Dab tsi yog cov tsos mob ntawm ntau tshaj progesterone hauv cov poj niam? Progesterone yog poj niam cov tshuaj hormones uas tsim los ntawm tus ntxhais lub cev thaum cev xeeb tub thiab nyob rau theem 3 ntawm kev coj khaub ncaws. Nws lub luag haujlwm lom neeg tseem ceeb heev, vim li no nws yog qhov yuav tsum tau kuaj xyuas cov tshuaj hormones tsis tu ncua. Cov qib ntawm progesterone tuaj yeem hloov pauv, tab sis tus nqi siab qee zaum qhia tias muaj kab mob loj zuj zus. Txhawm rau txiav txim siab seb qhov no puas yog kab mob lossis cov txheej txheem physiological, koj yuav tsum mus ntsib kws kho mob. Yog vim li cas progesterone nce, thiab dab tsi yog cov tsos mob ntawm ntau tshaj progesterone nyob rau hauv cov poj niam?
cov ntaub ntawv tseem ceeb
Progesterone koom nrog hauv kev npaj tus poj niam lub endometrium rau nqa tus menyuam lossis kev coj khaub ncaws. Nws qib nce nyob rau hauv lub luteal theem ntawm kev coj khaub ncaws, thaum lub corpus luteum yog tsim nyob rau hauv lub zes qe menyuam, intensively tsim cov tshuaj hormones. Lub sijhawm no, lub tsev menyuam tab tom npaj rau kev xeeb tub.fetus, yog tias qhov no tsis tshwm sim, ces kev coj khaub ncaws pib. Nyob rau hauv cov xwm txheej zoo li no, corpus luteum raug tshem tawm, thiab qib ntawm cov tshuaj hormones poob. Yog tias fertilization ua tiav, qib progesterone nce ntxiv raws li cov placenta tsim, uas kuj tsim cov tshuaj. Progesterone yog lub luag haujlwm rau kev xeeb tub tag nrho thiab qhov pib ntawm kev coj khaub ncaws. Qhov no yog qhov tseem ceeb tshaj plaws ntawm cev xeeb tub cov tshuaj uas ua kom lub cev kev loj hlob ntawm tus menyuam.
Y Yuav ua li cas ntawm cov tshuaj hormones?
Ntawm cov haujlwm tseem ceeb ntawm progesterone yog:
- Npaj tus ntxhais lub cev xeeb tub.
- Txhawb kev lactation.
- cuam tshuam lub mis loj.
- cuam tshuam rau kev loj hlob ntawm cov kabmob tseem ceeb thiab cov ntaub so ntswg ntawm tus menyuam hauv plab.
- Txhim txheej txheej ntawm cov hlab ntsha uas xav tau rau kev faib qe.
- Hloov lub endometrium ntawm lub tsev menyuam kom muaj kev xav ntxiv.
- Ntawm niam txiv tiv thaiv kom tsis txhob nchuav menyuam.
Progesterone tseem ceeb tsis yog thaum lub sijhawm yug menyuam, tab sis tseem nyob rau lub sijhawm so ntawm lub tsev menyuam, vim nws yog lub luag haujlwm rau kev ua haujlwm tag nrho ntawm cov qog mammary, tiv thaiv kev tshwm sim ntawm ntau yam kab mob, ntawm uas mastopathy yog qhov txawv. Tsis tas li ntawd, progesterone koom nrog hauv kev txhim kho ntawm lub plab hauv plab, normalizes ntshav viscosity.
Yuav txiav txim siab li cas?
Txhawm rau kuaj seb tus poj niam puas muaj cov tshuaj progesterone siab lossis tsis yog, nws yog ib qho tsim nyog yuav tsum pub ntshav los ntawm cov leeg nyob rau hnub 24 ntawm kev coj khaub ncaws, txij li lub sijhawm no nws ua kom tshwm sim. Ua tsaug rauKev tshawb fawb hauv chav kuaj tuaj yeem txiav txim siab qhov concentration ntawm progesterone. Xws li kev kuaj mob tuaj yeem ua tau ob qho tib si hauv tsev kho mob pej xeem thiab cov chaw kho mob ntiag tug. Txhawm rau txiav txim siab qib ntawm progesterone, tus kws kho mob yuav tsum saib xyuas tus neeg mob thoob plaws hauv lub cev, qhov no yuav tso cai rau txheeb xyuas tus kab mob, vim tias qib ntawm progesterone tuaj yeem hloov pauv.
Vim li cas cov tshuaj hormones nce?
Hyperprogesteronemia - siab progesterone nyob rau hauv cov poj niam hauv cov ntshav cov ntshav, yuav qhia tau tias muaj cov kab mob pathology, qee zaum nws yog ib qho tshuaj tiv thaiv ntawm lub cev. Ua ntej tshaj plaws, nws yog ib qho tsim nyog yuav tsum paub seb hnub twg ntawm kev coj khaub ncaws tus neeg mob tau kuaj, vim qhov no muaj lub luag haujlwm tseem ceeb thiab cuam tshuam rau qhov tseeb ntawm cov ntaub ntawv tau txais.
Kev ua haujlwm ib txwm
Nyob rau theem thawj, qib ib txwm yog 0.29-2.26 nmol / l, thaum lub sijhawm ovulation - 0.49-9.45 nmol / l, thiab theem peb - 6.93-56 nmol / l.
Qib qis tshaj ntawm progesterone feem ntau pom thaum lub caij cev xeeb tub. Vim yog siv cov tshuaj tiv thaiv qhov ncauj, tus nqi ntawm cov tshuaj hormones nce. Feem ntau, qhov nce me ntsis hauv qhov ntsuas tsis yog qhov tshwm sim ntawm pathological. Yog tias qhov nce qib progesterone tau pom nyob rau hauv txhua theem ntawm lub voj voog, nws tuaj yeem qhia tau tias tus kab mob no tshwm sim.
Yuav ua li cas nce?
Cov tsos mob, ua rau muaj progesterone siab hauv cov poj niam yuav tsum tau tham nrog koj tus kws kho mob. Muaj ntau yam mob lossis kab mob uas tuaj yeem nce ntxivqib progesterone, uas yog:
- thaum cev xeeb tub;
- nyob rau hauv lub xub ntiag ntawm pathological los ntshav los ntawm lub plab mog;
- ncua sij hawm tsis muaj poj niam txiv neej;
- muaj cyst lossis corpus luteum;
- Ymalignant neoplasm ntawm zes qe menyuam, uterus;
- kab mob raum;
- adrenal dysfunction;
- kev tsim cov placenta.
Yog tias tus kws kho mob tau tshawb pom hyperprogesteronomia, ces nws yuav tsum tau ua ib qho kev tshawb fawb ntxiv uas yuav pab kom kuaj tau qhov tseeb. Feem ntau, qhov nce qib ntawm cov tshuaj hormones qhia tias cev xeeb tub tau tshwm sim. Tab sis yog tias ib tug poj niam paub tseeb tias qhov tsis sib xws, ces tus kws kho mob yuav tsum nrhiav qhov ua rau muaj qhov nce hauv cov tshuaj hormones. Koj yuav tsum paub tias cov tshuaj hormonal lossis tshuaj tiv thaiv kab mob tuaj yeem ua rau muaj kev nce hauv progesterone. Tom qab lawv tshem tawm, cov keeb kwm hormonal feem ntau rov qab los. Raws li cov txiaj ntsig kev kuaj mob tau txais, tus kws kho mob tuaj koom tau sau cov kev kho mob dav dav uas yuav pab kho tus kab mob.
qib ntawm cov tshuaj hormones thaum lub sijhawm yug menyuam yog dab tsi?
Cov poj niam muaj qib progesterone siab thaum cev xeeb tub. Cov tsos mob ntawm kev vam meej tam sim ntawd ua rau nws tus kheej xav - qhov no yog ib qho txheej txheem physiological, uas qhia tau hais tias tsis muaj qhov txawv txav hauv lub cev. Hyperprogesteronomia yuav tsum maj mam nce raws li lub sijhawm txwv. Hauv thawj peb lub hlis twg, 471 nmol / l yog suav tias yog qhov qub. Hauv lub hlis dhau los ntawm cev xeeb tub, qhov ntsuas tau nce mus rau 760 nmol / l- qhov no tsis qhia tias pathology tsim nyob rau hauv ib tug poj niam lub cev, qhov no tsuas yog pov thawj ntawm tag nrho maturation ntawm placenta, uas tsim cov tshuaj hormones.
Thaum lub sijhawm yug menyuam, nws yog qhov tsim nyog los tswj cov qib ntawm progesterone. Yog tias nws poob qis, ces nws yuav ua rau lub neej ntawm tus menyuam mos, vim tias muaj kev nchuav menyuam. Kev nce qib ntawm progesterone ntau dhau kuj tsis yog cov txheej txheem ib txwm muaj - qhov no yuav qhia tau tias kev hloov pauv pathological tshwm sim hauv cov placenta, uas tuaj yeem ua rau muaj kev cuam tshuam nrog kev noj qab haus huv ntawm tus menyuam thiab niam. Nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb uas yuav tau xaiv cov tshuaj tsim nyog uas yuav pab daws qhov teeb meem. Nws yog txwv tsis pub noj tshuaj rau tus kheej, tsuas yog tus kws kho mob tuaj koom yuav tsum tau sau tshuaj.
Symptomatics
Dab tsi yog cov tsos mob ntawm ntau tshaj progesterone hauv cov poj niam? Muaj ntau cov tsos mob raws li qhov koj tuaj yeem txiav txim siab txog qib progesterone. Qee qhov xwm txheej, tus poj niam zoo siab heev thiab tsis muaj qhov tsis xis nyob. Hauv particular, hyperprogesteronomia tshwm sim nws tus kheej li:
- Kev nyuaj siab lossis neurosis.
- Kev nyuaj siab.
- Nyob ntev thiab qaug zog.
- ntshav siab.
- Kev tsis xis nyob hauv plab.
- Lub voj voog tsis tu ncua yog ib qho cim qhia ntawm ntau tshaj progesterone hauv cov poj niam.
- pob txuv.
- mob plab.
- Nyob tob tob hauv qhov hnyav.
- mob plab hnyuvpath.
Yog tias koj muaj ib qho ntawm cov tsos mob ntawm cov poj niam ntau dhau ntawm progesterone, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob, vim qhov no yuav qhia tau tias pathology tab tom txhim kho uas tsis cuam tshuam txog kev xeeb tub. Raws li cov xwm txheej zoo li no, kev kuaj mob yuav tsum tau ua.
Kev phom sij yog dab tsi?
Hormonal tsis ua haujlwm tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj rau cov poj niam. Hyperprogesteronomia tuaj yeem ua rau lwm tus kabmob, qhov txaus ntshai tshaj plaws ntawm lawv yog cov qog lossis cyst. Nyob rau hauv cov ntaub ntawv ntawm untimely nkag mus rau ib tug kws kho mob, tus neeg mob feem ntau kuaj tau ib tug zes qe menyuam corpus luteum cyst, uas yog hais txog benign neoplasms thiab yog tsim los ntawm ntau cov kua nyob rau hauv cov ntaub so ntswg ntawm zes qe menyuam. Cov cysts nquag tsim cov tshuaj progesterone, yog li ntawd, nws cov concentration hauv cov ntshav ntshav nce ntxiv.
Yog tias hyperprogesteronomia tsis kho raws sijhawm, cov kab mob hauv qab no yuav tshwm sim:
- malignant lossis benign qog;
- ovarian cyst;
- kab mob raum;
- kev muaj menyuam;
- cirrhosis ntawm daim siab;
- obesity.
Cov kws kho mob pom zoo kom koj mus ntsib kws kho mob raws sijhawm thiab ua raws li kev kho mob uas kws kho mob tau sau tseg. Nrog kev pab ntawm cov tshuaj, nws muaj peev xwm tiv thaiv kev txhim kho ntawm cov txheej txheem pathological. Kev nkag mus rau lub gynecologist raws sij hawm yuav pab kom tsis txhob muaj ntau yam kab mob. Cov poj niam yuav tsis muaj cov tsos mob ntawm progesterone siab, yog li lawv yuav tsum tau kuaj tsis tu ncua.
ntsuas ntsuas
Ntau zaus, teeb meem hormonalpab txiav txim siab tus kws kho mob endocrinologist. Tus kws kho mob tshwj xeeb muaj peev xwm ua tib zoo tshuaj xyuas endocrine pathologies thiab mob. Tshaj progesterone hauv cov poj niam yuav pab kho gynecologist thiab gynecologists-endocrinologist. Yog tias tus kws kho mob tau tshawb pom hyperprogesteronomia, tom qab ntawd nws yog qhov tsim nyog los ua qhov kev kuaj mob txhawm rau txhawm rau txheeb xyuas qhov ua rau ntawm tus mob no. Nyob rau hauv tus txheej txheem ntawm kev ntsuas ntsuas, nws yog ib qho tsim nyog yuav tsum tau ua cov kev tshawb fawb hauv qab no:
- tsom xam los ntawm cov leeg rau lwm cov tshuaj hormones;
- kuaj ntshav dav dav thiab biochemical;
- urinalysis;
- Ultrasound ntawm lub plab pelvic;
- MRI lossis CT.
Raws li cov txiaj ntsig ntawm txoj kev tshawb fawb, tus kws tshaj lij ua qhov kev kuaj mob thiab sau cov kev kho mob tsim nyog uas yuav pab kho cov qib progesterone ib txwm muaj.
txheej txheem kho
Cov tsos mob thiab kev kho mob ntawm progesterone ntau dhau ntawm tus poj niam - qhov no yog lub ntsiab lus uas yuav tsum tau tham nrog koj tus kws kho mob, vim tias txhua yam nyob ntawm daim duab kho mob tshwj xeeb. Yog hais tias theem ntawm progesterone nyob rau hauv ib tug poj niam uas tsis yog cev xeeb tub tau nce, ces nws yog tsim nyog los nqa tawm complex txoj kev kho. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, tus kws kho mob xaiv txoj kev kho mob. Txhawm rau txo qis cov tshuaj hormones koj yuav tsum tau thov:
- tshuaj kho mob;
- kev cuam tshuam kev phais (hauv theem siab);
- khoom noj;
- kev tawm dag zog lub cev.
Progesterone tuaj yeem txo qis siv cov tshuaj tiv thaiv qhov ncauj. Nrog kev pab los ntawm "Zhanina", "Diana-35", "Anteovina" tus neeg mob tau kho. Cov tshuaj no yuav pab tshem tawm hyperprogesteronomia. Ib qho hluavtaws analogue ntawm cov tshuaj hormone estriol muaj cov txiaj ntsig zoo ntawm cov txheej txheem kho. Txhawm rau kho cov qib hormonal ntawm progesterone, cov kws kho mob sau Epostan, Mifepristone, Tamoxifen, Clomiphene. Koj yuav tsum paub tias cov tshuaj yuav tsum tsis txhob noj thaum nqa tus menyuam, vim lawv tuaj yeem ua rau nchuav menyuam lossis muaj teeb meem hauv plab. Yog hais tias tus kws kho mob tau pom ib lub cyst ntawm lub corpus luteum, ces nws yog ib qhov tsim nyog yuav tau noj tshuaj tiv thaiv kab mob los yog tshuaj tiv thaiv qhov ncauj. Nyob rau theem siab ntawm tus kab mob, cov kws kho mob tau sau ib qho kev phais lossis kev phais ntawm zes qe menyuam, yog tias muaj cov kab mob ntxiv. Nyob rau hauv lub xub ntiag ntawm cov qog malignant, nws yog ib qho tsim nyog yuav tau ua kev phais tshem tawm nrog rau lub zes qe menyuam.
Khoom noj khoom haus thaum kho
khoom noj khoom haus kom zoo ua lub luag haujlwm tseem ceeb hauv kev kho mob. Cov ntawv qhia zaub mov raug xaiv yuav pab kho cov qib hormonal. Cov khoom noj uas muaj cov protein uas tuaj yeem nce progesterone. Protein pom hauv:
- tsev cheese thiab mis nyuj;
- cheese;
- noob;
- legumes;
- txiv ntseej;
- pastry.
Kev noj cov zaub mov no yuav tsis nce qib progesterone tam sim ntawd, tab sis nws tseem tsis pom zoo kom suav nrog cov khoom xyaw no hauv kev noj haus, vim tias lawv cuam tshuam rau nws cov khoom.
Yuav muaj teeb meem dab tsi?
Ntau zuj zus, cov kws kho mob tau kuaj pom ntau tshaj progesterone hauv cov poj niam. Cov tsos mob thiabQhov tshwm sim yog dab tsi txhawj xeeb ntau tus neeg. Cov tsos mob feem ntau tshwm sim lawv tus kheej nyob rau hauv daim ntawv ntawm kev qaug zog, lub voj voog tsis sib haum, kev dhia ntse hauv qhov hnyav. Yog tias qhov kev kho mob raws sij hawm ntawm hyperprogesteronomia tsis ua tiav, cov kab mob hauv qab no tuaj yeem tshwm sim:
- cancer;
- siv;
- tumor;
- kev muaj menyuam.
Yuav kom tiv thaiv kev txhim kho ntawm cov teeb meem kev noj qab haus huv loj, nws yog ib qho tseem ceeb uas yuav tau pib kho kom haum raws sijhawm. Nws yog txwv tsis pub siv cov tshuaj ntawm koj tus kheej, vim qhov no tuaj yeem ua rau tuag taus. Yog tias koj muaj ib qho ntawm cov tsos mob, cov tsos mob ntawm progesterone siab hauv cov poj niam, koj yuav tsum mus ntsib kws kho mob.
