Zotsatira Zochepa za Steroids Zingagwiritsidwe Ntchito Kwanthaŵi Yaitali
Matenda omwe amapezeka pamene thupi likuwonekera ku cortisol yambiri. Cortisol ndi hormone yomwe imapangidwa ndi thupi komanso imapezeka mu mankhwala a corticosteroid. Matenda a Cushing akhoza kuchitika chifukwa chakuti cortisol imadwalitsidwa ndi thupi kapena kugwiritsa ntchito mankhwala omwe ali ndi cortisol (monga prednisone). Pamene Cushing akudwala chifukwa chogwiritsidwa ntchito nthawi yaitali ndi mankhwala a corticosteroid, imatchedwanso hypercortisolism.
Pakhoza kukhala zifukwa zina za matenda a Cushing, monga chotupa. Cushing's syndrome amaonedwa kuti ndi osowa.
Kawirikawiri, madokotala amayesetsa kupeza odwala kuyamwa mankhwala osokoneza bongo monga steroid mwamsanga. Pochiza matenda opatsirana (IBD), cholinga chake ndi kupeza odwala kuti athe kukhululukidwa (kuchepetsa kutupa ndi zizindikiro) popanda steroids kapena kugwiritsa ntchito steroid zochepa. Izi ndizakuti steroids, ngakhale yothandiza kwambiri, ikhoza kukhala ndi zotsatira zozama komanso zotsalira m'thupi, kuphatikizapo chitukuko cha matenda a Cushing. Komabe, kugwiritsa ntchito mwanzeru mankhwala a steroid kungakhale kotheka nthawi zina: ndi chisankho cha mankhwala chomwe chiyenera kukambidwa mosamala. Ngati muli ndi mafunso okhudza kugwiritsa ntchito mankhwala otchedwa steroids komanso omwe angathe kukhala pangozi komanso phindu lanu, lankhulani ndi gastroenterologist wanu.
Kodi Chimayambitsa Cush's Syndrome?
Cortisol ndi chinthu chimene thupi limapanga mwachibadwa, makamaka panthawi yamavuto.
Cortisol imagwira ntchito zingapo, kuphatikizapo lamulo la kutupa ndi kulamulira mmene thupi limagwiritsira ntchito chakudya, mafuta, ndi mapuloteni. Corticosteroids monga prednisone, yomwe imagwiritsidwa ntchito pochizira matenda monga Crohn's disease ndi ulcerative colitis, kutsanzira zotsatira za cortisol.
Kodi Zizindikiro ndi Zizindikiro za Cushing's Syndrome Ndi Ziti?
Zizindikiro za matenda a Cushing angaphatikizepo:
- nkhawa
- kudandaula
- miyeso yapamwamba ya shuga
- ludzu lalikulu
- kutopa
- mafuta a hump pakati pa mapewa
- kukodza nthawi zambiri
- kuthamanga kwa magazi
- minofu yofooka
- nkhope yozungulira
- kutambasula pamimba, mikono, mabere, matako, ndi ntchafu (yotchedwanso striae)
- phindu lolemera mu thupi lapamwamba
Pakhoza kukhala zizindikilo zina za chikhalidwe ichi chomwe sichimaperekedwa pamwambapa. Ngati muli ndi nkhawa kuti muli ndi zizindikiro zingapo za Cushing's syndrome, lankhulani ndi dokotala wanu.
Kodi Cushing's Syndrome Yachitidwa Bwanji?
Mmene Cushing's syndrome imathandizira kuchepetsa cortisol mu thupi. Pankhani ya vutoli, monga chifuwa cha pituitary kapena matenda a adrenal gland, chithandizo chofunika kwambiri chidzafunika. Pankhani ya Cushing's syndrome, mankhwala a corticosteroids amafunika kuti awonongeke ndipo mwinamwake asiye. Ndikofunika kuti pang'onopang'ono kuchepetsa kuchuluka kwa corticosteroid kumatenga masabata kapena miyezi. Kusiya mankhwala mwadzidzidzi kungakhale ndi zotsatirapo zambiri pa thupi.
Ngati ma steroid sangathe kuimitsidwa, kapena ngati atenga nthawi yaitali kuti awaletse, mankhwala ena angaperekedwe kuti athetse zizindikiro zina za matenda a Cushing.
Zina mwa zinthu za matendawa zomwe zingafunikire chithandizo ndi mankhwala ena ndi kusintha kwa zakudya zikuphatikiza shuga wamagazi komanso cholesterol. Kuchepetsa chiopsezo cha zophulika ndi mankhwala omwe amachiza matenda a mitsempha kungakhale kofunikira. Pankhani ya kupanikizika kapena nkhawa, kutumiza kwa katswiri wa zaumoyo kuchipatala kungakhale kothandiza.
Odwala angathenso kuchitapo kanthu pakhomo kuti athetse zotsatira za matenda a Cushing. Kuwunika zakudya zowonjezera kuti tipewe kupindula kulemera ndi shuga zapamwamba za magazi, kupeza zozoloŵezi zochitidwa ndi dokotala nthawi zonse, ndi kukhazikitsa njira zodzipangira zokha kuti zisawonongeke zingathandize.
Mfundo Yofunika Kwambiri
Cushing's syndrome ndi chiopsezo chotenga mankhwala a steroid, koma ndi osowa. Matenda a Cushing akhoza kuchiritsidwa pochepetsa kuchepetsa kuchuluka kwa steroids, komanso pochiza zizindikiro zina. Cholinga chanu nthawi zonse ndikutenga odwala mankhwala osokoneza bongo mofulumira komanso mosatetezeka.
Komanso: hypercortisolism
Chitsime:
National Institutes of Health. "Cushing's Syndrome." National Institute of Diabetes ndi Matenda a Chifuwa ndi Impso (NIDDK). Apr 2012.
Sharma ST, Nieman LK. "Cushing's syndrome: mitundu yonse, kuzindikira, ndi chithandizo." Endocrinol Metab Clinic North Am. 2011 Jun 40: 379-391, viii-ix.