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雌二醇、孕酮的困扰

2017-11-29 11页 doc 35KB 26阅读

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雌二醇、孕酮的困扰雌二醇、孕酮的困扰 雌二醇 雌二醇主要来源于女性卵巢的卵泡、黄体和胎盘~少量来自肾上腺和男性的睾丸。雌二醇测定对评价各种月经异常是非常有用的指标:如女孩青春期提前或延迟、原发性或继发性闭经、卵巢早衰等,雌二醇浓度检测尚可观察药物诱导排卵及促性腺激素的治疗。雌二醇增高见于多胎妊娠、卵巢癌、系统性红斑狼疮等,在男性~若有女性化综合征、乳房女性化以及睾丸癌等也会有雌二醇升高。雌二醇降低见于妊娠高血压综合征、卵巢囊肿、葡萄胎、垂体卵巢性不孕等。 雌二醇是一种性激素。有α~β两种类型~α型生理作用强。温特斯坦纳等曾从妊娠马尿中提取出...
雌二醇、孕酮的困扰
雌二醇、孕酮的困扰 雌二醇 雌二醇主要来源于女性卵巢的卵泡、黄体和胎盘~少量来自肾上腺和男性的睾丸。雌二醇测定对评价各种月经异常是非常有用的指标:如女孩青春期提前或延迟、原发性或继发性闭经、卵巢早衰等,雌二醇浓度检测尚可观察药物诱导排卵及促性腺激素的治疗。雌二醇增高见于多胎妊娠、卵巢癌、系统性红斑狼疮等,在男性~若有女性化综合征、乳房女性化以及睾丸癌等也会有雌二醇升高。雌二醇降低见于妊娠高血压综合征、卵巢囊肿、葡萄胎、垂体卵巢性不孕等。 雌二醇是一种性激素。有α~β两种类型~α型生理作用强。温特斯坦纳等曾从妊娠马尿中提取出来~此外也可从妊妇尿、人胎盘、猪卵巢等中获得。雄马的精巢或尿中也存在。因为它有很强的性激素作用~所以认为它或它的酯实际上是卵巢分泌的最重要的性激素。 雌二醇(E2)的药理及应用 雌二醇是体内主要由卵巢成熟滤泡分泌的一种天然雌激素~能促进和调节女性性器官及副性征的正常发育。其主要药理作用为: ?促使子宫内膜增生, ?增强子宫平滑肌的收缩, ?促使乳腺导管发育增生~但较大剂量能抑制垂体前叶催乳素的释放~从而减少乳汁分泌,?抗雄激素作用, ?降低血中胆固醇~并能增加钙在骨中的沉着。 临床用于卵巢机能不全或卵巢激素不足引起的各种症状~主要是功能of the work is not high, struggling to cope, a mere formality. Corrective measures: (lead leader: Luo Mingjun, Rectification time: September 25th, 1), long-term adherence to strictly abide by the party's political discipline. Strictly abide by the constitution, the principle of Party organization and party political life standards, do not spread against the party's theory and policy advice, not published against the central and provincial decision not to divulge the speech, party and state secrets, not not to participate in a variety of illegal manufacturing organizations and activities, dissemination of political rumors and false information, not to publish lossy unity remarks does not undermine the unity of things. 2, consciously accept the supervision of the organization. The Party firmly and consciously ideologically, politically, highly consistent with the Central Committee to keep the action, and resolutely safeguard the authority Kennedy. Must safeguard the centralism. Take the lead in compliance with the constitution, strict party life, strengthen the political party, the principle of life, fighting. To further strengthen the organization and procedure of ideas, adhere to the major issues and report according to the regulations. Party members take the lead to a common Party member to participate in branch organizational life, accept the supervision of the organization. (seven) safety supervision grassroots cadres is not enough. A few leading cadres style floating love when peace officer in the office, to the grassroots, not willing to mining enterprises to conduct field research in the specific work not burden, dare not touch, in the work of "Dragonfly" phenomenon, keen on Formalism, do not further, not specious writing, seek practical results, sense of responsibility is not strong. Such as production safety supervision and management work, the strict requirements, heavy task, individual leading cadres to everyday things busy as an excuse, "urged not do" or "knock on the ring"Lack 性子宫出血、原发性闭经、绝经期综合征以及前列腺癌等。 雌二醇(E2)的正常值 男性:50,200pmol/L, 女性: 卵泡期 94,433pmol,L 黄体期 499,1580pmol,L 排卵期为704,1580pmol/L 绝经期40,100pmol/L 青春期儿童:10pg/mL 增高:见于儿童女性化、产生雌激素的肿瘤、男子乳房发育症、肝硬化失代偿期。肾上腺皮质增生。 减低:见于Turner综合症、原发性和继发性功能减退症。 雌二醇偏低会影响怀孕吗, 雌激素可刺激子宫内膜的增生变厚~为受孕做准备。如果未受孕~增生的内膜会脱落出血形成月经。体内雌激素水平低会导致子宫内膜增生得不够厚~月经时出血少~这种情况日后是会影响受孕的。要到医院检查明确导致雌激素过低的原因~针对治疗。 孕酮,黄体酮, 孕酮,黄体酮,是由卵巢黄体分泌的一种天然孕激素~在体内对雌激素激发过的子宫内膜有显著形态学影响~为维持妊娠所必需。其药理作用主要为:?在月经周期后期使子宫粘膜内腺体生长~子宫充血~内膜增厚~为受精卵植入作好准备。受精卵植入后则使之产生胎盘~of the work is not high, struggling to cope, a mere formality. Corrective measures: (lead leader: Luo Mingjun, Rectification time: September 25th, 1), long-term adherence to strictly abide by the party's political discipline. Strictly abide by the constitution, the principle of Party organization and party political life standards, do not spread against the party's theory and policy advice, not published against the central and provincial decision not to divulge the speech, party and state secrets, not not to participate in a variety of illegal manufacturing organizations and activities, dissemination of political rumors and false information, not to publish lossy unity remarks does not undermine the unity of things. 2, consciously accept the supervision of the organization. The Party firmly and consciously ideologically, politically, highly consistent with the Central Committee to keep the action, and resolutely safeguard the authority Kennedy. Must safeguard the centralism. Take the lead in compliance with the constitution, strict party life, strengthen the political party, the principle of life, fighting. To further strengthen the organization and procedure of ideas, adhere to the major issues and report according to the regulations. Party members take the lead to a common Party member to participate in branch organizational life, accept the supervision of the organization. (seven) safety supervision grassroots cadres is not enough. A few leading cadres style floating love when peace officer in the office, to the grassroots, not willing to mining enterprises to conduct field research in the specific work not burden, dare not touch, in the work of "Dragonfly" phenomenon, keen on Formalism, do not further, not specious writing, seek practical results, sense of responsibility is not strong. Such as production safety supervision and management work, the strict requirements, heavy task, individual leading cadres to everyday things busy as an excuse, "urged not do" or "knock on the ring"Lack 并减少妊娠子宫的兴奋性~抑制其活动~使胎儿安全生长。 ?在与雌激素共同作用下~促使乳房充分发育~为产乳作准备。?使子宫颈口闭合~粘液减少变稠~使精子不易穿透,大剂量时通过对下丘脑的负反馈作用~抑制垂体促性腺激素的分泌~产生抑制排卵作用。 常见症状: 不育、甲状腺功能不全、抑郁、纤维囊性乳房、体重增加、胆囊疾病、低血糖、惊恐发作、保水、月经周期不、月经期间血液凝块、缺镁、阴道干燥、乳房胀痛。 常见原因: 孕酮含量降低见于以下情况: ,1,先兆流产、宫外孕、早产、闭经、不孕症。 ,2,黄体功能不全~卵巢黄体发育不全时~孕酮含量相应降低。 ,3,肾上腺、甲状腺功能严重失调也可影响卵巢功能~使排卵发生障碍~孕酮含量也会相应降低。 ,4,身体出现胰岛素抵抗。 ,5,慢性压力。 ,6,饮食中包含大量糖分~但是缺乏足够的营养。 (7,缺乏锻炼。 ,8,药物。 孕酮低怎么补, 1、食补 孕酮低~医生建议到医院就诊~在医嘱下补充天然黄体酮~吃些大of the work is not high, struggling to cope, a mere formality. Corrective measures: (lead leader: Luo Mingjun, Rectification time: September 25th, 1), long-term adherence to strictly abide by the party's political discipline. Strictly abide by the constitution, the principle of Party organization and party political life standards, do not spread against the party's theory and policy advice, not published against the central and provincial decision not to divulge the speech, party and state secrets, not not to participate in a variety of illegal manufacturing organizations and activities, dissemination of political rumors and false information, not to publish lossy unity remarks does not undermine the unity of things. 2, consciously accept the supervision of the organization. The Party firmly and consciously ideologically, politically, highly consistent with the Central Committee to keep the action, and resolutely safeguard the authority Kennedy. Must safeguard the centralism. Take the lead in compliance with the constitution, strict party life, strengthen the political party, the principle of life, fighting. To further strengthen the organization and procedure of ideas, adhere to the major issues and report according to the regulations. Party members take the lead to a common Party member to participate in branch organizational life, accept the supervision of the organization. (seven) safety supervision grassroots cadres is not enough. A few leading cadres style floating love when peace officer in the office, to the grassroots, not willing to mining enterprises to conduct field research in the specific work not burden, dare not touch, in the work of "Dragonfly" phenomenon, keen on Formalism, do not further, not specious writing, seek practical results, sense of responsibility is not strong. Such as production safety supervision and management work, the strict requirements, heavy task, individual leading cadres to everyday things busy as an excuse, "urged not do" or "knock on the ring"Lack 豆之类的食物辅助增加孕酮(黄体酮)~不能单独只在食物中获取~因为食物中含黄体酮很低。 适当吃一些含果胶、膳食纤维丰富的桃子、柚子、山楂、草莓、猕猴桃、鸭梨等~不会导致血糖大幅度波动。因为水果还有下列优点: ?色鲜味香能促进食欲。 ?含丰富的维生素C~能帮助消化~预防动脉硬化~延缓衰老。 ?含糖量较主食低~容积大~易产生饱腹感。 ?所含的果胶、膳食纤维能延缓葡萄糖吸收。 2、药补 黄体酮临床用于先兆性流产,习惯性流产等闭经或闭经原因的反应性诊断等. 肌注,1次10,20mg. ,1,习惯性流产:肌注1次10,20mg,每日1次或每周2,3次,一直用到妊娠第四个月. ,2,痛经:在月经之前6,8日每天注射5,10mg,共4,6日,疗程可重复若干次.对子宫发育不全所致的痛经,可与雌激素配合使用. ,3,经血过多和血崩症:每日肌注10,20mg,5,7天为一疗程,可重复3,4个疗程,每疗程间隔15,20日. ,4,闭经:先给雌激素2,3周后,立即给予本品每日3,5mg,6,8日为一疗程,总剂量不宜超过300,350mg,疗程可重复2,3次. 口服或阴道给药:1次100mg,早,晚,睡前2小时,各1次,每周期连续10天,一般在周期第17,26天,. of the work is not high, struggling to cope, a mere formality. Corrective measures: (lead leader: Luo Mingjun, Rectification time: September 25th, 1), long-term adherence to strictly abide by the party's political discipline. Strictly abide by the constitution, the principle of Party organization and party political life standards, do not spread against the party's theory and policy advice, not published against the central and provincial decision not to divulge the speech, party and state secrets, not not to participate in a variety of illegal manufacturing organizations and activities, dissemination of political rumors and false information, not to publish lossy unity remarks does not undermine the unity of things. 2, consciously accept the supervision of the organization. The Party firmly and consciously ideologically, politically, highly consistent with the Central Committee to keep the action, and resolutely safeguard the authority Kennedy. Must safeguard the centralism. Take the lead in compliance with the constitution, strict party life, strengthen the political party, the principle of life, fighting. To further strengthen the organization and procedure of ideas, adhere to the major issues and report according to the regulations. Party members take the lead to a common Party member to participate in branch organizational life, accept the supervision of the organization. (seven) safety supervision grassroots cadres is not enough. A few leading cadres style floating love when peace officer in the office, to the grassroots, not willing to mining enterprises to conduct field research in the specific work not burden, dare not touch, in the work of "Dragonfly" phenomenon, keen on Formalism, do not further, not specious writing, seek practical results, sense of responsibility is not strong. Such as production safety supervision and management work, the strict requirements, heavy task, individual leading cadres to everyday things busy as an excuse, "urged not do" or "knock on the ring"Lack 生活护理:可有头晕,头痛,恶心,抑郁,乳房胀痛等.长期应用可引起子宫内膜萎缩,月经量减少,并容易发生阴道霉菌感染.肝病患者不能口服. 孕酮高怎么办, 孕酮升高可见于以下情况: ,1,观察妇女排卵的时间及黄体酮的生成情况:在排卵的-1~0~+1天~孕酮含量成倍增加~提示为有排卵。 ,2,正常妊娠、双胎和多胎妊娠时孕酮合成量明显增加~血液中孕酮水平相对升高。 ,3,妊娠毒血症、先兆子痫、葡萄胎及原性高血压时~孕酮含量也会升高。 of the work is not high, struggling to cope, a mere formality. Corrective measures: (lead leader: Luo Mingjun, Rectification time: September 25th, 1), long-term adherence to strictly abide by the party's political discipline. Strictly abide by the constitution, the principle of Party organization and party political life standards, do not spread against the party's theory and policy advice, not published against the central and provincial decision not to divulge the speech, party and state secrets, not not to participate in a variety of illegal manufacturing organizations and activities, dissemination of political rumors and false information, not to publish lossy unity remarks does not undermine the unity of things. 2, consciously accept the supervision of the organization. The Party firmly and consciously ideologically, politically, highly consistent with the Central Committee to keep the action, and resolutely safeguard the authority Kennedy. Must safeguard the centralism. Take the lead in compliance with the constitution, strict party life, strengthen the political party, the principle of life, fighting. To further strengthen the organization and procedure of ideas, adhere to the major issues and report according to the regulations. Party members take the lead to a common Party member to participate in branch organizational life, accept the supervision of the organization. (seven) safety supervision grassroots cadres is not enough. A few leading cadres style floating love when peace officer in the office, to the grassroots, not willing to mining enterprises to conduct field research in the specific work not burden, dare not touch, in the work of "Dragonfly" phenomenon, keen on Formalism, do not further, not specious writing, seek practical results, sense of responsibility is not strong. Such as production safety supervision and management work, the strict requirements, heavy task, individual leading cadres to everyday things busy as an excuse, "urged not do" or "knock on the ring"Lack
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