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下丘脑性闭经多是被“气病”的The hypothalamus is mostly "Qi disease"转载2008-03-16

  • 来源:cfl
  • 作者:cfl
  • 更新日期:2019-07-04 13:46
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下丘脑性闭经多数是某些不良刺激引起的,如过渡生气,悲伤,忧郁等,可能是过渡的高级神经活动,释放了电信号过大,导致了丘脑下神经核团 连电而失灵,不在接受化学信号,也不再分泌促性腺激素释放抑制激素,所以导致垂体和卵巢的工作停止,临床表现为闭经不

下丘脑性闭经多数是某些不良刺激引起的,如过渡生气,悲伤,忧郁等,可能是过渡的高级神经活动,释放了电信号过大,导致了丘脑下神经核团 “连电”而失灵,不在接受化学信号,也不再分泌促性腺激素释放&抑制激素,所以导致垂体和卵巢的工作停止,临床表现为闭经不孕,电化学发光法内分泌表现为垂体和卵巢分泌的激素都低下。垂体兴奋试验表现为高峰延迟型。

Most of the hypothalamus is caused by certain adverse stimuli, such as excessive anger, sadness, depression, etc.. It may be a transitional high-level nerve activity, releasing an electrical signal that is too large, resulting in the "electrical connection" of the hypothalamus nerve nucleus. failure, No chemical signals are received, and gonadotropin release & inhibition hormones are no longer secreted, so the work of the pituitary gland and ovary is stopped. The clinical manifestation is amenorrhoea, and the electroluminescent endocrine expression is the hormone secreted by the pituitary gland and the ovary. low. The pituitary stimulation test showed peak delay type.

全垂体兴奋试验是鉴别&定型的唯一诊断手段,那么什么是全垂体兴奋试验呢?The whole pituitary stimulation test is the only diagnostic method to identify & stereotype, so what is the whole pituitary stimulation test?

普通的垂体兴奋试验是用GnRH后定时测定血中LH和FSH的变化;而全垂体兴奋试验是用GnRH后不单定时测定血中LH、FSH,而且定时测定E和T;不单能了解垂体反应性,也能了解卵巢反应性。由于垂体和卵巢长期缺乏垂体激素的刺激,已经处于冬眠状态,所以反应是延迟,这和性腺衰减的不反应形成鉴别。

The common pituitary stimulation test is to determine the changes of LH and FSH in blood at regular intervals after GnRH; The total pituitary stimulation test is not only to determine the blood LH and FSH at regular intervals, but also to determine E and T at regular intervals. Can not only understand pituitary reactivity, but also understand ovarian reactivity. Because the pituitary and ovary lack the stimulation of pituitary hormones for a long time, they are already in hibernation, so the response is delayed, which is differentiated from the non-response of gonad decay.

治疗:依据治疗部位和目的分为,恢复下丘脑功能,恢复垂体功能和恢复卵巢功能。恢复下丘脑功能的治疗目前还处于空白;恢复垂体功能的治疗可以达到排卵生育的目的;恢复卵巢功能只能维持月经和性功能。确诊后治疗结果非常好。

Treatment: According to the treatment site and purpose, the hypothalamus function is restored, the pituitary function is restored, and the ovarian function is restored. The treatment of hypothalamus function is still blank. The treatment of restoring pituitary function can achieve the purpose of ovulation. Restoring ovarian function can only maintain menstruation and sexual function. After diagnosis, the treatment was very good.

1、恢复垂体功能:首先是对处于冬眠状态的卵巢进行“唤醒”,腹腔镜手术,然后根据阴道四维彩超监测的卵泡发育情况给FSH、LH和HCG序贯治疗。

1, restore pituitary function: First, "wake up" the ovary in hibernation state, laparoscopic surgery, and then according to the vaginal four-dimensional color hyper-monitoring follicular development of FSH, LH and HCG sequential treatment.

2、恢复卵巢功能:首先是用腹腔镜对处于冬眠状态的卵巢进行“唤醒”,然后根据电化学发光法的内分泌结果,用E、T和P激素序贯治疗。

2, restore ovarian function: First, use the laparoscope to "wake up" the ovary in hibernation state, and then according to the endocrine results of electrochemical luminescence, use E, T and P hormone sequential treatment.

预防:接受良好教育或训练的人不容易患此病,傻子基本不得这种病。所以人生难的糊涂,别太叫真。

Prevention: People with good education or training are not likely to suffer from this disease, and fools are basically not allowed to suffer from this disease. So life is hard, don't be so serious.

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