ʻO nā hōʻailona Cushing's Syndrome, nā kumu a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• Nā kumu o Cushing's syndrome
• Pehea e hana ʻia ai ke kuhi
• Pehea e hana ai i ka lāʻau
• Nā pilikia i hiki

ʻO Cushing's syndrome, i kapa ʻia ʻo ka maʻi ʻo Cushing a i ʻole hypercortisolism, kahi loli hormonal i hōʻike ʻia e ka hoʻonui ʻia o nā kiʻekiʻe o ka hormone cortisol i loko o ke koko, kahi e alakaʻi ai i ke ʻano o kekahi mau hōʻailona ʻano o ka maʻi e like me ka loaʻa ʻana o ke kaupaona wikiwiki a me ka hōʻiliʻili momona i ke kino. ʻāpana o ka ʻōpū a me ka helehelena, me ka hoʻomohala ʻana i nā kaha ʻulaʻula ma ke kino a me ka ʻili aila e pili ana i ka huehue, no ka laʻana.

No laila, i ke alo o kēia mau hōʻailona a me nā ʻōuli, koi ʻia e nīnau i ka endocrinologist i mea e hōʻike ʻia ai nā hoʻokolohua koko a me nā kiʻi, a no laila, hiki ke hōʻike ʻia ka lapaʻau kūpono loa, i hiki ke hana ʻia ma o ka hoʻohana ʻana i ka lāʻau. o kahi laʻana.

Nā hōʻailona nui

ʻO ka ʻōuli nui loa o ka maʻi ʻo Cushing ka hōʻuluʻulu o ka momona ma ka ʻaoʻao o ka ʻōpū a ma ka maka, a ʻike ʻia hoʻi he alo o ka mahina piha. Hoʻohui ʻia, nā hōʻailona ʻē aʻe a me nā ʻōuli e pili pū ana paha i kēia maʻi.

• Loaʻa ke kaupaona wikiwiki, akā nā lima a me nā wāwae wīwī;
• ʻO ka helehelena o nā ākea, nā kaha ʻulaʻula ma ka ʻōpū;
• ʻO ka helehelena o ka lauoho ma ka maka, keu hoʻi i ka hihia o nā wahine;
• Hoʻonui kaomi;
• ʻO ka maʻi diabetes, ʻoiai he mea maʻamau ka nui o ke kō i loko o ke koko;
• Hoemi i ka libido a me ka momona;
• Pōʻaiʻe menstrual cycle;
• Nāwaliwali o ka ʻiʻo;
• ʻO ka ʻili ʻaila a me ka huehue;
• Ka paʻakikī i ka hoʻōla ʻana i nā ʻeha;
• Kū mai o nā kiko poni.

ʻIke pinepine ʻia ke ʻano o nā ʻōuli he nui i ka manawa like a ʻoi aku ka maʻamau o nā mea maʻi me nā maʻi e like me ka maʻi pākī, hānō, lupus a ma hope paha o ka hoʻoliʻi ʻana o nā mea a me nā mea e lawe i nā corticosteroids no kekahi mau mahina i nā nui. I nā hihia o nā keiki me Cushing's syndrome, ulu lohi, me ke kiʻekiʻe haʻahaʻa, hoʻonui ʻia ka maka a me ke oho a me ke ʻōhule.

Nā kumu o Cushing's syndrome

Kūpono ka maʻi ma muli o ka hoʻonui ʻia o nā pae o ka cortisol i ke koko, i hiki ke hopena ma muli o nā hanana he nui. ʻO kahi kumu pinepine o kēia hoʻonui a makemake i ka hoʻomohala ʻana o ka maʻi ka hoʻohana hoʻolōʻihi a ma nā kiʻekiʻena o nā corticosteroids, i hōʻike pinepine ʻia i ka mālama ʻana i nā maʻi e like me lupus, rheumatoid arthritis a me ka hānō, me ka kuhikuhi pū ʻia no nā kānaka i loaʻa i kahi transplant. o nā organ.

Hoʻohui ʻia, hiki i ka maʻi ʻo Cushing ma muli o ke kū mai o kahi timor i ka pituitary gland, i loaʻa i ka lolo, e alakaʻi ana i ka deregulation i ka hana ʻana o ACTH, a no laila, ka hoʻonui ʻana i ka hana o ka cortisol, i hiki ke ʻike ʻia. i nā kiʻekiʻe kiʻekiʻe i ke koko. E ʻike i ke ʻano o ka hormone cortisol.

Pehea e hana ʻia ai ke kuhi

ʻO ka hōʻailona o Cushing's syndrome pono e hana ʻia e ka endocrinologist e pili ana i ka loiloi o nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka, ka mōʻaukala olakino a me nā hale hana a me nā hoʻokolohua kiʻi.

No laila, koi ʻia paha e ke kauka e hana i kahi hōʻike 24-toto, ke kuha a me ka mimi e nānā i nā kiʻekiʻe o ka cortisol a me ka ACTH e holo nei i loko o ke kino. Hoʻohui ʻia, koi ʻia kahi hōʻike hoʻonāukiuki me dexamethasone, kahi lāʻau e hoʻonāukiuki i ka hana o ka pituitary gland a, no laila, hiki ke kōkua i ke kuhi. Ma muli o ka hoʻohana ʻana o dexamethasone, koi ʻia paha e ʻae ʻia kēlā kanaka i ka haukapila ma kahi o 2 mau lā.

I mea e nānā ai i ka loaʻa ʻana o kahi tumo i ka pituitary gland, hiki i ke kauka ke noi i ka hana o ka tomography compute a i ʻole ke kiʻi ʻana i ka resonance magnet, e laʻa me. I nā manawa he nui, pono e hana hou i nā hoʻokolohua e hōʻoia i ka ʻike a hoʻomaka i ka lapaʻau kūpono, ʻoiai he mau ʻano maʻamau kekahi i nā maʻi ʻē aʻe, a he mea ia e paʻakikī ai ka ʻike.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia ka hoʻomaʻamaʻa ʻana no ka maʻi ʻo Cushing e ka endocrinologist a ʻokoʻa e like me ke kumu o ka maʻi. Ke kumu ʻia ka maʻi e ka hoʻolōʻihi ʻia ʻana o ka lāʻau corticosteroids, ua hōʻike ʻia kahi hoʻemi o ka lāʻau o ka lāʻau, e like me ke alakaʻi a ke kauka a, inā hiki, ka hoʻokuʻu ʻia ʻana.

Ma ka ʻaoʻao ʻē aʻe, ke kumu ʻia ʻo Cushing's syndrome e kahi tumo, ʻo ka hoʻomaʻamaʻa maʻamau me ka ʻoki ʻana e wehe i ka tumo a laila hana i ka radiotherapy a i ʻole chemotherapy. Eia hou, ma mua o ke kaha ʻana a i ʻole ke hiki ʻole ke wehe ʻia ka tumo, hiki i ke kauka ke ʻōlelo aku i ka mea maʻi e lawe i ka lāʻau e kaohi i ka hana cortisol.

I mea e hōʻemi ai i nā hōʻailona o ka maʻi he mea nui e mālama i ka papaʻai i haʻahaʻa i ka paʻakai a me ke kō a ʻai i nā hua a me nā mea kanu i kēlā me kēia lā no ka mea he meaʻai lākou i ka waiwai i nā wikamina a me nā minelala a kōkua i ka hoʻoikaika ʻana i ka ʻōnaehana pale.

Nā pilikia i hiki

Ke mālama ʻole ʻia ka lāʻau o Cushing's syndrome, hiki nō paha i ka nele o ka kaohi i hiki ke hoʻoweliweli i ke ola o kēlā kanaka. ʻO ia no ka mea hiki i nā pae hormonone kaulike ʻole ke hōʻino i nā puʻupaʻa a me nā hemahema o ke kino.