Zvimwe zvirwere zvakasiyana zve endocrine zvinoshandisa zviratidzo zvakafanana
Kana uchitarisisa chinokonzera kukanganisa kana nguva isipo iri pamwe chete nekuwedzerwa kwemahombe uye / kana bvudzi risina kujairika kukura kana kurasikirwa, vanachiremba vanowanzoisa pfungwa dzavo pane zvirwere zviviri zvinokonzerwa nekusava nehomoni: polycystic ovary syndrome (PCOS) uye chirwere chetachiona.
Zvose izvi zvinosanganisira zviratidzo zvakawanda. PCOS inowanikwa apo mazamu emukadzi kana adrenal glands anowedzera kuwandisa kwemadhomoni evanhu.
Chirwere chetachiona, nenzira yakasiyana, chinoratidzirwa nehuwandu hwakawanda hwehutachiona hwehutachiona ( hyperthyroidism ) kana kukanganisa kwemaitiro ehomoni ( hypothyroidism ).
Polycystic Ovary Syndrome (PCOS)
PCOS inonzi hormonal disorder inowanikwa pakati pevakadzi vane makore ekubereka. Vakadzi vane PCOS vachawanzova nenguva dzisina kukodzera kana zviratidzo zvechiitiko zvine chokuita nehupamhi hwemahomoni evanhu (androgens). Mazai maaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
Chikonzero chaicho chePCOS hachizivikanwi. Zviratidzo zvakasiyana uye zvinogona kusanganisira:
- Nguva dzisina kufanira kana dzisina kumwedzi
- Kuwedzerwa kwiso kumeso kana bvudzi ( hirsutism )
- Acne
- Uturu hwepelvic
- Infertility
- Kuwedzera kwehuwandu
- Insulin kushorwa
- Kurara kuputika
- Patikiti dzemafupa, dzisina kumira, dzakachena
Hapana chiyeuchidzo chimwe chete chinoshandiswa kusimbisa PCOS. Kuongororwa kunoitwa zvichienderana nekuongorora kwezviratidzo uye kuongororwa kwekuongorora.
PCOS inotaridzirwa zviratidzo zvakananga nekugadzirisa kuderedza insulin, kudzorera kubereka, kurapa bvudzi kana ganda kusagadzikana, uye kurongedza kurara kwemwedzi.
Hyperthyroidism
Iyo planditary gland inobereka hormone inonzi utachiona inosimudzira hormone (TSH) inokonzera kuchengetedzwa kwemasmoni kubva kune chirwere chetori.
Aya mahomoni ehutachiona, anozivikanwa seT3 neT4, anotonga muviri wemagetsi, muviri wekushisa, uye moyo wehutano. Kubudiswa kwakanyanya kwemahomoni aya anozivikanwa se hyperthyroidism, mamiriro ezvinhu ayo anosanganiswa, pakati pezvimwe zvinhu, kanzera yekotori uye chirwere chemoto chinonzi Graves chirwere .
Zviratidzo zvinogona kusanganisira:
- Chirwere chetachiona chakawedzerwa
- Anoshaya kana kuti aripo kuenda kumwedzi
- Kurasikirwa kwehuremu pasinei nekuwedzera kwechido
- Kuwedzerwa kwekufukura
- Siririra kusawirirana
- Kusuruvara kwebvudzi kunoratidzwa nehupamhi hwekugadzirwa
- Kudzivirira kwemaziso eziso ( proptosis )
- Kuwedzera kwemaitiro emwoyo uye kuwedzera kweropa
- Kunyunyuta
Kuongororwa kunoitwa nokuedza TSH uye T3 / T4 mazinga. Mishonga inogona kusanganisira kushandiswa kwemishonga kunotyisa hormonal production (propylthiouracil, methimazole), inonzi radioactive iodine mapiritsi ekuderedza utachiona hwehutachiona kana kubviswa kwechirwere chetachiona pamwe chete nehomoni inoshandiswa.
Hypothyroidism
Hypothyroidism inowanikwa apo pane kusakwanira kwekugadzirwa kweT3 neT4. Muchikamu chikuru che hypothyroidism, kuderera kwehomoni kunokonzerwa nezvinetso zvine chirwere chetrojeni pachako. Secondary hypothyroidism inosanganiswa nezvinetso mumutambo wepituitary.
Hypothyroidism inogona kukonzerwa nekenza yekemapa, kurapwa kwekenza, kana chirwere chinonzi autoimmune chinonzi Hashimoto's disease .
Zviratidzo zvinogona kusanganisira:
- Kusuruvara kusina
- Kuneta uye kunetseka
- Kuenda kumwedzi kusinganzwisisiki kana kunonoka
- Kuenda kumwedzi kwakakura kana kwenguva refu
- Yakaderera libido
- Kuwedzera kwehupfumi pasinei nekuderera kwechido
- Constipation
- Ganda, rakaoma ganda
Hypothyroidism inorwara inowanikwa nemavhudhi akafanana se hyperthyroidism. Hormone replacement therapy inowanzotanga mutsara wokurapa, kazhinji uchishandisa drug levothyroxine (Synthroid, Levothroid).
> Kwakabva:
> Gaberscek, S .; Zaletel, K .; Shwetz, V. et al. "Mishonga mu Endocrinology: Utachiona uye polycystic ovary syndrome." Eur J Endocrin. 2015; 172: R9-R21.
> McCance, K. naHuether, S. (2016) Kunzwisisa Pathophysiology (Chechitanhatu Edition) . St. Louis, Missouri: Mosby.