Cushing si ọrịa: Mgbaàmà, Diagnosis, Ọgwụgwọ

Cushing si syndrome na-egosi na ikpe nke na-amụba na ọkwa nke glucocorticoids na ndị adrenal cortex. The ọrịa arịakarị ndị inyom. The ebutekarị n'ịkpata ọrịa na-enwekwukwa mmepụta nke pituitary ACTH (adrenocorticotropic hormone), nke na-emetụta ndị ọrụ nke adrenal cortex na-eduga ná ụba etoju nke homonụ. Ọtụtụ mgbe, ndị na-ufiop ntọhapụ nke adrenocorticotropic hormone triggered site a akpụ nke pituitary, na mgbe ụfọdụ, na akpụ na ndị ọzọ na akụkụ. The ọrịa pụrụ ịzụlite anara elu doses nke Steroid nwere cortisone ma ọ bụ mmadụ na ndị mejupụtara nke nwere ACTH (na-eji iji belata dịghịzi ọrụ ngwa transplants).

Cushing si ọrịa: Mgbaàmà

General ahụ ike, na okike emetụta mgbaàmà nke ọrịa. Common mgbaàmà nke ọrịa a na-:

• ngwa ngwa ibu ibu. The na-abawanye na abụba ego na ihu na karịsịa na elu nke azụ;
• striae (gbatia akara) na afo, obi, ogwe aka, na thighs;
• ichihịa, thinning nke anụ;
• agụghị oké agwọ ọnyá;
• protracted agwọ usoro mgbe nnukwu na-efe efe;
• adịghị ike, ike ọgwụgwụ;
• nchegbu, ehighị ụra nke ọma;
• oké emotionality;
• isi ọwụwa;
• ọnwụ nke ebe nchekwa na ikike uche;
• n'ihi na ndị inyom - igbu oge nke ịhụ nsọ okirikiri;
• glucose ekweghị ibe nọrọ, nke utịp ke arịa ọrịa shuga;
• ọbara mgbali.

Cushing si ọrịa: Diagnosis

The mbido nchoputa nwere ike na ndabere nke atụmatụ e ji mara maka ọrịa. N'ihi na ezi ihe nchoputa na-achọ ihe nchọnchọ nke ọma nke ga-amata ndị na-akpata nke Cushing si syndrome. Nke a na-achọ a mmamịrị ule iji chọpụta larịị nke cortisone. Ọzọkwa nnyocha na-agụnye-anwale ndidi iji deksametanozonovogo ule na nke onye ọrịa na-eji ime 2 c. dexamethasone, na mgbe 9 awa bụ isiokwu na-amata ọtụtụ cortisol na plasma.

Iji chọpụta ihe kpatara, nke nwere ike ime ka Cushing si syndrome, ACTH larịị tụrụ. N'ihi ya, elu-etoju nke hormone nwere ike na-egosi adrenal dysfunction, na dị nnọọ elu - banyere pituitary ọrịa.

Cushing si ọrịa: Ọgwụgwọ

Kacha ọsọ na irè ọgwụgwọ a syndrome bụ a nhọrọ transsphenoidal prostatectomy. Ọ bụrụ na ndị ọmụmụ achọtabeghị kpọmkwem ebe nke pituitary akpụ, rụrụ ịwa ahụ aka. Nke a na usoro ike ga-eji ma ọ bụrụ na onye ọrịa bụ nnọọ oké ọrịa ma ọ bụ na- somatic daa ọrịa.

Ọzọ usoro ọgwụgwọ bụ mbibi nke adrenal glands. Site ewebata ọgwụ ọjọọ skleroziriruyuschih omume tufuo hyperplastic umi. The usoro a rụrụ site n'itinye ultrasound na agbakọrọ tomography ụzọ.

E nwekwara a na usoro maka ọgwụgwọ nke Cushing si syndrome ka proton ọgwụ. Nke a na usoro a na-eji mgbe pụrụ ịdabere na ụzọ nke pituitary etuto ahụ na-adịghị. Ọ dịkwa ike na-emeso ọrịa a ọgwụ usoro. Na nke a, ndị ji na-ebelata ACTH mmepụta. Ọzọkwa emepụta symptomatic ọgwụ iji na ọgwụgwọ nke neuroses, ọrịa shuga, osteoporosis. Mgbe ụfọdụ, a na usoro nke radieshon ọgwụ nwere ike na etinyere ya. Cushing si syndrome agụnye anata ogwuura ọgwụ ọjọọ, bisphosphonates, vitamin na ndị ọzọ ọgwụ ọjọọ. The ọrịa bụ pụtara nke ọma ọgwụgwọ na nnabata nke ọgwụ mgbaàmà nwayọọ nwayọọ na-apụ n'anya.