sac chanel pas cher/boutique chanel/-Acromegaly

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acromegaly
basic overview of the etiology and diagnosis and the diagnosis of acromegaly gigantism point performance: a history of acromegaly signs and symptoms: II. Additional tests: III. Clinical manifestations: treatment of the principles of treatment of treatment of surgical treatment elements of radiotherapy treatment of diseases of bone and mineral metabolism disorder drug therapy basic overview of the treatment limb
acromegaly (acromegaly) is the pituitary gland hyperplasia or tumor caused by excessive secretion of growth hormone caused by abnormal proliferation of skin and bone disease.

treatment principles 1. surgery 2. radiotherapy 3. drug efficacy evaluation: 1. cure: (1) symptoms, visual acuity, stable or improved vision, bone and soft tissue growth to stop; (2 ) GH increase induced by reducing the return to normal glucose tolerance; (3) Serum GH levels were normal, TRH, L-DOPA test normal. 2. Improvement: (1) symptoms improved, vision, vision stability, bone and soft tissue growth slows; (2) due to increased glucose tolerance due to reduced GH improved. (3) serum GH levels to normal, TRH, L-DOPA test can be positive. 3. Healed: no improvement of symptoms and signs, serum GH level is high. Treatment 1, bromocriptine: starting from a very small dose of 1.25mg, 1 day, 3 days every 3 to 7 days can be increased 1.25 ~ 2.5mg, gradually increased to the required volume. Usually more than 15mg daily, divided 2 to 3 times a day orally. Effective daily dose of up to 40mg. 2, medroxyprogesterone acetate: a daily 40mg, orally or intramuscularly. 3, estradiol, megestrol acetate, chlorpromazine also have a role. 4, can be possible recurrence after surgery or the depth of X-radiation or heavy particle bombardment outside, inside the plant can also be issued saddle isotope 198Au, 90Y and so on. 5, sellar compression symptoms may take into account the amount or transsphenoidal surgery. The role of somatostatin in the treatment elements: control of growth hormone secretion in the late sixties of the nineteenth century, Krulich other found a hypothalamus extract, this substance can inhibit the release of hypothalamic growth hormone in vivo. 26, can inhibit the growth hormone because of its release, so that the newly discovered endogenous substances named 27,28 Somatostatin cells were first found in the hypothalamus, but then people in many other cells in the body also found the existence of this material, such as pancreatic cells, gastrointestinal cells, central nervous system and peripheral nervous system .
a, sparse teeth, nose and throat increases, the language of blunt cloud, looks increasingly ugly. Zhi Zhi chunky, palmoplantar hypertrophy, thick skin, body, sweating, greasy. Small goiter, increased basal metabolic rate, thyroid function mostly normal, a small number of hyperthyroidism. Visceral fat in general, thoracic increased. Male sexual excitement, most women's menstrual disorders, amenorrhea, infertility. Half of the damage with impaired glucose tolerance, polydipsia and polyuria, accompanied by hyperprolactinemia may galactorrhea. Later stage of tumor compression symptoms may include headache, visual field defect and hypertension, can also occur secondary hypothyroidism, secondary adrenal insufficiency, gonadal atrophy and sexual dysfunction disorders, osteoporosis, spinal activity by limit and so on. Performance of pituitary gigantism in childhood overgrowth, tall, limbs, especially the growth rate. Appetite, hyperactivity and a mighty. Late (recession) increasing physical weakness. II. Auxiliary examination: (a) GH: baseline value> 15ug / L, active up to 100ug / L or more (normal

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