Cushing's syndrome zviratidzo, zvinokonzera uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Zvinokonzera Cushing's syndrome
• Maitiro ekuongororwa kunoitwa
• Kurapwa kunoitwa sei
• Zvinogona kuitika

Cushing's syndrome, inonziwo chirwere cheCushing kana hypercortisolism, ishanduko yehormonal inoratidzwa nekuwedzera kwehomoni cortisol muropa, izvo zvinotungamira mukuonekwa kwezvimwe zviratidzo zvechirwere sekukurumidza kuwedzera uremu uye kuwanda kwemafuta mumuviri. dumbu dumbu uye kumeso, kuwedzera mukuvandudzwa kwemitsara mitsvuku pamuviri uye ganda rine mafuta rinowanzoita acne, semuenzaniso.

Nekudaro, pamberi peizvi zviratidzo nezviratidzo, zvinokurudzirwa kubvunza kune endocrinologist kuitira kuti kuongororwa kweropa nekufungidzira zvionekwe uye, nekudaro, kurapwa kwakakodzera kwazvo kunogona kuratidzwa, uko kunogona kuitwa kuburikidza nekushandisa mishonga kana kuvhiya, Semuyenzaniso.

Zviratidzo zvikuru

Chiratidzo chinonyanya kuzivikanwa cheCushing's syndrome ndiko kuunganidzwa kwemafuta chete mudumbu uye kumeso, kunozivikanwawo sekuzara kwemwedzi. Uye zvakare, zvimwe zviratidzo nezviratidzo zvinogona kuve zvine chekuita neiyi syndrome ndeizvi:

• Kukurumidza kuwedzera huremu, asi maoko nemakumbo matete;
• Kuonekwa kwehupamhi, mitsetse mitsvuku padumbu;
• Chitarisiko chebvudzi kumeso, kunyanya kana iri nyaya yevakadzi;
• Kuwedzera kwekumanikidza;
• Chirwere cheshuga, sezvo zvakajairika kuti kune huwandu hwepamusoro hweshuga muropa;
• Yakadzikira libido uye kubereka;
• Kusarongeka kuenda kumwedzi;
• Tsvina kushaya simba;
• Oily uye acne-inowanzo ganda;
• Zvakaoma mukuporesa maronda;
• Kubuda kwemavara epepuru.

Inowanzo kucherechedzwa kuoneka kwezviratidzo zvinoverengeka panguva imwechete uye zvakajairika kune varwere vane hosha dzakadai seArthritis, asthma, lupus kana mushure mekuisirwa nhengo uye vanotora corticosteroids kwemwedzi yakati wandei muhuwandu hwakawanda. Panyaya yevana vane Cushing's syndrome, kukura kunononoka, nehurefu hwakadzika, kuwedzerwa kumeso uye bvudzi remuviri uye mhanza zvinogona kucherechedzwa.

Zvinokonzera Cushing's syndrome

Iyo syndrome inoitika nekuda kwekuwedzera kwecortisol muropa, izvo zvinogona kuitika semhedzisiro yemamiriro akati wandei. Chikonzero chinowanzoitika chekuwedzera uku uye chinofarira kukura kwechirwere ndiko kushandiswa kwenguva refu uye mumadosi epamusoro ecorticosteroids, ayo anowanzo kuratidzwa pakurapa kwezvirwere zvakaita se lupus, rheumatoid arthritis uye asthma, mukuwedzera kune zvakare kunoratidzwa vanhu vakatove nekuiswa. kwenhengo.

Uye zvakare, Cushing's syndrome inogona kuitika nekuda kwekuvapo kweiyo timor mune iyo pituitary gland, iyo inowanikwa muuropi, zvichitungamira kudzikiswa mukugadzirwa kwe ACTH uye, nekudaro, kuwedzera mukugadzirwa kwecortisol, iyo inogona kuwanikwa. mukukwirira kwakanyanya muropa. Ziva chinonzi hormone cortisol ndeyei.

Maitiro ekuongororwa kunoitwa

Kuongororwa kweCushing's syndrome kunofanirwa kuitwa neyemugumo wezvemamiriro ezvinhu kubva pakuongororwa kwezviratidzo nezviratidzo zvinoratidzwa nemunhu, nhoroondo yehutano uye rabhoritari kana bvunzo dzekufungidzira.

Nekudaro, zvinogona kukurudzirwa nachiremba kuti aite ropa remaawa makumi maviri nemana, mate uye weti bvunzo kutarisa mazinga ecortisol uye ACTH inotenderera mumuviri. Uye zvakare, kuyedzwa kwekusimudzira ne dexamethasone kunogona kukurudzirwa, unova mushonga unokurudzira kushanda kwepituitary gland uye, nekudaro, inogona kubatsira kuongororwa. Nekuda kwekushandisa dexamethasone, zvinogona kukurudzirwa kuti munhu wacho agamuchirwe kuchipatara kwemazuva angangoita maviri.

Kuti utarise huvepo hwebundu mune iyo pituitary gland, chiremba anogona kukumbira kuita kwecomputer tomography kana magnetic resonance imaging, semuenzaniso. Muzviitiko zvakawanda, zvinodikanwa kudzokorora bvunzo kusimbisa kuongororwa uye kutanga kurapwa kwakakodzera, sezvo zvimwe zviratidzo zvakajairika kune zvimwe zvirwere, izvo zvinogona kuita kuti kuongororwa kuome.

Kurapwa kunoitwa sei

Kurapa kweCushing's syndrome kunofanirwa kutungamirwa neye endocrinologist uye kunosiyana zvichienderana nechikonzero chechirwere. Kana hosha ichikonzerwa nekushandiswa kwenguva yakareba kwecorticosteroids, kuderedzwa kwemushonga wemushonga kunoratidzwa, zvinoenderana nekutungamira kwechiremba uye, kana zvichibvira, kumiswa kwayo.

Kune rimwe divi, kana Cushing's syndrome ichikonzerwa nebundu, kurapwa kazhinji kunosanganisira kuvhiyiwa kubvisa bundu uyezve kurapwa radiotherapy kana chemotherapy. Uye zvakare, pamberi pekuvhiyiwa kana kana bundu risingakwanise kubviswa, chiremba anogona kukurudzira kuti murwere atore mishonga kudzora kugadzirwa kwecortisol.

Kuderedza zviratidzo zvechirwere zvakakosha kuchengetedza kudya kwakaderera munyu neshuga uye kudya michero nemiriwo zuva nezuva nekuti izvo chikafu chine mavitamini nemaminerari uye zvinobatsira kusimbisa immune system.

Zvinogona kuitika

Kana kurapwa kweCushing's syndrome kusingaitwe nemazvo, zvinokwanisika kuti pave nekushomeka kwehomoni yekudzora kunogona kuisa hupenyu hwevanhu panjodzi. Izvi zvinodaro nekuti kusaenzana mahormone mwero kunogona kukonzera itsvo kutadza kushanda uye nhengo kutadza.