Cushing ee Syndrome: Calaamadaha, Diagnosis, Daaweynta

Cushing ee syndrome u muuqataa in ay dhacdo sii kordhaya heerka of glucocorticoids in kiliyaha adrenal. Cudurku waa mid ugu badan ee dumarka. Sababta ugu caansan ee cudurka sababaya waa wanaajiyey-soo-saarka ee ACTH pituitary (hormone adrenocorticotropic), taas oo saameyn ku waxqabadka of kiliyaha adrenal iyo keenaysaa in heerka korodhka hormoonnada. Inta badan la sii daayo xoog badan oo ah hormoonka adrenocorticotropic huriyay buro ah pituitary ee, iyo xaaladaha qaarkood, burada in xubnaha kale. Cudurku wuxuu horumarin karaa marka la helo qaadasho sare ee steroids kooban cortisone ama wakiilada ee ka kooban taas oo uu leeyahay ACTH (inta badan loo isticmaalaa si loo yareeyo dhaqdhaqaaqa difaaca ee xubnaha).

Cushing ee Syndrome: Calaamadaha

caafimaadka guud, iyo jinsiga saamayn calaamadaha cudurka. Calaamadaha caadiga ah ee cudurka waxa ay kala yihiin:

• miisaanka si degdeg ah faa'iido. Kororka baruur kayd ah wajiga iyo gaar ahaan qaybta sare ee dhabarka,
• striae (calaamadaha fiditaanka) on caloosha, xabadka, hubka, iyo bowdooyinkeeduna;
• nabar, khafiifinta harag laga sameeyey,
• liidata bogsiinaya nabarrada,
• Bogsashada daba dheeraaday ka dib cudurrada faafa ee daran,
• daciifnimo, daal,
• welwel, hurdo la'aan,
• caadifinimadu xad-dhaaf ah;
• madax xanuun,
• lumista xusuusta iyo kartida maskaxda;
• loogu tala galay dumarka - dib u dhac ah ee caadada,
• glucose-diid, taas oo keenta in diabetes;
• hypertension.

Syndrome Cushing ee: Cilad-

Waxaa cudurka hordhaca ah waxaa lagu sameyn karaa oo ku saleysan muuqaalada sifo cudurka. Waayo, ogaanshaha sax ah u baahan cilmi qoto dheer oo dheeraad ah kaas oo la aqoonsado doonaa sababaha oo ka mid ah Cushing ee syndrome. Tani waxay u baahan baaritaanka kaadida ah si loo ogaado heerka cortisone. cilmi baaris dheeraad ah oo ku lug leh jirrabaya bukaanka la isticmaalayo imtixaanka deksametanozonovogo kaas oo bukaanka u isticmaalo gudaha 2 c. Dexamethasone, iyo ka dib 9 saacadood ku xiran yahay cabbirka of cortisol ee plasma ah.

Si loo go'aamiyo sababta, taas oo sababi kara Cushing ee syndrome, heerka ACTH qiyaasay. Sidaas darteed, heerarka sare ee hormone ayaa tilmaamaya laga yaabaa in cillad adrenal, oo waa mid aad u sarreeya - oo ku saabsan xanuunada pituitary.

Cushing ee Syndrome: Daaweynta

daaweynta ugu badan oo wax ku ool ah, waayo, taasu waa syndrome prostatectomy a transsphenoidal la xushay. Haddii waxbarashada ku guuldareystay inuu goobta saxda ah ee burada pituitary ee, lagu sameeyaa qalliin. Habkani ma loo isticmaali karaa haddii bukaanku waa cudur aad u daran ama waa cudurada degaaankaaga.

Hab kale oo ka mid ah daaweynta waa u baabba 'oo ka mid ah qanjidhada adrenal. By soo bandhigid daroogada skleroziriruyuschih suurtagal ah in laga takhaluso oo ah walaxda hyperplastic. Nidaamka waxaa lagu fuliyaa by codsanaya ultrasound iyo hababka si raajito loogu xisaabiyaa.

Waxaa sidoo kale jira hab lagu daaweyn jiray Cushing ee syndrome sida therapy proton. Habkani waxaa loo isticmaalaa marka habab lagu kalsoonaan karo oo burooyinka pituitary ma samayn. Waxa kale oo ay suurogal tahay in lagu daweeyo habka daawada cudurkan. Xaaladdan oo kale, hab loo isticmaalo si loo xakameeyo soo saarka ACTH. Sidoo kale soo saaray therapy astaamaha loogu talagalay daaweynta neuroses, diabetes, osteoporosis. Xaaladaha qaarkood, hab ka mid ah daaweynta shucaaca waxaa lagu saleyn karaa. Cushing ee syndrome lug helo dejinaysaa daroogada, bisphosphonates, fitamiinada iyo daroogooyinka kale. Cudurka ayaa ah mid si cadaalad ah iyo sidoo kale daaweynta iyo bilow calaamadaha therapy si tartiib tartiib ah baaba'aan.