Cushing kaThixo Syndrome: Iimpawu, diagnosis, Treatment

Cushing engqondweni livela kwimeko ukwandisa umgangatho glucocorticoids kwi kule uthinte adrenal. Esi sifo kuqhelekile kakhulu kwabasetyhini. Unobangela uqhelekileyo izifo ebangela kunyuswa imveliso yebhinqa ACTH (hormone adrenocorticotropic), nto leyo echaphazela umsebenzi lo neuron adrenal kwaye ikhokelela kumanqanaba hormone. Amaxesha amaninzi ukukhululwa omkhulu hormone adrenocorticotropic kuxhokonxwa ithumba eli yebhinqa, kwaye kwezinye iimeko, nethumba kwamanye amalungu. Isifo ingaqala xa efumana ngeedosi eziphezulu steroid eziqulathe cortisone okanye arhente kwi ekwakhiweni eye ACTH (wayedla ukunciphisa umsebenzi ezigonyekileyo nokufakelwa amalungu omzimba).

Cushing kaThixo Syndrome: Iimpawu

impilo jikelele, kunye nesini kuchaphazela iimpawu zesi sifo. iimpawu eziqhelekileyo kwesi sifo zezi:

• ubunzima inzuzo rapid. Ukwanda iidipozithi manqatha phezu kobuso ingakumbi nakumphezulu ngasemva;
• striae (amanqaku ukuzolula) kwi esiswini, isifuba, iingalo, namathanga;
• bazigruzule thinning yesikhumba;
• kakubi ephilisa amanxeba;
• uyadlula okwathatha emva izifo ezihlasela zosulele esosulelayo;
• ubuthathaka, nokudinwa;
• ixhala, ugwayi;
• nesithukuthezi ngokugqithiseleyo;
• intloko;
• ukulahlekelwa inkumbulo kunye nobuchule zengqondo;
• kuba namankazana - zokulibaziseka ukuba sexesheni;
• glucose ukunganyamezelani, nto leyo ebangela isifo seswekile;
• lwegazi.

Syndrome Cushing esithi: Diagnosis

Uxilongo lokuqala zingenziwa ngokusekelwe iimpawu Uphawu esi sifo. Kuba ukuxilongwa kufuna uphando olunzulu apho ziya kukhethwa ezibangela ukuba Cushing engqondweni. Oku kufuna uvavanyo lomchamo ukujonga izinga cortisone. uphando kubandakanya ukuvavanya isigulane usebenzisa deksametanozonovogo uvavanyo apho isigulane isebenzisa ngaphakathi 2 c. dexamethasone, yaye emva 9 iiyure kuxhomekeke yomlinganiselo cortisol kwi plasma.

Ukukhangela unobangela woko, leyo kunokubangela Cushing engqondweni, inqanaba ACTH kulinganiswa. Ngenxa yoko, izinga ephakamileyo hormone kunokubonisa kwekhono adrenal, kwaye phezulu kakhulu - malunga neengxaki yebhinqa.

Cushing kaThixo Syndrome: Treatment

Unyango ziqhelekileyo kwaye olusebenzayo esi sifo yinto transsphenoidal prostatectomy uyakhetha. Ukuba izifundo ayiphumelelanga ukufumana indawo ngqo ze-ithumba yebhinqa, wenza ungenelelo yotyando. Le ndlela ayikwazi ingasetyenziswa ukuba isigulana sisifo olungamandla okanye ngezifo somatic.

Enye indlela kunyango ukutshatyalaliswa adrenal. Ngokwazisa amachiza skleroziriruyuschih kunokwenzeka ukuba balahle kweziyobisi hyperplastic. Le nkqubo ikhutshwa phandle ngokusebenzisa ultrasound kunye neendlela Itomography ngekhompyutha.

Kukho kwakhona indlela yonyango syndrome Cushing njengoko therapy Proton. Le ndlela iyasetyenziswa xa iindlela ethembekileyo yamathumba yebhinqa akunjalo. Kungenzeka kwakhona ukuba ukunyanga le ndlela amayeza sifo. Kulo mzekelo, indlela esetyenziswayo zokuyifihla imveliso ACTH. Kwakhona wavelisa unyango kwangumqondiso ezijoliswe kunyango nezifo, isifo seswekile, kwamathambo. Kwezinye iimeko, indlela unyango radiation singasebenza. Cushing engqondweni kuquka ukufumana umthomalalisi iziyobisi, bisphosphonates, iivithamini kunye nezinye iziyobisi. Esi sifo kakuhle kunyango kunye nokuqaliswa iimpawu unyango kancane kancane.