Puas muaj tej lub sij hawm koj saib daim iav thiab xav tias, "Auj, kuv lub ntsej muag zoo li loj thiab puag ncig me ntsis"? Los yog puas muaj ib tug phooj ywg lossis ib tug neeg koj paub tau hais li ntawd rau koj? Muaj ib lo lus kho mob rau qhov kev puag ncig ntawm lub ntsej muag no. Nws hu ua 'Moon Facies'. Txawm hais tias lub npe yuav zoo li txawv txawv, feem ntau nws tsis yog ib yam dab tsi yuav tsum txhawj txog. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub meej tias yog dab tsi ua rau qhov no. Yog li, cia peb tham txog qhov no yooj yim thiab meej hnub no.
Cov Moon Facies no yog dab tsi? Muaj dab tsi tshwm sim tiag?
Hais yooj yim xwb, Moon Facies yog thaum cov
rog sib sau ua ke rau ob sab ntawm koj lub ntsej muag, ua rau koj lub ntsej muag zoo li puag ncig, puv, thiab me ntsis o. Nws zoo li lub hli puv. Qhov no yog vim li cas nws thiaj li tau lub npe 'Moon Face'. Qee zaum, ob sab ntawm koj lub ntsej muag puv heev uas koj tsis tuaj yeem pom koj pob ntseg thaum koj saib ncaj qha mus tom ntej. Muaj ntau tus neeg xav tias qhov no yog ib feem ntawm kev nce phaus lossis laus zuj zus. Qhov tseeb, qhov mob no tuaj yeem pom nrog kev rog dhau. Tab sis qhov ntawd tsis yog txhua lub sijhawm. Qhov laj thawj tseem ceeb rau qhov no tuaj yeem yog kev hloov pauv hauv ib qho ntawm peb cov tshuaj hormones.
Moon Facies tsis yog ib yam kab mob, nws yog ib qho tsos mob. Uas yog, nws yog ib lub cim qhia rau peb txog qee yam kev hloov pauv tshwm sim hauv lub cev.
Qhov laj thawj tseem ceeb rau qhov no yog: Cov tshuaj hormones 'Cortisol'.
Peb txhua tus muaj ib yam tshuaj hormone tshwj xeeb hu ua
cortisol hauv peb lub cev. Qhov no yog tsim los ntawm ob lub qog me me uas nyob saum peb lub raum. Cov tshuaj cortisol no tseem ceeb heev. Cov tshuaj hormone no pab tau ntau yam xws li kev daws teeb meem kev ntxhov siab, tswj cov ntshav qab zib, thiab tawm tsam kev kis kab mob. Txawm li cas los xij, yog tias muaj qee qhov laj thawj uas cov tshuaj cortisol no tseem siab heev hauv lub cev ntev, qhov Moon Facies no tshwm sim ua ib qho kev phiv. Qhov mob no uas cov tshuaj cortisol tseem siab hu ua
'Cushing's syndrome' . Yog li ntawd, qee zaum Moon Facies kuj pom tias yog ib qho tsos mob tseem ceeb ntawm Cushing's syndrome.
Dab tsi yog cov ua rau muaj Moon Facies?
Muaj ob peb yam tseem ceeb uas ua rau muaj cortisol ntau ntxiv thiab ua rau muaj Moon Facies. Cia peb saib lawv kom yooj yim to taub.
| Ua rau | Piav Qhia Yooj Yim |
|---|
| Cov Tshuaj Steroid | Qhov no yog qhov ua rau mob feem ntau. Nws tuaj yeem tshwm sim los ntawm kev noj cov tshuaj steroid xws li prednisone ntev rau cov mob xws li mob pob qij txha thiab mob ntsws. |
| Cov Teeb Meem ntawm Pituitary Gland | Lub qog pituitary hauv lub hlwb tsim cov tshuaj hormones hu ua ACTH ntau dhau. Cov tshuaj hormones ACTH no yog qhov uas qhia rau cov qog adrenal kom 'ua cortisol'. |
| Cov qog adrenal | Kev loj hlob ntawm cov qog nqaij hlav qog nqaij hlav lossis cov qog nqaij hlav uas tsis yog qog nqaij hlav hauv cov qog adrenal, uas nyob saum lub raum. Cov qog nqaij hlav no tuaj yeem tsim cov cortisol ncaj qha. |
| Cov qog nqaij hlav nyob rau lwm qhov | Tsis tshua muaj, qee hom qog nqaij hlav uas tshwm sim hauv cov kabmob xws li lub ntsws thiab lub txiav kuj tseem tuaj yeem tsim ACTH. |
Kev sib txuas ntawm cov tshuaj steroid thiab Moon Facies
Qhov no yog ib yam dab tsi uas siv tau rau ntau tus neeg, thiab nws yog ib qho tseem ceeb heev. Koj puas yog tus neeg siv tshuaj steroid ntev, xws li prednisone, rau mob pob qij txha, mob hawb pob, mob tawv nqaij, lossis lwm yam mob autoimmune? Ces koj yuav muaj feem ntau dua los tsim Moon Facies. Qhov tseeb,
ib qho ntawm cov kev mob tshwm sim feem ntau ntawm cov tshuaj steroid no yog kev puag ncig ntawm lub ntsej muag thiab qhov hnyav nce. Qhov tsos ntawm cov tsos mob no nyob ntawm seb koj noj ntau npaum li cas thiab koj siv nws ntev npaum li cas.
Tseem ceeb heev!
Koj yuav tsum tsis txhob tsum tsis txhob noj tshuaj steroids lossis txo qhov koob tshuaj tsuas yog vim koj lub ntsej muag tau hloov pauv lossis koj tau hnyav zuj zus. Yog tias koj tsum tsis txhob noj cov tshuaj no tam sim ntawd, koj lub cev yuav tsis muaj peev xwm tswj tau lawv thiab tej zaum yuav muaj teeb meem kev noj qab haus huv loj heev. Yog li ntawd, yog tias koj pom muaj kev hloov pauv zoo li no, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog nws thiab ua raws li nws cov lus qhia.
Kuv yuav paub tseeb li cas tias kuv txoj cai yog dab tsi?
Yog tias koj muaj kev tsis ntseeg txog qhov kev hloov pauv no ntawm koj lub ntsej muag, qhov zoo tshaj plaws ua yog mus ntsib kws kho mob. Nws yuav nug koj txog koj cov tsos mob.
- Koj noj tshuaj dab tsi?
- Qhov kev hloov pauv no tau ua mus ntev npaum li cas lawm?
- Puas muaj lwm yam kev hloov pauv ntxiv rau lub ntsej muag uas tig mus ua voj voog?
Hauv Cushing's syndrome, lwm yam tsos mob yuav pom nrog rau Moon Facies. Piv txwv li, cov rog tso rau hauv thaj chaw xws li tom qab ntawm lub caj dab ("buffalo hump"), lub plab, thiab cov ceg nyias nyias. Tus kws kho mob yuav kuaj xyuas lwm yam tsos mob zoo li no. Yog tias tsim nyog, tus kws kho mob yuav xaj kom
kuaj ntshav thiab
kuaj zis kom paub koj cov cortisol. Tsis tas li ntawd, yog tias muaj kev xav tias qhov ua rau yog ib yam dab tsi zoo li qog nqaij hlav, yuav tsum tau xaj
MRI lossis CT scan .
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho rau qhov no nyob ntawm seb dab tsi ua rau koj lub Moon Facies.
- Yog tias qhov ua rau mob yog tshuaj steroid : Koj tus kws kho mob yuav sim muab cov tshuaj tsawg tshaj plaws rau koj. Qee zaum, lawv yuav sim txo cov tsos mob no los ntawm kev hais kom koj noj tshuaj txhua ob hnub. Lossis lawv yuav qhia lwm txoj kev kho mob.
- Yog tias qhov ua rau yog qog nqaij hlav: Yog tias qhov ua rau yog qog nqaij hlav hauv lub hlwb, qog adrenal, lossis lwm qhov, kev phais kom tshem tawm cov qog nqaij hlav feem ntau tuaj yeem kho qhov mob.
- Lwm yam laj thawj suav nrog: Qee zaum, cov tshuaj thiab kev kho mob hluav taws xob kuj tseem siv tau.
Qhov tseem ceeb tshaj plaws yog nrhiav kev kho mob raws li cov lus qhia ntawm kws kho mob, txawm yog vim li cas los xij.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub ntsej muag puag ncig yog ib lub ntsej muag uas muaj roj ntau dhau. Txawm hais tias qhov no feem ntau tsis yog qhov teeb meem loj, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub qhov ua rau muaj qhov teeb meem no.
- Qhov ua rau qhov no yog vim lub cev muaj cov tshuaj cortisol ntau dhau. Qhov mob no hu ua Cushing's syndrome.
- Kev siv cov tshuaj steroid mus sij hawm ntev kuj yog ib qho ua rau muaj cov tsos mob ntawm lub hli facies.
- Yog koj pom muaj tej yam kev hloov pauv no ntawm koj lub ntsej muag, nrog koj tus kws kho mob tham txog qhov ntawd. Koj yuav tsum tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas ntawm koj tus kheej.
- Kev kho mob nyob ntawm seb qhov ua rau muaj Moon Facies yog dab tsi, yog li ntawd yuav tsum kuaj mob kom meej.
Moon Facies, Cushing's syndrome, cortisol, steroids, o ntawm lub ntsej muag, prednisone, Sri Lanka Health
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus