Heng symptoms te hi i nei em? Cushing Syndrome chungchang hi han sawi ila!

Cushing Syndrome hi i hre tawh em? A hming hi i tan chuan a thar deuh mai thei. A awlsam zawngin, kan taksain hormone cortisol a siam tam lutuk avanga lo awm thin a ni. Mi thenkhat chuan hypercortisolism an ti bawk. "Syndrome" chu symptom hrang hrang inzawmkhawm a ni. Mi thenkhatin Cushing’s syndrome an tih hi i hmu tawh mai thei.

Chuti a nih chuan he cortisol hi eng nge ni?

Cortisol hi kan taksaah hian steroid hormone a awm a. "Stress hormone" kan ti fo thin a, a chhan chu stress kan neih hian kan taksa hian cortisol a chhuah tam zawk thin. Heng hun chhung hian cortisol hian min pui thin:

• I heart rate a sang chho zel.
• I thisen sang a sang chho zel a.
• Thisen sugar level a control thin.
• Thâwk lak a control.
• Muscle tension a tipung.

Chu mai ni lovin, kan stress lai hian cortisol hian chutih laia kan taksa tana pawimawh lo system, entirnan, digestive system leh reproductive system te chu hun engemaw chen atan a khar thei bawk.

Cortisol hi kan taksa tana hormone pawimawh tak a ni. Cortisol hi heng thil atan hian a pawimawh hle a ni:

• Thisen sang vawng reng rawh.
• Thisen sugar level tihreh.
• Inflammation tihziaawmna tur.
• Hriatrengna siam rawh.
• I thawk dan control rawh.
• Taksa chhunga chi balance vawng reng tur a ni.
• Kan eitur chu chakna ah chantir rawh.

Cortisol level hi kan kal chunglama gland te tak te pahnih, adrenal glands, thluaka pituitary gland leh pituitary gland chunglama awm hypothalamus te hian an control thin.

Cushing’s syndrome hi tumor avanga lo awm a ni tlangpui . Hei hi kawng lian pahnihin a thleng thei a:

• Endogenous: Chumi awmzia chu kan taksa chhunga siam chhuah cortisol avanga lo awm a ni tihna a ni.
• Exogenous: Hei hian natna dang enkawlna atana damdawi thenkhat ei avanga side effect angin pawn lam thil avanga lo awm tihna a ni.

Tute nge Cushing Syndrome vei tam ber?

Cushing’s syndrome hi naupang, tleirawl puitling leh puitlingah a tam ber. Kum 25 leh 50 inkarah a tam ber a , cortisol awmna damdawi (entir nan, asthma leh rheumatoid arthritis damdawi) ei thinte chuan he natna hi an vei theihna a sang zawk. Cushing’s syndrome vei zinga 70% vel chu hmeichhia an ni a, 30% chu mipa an ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Cushing’s syndrome hi natna hlauhawm tak a ni a , kum khatah mi maktaduai khat zinga 40 leh 70 inkar velin an vei thin.

Cushing Syndrome leh Cushing Disease hi eng nge an danglamna?

Cushing natna hi Cushing's syndrome chi khat a ni. Pituitary gland-a benign tumor avanga lo awm a ni. He tumor hian hormone ACTH (adrenocorticotropic hormone) a tichhuak tam lutuk a ni. Hei hian adrenal glands te hian cortisol a tichhuak tam lutuk thin.

Cushing’s syndrome vei zingah hian puitling 70% aia tam leh naupang leh puitling naupang 60% leh 70% inkar chuan he Cushing natna chi hi an vei a ni.

Eng ang doctor nge Cushing Syndrome hi enkawl?

I general practitioner chuan he natna hi enfiah leh enkawl turin endocrinologist an tih specialist hnenah a refer ang che.

Cushing Syndrome hian thihna a thlen thei em?

Ni e, Cushing’s Syndrome hi uluk taka enkawl loh chuan thihna thlen thei a ni . Enkawl loh chuan he cortisol level sang (hypercortisolism) hian hriselna lama harsatna chi hrang hrang a thlen thei a ni. Entir nan:

• Infection awm thei te
• Thisen zam, a bik takin lung leh ke-ah
• Lungngaihna
• Lung natna
• A taksa rihna a tipung
• Hriatrengna lama harsatna emaw, ngaihtuahna seng harsa emaw
• Thisen sang emaw cholesterol sang emaw
• Ruh tliak
• Type 2 diabetes, prediabetes, emaw chaw nghei glucose tihchhiat emaw a ni thei

Enkawl loh chuan Cushing’s syndrome hian thihna hial a thlen thei a ni.

Cushing Syndrome hi engte nge ni?

Cushing’s syndrome hi taksaa cortisol tam lutuk vang a ni. A chhan awm thei hrang hrang a awm a:

• Glucocorticoid Damdawi hman dan: Glucocorticoid damdawi (entir nan, prednisone) hi chronic asthma, rheumatoid arthritis, lupus, sarcoidosis, leh autoimmune natna dang tam tak, chronic inflammation thlentu enkawlna atan hman a ni. Heng damdawi te hi rei tak ei hian "iatrogenic" emaw exogenous Cushing syndrome emaw a thlen thei a ni. "iatrogenic" tih thumal hian thil dang damdawi inenkawlna avanga lo awm a ni tihna a ni.
• Pituitary tumors: Cushing syndrome ( iatrogenic Cushing syndrome tel lovin) hi pituitary tumor-in ACTH a siam tam lutuk avanga lo awm a ni a, hei hi hormone adrenal glands te cortisol siam tura hrilhtu hormone a ni a, mi 10 zinga 8 a vei. Hetiang chi hi Cushing natna an ti a.
• Adrenal cortical tumors: Adrenal gland chunga tumor lo awm chuan cortisol a siam tam lutuk thei. Hengte hi benign tumor an ni tlangpui. Mahse, a chang chuan he tumor hi adrenal cortical carcinoma a ni thei a, adrenal cancer chi khat, a awm lo hle.
• Lung, pancreas, thyroid leh thymus tumor: ACTH hi pituitary gland pawn lama tumor atanga siam a nih chuan ectopic ACTH syndrome an ti a. Heng tumor te hi malignant an ni tlangpui. Chung zinga a tam ber chu small cell lung cancer a ni.

Cushing Syndrome hi thlahtute atanga lo chhuak a ni em?

A tlangpuiin, ni lo . Cushing’s syndrome vei tam zawk hi chu thlahtute atanga lo chhuak a ni lo.

Cushing Syndrome natna lan chhuah dan chu engte nge ni?

Cushing’s syndrome-a langsar bikte bakah hian natna dang tam takah pawh a awm ve thei bawk. Mi zawng zawng hian symptoms inang an nei vek dawn lo. Hengte hi a lan chhuah dan te chu a ni:

• Hmai (thenkhatin hei hi "thla hmai" an ti), pum chhung, kawr hnunglam (thenkhatin hei hi "buffalo hump" an ti), leh rilruah rang taka taksa rihna a pung.
• A hmai sen, zungbun.
• Hliam dam nan hun a duh thin.
• Thisen sang (hypertension).
• Hmai, kawr, rilru, pum, hnute, leh kekawrteah sam sei lutuk emaw, sam tlakchham (baldness) emaw a ni thei.
• Zunthlum.

A lan chhuah dan dangte chu:

• Pum chhunga purple stretch marks lo lang.
• Kut leh ke awlsam taka hliam.
• General chak lohna leh hahna.
• Mit hmuh fiah lo leh luak chhuak.
• Muscle chak lohna leh taksa peng hrang hrang tihchhiat.
• Mipaah ​​libido inthlak danglam leh erectile dysfunction a awm.
• Naupangte thanlenna tichhe thei.

Cushing Syndrome hi eng chen nge a awm?

Cushing’s syndrome hi eng chen nge a awm tih chu enkawlna i dawn danah a innghat a ni. Cortisol level sang (hypercortisolism) nei tam zawk chu kar tlemte enkawl hnuah an dam leh thin.

Cushing Syndrome hian thawk harsatna a thlen em?

Aih.Thâwk hah lutuk hi Cushing’s syndrome chhinchhiahna langsar tak a ni lo.

Cushing Syndrome hian ruh natna a thlen em?

Awle. Cushing’s syndrome hian ruh chak lo a thlen thei a ni. Hei hian ruh tliak a thlen thei a, a bik takin hun rei tak i lo neih tawh chuan. Ruh chak lo hian natna a thlen thei bawk.

Cushing Syndrome hian hypokalemia a thlen em?

Hypokalemia hi i thisena potassium level a hniam chuan a ni. Hetiang dinhmun hi Cushing’s syndrome i neih chuan a lo awm thei a ni.

Engtin nge Cushing Syndrome hi hmuhchhuah a nih?

I doctor chuan cortisol level sang (hypercortisolism) a rinhlelh chuan kaihhruaina thenkhat an zawm tur a awm. Zawhna an zawt ang a, i medical history an la ang a, physical exam an ti ang a, chutah chuan lab test thenkhat an order ang. Hun engemaw chen chu an lo vil reng thei bawk.

Cushing’s syndrome hi a chang chuan hriat chian a harsa deuh thei . I doctor hnenah i chau tawh a, i thau chho zel tih i hrilh chuan Cushing’s syndrome hi an ngaihtuah nghal lo mai thei. Hei hi a chhan chu heng symptoms te hi natna chi hrang hrang tam takah a awm fo vang a ni.

Tin, Cushing’s syndrome hi polycystic ovary syndrome emaw metabolic syndrome emaw nen pawh a inthlau thei bawk. I doctor chuan diagnosis siam turin condition dang a paih chhuah a ngai dawn a ni.

Cushing Syndrome hmuhchhuah nan eng test nge tih thin?

I doctor hian heng test thenkhat hi a ti thei ang:

• Darkar 24 chhunga urinary cortisol test: He test hian i zun chhunga cortisol awm zat chu microgram (mcg)-in a teh thin. I doctor chuan darkar 24 chhunga i zun lakkhawm turin a ti ang che.
• Midnight salivary cortisol test: A tlangpuiin zan lamah cortisol level a hniam hle. He test hian zing dar 11 leh 12 inkarah cortisol level a enfiah thin. Cushing’s syndrome i neih chuan chutih lai chuan i cortisol level chu a pangngai lo takin a sang ang.
• Dexamethasone dose tlemte hmanga tihdamna test:Dexamethasone hi cortisol nen a inang damdawi a ni. He test atan hian zanah he damdawi hi milligram khat (mg) i ei a, chutah chuan i cortisol level chu zing dar 8 leh 9 a.m. inkarah teh a ni a, he thisen test hian i adrenal glands te hian dexamethasone an chhang let em tih a enfiah a, cortisol an tihchhuah zat tihtlem a ni. Cushing’s syndrome i neih chuan i cortisol level a sang ang.
• Thisen test: Thisen test hian i thisena ACTH awm zat a teh thin. ACTH level a hniam chuan adrenal tumor i nei thei. Level a normal emaw a sang emaw a nih chuan pituitary tumor emaw ectopic tumor emaw i nei thei.
• High-dose dexamethasone suppression test: Hei hi low-dose dexamethasone suppression test nen a inang a, mahse a dose hi 1 ni lovin 8 milligram a ni a, he test hi a tlangpuiin low-dose test-ah zing lamah cortisol level sang tak a awm a, thisen test-ah thisenah ACTH a sang tih hmuhchhuah a ni. He test hian Cushing’s syndrome awm chhan hriatchhuah nan a pui thei a ni. Pituitary adenoma (Cushing’s disease tia hriat bawk) leh i taksa hmun danga (lung-a awm ang chi) tumor te thliar hrang turin a pui thei a ni.

I doctor-in Cushing’s syndrome i vei tih a finfiah hnuah, a dawt leh tur chu eng thil nge a thlen tih hriat a ni. A tam zawkah chuan damdawi emaw, tumor emaw a ni thei. Glucocorticoids i ei a nih chuan chu chu a chhan a nih a rinawm a, chuvangin i doctor chuan i dose a tihtlem thei a ni. Glucocorticoids i ei loh chuan i adrenal glands, pituitary gland emaw hmun dangah emaw tumor a awm tih a tilang thei. I doctor chuan tumor awmna hmun hriat theihna tura pui turin heng ang imaging study te hi a rawt thei ang:

• CAT scan (CT scan) emaw MRI abdomen: I doctor chuan CT scan emaw MRI emaw hmangin i adrenal glands-ah tumor i nei em tih a en thei ang. Heng scan te hi intravenous contrast (IV contrast) hmanga tih theih a ni. Heng test te hi adrenal tumor hmuhchhuah nan a sensitive hle.
• Pituitary-a magnetic resonance imaging (MRI) hmanga enfiah a nih chuan:MRI hian i pituitary gland thlalak a la a, tumor a zawng a. A then phei chuan MRI hi diagnosis kimchang tak a ni lo. Cushing's syndrome vei zinga 50% vel chuan MRI "normal" an nei a, 10% chuan he syndrome nena inzawm lo tumor an nei thei thung.
• Bilateral inferior petrosal sinus sampling (BIPPS): He test hian ACTH chhuahna bul a hmuchhuak a. ACTH leh pituitary hormone dangte chu pituitary gland atang hian thisenah a chhuak thin. Interventional radiologist tawnhriat ngah tak chuan he test hi vein pahnih inferior petrosal sinus an tih hmangin a ti thin. He test hi a dikna rate hi 95% leh 98% inkar a ni.
• CT scan chest: I doctor chuan ectopic tumor a rinhlelh chuan lung cancer awm thei leh awm loh enfiah turin chest CT scan tir turin a ti thei ang.

Cushing Syndrome hi engtin nge enkawl a nih?

Enkawlna chi chu cortisol level sang chhan bulpuiah a innghat a ni. Glucocorticoids i ei a nih chuan i doctor chuan i dose a tihtlem emaw, non-glucocorticoid damdawi emaw a pe mai thei.

Cushing’s syndrome hi tumor avanga lo awm a nih chuan i doctor chuan operation emaw radiation therapy emaw a rawt thei ang.

Thil dang chu i doctor-in cortisol siam chhuah tihtlem thei damdawi, ketoconazole ang chi a pe che a ni. Cushing’s syndrome tumor leh symptoms enkawl nan doctor hrang hrang engemawzat nen thawhhona i neih a ngai mai thei.

• Chemotherapy: Tumor cancer a awm a, taksa peng dangah a darh tawh a nih chuan chemotherapy a ngai mai thei. I doctor nen hian side effect a awm chuan sawipui ngei ang che.
• Damdawi: Cortisol tihhniam thei damdawi dah belh emaw, Cushing’s Syndrome thlen thei damdawi paih emaw.
• Radiation: Pituitary tumor chu operation hmanga lakchhuah theih a ni lo. Chutiang hunah chuan kar ruk chhung radiation therapy i neih a ngai mai thei. Cortisol level a normal leh theih nan kum tam tak a ngai thei. I doctor nen side effect awm apiang sawipui rawh.
• Inzai:Pituitary tumor, adrenal tumor leh ectopic tumor te surgery hmanga lakchhuah hi a hlawhtling a, mahse cortisol level thar, hniam zawkah chuan i insiamrem a ngai dawn a ni. Hemi chhung hian cortisol damdawi hydrocortisone pill ang chi i ei a ngai mai thei. Thla 6 atanga thla 18 hnuah he damdawi hi i ei tawh lo thei tawh ang. A tam zawkah chuan laparoscopic surgery hnuah ni khat emaw ni hnih emaw chhungin damdawi in i chhuahsan thei ang.

Cushing’s syndrome hi uluk taka enkawl a nih chuan a dam leh theih nan thla 2 atanga thla 18 vel a ngai thei. Hemi hun chhung leh a hnuah pawh i doctor nen inbiak hnai takin awm rawh.

Cushing Syndrome ka neih chuan eng nge ka beisei theih ang?

I doctor hian Cushing’s syndrome hi a enkawl thei a, a enkawl tur a ni bawk. Enkawl loh chuan thihna a thlen thei. I natna lan chhuah dan tur doctor nen sawiho turin a rang thei ang bera doctor pan rawh.

Cushing Syndrome hi a zual thei ang em?

Cushing’s syndrome hi uluk taka enkawl loh chuan a zual thei hle. I doctor nen inbiak reng la, natna lanchhuahna thar, natna lan chhuahna zual zel, harsatna dang eng pawh hriattir rawh.

Engtin nge Cushing Syndrome vei theihna hi ka tihtlem theih ang emaw, ka ven theih ang?

I taksa hian cortisol a mamawh reng a. Active reng tur chuan i mamawh a ni. I thawk a control a, i ei tur chu chaknaah a chantir a, i thisen sugar level a tidanglam a, stress i hmachhawn theih nan a pui a, thil tam tak a ti thei bawk. Cortisol hi i taksa hmelma a ni lova, a tam lutuk erawh a tha lo. Mahse, cortisol tel lo chuan i nung thei lo.

Glucocorticoids emaw steroids emaw i ei a nih chuan i doctor hnenah i cortisol level chu uluk takin enfiah tir rawh. Vanduaithlak takin Tumor hian Cushing’s Syndrome (hypercortisolism) a thlen loh nan kawng a awm lo.

Cushing Syndrome natna vei hi eng ang nge ni?

Cushing's syndrome neia nun hi thil harsa tak a ni thei a, mahse nunna atana hlauhawm tak a nih a ngai lo. I tanpui tur doctor trained an awm a, enkawl dan pawh a awm bawk. Heng enkawlnate hian Cushing’s syndrome hi a tidam thei tlangpui a, cortisol level sang (hypercortisolism) symptoms pawh a tidam thei bawk.

Cushing’s syndrome hian rilru lam leh khawtlang nun lama harsatna engemaw zat a thlen thei a ni. Mi thenkhat chuan sam tlakchham, sam sei lutuk, leh/ emaw hmai leh kawr hnung lama taksa rihna sang lutuk te hian an mualpho thei a ni. "Thla hmel" leh "buffalo hump" hian khawtlang dinhmunah tel ve turin vawi hnih a ngaihtuah tir thei che a ni. Hun a kal zel a, enkawlna hian heng natna lan chhuah dan hi a tidam thei a ni. Cushing’s syndrome hian lungngaihna leh rilru lam natna dang a thlen thei bawk. A tul chuan therapist hnenah counseling pe la, psychiatrist hnenah damdawi dil la, chu chuan cortisol level sang (hypercortisolism) avanga rilru lama nghawng a neihte hmachhawn turin a pui ang che.

Engtikah nge Doctor ka hmuh ang?

Cushing’s syndrome natna lan chhuahna hengte hi i neih chuan doctor pan rawh:

Hmeichhia a bik taka natna lanchhuahna:

• Hmai sam thar emaw, a tam lutuk emaw.
• Sex drive a inthlak danglam thin.
• Menstrual cycle inthlak danglamna.

Mi zawng zawng nghawng thei symptoms:

• Hmai (thenkhatin hei hi "thla hmai" an ti), pum chhung, kawr hnunglam (thenkhatin hei hi "buffalo hump" an ti), leh rilruah rang taka taksa rihna a pung.
• A hmai sen, zungbun.
• Thisen sang (hypertension).
• Hmai, kawr, rilru, pum, leh kekawrteah sam sei lutuk.
• Zunthlum.
• Acne thar emaw, a tam lutuk emaw.
• Pum chhunga purple stretch marks lo lang.
• Kut leh ke awlsam taka hliam.
• General chak lohna leh hahna.
• Mit hmuh fiah lo leh luak chhuak.
• Hliam dam nan hun a duh thin.
• Muscle chak lohna.

Doctor hnenah eng zawhna nge ka zawh ang?

• Ka Cushing’s syndrome vei tanpui nan eng damdawi nge ka ei theih ang?
• Ka taksa ruh chak lote tanpui nan exercise ka tih theih a awm em?
• Stretch marks tihdamna tur damdawi hman theih a awm em?
• Cushing Syndrome vei specialist ka hmuh tur em ni?
• Tuna ka damdawi ei mek hi ka ei tawh loh a ngai em?
• Ka tan enge inenkawlna tha ber?
• Invenna tur dang ka tih tur a awm em?

Cushing’s syndrome hi hmachhawn harsa tak a ni thei. Chak lohna te, thisen sang te, hahna te a thlen thei a ni. Surgery, damdawi, radiation therapy, chemotherapy ang chi enkawlna te hi a harsa thei hle. Mahse an hlu a, a chhan chu enkawlna dik tak an neih chuan Cushing’s syndrome hi tihdam theih a ni.

Thupui tawi (Take-Home Message) 1.1.

Cushing’s Syndrome hi kan taksaa hormone cortisol tihpun avanga lo awm a ni. Hei hi a tlem deuh a, mahseHriatchhuah leh enkawl dik a nih chuan tihdam theih a ni . Hmai hring, taksa rihna sang, sam sei lutuk, thisen sang tih ang chi symptom i neih chuan doctor lam pan a pawimawh hle. Enkawl dan pawh a chhan a zirin a inang lo. Chuvangin i doctor nen engkim sawipui la, an thurawn zawm rawh. Nangmah chauh i ni lo tih hre reng la, tanpuina a awm bawk.

` Cushing’s Syndrome, cortisol, hormone, adrenal glands, pituitary gland, ACTH, natna lan chhuah dan, enkawl dan, endocrinologist