Adrenal insufficiency ndi zosiyanasiyana matenda.

Adrenal zotsatira insufficiency matenda yoyamba ya kotekisi adrenal, kapena ndi chifukwa kusintha sekondale chifukwa yafupika katulutsidwe wa ACTH. Izi amasonyeza kudwala utachepa zokolola mahomoni adrenal. Pali mitundu iwiri ya matenda - ndicho, pachimake ndi aakulu adrenal insufficiency.

Ngati ife kulankhula za njira za matenda, Woyambirira aakulu insufficiency amakhala ndi zonse minofu kufooka, zoipa pambuyo zolimbitsa thupi, kuchepa thupi, hyperpigmentation wa khungu mu crotch, m'khwapa, creases palmar, khosi ndi nkhope. Brown mawanga pa nembanemba wa mucous amasiyana bluish-wakuda mtundu. magazi zambiri otsika, kupatula yachibadwa. Nthawi zina, kuthamanga kwa magazi pang'ono kuchuluka ndi maziko a matenda oopsa n'kofunika.

Pafupifupi zopezeka mu matumbo matenda mawonekedwe kwambiri, akuti: utachepa kudya, nseru, kusanza, pali ululu pamimba, pali m'mimba. Komanso, insufficiency adrenal limapezeka kuswa mapuloteni, zimam'patsa ndipo thupi madzi amchere. Ndi wambirimbiri mkodzo sodium, potaziyamu akupezeka ndi muzikhosomola.

A mtundu yachiwiri ya zzabolevaniya kwambiri n'kukhala. Zikatero pali mitundu kukula, chithokomiro-zolimbikitsa timadzi ndi gonadotropin, amene amakhala ndi zizindikiro zowonjezera.

Pachimake adrenal insufficiency, kapena, mwa kulankhula kwina, mavuto addisonichesky kumasonyeza mawonekedwe aakulu a matenda ndi kumachitika chifukwa cha kuvulala aliyense, kujowina matenda opaleshoni kapena zinthu zina kwambiri.

Mtundu wa kudwala akuwonekera pachimake chikomokere ndipo amapezeka kawirikawiri mu pachimake kukha magazi mu zopangitsa kwa adrenal kapena chitukuko nthenda ya mtima mu iwo.

mavuto Addisonichesky amakhala ndi kulephera magazi magazi dontho, a m'mimba (amavutitsa kusanza, madzi mpando angapo), matenda neuro-maganizo ndi kuchuluka mtundu.

mitundu pulayimale ndi sekondale ya insufficiency adrenal asonyezedwa ndi kugwiritsira ndi timadzi wa kotekisi adrenal. Kwambiri kawirikawiri Kwalamulidwa prednisone kwa mamiligalamu asanu ndi khumi kapena mamiligalamu cortisone twente-faifi mpaka fifite patsiku. Nthawi zambiri mankhwala awa awiri amaphatikizidwa. Zikatero, ngati magazi akubwerera mwakale, izo zinafotokozedwa deoxycorticosterone nthochi wochuluka njira yothetsera mu mnofu mamiligalamu zisanu tsiku.

mankhwala kupanga monga triamcinolone kapena dexamethasone kwa nthawi yaitali sayenera kugwiritsidwa ntchito pa matenda a mitundu aakulu a insufficiency adrenal.

Koma zakudya, zikuchokera chakudya Payenera kukhala mapulotini, mafuta, chakudya ndi mavitamini lalikulu zedi. Komanso anatumizidwa mchere. Mu nkhani ya kuchepa lakuthwa mu thupi tikulimbikitsidwa Inde mankhwala a anabolic mankhwala. Komanso, ascorbic asidi chikuyendetsedwera magalamu limodzi kapena awiri pa tsiku.

Adrenal insufficiency mu mawonekedwe pachimake amaliona ndi utsogoleli wa hydrocortisone. Prednisolone akhoza kutumikiridwa njira m'nsinga kapena kukapanda kuleka. Kukachitika kuti pachimake mawonekedwe adrenal insufficiency limodzi ndi njira yotupa, ndiye zina anachita mankhwala antibacterial.

Ndi yake ndi chokwanira m'malo mankhwala madokotala ananena zawo za insufficiency adrenal ndi nthawi yabwino.