Title: Anabolic steroid
1(No Transcript)
2Anabolic steroid
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?? ???? - ???? ?????? LDL ? ???? HDL ?? ????
- ????? ?????? ??????? ?? ????? ???? ???
- ????? ????? (hypomania , aggressiveness)
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?????? LDL ???? HDL
9(No Transcript)
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11(No Transcript)
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- ???? HDL ? ?????? LDL
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13 Contraceptives Oral - parenteral - implanted
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??????? ?? ?????? ??? ???? ?? HRT ????? ???.
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16(No Transcript)
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progestin
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- (??????????? - ??? ?????)
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26(No Transcript)
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28??????????
1) ???? ???? ??????? (????? 70mg/dl) 2) ????
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25 ?? 50 ???? ???? ????? 50
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30???????? ???? ?? ??????????
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- (??? ???? ????? - ????? ??????? - ????? ????????)
31?????????? ???????
- ?? ???? ??? ???????? ??????? ?????? ???
- Post-hypoglycaemic hyperglycaemia
- ?????? ???? ????????? ?????? ?????
- Somogyi phenomenon
- ????? ??????? ?? dawn phenomenon
32Refractory obesity insulin resistance
metformin
0.5 - 2.5 g /d
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34Pioglitazone
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35Acarbose
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????? ??? 2
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???
36(No Transcript)
37Glucocorticoids
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38HPA axis
???????????
CRH
????? ???????????????
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ACTH
??????
391) ????? ?? ??? ??? ??? ????? ???? ????? ?? ???.
2) ?? ????? ??? ?? 2 ?? 3 ???? ????? ???? ?????
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3) ??? ??????? ??? ?? ???? ?????? ???? ???? ?????
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4) ??? ?????? ?? ??? ??????? ?? ??? ?? ???????
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40Glucocorticoids
Cushing Syndrome
Addison disease
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CNS HPA axis
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CNS HPA axis
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49Steroid rosacea.
50??????? ?????? ??? ????? ???? ???? ?? ???? ??
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51???????? ?? ????? ?????? ? ?? ??? ??????? ?? ???
????? ???? ?? ????
- Agents Affecting Calcification and Bone Turnover
52???????? ?????
2 ?? 2/1 ???? ??
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53????? ???? ?????????
1) ??? ??????? ? ????? ? ?? ?????? 2) ????
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??????? ??????? 5) ?????? ??? ??????? ??? ????
54?????
55??????????
1) ?????????????????? 2( ???????? 3)
????????????? D 4) ?????
-Sarcoidosis -Thyrotocxicosis -Milk alkali
syndrome -Adrenal insufficiency -Immobilization
56????? ??????????
?? ??? ??????? ?????????? Serum normal saline
6-8L/d frusmide
??????? ???? ?? ????? ????????? ?????????????????
?? ??????? ?? ???? ????? - ????? - ???????????