Plandish gland inodzivirira mitambo yakawanda yemakemikari inotungamirira basa rezvinyorwa zve endocrine, kusagadzikana kwechimiro uye kukura kwemuviri. Rimwe remahomoni aya ndiwo somatotropin (somatropin). Kurongerwa kwaro kunonyanya kukosha kune vana, vechidiki, vakadzi uye vatambi.
Chii chinonzi hormone chinotarisirwa?
Pazera remakore (kusvika kumakore makumi maviri), iyo yakatsanangurwa yemakemikari yakasunungurwa inosunungurwa muwandu hwekuwedzera. Iko kunofanirwa kwekuvandudzwa kwemafupa akawanda kwenguva refu, naizvozvo iyi inonziwo kukura kweHymmone Growth hormone. Mushure memazana makumi maviri, apo musculoskeletal system inenge yasvika yakaumbwa, kukohwa kwayo kwakanyanya kuderedzwa. Iko kukura kwehomoni (STH) inobereka zvimwe zviitiko:
- inobatsira uye inotsigira T-cell kudzivirira;
- kunowedzera kusuruvara;
- inowedzera kuwedzera kwemasimba;
- inononoka kugadzira kukwegura;
- inovandudza kuderedza kemikisi mumatumbo.
Migumisiro yekukura kwehomoni kune metabolism
Vatambi vanoteerera STG nekuda kwekukwanisa kwayo kukurumidza kupisa kwemafuta uye kuvaka musumbu. Kukura kwehomoni kunokonzerwa nemasero eAdenohypophysis (somatotrophe), maererano nehutachiona hwemakemikari yakafanana neprolactin uye placental lactogen. Nokuda kwechikonzero ichi, vakadzi vanofanirawo kudzora kuwanda kweHSH. Anovandudza chimiro, anopa rubatsiro kumigumisiro munharaunda yezvinyoro zvinyuchi, anobatsira kuchengeta vechiduku uye muviri wakakwana.
Chiito che somatotropic hormone pamagadzirirwo emagetsi:
- kukurudzira protein synthesis uye kuderedza kuora kwavo;
- chipingamupinyi chekuiswa kweadipose tissue;
- kuwedzera mazinga eropa glucose ;
- kuderedzwa kwezvinyorwa zve sodium uye potassium kubva mumuviri.
Assay for growth hormone
Kuti uone zvakajeka kuiswa kwezvinhu zvinenge zvichitarisirwa, zvakakosha kuita chidzidzo chebhoratori cheropa rakazara. Nzira yakakodzera yokupa mvura yakasikwa pane somatotropic hormone yemuviri wepituitary:
- Zuva risati rasarudzwa, bvisa zvinhu zvose zvemafuta kubva mumenyu.
- Pakukurukurirana nachiremba, rega kunwa mishonga 24 maawa usati wasvika ku laboratory.
- Pakati peusiku wekudzidza, usapinda mupfungwa uye mumuviri kudarika. Iko kukura kwehomoni kunomuka zvakasimba mushure mekupi kwekunetseka.
- 12 maawa asati apiwa ropa, usadya, saka zviri nani kuti uite kuongorora mangwanani.
- Usasvuta 3 maawa asati aedzwa.
STG inotarisana nekuchinja kwemasikati panguva iyo, inoshandura pamusana pemamiriro ekutungisa mamwe mahomoni uye kunyange mafungiro. Zvinokurudzirwa kugovera ropa kakawanda uye kuverenga huwandu hunokosha hwemigumisiro. Zvose zvinowanzoitwa somatotropin zvinoenderana nehutano:
- vakadzi - kusvika 8-10 ng / ml;
- varume - kusvika ku 2-3 ng / ml.
Kukura kwehomoni ndiko kunowanzo muvana
Kuwanda kwezvinhu zvinorondedzerwa muropa remwana kunofanana nezera rake, huwandu hunokosha hunoonekwa munguva yekuyaruka. Kukura kwehomoni kunowanzoenderana nezera:
- kusvika pamakore matatu - 0.43-3.03 ng / ml yevakomana, 0.37-2.07 ng / ml yevasikana;
- 3-6 makore - 0,1-1,9 ng / ml yevakomana, 0,07-2,17 ng / ml yevasikana;
- 6-9 makore - 0.13-4.67 ng / ml yevakomana, 0.13-2.77 ng / ml yevasikana;
- kubva pa9 kusvika kune gumi makore - 0.07-0.27 ng / ml yevakomana, 0.07-1.7 ng / ml yevasikana;
- 10-11 makore - 0.1-5.97 ng / ml yevakomana, 0.07-4.07 ng / ml yevasikana;
- Makore 11-12 - 0.13-9.7 ng / ml yevakomana, 0.1-7.7 ng / ml yevasikana;
- 12-13 - 0.17-15.43 ng / ml yevakomana, 0.1-6.83 ng / ml yevasikana;
- 13-14 makore - 0,13-8,57 ng / ml yevakomana, 0,1-6,17 ng / ml yevasikana;
- 14-15 makore - 0.2-8.67 ng / ml yevakomana, 0.1-6.77 ng / ml yevasikana;
- 15-16 makore - 0.23-10.13 ng / ml yevakomana, 0.07-9.87 ng / ml yevasikana;
- 16-17 makore - 0.27-9.37 ng / ml yevakomana, 0.2-10.57 ng / ml yevasikana;
- Makore 17-19 - 0,23,73 ng / ml yevakomana, 0,83-4,07 ng / ml yevasikana.
Growth hormone yakasimudzwa
Kuwedzeredza kukanganisa kweHSH kunokonzera kukanganisa uye kutyisidzira upenyu. Kana iyo somatotropic hormone yakawedzerwa muvana, gigantism inokura. Kukura kwomwana kunowedzera uye kwakasiyana zvakasiyana nezviratidzo zvevezera. Saizvozvowo, nhengo dzomukati dzinowedzera muhukuru. Nezera, kuwedzeresa somatotropic hormone kunotungamirira kuAcromegaly uye zvirwere zvaro zvevarindi uye zviratidzo:
- kuoma uye kuoma kweganda;
- kunyanya kusuruvara;
- kutuka kukuru;
- kuwedzera kwemafuta e epithelium;
- cholesterol yakawanda uye arteriosclerosis yemidziyo yeropa;
- chirwere cheshuga mellitus ;
- kukwana kwe calcium mumuviri;
- pathology yenheyo yenheyo;
- kuwedzerwa kwezviso zvemuviri uye zvikamu zvemuviri;
- migraines;
- kuderera kwemaonero evanhu;
- kuora mwoyo ;
- gynecomastia;
- kuora mwoyo kunhuwa;
- kuchinja kwekuenda kumwedzi;
- apnea;
- kurara kwepabonde;
- kuchinja mukuchiva uye kunaka kwehope.
Sei kuwedzera kwehomoni kuchiwedzera?
Chikonzero chikuru chechinetso chakatsanangurwa chirwere chetachiona chepituitary, saka magumo ekupedzisira ekuongorora anoongororwa kutanga kutanga maginist resonance imaging yeuropi. Dzimwe nguva STH inowedzera nekuda kwezvakaberekwa zvizere:
- McCune-Albright Syndrome;
- chinetso chaCarney;
- Vermeer's syndrome;
- isolated family acromegaly.
Kana kukura kwehomoni kuchikwidziridzwa mumwana, chikonzero chinogona kuva chenguva pfupi:
- iyo inotyisa yeprotheni muzvokudya;
- basa rakasimba remuviri;
- nzara;
- kurara zvakanyanya;
- kuderera kwekusanganiswa kweshuga muropa;
- chirwere chekudya kwezvibereko mumukumbo;
- kushungurudzika.
Nzira yekuderedza hutoni hukura sei?
Pazvikamu zvekutanga zvechinetso pasina zvinetso, mushonga unokosha unorayirwa. Nzira inobatsira yekuderedza kuwedzera kwehomoni ndeyokutora kana kutarisira zvinodhaka zvinodzvinyirira pituitary uye kusunungura STG. Nyaya yemishonga iyi inobva pane somatostatin. Iyo hormone inobereka hypothalamus. Iyo inoderedza kuchengetedzwa kweiyo yakatsanangurwa chimiro chemakemikari uye inobatsira kuisa mutemo wayo muropa.
Kana kukwidziridzwa kukakura hormone mumwana kana kuti munhu mukuru kune chikonzero chekukura kwechirwere muuropi , kurapa kwakanyanya kunogona kukurudzirwa:
- Mushonga wokuvhiya . Munguva yekushanda, bundu racho rakabviswa zvachose kana zvishoma, dzimwe nguva - rine nzvimbo shoma yepituitary gland.
- Irradiation. Inoshandiswa muzviitiko zvakakosha kana kupindira kwekuvhiya hakugamuchirwi.
Kukura kwehomoni kunoderedzwa
Kushayikwa kweizvi zvinhu zvakare kunokonzera nezvinetso, asi zvishoma kudarika kupfuura zvakanyanya. Kushayikwa kwekukura kwehomoni muvanhu vakuru vanoita kuti:
- musimba simba;
- kuneta;
- kusafarira;
- kukurumidza kwekukwegura;
- zvisingaperi zvirwere zvepfungwa;
- kuderedza libido;
- kuora mwoyo;
- muscle hypotrophy;
- atherosclerosis.
Kukura kwehomoni kunoderedzwa muvana (pituitary nanism) kunotungamirira kunonoka pakukura mumuviri:
- kukura kwakaderera;
- small features;
- kuderedza tsoka nemaoko;
- ganda rakadzika;
- inzwi rakatetepa;
- kusavapo kwechipiri chepabonde chimiro che libido mukuyaruka;
- kunonoka kokutanga kumwedzi;
- undeveloped musculature
Nei hurimoni yakakura inoderedzwa?
Pituitary nanism inogona kunge yakawanda uye inowanikwa. Kazhinji kacho kufungidzirwa kwepfungwa kunotsanangurwa nemageneti, kunyanya kana hurimoni inokura ichiderera mumwana kubva paucheche. Chimwe chikonzero chakafanana nemamiriro ezvinhu nehuwandu hweSHH. Iko kuchinja kwekuchengetedzwa kwayo kunokonzerwa nekukura kwezvinyorwa mumatunhu epituitary. Kuderedza kukura kwehomoni muvanhu vakuru kunowanikwa kune zvikonzero zvinotevera:
- maitiro ekugadzira apfuura muuropi;
- musoro irradiation;
- zvirwere zvakanyanya zvinopararira;
- craniocerebral trauma;
- endocrine kusava nemafungiro.
Nzira yekuwedzera kukura kwehomoni?
Kuti ugadzirise zvakakwana dambudziko rinotsanangurwa, zvinokosha kuti ugadzirire chii chakakonzera. Kana kuwedzerwa kwekukura kwehomoni kunokonzerwa nokuvapo kwechirwere chinotapira mumucheka wepituitary, kushandiswa kwaro kunobvunzwa. Mune dzimwe mamiriro ezvinhu, kuiswa kwemaitiro emakemikari kunoitwa nemaitiro anochengetedza. Mishonga inogona kukurumidza uye yakagadzikana kusimbisa hormone inokura, zvinodhaka zvinoshandisa izvi:
- Somatropin;
- The biosome;
- Rastan;
- Genotropin;
- Humatrop;
- Norditropin uye zvakafanana.
Mukurapa kwevana kuwedzerwa kushandiswa mamwe mahomoni anodiwa kuti zviitwe zvakanaka zvehutachiona nehutano:
- estrogens;
- testosterone;
- glucocorticosteroids;
- progesterone;
- Thyroid regulators.