{"countAll":23,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1765","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1765","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":null,"keywords":"内分泌科","title":"内分泌科","channels":null},"data":{"list":[{"id":"5573","isDel":0,"createAt":1503583849934,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"痛风会遗传吗？且看中国人民解放军总医院专家怎么说","content":"

   众所周的知，痛风与日常生活中饮食密切相关，但健康人群通过控制饮食就一定能避免患上痛风吗？痛风会遗传吗？

\n

 \"痛风会遗传吗\"

\n

   痛风分为原发性痛风和继发性痛风，其中继发性痛风是指继发于其他疾病过程中的一种临床表现，也可因某些药物所致，所以痛风的遗传性与原发病的遗传相关。原发性痛风多半具有遗传性，约20%的痛风患者其近亲的亲属也患有痛风，从发病几率来讲，父母一方患了痛风，子女有40%~50%的几率患痛风，若父母双方均患痛风，则子女患痛风的几率高达75%。

\n

 

\n

   临床上确诊由遗传因素引起的痛风只占就诊人数1%左右，例如Lesch-Nyhan综合征、I型糖原累积症、家族性青少年高尿酸性肾病等，该部分疾病的遗传是有规律的，因此该部分痛风患者可以计算出它们遗传给下一代的概率。但除去这些罕见的遗传病外，剩下的绝大部分的痛风患者其遗传机制十分复杂，目前还未研究清楚，遗传的概率无法预知，所以父辈有痛风其子代不一定会患痛风。

\n

 

\n

   那么什么样的痛风可以怀疑是由遗传引起的呢？起病年龄小、血尿酸水平高、早期即有尿酸肾病、有阳性家族史的患者需要高度怀疑，其尿酸肾病通常在痛风性关节炎之前即可出现。

\n

 

\n

   综上所述，如果有阳性家族史，则这一家系的后代需做定期检查，争取早发现早治疗，对本病病情的延缓具有很强的意义。

\n

 

","barId":"2592","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1637,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1503583849936,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1503583849936,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5434","isDel":0,"createAt":1500690288310,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"听专家为您解读：什么是性发育异常疾病，性发育异常疾病的诊断和治疗手段有哪些","content":"

性发育异常的定义和概述：

\n

   性发育异常疾病是指，患者的外生殖器、性腺和染色体的性别不一致。性发育异常的外阴表现是一个连续的谱系，在临床需重点描述以下方面：有无睾丸及睾丸大小；阴茎长度；阴囊发育；尿道开口/位置；阴道开口/深度；阴蒂大小。

\n

  染色体性别，决定性腺性别，而性发育异常的性腺类型多样，包括一侧卵巢/一侧睾丸，双侧卵巢，单侧卵睾，无卵巢或睾丸等不同表现。性反转（Sex Reversal）的原因分述如下：如果染色体为46,XX而表现为睾丸和阴茎，可能原因为：染色体含有SRY基因或SOX9重复（duplication）；如果染色体为46,XY而表现为卵巢和阴道的可能原因为：SRY基因丢失、DAX1重复、SOX9单倍体不全、SF1缺陷等。约30%的性发育异常疾病患者病因不明。              

\n

   DSD具有以下特点：（1）多重效应：决定睾丸形成的基因有很多，在基因性别－性腺性别－外生殖器性别－社会性别等不同层面互相影响。（2）剂量效应：表现在基因表达的剂量效应，如SOX9和DAX1的表达。另外，雄激素水平越高，男性化表现也越明显。（3）受体效应：如不同程度的雄激素抵抗，可产生完全不同的临床表型；（4）时间效应：在女性胎儿8周之前，如果受到较高浓度的雄激素影响，尿道开口在阴茎的顶端；否则表现为阴蒂增大或尿道下裂。（5）广谱效应：外生殖器的畸形从正常男性－尿道下裂－阴蒂增大－正常女性，表现呈连续性变化。（6）复合效应：在某些患者，体内存在两套性腺器官，各自发挥作用。

\n

\"听专家为您解读：什么是性发育异常疾病，性发育异常疾病的诊断和治疗手段有哪些\"

\n

  正常性发育的模式：受到染色体性别-性腺性别-外生殖器性别-社会性别的层层调控； 其中很多转录因子，如GATA4、ZFPM2、WT1、DAX1和SOX9/DAX1/SF1等，在性分化中发挥重要的作用。任何一个转录因子的单倍体剂量不足或重复（三倍体），都可能导致性别分化异常。性别的正常分化，还需要依靠AMH及受体、睾酮及受体、5a还原酶等综合作用。

\n

  性发育异常疾病的诊断和治疗：对于染色体为XX的男性化患者，可能的病因有：CAH，妊娠期高雄激素血症（外源，内源），SRY异位，SOX9重复，卵睾等；对于染色体为XY，但男性化不足的患者，可能的病因有：睾丸功能不全，性腺不发育，睾丸消失综合征，LH受体失活突变， Müllerian管永存综合征，睾酮合成障碍疾病，5α还原酶缺陷，雄激素受体功能缺陷（完全雄激素抵抗和部分雄激素抵抗）等。

\n

   性分化异常疾病的处理受到很多因素的影响，需要多学科干预，需要包括心理师、整形医生、内分泌医生、患者本人、重要家属成员等的综合讨论；尤其需要关注患者男性化的程度（阴茎大小）、对雄激素的反应、社会的文化、患者将来的性生活质量等。

\n

  协和医院内分泌科还提供了雄激素抵抗、5α还原酶缺陷症、真两性畸形、CAH、PORD病例的治疗经验分享，引起了良好的反响和热烈的讨论。

\n

 

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1744,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1500690288312,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1500690288312,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5433","isDel":0,"createAt":1500689573431,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"低促性腺激素性性腺功能减退症的诊断与治疗效果","content":"

低促性腺激素性性腺功能减退症病因学进展：

\n

  低促性腺激素性性腺功能减退症指下丘脑分泌神经元的缺失或功能损害，导致垂体分泌FSH和LH障碍，引起的性腺功能减退症；其临床表现，根据发病的时间不同而有所差异：在胎儿期，如果雄激素不足，导致婴幼儿小阴茎、尿道下裂、隐睾、两性畸形等表现；在青春期，如果雄激素不足，导致青春不发育或发育延迟； 在成年期，可导致男性不育症、少精子症或性功能障碍；在老年人，表现为男性更年期（成年男性部分雄激素缺乏症）。对低促性腺激素性性腺功能减退症的治疗，主要包括睾酮替代治疗和促进精子生成。

\n

\"低促性腺激素性性腺功能减退症的诊断与治疗效果\"

\n

  病因方面的研究显示，部分转录因子包括FGFR1, KAL-1，PROKR2，Kiss1等在GnRH神经元的迁徙和成熟中发挥重要作用。但仍有约70%的低促性腺激素性性腺功能减退症患者病因不详；新近发现，Kiss-1敲除小鼠表现为低促性腺激素性性腺功能减退症。Kisspeptin蛋白是Kiss-1基因表达的一种蛋白，其受体GRP54失活突变也可导致低促性腺激素性性腺功能减退症。        

\n

GnRHα兴奋试验在诊断中的作用:

\n

  GnRHa兴奋试验可用于正常青春发育、青春发育延迟和低促性腺激素性性腺功能减退症的鉴别诊断，对评价各类疾病对垂体-下丘脑-性腺轴的功能的影响具有重要的临床参考意义。

\n

雄激素替代的开始时间、疗效及安全性评价:

\n

  关于雄激素治疗的开始时间，既往认为一般在年龄＞16岁并且确诊低促性腺激素性性腺功能减退症后开始睾酮替代治疗；目前认为，阴茎对雄激素存在一个敏感期，此后雄激素促进阴茎生长的作用就会减弱。因此，对于小阴茎患者，可以考虑间断小剂量雄激素治疗，但治疗时必须综合考虑并注意随访并定期监测相关指标。无生育需求的低促性腺激素性性腺功能减退症患者选择长期的睾酮替代治疗。短期雄激素替代治疗，可改善代谢与胰岛素敏感性，降低hsCRP水平，增加肌肉含量。短期和长期雄激素替代治疗，均可明显改善患者的骨骼密度。长期（平均22年）雄激素替代治疗，可显著改善患者的生活质量和机体代谢状态，可能的不良反应包括红细胞增多症、肥胖和前列腺增生等。在雄激素替代治疗时，需要充分评估患者的可能获益和风险。

\n

促进精子生成的治疗方案和疗效：

\n

  低促性腺激素性性腺功能减退症患者在有生育需求的时候，可以从睾酮替代治疗方案，切换到基于模拟FSH和LH对睾丸的刺激作用的生精治疗方案。我院内分泌科在近半年对30余例不同病因导致的低促性腺激素性性腺功能减退症患者进行了生精治疗，结果显示垂体瘤术后的患者在生精治疗后精子生成的成功率接近100%， I低促性腺激素性性腺功能减退症患者为10-20%，而先天性的全垂体前叶功能减退症患者成功率则更低。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1796,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1500689573432,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1500689573432,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5425","isDel":0,"createAt":1500527036503,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"专家告诉你小儿1型糖尿病的症状、怎么治疗，如何控制住血糖波动","content":"

  小儿1型糖尿病饮食控制、日常护理、用药以及心理方面的相关防控知识，对小儿1型糖尿病的控制血糖非常重要。孩子得了糖尿病,、小儿1型糖尿病该怎么治疗，如何控制住血糖波动？

\n

\"专家告诉你小儿1型糖尿病的症状、怎么治疗，如何控制住血糖波动\"

\n

  小儿1型糖尿病也被称为“糖豆”。是儿童期最常见的慢性疾病，1型糖尿病的发病呈现双高峰：第一个高峰是4-6岁，第二个高峰是10-14岁。1型糖尿病患儿如果血糖控制不好，会导致身高、体重、骨龄和青春发育落后。但是过多的胰岛素治疗可以导致过度的体重增加。

\n

  要想将血糖控制好，“糖豆”们应养成良好的生活习惯。首先，注意做好每日的血糖监测。监测的次数应不少于5次，并根据血糖数值调整治疗。其次，饮食和运动应定时、定量。饮食和运动能对血糖造成最直接的影响，要将该影响降到最低，最有效的方法就是每日的饮食和运动定时、定量。根据运动和作息的不同，周一至周日、假期应制定不同的运动和饮食方案。值得注意的是，洗澡对血糖有时也有较大影响。洗澡相当于一次中等强度的活动，可能会引起低血糖，家长应特别留心。

\n

  家长应做好糖尿病日记，其中包括详细的饮食种类和量、活动内容和时间、胰岛素使用量及次数、血糖数值，每次就诊时应注意携带该笔记。除了血糖以外，家长也要做好每月监测患儿的身高、体重工作，并在生长曲线上标出，这样能早期发现生长的偏离并及时纠正。另外，3个月检查一次糖化血红蛋白，10岁后每年要检查眼底、肾脏，并监测血压。

\n

病期增加血糖检测次数

\n

  生病时可以导致血糖出现较大波动，此时家长需要监护好孩子的血糖变化。生病期间胰岛素可调整剂量，但绝对不能停用；应鼓励孩子进食，可少量多餐；注意补充水分，每隔几分钟喝一点流质，若血糖值超过12mmol/L，须饮入未加糖的流质，如清水、清汤、低卡路里柠檬水等；若血糖值低过12mmol/L，可以喝甜流质，如普通柠檬水、加糖冷饮或苹果汁。

\n

  生病期间2应增加测试血糖的次数，例如每2-4小时测一次，并记下全部测试结果。每次排尿须检查酮体是否存在。尿酮体试纸一般药店都可以买到。生病期间尤其需要预防酮症酸中毒的发生，当患儿突然出现腹部疼痛、恶心、呕吐、打瞌睡、呼吸不顺畅、呼吸中带甜果气味时，应警惕酮症酸中毒的可能。

\n

小儿1型糖尿病如何早发现

\n

  小儿1型糖尿病的早期诊断非常重要，如果不能及时发现和治疗，可能引起严重后果甚至危及生命。所以家长掌握一些1型糖尿病的典型症状对于避免严重后果是非常有帮助的。1型糖尿病最典型的症状就是“三多一少”，此外还有乏力、视物模糊等表现。有以下症状时家长应该提高警惕，必要时应带孩子去医院检测血糖。

\n

多饮：晚上也要起来喝水。

\n

多尿：夜尿多，小孩子可能会出现尿床。

\n

多食：食量明显增加。由于孩子处于生长发育期，家长会认为是因长身体才吃得多，因此容易被忽视。

\n

体重减轻(少)：无明显诱因，出现体重减轻或很快消瘦，特别是吃得多但体重不增加甚至减轻时要特别注意。

\n

视物模糊：血糖迅速升高会导致视力下降，看不清东西。

\n

乏力：精神萎靡，疲劳乏力，喜欢窝在床上，不愿意活动。

\n

 

","barId":"2591","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1694,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1500527036505,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1500527036505,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5423","isDel":0,"createAt":1500519877735,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"新生儿糖尿病症状与新生儿糖尿病基因检测","content":"

  新生儿糖尿病的概念与临床症状

\n

  新生儿糖尿病的确非常罕见，是一个古老的疾病。医学上的新生儿糖尿病是指在出生后6个月内出现的糖尿病。过去，对这类疾病的认识并不很充分，对它的致病基因及病因也不是非常清楚。往往将其误诊为1型糖尿病，并给予终身胰岛素治疗。
  随着医学的发展，新生儿糖尿病被分为暂时性新生儿糖尿病与永久性新生儿糖尿病两类。暂时性新生儿糖尿病的患者，在发病后最多可在不超过一年半的时间内自行缓解，往往容易在青春期前后复发。而所谓永久性新生儿糖尿病，在患病后需要终身接受治疗。
   暂时性新生儿糖尿病与永久性新生儿糖尿病，都有一个很重要的特征——宫内发育不良即低出生体重。此外，这类糖尿病通常发病较早，大部分都是在出生后一个月或3个月以内发病，因此，一般出生后6个月以内发病的糖尿病我们都称之为新生儿糖尿病。

\n

\"新生儿糖尿病症状与新生儿糖尿病基因检测\"

\n

  新生儿糖尿病的发病机制研究及治疗进展

\n

  近年来，随着对新生儿糖尿病的认识不断深入，包括新生儿糖尿病的遗传背景、基础、治疗等方面。至少发现了21种新生儿糖尿病致病基因。50%-60%的新生儿糖尿病都是一种KCN11或ABCC8两种致病基因突变所致。
  就治疗而言，新生儿糖尿病一般不需要应用胰岛素治疗，口服降糖药物效果可能更好。对新生儿糖尿病分子机制，尤其是致病基因的研究对实现患者的个体化治疗及个体化指导是非常有价值的。另外，研究也发现了一些问题。利用现有基因，对临床观察到的新生儿糖尿病进行筛查时发现，仍然有30%-40%的患者通过已知基因是筛查不到的。这就提示，新生儿糖尿病可能存在未知新致病基因。对这些未知新致病基因进行研究与鉴定是非常有价值的。
  要想了解某种基因在糖尿病发病中所起的作用，我们过去可能需要利用动物模型，通过基因敲除来了解基因功能，而新生儿糖尿病患者可以说是一种研究糖尿病疾病基因的天然模型，因为动物研究的结果不一定能在人体上进行重复，所以新生儿糖尿病这种天然模型对我们进一步深入了解糖尿病的发病机制，尤其是胰岛素分泌的网络调控机制以及对未来新药研发有非常重要的价值。

\n

 

\n

 

","barId":"2591","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1568,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1500519877737,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1500519877737,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5421","isDel":0,"createAt":1500478657858,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"真性性早熟的症状与注意事项","content":"

\"真性性早熟的症状与注意事项\"

\n

  外伤、感染、罹患肿瘤等疾病，或脑结构和功能先天性异常等原因，可使青春发育时间超前，进而发生性早熟。此种类型性早熟的历程与正常青春发育启动过程基本相似，唯一的区别是启动的时间大大提前以及青春发育时间比正常有所缩短临床上将此类性早熟称为真性性早熟；在真性性早熟发病过程中，下丘脑-垂体等中枢神经结构起着主要作用，所以也称为中枢性性早熟；在发病机理中，下丘脑分泌的促性腺激素释放激素的参加不可或缺，故也称之为促性腺激素释放激素依赖性性早熟。就像偶尔在某一天，人于深夜熟睡中莫明其妙地醒来再也难于入眠，却又说不清具体原因一样，在中枢性性早熟患儿尤其是女性患儿中，有相当一部分患者找不到明确的病因，故又被特别地称为特发性真性性早熟。真性性早熟的男孩会出现睾丸对称增大并产生精子，女孩则会出现月经并有排卵。真性性早熟的患儿已经具备了生育能力也就不难理解了。

\n

\"真性性早熟的症状与注意事项\"

\n

  临床中真性性早熟的患儿以女孩多见，约占总患病人数的75%~90%。大多数性早熟患儿为找不到明确病因的特发性真性性早熟，约占总患病人数的70%以上。

\n

\"真性性早熟的症状与注意事项\"

\n

   约30%的患者尤其是真性性早熟男性患儿，其性早熟常常可以找到明确的病因如颅内肿瘤。现在偶有以前被诊断为特发性真性性早熟的患儿，后续发现存在颅内肿瘤。这些肿瘤的性质，多为良性，发展缓慢。也有报道称，有患者直到初次就诊10年之后，才最终发现肿瘤。因此，临床上应对特发性真性性早熟的患儿进行长期随诊。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1661,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1500478657870,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1500478657870,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5286","isDel":0,"createAt":1498548806018,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"治疗不育需先了解不育的原因","content":"

  不育是有些人很容易怀孕，但大多数是反复流产或早产，或者曾发生过死胎。这样经历的人对怀孕成功的期盼和对再次妊娠半途而废的恐惧交织，其心理上和身体上遭受的苦痛，因此要治疗不育需充分了解不育的原因。

\n

   凡妊娠不足28周，妊娠终止，胎儿排出后无生存可能，称为流产。连续发生自然流产3次或3次以上，原称习惯性流产，现称为反复自然流产。反复流产是不育的主要原因，其原因包括：

\n

1、夫妇或胚胎染色体异常；

\n

2、子宫异常：子宫畸形、宫颈机能不全、宫腔粘连、子宫血管异常、子宫肌瘤或肌腺症；

\n

3、内分泌因素：黄体功能不全、多囊卵巢综合征、子宫内膜异位症、糖尿病、甲亢或甲低；

\n

4、免疫因素：血型不合和其他自身抗体异常；

\n

5、感染因素：细菌、病毒、支原体、衣原体等；

\n

6、母体全身性疾病；

\n

7、父体精液异常；

\n

8、原因不明。

\n

    对反复自然流产者应进行再孕前和孕后的病因检查和针对病因的治疗，其中染色体异常尚无有效的治疗方法。

\n

 

\n

知识关键点：

\n

1、人工流产可导致宫颈损伤及宫腔粘连而继发反复自然流产，应尽量避免非意愿妊娠及人工流产术。

\n

2、胚胎染色体异常，保胎无效。

\n

3、免疫治疗有明确的适应证，有疗效更有风险，应在有经验的专门医疗单位进行。

\n

4、可尝试中医药治疗。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2339,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1498548806019,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1498548806019,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5285","isDel":0,"createAt":1498548245242,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"不孕不育怎么治疗都不如放松心情","content":"

    许多能生孩子却坚决不要孩子，而许多想要孩子却偏偏不孕不育。同样是没有孩子，心境可截然不同。前者有自己的生活理念，而后者的心理障碍却是导致不孕不育的一个重要因素，对部分患者来说不孕不育怎么治疗都不如放松心情！

\n

 

\n

    焦虑、抑郁、烦恼、愤怒、负罪和挫折感是不孕症妇女患者普遍存在的不良心理和情绪状态。

\n

心身医学理论认为，由大脑结构和功能所实现的人的心理活动，影响着机体的一切生理过程。有意识或无意识的心理活动，如情感、感知、思维、想象等因素都能影响机体的内部平衡、适应能力和健康。

\n

    临床观察和研究发现心理因素及个体特征也是不孕不育的重要原因，恐惧、忧虑、紧张情绪可引起男方性功能障碍和精液异常，女方排卵障碍甚至输卵管功能障碍。

\n

    中医理论中有“因郁而致病”，“因病而致郁”的辨证论述，肯定了消极情绪使身体器官功能发生变化导致疾病，反之身体疾病也常伴有情绪变化使病情加重，病程延长。不孕不育病人如对病情、治疗手段、转归可能没有正确的认识，而抱着对疾病的各种错误概念，矛盾思想和不符合现实的期望，而紧张、烦躁、无耐心、无信心，轻微的病症也会变得复杂化，使治疗难以奏效。

\n

 

\n

关键知识点：

\n

1、其实谁都知道不孕不育不是罪，但封建思想谁又多少都有点儿，包括你在内。

\n

2、怀孕不顺利，查到毛病耐心治，没查到毛病耐心等。心急吃不了热豆腐。

\n

3、在求子的路上也需要劳逸结合，有时放松放松、休息休息，反而“得来全不费功夫”。

\n

4、婆婆妈妈们少说为佳，别给孩子们加压。

\n

5、过于热心的亲朋好友们，还是不要“哪壶不开提哪壶”为好，别好心给别人添堵。

\n

6、不孕不育是夫妻两人的事，无论是其中一人还是两人有问题，最好从一开始就夫妻同治，共同分担治疗压力，彼此安慰鼓励。

\n

7、养育之恩大于生育之恩，收养与自己投缘的孩子倒也省心。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1611,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1498548245244,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1498548245244,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"5163","isDel":0,"createAt":1497839377588,"createBy":"d618c1d4097a11e7a61c00163e04584d","createName":"乐哈哈哈","updateAt":0,"updateBy":null,"updateName":null,"userId":"d618c1d4097a11e7a61c00163e04584d","title":"测试你的脂肪吃多了没 有网友表示把我的食谱列出来干嘛","content":"

【测试你的脂肪吃多了没  有网友表示把我的食谱列出来干嘛 】

\n

眼瞅着自己的“大肚腩”一天天挺了起来，腰啊，腿啊也越来越粗越壮，却找不出原因……那很可能是你脂肪吃多了。中国农业大学食品科学与营养工程学院副教授范志红总结18道测试题，对照以下常见的脂肪饮食“雷区”，看看你是不是一直都在踩雷

\n
 
\n

 

\n\n

关于此事，且看相关网友如何评论：

\n

海绵宝宝-咔嘣：这…啥都别吃了

\n

bara_JJJJ：把我的食谱全写了出来

\n

南宫家族的茗熙：都不能吃，活着还有什么意义

\n

不漏风：我基本都没中，但是依旧会胖，是面条扎实吗？

\n

JingjingRun：要这么吃，简直生无可恋，要么慢慢变成性冷淡，要么变成补偿性暴饮暴食。。。还不如想吃什么吃什么，少吃点就行了

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1726,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1497839377589,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1497839377589,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"d618c1d4097a11e7a61c00163e04584d","isDel":0,"createAt":1489580884064,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"乐哈哈哈","password":"888888","level":0,"nickName":"乐哈哈","realName":null,"signName":"给对方","head":"/resources/images/qq/3.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4963","isDel":0,"createAt":1496970158160,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"过劳肥跟猝死一样可怕 赶紧转给领导看看","content":"

过劳肥跟猝死一样可怕：由于工作压力大、饮食不规律、凌晨才睡觉，工作越繁忙的人越容易变胖，这种现象被称为“过劳肥”。记者、底层公务员、教师、社工、律师、电商、IT人员等是最容易患上过劳肥的人群。

\n

\"过劳肥跟猝死一样可怕\"

\n

过劳肥主要原因：

\n

1、睡眠不足导致饥饿激素增多

\n

2、压力激素皮质醇增加使人肥胖

\n

3、现代人多坐、晚睡、垃圾快餐脱离不了关系

\n

 \"1.jpg\"

\n

 

\n

怎么量化猝死呢？具体的量化时间目前尚无公认的统一标准，分别有人认为其从发病至死亡的时间在1小时、6小时、12小时和24小时之内，有人认为也包括48小时之内的死亡者。世界卫生组织认为的时间是6小时之内，但这仅是一家之言。目前公认的是发病1小时内死亡者多为心源性猝死。

\n

如何预防猝死呢？冠心病猝死占全部心源性猝死的90%以上，预防猝死，其主要的目标是预防冠心病猝死，

\n

预防心源性猝死的四道防线，防线不失，就不会发生心源性猝死。

\n

1.第一道防线：防止冠脉斑块形成

\n

2.第二道防线：防止斑块破裂

\n

3.第三道防线：防止室颤发生

\n

4.第四道防线：心肺复苏，通过心脏按压等措施为患者建立血液循环阻止死神的脚步

\n

关于过劳肥，看看网友的感受吧：

\n

唐纬恒 ： 原来我胖是因为我工作太忙了

\n

天然无公害i ： 太气人了！怎么吃吃不胖！真羡慕你们吃点就胖的人

\n

晚上不吃饭plus：工作一年胖了15斤，最近心脏部位会突然疼一下

\n

年轻时代L：过劳肥，我彻底不相信。只要天天干体力活绝对不会肥的。即使得了肥胖证也可以瘦下来。

\n

瘦了23斤的小苏苏：好不容易瘦了20多斤  [允悲]  明年毕业出来工作我又得长胖的意思吗

\n

往昔姑娘：我原先有个同事，进公司时90近，基本天天加班，不按时吃饭，半年后胖了差不多20斤，人都变形了，后面一直瘦不下去

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1685,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1496970158161,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1496970158161,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4699","isDel":0,"createAt":1490892629994,"createBy":"55eee1afefa411e6a61c00163e04584d","createName":"18810072425","updateAt":0,"updateBy":null,"updateName":null,"userId":"55eee1afefa411e6a61c00163e04584d","title":"test-aaa","content":"

<a href="/navigation/my_receive.html">查看论坛回复</a><

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1609,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1490892629996,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1490892629994,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"55eee1afefa411e6a61c00163e04584d","isDel":0,"createAt":1486739977654,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"18810072426","password":"123456","level":0,"nickName":"1找良医用户_76774","realName":null,"signName":null,"head":"http://01luntan.com/ly_img/1501494299589.png","phone":"18810072426","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2704","isDel":0,"createAt":1486648547380,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"巨人症的相关叙述","content":"

　　巨人症摘要：巨人症为发生在青春期前的垂体前叶机能亢进症，分泌生长激素旺盛，病因不明。常常继续发展为肢端肥大症。患者应注意预防和治疗感染，以改善本病的预后。

　　巨人症（gigantism）多数发生在18至20岁以下者，即生长板（又称骨骺板，epiphyseal plate）尚未闭合前。 　　生长板位于人类四肢骨骼的中间，当人类在10至18岁（发育较慢的会到20岁左右）时， 生长板会打开。由于生长板的软骨细胞拥有分裂能力，所以能让骨头增长。一旦过了这段发育时期，生长板就会自动闭合，届时不论使用药物或各种运动等外来刺激，软骨细胞都不会再分裂，这时身体就不会长高了。

　　巨人症-症状

　　生长发育过度，身高多在2m左右，生长过速可持续到20岁以上。食欲强，肌肉发达，性欲旺，在衰退期，精神不振，乏力，背佝偻，阳痿，迟钝。

　　巨人症-病因

　　在人的眼睛后方，鼻腔的上端，有一个腺体，叫做脑垂腺，可以分泌生长素，当腺体脑出现肿瘤时，会使  巨人症与常人对比

　　生长素分泌过量，形成巨人症，生长激素的功能是促进身体组织之发育与成长，它可促进体内细胞的数目增加及变大，使身体各部分组织之器官变大，是每一个人成长的重要因素，在成长过程的第二性征发育，若是生长激素分泌过量或过少会引起「巨人症」或「侏儒症」。

　　生长激素分泌过多的原因同时主要有垂体性和垂体以外的原因：

　　垂体性：如发生在垂体部位的致密颗粒型或稀疏颗粒型gh细胞腺瘤或增生gh和prl混合细胞眼瘤促催乳生长激素细胞腺瘤嗜酸干细胞腺瘤多激素分泌细胞腺瘤偶可为多内分泌腺瘤病型的组成部分。

　　垂体外性：异位gh分泌瘤（如胰腺癌肺瘤）ghrh分泌瘤（下丘脑错构瘤胰岛细胞瘤支气管和肠道类癌等）绝大多数由垂体瘤分泌过多gh所致统称为生长激素分泌瘤。


","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1523,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486648547382,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486648547380,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2088","isDel":0,"createAt":1486648476558,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"尿崩症的中医分型","content":"

   1、肺胃热盛型
    【证见】烦渴多饮多尿，消谷善饥，便秘。舌红，苔燥黄，脉洪数或细数。
    【分析】心胃之火熏蒸，致肺燥津伤，肺阴亏耗，水津不布测烦渴多饮以自救；肺燥金桔，金水不能相生，有开无合，关门不固则饮多尿多；胃火旺盛，则消谷善饥；肺与大肠相表里，肺津亏损，肠腑失润，则燥结便秘；舌红、苔燥黄，为火热伤津之象，病初热盛为洪数脉，病情发展，伤及阴津，则为细数脉。

\n

    2、中阳虚弱型
    【证见】面白少华，昏倦乏力，纳呆，口渴多饮，小便频数，溲清如水。舌淡，苔白腻，脉细弱。
    【分析】“阳气者，若天与日”，脾胃阳虚，运化失常，不能化生气血测纳呆，面白少华，昏倦乏力；津液失于气化，降而不升，则口干多饮，小便频数，溲清如水；舌淡，苔白腻，脉细弱，为中阳虚弱之征。

\n

    3、肾阴亏损型
    【证见】尿频量多，口唇干燥多饮，形体消瘦，面色无华，腰膝酸软。舌红，苔薄少，脉沉细数。
    【分析】肾藏精，主固摄，为人体阴液之本。肾虚失固，则尿频量多；阴津流失，肾阴亏损，水失资源，不能上承，则口唇干燥多饮；阴精虚少，机体失于充养，则形体消瘦，面色无华；腰为肾之腑，肾主骨，肾虚则腰膝酸软；舌红，苔薄少，脉沉细或数，均为肾阴亏损，或阴虚内热之象。

\n

    4、气阴两虚型
    【证见】消瘦乏力，自汗气短，口干舌燥，多饮多尿，腰酸，或五心烦热，大便秘结。舌嫩红，苔薄白少津，或少苦，脉细弱。
    【分析】气阴两虚，可见消瘦乏力，自汗气短；肺胃阴虚，肾虚失调，则日于舌燥，多饮多尿，腰酸；阴虚内热测五心烦热，大便秘结；舌嫩红，苔薄白少津，或少苦，脉细弱，均为气阴两虚之征。

\n

    5、阴阳两虚型
    【证见】口于多饮，皮肤干燥，消瘦，饮一溲一，腰膝酸软，阳痿早泄，形寒肢冷，面色白。舌淡苔白，脉沉细弱或沉微。
    【分析】阴阳互相依存，阴虚日久，必损及阳，阴阳俱虚；肺胃肾阴虚，则见口干多饮，皮肤干燥，消瘦；肾阳虚，不能气化津液，则饮一溲一；肾虚于下，则腰膝酸软；命门火衰，则阳痿、早泄；阳虚不能温运，则形寒肢冷，面色白；舌淡苔白，脉沉细弱或沉微，均为阴阳俱虚之征。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1575,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486648476560,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486648476558,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1561","isDel":0,"createAt":1486648416090,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"甲亢会性冷淡吗","content":"

　　性冷淡的原因很多，感情不和是最常见的，其实，甲状腺疾病也可能是幕后黑手，特别是对女性而言。如果你性欲不明原因下降，且怕冷畏寒，又不爱搭理人，就要高度警惕了。

\n

　　甲状腺疾病差点让她离婚

\n

　　一名女性因患甲状腺功能减低症（简称甲减）差点导致家庭破裂。

\n

　　郑州市李女士今年40多岁，性格活泼，在单位工作积极向上，可今年以来，待人热情的她却变得\"冷漠\"起来，见人似乎爱搭不理的。而且，经常怕冷畏寒，皮肤发黄，眉毛也脱落不少。邻居大妈几次关切地问她：\"妞，你这是咋啦？咋变蔫儿了？\"

\n

　　更为尴尬的是，她的\"性\"趣明显减弱，对丈夫的性要求总是推三阻四，实在推不掉就敷衍了事。老公受不了她的\"冷淡\"，提出再这样就离婚。

\n

　　李女士走进医院，经过医生检查，才发现原来是患了一种内分泌疾病--甲状腺功能减低症（简称甲减）。经过一段时间的治疗，李女士恢复了热情活泼的本来性格，老公也不提离婚了，连邻居大妈都夸她：\"这妞又变回来了。\"

\n

　　专家提醒，当你对床笫之事兴趣下降时，也要考虑是否为甲状腺异常所致。

\n

　　患上甲减男女都\"冷淡\"

\n

　　甲状腺是喉结下方2～3厘米处的小器官，但在内分泌系统至关重要。甲状腺的重要功能是分泌甲状腺激素，具体包括T3和T4。甲状腺激素分泌一旦紊乱，就会影响性激素，进而“株连”床事，导致夫妻生活不和谐。

\n

　　专家指出，患甲减的女性，性激素受影响，月经量减少或紊乱，导致“性”趣大减。甲减可导致人体代谢减慢，导致身心疲乏，自然也会使人对性事的兴趣减弱。此外，甲减还引发水肿、贫血，内分泌的变化还直接导致对性事兴奋性降低，表情淡漠，影响伴侣的“热情”。

\n

　　另外，甲减也可导致男性性冷淡，只不过甲减发病以女性多见，男性往往不受重视。由于甲状腺激素分泌不足，全身代谢缓慢，时常感觉疲惫，而且甲减同样引发性激素的代谢障碍，随之出现性欲减退、阳痿。

\n

　　不过，男性性欲减退，不能全“怨”甲状腺，进入中年后，性能力下降是必然的，再加上工作生活压力，性欲减退和性功能障碍多数不是甲状腺疾病引起的。

\n

　　性欲减退也可能是甲亢上身

\n

　　甲减可引起性冷淡，与甲减“相反”的一种疾病——甲亢是不是会引起性功能亢进？答案不能一概而论。

\n

　　其实，性欲的“发动机”和“燃料”，是各种激素，关键是各种激素要比例适当，相互拮抗，处于一种相互平衡、相互制约状态。只要任何一种激素过低或过高，这种平衡就会被打乱，性欲就受到影响。过多的甲状腺激素可抑制垂体促性腺激素的分泌，导致女性月经紊乱，引发性冷淡。

\n

　　与女性不同，甲状腺对男性性功能的影响稍有差异，一部分男性会出现性欲减退，一部分会出现性欲亢进。

\n

　　专家告诉记者，甲减和甲亢治疗上都不复杂，甲减一般是补充左旋甲状腺素片，甲亢治疗包括抗甲状腺药物治疗、放射线碘治疗和手术治疗。关键是甲状腺疾病症状都不典型，患者往往当成咽喉炎、贫血、月经不调等治疗。其实，不论男女，出现了原因不明的性欲下降，到医院抽血查查T3、T4，就能查清是不是甲状腺捣鬼。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1464,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486648416093,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486648416090,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1036","isDel":0,"createAt":1486648356187,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"甲减对孩子的危害","content":"

　　相信大家都清楚甲减的危害，近几年来这个病的发病率一直在逐渐增加，给不少人带来了严重的伤害，更主要的是儿童患甲减的人数明显增加了很多，所以我们需要及时治疗，但是很多人因为不清楚甲减对儿童的危害，所以疏忽了治疗，结果给孩子带来了很大的影响，因此对于甲减的治疗我们一定要慎重。

\n

　　甲减对孩子的危害有哪些呢?

\n

　　1、甲减会使患儿出现克汀病面容：因甲减，随着整体发育落后，面部五官发育落后，小儿甲减症状表现为头大额短、面方;眼裂呈水平状，眼距宽;塌鼻梁、鼻翼肥厚、鼻孔朝前;唇厚、舌方、流涎、耳大、耳壳特别软，表情呆潜。

\n

　　2、甲减会使患儿体格矮小，软组织发育落后：身高不同程度矮小，四肢及颈部较短，骨龄落后，肌肉不发达，为粘液型甲减患者体格发育的主要特点。点击咨询

\n

　　3、甲减会使患儿神经运动功能障碍：是由于神经系统受损造成的，小儿甲减症状表现为特殊步态：走路不稳、拖步、鸭步、两腿成剪刀样交又，有的不能站立、畸形，甚至瘫痪;锥体外系病变表现为，呈轻度屈曲前倾体态，做被动运动时显示强直，类帕金森氏病表现，但没有阵孪。

\n

　　4、甲减会使患者的精神发育迟滞：甲减疾病会给孩子带来哪些危害?轻者可以劳动、学习能劳动及逻辑思维方面均有不同程度的困难活不能自理，智商(IQ)低于50。

\n

　　5、散发性呆小症：儿童出现该症状是因为母亲在怀孕期间出现了甲减之类的自身免疫行疾病，而且没有得到及时治疗，这样是很容易导致儿童也出现甲状腺激素分泌不协调，出现甲减疾病，危害到儿童的健康成长和智力发育，对孩子的危害会有影响，要及时治疗。

\n

　　甲减疾病会给孩子带来哪些危害?专家解释说，甲减是甲状腺中最为常见也是病情最严重的一种。对于甲减患者应该及时的进行正规的治疗，所以生活中一旦有人得了甲减疾病就需要尽快去正规医院进行诊治，以免给患者带来更大的伤害。

\n

0

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1482,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486648356189,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486648356187,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4221","isDel":0,"createAt":1486648291388,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"垂体前叶机能减退病因是什么","content":"

　　面对垂体前叶机能减退这个疾病的发生我们还是比较常见的一种内分泌疾病了，它的发生严重的伤害了患者朋友们的身体健康，为此我们对于这个疾病一定要及时的去治疗，那么有关于垂体前叶机能减退病因是什么呢？让我们一起来了解一下吧：

\n

　　病因和分类

\n

　　(一)子宫性闭经：先天性阴道及(或)子宫缺如或发育不良均可引起原发性闭经。睾丸女性化(男性假两性畸形)是一种罕见的遗传性家族性疾病，由于体表形态为女性，常因无月经而来妇科就诊。性染色体核型为46，XY。过度的刮宫或严重的感染如结核等造成内膜损伤或粘连，哺乳时间过长使子宫内膜萎缩等，均可引起续发性闭经。

\n

　　(二)卵巢性闭经：因卵巢病变引起的闭经。先天性卵巢缺如或性腺发育不良(Turner氏综合征，约占原发闭经者的12～20%。多由于性染色体异常所引起，主要核型为45、XO由于性染色体异常，卵巢不能正常生长和发育。因此，卵巢呈条索状纤维组织。典型的临床特征为身材矮小、蹼颈、肘关节外翻、智力低下、后发际低及第二性征不发育等。继发闭经可因卵巢功能早衰、手术切除、放射治疗后以及卵巢男性化肿瘤等。后者可伴男性化特征，如多毛及阴蒂肥大等。

\n

　　(三)垂体性闭经：发生在青春期前的垂体肿瘤可导致原发闭经。但多见于继发闭经患者。主要因垂体受损引起功能不全，较常见于产后大出血伴休克、严重的产后感染或弥漫性血管内凝血(DIC)时，致垂体前叶缺血坏死，随之出现功能减退、闭经，亦称席汉氏综合征。此症除影响FSH外，还可累及TSH和ACTH的分泌，因而还可出现其他相应的症状，如消瘦、消化不良、畏寒、乏力、性器官萎缩、基础代谢低及毛发脱落等。垂体肿瘤可发生于蝶鞍内或外，可因机械性压迫或因肿瘤本身的异常功能导致闭经、性机能减退及其他有关症状，如视野障碍、头痛、泌乳和肢端肥大症等。

\n

　　(四)下丘脑性闭经：下丘脑受中枢神经系统控制，过度精神紧张、忧虑、恐惧、生活环境改变，均可引起中枢神经系统与丘脑下部功能失调，出现闭经。特别是年青妇女。卵巢功能尚不健全，更易出现紊乱现象。常首先表现在排卵功能异常而出现闭经。

\n

　　垂体前叶机能减退病因是什么呢？经过了上文的介绍，相信朋友们现在对于这个问题都已经有了进一步的了解和认识了吧，垂体前叶机能减退的发生严重的伤害了患者朋友们的健康，为此我们面对这个疾病一定要高度重视，及时的去治疗它的发生。

\n

 

","barId":"1699","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1607,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486648291392,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486648291388,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null}],"list4Map":null,"pageBegin":0,"pageSize":25,"pageNumber":1,"totalPage":1,"totalRow":16},"focus":0,"userDtos":[],"currCount":0,"lyBar":{"id":"1765","isDel":0,"createAt":1474014520364,"createBy":"system","createName":"system","updateAt":1474014520364,"updateBy":"system","updateName":"system","userId":null,"name":"内分泌科","type":100,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":"911da47d7be711e6a97a00163e005165","provinceId":null,"cityId":null,"illId":null,"hospitalId":null,"keyWord":null,"totleTopic":23,"barDesc":null,"discussBarType":null,"metaSearch":null,"adInfo":null},"foodCouponValThan":null,"zlyTopic":{"id":"1765","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1765","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"pageTopics":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":10,"pageNumber":1,"totalPage":0,"totalRow":0},"herfList":[],"forumUserFocusBar":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"barId":null,"barName":null,"barType":0,"webType":0,"userType":0}}