/plasma, mate ehusiku
  • ACTH;
  • catecholamines uye metanephrines (urinary excretion);
  • plasma catecholamines;
  • metanephrine pasina plasma.

Maitiro ekukura

Kuti vaongororwe, bvunzo dzinoitwa pane:

  • kukura kwehomoni;
  • insulin-yakafanana nekukura chinhu 1.

Glucose homeostasis

Iyi miedzo inotorwa kana chirwere cheshuga chichifungidzirwa:

  • insulini;
  • C-peptide.

Iwo anoitwa panguva imwe chete neplasma glucose mazinga, bvunzo yekushivirira kweglucose.

Ndingawane kupi mahormone angu akaongororwa?

Ongororo yekuongororwa kweiyo hormonal profile inogona kutorwa murabhoritari yepolyclinics uye zvipatara, kana yakabatanidzwa muchirongwa chekuongorora cheinishuwarenzi yekurapa inomanikidzwa. Asi mimwe miedzo inogona kusabatanidzwa muchirongwa chemahara, uye inofanira kutorwa nemubhadharo.

Mumakiriniki akazvimirira uye mumarabhoritari, munokwanisa kuongororwa mahormone pasi pemutemo weVHI kana nemubhadharo, zvinoenderana nehuwandu hwetsvakiridzo.

Mari yekuongorora mahormone inodhura?

Miedzo yehomoni inodhura kubva kumazana akati wandei kusvika kune akati wandei zvuru rubles, zvichienderana nekuoma kwebvunzo uye nguva yayo.

Mari yekutanga inogona kujekeswa pawebhusaiti yekiriniki, mutengo wekupedzisira uchaenderana nehuwandu hwekutsvaga kwakakosha.

Mibvunzo nemhinduro dzakakurumbira

Akapindura mibvunzo nezve hormonal tests endocrinologist Zukhra Pavlova. Takapindurawo mimwe yemibvunzo pakuongororwa kwehomoni endocrinologist Elena Zhuchkova.

Ndiani uye riini anofanirwa kuongororwa mahormone?

Kana munhu achinzwa zvakanaka, hapana chikonzero chekuzvidya mwoyo, hapana zvichemo, zviratidzo zvekliniki, saka hazvina kukodzera kungotora maitiro ehomoni.

Chiyero chehomoni chinogona kuongororwa sechikamu chekuongororwa kwechiremba. Mahomoni ethyroid uye thyroid-stimulating hormone (TSH) inowanzotariswa, sezvo thyroid pathologies yakajairika.

Chiremba anorayira kuongororwa kwehomoni kana murwere ane zvichemo. Kana kuti pamuviri wakarongwa - ipapo vanogona kunyora chiyero chekubereka uye kuongorora chiyero che testosterone, globulin, estradiol, prolactin.

Nzira yekugadzirira sei kuongororwa kwehomoni?

Mahomoni anofanira kupiwa mangwanani uye zvakasimba padumbu risina chinhu!

Ndinowanzonzwa: kana ndikapa thyroid hormone, zvino chii chine chokuita kana ndakadya kana kwete. Muchokwadi, zvese zvakabatana. Ngatitii chiyero che testosterone, chinoita sechisina chokuita nechikafu. Kana iwe ukatarisa pairi usati wadya uye 20-30 maminitsi mushure, zvino muchiitiko chechipiri, chiyero chayo chichaderera ne30%. Uye izvi zvakakosha zvikuru!

Mushure mekudya, huwandu hwemahomoni ematumbo, glucagon uye insulin, inowedzerawo, uye inotobata mamwe mahomoni ose.

Uyezve, tinoedza kufunga nezve circadian rhythms yehomoni. Semuenzaniso, cortisol uye testosterone mazinga akakwirira mangwanani, uye mamwe mahormone akakwira manheru.

Pane zvimwe zvinodiwa pakuendeswa kwehomoni. Izvo zvinodikanwa kuti murwere ave pachinzvimbo chepamusoro, nekuti nzvimbo yakatwasuka yemuviri wemunhu inokanganisawo mwero wehomoni.

Usati wapfuura muedzo wezinga re cortisol, zvinokurudzirwa kusadya nyama kwezuva, kwete kuva nekutya, kusabvisa mamiriro ezvinhu anonyanya kunetsa, kushingaira kwemuviri.

Panogona kuva nemigumisiro isiriyo, iyo inokanganisa tsvakurudzo?

Usati wapa ropa, zviri nani kuzorora, kuzorora, kugara kwemaminitsi 15-20 - mamwe mahomoni anogona kuva nehanya nekushungurudzika kwepanyama uye kwepfungwa-pfungwa. Nokuda kwechikonzero chimwe chete, zviri nani kurega kuita basa rakanyanyisa pazuva rinotangira chidzidzo. Kana manheru ekuedzwa iwe wakanga uri pasi pekunetseka kwakanyanya, kuongororwa kweropa kunofanira kumbomiswa.

Migumisiro yeimwe miedzo yehomoni inogona kuchinjwa kana ikaitwa pakarepo mushure mekuita physiotherapy, X-ray kuongororwa, ultrasound (somuenzaniso, hazvidiwi kuitisa chidzidzo chemamwe mahomoni pazuva re ultrasound yezamu. , Ultrasound yeprostate). Panguva imwecheteyo, unogona kutora bvunzo dzakachengeteka dzehomoni yethyroid mushure meiyo ultrasound yethyroid gland. Izvi hazvizokanganisa chigumisiro nenzira ipi zvayo. Endocrinologist ichakubatsira iwe kufamba uye kupa zano rakanakisa hurongwa pamberi pekuongororwa.

Ropa rekutsvakurudza pamusoro pehomoni dzepabonde muvakadzi rinopiwa pane rimwe zuva rekutenderera. Nyanzvi inofanirwa kukuyambira pamusoro peizvi.

Zvimwe zvirwere zvisingabatanidzi ne endocrine pathology zvinogona kukanganisa mhedzisiro yekuongororwa. Saka, somuenzaniso, zvakakosha kufunga nezvekuvapo kwekenza, chirwere chisingaperi chechiropa, itsvo, chirwere chepfungwa. Zvakare, kusanganiswa kwezvirwere zvakawanda zve endocrine zvinogadzirisa kududzirwa kwemhedzisiro uye zvinofanirwa kuongororwa nenyanzvi.

Zvinenge zvose kuongororwa ropa kwehomoni zvinofanira kuitwa kwete kamwe chete, asi mumasimba. Kuongorora mumasimba kunodzidzisa zvakawanda maererano nekuongorora uye kufanotaura nzira uye mhedzisiro yechirwere.

Pane here contraindications pakuongororwa kwehomoni?

Mimwe miedzo inogona kunge yakaoma uye yakaganhurirwa nekuda kwechirwere chepfungwa chakanyanya, uye zvinodikanwawo kutarisisa mamiriro edzimwe nhengo nehurongwa, mushonga wemurwere. Chidzidzo chacho chinogonekawo munyaya ye concomitant pathologies, asi kududzirwa kwakakodzera kwemigumisiro nenyanzvi inokosha.

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