Kuyeza kwa dispensary ndi mayeso ndi maphunziro omwe madokotala amalimbikitsa nthawi zosiyanasiyana (koma kamodzi pazaka ziwiri zilizonse).
Chinthu choyamba chimene muyenera kuchita ndikukumbukira mbiri ya banja lanu: kodi agogo anu anamwalira ndi chiyani, ndipo ngati akadali ndi moyo, ndi matenda ati omwe amadwala. Zoona zake n’zakuti, podziwa zimene makolo anu ankadwala komanso zimene anamwalira, kudzakhala kosavuta kuti dokotala akukonzereni ndondomeko yoyezerani inuyo. Koma ngakhale titataya mawonekedwe amtundu wanu, akazi onse, mosapatula, amafunikira:
kuyezetsa magazi (kuchokera chala kapena mtsempha),
kuyezetsa mkodzo wamba,
perekani mayeso a magazi a biochemical pazizindikiro zingapo, zomwe nkhaniyo idzakhala pambuyo pake,
kuyesedwa ndi gynecologist,
kuyesedwa ndi mammologist,
kukayezetsa zamaluwa kumaliseche,
kukayezetsa zilonda zam'mawere (ultrasound - ngati simunakwanitse zaka 35-40, mammography - ngati muli kale ndi zaka 35 kapena 40; dokotala, atatha kumvetsera anamnesis anu, pamilandu yam'malire, ndi msinkhu, Sankhani mayeso omwe ali abwino kwa inu),
ultrasound ya ziwalo za m'chiuno (kuzindikira matenda ndi neoplasms),
kuchitidwa colposcopy (kuwunika minyewa ya khomo pachibelekeropo kuti asaphatikizepo kuwonongeka kwa maselo kukhala owopsa),
yang'anani mbiri ya lipid (ziwonetsa kuchuluka kwa chiwopsezo cha kuundana kwa magazi),
kupanga ECG,
perekani magazi a shuga (kuti musaphonye kuyambika kwa matenda a shuga mellitus),
fufuzani ma okomarkers (yezetsani magazi kwa zolembera zosachepera zitatu: CA-125 - khansa ya m'chiberekero, CA-15-3 - ya khansa ya m'mawere, CA-19-19 - ya khansa ya m'matumbo ndi rectum, yomwe ili pamalo achitatu ndi kuchuluka kwa amayi pambuyo pa khansa ya m'mawere ndi m'mapapo),
kupita kwa psychologist,
kusanthula kwa mahomoni (ayenera kutengedwa koyambirira komanso pa tsiku la 20 la kuzungulira). Iwonetsa momwe mazira anu ndi chithokomiro zimagwira ntchito bwino.
Kuyezetsa magazi pachaka
Tiyeni tipitirire kumasulira zisonyezo za kuyezetsa magazi kwa biochemical.
Alanine aminotransferase (AMT) ikuwonetsa ngati pali kuwonongeka kwa chiwindi (chiwindi chodwala, cirrhosis, kapena khansa). Ngati mulingo wake wawonjezeka, ichi ndi chifukwa chomwe madokotala amakayikira matenda. Zoona, n'zovuta kupanga matenda olondola potengera kusanthula uku, kotero kuti kafukufuku wowonjezera angafunike.
Amylase yonse mu seramu - enzyme ya kapamba. Mayeso adzakuuzani ngati muli ndi kapamba kapena kuwonongeka kwina m'mimba mwanu. Kachiwiri, ngati mlingo wake wawonjezeka, ndiye kuti madokotala adzawomba alamu, koma sangathe kunena motsimikiza chomwe chiri cholakwika ndi inu: kufufuza kwina kumafunika.
Ma antibodies ku thyroperoxidase - chizindikiro cha matenda a chithokomiro cha autoimmune.
Antithrombin III ali ndi zotsatira zogwetsa magazi kuundana. Kuchepa kwa ndende yake kumasonyeza kuti pali chiopsezo cha magazi.
Total whey mapuloteni… kuti kuchuluka kwa mapuloteni omwe mwachepetsa, ndipo ali ndi chidwi ndi mtengo wokwanira, osati wachibale, zomwe zimadalira kuchedwa kapena, mosiyana, kutayika kwa madzimadzi. , ndiye izi zikhoza kusonyeza kuphwanya mapuloteni kagayidwe, amene palokha akhoza kukhala chizindikiro cha chiwindi kukanika (monga zili albumin amachepetsa nthawi zambiri), impso kapena endocrine dongosolo matenda. adzapereka mayeso ena.
Chiwerengero chonse cha bilirubin - bilirubin, mankhwala owonongeka a hemoglobin omwe ali m'maselo ofiira a magazi omwe amafa mwachibadwa kapena chinachake chimayambitsa imfa yawo. Kawirikawiri, 1% ya erythrocytes imasweka mwa munthu wathanzi patsiku; motero, pafupifupi 100-250 mg wa bilirubin amalowa m'magazi. Bilirubin imatha kuchulukirachulukira chifukwa cha kuwonongeka kwa maselo ofiira amwazi (omwe amafanana ndi mitundu ina ya kuchepa kwa magazi m'magazi) kapena kuwonongeka kwa chiwindi (mwachitsanzo, ndi chiwindi). Mfundo ndi yakuti kukonzanso kwa bilirubin kumachitika m'chiwindi kuti achotsedwe m'thupi, komabe, ngati chiwindi chawonongeka mwanjira iliyonse, ndiye kuti bilirubin imatulutsidwa m'maselo owonongeka, kulowa m'magazi. Kuwonjezeka kwa bilirubin kumathanso kulumikizidwa ndi zovuta pakutuluka kwa bile (mwachitsanzo, ngati njira ya ndulu imatsindikiridwa ndi china chake, mwachitsanzo, chotupa, lymph node yokulirapo, mwala kapena chilonda), ndiye kuti vutoli limachitika. amatchedwa bile duct dyskinesia. Kuti mudziwe ngati muli ndi chimodzi mwazolakwika m'thupi, kusanthula uku kumaperekedwa.
Gamma-glutamyltranspeptidase (GGT) - enzyme yomwe imapezeka m'maselo a chiwindi ndi bile, motero, zotsatira zake zimasonyezanso momwe chiwindi chanu chimagwirira ntchito. Zotsatira zake zidzakuthandizani kudziwa ngati muli ndi bile stasis (holistasis). Nthawi yomweyo, kupanga kwa enzymeyi kumayambikanso ndi mowa, chifukwa chake, madzulo akuwunika, musamwe kapena kumwa paracetamol kapena phenobarbital (yomwe ili mu Corvalol), yomwe imakulitsanso index ya GGT.
Glucose wa plasma… Izi siziri konse za woyimba wotchuka pazenera, koma za zotsatira zomwe zingakuthandizeni kudziwa ngati muli ndi matenda a shuga. Izi ndizofunikira chifukwa matenda a shuga amayamba ndi zizindikiro zazing'ono zomwe zimakhala zosavuta kuzinyalanyaza. Kusanthula ndikofunikira makamaka kwa iwo omwe ali ndi chibadwa cha matenda a shuga (wachibale wapafupi kwambiri ndi wodwala matenda ashuga), onenepa kwambiri, kapena muli ndi zaka zopitilira 45.
Homocysteine... Kuchulukana m'thupi, homocysteine imayamba kuukira makoma amkati a mitsempha yamagazi, intima, yokhala ndi endothelium. Ndipo thupi limayesetsa kuchiritsa mipata yotulukapo. Pachifukwa ichi, thupi limakhala ndi cholesterol ndi calcium, zomwe zimapanga zolembera za atherosclerotic pamakoma a mitsempha yowonongeka. Ndipo zonse zikhala bwino ngati zolemberazi sizimatsogolera kutsekeka kwa zombo zomwe zikukonzedwa! Homocysteine iyenera kuyang'aniridwa ngati achibale anu ali ndi magazi, matenda amtima, kapena sitiroko ndi matenda a mtima. Ndikofunikira kwambiri kuyang'anira kuchuluka kwake ngati matenda otere ayamba m'banja asanakwanitse zaka 50.
Iron mu seramu… Simuli pachiwopsezo chokhala wotema nkhuni ngati kusanthula kwanu kuli koyenera. Ngati muli ndi magazi m'thupi, chizindikirochi chidzakuthandizani kudziwa ngati chikugwirizana ndi chitsulo chochepa m'thupi kapena, mwinamwake, chinayamba, mwachitsanzo, chifukwa cha kusowa kwa vitamini B12. Ngati chitsulo chanu, m'malo mwake, chikuchulukirachulukira, ndiye kuti izi zitha kukhala chifukwa cha cholowa cha hemochromatosis (matenda omwe amalumikizidwa ndi mayamwidwe ochulukirapo komanso kudzikundikira kwachitsulo) kapena kuchuluka kwa chitsulo.
Seramu calcium… Kashiamu ndiye chomangira chachikulu cha thupi, kuphatikiza apo, imakhudzidwa ndi kukangana kwa minofu ndi mtima. Mchere uwu umakhala wokhazikika ndi phosphorous. Ndiko kuti, ngati kuchuluka kwa kashiamu m'magazi kumachepetsa, zomwe phosphorous zimatuluka, ndipo mosiyana. Chifukwa chake, amalankhula za phosphorous-calcium metabolism. Kashiamu m'magazi amayendetsedwa ndi parathyroid ndi chithokomiro. Kuyezetsa kumeneku kumasonyeza kagayidwe ka calcium m'thupi, komwe ndi kofunikira poyesa ntchito ya impso (amachotsa kashiamu), amayesa mwachindunji ngati pali khansa ya m'mawere, m'mapapo, ya ubongo kapena yapakhosi, ngati pali myeloma (mtundu wa khansa ya m'magazi), komanso mosalunjika. kuwonetsa hyperthyroidism (ngati calcium level ili pamwamba). Komabe, kusanthula uku sikuuza madokotala chilichonse chokhudza calcium yomwe ili m'mafupa a mafupa! Kuti muwone chizindikiro ichi, pali njira yosiyana - densiometry.
Coagulogram (prothrombin molingana ndi Quick ndi INR) - zotsatira zimasonyeza momwe magazi amatsekera bwino.
Leukocyte formula (leukogram) imasonyeza, choyamba, kuchuluka kwa thupi kungathe kukana matenda, ndipo kachiwiri, kungasonyeze, pamene kusuntha kumanzere (ndiko, kuwonjezeka kwa leukocyte osakhwima), khansa ya ziwalo zina, kuphatikizapo bere.