So wowɔ saa sɛnkyerɛnne ahorow yi? Momma yɛnka Cushing Syndrome ho asɛm!

So woate Cushing Syndrome ho asɛm pɛn? Ebia edin no yɛ foforo kakra ma wo. Sɛ yɛbɛka no tiawa a, ɛyɛ tebea a ɛba bere a yɛn nipadua no yɛ cortisol hormone pii dodo no. Nnipa binom nso frɛ no hypercortisolism. "Syndrome" yɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a ɛka bom. Ebia woahu sɛ nnipa binom frɛ no Cushing yare.

Enti dɛn ne saa cortisol yi?

Cortisol yɛ steroid hormone a ɛwɔ yɛn nipadua mu. Yɛtaa frɛ no "adwennwen hormone" efisɛ sɛ yɛwɔ adwennwen mu a, yɛn nipadua no gyae cortisol pii. Wɔ saa mmere yi mu no, cortisol boa yɛn:

• Wo koma bɔ kɔ soro.
• Ɛma wo mogya mmoroso kɔ soro.
• Ɛhwɛ asikre dodow a ɛwɔ mogya mu so.
• Ɛhwɛ ɔhome so.
• Ɛma ntini mu nhyɛso yɛ kɛse.

Ɛnyɛ ɛno nko, na mmom sɛ yɛyɛ adwennwen a, cortisol nso boa ma yɛto nhyehyɛe ahorow a ɛho nhia mma yɛn nipadua saa bere no mu bere tiaa bi, sɛ nhwɛso no, aduan mu nneɛma ne awo nhyehyɛe no.

Cortisol yɛ hormone a ɛho hia ma yɛn nipadua. Cortisol ho hia ma nneɛma yi:

• Kɔ so kura mogya mmoroso mu.
• Hwɛ asikre dodow a ɛwɔ mogya mu no so.
• Tew ɔfe so.
• Yɛ nneɛma a wobɛkae.
• Di wo home so.
• Ma nkyene a ɛkari pɛ wɔ nipadua no mu no nkɔ so.
• Dane aduan a yedi no ma ɛnyɛ ahoɔden.

Ntini nketewa abien a ɛwɔ yɛn asaabo atifi, adrenal glands, pituitary gland a ɛwɔ amemene no mu, ne hypothalamus a ɛwɔ pituitary gland atifi no na ɛhwɛ cortisol dodow so.

Mpɛn pii no, akisikuru na ɛde Cushing yare no ba . Eyi betumi aba wɔ akwan titiriw abien so:

• Endogenous: Eyi kyerɛ sɛ ɛyɛ tebea a cortisol a ɛba yɛn nipadua mu na ɛde ba.
• Exogenous: Eyi kyerɛ sɛ tebea bi fi abɔnten so sɛ nnuru bi a wɔnom de sa ayaresa tebea afoforo mu nsunsuanso bɔne.

Hena na ɛda adi kɛse sɛ obenya Cushing Syndrome?

Cushing yare no abu so kɛse wɔ mmofra, mmerante ne mmabaa a wɔadu mpanyin afe so, ne mpanyimfo mu. Ɛtaa ba nnipa a wɔadi fi mfe 25 kosi 50. Nnipa a wɔnom nnuru a cortisol wom (sɛ nhwɛso no, nnuru a wɔde sa ayamtu ne ntini mu yare) no wɔ asiane kɛse mu sɛ wobenya tebea no. Nnipa a wɔwɔ Cushing yare no mu bɛyɛ 70% yɛ mmea na 30% yɛ mmarima.

Tebea yi abu so dɛn?

Cushing yare no yɛ tebea a ɛntaa nsi koraa , na ɛka nnipa ɔpepem biako biara mu 40 kosi 70 afe biara.

Nsonsonoe bɛn na ɛda Cushing Syndrome ne Cushing Yare ntam?

Cushing yare no yɛ Cushing yare bi. Ɛyɛ akisikuru a ɛnyɛ hu a ɛwɔ pituitary gland no mu. Saa akisikuru yi yi hormone ACTH (adrenocorticotropic hormone) pii fi nipadua mu . Eyi ma adrenal ntini no yi cortisol pii fi nipadua no mu.

Wɔn a wɔwɔ Cushing yareɛ no mu no, mpaninfoɔ bɛboro 70% ne mmofra ne mpaninfoɔ nkumaa 60% kɔsi 70% wɔ Cushing yareɛ yi.

Nnuruyɛfo bɛn na wɔsa Cushing Syndrome?

Wo oduruyɛfo a ɔhwɛ wo nyinaa so no de wo bɛkɔ oduruyɛfo titiriw bi a wɔfrɛ no endocrinologist nkyɛn ma wahu saa tebea yi na wasa.

So Cushing Syndrome betumi akum obi?

Yiw, sɛ wɔansa Cushing’s Syndrome no yiye a , ebetumi akum obi . Sɛ wɔansa a, saa cortisol dodow a ɛkɔ soro (hypercortisolism) yi betumi de akwahosan ho haw ahorow aba. Nhwɛsoɔ:

• Nyarewa a wɔde nyarewa ba
• Mogya a ɛtɔ, titiriw wɔ ahurututu ne anan mu
• Hahaahayɔ
• Koma mu yare
• Mu duru a ɛkɔ soro
• Nkae mu haw anaasɛ ɛyɛ den sɛ wode w’adwene besi biribi so
• Mogya mmoroso anaa srade a ɛkɔ soro
• Nnompe a abubu
• Asikreyare a ɛto so abien, asikreyare a edi kan, anaasɛ mmuadadi mu glucose a asɛe

Sɛ wɔansa Cushing yare no yare a, ebetumi ama obi awu mpo.

Dɛn ne nneɛma a ɛde Cushing Syndrome ba?

Cortisol a ɛdɔɔso wɔ nipadua no mu na ɛde Cushing yare no ba. Nneɛma ahorow bi wɔ hɔ a ebetumi aboa ma eyi aba:

• Glucocorticoid Nnuru a Wɔde Di Dwuma: Wɔde glucocorticoid nnuru (sɛ nhwɛso no, prednisone) sa ayamtu a enni sabea, ntini mu yare, lupus, sarcoidosis, ne nyarewa afoforo pii a nipadua no tumi ko tia nyarewa a ɛde ɔfe a enni sabea ba. Saa nnuru yi a wɔnom kyɛ no betumi de "iatrogenic" anaa exogenous Cushing syndrome aba. Asɛmfua "iatrogenic" kyerɛ sɛ biribi foforo bi fi aduruyɛ bi mu.
• Pituitary tumors: Cushing syndrome ( iatrogenic Cushing syndrome nka ho) fi pituitary tumors a ɛma ACTH, hormone a ɛka kyerɛ adrenal glands no ma ɛyɛ cortisol pii, na ɛka nnipa 10 biara mu 8. Wɔfrɛ saa ɔkwan yi Cushing yare.
• Adrenal cortical tumors: Akisikuru a ɛba adrenal gland no atifi betumi ama cortisol pii aba. Eyinom taa yɛ akisikuru a ɛnyɛ hu. Nanso ɛtɔ mmere bi a, saa akisikuru yi betumi ayɛ adrenal cortical carcinoma, adrenal kokoram a ɛntaa nsi koraa.
• Ahurututu, dwensɔtwaa, thyroid ne thymus akisikuru: Sɛ akisikuru a ɛwɔ pituitary gland no akyi na ɛyɛ ACTH a, wɔfrɛ no ectopic ACTH syndrome. Mpɛn pii no, saa akisikuru yi yɛ nea ɛyɛ hu. Eyinom mu nea abu so sen biara ne nkwammoaa nketenkete ahurututu mu kokoram.

So Cushing Syndrome fi awosu mu?

Mpɛn pii no, dabi . Cushing yare no mu dodow no ara nyɛ awosu mu.

Dɛn ne Cushing Syndrome ho sɛnkyerɛnne ahorow?

Wɔ sɛnkyerɛnne ahorow a ɛfa Cushing yare no ho pɔtee akyi no, sɛnkyerɛnne ahorow nso wɔ hɔ a ebetumi aba wɔ tebea afoforo pii mu. Ɛnyɛ obiara na obenya yare no ho sɛnkyerɛnne koro. Eyinom ne sɛnkyerɛnne ahorow a ebetumi aba:

• Mu duru a ɛkɔ soro ntɛmntɛm wɔ anim (ebinom frɛ eyi "ɔsram anim"), yafunu no fã, kɔn akyi (ebinom frɛ eyi "buffalo hump"), ne koko.
• Anim kɔkɔɔ a ɛyɛ kurukuruwa.
• Akuru gye bere ansa na ayɛ yiye.
• Mogya mmoroso (hypertension).
• Nwi a enyin dodo wɔ anim, kɔn, moma so, yafunu, nufu, ne asen mu, anaasɛ ti nhwi a ɛtɔ (nwi a ɛyɛ mmerɛw).
• Asikyireyareɛ.

Nsɛnkyerɛnne afoforo betumi ayɛ:

• Ntrɛwmu a ɛyɛ kɔkɔɔ a ɛda adi wɔ yafunu no fã.
• Nsa ne anan a ɛyɛ mmerɛw sɛ ɛbɛpira.
• Mmerewa ne ɔbrɛ a ɛba wɔ ɔkwan a ɛkɔ akyiri so.
• Anisoadehu a ɛyɛ kusuu ne adwenemhaw.
• Ntini mu mmerɛwyɛ ne akwaa a wɔsɛe no.
• Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛsakra ne ɔbarima ne ɔbea nna a ɛnyɛ den wɔ mmarima mu.
• Mmofra nyin a asɛe.

Cushing Syndrome no di bere tenten ahe?

Bere tenten a Cushing yare no kyɛ no gyina sɛnea woyɛ w’ade wɔ ayaresa ho no so. Nnipa dodow no ara a wɔwɔ cortisol dodow a ɛkɔ soro (hypercortisolism) no ho tɔ wɔn bere a wɔasa wɔn yare adapɛn kakraa bi akyi.

So Cushing Syndrome ma ɛyɛ den sɛ ɔbɛhome?

Daabi.Ɔhome a ɛyɛ tiaa nyɛ Cushing yare no ho sɛnkyerɛnne a ɛda nsow.

So Cushing Syndrome de nnompe mu yare ba?

Aane. Cushing yare no betumi ama nnompe ayɛ mmerɛw. Eyi betumi ama woabubu, titiriw sɛ woanya tebea no akyɛ a. Nnompe a ɛyɛ mmerɛw nso betumi ama obi ate yaw.

So Cushing Syndrome ma mogya mu mogya so tew?

Hypokalemia yɛ tebea a ɛma potassium dodow a ɛwɔ wo mogya mu no sua. Sɛ wowɔ Cushing yare a, saa tebea yi betumi aba.

Ɔkwan bɛn so na wohu sɛ obi anya Cushing Syndrome?

Sɛ wo duruyɛfo susuw sɛ cortisol dodow a ɛkɔ soro (hypercortisolism) a, akwankyerɛ ahorow bi wɔ hɔ a wobedi akyi. Wɔbɛbisa nsɛm, ayɛ w’aduruyɛ ho abakɔsɛm, ayɛ wo nipadua mu nhwehwɛmu, na afei wɔahyɛ sɛ wɔnyɛ lab nhwehwɛmu bi. Ebia wɔbɛhwɛ wo nso bere bi.

Ɛtɔ mmere bi a, ebetumi ayɛ anifere kakra sɛ wobehu Cushing yare no. Sɛ woka kyerɛ wo duruyɛfo sɛ woabrɛ na wo mu duru reyɛ kɛse a, ebia wɔrensusuw Cushing yare no ho ntɛm ara. Nea enti a ɛte saa ne sɛ saa sɛnkyerɛnne ahorow yi abu so wɔ nyarewa ahorow pii mu.

Afei nso, ɛtɔ mmere bi a wobetumi de Cushing yare no afrafra polycystic ovary syndrome anaa metabolic syndrome . Ɛho behia sɛ wo duruyɛfo no yi tebea afoforo fi mu na ama wahu yare no.

Nhwehwɛmu bɛn na wɔyɛ de hu Cushing Syndrome?

Ebia wo duruyɛfo bɛyɛ nhwehwɛmu ahorow yi bi:

• Nnɔnhwerew 24 nsu mu cortisol nhwehwɛmu: Saa sɔhwɛ yi susuw cortisol dodow a ɛwɔ wo nsu mu wɔ microgram (mcg) mu. Wo duruyɛfo bɛka akyerɛ wo sɛ fa wo nsuo no mmra wɔ nnɔnhwerew 24 mu.
• Anadwo fã nnompe mu cortisol nhwehwɛmu: Mpɛn pii no, cortisol dodow sua koraa anadwo. Saa sɔhwɛ yi hwɛ cortisol dodow a ɛwɔ anɔpa 11 kosi 12 ntam. Sɛ wowɔ Cushing yare a, wo cortisol dodow bɛkɔ soro wɔ ɔkwan a ɛnteɛ so saa bere no.
• Dexamethasone a wɔde siw ano a wɔmfa nni dwuma pii ho sɔhwɛ:Dexamethasone yɛ aduru a ɛte sɛ cortisol. Wɔ nhwehwɛmu yi mu no, wofa aduru yi miligram biako (mg) fa w’ano anadwo, na afei wɔsusuw wo cortisol dodow wɔ anɔpa 8 kosi 9 ntam. Sɛ wowɔ Cushing yare a, wo cortisol dodow bɛyɛ kɛse.
• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu kyerɛ ACTH dodow a ɛwɔ wo mogya mu. Sɛ ACTH dodow no sua a, ebia wowɔ adrenal tumor. Sɛ dodow no yɛ nea ɛfata anaasɛ ɛkɔ soro a, ebia wowɔ pituitary tumor anaasɛ ectopic tumor.
• Dexamethasone dodow a ɛkɔ soro a wɔde siw ano sɔhwɛ: Eyi te sɛ dexamethasone a wɔde siw ano a wɔde siw ano sɔhwɛ a ɛba fam no, nanso dodow no yɛ miligram 8 sen sɛ wɔbɛyɛ 1. Wɔtaa yɛ nhwehwɛmu yi bere a nhwehwɛmu a wɔde di dwuma kakraa bi no ada no adi sɛ cortisol dɔɔso anɔpa na mogya mu nhwehwɛmu ada no adi sɛ ACTH dɔɔso wɔ mogya no mu akyi. Saa sɔhwɛ yi betumi aboa ma wɔahu nea ɛde Cushing yare no ba. Ebetumi aboa ma woahu nsonsonoe a ɛda pituitary adenoma (a wɔsan frɛ no Cushing yare) ne akisikuru a ɛwɔ wo nipadua mu baabi foforo (te sɛ ahurututu mu) ntam.

Sɛ wo duruyɛfo no si so dua sɛ wowɔ Cushing yare no wie a, ade a edi hɔ a ɛsɛ sɛ woyɛ ne sɛ wubehu nea ɛde ba. Mpɛn pii no, ebetumi ayɛ aduru anaa akisikuru. Sɛ worenom glucocorticoids a, ɛda adi sɛ ɛno na ɛde ba, enti ebia wo duruyɛfo bɛtew wo dodow so. Sɛ wo nnom glucocorticoids a, ebetumi akyerɛ sɛ akisikuru bi wɔ wo adrenal glands, pituitary gland, anaa baabi foforo. Ebia wo duruyɛfo bɛkamfo mfoninitwa nhwehwɛmu te sɛ eyinom aboa ma wɔahu akisikuru no:

• CAT scan (CT scan) anaa MRI yafunu: Ebia wo duruyɛfo bɛyɛ CT scan anaa MRI de ahwɛ sɛ wowɔ akisikuru wɔ wo adrenal glands mu anaa. Wobetumi de ntini mu nsonsonoe (IV contrast) ayɛ saa mfonini ahorow yi. Saa nhwehwɛmu ahorow yi yɛ nea ɛyɛ mmerɛw yiye ma wohu adrenal tumors.
• Magnetic resonance imaging (MRI) a wɔde yɛ pituitary no:MRI twa wo pituitary gland no mfonini de hwehwɛ akisikuru. Wɔ tebea horow bi mu no, MRI nyɛ nea wɔde hu yare no koraa. Nnipa a wɔwɔ Cushing yare no mu bɛyɛ 50% wɔ MRI a "ɛyɛ daa", bere a 10% betumi anya akisikuru a ɛne yare no nni abusuabɔ.
• Bilateral inferior petrosal sinus sampling (BIPPS): Saa sɔhwɛ yi hu baabi a ACTH fi mu ba. ACTH ne pituitary hormone afoforo fi pituitary gland no mu kɔ mogya no mu. Oduruyɛfo bi a ne ho akokwaw a ɔde ne ho hyɛ mu denam ntini abien a wɔfrɛ no inferior petrosal sinuses so yɛ sɔhwɛ yi. Saa sɔhwɛ yi pɛpɛɛpɛyɛ dodow wɔ 95% kosi 98% ntam.
• CT scan chest: Sɛ wo duruyɛfo susuw sɛ akisikuru bi wɔ awotwaa no akyi a, wobetumi ahyɛ sɛ wɔnyɛ CT scan wɔ koko no mu mfa nhwɛ sɛ ebia ahurututu mu kokoram anaa.

Ɔkwan bɛn so na wɔsa Cushing Syndrome?

Ayaresa ko a wɔde bɛyɛ no gyina nea ɛde cortisol dodow a ɛkɔ soro ba no so. Sɛ worenom glucocorticoids a, ɛda adi sɛ wo duruyɛfo bɛtew wo dodow so anaasɛ ɔbɛkyerɛw wo aduru a ɛnyɛ glucocorticoid.

Sɛ akisikuru na ɛde Cushing yare no ba a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ no oprehyɛn anaasɛ wɔmfa mframa a wɔde sa yare no.

Ɔkwan foforo a wobɛfa so ne sɛ wo duruyɛfo bɛkyerɛw aduru bi a ɛtew cortisol a ɛba so te sɛ ketoconazole. Ebia ɛho behia sɛ wo ne nnuruyɛfo ahorow pii yɛ adwuma de sa akisikuru no ne Cushing yare no ho sɛnkyerɛnne ahorow.

• Nnuru a wɔde sa yare: Sɛ akisikuru bi yɛ kokoram na atrɛw akɔ nipadua no afã afoforo a, ebia ɛho behia sɛ wɔde nnuru sa yare. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa nsunsuanso bɔne biara a ɛbɛba ho.
• Nnuru: Nnuru a ɛma cortisol so tew ka ho anaasɛ nnuru a ebetumi de Cushing’s Syndrome aba a wobeyi afi hɔ.
• Mframa a Wɔde Ma: Ebia wɔrenyɛ oprehyɛn nyi pituitary tumor mfi hɔ. Wɔ tebea horow a ɛtete saa mu no, ebia ɛsɛ sɛ wode mframa a wɔde sa yare no yɛ adapɛn asia. Ebetumi agye mfe pii ansa na cortisol dodow asan ayɛ sɛnea na ɛte kan no. Wo ne wo duruyɛfo nkasa mfa nsunsuanso bɔne biara ho.
• Sɛɛgyiri:Oprehyɛn a wɔde yi pituitary tumors, adrenal tumors, ne ectopic tumors fi hɔ no yɛ nea edi mu, nanso ebehia sɛ wosakra kɔ cortisol dodow foforo a ɛba fam no mu. Saa bere yi mu no, ebia ebehia sɛ wonom nnuru a wɔfrɛ no cortisol a ɛyɛ hydrocortisone aduru. Wubetumi agyae saa aduru yi nom wɔ asram 6 kosi 18 akyi. Mpɛn pii no, bere a wɔayɛ wo oprehyɛn wɔ laparoscopic akyi no, wubetumi afi ayaresabea hɔ da koro anaa nnanu.

Sɛ wɔsa Cushing yare no yiye a, ebetumi agye asram 2 kosi 18 ansa na ne ho atɔ no. Wo ne wo duruyɛfo nni nkitaho yiye wɔ saa bere yi mu ne ɛno akyi.

Sɛ mewɔ Cushing Syndrome a, dɛn na metumi ahwɛ kwan?

Wo duruyɛfo betumi asa Cushing yare no, na ɛsɛ sɛ ɔsa. Sɛ wɔansa a, ebetumi akum obi. Kɔ oduruyɛfo nkyɛn ntɛm ara na wo ne wo duruyɛfo nsusuw wo yare no ho sɛnkyerɛnne ho.

So Cushing Syndrome betumi asɛe kɛse?

Cushing yare no betumi asɛe kɛse sɛ wɔansa no yiye a. Kɔ so ne wo duruyɛfo nni nkitaho na ma wɔnhu yare no ho sɛnkyerɛnne foforo biara, yare no ho sɛnkyerɛnne a ɛreyɛ kɛse, anaa ɔhaw foforo biara.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ Cushing Syndrome mu no so anaasɛ masiw ano?

Wo nipadua hia cortisol bere nyinaa. Wuhia na ama woakɔ so ayɛ nnam. Ɛhwɛ wo home so, ɛma aduan a wudi no dan ahoɔden, ɛma asikre dodow a ɛwɔ wo mogya mu no yɛ adwuma yiye, ɛboa ma wudi adwennwen ho dwuma, na ɛyɛ pii. Cortisol nyɛ wo nipadua tamfo, nanso sɛ ɛboro so a, ɛnyɛ papa. Nanso, wuntumi ntra ase a wunni cortisol.

Sɛ worenom glucocorticoids anaa steroids a, ma wo duruyɛfo nhwɛ wo cortisol dodow so yiye. Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a wɔbɛfa so asiw akisikuru ano sɛ ɛremma Cushing’s Syndrome (hypercortisolism) mma.

Sɛ obi ne Cushing Syndrome bɛtra ase dɛn?

Cushing yare no a wobɛtra ase no betumi ayɛ den, nanso enhia sɛ ɛyɛ tebea a ɛde wo nkwa to asiane mu. Nnuruyɛfo bi wɔ hɔ a wɔatete wɔn sɛ wɔmmoa wo, na ayaresa ahorow nso wɔ hɔ. Mpɛn pii no, saa ayaresa ahorow yi betumi asa Cushing yare no na ama cortisol dodow a ɛkɔ soro (hypercortisolism) ho sɛnkyerɛnne atu mpɔn.

Cushing yare no betumi ama woanya nkate ne asetra mu ɔhaw ahorow bi. Ebia nnipa binom bɛte aniwu sɛ wɔn ti nhwi a ɛtɔ, wɔn ti nhwi nyin dodo, ne/anaasɛ wɔn mu duru a ɛkɔ soro wɔ wɔn anim ne wɔn kɔn akyi. "Ɔsram anim" ne "buffalo hump" betumi ama woasusuw ho mprenu sɛ wode wo ho bɛhyɛ asetra mu tebea horow mu. Bere kɔ so no, ayaresa betumi aboa ma saa sɛnkyerɛnne ahorow yi atu mpɔn. Cushing yare no nso betumi de adwenemhaw ne adwenemyare afoforo aba. Sɛ ɛho hia a, kɔ oduruyɛfo nkyɛn ma ɔmfa afotu mma wo ne adwenemyare ho oduruyɛfo kɔhwehwɛ nnuru a ɔbɛboa wo ma woadi nkate mu nkɛntɛnso a cortisol dodow a ɛkɔ soro (hypercortisolism) de ba no ho dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ Cushing yare no ho sɛnkyerɛnne yi bi a, kɔ oduruyɛfo nkyɛn:

Nsɛnkyerɛnne a ɛka mmea titiriw:

• Anim nhwi foforo anaa nea ɛboro so a enyin.
• Nsakrae a ɛba wɔ nna ho akɔnnɔ mu.
• Nsakrae a ɛba brayɛ mu.

Nsɛnkyerɛnne a ɛka obiara:

• Mu duru a ɛkɔ soro ntɛmntɛm wɔ anim (ebinom frɛ eyi "ɔsram anim"), yafunu no fã, kɔn akyi (ebinom frɛ eyi "buffalo hump"), ne koko.
• Anim kɔkɔɔ a ɛyɛ kurukuruwa.
• Mogya mmoroso (hypertension).
• Nwi a enyin dodo wɔ anim, kɔn, moma so, yafunu, ne asen so.
• Asikyireyareɛ.
• Acne foforo anaa nea ɛboro so.
• Ntrɛwmu a ɛyɛ kɔkɔɔ a ɛda adi wɔ yafunu no fã.
• Nsa ne anan a ɛyɛ mmerɛw sɛ ɛbɛpira.
• Mmerewa ne ɔbrɛ a ɛba wɔ ɔkwan a ɛkɔ akyiri so.
• Anisoadehu a ɛyɛ kusuu ne adwenemhaw.
• Akuru gye bere ansa na ayɛ yiye.
• Ntini mu mmerɛwyɛ.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• Nnuru bɛn na metumi anom de aboa me Cushing yare no?
• So apɔw-mu-teɛteɛ bi wɔ hɔ a metumi ayɛ de aboa me ntini a ɛyɛ mmerɛw no?
• So nnuru bi wɔ hɔ a wobetumi de aboa wɔ ntini a ɛtrɛw ho?
• So ɛsɛ sɛ mekɔ Cushing Syndrome ho oduruyɛfo bi nkyɛn?
• So ɛsɛ sɛ migyae nnuru a menom mprempren no bi nom?
• Dɛn ne ayaresa a eye sen biara ma me?
• So akwan foforo bi wɔ hɔ a ɛsɛ sɛ meyɛ de siw ano?

Cushing yare no betumi ayɛ tebea a ɛyɛ den sɛ wobedi ho dwuma. Ebetumi ama obi ayɛ mmerɛw, mogya mmoroso, na wabrɛ. Ayaresa te sɛ oprehyɛn, nnuru, mframa a wɔde sa yare, ne nnuru a wɔde sa yare betumi ayɛ den. Nanso mfaso wɔ so, efisɛ sɛ wɔde ayaresa a ɛfata di dwuma a, wobetumi asa Cushing yare no.

Nsɛm a Wɔaboaboa Ano (Nkrasɛm a Wɔde Kɔ Fie) .

Cushing’s Syndrome yɛ tebea a efi hormone cortisol a ɛkɔ soro wɔ yɛn nipadua mu no mu ba. Eyi yɛ nea ɛntaa nsi kakra, nansoSɛ wohu na wɔsa no yiye a, wobetumi asa . Ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛfo afotu sɛ wowɔ sɛnkyerɛnne ahorow te sɛ w’anim hohoro, wo mu duru, wo ti nhwi nyin dodo, anaa mogya mmoroso a. Ɛsono ayaresa a wobetumi apaw a egyina nea ɛde ba no so. Enti wo ne wo duruyɛfo nka biribiara ho asɛm na di wɔn afotu akyi. Kae sɛ ɛnyɛ wo nkutoo na wowɔ hɔ, na mmoa wɔ hɔ.

` Cushing's Syndrome, cortisol, hormone, adrenal ntini, pituitary ntini, ACTH, sɛnkyerɛnne, ayaresa, endocrinologist