Lesi sici esiyingxenyeni ye-Steroids singaba nokusetshenziswa kwesikhathi eside
Isiyaluyalu esenzeka lapho umzimba ubonakala ku-cortisol kakhulu. I-Cortisol iyi-hormone ekhishwa umzimba futhi itholakala emithini ye-corticosteroid. I-Cushing's syndrome ingenzeka ngenxa yokuthi i-cortisol yenziwa ngokweqile ngomzimba noma ekusebenziseni izidakamizwa eziqukethe i-cortisol (njenge-prednisone). Lapho i-Cushing's syndrome ibangelwa ukusetshenziswa kwesikhathi eside kwemithi ye-corticosteroid, ibizwa nangokuthi i-hypercortisolism.
Kukhona ezinye izimbangela ze-Cushing's syndrome, njenge-tumor. I-Cushing's syndrome ibhekwa njengengavamile.
Ngokuvamile, odokotela bazosebenza ukuze bathole iziguli zisuswe izidakamizwa ze-steroid njenge- prednisone ngokushesha ngangokunokwenzeka. Lapho ukwelashwa kwesifo sofuba esiswini (IBD), umgomo ukuthola iziguli zibe ukuxolelwa (ukunciphisa ukuvuvukala nezimpawu) ngaphandle kwe-steroids noma ukusetshenziswa okulinganiselwe kwe-steroids. Lokhu kungenxa yokuthi i-steroids, ngenkathi iphumelela kakhulu, ingaba nomphumela ojulile futhi ohlala njalo emzimbeni, kuhlanganise nokuthuthukiswa kwe-Cushing's syndrome. Kodwa-ke, ukusebenzisa kahle ama-steroid kungase kuqinisekiswe kwezinye izimo: kuyisinqumo sokwelapha okufanele sikhulunywe ngokucophelela. Uma unemibuzo mayelana nokusetshenziswa kwe-steroids kanye nobungozi obungase bube khona ngokuhambisana nezinzuzo kuleso simo, xoxa ne- gastroenterologist yakho.
Yini Ebangela Cushing's Syndrome?
I-Cortisol iyisisindo esakhiwe ngokomzimba ngumzimba, ikakhulukazi ngezikhathi zokucindezeleka.
I-Cortisol inemisebenzi eminingi, kuhlanganise nokulawulwa kokuvuvukala nokulawula indlela umzimba osebenzisa ngayo ama-carbohydrates, amafutha namaprotheni. I-Corticosteroids efana ne-prednisone, ejwayele ukusetshenziselwa ukwelapha izimo ezivuthayo ezifana nesifo sikaCrohn nesifo se-ulcerative, ukulingisa imiphumela ye-cortisol.
Yiziphi Izimpawu Nezibonakaliso ZaseCushing's Syndrome?
Izimpawu ze-Cushing's syndrome zingabandakanya:
- ukukhathazeka
- ukucindezeleka
- amazinga e-glucose ephakeme
- ukoma ngokweqile
- ukukhathala
- amafutha aphakathi kwamahlombe
- ukuvuthwa njalo
- umfutho wegazi ophezulu
- ubunzima bomzimba
- ubuso obomile
- gweba isisu esiswini, izingalo, amabele, izintambo, namathanga (okubizwa ngokuthi i-striae)
- inzuzo yesisindo emzimbeni ongaphezulu
Kukhona ezinye izibonakaliso nezimpawu zalesi simo ezingahlanganiswa ngenhla. Uma unenkinga yokuthi unezimpawu eziningi ze-Cushing's syndrome, khuluma nodokotela wakho.
I-Cushing's Syndrome iphathwa kanjani?
Indlela i-Cushing's syndrome ephathwa ngayo ngokunciphisa amazinga e-cortisol emzimbeni. Uma kwenzeka isimo esibucayi, njengesifo se-pituitary gland noma isifo se-adrenal gland, kuyodingeka ukwelashwa okuthe xaxa. Endabeni ye-Cushing's syndrome eyenziwa izidakamizwa, umthamo we-corticosteroids ungadinga ukuthi uphethwe phansi futhi mhlawumbe ushiye. Kubaluleke kakhulu ukwehlisa kancane kancane inani le-corticosteroid ethathwe phakathi kwamasonto noma ngisho nezinyanga. Ukuyeka lesi sidakamizwa kungazelelwe kungaba nemiphumela emibi emzimbeni.
Uma i-steroids ingakwazi ukumiswa, noma uma kuthatha isikhathi eside ukuyiyeka, ezinye izindlela zokwelapha zinganikezwa ukuphatha ezinye izimpawu nezimpawu ze-Cushing's syndrome.
Ezinye zezici zalesi sifo esingadinga ukwelashwa nezinye izidakamizwa kanye nezinguquko ekudleni zihlanganisa ushukela ephezulu wegazi kanye ne-cholesterol ephezulu. Ukunciphisa ingozi yezinsalela ngemithi esetshenziselwa ukwelapha i- osteoporosis kungase kudingeke futhi. Endabeni yokucindezeleka noma ukukhathazeka, ukuhanjiswa kwingcweti yezempilo yengqondo kungase kusebenze.
Iziguli zingathatha izinyathelo ezithile ekhaya ukuphatha imiphumela ye-Cushing's syndrome. Ukuqapha ukudla ngokucophelela ukugwema ukuzuza kwesisindo kanye namazinga aphezulu okushukela egazini, ukuthola umsebenzi owenzelwe udokotela njalo, nokubeka izinyathelo zokuzinakekela ukuze ugweme ukucindezeleka konke kungasiza.
Okubalulekile
I-Cushing's syndrome ingozi yokuthatha imithi ye-steroid, kodwa ayivamile. I-Cushing's syndrome ingaphathwa ngokunciphisa inani le-steroids ethathwa, nangokuphatha ezinye izimpawu nezimpawu. Umgomo uhlale uthola iziguli zisuse i-steroids ngokushesha futhi ngokuphepha ngangokunokwenzeka.
Futhi ebizwa ngokuthi : hypercortisolism
Umthombo:
Izikhungo zezempilo zikazwelonke. "Cushing's Syndrome." Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso (NIDDK). Apr 2012.
I-Sharma ST, i-Nieman LK. "Cushing's syndrome: zonke izinhlobo, ukutholakala, nokuphathwa." I-Endocrinol Metab Clin North Am. 2011 Jun; 40: 379-391, viii-ix.