Yanayin fata, nauyin jiki, aiki na zuciya da jijiyoyin zuciya da sauran sifofin physiological an tsara su ta hanyar hormones. Ana samar da su ta hanyar gland - musamman gland da kuma gurguwar gurguzu. Idan aikin rukuni ya rabu da shi, rashin daidaituwa na endocrin yana faruwa.
Isenko-Cushing ciwo - mece ce?
Yanayin da aka kwatanta (hypercorticosis) wani rukuni ne na kwayoyin halitta wanda adadin dabbar ke haifar da kwayar cutar cortisol ko adrenocorticotropic hormone. Yana da muhimmanci mu rarrabe tsakanin matsala da la'akari da cutar Cushing. Shine layi na biyu na tsarin endocrine, tasowa akan tushen cututtukan cututtuka da hypothalamus da kuma glandon gurasar.
Cushing ta Syndrome - Dalili
Akwai dalilai da dama wanda zai iya haifar da wannan cututtuka. Duk abubuwan da ke haifar da hypercorticism an tsara su a cikin nau'i uku:
- kaya;
- ƙarewa;
- aiki.
Babban hypercorticosis
Wannan ciwo na Itenko-Cushing ya taso ne a ƙarƙashin rinjayar abubuwan waje. Babban dalilin abin da ya faru shi ne ci gaba da amfani da hormones na glucocorticosteroid. Irin wannan ciwo yana haifar da magani, sabili da haka ana kiran shi hypercorticism. Ana kiyaye shi sau da yawa bayan dasawa - an tsara shirye-shirye na hormonal don kawar da rigakafin kuma hana kin amincewa da sashin jikin da aka canza. Magungunan rigakafi na jiki yana farawa tare da maganin ƙutawa mai tsanani:
- rheumatoid arthritis;
- mashayanci fuka;
- tsarin lupus erythematosus.
Endogenous hypercorticosis
Wannan bambance-bambance na cutar yana faruwa ne saboda yanayin cikin jiki. Babban mawuyacin ci gaba shi ne yanayin da zai haifar da rashin daidaituwa na ɓacin hanzari:
- hyperplasia ;
- ciwon daji;
- Alamar kwance;
- dystrophy.
Don tayar da ciwon ciwon sukari na iya zama haɗin kai, saboda haka daya daga cikin abubuwan da ake haifar da hypercorticism shine jigilar kwayoyin halitta. Sakamakon cutar ta Itenko-Cushing yana haifar da neoplasms, amma a cikin sauran sassan:
- pituitary gland shine;
- ovaries;
- haske;
- thymus;
- almara;
- pancreas ko thyroid gland shine;
- bronchi.
Cushing ta ciwon ciwo
Akwai yanayin da yawancin cortisol ya haifar, amma babu wani kwayar cutar ciwon hanzari a jiki. Wannan ciwo ne na aiki na hypercorticism, sau da yawa yakan haɗa tare da ilimin lissafi da kuma tunanin mutum. Don ƙetare da ke nuna hoto na asibiti, daidai da gaskiyar. Wani lokaci cutar rashin lafiya Itenko-Cushing ya taso:
- kiba;
- ciki;
- shan giya (ciwo mai tsanani);
- hauhawar jini ;
- ketare na carbohydrate metabolism.
Rashin lafiya na Itenko-Cushing - bayyanar cututtuka
Babban alama na hypercorticism shine shigar da mai a wurare da dama:
- wuyansa;
- shugaban;
- ciki;
- kirji.
Saboda kiba, yana da sauƙi mai sauƙi don gano cutar Itenko-Cushing, alamun sune kamar haka:
- zagaye fuska;
- ƙananan ƙaƙƙan gaɓoɓin da ba su dace da jiki;
- purple-blue shimfiɗa a kan buttocks, hips, ciki, kafadu;
- rashin tausayi da kuma kwakwalwa saboda matsanancin nauyin da ba shi da kyau.
Idan babu magani, hanzarin hormonal ya kara hanzari. Ci gaban Cushing ta ciwon ciwo, alamunta shine:
- wuce gashin gashi cikin mata (hirsutism a namiji);
- hawan jini;
- damuwa mai tsabta;
- rashin ƙarfi;
- myopathy;
- osteoporosis da kuma hade da shi sau da yawa fractures na kasusuwa;
- ciwon kai;
- rashin barci;
- damuwa na tunanin mutum;
- rashin ƙarfi;
- tsoka atrophy;
- ciki;
- suma;
- kuraje ;
- hyperpigmentation wasu fannin jiki;
- curvature na kashin baya;
- abun ciki na ciki;
- rage aiki na tsarin rigakafi;
- mai haske blush.
Isenko-Cushing ciwo - ganewar asali
Babban dalilin da ya ba da damar tsammanin hypercorticism shine alamar cututtuka. Bayan tafiyar da ƙwayar maciye da kuma cikakken bincike, masanin ilimin lissafi ya tsara jerin binciken don tantance dalilan maganin asibiti, bambancin cutar da aka bayyana da sauran cututtuka. Cushing ta ciwo - ganewar asali:
- bincike na fitsari da jini a kan abun ciki na hormones corticosteroid;
- radiography na yankin na Baturke sirri da kwanyar;
- Kwamfutar kwamfuta ko kuma yanayin halayen kwalliya na pituitary da glanders;
- samfurori dexamethasone;
- biochemistry na jini;
- X-ray na kashin baya da ƙuƙwalwa;
- scintigraphy na adrenal gland.
Isenko-Cushing ciwo - magani
Maganin ilimin likita ya dogara ne akan abubuwan da suka haifar da hypercorticism. Tare da dalilai masu ban mamaki, sokewa ta hankali, rage yawan kwayoyin glucocorticoids ko maye gurbin wasu kwayoyin immunosuppressive aka bada shawarar. A cikin layi daya, ana gudanar da maganin cututtukan Itenko-Cushing, da nufin mayar da matakai na gyaran fuska da kuma daidaita tsarin jiki.
A cikin yanayin yanayin asalin halittar cortisol mai tsanani, dole ne a kawar da dalilin. Abinda ya dace kawai a gaban ciwace-ciwacen da ke haifar da ciwo na Cushing ne ake kula da ita. An kawar da neoplasm, yayinda radiation da maganin miyagun ƙwayoyi. Zaɓi masana'antun magungunan ƙwayoyin maganin maganin magungunan ƙwayoyi waɗanda suka rage yawan ciwon da ke ciki a cikin jini kuma su hana su samarwa:
- Mitotane;
- Aminoglutethimide;
- Mammoth da sauransu.
Bugu da ƙari, yana da muhimmanci don dakatar da alamun bayyanar cututtuka. Don yin wannan, amfani (a zabi na endocrinologist):
- shirye-shirye na potassium;
- maganin antihypertensive;
- abinci;
- bitamin da ma'adanai;
- Magungunan hypoglycemic;
- lissafi;
- bisphosphonates;
- magungunan anabolic steroids;
- ƙaddara;
- antidepressants.
Gina na abinci don hypercortisy
Kayan cin abinci ba zai taimaka wajen rage yawan samar da cortisol ba, amma zai tabbatar da daidaituwa akan matakai na rayuwa a jiki. Yana da mahimmanci wajen kawar da hypercorticism - da mahimmanci ya shafi gyaran abinci tare da ƙuntatawa ko cire abubuwan da ke biyowa:
- margarine;
- dabbobin dabba;
- mayonnaise;
- man shanu;
- kyafaffen kayayyakin;
- gishiri;
- nama da kifi;
- yin burodi;
- marinades;
- yankakke;
- karfi shayi da kofi;
- barasa;
- Sweets.
Don sauƙaƙe da ciwon Itzenko-Cushing yana da muhimmanci a yi amfani da shi:
- qwai;
- samfurori na madara mai yalwa;
- wuya cuku;
- ƙananan kifi ko ganyayyaki maras nama;
- porridge;
- Boiled nama nama;
- 'ya'yan itatuwa da kayan marmari;
- Ganye;
- ganye teas;
- wadanda ba na acid ba su ci abinci kuma suna sha.
Cutar da cutar Itenko-Cushing
Kwayoyin da aka yi la'akari da shi yana da matukar cigaba, amma idan babu isasshen maganin zai iya haifar da mummunar sakamako. Haka kuma cutar da Itenko-Cushing ciwo suna da alaƙa da irin waɗannan matsaloli:
- bugun jini;
- ladawa na aiki na zuciya;
- sepsis;
- na kullum renal rashin cin nasara;
- mai tsanani mai tsinkaye;
- Fayil;
- ƙananan kasusuwa na kasusuwa;
- mummunar lalacewa ga kashin baya;
- furunculosis;
- kafa kudan zuma;
- Fungal da na kwayan cuta fata raunuka tare da suppuration;
- zubar da ciki;
- sadarwa mai wuya.
Wasu lokuta wani ciwo ko wata cuta ta Itenko-Cushing yana haifar da mummunan yanayin da zai iya kawo karshen rikici - adrenal (adrenal) rikicin. Alamunsa:
- hypoglycemia;
- m zafi a cikin ciki;
- vomiting indomitable;
- hyperkalemia;
- asarar sani;
- matsananciyar sauƙin saukar karfin jini;
- hyponatremia;
- na rayuwa acidosis.