Ke ulu nui nei kou kino a ke poepoe nei kou helehelena e like me ka mahina piha? E kamaʻilio kākou e pili ana i ka 'Cushing's Syndrome'!

Ua ʻike anei ʻoe i kēia manawa ua loli iki ke ʻano o kou kino, ʻoiai a puni kou kino o luna a me kou ʻōpū, a ua poepoe kou helehelena e like me ka mahina piha? Malia paha he puʻu momona liʻiliʻi kou e ulu ana ma ke kua o kou ʻāʻī. ʻAʻole kēia he mau mea wale nō. Ma hope o kēia mau hōʻailona he maʻi hormonal paha i kapa ʻia ʻo Cushing's Syndrome . Mai hopohopo, he maʻi kēia e hiki ke ho'ōla pinepine ʻia. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano e hiki ai i nā mea a pau ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Cushing's Syndrome?

ʻO Cushing's Syndrome, a i ʻole hypercortisolism , he ʻano ia e hana ʻia i ka wā e hana nui ai ko mākou kino i ka hormone cortisol . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka cortisol. He hormone koʻikoʻi loa ka Cortisol i hana ʻia e ʻelua mau kelepa liʻiliʻi ma luna o ko mākou mau puʻupaʻa, ʻo ia hoʻi nā kelepa adrenal. Hana nui ia i loko o ko mākou kino.

• Hoʻomalu i ke koko .
• Hoʻoponopono i nā pae kō koko.
• Hoʻemi i ka mumū i loko o ke kino.
• Kōkua ia i ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ikehu.

E noʻonoʻo, hana ʻia kēia mau mea a pau ke loaʻa ka nui kūpono o ka cortisol. Akā i ka wā e nui loa ai kēia hormone, hoʻomaka ka hana o nā ʻōnaehana ʻē aʻe i loko o ke kino e hele hewa. ʻO ia ka mea a mākou e kapa nei ʻo Cushing's Syndrome. ʻOi aku ka maʻamau o kēia ʻano ma nā wahine ma mua o nā kāne. He mea maʻamau ia i nā poʻe ma waena o 25 a me 40 mau makahiki.

He aha nā kumu nui o ka Cushing's Syndrome?

Aia paha he nui nā kumu no kēia. E nānā kākou i nā mea nui.

1. Ka hoʻohana ʻana i nā lāʻau lapaʻau (kumu maʻamau)

ʻO ke kumu maʻamau o kēia ʻano, ʻo ia ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau kiʻekiʻe i kapa ʻia ʻo glucocorticoids . Ua kapa pinepine ʻia kēia mau mea he corticosteroids a i ʻole steroids wale nō. No ka laʻana, prednisoneHiki iā ʻoe ke lawe i ka lāʻau i kapa ʻia. Paipai nā kauka i kēia mau lāʻau no nā maʻi e like me ka hānō, ka rheumatoid arthritis, lupus, a i ʻole ma hope o ka hoʻoili ʻana o ke kino. He mau lāʻau ikaika loa kēia e kāohi ana i ka mumū. Eia nō naʻe, ke hoʻohana ʻia kēia mau mea no ka manawa lōʻihi, hiki ke loaʻa ka Cushing's Syndrome ma ke ʻano he hopena ʻaoʻao. Eia kekahi, hiki ke loaʻa kēia ʻano ma muli o nā inikini steroid mau no nā mea e like me ka ʻeha hui a me ka ʻeha hope. He mea kākaʻikahi loa kēia ʻano ma muli o nā kirīmi steroid i hoʻohana ʻia no nā maʻi ʻili, akā hiki ke hana.

2. Nā puʻupuʻu e kū mai ana i loko o ke kino

Hiki i nā pae Cortisol ke piʻi aʻe i loko o ko kākou kino. ʻO ke kumu o kēia, ʻo ia nā ʻano puʻupuʻu like ʻole e ulu ana i loko o ke kino.

• Nā Puʻupuʻu Pituitary: Inā ulu kahi puʻupuʻu liʻiliʻi i loko o ka pituitary gland ma ke kumu o ko kākou lolo , hoʻomaka ia e hana i ka nui o ka hormone i kapa ʻia ʻo ACTH (Adrenocorticotropic hormone) . ʻO kēia hormone ACTH ka mea e hōʻailona ai i nā kelepa adrenal e hana i ka cortisol . No laila, ke piʻi ka ACTH, piʻi pū ka hana cortisol me ka ʻakomi. Kāhea pū mākou i kēia maʻi ʻo Cushing's Disease .
• Nā Pūpū Adrenal: I kekahi manawa hiki i kahi puʻupuʻu ke ulu ma ka ʻōpū adrenal ponoʻī, hiki ke hana pololei i ka cortisol keu.
• Nā Puʻupuʻu Ectopic: He mea kākaʻikahi loa, hiki i kahi puʻupuʻu ke ulu ma kahi i hana ʻole ʻia ai ka hormone ACTH, e like me nā māmā , ka pancreas , a i ʻole ka thyroid gland , a hoʻomaka e hana iā ACTH.

Hiki i kēia mau puʻupuʻu ke lilo i maʻi kanesa a i ʻole ʻaʻole maʻi kanesa.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka, akā aia kekahi mau hōʻailona maʻamau e ʻike ʻia ke holomua ka maʻi. E nānā kākou i kēia mau mea ma kahi papa. Eia kekahi, ʻike paha kekahi poʻe i nā māka ʻōniʻoniʻo poni a poni paha ma ko lākou ʻōpū, nā ʻūhā, nā lima, a me ka umauma. I ka nāwaliwali ʻana o nā iwi, ʻike paha lākou i ka ʻeha kua a i ʻole nā ​​iwi ʻaoʻao haʻihaʻi, ʻaʻole wale i ke kūlou ʻana, ka hāpai ʻana i nā mea kaumaha, akā i ke ala ʻana mai kahi noho. Inā loaʻa i nā keiki ʻōpio kēia ʻano, e lohi loa ko lākou ulu ʻana, a hiki nō hoʻi iā lākou ke momona.

Pehea e ʻike ai ke kauka i kēia maʻi?

Hiki paha i kāu kauka ke hele i kekahi mau kipa e hōʻoia i ka hōʻailona. ʻO ka mea mua, e nānā kino ʻo ia iā ʻoe a nīnau iā ʻoe i kekahi mau nīnau.

• He aha kou mau hōʻailona?
• I ka manawa hea ʻoe i ʻike mua ai i kēia mau mea?
• He aha nā lāʻau lapaʻau āu e lawe nei? (ʻOi aku hoʻi nā steroids)
• Ke manaʻo nei ʻoe i kahi loli i kou manaʻo?

Ma muli o kēia ʻike, inā kānalua ʻia he Cushing's Syndrome, e paipai ke kauka i kekahi mau hoʻokolohua.

• Hoʻāʻo cortisol manuahi mimi 24-hola: Ana i ka nui o ka cortisol i loko o ka mimi i hōʻiliʻili ʻia ma luna o kahi manawa 24-hola.
• Hoʻāʻo kāohi Dexamethasone: Hāʻawi ʻia kahi pila steroid haʻahaʻa ma kahi o ka hola 11 p.m., a hana ʻia kahi hoʻāʻo koko i ke kakahiaka aʻe e ʻike i ka nui o ka cortisol e hana nei ke kino.
• Ka pae cortisol salivary o ka pō: Ke ana i nā pae cortisol i loko o kahi hāpana saliva i lawe ʻia i ka pō.

Inā hōʻoia kēia mau hoʻokolohua ua loaʻa iā ʻoe ka Cushing's Syndrome, ʻo ka hana aʻe e ʻimi i ke kumu . No ka hana ʻana i kēia, hiki i kahi loea ke hana i kekahi mau hoʻokolohua ʻē aʻe. No ka laʻana, nā hoʻokolohua koko e nānā i nā pae hormone ACTH, CT a i ʻole MRI scans.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana e pili ana i ke kumu o kou kūlana.

• • Inā he lāʻau steroid ke kumu: E hoʻomaka ana kāu kauka e hōʻemi mālie i kāu mahele steroid i ka wā e kaohi ʻia ai kāu maʻi ʻē aʻe (e like me ka hānō, ka rumatika).

ʻO ka mea nui loa: Mai ho'ōki koke i ka lawe ʻana i nā steroids me ka ʻole o ke aʻo a kāu kauka. ʻO ka hana ʻana pēlā hiki ke hana i nā hopena ʻaoʻao koʻikoʻi.

• Inā he puʻupuʻu ke kumu: Pono paha ke ʻoki kino e wehe i ka puʻupuʻu. I kekahi manawa, hiki ke hāʻawi ʻia ka radiation therapy ma waho aʻe o ke ʻoki kino.
• Nā lāʻau lapaʻau ʻē aʻe: Inā ʻaʻole holomua ke ʻoki kino a i ʻole ka radiation therapy, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kāohi i ka hana cortisol. Eia nō naʻe, hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, no laila pono e lawe ʻia ma lalo o ka nānā ʻana o ke kauka.

Pehea e hoʻololi ai i ke ʻano o ka nohona a me ka meaʻai me ka mālama ʻana?

ʻOiai e mālama ʻia ana, ʻo ka hoʻololi ʻana i kou nohona a me ka meaʻai e hiki ke kōkua nui iā ʻoe e hoʻokele i kāu mau hōʻailona.

• E ʻai i ka meaʻai maikaʻi:
• E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D. Hoʻonāwaliwali kēia ʻano i nā iwi. He mea maikaʻi ka waiū, ka yogurt, ka tīhi, nā mea kanu ʻōmaʻomaʻo, a me nā iʻa liʻiliʻi (me nā iwi).
• E kaupalena i nā meaʻai kiʻekiʻe i ka sodium a me ka ʻaila/momona . Hiki i kēia ke alakaʻi i ke koko kiʻekiʻe a me ka piʻi ʻana o ke kaumaha.
• Kaohi i ka ʻeha:Hiki i nā mea e like me ka ʻauʻau wela, ka lomilomi mālie, a me ka hana ʻana i ka wai aerobics ke kōkua i ka hōʻemi ʻana i ka ʻeha ʻiʻo.
• Ola kino: Hiki i kēia maʻi ke hoʻonāwaliwali. E kamaʻilio me kou ʻohana a me nā hoaaloha e pili ana i kēia. E noi i kā lākou kākoʻo. Inā pono, e ʻimi i ke kōkua o kahi kākāʻōlelo. Hiki iā ʻoe ke noi i kāu kauka no ke alakaʻi.

ʻO Cushing's Syndrome, cortisol, steroids, hormones, koko kiʻekiʻe, maʻi diabetes, atrophy kino, maka mahina, buffalo hump, pituitary gland, adrenal gland, nā hōʻailona o ka Cushing's syndrome, ka mālama ʻana i ka Cushing's syndrome