Tus kws kho mob-gynecologist
Cov nqaij rog tsis yog "rog" xwb, uas tsuas yog muab rau peb. Qhov no yog ib qho tseem ceeb ntawm kev tsim kho me nyuam (nrog rau lub zes qe menyuam). Rog hlwb muaj ib qho tshwj xeeb enzyme aromatase, uas puv txiv neej pw hormones androgens rau poj niam estrogens. Cov neeg, dhau los, tswj cov txheej txheem tseem ceeb ntawm kev ua me nyuam. Nyob rau hauv lub cev tsis ntws, thaum lub zes qe menyuam tawm tuaj, cov roj ntsha ua rau lub hauv paus tseem ceeb ntawm estrogens.
Nyuaj siab. Thaum ib tug poj niam uas muaj lub cev hnyav li qub, qib estrogen muaj peev xwm pauv hnub sib txawv ntawm lub voj voog, ces tus poj niam nrog kev rog yuav ua rau tag nrho theem siab tag nrho siab, raws li roj hlwb ua kom tiav nws. Qhov no ua rau ntau hom kev ua txhaum. Piv txwv li, kev ua hauj lwm tsis haum los yog loj hlob ntawm lub plab hnyuv ntawm lub tsev menyuam (endometrium), vim tias kev hloov hormonal, nws tsis yog tag nrho tsis txais. Qhov tshwm sim ntawm tus kab mob polycystic tsub kom ntau, vim hais tias nrog kev hloov ntawm androgens rau estrogens, cov poj niam txiv neej qog tau pib tsim cov tshuaj ntau thiab thiab txhawm rau kom muaj qhov sib npaug. Ntxiv mus, estrogens ua rau lub cev faib thiab kev loj hlob. Lawv cov khoom ua rau tuaj yeem ua rau kev loj hlob tsis zoo thiab kev loj hlob ntawm cov hlav hauv qhov kev ua me nyuam.
Tswv yim: Yog tias koj muaj, nrog rau hnyav dua, muaj kev txawv txav ntawm kev coj khaub ncaws, ntau tshaj li plaub hau kev loj hlob (hirsutism), hu rau tus kws kho mob pojniam lossis tus kws kho mob pojniam-kws kho mob. Tau txais ultrasound thiab muab ntshav ntsuas seb cov tshuaj hormones. Thaum npaj rau qhov kev kuaj mob, ib tug yuav tsum tau ua raws li tus kws kho mob pom zoo txog hnub ntawm kev coj khaub ncaws, uas nws yuav tsum tau pub ntshav. Nws yog feem ntau pom zoo kom siv: LH, FSH - nyob rau 3-5 hnub ntawm lub voj voog; Estradiol - rau hnub tim 5th-7th lossis 21-23th; progesterone - nyob rau 21-23 hnub; prolactin, 17-OH-progesterone, DHA-sulfate, testosterone rau hnub 7-9.
Tus kws kho mob-endocrinologist
Yog tias koj rog, ces tus kws kho mob yog koj thawj tus kws kho mob. Qhov hnyav tshaj qhov qub txuam nrog kab mob metabolic - rog, tshaj qhov ncaj qha thiab cov kws kho mob no koom nrog. Endocrine system thiab lub cev qhov hnyav yog sib cuam tshuam, sib luag nyob rau hauv ib leeg thiab tuaj yeem siv kev sib raug zoo. Yog li, qee cov kab mob ntawm cov thyroid caj pas (piv txwv, hypothyroidism) tuaj yeem ua rau lub cev muaj zog ntxiv, tsis yooj yim rau kev noj haus. Thiab vice versa, ntev tshaj qhov ceeb thawj nws tus kheej ua rau qee yam hormonal hloov, tshuam cov thyroid caj pas, metabolism hauv.
Nyuaj siab. Yog li, thaum muaj cov nyhav tshaj, tus kab mob metabolic feem ntau yog tsim - insulin kuj, nyob rau hauv uas lub hlwb tsis tuaj yeem siv cov tshuaj insulin. Yog li ntawd, lub cev tsis muaj peev xwm ua tau cov txheej txheem qabzib. Nws tau sau hauv cov ntshav. Tawm tsam no tom qab, muaj cov kev hloov hauv cov txiav, thiab tsim muaj ntshav qab zib.
Tswv yim: Ib xyoos ib zaug rau ib tus neeg twg, thiab thaum muaj mob hnyav lossis ris tsho loj heev - txhua txhua rau lub hli koj yuav tau pub cov ntshav qab zib. Yog tias tsim nyog, tus kws kho mob yuav ntxiv qhov ntsuas kab mob ua paug (kev txiav txim siab ua haujlwm ntawm cov tshuaj insulin). Tsis tas li ntawd, txhua xyoo yuav tsum tau siv lub ultrasound ntawm cov thyroid caj pas, kuaj ntshav kuaj thiab kuaj ntshav biochemical. Yog tias tus kws kho mob tau ua txhaum cai loj, nws mam li xaiv ntxiv.
Tus kws kho mob
Rog yog cov ntaub so ntswg ntawm lub cev, thiab cia li zoo li cov leeg thiab cov pob txha, lawv xav tau cov ntshav. Lub sijhawm hnyav nce, muab cov ntaub so ntswg tshiab, ntau cov hlab ntsha thiab ntxiv ntshav ntxiv. Rau txhua txhua 0.5 kg ntawm qhov ceeb thawj koj nce, koj xav tau txog 1.5 km ntawm cov hlab ntsha. Xav txog lub nra ntawm lub plawv, yog tias koj muaj 10.15 lossis 20 kg!
Nyuaj siab. Cov neeg uas muaj hnyav ntau dhau kuj muaj feem ntau ntawm cov cholesterol "teeb meem" hauv cov ntshav, uas yog tso rau ntawm cov hlab ntsha ntawm cov hlab ntsha thiab zuj zus cov ntshav txaus rau lub plawv.Koj "lub cev" yuav tsum ua haujlwm nyuab dua, thiab nws tau txais tsawg zog. Tus mob no hu ua atherosclerosis. Txij lub sij hawm, nws tuaj yeem ua tau rau txoj kev loj hlob ntawm lwm cov kab mob hauv plawv: coronary plawv, kub siab, thiab ua rau lub plawv nres thiab mob ntshav nce siab.
Tswv yim: Khaws ib lub qhov muag nyob rau theem ntawm cov cholesterol hauv cov ntshav. Koj tuaj yeem pub ntshav rau hauv lub tsev kho mob ntawm koj qhov chaw nyob, los yog hauv ib lub chaw kuaj mob. Kev xa tawm ntawm cov ntshav yog nqa tawm ntawm lub plab tas. Ntawm lub tswv yim ntawm kev noj haus, tshem tawm cov khoom noj uas muaj roj ntau dhau lawm, tsis txhob noj cov pluas mov kawg. Kev ntsuas ntawm cov roj cholesterol tag nrho -3,0-6,0 mmol / l. Qhov kev pom zoo yog <5 mmol / l. Cov theem ntawm "teeb meem" cholesterol (LDL) -1,92-4,82 mmol / l thiab "pab tau" (HDL) - 0,7-2,28 mmol / l.
Orthopedic kws kho mob
Muaj ib co phaus ntxiv, muaj ib qho ntxiv ntawm cov pob qij txha thiab pib hnav cov ntaub so ntswg uas siv cov pob txha mos uas muab kev mus rau cov ceg tawv. Raws li cov ntsiab lus ntawm kev tshawb fawb, qhov nruab nrab ntawm cov pob qij txhawm rau lub sij hawm sawv cev yog 80-100% ntawm lub cev qhov hnyav, thaum taug kev nce mus rau 300%, thiab thaum khiav ceev thiab khiav - mus txog 350-500% ntawm nws tus kheej qhov hnyav. Uas yog, ntawm cov pob qij txha thaum taug kev thiab koj yuav tsum thauj khoom, uas yog 3-5 zaug tag nrho lub cev hnyav. Thiab tam sim no sim xav txog ib tug neeg nrog ib tug kab mob metabolic - rog thiab nyhav txog 150 kg. Nrog txhua kauj ruam ntawm lub pob qij txha ntawm nws ob txhais taw, lub load tee rau 400-700 kg! Thaum muaj hnub nyoog yau, cov ntaub so ntswg ntawm ib tug neeg tseem muaj peev xwm tiv taus siab thiab siab. Tab sis yuav cov pob qij txha yuav muaj peev xwm nqa tau li ib lub nra hauv cov neeg laus, thaum lub elasticity ntawm pob txha mos yuav txo qhov?
Nyuaj siab. Feem ntau, txhua yam kev tu siab - muaj kev puas tsuaj ntawm kev sib koom ua ke. Hauv qhov no, tib txoj kev los muab tus neeg ntawm lawv ko taw yog ua ib qho kev phais mob. Tsis tas li ntawd, nyhav dhau los thiab rog txhim kho cov kab mob ntawm tus nqaj qaum, ua rau muaj kev txhawj xeeb ntawm osteochondrosis thiab intervertebral hernias.
Tswv yim: Khaws koj qhov hnyav hauv kev tswj hwm. Nyob rau hauv txoj kev uas poob phaus, tsis txhob nce lub siab ntsaws ntawm cov pob qij txha ntawm cov pob qij txha - qhov no tsuas yog tuaj yeem zuj zus xwb. Nws yog ib qho zoo dua los mus cuag ib tus kws kho mob tshwj xeeb, nws yuav loj hlob rau koj txoj kev kawm ntawm lub cev. Sim ua kom paub tseeb tias qhov kev noj haus, txawm hais tias kev noj haus, yog tag nrho, txwv tsis pub lub pob qij txha yuav paub txog qhov tsis muaj peev xwm ntawm cov as-ham. Qhov kev noj haus yuav tsum muaj xws li cov khoom noj siv mis, ntses, tais diav nrog gelatin.
Kuaj koj tus kheej
Cov ntsiab lus ntawm tus qauv zoo rau peb txhua tus sib txawv thiab raug khi rau sawv daws pom zoo nkauj ntawm txhua tus neeg. Yog li ntawd, cov kws kho mob tau txiav txim siab tus qauv ntawm ib qho kev mob siab nruj - lub cev qhov hnyav ntawm lub cev (BMI). Yuav kom paub nws, faib koj qhov hnyav rau hauv kilograms los ntawm qhov siab hauv metres, squared. Daim duab yog BMI. BMI = hnyav (kg) / qhov siab (m) 2 . BMI tsawg tshaj 18.5 - tsis muaj hnyav li. BMI ntawm 18.5 mus rau 24.9 yog cov cai. Nws yog nrog qhov kev ntsuas no yog qhov siab tshaj ntawm kev cia siab rau lub neej. BMI ntawm 25.0 mus rau 27.0 - koj nyob ntawm lub sijhawm rog. BMI tshaj 30 - qhov no qhia tias muaj cov kab mob metabolic - rog.