Alamun ciwo na Cushing, sabbabi da magani

Wadatacce

• Babban bayyanar cututtuka
• Dalilin Cutar ciwo na Cushing
• Yadda ake ganewar asali
• Yadda ake yin maganin
• Matsaloli da ka iya faruwa

Ciwon Cushing, wanda ake kira Cushing's disease ko hypercortisolism, canji ne na halayyar mutum wanda ke nuna yawan haɓakar hormone cortisol a cikin jini, wanda ke haifar da bayyanar wasu alamomin alamomin cutar kamar saurin karɓar nauyi da haɗuwar kitse a jiki. yankin ciki da fuska, ban da ci gaban jan layin a jiki da fata mai laushi ga kuraje, misali.

Don haka, a gaban waɗannan alamu da alamomin, ana ba da shawarar a tuntuɓi likitan ilimin likitanci don a nuna jini da gwajin hoto kuma, don haka, ana iya nuna magani mafi dacewa, wanda za a iya yi ta hanyar amfani da magani ko tiyata, misali.

Babban bayyanar cututtuka

Alamar mafi halayyar ta ciwon Cushing shine tarin kitse kawai a yankin ciki da kuma fuska, wanda kuma aka sani da cikakkiyar fuskar wata. Kari akan haka, wasu alamu da alamomin da zasu iya danganta da wannan ciwo sune:

• Karuwar nauyi cikin sauri, amma siraran hannaye da kafafu;
• Bayyanar faɗi, jan toka a kan ciki;
• Bayyanar gashi a fuska, musamman dangane da mata;
• Pressureara matsa lamba;
• Ciwon sukari, tunda sananne ne cewa akwai matakin sukari mafi girma a cikin jini;
• Rage libido da haihuwa;
• Halin al'ada na al'ada;
• Raunin jijiyoyi;
• Fata mai laushi da kuraje;
• Matsalar warkar da rauni;
• Fitowar launuka masu ruwan dumi.

Yawanci ana lura da bayyanar bayyanar cututtuka da yawa a lokaci guda kuma sun fi yawa ga marasa lafiya da cututtuka irin su cututtukan zuciya, asma, lupus ko bayan dashen sassan jiki kuma waɗanda suke shan corticosteroids na tsawon watanni da yawa. Dangane da yara da ke fama da ciwo na Cushing, saurin ci gaba, tare da ƙarancin tsawo, ƙarar fuska da gashin jiki da ƙyaftawa ana iya lura da su.

Dalilin Cutar ciwo na Cushing

Ciwon yana faruwa ne saboda ƙaruwar matakan cortisol a cikin jini, wanda yana iya faruwa sakamakon wasu yanayi. Babban abin da ke haifar da wannan karuwa kuma wanda ke fifita ci gaban cutar shi ne yawan amfani da shi da kuma yawan allurar corticosteroids, wanda galibi ake nuna shi a kula da cututtuka irin su lupus, rheumatoid arthritis da asma, ban da kuma ana nuna su mutanen da suka riga sun sami dasawa na gabobi.

Bugu da kari, ciwon na Cushing na iya faruwa saboda kasancewar wani lokaci a cikin gland din, wanda ake samu a kwakwalwa, wanda zai haifar da lalata tsarin samar da ACTH kuma, sakamakon haka, karuwar samar da sinadarin cortisol, wanda za'a iya gano shi. a cikin babban haɗuwa a cikin jini. San abin da hormone cortisol yake don.

Yadda ake ganewar asali

Dole ne a gano asalin cututtukan Cushing daga likitan ilimin likitanci bisa la'akari da alamomi da alamomin da mutum ya gabatar, tarihin lafiya da dakin gwaje-gwaje ko gwajin hoto.

Don haka, likita na iya ba da shawarar yin aikin awa 24, gwajin yau da fitsari don bincika matakan cortisol da ACTH da ke kewaya cikin jiki. Bugu da ƙari, ana iya ba da shawarar gwajin motsa jiki tare da dexamethasone, wanda shine magani wanda ke motsa aikin gland na pituitary kuma, don haka, na iya taimakawa ganewar asali. Saboda amfani da dexamethasone, ana iya ba da shawarar a shigar da mutum asibiti kusan kwanaki 2.

Don bincika kasancewar ciwace-ciwacen ƙwayar cuta a cikin gland, to likita na iya neman a yi aiki da hoto ko kuma hoton maganadisu, misali. A lokuta da yawa, ya zama dole a maimaita gwaje-gwajen don tabbatar da cutar da kuma fara jinyar da ta dace, saboda wasu alamomin na yau da kullun ne ga sauran cututtuka, wanda zai iya sa cutar ta yi wahala.

Yadda ake yin maganin

Jiyya don cutar ta Cushing ya kamata masanin endocrinologist ya jagoranta kuma ya bambanta dangane da dalilin cutar. Lokacin da cutar ta samo asali ta hanyar amfani da dogon lokaci na corticosteroids, ana nuna raguwar yawan maganin, bisa ga jagorancin likitan kuma, idan zai yiwu, dakatarwar sa.

A gefe guda kuma, lokacin da cutar ta Cushing ta haifar da ƙari, magani yawanci ya haɗa da tiyata don cire kumburin sannan a sha rediyo ko chemotherapy. Bugu da kari, kafin a yi tiyata ko lokacin da ba za a iya cire kumburin ba, likita na iya ba da shawarar mai haƙuri ya sha magani don sarrafa samar da kwaro.

Don rage alamomin cutar yana da mahimmanci a kiyaye abinci mai ƙarancin gishiri da sukari da cin 'ya'yan itace da kayan marmari kowace rana saboda abinci ne masu ɗauke da bitamin da kuma ma'adanai kuma hakan na taimakawa wajen ƙarfafa garkuwar jiki.

Matsaloli da ka iya faruwa

Lokacin da ba a aiwatar da maganin cutar ciwon Cushing daidai ba, yana yiwuwa akwai rashin kulawar hormonal da ke iya jefa rayuwar mutum cikin haɗari. Wancan ne saboda matakan haɓakar hormone wanda ba a daidaita shi ba na iya haifar da rashin aikin koda da gazawar gabobi.