I taksa chu a lian chho zel a, i hmai chu thla bial ang maiin a round chho zel em? 'Cushing's Syndrome' chungchang hi han sawi ila!

Tun hnaiah i taksa pianzia a danglam deuh tih i hmu em, a bik takin i taksa chunglam leh i pum vel a danglam a, i hmai chu thla bial ang maiin a round zawk tih i hmu em? I kawr hnung lamah thau te tak te a lo thang chhuak mai thei. Hengte hi random thil mai a ni lo. Heng symptoms hnung lamah hian hormone condition Cushing’s Syndrome tih a awm thei. Ngaihtuah buai suh, hei hi tihdam theih a ni fo. Hemi chungchang hi a awlsam zawngin, mi zawng zawngin an hriatthiam theih tur angin sawi ila.

A awlsam zawngin, Cushing’s Syndrome hi eng nge ni?

Cushing’s Syndrome, a nih loh leh hypercortisolism , hi kan taksain hormone cortisol a siam tam lutuk avanga lo awm a ni. Tunah chuan cortisol hi eng nge ni tih i ngaihtuah mai thei. Cortisol hi kan kal chunga awm gland te tak te pahnih, adrenal glands atanga siam hormone pawimawh tak a ni. Kan taksaah hna tam tak a thawk a ni.

• Thisen sang a control thin .
• Thisen sugar level a tidanglam thin .
• Taksa chhunga inflammation a tihziaawm.
• Kan ei tur chu chaknaah a chantir thei a ni.

Ngaihtuah teh, heng zawng zawng hi cortisol awm zat dik tak a awm lai hian a thleng vek a ni. Mahse he hormone hi a tam lutuk chuan taksa chhunga system dangte hnathawh dan chu a buai tan ta a ni. Chu chu Cushing’s Syndrome kan tih chu a ni. Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk. Kum 25 leh 40 inkar ah a tam hle.

Cushing’s Syndrome thlentu berte chu engte nge ni?

Hei hi chhan hrang hrang a awm thei. A bulpui berte han thlir ila.

1. Damdawi hman (a chhan tam ber) .

Hetiang natna thlentu ber chu hun rei tak chhunga damdawi glucocorticoids tih hming pu tam tak hman hi a ni. Hengte hi corticosteroid emaw steroid mai mai emaw an ti tlangpui . Entirnan, prednisone tih hi a niDamdawi koh chu i ei thei. Doctor-te chuan heng damdawi te hi asthma, rheumatoid arthritis, lupus, emaw, taksa peng thlak hnua natna hrang hrang tan emaw an rawt a ni. Hengte hi damdawi chak tak tak an ni a, inflammation control thei an ni. Mahse, hengte hi rei tak hman a nih chuan Cushing’s Syndrome hi side effect angin a lo awm thei a ni. Tin, he natna hi ruh natna leh hnungzang natna ang chi thila steroid injection chhunzawm zel vang a ni thei bawk. Hetiang dinhmun hi vun natna atana hman thin steroid cream avang hian a tlem hle a, mahse a thleng thei.

2. Taksa chhunga tumor lo awm

Kan taksa chhungah pawh cortisol level a pung thei bawk. A chhan chu taksaa tumor chi hrang hrang lo awm thin a ni.

• Pituitary Tumors: Kan thluak bul hnaia pituitary gland-ah tumor te tak te a lo awm chuan ACTH (Adrenocorticotropic hormone) tih hormone a siam tam tan thin. He ACTH hormone hian adrenal glands te chu cortisol siam chhuah tir turin signal a pe thin a ni . Chuvangin ACTH a pun chuan cortisol production pawh a pung nghal vek a ni. He natna hi Cushing’s Disease kan ti bawk.
• Adrenal Tumors: A chang chuan adrenal gland ngeiah tumor a lo awm thei a, chu chuan direct-in cortisol tam lutuk a siam thei a ni.
• Ectopic Tumors: A tlem hle a, ACTH hormone siam lohna hmunah, lung , pancreas , emaw thyroid gland -ah tumor a lo awm thei a, ACTH a siam tan thei.

Heng tumor te hi cancer emaw cancer ni lo emaw pawh a ni thei.

He natna lan chhuah dan engte nge ni?

Mi hrang hrangah a lan chhuah dan a inang lo thei a, mahse natna a zual zel chuan a lan chhuah dan tlangpui thenkhat a awm. Hengte hi dawhkan pakhatah han en ila. Chu bâkah, mi ṭhenkhat chuan an pum, an kawr, an kut leh an rilruah purple emaw, pink emaw stretch mark an hmu thei bawk. Ruh a chak lo deuh deuh chuan an hnungzang na emaw, an ruh tliak emaw an nei thei a, chu chu an inbeng kang a, thil rit an chawi lai chauh ni lovin, chair atanga an tho chuan an nei thei bawk. Naupang tê tête hian he natna hi an neih chuan an ṭhanlenna chu a slow hle ang , an thau thei bawk.

He natna hi Doctor hian engtin nge a hriat chian?

I doctor-in a natna a hriat chian theih nan vawi tam tak tlawh a ngai thei. A hmasain, taksa lamah a enfiah ang che a, zawhna tlemte a zawt ang che.

• I symptoms te chu engte nge ni?
• Engtikah nge hengte hi i hmuh hmasak ber?
• Eng damdawi nge i ei? (A bik takin steroid) .
• I rilruah inthlak danglamna i nei em?

He thu a\ang hian Cushing’s Syndrome nia rinhlelh a nih chuan doctor chuan test eng emaw zat neih a rawt ang.

• Darkar 24 chhunga urinary free cortisol test: Darkar 24 chhunga zun lakkhawma cortisol level tehna a ni.
• Dexamethasone suppression test: Steroid pill dose hniam tak chu 11 p.m vel khan pek a ni a, a tuk zingah thisen test a ni a, taksain cortisol engzat nge a la siam chhuah tih hriat a ni.
• Zan rei tak chhunga salivary cortisol level: Zan lama saliva sample lak atanga cortisol level tehna a ni.

Heng test-te hian Cushing’s Syndrome i vei tih a nemnghet a nih chuan, a dawt leh tur chu a chhan zawn a ni . Chutianga tih theih nan chuan specialist chuan test dang engemaw zat a ti thei bawk. Entirnan, ACTH hormone level enfiahna atana thisen test te, CT emaw MRI scan te.

Hei hi eng enkawlna nge ni?

Enkawl dan chu i natna thlentuah a innghat a ni.

• • A chhan chu steroid damdawi a nih chuan: I damdawi lam dinhmun dang (e.g. asthma, arthritis) control a nih angin i doctor chuan i steroid dose chu zawi zawiin a tihtlem tan ang.

A pawimawh ber: Doctor thurawn tel lo chuan steroid ei kha bansan nghal suh . Chutianga tih chuan side effect na tak a thlen thei a ni.

• A chhan chu tumor a nih chuan: Tumor lakchhuah nan operation neih a ngai mai thei. A châng chuan operation bakah hian radiation therapy pawh pek theih a ni.
• Enkawlna dang: Surgery emaw radiation therapy emaw a hlawhtlin loh chuan cortisol siam chhuah control nan damdawi pek theih a ni. Mahse, heng damdawi te hian side effect a nei thei bawk a, chuvangin doctor enkawlna hnuaia ei tur a ni.

Engtin nge enkawlna ruala nunphung leh ei leh in pawh thlak danglam theih ang?

Enkawlna i neih lai hian i nunphung leh ei leh in siamrem hian i natna lan chhuah dante chu nasa takin a enkawl thei che a ni.

• Ei leh in tha tak ei rawh:
• Calcium leh vitamin D tamna ei tur ei rawh.Hetiang hian ruh a tichak lo. Bawnghnute, yogurt, cheese, thlai hring, leh sangha te (ruh nei) te hi a tha.
• Sodium leh oil/fat tamna ei tur ei tlem . Chungte chuan thisen sang leh taksa rihna a tipung thei a ni.
• Natna control dan:Thil chi hrang hrang, tui lum taka inbual te, massage nem tak neih te, tui aerobics tih te hian taksa ruh natna a tihziaawm thei a ni.
• Rilru hriselna: Hetiang dinhmun hian a tichak lo thei hle. Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh. An thlawpna dil rawh. A tul chuan counselor tanpuina zawng rawh. I doctor hnenah kaihhruaina i dil thei bawk.

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