Hōʻike koko Estradiol

Ana kahi ana estradiol i ka nui o kahi hōmona i kapa ʻia ʻo estradiol i loko o ke koko. ʻO Estradiol kekahi o nā ʻano nui o nā estrogen.

Pono kahi laʻana koko.

E haʻi paha kāu mea mālama ola iā ʻoe e haʻalele iki i ka lawe ʻana i kekahi mau lāʻau i hiki ke hoʻololi i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. Pākuʻi ʻia kēia mau mea:

• Pila pale hānau
• Nā Antibiotics e like me ampicillin a i ʻole tetracycline
• Corticosteroids
• DHEA (kahi pākuʻi)
• Estrogen
• Lapaʻau e mālama i nā maʻi noʻonoʻo (e like me phenothiazine)
• Testosteroma

Mai hōʻoki i ka lawe ʻana i nā lāʻau i mua o ke kamaʻilio ʻana me kāu kauka.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

I nā wahine, hoʻokuʻu ʻia ka hapanui o ka estradiol mai nā ovaries a me nā gland adrenal. Hoʻokuʻu ʻia hoʻi e ka placenta i ka wā hāpai. Hana ʻia ʻo Estradiol i loko o nā kino o ke kino, e like me ka ʻili, momona, nā iwi pūnaewele, ka lolo, a me ke ake. He mea nui ʻo Estradiol i:

• Ka ulu ʻana o ka ʻōpū (kōpū), nā paipu fallopian, a me nā ʻōpū
• Hoʻonui ulu
• Nā loli o nā genital o waho
• Hoʻokaʻina o ke kino momona
• Menopause

I nā kāne, hoʻokuʻu liʻiliʻi ʻia kahi estradiol e nā testes. Kōkua ʻo Estradiol i ka pale ʻana i ka sperm mai ka make wanaʻao.

Kauoha ʻia kēia hōʻike e nānā:

• Pehea ka maikaʻi o kāu ovaries, placenta, a adrenal glands
• Inā loaʻa iā ʻoe kahi hōʻailona o ka tumo ovarian
• Inā ʻaʻole e ulu maʻamau nā ʻano o ke kino kāne a wahine paha
• Inā kū kou mau wā (ʻokoʻa nā pae o ka estradiol, kaukaʻi ʻia i ka manawa o ka mahina)

Kauoha ʻia paha ka hōʻike e nānā inā:

• Ke hana nei ʻo Hormone therapy no nā wahine i ka menopause
• Ke pane nei kahi wahine i ka mālama ʻana i ka momona

Hiki ke hoʻohana ʻia ka hoʻokolohua e nānā ai i ka poʻe me ka hypopituitarism a me nā wahine ma kekahi o nā ʻano hānau.

E loli paha nā hopena, e pili ana i ka moekolohe a me ka makahiki o ke kanaka.

• Kāne - 10 a 50 pg / mL (36.7 a 183.6 pmol / L)
• Wahine (premenopausal) - 30 a 400 pg / mL (110 a 1468.4 pmol / L)
• Wahine (postmenopausal) - 0 a 30 pg / mL (0 a 110 pmol / L)

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu hopena hoʻokolohua kikoʻī.

Nā maʻi e pili pū ana me nā hopena estradiol abnormal me:

• ʻO ke ʻōpio mua (precocious) i nā kaikamahine
• Ka ulu ʻana o nā umauma nui maʻamau i nā kāne (gynecomastia)
• Ka nele o nā manawa i nā wahine (amenorrhea)
• Hoʻoemi i ka hana o nā ovaries (ovarian hypofunction)
• ʻO ka pilikia me nā gen, e like me Klinefelter Syndrome, Turner Syndrome
• ʻO ka pohō wikiwiki a me ka momona o ke kino

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike E2

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

Haisenleder DJ, Marshall JC. ʻO Gonadotropins: ka hoʻoponopono o ka synthes a me ka huna. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 116.