Hnub twg ntawm lub voj voog kuv yuav tsum xeem progesterone?

Cov txheej txheem:

Hnub twg ntawm lub voj voog kuv yuav tsum xeem progesterone?
Hnub twg ntawm lub voj voog kuv yuav tsum xeem progesterone?

Video: Hnub twg ntawm lub voj voog kuv yuav tsum xeem progesterone?

Video: Hnub twg ntawm lub voj voog kuv yuav tsum xeem progesterone?
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Lub Xya hli ntuj
Anonim

Qib ntawm progesterone hauv cov ntshav tsis tas li. Nws fluctuates nyob ntawm lub sij hawm ntawm hnub. Nws cov concentration siab tshaj plaws hauv cov ntshav yog pom thaum sawv ntxov. Hauv cov poj niam, cov cim hloov pauv thaum lub caij coj khaub ncaws. Txhawm rau txhais cov txiaj ntsig kom raug, koj yuav tsum paub hnub twg thiaj li kuaj tau cov tshuaj progesterone.

YProgesterone yog dab tsi?

Progesterone yog cov tshuaj steroid uas muaj nyob rau hauv cov poj niam thiab cov txiv neej. Nws yog tsim los ntawm adrenal cortex thiab zes qe menyuam, thiab thaum cev xeeb tub los ntawm placenta. Progesterone npaj lub tsev menyuam rau kev cog qoob loo ntawm lub qe fertilized, so nws cov phab ntsa, txhawb kev kaw lub tsev menyuam, o ntawm cov qog mammary. Vim nws lub luag haujlwm tseem ceeb, qee zaum nws yog hu ua lub cev xeeb tub lossis poj niam hormone. Cov txiv neej tsim me me progesterone.

Molecular formula ntawm progesterone
Molecular formula ntawm progesterone

Vim li cas thiaj kuaj progesterone

Qib qis lossis siabprogesterone tuaj yeem yog qhov ua rau lossis qhov tshwm sim ntawm ntau yam kabmob ntawm lub cev. Tus kws kho mob tau sau tshuaj ntsuam xyuas progesterone hauv cov xwm txheej hauv qab no:

  • txheeb xyuas qhov ua rau muaj menyuam tsis muaj menyuam hauv cov txiv neej thiab poj niam;
  • hem nchuav menyuam;
  • menstrual irregularity;
  • ua ntej tus txheej txheem IVF;
  • thaum cev xeeb tub;
  • xov xwm kab mob adrenal;
  • poj niam cov plaub hau;
  • overweight.

Kev tshuaj ntsuam ntawm progesterone kuj tseem yuav xav tau rau cov menyuam yug tshiab los kuaj xyuas tus kab mob caj ces - hyperplasia ntawm adrenal cortex.

Laboratory pab nrog cov hlab ntsha
Laboratory pab nrog cov hlab ntsha

Thaum twg yog lub sijhawm zoo tshaj plaws los kuaj

Poj niam cov tshuaj hormones hloov thoob plaws hauv lub cev. Yog li ntawd, nws yog ib qho tseem ceeb kom paub tias hnub twg qhov kev ntsuam xyuas progesterone yuav qhia qhov tseeb.

Kev coj khaub ncaws hauv poj niam muab faib ua peb theem:

  • follicular;
  • ovulatory;
  • luteal.

Cov qib siab tshaj plaws ntawm progesterone hauv tus poj niam tsis cev xeeb tub tau pom nyob rau theem thib peb. Nws pib nyob ib ncig ntawm 15-17th hnub ntawm lub voj voog thiab xaus nrog kev coj khaub ncaws. Kev tshuaj xyuas rau cov tshuaj hormone progesterone yuav tsum tau noj thaum lub sijhawm tsim khoom ntau tshaj.

Qhov nruab nrab ntev ntawm tus poj niam lub cev xeeb tub yog 28 hnub. Nyob rau hauv cov ntaub ntawv no, lub ncov ntawm progesterone ntau lawm ntog rau 21st-22nd hnub. Nws yog nyob rau lub sijhawm no koj yuav tsum tau mus dhau ntawm cov txheej txheem. Hnub twg ntawm lub voj voog yuav kuaj progesterone qhia qhov tseeb yog tias lub sijhawm ntev dua lossis tsawg dua li tus qauv 28 hnub? Hauv qhov ntawdHauv qhov no, tus kws kho mob ib tus zuj zus suav hnub uas cov tshuaj hormones yuav siab tshaj.

Piv txwv li, nrog lub sijhawm voj voog ntawm 26 hnub, nws yog qhov zoo dua los teem sijhawm kuaj progesterone rau hnub 19-20 ntawm lub voj voog, nrog rau lub voj voog 35 hnub - hnub 27-29.

Tus neeg mob thiab kws kho mob
Tus neeg mob thiab kws kho mob

Yuav ua li cas thiaj kuaj tau

Progesterone kuaj tau thaum sawv ntxov ntawm lub plab khoob. Cov zaub mov kawg yuav tsum yog 8 teev ua ntej qhov txheej txheem. Ntshav yog muab los ntawm cov hlab ntsha. Txhawm rau kom tau txais txiaj ntsig zoo, hnub ua ntej qhov kev xeem, koj yuav tsum ua raws qee qhov kev txwv:

  • tsis suav nrog ntsim, ntsev, cov zaub mov muaj rog los ntawm kev noj haus;
  • tsis txhob haus cawv, kas fes thiab tshuaj yej muaj zog;
  • refuse sex;
  • zam kev ntxhov siab thiab tawm dag zog;
  • tsis txhob tau ultrasound, MRI lossis x-ray.

Yog tus neeg mob noj tshuaj, nws yuav tsum tau ceeb toom rau tus kws kho mob ua ntej mus kuaj. Qee cov tshuaj tuaj yeem nce lossis txo cov ntshav ntawm progesterone. Yog tias tsim nyog, tus kws kho mob yuav tsum tsis txhob noj tshuaj ib ntus kom tau txais cov txiaj ntsig kev kuaj pom tseeb dua. Thaum tsis tuaj yeem tso tseg kev kho mob, cov ntawv nyeem yuav tsum tau txhais raws li tus neeg mob cov tshuaj.

Noj ntshav los ntawm cov hlab ntsha
Noj ntshav los ntawm cov hlab ntsha

Kev kuaj cev xeeb tub progesterone

Yog tias cev xeeb tub mus zoo, tus kws kho mob tsis muaj laj thawj los tshuaj xyuas cov tshuaj hormones rau leej niam. Yog li ntawd, qhov txheej txheem no tsis tas yuav tsum tau ua. Tab sis thaum tus kws kho mob xav tias muaj kab mob hauv tus poj niam lossis tus menyuam hauv plab, kev kuaj ntshav rau progesterone yog qhov tsim nyog.

Nyob rau ntawm kev tawm tsamLub cev xeeb tub qib progesterone nce thoob plaws lub sijhawm. Cov tshuaj no yog tsim nyog rau kev loj hlob ib txwm thiab khaws cia ntawm fetus. Cov qib progesterone tsis txaus thaum cev xeeb tub yog qhov txaus ntshai. Nws tuaj yeem ua rau fetal hypoxia lossis txawm tias nchuav menyuam.

Cov tsos mob ntawm cov qib qis ntawm cov tshuaj hu ua thaum cev xeeb tub:

  • nce uterine tone;
  • mob plab plab;
  • ntshav;
  • mob taub hau;
  • flatulence.

Yog tias tus poj niam muaj ob peb cov tsos mob tau piav qhia, tus kws kho mob yuav xav tias tsis muaj progesterone. Txhawm rau kom paub meej qhov kev kuaj mob, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam thiab txiav txim siab qib ntawm cov tshuaj hormones. Yog tias progesterone qis dua li qub, tus kws kho mob yuav sau tshuaj kho mob.

Tsawg progesterone thaum ntxov ntawm cev xeeb tub tuaj yeem yog qhov cim ntawm kev xeeb tub ectopic. Yog tias cov tshuaj hormones tsis loj hlob, qhov no yuav qhia tau tias cev xeeb tub.

Progesterone qib thaum cev xeeb tub kuj tuaj yeem siab dua li qub. Hauv qhov no, tus poj niam yuav xav tias lub raum tsis ua haujlwm, adrenal dysfunction. Hauv ntau lub cev xeeb tub, nce progesterone yog qhov qub.

Tus poj niam cev xeeb tub ntawm tus kws kho mob lub chaw haujlwm
Tus poj niam cev xeeb tub ntawm tus kws kho mob lub chaw haujlwm

qib Progesterone

qib Progesterone rau cov txiv neej yog ib txwm nyob nruab nrab ntawm 0.32 thiab 0.64 nmol / L.

Rau cov poj niam uas tsis yog cev xeeb tub ntawm lub hnub nyoog yug me nyuam, progesterone tus qauv yog:

  • nyob rau theem follicular - los ntawm 0.32 txog 2.25 nmol / l;
  • nyob rau theem ovulatory - los ntawm 0.46 txog 9.41nmol/L;
  • nyob rau theem luteal - los ntawm 6.95 rau 56.63 nmol / l.

Yog tus poj niam siv tshuaj tiv thaiv kab mob hormonal, ces rau nws lwm yam kev cai rau qib ntawm progesterone hauv cov ntshav:

  • nyob rau theem follicular - tsis siab tshaj 3.6 nmol / l;
  • nyob rau theem ovulatory - los ntawm 1.52 txog 5.45 nmol / l;
  • nyob rau theem luteal - los ntawm 3.01 txog 66.8 nmol / l.

Thaum lub cev tsis muaj zog, qib progesterone ib txwm tsis siab dua 0.64 nmol / L.

Thaum cev xeeb tub, qib ntawm progesterone nyob ntawm lub sijhawm thiab maj mam nce.

Lub sijhawm cev xeeb tub nmol/L
1st trimester 1-6 lis piam 38, 15 - 69
7-14 lis piam 64, 8 - 127
2nd peb lub hlis twg 15-24 lis piam 124 - 247, 1
25-33 lub lis piam 197 - 402, 8
3rd trimester 34-40 week 381, 4 - 546
Ntshav tsom xam
Ntshav tsom xam

nce qib progesterone

Progesterone so ligaments, tendons thiab du cov leeg ntawm cov kab mob hauv nruab nrog cev. Thaum cev xeeb tub, qhov no yog qhov tsim nyog los txo qhov nro ntawm lub tsev menyuam, cia nws ncab thiab tsis nyem lub fetus. Txawm li cas los xij, progesterone tsis tuaj yeem ua qhov taw qhia. Tib lub sijhawm, cov leeg nqaij kuj txo qis hauv lwm cov kabmob, piv txwv li, kab mob plab.

Yog tias tsis muaj cev xeeb tub, thiab progesterone nce siab, nws lub sijhawm ntev ntawm lub cev tuaj yeem ua rau muaj qhov tsis zoo. Cov nqaij ntshiv ntawm lub plab thiab cov hnyuv maj mamtxhawb cov zaub mov los ntawm txoj hnyuv, uas ua rau fermentation, tsam plab thiab flatulence. Txo cov suab nrov ntawm ligaments thiab tendons tuaj yeem ua rau raug mob ntxiv.

nce progesterone cuam tshuam cov txheej txheem metabolic hauv lub cev. Qhov tshwm sim yog nce qab los noj mov thiab hnyav nce. Ntev ntev raug rau siab progesterone hauv lub cev tuaj yeem ua rau muaj ntshav qab zib.

Thaum cev xeeb tub, progesterone suppresses poj niam lub cev tiv thaiv kab mob kom tus niam lub cev tsis lees txais tus menyuam hauv plab. Yog tias tsis muaj kev xeeb tub, ces cov tshuaj hormones siab tuaj yeem ua rau mob khaub thuas.

High progesterone provokes ncab ntawm phab ntsa ntawm cov hlab ntsha thiab nce hauv lawv cov permeability. Cov kua dej los ntawm cov hlab ntsha nkag mus rau hauv cov ntaub so ntswg ntawm lub cev, ua rau o, ib qho teeb meem tshwm sim hauv cov poj niam cev xeeb tub.

nce qib progesterone txhawb cov qog sebaceous, uas tuaj yeem ua rau tawv nqaij pob khaus - pob txuv.

Yog tias qib ntawm progesterone tshaj li tus qauv, qhov no yuav qhia tau qee qhov kev ua haujlwm tsis zoo hauv lub cev. Cov tshuaj hormones siab tuaj yeem yog cov tsos mob ntawm cov kab mob hauv qab no:

  • adrenal dysfunction;
  • neoplasms hauv poj niam cev xeeb tub;
  • raum tsis ua haujlwm;
  • siab tsis ua hauj lwm;
  • cysts ntawm lub cev luteum;
  • qog nqaij hlav zes qe menyuam.

YLow progesterone

Qhov txaus ntshai tshaj plaws uas tsis muaj progesterone thaum cev xeeb tub. Lub cev tsis npaj rau kev coj tus kheej thiab khaws cia tus menyuam hauv plab. Lub qe fertilized yog tsis lees paub. Yog poj niam muajkeeb kwm ntawm kev nchuav menyuam, tom qab ntawd thaum npaj cev xeeb tub tshiab, nws yuav tsum tau kuaj rau progesterone. Nrog rau qib qis ntawm cov tshuaj hormones, kev kho mob ntawm nws qib yuav tsum tau.

Yog tus poj niam tsis xeeb tub, tsis muaj progesterone tuaj yeem ua rau cov tsos mob hauv qab no:

  • mob plab plab thaum cev xeeb tub;
  • menstrual irregularities;
  • kev ntxhov siab tsis ruaj khov;
  • mob taub hau;
  • pw tsis tsaug zog;
  • tas li qaug zog thiab qaug zog;
  • plaub hau poob.

Qhov ua rau qis progesterone txawv heev. Tsuas yog tus kws kho mob, tom qab kuaj tus neeg mob, tuaj yeem txiav txim siab qhov tsis raug thiab sau ntawv kho mob.

Muaj peev xwm ua rau qis progesterone:

  • kab mob oncological;
  • teeb meem tom qab rho menyuam;
  • mob rhiab mob ntawm poj niam cev xeeb tub;
  • raum tsis ua haujlwm;
  • kab mob endocrine tsis meej;
  • corpus luteum insufficiency;
  • muaj tseeb tshaj cev xeeb tub;
  • kev nyuaj siab;
  • pathologically qis lub cev hnyav;
  • tawm dag zog ntau dhau;
  • noj cov tshuaj (cov tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tiv thaiv hormonal).

kho cov tshuaj hormone

Progesterone yog amenable rau kev kho tshuaj. Nws cov concentration hauv cov ntshav tuaj yeem nce thiab txo qis. Tab sis xws li kev kho mob tactic tsis yog ib txwm muaj kev ncaj ncees, vim nws tsis cuam tshuam qhov ua rau ntawm pathology. Siab lossis qis progesterone feem ntau yogqhov tshwm sim ntawm cov kab mob hnyav lossis mob ntev. Tus kws kho mob yuav tsum paub qhov tseeb ntawm qhov sib txawv ntawm cov qauv, ua qhov kev kuaj mob.

Thaum kho tus kab mob uas ua rau cov tshuaj hormonal tsis ua haujlwm, kev kho tshuaj yuav raug muab tshuaj kho progesterone.

Cov ntsiav tshuaj hauv xib teg
Cov ntsiav tshuaj hauv xib teg

High Progesterone Treatment

Nrog nce progesterone, kev noj zaub mov tshwj xeeb muaj txiaj ntsig zoo. Kev hloov kho kev noj haus tuaj yeem txo qis qib ntawm cov tshuaj hormones hauv cov ntshav thiab txo cov tsos mob tsis zoo. Kev noj haus suav nrog kev tsis lees paub cov khoom noj muaj roj, khoom qab zib, taum, txiv ntoo, noob paj noob hlis thiab taub dag. Cov nqaij ntshiv, cov khoom noj tsis muaj rog, thiab zaub yuav tsum nyiam dua. Peppermint tshuaj yej muaj peev xwm txo qis progesterone.

Tshuaj siv los txo qis progesterone:

  • Mifepristone yog cov tshuaj hluavtaws siv rau kev rho menyuam tawm thaum cev xeeb tub. Mifepristone blocks progesterone, nws cov concentration hauv cov ntshav poob qis.
  • "Clomiphene" yog tshuaj hormonal antiestrogenic. Yuav txo qis progesterone tsawg dua ib lub lis piam.
  • "Tamoxifen" yog cov tshuaj hormonal hluavtaws uas muaj cov nyhuv antitumor. Siv rau qee hom mob qog noj ntshav thiab kuj txo qis progesterone.

Kev kho rau qis progesterone

Nrog progesterone qis, kev ntxhov siab thiab kev tawm dag zog lub cev hnyav yuav tsum raug zam. Koj yuav tsum tau kuaj xyuas los ntawm gynecologist thiab endocrinologist txhawm rau kuaj xyuas cov kab mob uas ua rau hormonal tsis ua haujlwm. kuv paubKev kho mob, tus kws kho mob yuav sau ntawv rau cov neeg mob cov tshuaj uas nce qib ntawm progesterone, xws li Duphaston, Utrozhestan, Crinon, Iprozhin thiab lwm yam.

Qhov tseem ceeb! Txhua yam tshuaj uas nce lossis txo cov progesterone yuav tsum tau noj tsuas yog raws li kws kho mob qhia. Tsis txhob muab tshuaj rau tus kheej!

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