вторник, 2 декабря 2008 г.

At sick of diabetes

At sick of diabetes predilection to development a necrosis of kidneys as pyelonephritis complications becomes perceptible. At a diabetes there are the glomerular disturbances bound to a proteinuria and progressing renal insufficiency. buy generic cipro The most specific and important from them is the nodous glomerulosclerosis or illness Kimmelshtilja-Vilsona. The easy form of a proteinuria can be observed and at a myxedema. At various endocrine diseases there is a nephrolithiasis and-or a nephrocalcinosis. Formation of stones in kidneys most often complicates a primary hyperparathyreosis. At other conditions accompanied by a hypercalcemia or a hypercalcuria, including at a sarcoidosis, an intoxication vitamin D, an idiopathic hypercalcuria, a thyrotoxicosis and, probably, it is long flowing illnesses and acromegalias rising of frequency of a lithogenesis also is observed. The nephrocalcinosis, irrespective of the indicating in the anamnesis on renal stones or other disturbances from kidneys, meets at a primary hyperparathyreosis, an intoxication vitamin D and an is milk-alkaline syndrome. Turner's syndrome can be accompanied by some congenital diseases of kidneys. SEXUAL FUNCTION It is necessary to think of an endocrine pathology in all cases of an impotency or change . Nevertheless only the small part of patients with corresponding implications really has endocrine diseases. Changes can meet at hypo-and hyperfunctions of a cortex of adrenals and a thyroid gland, a hypopotassemia caused by a primary aldosteronism or syndrome , hypercalcemias, a nervous anorexia, insufficiency of gonads (ovaries or spermaries), a progressing diabetes and a hypopituitarism.
The impotency can be observed at insufficiency of function of sexual glands (primary secondary), diabetes with independent , medicinal treatment of an arterial hypertensia (especially with the help a-Methyldopa) and a hypothyrosis. any aetiology, but especially bound to pituitary body tumours, leads to depression at persons of both sexes and it is frequent to an impotency. Any serious disease, including and endocrine, can be accompanied by depression though in these cases it becomes rare the basic complaint. At a dysgenesis of sexual buy acomplia rimonabant glands (for example, at Turner's syndrome), primary failures, syndromes of testicular feminization, a pseudohermaphroditism and a syndrome the Feces-mena (the gonadotrophic insufficiency accompanied by an anosmia), an adrenogenital syndrome or in a menopause the amenorrhea or an oligomenorrhea can be observed. Disturbances of a menstrual cycle usually meet at a hypopituitarism, for example at syndrome (a panhypopituitarism owing to a necrosis of a pituitary body at women a postnatal hemorrhagic shock), at patients with the tumours of a pituitary body cosecreting Prolactinum, and at syndrome - (a long lactemia and an amenorrhea after sorts). The amenorrhea or an oligomenorrhea can arise at women after the termination of reception of oral contraceptives, especially if in the anamnesis there is an indicating on disturbances of a menstrual cycle. Such changes can meet also at syndrome , hyper-and a hypothyrosis, a nervous anorexia or polycystic ovaries (rising of production of estrogens and androgens). At a combination of an amenorrhea to diabetes, insufficiency of function of adrenals or a hypothyrosis it is necessary to consider possibility of a syndrome of plural endocrine insufficiency (Schmidt's syndrome). In most cases the endocrinopathies proceeding in the serious form, can cause a secondary amenorrhea. The metrorrhagia, or intermenstrual uterine bleedings, meets at a condition caused by several reasons. It can appear at treatment by high doses of estrogens, and the spontaneous metrorrhagia is caused by an anovulation owing to various disorders or excessive production of estrogens at tumours. For example, at an anovulation bound to a polycystosis of ovaries or arising during the period, immediately previous or following a menses, continuous secretion of Gonadotropinums leads to formation of some producing estrogens not ovulatory bubbly follicles. The tumours causing a metrorrhagia, can occur from ovaries (for example, a thecoma, a granulocellular tumour), adrenals or a pituitary body. Ectopic production tumours factors (for example, ) can again stimulate production of estrogens that causes a metrorrhagia. Any of the listed reasons of an amenorrhea or oligomenorrhea can lead to sterility. At it can be observed and an anovulation which are important for distinguishing as in the first case nevertheless there can come pregnancy. Sterility can be caused a shorting phases of a menstrual cycle that leads to disturbance of implantation of the fertilised ootid. Such situation is caused by insufficiency of production of progesterone owing to or sensitivity disturbances to a luteinizing hormone (), or its insufficient production.

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