Muviri wako uri kukura here uye chiso chako chiri kutenderera semwedzi wakazara? Ngatikurukurei nezve 'Cushing's Syndrome'!

Wakamboona here kuti chimiro chemuviri wako chachinja zvishoma, kunyanya kutenderedza muviri wako wepamusoro nedumbu, uye chiso chako chave chakatenderera semwedzi wakazara? Pamwe une kabundu kadiki kemafuta kari kukura kumashure kwemutsipa wako. Izvi hazvisi zvinhu zvinongoitika zvega. Kuseri kwezviratidzo izvi kungave nechirwere chemahormone chinonzi Cushing's Syndrome . Usanetseke, ichi chirwere chinogona kurapwa kazhinji. Ngatitaurei nezvazvo zviri nyore, nenzira iyo munhu wese anogona kunzwisisa.

Zvichitaurwa zviri nyore, chii chinonzi Cushing's Syndrome?

Chirwere cheCushing, kana kuti hypercortisolism , chirwere chinoitika kana muviri wedu uchigadzira hormone yakawandisa ye cortisol . Zvino ungave uchishamisika kuti cortisol chii. Cortisol ihormone inokosha zvikuru inogadzirwa nemagland maviri madiki ari pamusoro peitsvo dzedu, adrenal glands. Inoshanda zvakanyanya mumuviri wedu.

• Inodzora BP .
• Inodzora huwandu hweshuga muropa.
• Inoderedza kuzvimba mumuviri.
• Zvinobatsira kushandura chikafu chatinodya kuita simba.

Fungidzira, zvese izvi zvinoitika kana paine huwandu hwakakwana hwe cortisol. Asi kana hormone iyi yakawandisa, mashandiro emamwe masisitimu mumuviri anotanga kushata. Ndizvo zvatinodaidza kuti Cushing's Syndrome. Chirwere ichi chinowanzoitika kuvakadzi kupfuura varume. Chinonyanya kuitika kuvanhu vari pakati pemakore makumi maviri nemashanu nemakumi mana.

Ndezvipi zvikonzero zvikuru zveCushing's Syndrome?

Panogona kunge paine zvikonzero zvakawanda zveizvi. Ngatitarisei zvikuru.

1. Kushandisa mishonga (chinonyanya kukonzera izvi)

Chikonzero chikuru chechirwere ichi kushandiswa kwenguva refu kwemishonga yakawanda inonzi glucocorticoids . Idzi dzinowanzonzi corticosteroids kana kuti ma steroids . Semuenzaniso, prednisoneUnogona kutora mushonga unonzi. Vanachiremba vanokurudzira mishonga iyi yezvirwere zvakaita seasthma, rheumatoid arthritis, lupus, kana mushure mekuisirwa nhengo. Iyi mishonga ine simba kwazvo inodzora kuzvimba. Zvisinei, kana ikashandiswa kwenguva yakareba, Cushing's Syndrome inogona kuitika semhedzisiro. Zvakare, chirwere ichi chinogona kuitika nekuda kwekubaiwa majekiseni esteroid nguva dzose pazvinhu zvakaita sekurwadziwa kwemajoini nekurwadziwa kwemusana. Chirwere ichi hachiwanzoitiki nekuda kwemakirimu esteroid anoshandiswa pazvirwere zveganda, asi zvinogona kuitika.

2. Mamota anoitika mumuviri

Huremu hweCortisol hunogonawo kuwedzera mumuviri wedu. Chikonzero cheizvi imhando dzakasiyana dzemamota anokura mumuviri.

• Matumbu ePituitary: Kana bundu diki rikabuda mugland repituitary riri pasi pehuropi hwedu, rinotanga kugadzira hormone inonzi ACTH (Adrenocorticotropic hormone) . Iyi hormone yeACTH ndiyo inozivisa magland eadrenal kuti agadzire cortisol . Saka kana ACTH ikawedzera, kugadzirwa kwecortisol kunowedzerawo otomatiki. Isu tinodanawo chirwere ichi kuti Cushing's Disease .
• Matumbu eAdrenal: Dzimwe nguva bundu rinogona kukura paadrenal gland pachayo, iro rinogona kubudisa cortisol yakawandisa.
• Matumbu emudumbu: Kashoma, bundu rinogona kukura munzvimbo isina kugadzirwa hormone yeACTH, senge mapapu , pancreas , kana thyroid gland , rotanga kugadzira ACTH.

Mabundu aya anogona kunge ari ekenza kana kuti asiri ekenza.

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvinogona kusiyana kubva pamunhu kuenda kune mumwe, asi pane zvimwe zviratidzo zvinowanzoonekwa kana chirwere chacho chakura. Ngatizvitarisei mutafura. Pamusoro pezvo, vamwe vanhu vanogona kuona mavanga ekutatamuka epepuru kana epingi padumbu ravo, muzvidya, mumaoko, uye pachipfuva. Sezvo mapfupa achiderera, vanogona kurwadziwa nemusana kana mbabvu dzakatyoka, kwete chete pavanokotama, vachisimudza zvinorema, asiwo pavanosimuka pachigaro. Kana vana vadiki vakava nedambudziko iri, kukura kwavo kuchanonoka , uye vanogonawo kufuta.

Chiremba anoongorora sei chirwere ichi?

Zvinogona kutora nguva yakawanda kuti chiremba wako aonekwe kuti une chirwere ichi. Kutanga, achakuongorora muviri wako uye achakubvunza mibvunzo mishoma.

• Zviratidzo zvako ndezvipi?
• Wakatanga kuona izvi rini?
• Mishonga ipi yauri kutora? (Kunyanya masteroids)
• Unonzwa shanduko mupfungwa dzako here?

Zvichibva paruzivo urwu, kana paine chinofungidzirwa kuti Cushing's Syndrome, chiremba anokurudzira kuongororwa kwakawanda.

• Kuongororwa kwecortisol isina weti kwemaawa makumi maviri nemana: Kunoyera huwandu hwecortisol muweti yakaunganidzwa mumaawa makumi maviri nemana.
• Kuongororwa kwekumanikidzwa kweDexamethasone: Piritsi re steroid rine mwero mudiki rinopihwa nenguva dza11 manheru, uye kuongororwa ropa kunozoitwa mangwanani akatevera kuti vaone kuti muviri uchiri kugadzira cortisol yakawanda sei.
• Huwandu hwecortisol yemate panguva yehusiku: Hunoyera huwandu hwecortisol mumate anotorwa husiku.

Kana bvunzo idzi dzikaitika kuti une Cushing's Syndrome, danho rinotevera nderekutsvaga chikonzero . Kuti uite izvi, nyanzvi inogona kuita dzimwe bvunzo dzakawanda. Semuenzaniso, bvunzo dzeropa kuti utarise huwandu hwehomoni yeACTH, CT kana MRI scans.

Ndezvipi zvinorapwa izvi?

Nzira yekurapa inoenderana nezviri kukonzera chirwere chako.

• • Kana chikonzero chiri mushonga we steroid: Chiremba wako achatanga kuderedza zvishoma nezvishoma mushonga wako we steroid sezvo mamwe mamiriro ako ehutano (semuenzaniso asthma, arthritis) achidzorwa.

Chinonyanya kukosha: Usarega kutora mishonga inorwisa utachiona kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera migumisiro yakaipa.

• Kana chikonzero chiri bundu: Kuvhiyiwa kungadiwa kuti bundu ribviswe. Dzimwe nguva, kurapwa nemwaranzi kunogona kuitwa pamusoro pekuvhiyiwa.
• Mamwe marapirwo: Kana kuvhiyiwa kana kurapwa nemwaranzi zvikasabudirira, mishonga inogona kupihwa kudzora kugadzirwa kwecortisol. Zvisinei, mishonga iyi inogonawo kuva nemigumisiro yakaipa, saka inofanira kutorwa ichitarisirwa nachiremba.

Ungachinja sei mararamiro ako uye kudya kwako pamwe chete nekurapwa?

Paunenge uchirapwa, kugadzirisa mararamiro ako uye kudya kwako kunogona kukubatsira zvikuru kudzora zviratidzo zvako.

• Idya chikafu chakanaka:
• Idya chikafu chine calcium yakawanda nevhitamini D. Dambudziko iri rinoita kuti mapfupa asashande zvakanaka. Mukaka, yogati, chizi, miriwo mitema, nehove diki (dzine mapfupa) zvakanaka.
• Deredza kudya zvine sodium yakawanda nemafuta/mafuta akawanda . Izvi zvinogona kukonzera BP yakakwira uye kuwedzera uremu.
• Dzora marwadzo:Zvinhu zvakaita sekugeza nemvura inopisa, kukwizwa zvinyoro nyoro, uye kuita maekisesaizi emumvura zvinogona kubatsira kuderedza marwadzo emhasuru.
• Hutano hwepfungwa: Dambudziko iri rinogona kukukanganisa. Taura nemhuri yako neshamwari nezvenyaya iyi. Kumbira rubatsiro rwavo. Kana zvichidikanwa, tsvaga rubatsiro kubva kune anopa mazano. Unogona kukumbira chiremba wako kuti akutungamirire.

Cushing's Syndrome, cortisol, steroid, mahormone, BP yakakwira, chirwere cheshuga, muviri wakaderera, kumeso kwemwedzi, buffalo hump, pituitary gland, adrenal gland, zviratidzo zveCushing's syndrome, kurapwa kweCushing's syndrome