17 hydroxyprogesterone mu akazi: zowonetsera ndi decoding

Hydroxyprogesterone 17 - ndi timadzi chilipo mu thupi mwa anthu. Iwo imathandiza kwambiri. Izi n'zofunika kwambiri chigawo amene matendawa osabereka kapena akukonzekera monga mimba. Kuti ndi chifukwa chake kuli kofunika powasamalira timadzi izi. Kodi ndende zake imatengedwa zabwinobwino? Kodi ngati timadzi kuchuluka kapena kuchepa? N'chifukwa chiyani pangakhale kuphwanya ndi? Onse a chigawo ichi adzakhala anafotokoza hereinafter. Ndipotu kumvetsa chimene 17-HA n'kofunika kwambiri, n'kosavuta. Ndipo ayesedwe kwa timadzi ngakhale mosavuta kuposa zikuwoneka.

mafotokozedwe

Kuti kumvetsa mmene thunthu ndi 17 hydroxyprogesterone. Kodi izo mulimonse? timadzi Izi nthawi zina amatchedwanso "wapakatikati." Iwo amagwira ntchito yofunika kwambiri mu mapangidwe zinthu zosiyanasiyana mu thupi. Mwachitsanzo, progesterone. Ndi mungafike steroid. Chifukwa amapangidwa ndi kotekisi adrenal.

Komanso progesterone amalimbikitsa mapangidwe timafunika ndi androgen. Pali amuna ndi akazi. Koma 17 oksiprogesteron n'chofunikira yofunika kwambiri akazi. Zofunika kwa mimba ndi mimba ambiri. Choncho ndikofunika kudziwa kuchuluka kwa thunthu mu thupi la munthu. Pakuti yachibadwa lingaliro hydroxyprogesterone ayenera kuchuluka okwanira ndi mwamuna ndi mkazi.

Kodi kubwereka kusanthula ndi?

Musanayambe kuphunzira malamulo wokhazikitsidwa ndi timadzi mu thupi, m'pofunika kumvetsa mmene yobereka kusanthula limapezeka pa iye. Makamaka pankhani akazi. Chinthu ndi theka okongola a anthu ali ndi msambo. Ena mwa mayesero sitingakhoze kutenga pa msambo.

Koma 17 hydroxyprogesterone alibe malamulo otere. Analysis yogwira timadzi anaperekedwa mu mawonekedwe a magazi venous. mpanda amapangidwa makamaka m'mawa pa chopanda kanthu m'mimba. Choncho, abambo ndi amai akhoza amapereka magazi ndende oksiprogesterona nthawi iliyonse. Ndi bwino kuti asale ndondomeko pa msambo. Izi si contraindication mwachindunji. Momwemo mukhoza asalakwitse zosafunika muzotsatira.

kuwonjezera

Tsopano mukhoza kuphunzira zimene zimachititsa achuluke kuchepa kwa timadzi lapansi. Only ndiye ayenera kuyang'ana pa mitengo yachibadwa pa nkhani zosiyanasiyana. 17 oksiprogesteron zambiri akhoza kuloza kwa matenda aakulu. Makamaka ngati ndi kuphwanya kagayidwe. Pambuyo anaphunzira timadzi kumatanthauza kuwonongedwa kwa shuga, mapuloteni, mafuta.

17 hydroxyprogesterone kuchuluka? Zilibe kanthu yemwe - mtsikana kapena mnyamata. N'chifukwa chiyani zimenezi zingachitike? Pali zifukwa zambiri. Mwachibadwa, timadzi umenewu uli zamitundu yeniyeni. Kuwonjezeka ndende zake magazi angasonyeze:

1. Kukanika kwa kotekisi adrenal.
2. Polycystic mazira.
3. Chotupa mu thumba losunga mazira kapena zopangitsa adrenal.
4. Hyperprolactinemia.
5. Osabereka.
6. Cushing ndi matenda.
7. Kukhalapo kwa corpus luteum chotupa.
8. Kudwala wa latuluka lapansi.
9. Hypothalamic syndromes.

Mndandanda wa matenda ndi sanamalize. Koma ngati timadzi kuchuluka - chizindikiro zakusokonenezedwa. Komabe, si milandu onse. Choncho nthawi zambiri zofunika kuti aziona timadzi zili lotchedwa 17 hydroxyprogesterone mu akazi pa nthawi.

Pakumuka kwa - mlingo

Chinthu ndi thupi wamkazi - ndi njira zovuta kuti khalidwe moyo monga mwamuna. Ndipo kotero iye sayenera mantha ngati timadzi anati ananyamuka kwambiri. Pa zochitika zina, monga zanenedwa, ichi ndi zabwinobwino.

Pa zomwe, chimodzimodzi? 17 hydroxyprogesterone kuchuluka? Mu akazi, kukula kwa ambiri timadzi izi zimachitika pa mimba. Mwatsoka, monga kunena oksiprogesterona ngati lingaliro kwachitika kapena ayi, sizigwira ntchito. Ife amapereka magazi hCG. Koma pamene akukonzekera kukhala ndi pakati, zikuoneka kuti timadzi adzauka zikuchepa pamene banja zonse zinachitika.

Komanso, 17 Alpha hydroxyprogesterone adzakhale pa mwezi. Osati nthawi zonse, koma zimachitika. N'chifukwa chiyani timadzi opangidwa ndi zopangitsa kwa adrenal akuyamba zikuchepa? makhalidwe otere amayamba ndi payekha ya msambo mu akazi. M'mawu ena, munthu oksiprogesteron adzakhala kwambiri kuonjezera pa kusamba, munthu - palibe. Ndi chifukwa cha ichi zina zofunika kusunga kusintha madzi a m'thupi mwa mphamvu. Adzaona ngati pali matenda enieni mu thupi la mtsikana kapena kuwonjezeka mu timadzi kugwirizana ndi kusamba munthu Mbali.

kutsitsa mfundo

Ambiri, akazi 17 oksiprogesteron imapezeka woipa yaing'ono poyamba. Kodi zinthu timadzi amayamba kutulutsa lalikulu zedi, zikuonekeratu. Ndipo zoyenera kuchita ngati pali kuchepa oksiprogesterona? Zachitikiranji zimenezi? Ndiyenera mantha?

Osati kwenikweni. Koma, ikusonyeza kuchita, nthawi zambiri anati kuwonjezeka timadzi izi. kuchepa ake kungasonyeze matenda adrenal, mwachitsanzo. Onse obadwa nawo ndi zinazake. Nthawi zina, 17 hydroxyprogesterone ali wochepa, ngati thupi kochepa kwambiri luteal gawo. Komanso, mlingo wochepa amasonyeza timadzi osabereka. Ndipotu oksiprogesterona zolakwika kwambiri mwakale - ichi ndi chifukwa chofala mavuto ndi pakati.

Dontho zowopsa timadzi?

Chifukwa pamene akukonzekera kukhala ndi pakati ayenera kukhala na mantha ya kutsitsa 17 oksiprogesterona? Chinthu ndi mankhwala, monga zanenedwa, kumawonjezera ndi malo osangalatsa. Ndipotu, kuchepa wake modabwitsa - ndi kudwala. The otsika ndende ya thunthu kumabweretsa mfundo yakuti dzira sangathe angagwirizanitse kwa chiberekero. Izi zimapangitsa chodabwitsa kapena mimba ectopic, kapena kumaphatikizapo kulephera pathupi.

Mimba oyambirira timadzi m'munsi mlingo otchedwa hydroxyprogesterone 17 kungachititse kuti padera, pachithunzichi mapangidwe latuluka, ndi yoopsa kuvutika. Mwamwayi, kwezani kapena kuchepetsa mlingo timadzi si wovuta.

Njira kulera ndi kutsitsa timadzi

Kotero, kuti mosavuta kusintha ndende mayeso mankhwala mu thupi, m'pofunika, monga ulamuliro, kutenga zosiyanasiyana mankhwala. Mwa njira, ngati munthu woyesedwa kwa nthawi yaitali, 17 hydroxyprogesterone kuchuluka. Mwachidule kuletsa magomewo mankhwala ena monga timadzi ta m'thupi adzaleka mfundo kuyembekezera.

Ambiri, kuchuluka timadzi ankachitira zosiyanasiyana mankhwala. Mankhwala ambiri pafupipafupi Kwalamulidwa amatchedwa "Dexamethasone". Landira ayenera mosamala - zotheka kunenepa. mankhwala ena m'thupi ndi Kwalamulidwa yekha ndi dokotala nawo.

17 angalere hydroxyprogesterone kapena kukhazikitsa okwanira, kapena chithandizo cha matenda. Nthawi zina (zambiri ndi njira analimbikitsa ndi madokotala) Komanso zoikidwa ndi wothandizila osiyanasiyana m'thupi. Ndipotu, ngati nthawi kudziwa zolakwika mwakale, ndiye kubweretsa oksiprogesteron msinkhu anakhumba si wovuta. Mavuto pa mimba. Ndiye mankhwala yafupika njira dziko. Kapena dokotala n'kukulemberani wamng'ono oopsa wothandizila mahomoni kuti utithandize timadzi mu magazi, ndipo kuponya izo.

mfundo yachibadwa

Kodi mtundu wa ntchito amaonedwa zabwinobwino? Ndi angati mu mwazi wa akazi muli timadzi otchedwa 17 oksiprogesteron? Norma nonpregnant zaka amadalira. Small kuchuluka kapena kuchepa zabwinobwino. Koma Choncho lifunika kutsogoleredwa ndi mfundo zotsatirazi:

• Wongobadwa mtsikana - 4,08-29,4 nmol / L.
• miyezi 2-3 - 0,3-9,4 nmol / L.
• Kuyambira miyezi 12 mpaka zaka 14 - 0,42-6,9.
• Achinyamata kwa zaka 15 - 0,5-11,5 nmol / L.
• Akazi pa gawo follicular - kuchokera 0.5 kuti 8,24 nmol / L.
• Akazi pa gawo luteal - 1-11,5.
• Postmenopause - osachepera 0,7 ndi osapitirira 5,9 nmol / L.
• Mimba - kuchokera 3.6 kuti 33,3 nmol / l.

Choncho, zizindikiro zonsezi zikuloza kwa pakalibe matenda ena. Monga tanenera kale, 17 hydroxyprogesterone mwina pang'ono kupatuka pa malamulo mu umoyo wonse wa mkazi.