Liteko tsa li-hormone
Hangata liteko tsa li-hormone li laeloa ke lingaka tsa mafu a basali, li-endocrinologists, urologists kapa lingaka tse ling tse khethehileng haeba ho na le matšoao a pathologies a amanang le ho se leka-lekane ha li-hormone. E le hore liphetho li nepahale, ho bohlokoa ho latela melao ea ho etsa liteko.

Lihomone ke metsoako ea lik’hemik’hale eo ’mele ea rōna e e hlahisang ho laola mesebetsi e sa tšoaneng, ho tloha ho metabolism ho ea takatsong ea lijo esita le ho otla ha pelo le ho phefumoloha. Ho hongata haholo kapa ho fokolang haholo hoa li-hormone tse itseng (ho se leka-lekane ha li-hormone) ho ama bophelo bo botle 'me ho baka mafu a sa tšoaneng.

U ka tseba bothata ka thuso ea tlhahlobo ea li-hormone, e thusang ho hlahloba ho se leka-lekane ha li-hormone. Bokhoni ba morao-rao ba ho hlahloba lilaboratori bo re lumella ho fumana phekolo e lekaneng nakong e tlang.

Maemo a li-hormone a fetoha le lilemo, 'me ho ba bang esita le letsatsi lohle. Lingaka li sebelisa liteko tsa li-hormone ho fumana le ho hlahloba ho se leka-lekane ha li-hormone ho ka kulisang mokuli. Hangata tlhahlobo ea li-hormone e etsoa ka sampuli ea mali, empa liteko tse ling li hloka lisampole tsa moroto kapa tsa mathe.

Maemo a lekiloeng hangata:

  • estrogen le testosterone, progesterone;
  • lihomone tsa adrenal tse kang cortisol;
  • hormone ea ho hōla, prolactin le lihomone tse ling tsa pituitary;
  • lihomone tsa qoqotho tse kang thyroxine.

Ka linako tse ling ho etsoa liteko tsa ho hlohlelletsa li-hormone le khatello ea maikutlo ho lekola ho se leka-lekane ha lihormone. Lingaka li qala ka ho fa mokuli lihomone le lintho tse ling tse qalang (tse susumetsang) kapa li emisang (tse hatellang) tlhahiso ea lihomone tse itseng. Joale ba hlahloba tsela eo ’mele o itšoarang ka eona.

Mefuta e tloaelehileng ea liteko tsa ts'usumetso le khatello e kenyelletsa.

  • Karabelo ea lihormone tsa kholo ho glucagon. Thutong ena, hormone ea glucagon e kenngoa ka har'a mesifa ea mesifa, ebe boemo ba eona bo lekanyetsoa ka hare ho lihora tse 4. Tlhahlobo ena e thusa ho tiisa kapa ho thibela ho haella ha hormone ea ho hōla ho batho ba baholo.
  • Karabo ea Cortisol ho cosyntropin. Tlhahlobong ena, mokuli o fuoa cosyntropin, e sebetsang e le hormone ea adrenocorticotropic e hlahisoang ke lesela la pituitary le ho susumetsa litšoelesa tsa adrenal ho hlahisa cortisol. Joale maemo a Cortisol a lekanngoa metsotso e meng le e meng e 30 ka hora. Teko ena e thusa ho netefatsa ho se sebetse ha adrenal.
  • Teko ea mamello ea glucose. Tabeng ena, mokuli o fuoa seno se tsoekere, se lokelang ho fokotsa boemo ba hormone ea ho hōla. Joale boemo ba hormone ea ho hōla maling bo lekanngoa lihora tse ling le tse ling tse peli. Teko ena e thusa ho netefatsa acromegaly.
  • Karabo ea Cortisol ho dexamethasone. Mokuli o nka letlapa la dexamethasone bosiu, le lokelang ho thibela tlhahiso ea cortisol. Letsatsing le hlahlamang, sampuli ea mali e nkoa ho eena ho lekanya boemo ba hormone ena. Teko e thusa ho netefatsa kapa ho thibela Cushing's syndrome.
  • Teko ea khatello ea Metyrapone. Mona morero o ts'oana - bosiu mokuli o nka letlapa la metyrapone, le lokelang ho thibela tlhahiso ea cortisol. Letsatsing le hlahlamang, sampuli ea mali e nkoa ho eena ho lekanya maemo a hae a cortisol le adrenocorticotropic hormone. Teko ena e thusa ho netefatsa kapa ho thibela ho se sebetse hantle ha adrenal.

Ke liteko life tse fanoang bakeng sa li-hormone

Bakeng sa tlhahlobo ea li-hormone, mali, matheba a omisitsoeng a mali pampiring e khethehileng, mathe, lisampole tsa moroto o le mong, le liteko tsa moroto tsa lihora tse XNUMX hangata li nkuoa. Mofuta oa sampuli o tla itšetleha ka hore na ho lekanngoa eng, ho nepahala ho hlokahalang, kapa lilemo tsa mokuli.

Liphetho tsa tlhahlobo ea li-hormone li ka angoa ke lijo, lino, phomolo, boikoetliso le nako ea ho ilela khoeli, e leng se ka lebisang liphellong tse sa nepahalang. Lintlha tse nepahetseng haholoanyane li fumanoa litekong tse matla, ha litlhahlobo li nkoa ka makhetlo a mabeli kapa ho feta ka nako e itseng.

Ho na le likhetho tse 'maloa bakeng sa lithuto tsa li-hormone.

Boemo ba li-hormone tsa basali

Boemo ba li-hormone tsa basali bo kenyelletsa liteko tse latelang:

  • FSH (follicle stimulating hormone);
  • estradiol (mofuta o sebetsang ka ho fetisisa oa estrogen);
  • progesterone;
  • testosterone;
  • DHEA-S (dehydroepiandrosterone sulfate);
  • vithamine D

Bakeng sa lipatlisiso, hangata ho nkoa liteko tsa mali, empa tlhahlobo ea urinalysis e ka buelloa (ho kenyeletsoa nakong ea bokhachane).

Male Hormonal Profile

Sena se kenyelletsa liteko tsa:

  • PSA (antigen e khethehileng ea tšoelesa ea senya);
  • estradiol;
  • progesterone;
  • testosterone;
  • DHEA-S (dehydroepiandrosterone sulfate);
  • SHBG (sex hormone-binding globulin).

Hangata fana ka mali, mohlomong ho khethoa ha tlhahlobo ea moroto le likhetho tse ling.

Boemo ba Thyroid

Liteko tsa profil ea qoqotho li kenyelletsa:

  • TSH (hormone e susumetsang qoqotho);
  • mahala T4;
  • mahala T3;
  • li-antibodies tsa qoqotho;
  • li-antibodies ho thyroid peroxidase.

Tekolo ea maemo a calcium le metabolism ea masapo

Tabeng ena, etsa lipatlisiso:

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

Ho lekola mosebetsi oa litšoelesa tsa adrenal

Tabeng ena, hlahloba boemo:

  • aldosterone;
  • renin;
  • cortisol: ha ho na moroto oa lihora tse XNUMX, serum/plasma, mathe a bosiu haholo
  • ACTH;
  • catecholamines le metanephrines (ho ntša moroto);
  • li-catecholamine tsa plasma;
  • metanephrine ntle le plasma.

Mekhoa ea ho hōla

Ho li hlahloba, liteko li etsoa ka:

  • hormone ea ho hōla;
  • Ntlha ea 1 ea kholo ea insulin.

Glucose homeostasis

Liteko tsena li nkuoa ha ho belaelloa lefu la tsoekere:

  • insulin;
  • C-peptide.

Li etsoa ka nako e le 'ngoe le litekanyetso tsa tsoekere ea plasma, tlhahlobo ea mamello ea tsoekere.

Nka fumana lihomone tsaka hokae?

Litlhahlobo bakeng sa tlhahlobo ea boemo ba li-hormone li ka nkoa ka laboratoring ea polyclinics le lipetlele, haeba li kenyelelitsoe lenaneong la tlhahlobo bakeng sa inshorense ea bongaka e qobelloang. Empa liteko tse ling li ka 'na tsa se ke tsa kenngoa lenaneong la mahala,' me li tlameha ho nkoa ka tefiso.

Litliliniking tsa poraefete le lilaboratori, u ka etsa tlhahlobo ea li-hormone tlas'a leano la VHI kapa ka tefiso, ho latela palo ea lipatlisiso.

Liteko tsa li-hormone li bitsa bokae?

Liteko tsa li-hormone li bitsa li-ruble tse makholo a 'maloa ho isa ho tse likete tse' maloa, ho itšetlehile ka ho rarahana ha teko le nako ea eona.

Litsenyehelo tsa pele li ka hlakisoa ho websaeteng ea tleliniki, litšenyehelo tsa ho qetela li tla itšetleha ka palo ea lipatlisiso tse hlokahalang.

Lipotso le likarabo tse tsebahalang

Arabile lipotso mabapi le liteko tsa li-hormone setsebi sa endocrinologist Zukhra Pavlova. Hape re ile ra araba tse ling tsa lipotso mabapi le liteko tsa li-hormone setsebi sa endocrinologist Elena Zhuchkova.

Ke bo-mang hona neng ba lokelang ho hlahlojoa li-hormone?

Haeba motho a ikutloa a phetse hantle, ha ho na lebaka la ho tšoenyeha, ha ho na litletlebo, matšoao a kliniki, joale ha hoa lokela ho nka liteko tsa hormone feela.

Boemo ba lihomone bo ka hlahlojoa e le karolo ea tlhahlobo ea bongaka. Hangata ho shejoa lihomone tsa qoqotho le thyroid-stimulating hormone (TSH), kaha mafu a qoqotho a tloaelehile haholo.

Ngaka e fana ka tlhahlobo ea li-hormone haeba mokuli a e-na le litletlebo. Kapa bokhachane bo reriloe - joale ba ka fana ka tlhahlobo ea ho ba le bana 'me ba hlahloba boemo ba testosterone, globulin, estradiol, prolactin.

Joang ho itokisetsa tlhahlobo ea li-hormone?

Li-hormone li tlameha ho fanoa hoseng le ka mpeng e se nang letho!

Ke atisa ho utloa: haeba ke fana ka lihomone tsa qoqotho, joale ho amana joang le hore na ke jele kapa che. Ha e le hantle, ntho e 'ngoe le e' ngoe e hokahane. Ha re re boemo ba testosterone, bo bonahalang bo sa amane le lijo. Haeba u e sheba pele u ja le metsotso e 20-30 ka mor'a moo, joale tabeng ea bobeli, boemo ba eona bo tla fokotseha ka 30%. 'Me sena ke sa bohlokoa haholo!

Ka mor'a ho ja, palo ea lihomone tsa mala, glucagon le insulin, le tsona lia eketseha, 'me li se li ntse li ama lihomone tse ling kaofela.

Ho feta moo, re leka ho ela hloko morethetho oa circadian oa lihomone. Ka mohlala, maemo a cortisol le testosterone a phahame haholo hoseng, 'me lihomone tse ling li phahame mantsiboeeng.

Ho na le litlhoko tse itseng bakeng sa ho fana ka li-hormone. Hoa hlokahala hore mokuli a be boemong ba supine, hobane boemo bo otlolohileng ba 'mele oa motho bo boetse bo ama boemo ba lihomone.

Pele o feta tekong ea boemo ba cortisol, ho eletsoa hore u se ke ua ja nama ka letsatsi, u se ke ua tšoha, u se ke ua kenyelletsa maemo a sithabetsang ka ho fetisisa, ho ikitlaetsa ka matla 'meleng.

Na ho ka ba le liphetho tse fosahetseng, tse amang lipatlisiso?

Pele o fana ka mali, ho molemo ho phomola, ho phomola, ho lula metsotso e 15-20 - lihomone tse ling li ka ba le maikutlo a khatello ea kelello ea 'mele le ea kelello-maikutlo. Ka lebaka le tšoanang, ho molemo ho qoba ho ikoetlisa ho feteletseng letsatsing pele ho thuto. Haeba bosiung ba tlhahlobo u ne u le tlas'a khatello e matla, tlhahlobo ea mali e lokela ho chechisoa.

Liphetho tsa liteko tse ling tsa lihormone li ka fetoloa haeba li etsoa hang ka mor'a ts'ebetso ea physiotherapy, tlhahlobo ea X-ray, ultrasound (mohlala, ha ho hlokahale ho etsa thuto bakeng sa lihormone tse ling ka letsatsi la ultrasound ea sefuba. , ultrasound ea tšoelesa ea senya). Ka nako e ts'oanang, o ka nka liteko ka mokhoa o sireletsehileng bakeng sa lihomone tsa qoqotho ka mor'a hore ho be le ultrasound ea qoqotho. Sena se ke ke sa ama sephetho ka tsela efe kapa efe. Setsebi sa endocrinologist se tla u thusa ho tsamaea le ho fana ka tlhahiso ea moralo o motle pele ho tlhahlobo.

Mali bakeng sa lipatlisiso ka li-hormone tsa thobalano ho basali a fanoa ka letsatsi le itseng la potoloho. Ka sebele setsebi se lokela ho u lemosa ka sena.

Mafu a mang a sa amaneng le endocrine pathology a ka ama sephetho sa tlhahlobo. Kahoo, ka mohlala, ho bohlokoa ho nahana ka boteng ba mofetše, lefu le sa foleng la sebete, liphio, lefu le matla la kelello. Hape, ho kopana ha mafu a 'maloa a endocrine ho etsa liphetoho ho tlhaloso ea liphello' me ho lokela ho hlahlojoa ke setsebi.

Hoo e ka bang liteko tsohle tsa mali bakeng sa li-hormone ha lia lokela ho etsoa hang, empa ka matla. Analysis in dynamics e na le tsebo e ngata mabapi le tlhahlobo le ho bolela esale pele tsela le sephetho sa lefu lena.

Na ho na le li-contraindications tsa tlhahlobo ea li-hormone?

Liteko tse ling li ka 'na tsa e-ba thata' me tsa lekanyetsoa ka lebaka la lefu le matla la kelello, hape hoa hlokahala ho ela hloko boemo ba litho tse ling le litsamaiso, meriana ea mokuli. Thuto e boetse e ka khoneha tabeng ea concomitant pathologies, empa tlhaloso e nang le bokhoni ea liphello ke setsebi ke ea bohlokoa.

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