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Last Updated April 11, 2025
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??????????? ?? ?????? ???????? ?????? ??, ?? ???? ???, ????? ??? ?? ???? ???????? ?? ????????? (?????? ???????) ?? ?????? ?? ????, ?????? ??????? (GH) ?? ??????? ??????? ?? ???? ???? ??? ???? ???????????? ???????? ??? ?? ???? ?? ?? ??????????? ?? ?????? ????? ?? ???? ????? ???? ??? ??????????? ???? ?????????? ?? ?? ????????: ???? ???? ?? ????? ??, ?? ???-??? ?? 7 ??? ?? ?? ???? ?? ???? ???

??????????? ?? ???? ??????? ?????? ??? ?? ?? ????? ?? ????????? ?????? ?? ?? ????? ??????, ???? ????????? ??????? ??? ???? ??, ??, ?? ?????? ??????? ?? ??????? ????? ?? ???????? ???? ??? ???? ??????? ?????? ??? ??????? ???????? ?? ???????? ???? ???? ???????? ??????????? ????? ?? ???? ???? ??????????? ?? ??????? ??????? ??? ???? ?? ????? ?? ???? ??? ??????, ????? ?? ??????? ??? noticeable ????? (???? ???? ??? ?????) ?? ???????? ?? ????? ?? ???? ?? ?????? ?? ???? ?????? ??? ???? ????? ?? ???? ????

????? ??? ????????? ?? ??????? ???????? ??????, ??????? ??????? ?? ??????? ???? ????? ?? ??? ???? ??????? ????? ???? ???? ????????? ?????? ?? ????? ?? ??? ?????? ????? ???? ??????? ??????? ??? ?? ???? ???? ??????????? ?? ????? ????? ?? ?????? ?? ???? ???????? ?????, ??? ?? ????? ??, ?? ??????? ???? ?? ????????? ???? ?? ??? ??????? ????? ???? ????

??? ???? ????????? ???? ?? ?????? ?? ??????? ??? ?????????? ?? ?? ??????? ????????, ???? ??????, ???? ??????? ?? ???? ?????? ???????? ?? ?? ???? ??? ??? ?? ???? ??? ?????? ??????? ?? ?? ?????? ????? ????? ??????????? ???? ?????????? ?? ??? ???????? ??? ?????????? ????? ?? ???? ???

??????????? ?? ?????????? ??? ???? ???? ???

??????? ????? ?? ????????? ??? ?????? ??????? (GH) ?? ??????? ????? ???? ??, ????? ????? ???? ?? ??? ??? ?? ?? ??????? GH ??????? ?? ???? ??:

  • ??????????? ?? ???? ?? ?? GH ?? ??????? ????? ???? ???????? ?? ????????? ?? ?????? ?? ???? ???? ??, ????????? ???? ?? ??????????? ???? ???? ?????? ???? ?? ???? ?? ?? ???? ?? ????????? ???????
  • ?????????? ?? ???? ?? ?? GH ?? ??????? ????? ????????? ?? ?????? ?? ??? ???? ??, ????????? ??????? ???? ???? ?????? ???? ?? ????? ????????, ???? ????? ?? ?????, ?? ???? ??? ???-??? ???? ?? ??? ?????? ???

??????????? ???? ???????? ???? ???

??????????? ????? ??? ?? ?????? ?? ??????? ?? ???????? ???? ??, ?? ?? ?? ??????? ??? ?? ???? ??? ??????? ???? ?? ????? ?????? ?? ?? ??? ???? ?? ?? ?? ?????? ??? ???? ??????? ??, ?????? ????????? ??????????? ?? ???? 78% ????? ?????? ??? ???? ???? ????

??????????? ????? ??????? ???

??????????? ?? ???? ?? ?????? ?????? ??, ?? ?? ??????????? ?? ?? ?? ??????? ??, ?? ??? ?? ?????? ?????? ??? ???? ???? ???? ?????? ????? ??? ?? ???????????? ???? ??, ?? ???????? ???? ??? ?? ?? ????????? ??????????? ???? 8 ?? 11 ????? ?? ????? ?????? ???????? ??? ???????? ???? ???

?????? ??? ??????? ?????? ???? ???? ???

?????? ??? ??????? ?????? ?? ???? ????????? ??, ???? ?? ?????????? ???? ????????? ???? ????

  • ?? ????????? ?? ???? ???? ?? ?? ????????? ?????? ?????????? ??? ?????? ??????? (GH) ???? ???? ??? GH ???? ?? ??????? ???? ?????? ????-1 (IGF-1) ??????? ???? ?? ??? ??????? ???? ??, ?? ?????? ?? ????? ?? ??? ?????? ??? IGF-1 ????????, ??????????? ?? ???? ????? ?? ?????? ?? ?????? ???? ???
  • ???? ?????, ?????? ???????, ??????? ????????? ??????? ??? ???? ??, ?? ???? ???????? ?? ??? ??? ????? ???? ???, ????? ?????? ?? ??? ?????? ???? ???? ?? ?????? ??????? ???????? ?? ????? ?? ?????? ???? ???, ?? ?? ?? ?? ????-???? ??????????? ?? ????? ??? ??? ??? ???? ?????, ?? ????? ?????? ?? ??? ???? ???
  • ?? ???? ?? ?????? ????????? ?? ???????? ???? ???, ?????? ?????????, ????, ??????? ???????, ?? ????? ????????? ????? ???? ???????? ????, ????? ??? ?? ???????, ??????? ?? ?????? ?? ???????? ????, ?????? ?? ?????? ???? ?? ??? ?????? ???
  • ?????? ??????? ??????? ?? ?????? ??? ?????? ?????? ?? ????? ?? ?????? ???? ??, ????? ?????? ???? ???? ?????? ?????? ??????? ???? ??? ??? ????? ???

??????????? ?? ????? ???? ????

??????????? ?? ?????? ?????? ??? ?? ??????? ????? ?? ???? ???, ?? ???????? ??????? ?? ??????? ???? ??? ??????? ??????????? ??????? ??? ????? ???:

  • ??????? ????? ?????? ?? ???? ??
  • ???? ??? ?? ???
  • ???? ????? ?? ????????? (??? ???? ??? ????, ????? ??? ?? ????, ???? ????? ??? ?????)
  • ?????? ?? ??????? ?? ???? ????
  • ???-??? ???????
  • ???? ????? ???
  • ?????? ??? ????
  • ?????? ?? ??? ?? ???? (???? ?? ????)
  • ???? ?? ????????, ???? ?? ???? ?? ?????? (sleep apnea)
  • ????? ??? ?????
  • ???? ??????
  • ???????????? (???? ?? ??? ?? ?????)
  • ???????? ??? ????? ???? ?? ???????????
  • ?????? ????????

??? ???? ???? ????? ??? ???????? ?????? ?? ????? ?? ???? ?? ??????????? ????? ?? ????? ?? ??? ??, ?? ?????? ?? ??????? ???? ?????????? ??? ????? ????????? ???? ?? ???? ????? ?? ????? ??? ???? ??, ????? ???? ????? ?? ????????? ???????? ??? ????? ?? ???? ??? ??????????? ?? ??????? ?? ????? ????? ????? ???????? ??? ?????????? ????? ?? ???? ???

??????????? ?? ???? ???? ????

??????????? ?? ???? ??????? ?????? ??? ?? ?? ?? ?? ???-?????? ????????? ??????, ???? ???????????????? ??? ???? ??, ?? ??????? ?????? ??????? ?? ????? ???? ??? ?? ?????? ??????? ?? ??????? ??????? ???? ?? ????? ?? ?????? ?? ???? ???? ??, ????? ??????????? ?? ??????? ????? ??????? ???? ????

  • ??? ???? ??????? ??????????? ?? ???? ??? ?? ???????? ???????? ?? ???????? ???? ???? ??????? ???????? ????????? ?? ???? ??? ?? ??????? ?????? ?? ?????? ???? ???? ????? ?? ??? ???????? ????? ???:
  • ?????? ???????????: ?? ?????? ???????? ?? ?? ???????? ?? ???????? ??????? ?? ???? ?? ???? ???
  • ????????-????????? ????????: ?? ?????? ?? ????????, ?????, ?? ??????? ??????? ?? ???????? ???? ??, ????? ???????????? ??????? ???????????? ??????? ???? ????
  • ??????? ?????????? ???????????? ???? 1 (MEN-1): ?? ???????? ????? ?? ?? ?????????? ????????? ??? ???????? ?? ???? ???? ???
  • ???????????????????? ???? 1: ?? ???????? ????? ?????? ???? ?? ???-?????? ?????? ?????? ???? ???, ?? ??????? ?????? ?? ???????? ?? ???? ????
  • ????????? ???????? ????????????????: ?? ???????? ?????? ?????? ?????? ?? ????? ?????? ???????-?????? ???????? ?? ????? ?? ???? ????
  • X-?????? ????????????????: ?? ?????? ???????? ?????? ?? ??????? ?????? ??????? ??????? ?? ????? ???? ???

??? ?????? ???, ??????????? ?????????? ?? ???? ??, ????? ???? ?? ?? ???? ???? ???? ????? ???? ??? ?????? ????????? ???? ????????? ?? ??? ?? ?????????? ?? ?? ?? ??????? ???? ???? ???? ??????????? ?? ?????? ?? ???? ?? ???? ?? ?????? ?? ????? ???? ??????? ????? ??????? ????? ???? ??? ??? ?? ???? ?? ?? ?????? ?? ??????? ??????????? ???????? ?? ???????? ???? ??? ????? ?? ???? ????

??????????? ?? ????? ???? ???? ???? ???

??????????? ?? ????? ??????? ?????? ?? ???? ???? ??, ?? ?????? ?????? ?? ???????? ??????? ?? ????????? ???? ?? ??? ???? ????

  • ?? ????????? ?? ???????? ????????? ?? ???? ???? ??, ?????? ?? ??? ??????? ??????? ?? ???????? ?????? ????? ???? ??, ???? ??????? ?????? ?? ????? ??? ????? ???? ????? ?????? ?? ?????
  • ?????????? ??????? ??? ??????? ???? ?????? ???? 1 (IGF-1) ?? ???? ?? ??? ?? ?????? ??????? (GH) ???? ??????? ????? ???? ???, ???? GH ????????????? ?? ?????? ?? ?? ????
  • ???? ????????, ???????????, ?????????, ???????????? (???????? ???), ????????????? (?????? ???), ?? ??????? ??????? ?? ???? ?? ????????? ???? ???? ???
  • ??????? ??????, ???? CT ?? MRI ?????, ?? ????? ?? ???? ???? ?? ???? ????????? ???????? ?? ??? ????? ?? ???, ?? ?? ?????? ?? ??? ????????? ?? ???? ????

??????????? ?? ????? ???? ?? ??? ??? ?? ??????? ??? ???????

??????????? ?? ????? ???? ?? ???, ????????? ???? ??????? ????????: ??????? ?????? ?? ????????? ???? ?? ??????? ?????????? ?????? ?? ????? ???? ?? ??? ?? ????????? ?? ??????? ???? ????

  • ???? ??????? ?? ????? ????????? ??? ?????????? ???? ???? ????? ?????? ??????? (GH) ?? ???????- ???? ?????? ???? 1 (IGF-1) ?????? ?? ????? ????? ??, ??????? ???? ???? ?? ????? ???? ??? ?? ??????????? ?? ??? ???
  • ???? ????????, ???? ????????? ??????? ???? ?????????????????????? ??????? (ACTH), ???????- ??????? ??????? (TSH), ????????????? ??????? (LH), ??????- ??????? ??????? (FSH), ?? ??????????? ?? ??????? ???? ????? ????????? ?? ??? ?????????? ???
  • ????????? ?? ??????? ????? ??????? ?? ???? ???????? ?????? ?? ????????? ???? ?? ??? ??? ???? ???, ??? ?? ?????? ??? ????????????? ?? ???????? ??? ???????????? ?? ??? ?? ?? ???? ???
  • ??? ??????? ??????? ????? (OGTT) ???? ?? ???? ?? ???? GH ??????????? ?? ?????? ?? ?? ???, ??????? ??????? ???? ?? ??? GH ?????? ?? ????????: ???? ??????
  • ???? ????????? ?? ?????, ????????? ?????? ?? MRI ???? ??????? ?????? ?????????? ???? ??? ???? ???? ?? ?????? ?? ??? ?? ???, ???? ???? ?? ??? ?? CT ????? ?? ????? ????? GH ????? ?? ??????? ?? ??? ???? ?? ???? ???

??????????? ?? ???? ???? ???? ???? ???

??????????? ?? ???? ????? ??? ?? GH ?????? ?? ?? ???? ?? ???????? ?? ??????? ???? ?? ???????? ?? ???? ???? ??? ???? ????? ????? ???????? ??? ????? ???:

??????????? ?? ??? ??????

?????? ????????? ?????? ?? ???? ???? ??????? ??????????? ?????? ?? ??? ???????? ????? ??? ???? ???????? ?????? ?? ??????? ?? ????? ?? ???? GH ??????? ?? ?? ???? ?? ???? ?? ????? ?? ?????????????? ?????? ?? ?????? ?? ???? ???? ??, ???? ?????? ?? ??? ?? ????? ?????? ?? ???? ?????? ???? ??? ???????, ??????? ??????????? ????? ??? ?? ????? ???? ??, ?????? ???? ?? ???? ???, ?? ?????? ????? ?????????? ???? ?? ????? ???????? ????? ???? ??????? ?? ??????? ?? ???????? ?? ???? ???

??????????? ?? ??? ??????? ??????

??? ?????? ?????? ?? ???? ??? ?? ???? ??? ???? ?? ?????? ?? ??? GH ???? ???? ???? ???, ?? ??????????? ?? ???? ??? ??????? ?????? ?? ????? ?? ???? ??? ??????? ??? ?? ??? ?????? ??? ?? ?????? ???? ???? ?? ???? ??? ?? ??? GH ???? ?? ?? ???? ?? ???? ???? ???????? ?? ??? ???? ?????? ??? ???? ?? ???? ???

???????

??? ?????? ???? ???? ?? ?? ????? ????? ?? ??? ??? ??????? ?? ???? ???, ?? ??????????? ?? ??????? ???? ??? ??? ?? ???? ???? ???????????? ?? ???????????? ???? ??????? GH ????? ?? ??? ???? ???, ???? ??????????????? ?? ?????????? GH ?????? ?? ?? ?? ???? ???? ???????, ?????? ??? ?? ????? ?? ??????????? ?? ?????? ??????? ??? ?????????? ?? ??????? ???? ?????? ???? ???? ??? ???

??????????? ????? ?? ???????? ???? ????

??????????? ????? ?? ??? ???????? ??????? ?? ???? ??? ?? ???? ?? ????? ????????? ?? ???? ?? ???????? ?? ???? ????

  • ???? ??????? ???????? ??? ?? ?? ?? ?????????????????, ?? ???? 60% ??????? ??????? ??? ???? ??, ?? ????? ?? ?? ?? ?? ???? ????????? ??????? ?? ??? ?? ???? ??, ????? ???? ???? ?? ??????? ??????????? ?????? ?? ???????? ???? ???
  • ???? ??????? ??????????? ???????? ??? ??????? ???????????? ????? ??, ?? ????? ??????? ??????? ??????? ?? ??????? ???? ??, ?? ???????? ????????, ?? ?????? ?????? ?????? ??????? ????? ?? ???? ????? ??? ???
  • ???? ????????, ??????? ?? ?????????????? ?? ????? ?? ???? ??, ?????? ????? ??????? ?? ??????? ?? ?? ???? ??, ?? ????????????????, ????? ??????? ??????? ?? ???? ?? ?? ???? ???

???? ??????????? ?? ???? ?? ???? ???

??????????? ?? ???? ???? ?? ???? ??????? ?? ?????? ?? ???????? ????????? ?? ???? ???? ??? ?????? ???-???? ?? ??? ?? ????? ?? ?????? ?? ?? ?????? ?? ????? ??? ?? ???? ??, ????? ????? ???? ?? ???????? ?? ????? ???? ???? ???

??????????? ?? ??? ????????? ???? ???

??????????? ?? ?????? ?????????? ?? ??? ????????? ??? ?? ?? ??????? ????? ?? ??? ???? ?????? ?? ???? ??? ???????? ????? ??????? (GH) ?? ???? ???? ???? ?? ??????? ?? ???? ?? ???? ??, ????? ????? ??????????? ??? ?????????? ????? ?? ???? ??? ???????, ????????, ?????? ?? ??? ?? ?????????? ?????? ??????? ??? ?? ???? ??? ?????? ??????? ?? ???????? ?? ???? ???

????????? ?????? ????? GH ???? ?? ?????????? ??? ?? ?? ???? ??? ??? ???? ??, ??? ?? ?????? ??????? ?????? ???? ?? ???? ???? ?? ????? ?? ?? ??????? ?? ?????? ???? ?? ???? ???? ????? ?? ??????? ?? ???, ???? ????????? ??????? ?? ???? ???

??? ??????, ??? ????????? ?? ???, ??????????? ?? ?????? ??????? ?????? ?? ????? ???? ?? ???? ???, ??????? ??????? ????????? ???????? ?? ??????? ??? ?? ???????? ???? ?? ??? ??????? ?????????? ???

??????????? ?? ?????? ?????? ???? ???? ???????? ???? ????

??????????? ?? ????? ??? ??????? ???????? ???, ?? ???? ?? ???????? ?? ?????????? ?????? ??? ???? ???? ????? ????? ???:

  • ???? ???: ?? ???? ??? ?? ???? ?????? ?? ???? ??? ????? ????? ?? ???? ???
  • ?????? ????: ?????? ?????????? ?? ???? ????? ?? ???? ?????? ?? ???? ???
  • ?????? ??? ???? ?? ?????: ?????? ?? ?????? ??? ???? ?? ????? ?? ????? ???? ??? ???? ??, ??? ?? ????? ?? ???? ????? ?? ????? ??????????? ?? ??? ??? ???? ???
  • ??????? ?? ??????: ?????? ?? ???????, ?????? ?? ???????? ??????? ?? ????? ????? ?? ???? ????
  • ??????? ????????: ????? ?? ????????? ?? ???? ????, ???? ??? ?? ???, ???? ????? ?? ??????? ????? ??? ?? ?? ??, ?? ??????? ??????? ?? ?????? ???? ?? ???? ?? ???? ????

?????? ?? ?? ??????

??? ????-???? ???? ????? ??? ???????? ?????? ?? ????? ????? ???, ?? ?????? ?????? ?? ?????? ???? ?????, ????:

  • ????????? ?? ????? ??? ???? ???? ?? ?????
  • ???? ???? ??? ?? ???
  • ????? ?? ????????? ?? ???? ????
  • ??????? ?? ?????? ??????? ????????
  • ?????? ??? ????
  • ??????? ????? ???

??? ?? ????? ???? ?? ??????? ?? ??????? ?? ???????? ?? ????? ?? ??? ????? ??? ??? ????? ???

????????

??????????? ?? ?????? ????? ????? ?????? ??, ???? ?????? ???????? ????? ?? ???????? ???? ??? ??? ???? ????? ?? ?? ???? ????? ??? ??????????? ?? ????? ?? ???? ???, ?? ?????? ?? ?????? ???? ??? ????? ? ????? ??? ?? ????? ?? ?????? ?? ??????? ?? ??? ?????????? ?? ?? ????????? ?????? ????????? ???? ?? ??? ?????? ???

??????????? ????????? ???, ?? ??????????? ???? ????????? ?? ??????? ?? ??? ??? ????? ?? ????? ?? ????? ???? ????? ???????? ?????????? ?? ??? ????? ??????? ?? ???? ?????? ????????? ?? ??? ?? ?? ????? ?????? ?? ?????? ?????? ???? ??? ????? ?????????? ????? ?? ???????? ?? ????? ??????????? ?? ???, ?? ????? ???????? ?? ?????????? ???? ?? ??? ????????? ???????? ?? ??? ?? ?? ????? ?? ???? ???? ?? ?? ???? ??????? ??? ???? ?? ?? ?????? ?????? ?? ?? ???? ??? ???????

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