Kev npaj siab rau kev pub ntshav rau kev tshuaj ntsuam biochemical yog lub sijhawm kom tau txais txiaj ntsig zoo tshaj plaws. Tsis muaj contraindications rau hom kev tshawb fawb no.
Yuav ua li cas los soj ntsuam, algorithm ntawm kev ua
Kev kuaj ntshav biochemical yog kuaj los ntawm tus neeg ua haujlwm kuaj mob hauv cov chaw kho mob. Rau kev tsom xam, cov ntshav venous los ntawm cov hlab ntsha cubital yog xav tau. Tus neeg mob zaum ntawm lub rooj zaum lossis rooj zaum, sab caj npab saum lub luj tshib yog pinched nrog cov roj hmab tshwj xeeb lossis yas tourniquet.
Qhov chaw muab tshuaj tua kab mob thiab rab koob tau muab tso rau hauv cov hlab ntsha. Sau cov ntshav uas yuav tsum tau muaj nyob rau hauv ib lub raj kuaj. Qhov chaw puncture yog disinfected dua. Tus neeg mob tau qhia kom tuav caj npab hauv qhov chaw khoov ntawm lub luj tshib ob peb feeb. Lub manipulation yuav kav li ntawm ob feeb. Lub sij hawm ntawm kev tshawb fawb yuav nyob ntawm seb qhov kev kuaj sim. Cov txiaj ntsig chemistry niaj hnub tau npaj rau hnub tom ntej.
Qee yam ntawm kev npaj theem
Txoj cai rau kev npaj rau kev kuaj ntshav biochemical nyob ntawm seb qhov ntsuas twgkws kho mob sau cov lus qhia:
- Lipid spectrum thiab qib roj cholesterol. Kev kuaj ntshav tsuas yog ua tom qab 14 teev ntawm kev yoo mov. Rau 15 hnub, nyob rau hauv kev pom zoo nrog tus kws kho mob, kev siv cov tshuaj uas cuam tshuam rau lipid metabolism tsis suav nrog. Yog tias tsim nyog los ntsuas qhov ua tau zoo ntawm kev kho tshuaj, tshuaj tsis raug tso tseg.
- Urea. Rau ob hnub, nws raug nquahu kom ua raws li qee yam kev noj haus: tsis suav nrog offal (lub raum, siab), txo qis kom tsawg ntawm cov nqaij, ntses, tshuaj yej thiab kas fes. Kev ua cev nqaij daim tawv yuav tsum nyob nruab nrab.
- YUric acid. Ob peb hnub ua ntej qhov kev kawm, ua raws li cov lus pom zoo uas tau hais hauv kab lus dhau los. Tsis tas li ntawd, cov tshuaj hauv qab no yuav tsum tsis suav nrog: tshuaj tua kab mob thiab sulfa, salicylates, caffeine, vitamin C, thiazole derivatives, theobromine thiab theophylline.
- Alfa-2-macroglobulin. Ua ntej kuaj ntshav rau qhov ntsuas no, cov khoom noj nqaij yuav tsum tau tso tseg rau peb hnub.
- Ib yam tshuaj uas cuam tshuam rau kev loj hlob lossis cov tshuaj tiv thaiv Mullerian, glycoprotein lossis inhibin B. Cov tshuaj hormones no raug kuaj ntawm hnub peb thiab thib tsib ntawm kev coj khaub ncaws. Peb hnub ua ntej kev soj ntsuam, kev ua ub ua no tsis pom zoo. Tsis txhob haus luam yeeb ib teev ua ntej kuaj. Thaum muaj mob, tshwj xeeb tshaj yog nyob rau theem mob, nws yog qhov zoo dua tsis mus kuaj.
- Nyob rau hauv kev npaj rau kev kuaj ntshav biochemical rau ACTH cov tshuaj hormones, cortisol, nws yuav tsum tsis suav nrog cov dej qab zib uas muaj cawv, ua si lub cev, haus luam yeeb, muaj xwm txheej ntxhov siab, noj tshuaj tiv thaiv kab mob.tshuaj estrogens thiab glucocorticoids. Lub sijhawm zoo tshaj plaws kom tau txais txiaj ntsig zoo thiab paub tseeb yog tsis pub dhau ob teev tom qab pw tsaug zog thiab tsis pub dhau 10 teev sawv ntxov.
- YBilirubin. Nyob rau yav tsaus ntuj ntawm txoj kev tshawb no, tsis txhob haus cov vitamin C thiab cov khoom uas tuaj yeem ua rau cov ntshav ntshav.
- Sex Hormones. Lub sijhawm ntawm kev noj ntshav rau hom tshuaj hormones no yog qhia los ntawm gynecologist, nyob ntawm seb tus poj niam cev xeeb tub (menopause, cev xeeb tub, poj niam cev xeeb tub).
- Kev tshuaj xyuas txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm Txhawm rau tshem tawm qhov tsis ntseeg, txoj kev tshawb fawb tau rov teem dua. Rau kev kuaj mob, kev tshuaj xyuas yog nqa tawm ua ntej pib kho nrog tshuaj tua kab mob. Txhawm rau ntsuas qhov ua tau zoo ntawm kev kho mob, ntshav tsis pub dhau 14 hnub tom qab kawm tiav ntawm kev kho mob.
kuaj kev tsis haum
Kev kuaj mob ntawm kev tsis haum tshuaj yuav tsum tau npaj tshwj xeeb rau kev kuaj ntshav rau kev tshuaj xyuas biochemical:
- rau 2 hnub tsis suav nrog cawv, tshuaj (raws li kev pom zoo nrog kws kho mob), cov tshuaj lom neeg lom neeg, suav nrog cov vitamins;
- txoj kev tshawb no tsis tau ua nyob rau hauv cov xwm txheej ntawm kev kho mob nrog cytostatics, tshuaj hormones thiab kev kho hluav taws xob, txij li qhov no cov synthesis ntawm immunoglobulin yog inhibited;
- rau kev ntseeg tau thiab tshem tawm cov txiaj ntsig tsis zoo, nws yog qhov tsim nyog tsis txhob noj tshuaj tiv thaiv kab mob 7 hnub ua ntej kev sim;
- kev tshawb fawb tau ua tiav ntawm lub plab khoob.
Ntawm cov contraindications, nws yuav tsum tau muab sau tseg: lub sij hawm mob ntawm tus kab mob, coj khaub ncaws,tshuaj tua kab mob.
Nyob
Npaj tus neeg mob rau kev kuaj ntshav biochemical suav nrog kev txwv tsis pub noj zaub mov ua ntej kev tswj hwm. Cov zaub mov absorbed hauv cov hnyuv tom qab noj mov:
- hloov cov concentration ntawm carbohydrates, rog, proteins, cov tshuaj hormones thiab lwm yam khoom;
- qhib enzymes;
- nce lossis txo cov ntshav viscosity.
Vim li ntawd, qhov kev kuaj ntshav yuav tsis ntseeg.
Nws yog qhov zoo tshaj plaws los xeem thaum sawv ntxov tom qab ib hmo pw tsaug zog - ntawm lub plab khoob. Yog tias muaj qee qhov teeb meem hauv kev ua tiav txoj cai no, ces cov ntsiab lus hauv qab no yuav tsum tau ua raws li:
- tsis txhob noj kib ob hnub;
- tsis txhob haus dej haus caffeinated rau 24 teev;
- noj mov yuav tsum teeb rau hnub ua ntej kev xeem;
- tsis txhob noj cov zaub mov muaj roj tsawg kawg 4 teev ua ntej qhov kev sim, vim tias muaj cov rog ntau hauv cov ntshav cuam tshuam qhov tshwm sim;
- tsis txhob haus cov roj carbonated, mis nyuj (lactic) thiab xim dej haus, kua txiv hmab txiv ntoo. Dej tsis tshua muaj txiaj ntsig rau qhov kawg tshwm sim, tab sis nws yog qhov zoo dua kom tsis txhob noj nws;
- tsis txhob kuaj ntshav biochemical tom qab noj mov hnyav (koom noj mov).
Npaj rau kev kuaj ntshav biochemical: noj tshuaj
Kev cuam tshuam ntawm ntau yam tshuaj ntawm cov txiaj ntsig ntawm kev kuaj sim, suav nrog biochemicalntshav kuaj, kawm kom ntxaws. Txawm li cas los xij, nws tsis tuaj yeem kwv yees ua ntej seb qhov txiaj ntsig ntawm kev tshawb fawb yuav hloov pauv li cas, suav nrog tus yam ntxwv ntawm lub cev ntawm ib tus neeg thiab muaj cov kab mob ntev.
Yuav kom tus kws kho mob tuaj yeem txhais cov txiaj ntsig tau txais hauv chav kuaj kom raug, koj yuav tsum ceeb toom tus kws kho mob txog cov tshuaj koj noj. Nws raug nquahu kom tham nrog koj tus kws kho mob ua ntej txog kev tso tseg qee yam tshuaj ib ntus.
Lub xeev kev xav thiab lub cev ua si
Kev npaj rau kev kuaj ntshav biochemical ntawm tus neeg laus nyob ntawm nws lub siab lub ntsws, vim tias muaj kev ntxhov siab cuam tshuam rau tib neeg lub cev. Nyob rau hauv kev ntxhov siab, sympathoadrenal tivthaiv ntawm cov neurohumoral tswj system yog qhib, uas, nyob rau hauv lem, ua rau kom ntau lawm ntawm cov tshuaj hormones thiab enzymes, ua rau muaj kev hloov nyob rau hauv cov kev ua ntawm lub sab hauv nruab nrog cev ntawm tus neeg. Tag nrho cov txheej txheem no cuam tshuam rau cov txiaj ntsig ntawm kev txheeb xyuas.
Lub cev ua haujlwm tseem ua rau lub cev sab hauv ntawm lub cev, tshwj xeeb tshaj yog cov tshuaj hormonal thiab enzymatic, thiab, vim li ntawd, cov khoom siv roj ntsha hauv lub cev nce ntxiv, cov metabolism hauv lub cev hnyav dua, thiab sab hauv. lub cev ua haujlwm ntau dua. Txhawm rau kom ua tiav qhov kev cais tawm ntawm kev cuam tshuam ntawm cov xwm txheej saum toj no hauv kev npaj rauKev kuaj ntshav biochemical yog qhov xav tau:
- tsis suav nrog kev tawm dag zog lub cev thiab kis las;
- khaws cov kev xav hauv lub xeev ntawm kev sib npaug: tsis txhob cia qhov tawg ntawm kev xav;
- tam sim ua ntej kev tswj hwm, nws raug nquahu kom zaum ntsiag to thiab so.
kev phem
Cawv cawv cuam tshuam rau txhua yam txheej txheem tshwm sim hauv lub cev ntawm tus neeg. Cov khoom lwj ntawm cov dej qab zib muaj cawv cuam tshuam rau kev ua haujlwm ntawm lub cev lub cev enzyme, cuam tshuam rau cov dej ntsev metabolism thiab kev ua pa ntawm tes. Kev haus luam yeeb cuam tshuam rau lub suab ntawm cov hlab ntsha, txhim kho kev ua haujlwm ntawm lub paj hlwb, ua rau kom muaj cov tshuaj hormonal ntau ntxiv.
Txhua cov txheej txheem no ua rau muaj kev hloov pauv tseem ceeb hauv cov ntshav biochemical. Txhawm rau txo cov teeb meem tsis zoo hauv kev npaj rau kev kuaj ntshav biochemical, nws raug pom zoo:
- tsis txhob haus luam yeeb 30-60 feeb ua ntej kev xeem;
- 72 teev ua ntej - tsis muaj cawv.
Poj niam physiology
Lub cev lub cev ntawm tus poj niam muaj kev hloov pauv thaum lub hli. Kev kuaj ntshav biochemical rau qhov ntsuas xws li cov tshuaj hormones (follicle-stimulating, luteinizing, estradiol, prolactin, progesterone, androstenedione thiab lwm yam) raug pom zoo kom coj mus rau ib hnub ntawm kev coj khaub ncaws lossis hnub nyoog gestational. Qhov no yog vim muaj kev hloov pauv tseem ceeb hauv qhov concentration ntawm ob qho tib si cov tshuaj hormones poj niam txiv neej thiab lawv cov metabolites.
Kev xeeb tub kuj cuam tshuam rau qhov kawg ntawm kev tshawb fawb, txij li thaum lub sijhawm no cov tshuaj hormones hloov pauv hauv lub cev tshwm sim, thiab nyob ntawm lub sijhawm cev xeeb tub, qhov concentration ntawm ntau yam tshuaj hauv lub cev hloov pauv: proteins, enzymes, cov tshuaj hormones., thiab lwm yam. Yuav kuaj ntshav biochemical li cas? Kev npaj rau nws yog txiav txim los ntawm gynecologist tus kheej rau txhua tus poj niam.
Nyob ib hnub
Muaj qee hom kev ntsuas biochemical, tus nqi uas nyob ntawm lub sijhawm ntawm hnub, piv txwv li, cov cim tshwj xeeb ntawm cov metabolism hauv cov pob txha. Yog tias tus kws kho mob sau qhov kev tshuaj ntsuam no rau lub hom phiaj ntawm kev saib xyuas, ces nws yuav tsum tau noj tib lub sijhawm.
Nrog kev npaj kom raug rau kev kuaj ntshav rau kev tshawb fawb biochemical, qhov tshwm sim yuav raug raws li qhov ua tau thiab yuav tso cai rau tus kws kho mob kuaj xyuas thiab sau cov kev kho mob tsim nyog.
