Isivivinyo Sokukhuthaza I-Hormone

-Delile

• I-GH hormone stimulation test protocol
• Ilungiselela isivivinyo
• Kwenziwa kanjani ukuhlolwa
• Izindleko zokuhlolwa kwe-GH zokukhuthaza
• Imiphumela yokuhlolwa kokukhuthaza kwe-GH
• Okwezingane
• Okwabadala
• Imiphumela emibi yokuhlolwa kwe-GH yokukhuthaza
• Ukulandelela ngemuva kohlolo lwakho lokukhuthaza i-GH
• Ukuthatha

Ukubuka konke

I-hormone yokukhula (GH) yiprotheni ekhiqizwa yi-pituitary gland. Isiza amathambo nemisipha yakho ukukhula kahle.

Kubantu abaningi, amazinga e-GH ayenyuka ngokwemvelo futhi awe ngesikhathi sobuntwana bese ephansi ebudaleni. Kwabanye abantu, noma kunjalo, amazinga e-GH angaba ngaphansi kunokujwayelekile. Ukushoda okuqhubekayo kwe-GH kwaziwa njengokushoda kwe-hormone yokukhula (GHD). Isimo singadala izinkinga zempilo njengokuncipha kwemisipha nokukhula kancane.

Uma udokotela wakho esola ukuthi umzimba wakho awukhiqizi i-GH eyanele, bangahle ba-ode isivivinyo sokukhuthaza i-GH. I-GHD ayivamile kuyo yonke iminyaka yobudala, ikakhulukazi abantu abadala. Ukuhlolwa kuvame ukwenziwa kuphela uma kunobufakazi obuqinile bokuthi umuntu unalesi sifo.

Ezinganeni, i-GHD ingafaka izimpawu ezinjengokuphakama okungaphansi kwesilinganiso, ukukhula kancane, ukukhula kabi kwemisipha, nokubambezeleka kokuqala kokuthomba.

Kubantu abadala, izimpawu ze-GHD zihlukile ngandlela thile ngoba abantu abadala bayekile ukukhula. Izimpawu kubantu abadala zingabandakanya ukuncipha kwamathambo, ubuthakathaka bemisipha, ukukhathala, nokwanda kwamafutha, ikakhulukazi okhalweni.

I-GH hormone stimulation test protocol

Ngokuya ngomtholampilo noma indawo lapho uthola khona ukuhlolwa kwe-GH yokukhuthaza, inqubo ethile ingahluka kancane. Ngokuvamile, nakhu ongakulindela uma udokotela wakho eyalela ukuhlolwa kwe-GH yokukhuthaza wena noma ilungu lomndeni:

Ilungiselela isivivinyo

Ithimba lakho lezokunakekelwa kwempilo lizokuyalela ukuthi ungadli amahora ayi-10 kuya kwayi-12 ngaphambi kokuhlolwa. Ezimweni eziningi, kufanele futhi ugweme ukuphuza noma yikuphi uketshezi ngaphandle kwamanzi. Izinsini, umoya ophefumulayo, namanzi anamakha nakho akunqunyelwe.

Udokotela wakho uzokutshela uma udinga ukuyeka ukuthatha imithi ethile ngaphambi kokuhlolwa. Eminye imithi eyaziwa ukuthinta amazinga e-GH ifaka phakathi:

• ama-amphetamines
• i-estrogen
• i-dopamine
• umlando
• ama-corticosteroids

Uma ungazizwa kahle futhi ucabanga ukuthi ungaba nokutheleleka ngegciwane, yazisa udokotela wakho. Bangancoma ukuhlela kabusha isivivinyo.

Kwenziwa kanjani ukuhlolwa

Umhlinzeki wakho wezokunakekelwa kwempilo uzobeka i-IV (intambo efakwa emthanjeni) emthanjeni engalweni noma esandleni sakho. Inqubo ifana nokuhlolwa kwegazi. Umehluko omkhulu ukuthi inaliti encane exhunywe kushubhu eyingxenye ye-IV ihlala emthanjeni wakho.

Ungase uzwe ukungakhululeki lapho inaliti ihlaba isikhumba sakho, bese kuba khona ukulimaza ngemuva kwalokho, kepha izingozi nemiphumela engemihle ayincane.

Umhlinzeki wakho wezokunakekelwa kwempilo uzothatha isampula yegazi lokuqala nge-IV. Lokhu nawo wonke amasampula akamuva kungenzeka aqoqwe kusetshenziswa umugqa ofanayo we-IV.

Ngemuva kwalokho uzothola i-GH evuselelayo nge-IV. Lokhu kuyinto ekhuthaza ukwanda komkhiqizo we-GH. Ezinye izikhuthazi ezisetshenziswa kakhulu yi-insulin ne-arginine.

Okulandelayo, umhlinzeki wakho wezokunakekelwa kwempilo uzothatha amasampula amaningi egazi ngezikhathi ezithile. Yonke inqubo ngokuvamile ithatha cishe amahora amathathu.

Ngemuva kokuhlolwa, ochwepheshe belebhuthi bazohlaziya amasampula egazi lakho ukuze babone ukuthi indlala yakho yebhinqa ikhiqize inani elilindelekile le-GH ngokuphendula okuvuselelayo.

Izindleko zokuhlolwa kwe-GH zokukhuthaza

Izindleko zokuhlolwa kwe-GH zokukhuthaza ziyahlukahluka ngokuya ngomhlinzeki wakho wezokunakekelwa kwempilo, ukumbozwa kwakho komshuwalense wezempilo, kanye nendawo lapho uvivinywa khona. Izimali zelebhu zokuhlaziya isivivinyo nazo ziyahlukahluka.

Kungenzeka ukuthenga ukuhlolwa kwe-serum ye-GH ngqo kusuka kubhu cishe ngama- $ 70, kepha lokhu akusona isivivinyo esifanayo nesivivinyo se-GH sokukhuthaza. Ukuhlolwa kwe-serum ye-GH ukuhlolwa kwegazi okuhlola kuphela amazinga e-GH egazini ngesikhathi esisodwa.

Ukuhlolwa kokuvuselelwa kwe-GH kuyinkimbinkimbi kakhulu ngoba amazinga egazi e-GH ahlolwa kaninginingi esikhathini samahora, ngaphambi nangemva kokuthatha isikhuthazi.

Ukuhlola ngokuvamile akuyona into ebiza kakhulu yesimo esihlobene ne-GH. Kulabo abane-GHD, izindleko ezinkulu ukwelashwa. Izindleko zokwelashwa okushintshwayo kwe-GH zingahle zibe phakathi konyaka ngomthamo olinganiselwa ku-0.5 milligram GH ngosuku. Uma unomshuwalense wezempilo, ungahlanganisa ingxenye enkulu yezindleko.

Imiphumela yokuhlolwa kokukhuthaza kwe-GH

Imiphumela yakho yokuhlolwa kokuvuselelwa kwe-GH izokhombisa ukuminyana okuphezulu kwe-GH egazini lakho. Lokhu kuhlushwa kuvezwa ngokwama-nanograms we-GH ngemililitha yegazi (ng / mL). Le yindlela imiphumela evame ukuhunyushwa ngayo:

Okwezingane

Ngokuvamile, ingane imiphumela yayo yokuhlolwa ekhombisa ukugxila kwe-GH noma ngaphezulu ekuphenduleni ekuvuseleleni ayinayo i-GDH. Uma imiphumela yokuhlolwa kwengane ikhombisa ukuminyana kwe-GH engaphansi kuka-10 ng / mL, ukuhlolwa kwe-GH kwesibili kungavunyelwa.

Uma imiphumela yezivivinyo ezimbili ezihlukene ikhombisa ukugxila kwe-GH ngaphansi kuka-10 ng / mL, udokotela kungenzeka ahlolisise i-GHD. Ezinye izikhungo zokunakekelwa kwezempilo zisebenzisa indawo ephansi yokusika ukuxilonga i-GHD, njenge.

Okwabadala

Iningi labantu abadala likhiqiza ukuhlushwa kwe-GH kwe-5 ng / mL esivivinyweni sokuvuselela i-GH. Uma imiphumela yakho ikhombisa isilinganiso esingu-5 ng / mL noma ngaphezulu, ngokuphendula ukugqugquzela, awunayo i-GHD.

Ukugxila okungaphansi kuka-5 ng / mL kusho ukuthi i-GHD ayikwazi ukuxilongwa noma ukukhishwa ngaphandle. Olunye uvivinyo lunga-odwa.

Ukushoda okukhulu kwe-GH kuchazwa kubantu abadala njengokuhlushwa okuphezulu kwe-GH kwe-3 ng / mL noma ngaphansi.

Imiphumela emibi yokuhlolwa kwe-GH yokukhuthaza

Ungase uzwe ukungakhululeki lapho inaliti ihlaba khona isikhumba sakho se-IV. Kuvamile futhi ukuba nokulimala okuncane ngemuva kwalokho.

Uma udokotela wakho esebenzisa i-cortrosyn esivivinyweni, ungahle uzwe ukufudumala, ukugcwala ebusweni bakho noma ukunambitheka kwensimbi emlonyeni wakho. I-Clonidine inganciphisa umfutho wegazi. Uma inikezwa ngesikhathi sokuhlolwa kwe-GH yokukhuthaza, ungazizwa unesiyezi noma unekhanda elincane.

Uma udokotela wakho esebenzisa i-arginine ngesikhathi sokuhlolwa, ungahle ube nomfutho wegazi ophansi omfushane. Lokhu kungadala imizwa yesiyezi kanye nekhanda elikhanyayo, futhi. Imiphumela ivame ukudlula ngokushesha futhi ivame ukuhamba ngesikhathi ubuyela ekhaya. Noma kunjalo, kuwumqondo omuhle ukugwema ukuhlela imisebenzi usuku lonke olulandelayo ngemuva kokuhlolwa.

Ukulandelela ngemuva kohlolo lwakho lokukhuthaza i-GH

I-GHD yisimo esingajwayelekile. Uma imiphumela yakho ingakhombisi i-GHD, udokotela wakho uzobheka esinye isizathu esingaba khona sezimpawu zakho.

Uma kutholakala ukuthi une-GHD, udokotela wakho kungenzeka anikeze i-GH yokwenziwa ukwengeza amazinga womzimba womzimba wakho wemvelo. I-Synthetic GH ilawulwa ngomjovo. Ithimba lakho lezokunakekelwa kwezempilo lizokufundisa ukuthi ungayenza kanjani le mijovo ukuze uzelaphe ekhaya.

Udokotela wakho uzoqapha intuthuko yakho futhi alungise umthamo njengoba kudingeka.

Izingane zivame ukuzwa ukukhula okusheshayo, okuphawulekayo emithini yokwelashwa kwe-GH. Kubantu abadala abane-GHD, ukwelashwa kwe-GH kungaholela emathanjeni aqinile, imisipha eminingi, amafutha amancane, nezinye izinzuzo.

Kuneminye imiphumela emibi eyaziwayo yokwelashwa kwe-GH yokwenziwa, njengokuphathwa yikhanda, ubuhlungu bemisipha, nobuhlungu obuhlangene. Kodwa-ke, izinkinga ezinkulu azivamile. Izingozi ezihambisana nokwelashwa kwe-GHD zivame ukudlula izinzuzo ezingaba khona.

Ukuthatha

Ukuhlolwa kokukhuthaza kwe-GH kuyingxenye yenqubo yokuxilonga i-GHD. Noma kunjalo, lesi simo asijwayelekile. Abantu abaningi abenza ukuhlolwa kokukhuthaza i-GH ngeke batholwe ukuthi bane-GHD. Noma imiphumela yokuhlolwa kokuqala iphakamisa i-GHD, ukuhlolwa okwengeziwe kuyadingeka ngaphambi kokuba udokotela wakho akuxilonge.

Uma wena noma ingane yakho kutholakala ukuthi une-GHD, ukwelashwa nge-synthetic GH kusebenza kakhulu. Ukuqala ukwelashwa ngaphambi kwesikhathi kuvame ukuholela emiphumeleni engcono. Udokotela wakho uzoxoxa ngemiphumela emibi yokwelashwa. Ngokuvamile, izinzuzo zokwelapha i-GHD zidlula ingozi yemiphumela emibi kubantu abaningi.