Neuroendocrine kab mob hauv gynecology feem ntau tshwm sim vim kev ua haujlwm ntawm pituitary lossis hypothalamus. Nyob rau hauv ib lub xeev ntawm premenstrual, menopausal, post-castration, hypothalamic syndrome ntawm puberty, kev loj hlob ntawm kev sib deev ntxov ntxov, neuroendocrine uterine los ntshav, kev sib deev hermaphroditism thiab hypertrichosis, ib tug neeg tus yam ntxwv mob zuj zus. Txhua tus mob yog tus cwj pwm los ntawm kev muaj qee yam tsos mob uas ua rau muaj teeb meem ntau thiab tsis yooj yim
Tus yam ntxwv ntawm tus mob
Ntau tus poj niam xav paub txog kev faib tawm ntawm neuroendocrine syndromes hauv gynecology. Muaj ntau yam kab mob neuroendocrine. Txhua tus muaj nws tus yam ntxwv:
- Thaum lub sijhawm ua ntej muaj menyuam, tus poj niam mob hnyav dua. Ob peb hnub ua ntej qhov pib ntawm kev coj khaub ncaws, tsis xis nyob manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug mob nyob rau hauv lub plab mog, teeb meem tshwm sim nrog metabolism thiab lub paj hlwb. Ntau qhov sib ntsibQhov no syndrome, tab sis dhau sij hawm nws dhau mus. Tus kws kho mob ua ib qho kev kuaj mob, coj mus rau hauv tus account qhov kev faib tawm ntawm neuroendocrine syndromes hauv gynecology. Cov lus pom zoo kawg ntawm cov kws kho mob yog los xyuas kom meej tias tus neeg mob tau kho raws li cov lus qhia. Tsuas yog tias muaj qhov mob tsis txaus ntseeg, lub siab nce siab, edema tshwm, teeb meem tshwm sim nrog kev zais zis, kev kho yog nqa tawm hauv tsev kho mob. Txhawm rau tshem tawm qhov mob ib ntus, cov kws kho mob feem ntau sau cov tshuaj "No-shpa". Cov ntsiav tshuaj tsis tshua muaj tshwm sim, txo qhov mob thiab txo qhov spasms.
- Thaum menopause lossis climacteric neuroendocrine syndrome feem ntau pom mob taub hau, cuam tshuam hauv cov hlab plawv. Nyob rau hauv cov xwm txheej zoo li no, nws tsis pom zoo kom kho tus kheej. Tsuas yog tus kws kho mob gynecologist yuav tsum tau sau ib chav kawm ntawm kev kho mob, suav nrog tus kheej tus yam ntxwv ntawm tus neeg mob lub cev.
- Muaj lub tswv yim ntawm "kev nyuaj rau poj niam". Nrog rau kev kuaj mob zoo li no, tus poj niam txoj kev noj qab haus huv feem ntau deteriorates ho. Hauv qhov no, nws tsis tuaj yeem ua lub neej tag nrho. Vim li no, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob gynecologist tam sim txhawm rau kuaj xyuas kom meej.
- Nrog post-castration endocrine syndrome, ib tug poj niam muaj cov tsos mob zoo ib yam li cov poj niam tsis muaj zog. Yog tias koj hnov mob dua, nws yog ib qho tseem ceeb mus ntsib kws kho mob gynecologist. Tus kws kho mob yuav sau cov tshuaj zoo. Koj yuav tsum paub tias noj tshuaj tua kab mob tsis yog kev kho mob. Nws yog ib qho tseem ceeb kom tshem tawm qhov ua rau provokes qhov tshwm simtsis xis nyob.
- Hypothalamic syndrome yog tus cwj pwm los ntawm kev puberty thaum ntxov, uas tshwm sim nws tus kheej hauv 11-14 xyoo. Nyob rau hauv tus txheej txheem ntawm kev txhim kho xws li ib tug syndrome, teeb meem loj tshwm sim nyob rau hauv kev ua hauj lwm ntawm lub plawv thiab lub paj hlwb. Tus menyuam yuav tsum raug coj mus ntsib kws kho menyuam yaus vim tias kev kho mob hauv tsev tuaj yeem tsim teeb meem thiab ua rau muaj teeb meem.
- Raws li kev kho mob qhia, kev loj hlob ntawm kev sib deev ntxov ntxov raug kuaj pom muaj tsawg. Xws li kev kuaj mob yog tsim los ntawm kws kho mob yog tias muaj cov tsos mob ntawm kev puberty rau cov menyuam yaus hnub nyoog qis dua 8 xyoo. Cov kab mob no cuam tshuam kev ua haujlwm ntawm ntau lub cev thiab lub cev uas tswj cov qog pituitary.
- Uterine los ntshav tuaj yeem tshwm sim vim qhov poob qis hauv qib oxytocin. Yog hais tias lub suab ntawm lub cev txo qis, ib tug zoo xws li pathology raug pom. Yog hais tias ib qho ntawm cov tsos mob ntawm uterine los ntshav tshwm, nws yog ib qho tseem ceeb kom hu rau lub tsheb thauj neeg mob tam sim ntawd, vim tus mob no tuaj yeem ua rau tuag taus. Nws yog txwv tsis pub siv cov kev kho mob ib txwm muaj thiab siv cov tshuaj tua kab mob, vim qhov no tsuas yog ua rau tus neeg mob hnyav dua.
- Hermaphroditism yog tus cwj pwm los ntawm kev muaj cov poj niam thiab txiv neej cov kab mob hauv plab. Tom qab kuaj xyuas tus neeg mob kom zoo, tus kws kho mob ua qhov kuaj mob thiab sau ntawv kho mob.
Nyob hauv tsev nws tsis tuaj yeem ua qhov kev kuaj pom tseeb ntawm cov kab mob neuroendocrine, yog li nws tseem ceeb heev kom nrhiav kev pab los ntawm cov kws kho mob.
Diagnostics
Nyob rau hauv cov txheej txheem ntawm kev kawm cov kab mob neuroendocrine, nws yog ib qho tseem ceeb rau kev kuaj mob hormonal spectrum. Tus kws kho mob tsis ua tsis tiav tau sau ntawv ultrasound, KTR, doppler, kev soj ntsuam dav dav ntawm cov ntshav thiab zis. Raws li kev noj qab haus huv ntawm tus neeg mob, kev ntsuas ntxiv tau raug sau tseg. X-ray yuav pab txheeb xyuas qhov pathology ntawm kev loj hlob ntawm kev sib deev. Ib qho snapshot ntawm ob txhais tes yuav pab txiav txim siab txog kev loj hlob ntawm tus neeg mob lub cev. Raws li cov txiaj ntsig ntawm txoj kev tshawb no, tus kws kho mob tau sau cov kev kho mob dav dav uas yuav pab kho lub xeev noj qab haus huv rau tus neeg mob. Cov tshuaj yog muab los ntawm tus kws kho mob tshwj xeeb, suav nrog lub hnub nyoog ntawm tus neeg mob, muaj lwm yam kab mob thiab cov yam ntxwv ntawm lub cev. Lub sijhawm kho yog txiav txim siab los ntawm tus kws kho mob (ntau npaum li cas nyob ntawm qhov mob hnyav).
txheej txheem kho
Ntau zaus, kev kho mob ntawm hypothalamic neuroendocrine syndrome suav nrog kev hloov kho, uas yog, noj cov khoom siv hluavtaws ntawm cov tshuaj hormones tsis txaus. Nws yog ib qho tseem ceeb sib npaug rau kev kho cov tsos mob yog tias tus kab mob cuam tshuam nrog ib qho teeb meem somatic. Nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb kom kho cov ntshav siab, normalizes kev ua haujlwm ntawm cov hlab plawv, thiab tshem tawm qhov mob. Cov tshuaj yuav tsum tau muab tshuaj nruj me ntsis los ntawm tus kws kho mob, nyob ntawm seb tus mob uas raug txheeb xyuas.
YHypothalamic Syndrome: Cov tsos mob
Cov kab mob no suav nrog endocrine, vegetative thiab metabolic ntshawv siab uas tau tshwm sim vim kev ua haujlwm tsis txaushypothalamus. Raws li ICD-10, neuroendocrine syndrome muaj tus lej E23.3, uas qhia txog kev ua haujlwm tsis zoo ntawm hypothalamus. Ntawm cov tsos mob tseem ceeb ntawm cov kab mob no yog:
- nce lossis txo lub cev hnyav.
- Headache.
- Nkauj kho siab.
- ntshav siab.
- xav nqhis dej.
- Nco qab qab los.
Thaum ib qho ntawm cov tsos mob tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum tau sab laj nrog kws kho mob thiab ua kom tiav kev kuaj mob. Kev noj tshuaj rau tus kheej tuaj yeem tsim kev puas tsuaj thiab ua rau lub cev hnyav dua. Qhov hnyav ntawm cov tsos mob ntawm neuroendocrine teeb meem yog nyob ntawm seb qhov cuam tshuam li cas ntawm hypothalamus. Thaum pib ntawm txoj kev loj hlob ntawm tus kab mob, kev kho mob zoo dua. Cov txheej txheem ntawm kev kho mob raug sau tseg nyob ntawm seb cov yam ntxwv lom ntawm tus neeg mob lub cev. Nrog kev kho tsis raws sijhawm, muaj:
- nrawm nrawm.
- teeb meem ntshav siab hnyav.
- Kev tsis muaj menyuam.
Feem ntau tus kab mob no tshwm sim thaum hluas thiab cov neeg tom qab 35 xyoo. Tus kab mob no tshwm sim rau cov poj niam ntau dua li cov txiv neej. Pathology yog qhov txaus ntshai vim nws tuaj yeem txhim kho thiab nkag mus rau hauv cov ntaub ntawv hnyav dua.
Kev tshwm sim
Muaj ntau yam uas tuaj yeem ua rau muaj tus kabmob. Cov no suav nrog cov hauv qab no:
- Brain disorders.
- kab mob sib kis.
- Kev mob lub cev.
- Kev puas siab puas ntsws.
- Head raug mob.
- Malignant neoplasms.
- kab mob endocrine.
- Tau muaj mob stroke.
- Cov kab mob ntawm cov kab mob hauv nruab nrog cev.
- Kev cev xeeb tub.
Thaum muaj kab mob tshwm sim, tus kws kho mob paj hlwb thiab tus kws endocrinologist kho tus neeg mob.
Dab tsi ua rau mob tom qab yug menyuam
Raws li kev xyaum kho mob qhia, nws yuav luag tsis yooj yim los teb cov lus nug no tsis meej. Cov neeg ua haujlwm kho mob tau hais tias daim duab kho mob ntawm tus mob no tuaj yeem tshwm sim yog tias tsis muaj kev ua haujlwm ntawm homeostasis thaum lub sijhawm yug menyuam. Nyob rau hauv tus txheej txheem ntawm kev kho mob tom qab yug me nyuam neuroendocrine syndrome, tus kws kho mob tsom mus rau yuag poob thiab rov qab los ntawm kev coj khaub ncaws. Nws yog ib qho tseem ceeb kom ua raws li kev noj haus thiab ua raws li txhua tus kws kho mob cov lus pom zoo. Yog tias, tom qab poob phaus thiab tshem tawm cov teeb meem metabolic, lub voj voog ntawm kev coj khaub ncaws tsis rov qab los, tus kws kho mob ua qhov kev txiav ntawm zes qe menyuam thiab sau cov tshuaj uas yuav ua rau ovulation.
Yuav ua li cas
Dab tsi ua rau txhua tus mob neuroendocrine muaj ntau? Cov kws kho mob hais tias cov kab mob neuroendocrine yog cov kab mob uas ua raws li qhov tshwm sim ntawm cov teeb meem hauv hypothalamic-pituitary system.
Hypothalamic syndrome hauv menyuam yaus
Neuroendocrine syndrome nyob rau hauv cov tub ntxhais hluas tshwm sim feem ntau thaum lub sij hawm hormonal surge. ATThaum lub sij hawm kev loj hlob ntawm tus kab mob, vegetative thiab endocrine ntshawv siab tshwm sim. Nrog rau kev ua haujlwm tsis zoo ntawm hypothalamus, qib ntawm cov tshuaj hormones uas txhawb nqa lub caj pas pituitary nce. Kev tso tawm ntau dhau ntawm kev loj hlob hormone yog qhov laj thawj rau kev loj hlob sai ntawm lub cev hauv cov neeg mob uas muaj tus kab mob no. Yog li ntawd, lub sij hawm ntawm puberty yog shortened los yog lengthened. Cov neeg mob nrog qhov kev kuaj mob no feem ntau muaj kev hloov pauv hauv lub siab vim muaj teeb meem nrog dopamine, serotonin, thiab endorphin qib.
Qhov tshwm sim ntawm kev ua txhaum
Ntau qib ntawm insulin thiab glucocorticoids ua rau rog rog. Vim qhov hnyav nce thiab nce qib prolactin hauv cov menyuam yaus, cov qog mammary o o, lub plab hnyuv loj thiab loj hlob sai. Cov ntxhais sai sai tsim cov yam ntxwv ntawm kev sib deev, qhov hnyav nce tshwm sim. Cov neeg mob feem ntau muaj hnub nyoog 11 txog 17 xyoo.
Qhov laj thawj tseem ceeb ntawm hypothalamic syndrome
Muaj ntau qhov laj thawj uas tuaj yeem ua rau lub xeev zoo li no. Ntawm lawv yog:
- Constitutional insufficiency of the hypothalamus.
- Npaj niam thiab mob hnyav heev thaum lub caij yug me nyuam.
- Yug raug mob.
- Mob toxicosis ntawm niam thaum yug menyuam.
- kab mob hlwb.
- Tranio-cerebral raug mob.
- Kev hloov pauv neuroinfection.
- Neurointoxication.
- kab mob autoimmune.
- Thyroid dysfunction.
- Systematic stress.
- Siv anabolic steroid.
- kab mob kis los yog kab mob.
- Zoo ib puag ncig.
- Kev cev xeeb tub thaum ntxov thiab kev siv tshuaj tiv thaiv qhov ncauj.
Note to patient
Tshaj tawm qhov tseeb uas ua rau muaj kev loj hlob ntawm tus kab mob, tsuas yog tus kws kho mob muaj peev xwm tom qab kuaj xyuas tus neeg mob kom zoo. Yog tias ib qho ntawm cov tsos mob tshwm sim, koj yuav tsum nrhiav kev pab los ntawm tus kws kho mob tshwj xeeb. Kev noj tshuaj rau tus kheej feem ntau provokes kev loj hlob ntawm cov teeb meem.
