Teko ea mali ea Estradiol
Teko ea estradiol e lekanya palo ea hormone e bitsoang estradiol maling. Estradiol ke e 'ngoe ea mefuta ea mantlha ea li-estrogen.
Ho hlokahala sampole ea mali.
Mofani oa hao oa tlhokomelo ea bophelo a ka 'na au bolella hore u khaotse ho noa meriana e itseng e ka amang litholoana tsa liteko. Etsa bonnete ba hore o bolella mofani oa hau ka meriana eohle eo u e nkang. Tsena li kenyelletsa:
- Lipilisi tsa thibelo ea bokhachane
- Lithibela-mafu tse kang ampicillin kapa tetracycline
- Corticosteroids
- DHEA (tlatsetso)
- Estrogen
- Meriana ea ho sebetsana le mathata a kelello (joalo ka phenothiazine)
- Testosterone
U SE KE ua emisa ho noa moriana pele u bua le ngaka ea hau.
Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba ikutloa feela ho hlaba kapa ho hlaba. Kamora moo, ho ka ba le ho phatloha kapa ho longoa hanyane. Haufinyane sena sea fela.
Basali, boholo ba estradiol bo tsoa mae a bomme le litšoelesa tsa adrenal. E boetse e lokolloa ke placenta nakong ea bokhachane. Estradiol e boetse e hlahisoa ke lisele tse ling tsa 'mele, joalo ka letlalo, mafura, masapo masapo, boko le sebete. Estradiol e bapala karolo ho:
- Kholo ea popelo (popelo), methapo ea lehe le botšehali
- Kholiso ea matsoele
- Liphetoho tsa litho tsa botona le botšehali tse ka ntle
- Tsamaiso ea mafura a 'mele
- Ho khaotsa ho ilela khoeli
Ho banna, palo e nyane ea estradiol e lokolloa haholo-holo ke li-testes. Estradiol e thusa ho thibela peo ea botona ho shoa kapele haholo.
Teko ena e ka laeloa ho hlahloba:
- Mae a bomme, placenta kapa adrenal gland li sebetsa hantle hakae
- Haeba u na le matšoao a hlahala ea mae a bomme
- Haeba litšobotsi tsa 'mele tsa banna kapa tsa basali li sa hōle ka mokhoa o tloaelehileng
- Haeba linako tsa hau li emisitse (maemo a estradiol a fapana, ho latela nako ea khoeli)
Teko e kanna ea laeloa ho lekola hore na:
- Phekolo ea Hormone e sebeletsa basali nakong ea ho ilela khoeli
- Mosali o arabela kalafo ea pelehi
Teko e kanna ea sebelisoa ho lekola batho ba nang le hypopituitarism le basali ba kalafo e itseng ea tsoalo.
Liphetho li ka fapana, ho latela bong ba motho le lilemo tsa hae.
- E motona - 10 ho isa ho 50 pg / mL (36.7 ho isa ho 183.6 pmol / L)
- Mosali (premenopausal) - 30 ho isa ho 400 pg / mL (110 ho isa ho 1468.4 pmol / L)
- Mosali (postmenopausal) - 0 ho isa ho 30 pg / mL (0 ho isa ho 110 pmol / L)
Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li leka liteko tse fapaneng. Bua le ngaka ea hau ka se boleloang ke sephetho sa hau sa liteko.
Mathata a amanang le sephetho se sa tloaelehang sa estradiol a kenyelletsa:
- Ho kena bohlankaneng kapa boroetsaneng pele ho nako (banana)
- Kholo ea matsoele a maholo ka mokhoa o sa tloaelehang ho banna (gynecomastia)
- Ho hloka linako ho basali (amenorrhea)
- Mosebetsi o fokotsehileng oa mae a bomme (hypertunction ea mahe a bomme)
- Bothata ba liphatsa tsa lefutso, joalo ka lefu la Klinefelter, Turner syndrome
- Ho fokotsa boima ba 'mele ka potlako kapa mafura a tlase' meleng
Ha ho na kotsi e kholo ea ho nkuoa mali a hau. Methapo le methapo li fapana ka boholo ho tloha ho motho e mong ho ea ho o mong le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho nka mali ho batho ba bang ho ka ba thata ho feta ho ba bang.
Likotsi tse ling tse amanang le ho huloa mali li nyane, empa li ka kenyelletsa:
- Ho tsoa mali a mangata
- Ho akheha kapa ho ikutloa o le hlooho e boima
- Li-punctures tse ngata ho fumana methapo
- Hematoma (mali a bokellanang ka tlasa letlalo)
- Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)
Teko ea E2
Guber HA, Farag AF. Tlhatlhobo ea ts'ebetso ea endocrine. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 24.
Haisenleder DJ, Marshall JC. Li-gonadotropin: taolo ea synthesis le secretion. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 116.