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Диагностика заболеваний гипофиза на Беломорской

Диагностика и лечение заболеваний гипофиза, таких как гигантизм, аденома, гиперпролактинемия, гипофизарный инсульт.
Опытные врачи клиники проведут диагностику и назначат курс лечения.


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                    [TEXT] => <p>Диагностика и лечение:</p>
<ul>
<li>Заболевания гипоталамо-гипофизарной системы;</li>
<li>Заболевания щитовидной железы, паращитовидных желез;</li>
<li>Сахарный диабет 1, 2 типов, диабет типа LADA, MODY-диабет; гестационный сахарный диабет.</li>
<li>Ожирение, метаболический синдром; курация пациентов с морбидным ожирением до и после проведения бариатрической операции. Составление плана питания;</li>
<li>Нарушение белкового, жирового обмена, другие виды нарушений углеводного обмена;</li>
<li>Нарушения менструального цикла эндокринного генеза; климактерический синдром, менопауза;</li>
<li>Остеопороз, остеопения;</li>
<li>Заболевания надпочечников;</li>
<li>Ведение беременности (совместно с гинекологом).</li>
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Диагностика и лечение:


    

  • Заболевания гипоталамо-гипофизарной системы;
    • 

  • Заболевания щитовидной железы, паращитовидных желез;
    • 

  • Сахарный диабет 1, 2 типов, диабет типа LADA, MODY-диабет; гестационный сахарный диабет.
    • 

  • Ожирение, метаболический синдром; курация пациентов с морбидным ожирением до и после проведения бариатрической операции. Составление плана питания;
    • 

  • Нарушение белкового, жирового обмена, другие виды нарушений углеводного обмена;
    • 

  • Нарушения менструального цикла эндокринного генеза; климактерический синдром, менопауза;
    • 

  • Остеопороз, остеопения;
    • 

  • Заболевания надпочечников;
    • 

  • Ведение беременности (совместно с гинекологом).
    • 


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Исмаилова Ирада Сабировна
Эндокринолог

Клиника Беломорская
Записаться на прием
Исмаилова Ирада Сабировна
Эндокринолог
Клиника в Беломорская

Общая информация

Стаж: 3 года

Образование:
2021 г. - Московский государственный медико-стоматологический университет имени А.И.Евдокимова. Ле...

Записаться на прием 
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<li>2020 г. - Проф. переподготовка по специальности Врач общей практики (ВОП) ПМГМУ им. И.М.Сеченова.</li>
</ul>
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  • 2020 г. - Проф. переподготовка по специальности Врач общей практики (ВОП) ПМГМУ им. И.М.Сеченова.
    • 


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<p>Диагностика и лечение болезней внутренних органов (хронический гастрит, холецистит, желчнокаменная болезнь, язвенная болезнь желудка и двенадцатиперстной кишки, синдром раздраженного кишечника, функциональное расстройство кишечника, жировой гепатоз), сердечно-сосудистые заболевания, атеросклероз, цереброваскулярная болезнь, гипертоническая болезнь, хроническая сердечная недостаточность.</p>
<p>Острая инфекция верхних и нижних дыхательных путей, болезни органов дыхания. Заболевания опорно-двигательного аппарата (дорсопатия, остеохондроз, артроз  гиперурикемия). Аллергические реакции и т.д.</p>
<p>Амбулаторный прием по большому спектру заболеваний. Интерпретация по результатам лабораторной и инструментальной диагностики.</p>
<p>Врач семейной медицины.</p>
<p>Является экспертом по вопросам временной нетрудоспособности, качеству оказания медицинской помощи. Профосмотры. Диспансеризация.</p>
<p>Работа с пациентами особого уровня.</p>
<p>Имеется опыт работы с VIP-пациентами, иностранцами.</p>
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Практические навыки:


Диагностика и лечение болезней внутренних органов (хронический гастрит, холецистит, желчнокаменная болезнь, язвенная болезнь желудка и двенадцатиперстной кишки, синдром раздраженного кишечника, функциональное расстройство кишечника, жировой гепатоз), сердечно-сосудистые заболевания, атеросклероз, цереброваскулярная болезнь, гипертоническая болезнь, хроническая сердечная недостаточность.


Острая инфекция верхних и нижних дыхательных путей, болезни органов дыхания. Заболевания опорно-двигательного аппарата (дорсопатия, остеохондроз, артроз  гиперурикемия). Аллергические реакции и т.д.


Амбулаторный прием по большому спектру заболеваний. Интерпретация по результатам лабораторной и инструментальной диагностики.


Врач семейной медицины.


Является экспертом по вопросам временной нетрудоспособности, качеству оказания медицинской помощи. Профосмотры. Диспансеризация.


Работа с пациентами особого уровня.


Имеется опыт работы с VIP-пациентами, иностранцами.

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Прокофьева Анастасия Валерьевна
Врач общей практики, Гастроэнтеролог, Пульмонолог, Невролог, Эндокринолог, Терапевт

Клиника Беломорская
Записаться на прием
Прокофьева Анастасия Валерьевна
Врач общей практики, Гастроэнтеролог, Пульмонолог, Невролог, Эндокринолог, Терапевт
Клиника в Беломорская

Общая информация

Стаж: 8 лет

Образование:
2015 г. - Первый Московский государственный университет им. И.М.Сеченова. Лечебное дело; 2016 г. ...

Записаться на прием 
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	<li>2017 - Южно-Уральский государственный медицинский университет (общая врачебная практика (семейная медицина))<br>
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  • 2009 - Южно-Уральский государственный медицинский университет (онкология)
    
	Циклы переподготовки
	
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Свиридович Елена Владимировна
Врач общей практики, Терапевт, Гастроэнтеролог, Эндокринолог, Ревматолог, Пульмонолог

Клиника Беломорская
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Свиридович Елена Владимировна
Врач общей практики, Терапевт, Гастроэнтеролог, Эндокринолог, Ревматолог, Пульмонолог
Клиника в Беломорская

Общая информация

Стаж: 25 лет

Образование:
1998 - Южно-Уральский государственный медицинский университет (лечебное дело) Базовое образова...

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Диагностика заболеваний гипофиза у метро Планерная
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Фото клиники
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Заболевания гипофиза обычно связаны с нарушением секреции гормонов и нарушением функционирования гипофизарно-гипоталамической системы.

Гипофиз является эндокринной железой, которая в свою очередь часть эндокринной системы. Гипофиз состоит из нескольких частей: периферической, промежуточной и опухолевой частей, а также нервной части.
Периферическая, опухолевая и промежуточная части представляют собой железистые структуры и вместе образуют гипофиз, в то время как нервная часть представляет собой нервную структуру и является фрагментом гипоталамуса. Периферическая и опухолевая части вместе образуют переднюю часть гипофиза, а промежуточная и нервная заднюю долю. Гипофиз и гипоталамус функционально связаны друг с другом и вместе образуют гипофизарно-гипоталамическую систему. В гипофизе и гипоталамусе вырабатываются различные гормоны, влияющие как на гипоталамус, так и на гипофиз с другими элементами, которые составляют эндокринную систему. Нарушение работы гипофизарно-гипоталамической системы имеет последствия в виде нарушения работы других эндокринных желез.

Какие гормоны вырабатываются гипофизом?

Полипептидные гормоны — гормон роста, пролактин и кортикотропин, а также гликопротеиновые гормоны — фоллитропин, лутропин, тиротропин вырабатываются передней долей гипофиза.

Заболевания гипофиза обычно связаны с нарушением секреции гормонов и нарушением функционирования гипофизарно-гипоталамической системы.

Акромегалия и гигантизм

Одним из заболеваний гипофиза является акромегалия. Акромегалия связана с чрезмерной выработкой соматотропина или гормона роста. Это заболевание относительно редкое, оно обычно связано с аденомой гипофиза, которая вырабатывает гормон роста в избыточных количествах. Гораздо реже это связано с гормонально активной опухолью поджелудочной железы, которая продуцирует гормон, высвобождающий гормон роста, то есть соматолиберин. Если болезнь начинается до конца процесса роста, то это называется гигантизм.

Симптомы акромегалии и гигантизма

В начальном периоде заболевания симптомы не очень специфичны, имеются различные локализованные боли в суставах, головные боли и повышенное потоотделение. Нарушения менструального цикла могут появляться у женщин, в то время как нарушения либидо и потенции довольно типичны для мужчин.
Позднее в ходе заболевания появляются утолщение черт лица, расширение носа, губ, ушных раковин и нижней челюсти. Эти изменения придают лицу особый вид, поэтому при запущенной форме заболевания диагноз иногда можно поставить, только взглянув на пациента. Кроме того, ладони и ступни также расширены — при подозрении на акромегалию врач часто спрашивает пациента, какого размера обувь и перчатки он носил раньше. Еще наблюдается гипертрофия мягких органов, особенно печени и сердца, а также повышается артериальное давление.

Диагностика акромегалии и гигантизма

Прежде всего, когда есть подозрение на заболевание, необходимо определить уровень гормона роста и выполнить тесты визуализации. В основном это магнитно-резонансная томография, которая очень точно позволяет увидеть возможную аденому гипофиза. Также рентгенологическое изображение может продемонстрировать признаки, типичные для развитой акромегалии, такие как увеличение нижней челюсти, увеличение лобных пазух или утолщение костей черепа.

Лечение состоит из транссфеноидального удаления аденомы гипофиза. Для больших опухолей перед операцией рекомендуется использовать препараты, которые подавляют секрецию гормона роста.

Гиперпролактинемия


Гиперпролактинемия является еще одним заболеванием гипофиза. Обычно она вызвана наличием аденомы гипофиза, которая выделяет слишком много пролактина. Кроме того, причиной может быть печеночная или почечная недостаточность.

Симптомы


Прежде всего, у женщин появляются нарушения менструального цикла:
  • ановуляторные циклы,
  • редкие нерегулярные менструации или их вторичное отсутствие,
  • бесплодие и галакторея, не связанные с периодом кормления.
У мужчин появляются в основном нарушения потенции и бесплодие, связанные с уменьшением количества сперматозоидов.

Диагностика


Необходимо определить уровень пролактина, а также провести магнитно-резонансную томографию головного мозга для визуализации любой аденомы гипофиза.

Лечение


Лечение аденомы включает в себя ее удаление и введение лекарств, которые уменьшают секрецию пролактина. Иногда достаточно прекратить прием некоторых лекарств, ранее принимаемых пациентом.

Аденомы

Аденомы, которые производят чрезмерное количество кортикотропина и тиреотропина, являются еще одним заболеванием гипофиза. В случае аденомы, которая вырабатывает слишком много кортикотропина, развивается болезнь Кушинга. Избыток кортикотропина действует на надпочечники и «заставляет» их вырабатывать слишком много кортизола. Однако в случае аденомы, вырабатывающей слишком много тиреотропина, развивается гипертиреоз — тиреотропин стимулирует щитовидную железу вырабатывать слишком много тироксина и трийодтиронина.
Лечение включает хирургическое удаление аденом.

Гипопитуитаризм

В ходе гипопитуитаризма происходит снижение выработки гормонов, которые он вырабатывает, что имеет последствия в виде гипотиреоза, недостаточности надпочечников, дефицита роста и дисфункции яичников. Лечение зависит от того, какой гормон вырабатывается слишком мало, и от самой причины.

Гипофизарный инсульт

Еще одним редким заболеванием гипофиза является его инсульт, при котором происходит массивное кровотечение из опухоли гипофиза.

Симптомы инсульта гипофиза

Прежде всего, очень сильная головная боль, иногда нарушения зрения. Часто инсульт гипофиза является первым видимым симптомом опухоли гипофиза, которая до сих пор не была диагностирована.

Диагностика

Если подозревается инсульт, должна быть немедленно выполнена визуализация головы, предпочтительно магнитно-резонансная томография. Инсульт гипофиза может быть показанием для срочного нейрохирургического вмешательства, когда уже присутствуют признаки увеличения давления на оптическое пересечение или другие структуры мозга. Результат инсульта гипофиза может быть так называемым синдром пустого седла, при котором паутинная шина мозга проникает вместе со спинномозговой жидкостью в турецкое седло, являющееся частью клиновидной кости, в то время как в яме турецкого седла находится гипофиз. Давление на мозговые оболочки и гипофизарную жидкость вызывает различные симптомы, в том числе неврологические и нарушение зрения из-за давления на зрительные нервы.

Гипофиз является очень важным элементом эндокринной системы, потому что его правильного функционирования зависит функционирование других элементов эндокринной системы. Поэтому все тревожные симптомы следует записаться на прием к эндокринологу.
4.5

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