Hypoadrenalism: Zizindikiro ndi Chithandizo

Mahomoni zimakhudzidwa ntchito za mwamtheradi kachitidwe konseko thupi. zinthu zimenezi zimakhudza njira zako kagayidwe kachakudya, bwanji kukula ndi chitukuko cha zimakhala. boma zovuta kwambiri ndi hypoadrenalism. Zizindikiro, zizindikiro za matenda ndi mankhwala ake ali m'nkhani ino.

Akamanena za vuto

adrenal hypofunction chifukwa mu osakwanira kupanga timadzi, amene mukugwira nawo malamulo ntchito za maselo mthupi. Ngati kuphwanya kupangidwa Tingaone ngati anthu ziwalo pang'onopang'ono n'kusiya ntchito bwinobwino.

The adrenals ali wophatikizidwa ziwalo. Last udindo yopangira mahomoni magulu angapo. Kodi chimachitika n'chiyani ngati inu simutero bwinobwino mahomoni adrenal? Hypofunction ndi hyperfunction wa zopangitsa kwa adrenal kungachititse kuti kulephera kapena owonjezera tochepa, aldosterone, mankhwala kugonana magazi. Zonsezi zinagwira chisokonezo kwambiri thupi ndi zotsatira zoipa kwa ziwalo zosiyanasiyana ndi kachitidwe.

Hypoadrenalism: mawonekedwe a matenda

njira zosiyanasiyana yosiyanasiyana ya matenda. Disease angakhale aakulu kapena pachimake. Mu mawonekedwe pachimake matenda munthu pamakhala nthawi kuchokera misa lonse la zinthu zolemera, otchedwa mavuto addisonicheskih. Munthu ayenera kulimbana ndi kuchepa mu umoyo, zolephera ziwalo mkati.

Matenda hypoadrenalism ogaŵikana mawonekedwe zasekondale ndi ukachenjede. Mawonekedwe sekondale akufotokozera mu zotupa za zimakhala adrenal okha. Chodabwitsa nthawi zambiri zimakhudza okalamba. Mawonekedwe a ukachenjede ndi zochepa wamba ndi aumbike pamene pali osakwanira katulutsidwe wa corticotropin timadzi ubongo - ndi ubongo imene imalamulira kutentha zomwe zimayambitsa manja mwapang'onopang'ono zopangitsa kwa adrenal.

Hypofunction wa kotekisi adrenal: Zizindikiro

Matendawa amakhala ndi zizindikiro zotsatirazi:

1. Kusintha mtundu wa khungu thupi chodera. mavuto mwamphamvu kwa munthu makamaka angakhale osiyana, potengera nthawi ya mapangidwe ndondomeko pathological, ndipo ndipamene matenda. Choyamba, kunachita mdima wa khungu amakhala kuoneka bwino pa malo lotseguka kwa thupi: manja, khosi ndi nkhope. Nthawi zina, mawanga woyera anapanga mu thupi, lotchedwa "adzithandize". Pa usinini, lilime, milomo, zikopa ena mucous angaoneke bulauni mawanga.
2. Pamene hypoadrenalism akufotokozera maganizo kutopa ambiri ndi kuchuluka kufooka minofu. Kenako wodzilemekeza ndi kuchepetsa chizindikiro mu thupi.
3. Utachepa magazi.
4. Matenda a ku chimbudzi. Hypofunction wa kotekisi adrenal akhoza kutsekula, kudzimbidwa, kusanza, kumwa kuchita nseru zonse, ululu pamimba.
5. Mantha irritability, ulesi, kuwonongeka kukumbukira, chisokonezo, imfa ya ndende.

Zimayambitsa matenda

Hypoadrenalism zambiri akufotokozera pa maziko a nthenda galimoto-m'thupi zochita za thupi, imene anawononga minofu adrenal. Zimenezi zimathandiza munthu chifukwa cha matendawa 98% ya milandu. Komabe, mu 1-2% ya milandu hypofunction chifukwa cha adrenal TB.

Ndi mapangidwe matenda komanso chifukwa chibadwa zoipa. Chotero matenda chibadwa, monga adrenoleukodystrophy, amachititsa zopindika michere kuti amagwira ntchito kagayidwe mafuta acid. Pa kudwala anasonyeza mafuta zidulo cholowa wambiri nkhani woyera ya ubongo. Zimenezi zimabweretsa kusintha kwenikweni dystrophic mu thupi.

Kodi wina angathe chifukwa hypoadrenalism? Matenda a dongosolo mtima, zotupa za pituitary - onse amene angakhale chothandizira matenda.

diagnostics

Kodi matenda hypoadrenalism? matenda akuganiza angathe kukhala anthu omwe ali ndi dandaulo lolingana zizindikiro zazikulu za matenda. Kuti atsimikizire mfundo zokhumudwitsa, mtima uli anatumiza upo kuti m'thupi yemwenso ndi. Komanso, potengera zotsatira kafukufuku, adokotala akhoza amanena kuti wodwala yobereka za kafukufuku zotsatirazi:

• atayezetsa kwa hemoglobin;
• glycemia - kuulula kuchepetsa shuga;
• Kuphunzira electrolytes mu madzi a m'magazi - kudziwika kuyan'anila za ndende potaziyamu;
• kusanthula mahomoni - tochepa matenda kuchepetsa;
• wapadera nyemba - chitsanzo Mpandowachifumu, katundu madzi, glycemic mbiri.

Kuwonjezera kufufuza pamwamba, endocrinologists musati kukusalani kuthekera njira zoipa autoimmune, TB, amenenso zambiri kumayambitsa adrenal hypofunction. Kuwunika boma la adrenal okha, madokotala nthawi zambiri amachita tomography, ultrasound diagnostics a ziwalo.

chithandizo

Therapy chitukuko adrenal hypofunction kumatanthauza moyo wachibadwa timadzi m'malo mankhwala makonzedwe ndi wokhutira wa corticosteroids. mu masiteji koyamba mankhwala kawirikawiri imayamba kuchokera jekeseni mu mtima (mtsempha kapena mu mnofu) hydrocortisone. Chochititsa chidwi kusintha moyo wa munthu abatizidwa ndi kutsimikizira kwa adequacy wa matenda koyamba. Kenako, pamene wodwala okhazikika, otsiriza akuchipatala mankhwala ndi mchere ndi wokhutira glyukokordikoidov.

Pamene hypoadrenalism odwala ndi kutsatira zakudya kwambiri. zakudya zachokera ntchito kuchuluka tochepa mkulu-kalori chakudya. Kumanga ndi zakudya zokhala ndi zomanga thupi, mafuta zidulo, mavitamini. Kuchuluka kwa mchere mu chakudya sayenera upambana magalamu 10 patsiku.

Odwala matenda hypofunction wa zopangitsa kwa adrenal, m'pofunika kupewa kuoneka zolimbitsa thupi, ndi zinthu nkhawa, tingayambe zodabwitsa abwino. Komanso izo ziyenera kwambiri kuchepetsa yokha mu ntchito ogonetsa ndi mowa.

Pa mankhwala, odwala ayenera kugwira ntchito zomwe umalimbana ndi lamulo la thupi. Anthu ndi hypoadrenalism tikulimbikitsidwa kukhala mlingo wa potaziyamu mu seramu magazi. M'pofunikanso kuti nthawi kuwunika magazi ndi kutenga mankhwala kuti awathandize kuti mlingo wake khola.

Mapa pa hypoadrenalism

Ndi kudziwika yake ya mavuto, matenda lolondola ndi kukhazikitsa molondola za mankhwala m'thupi, anthu ambiri amanena njira yabwino ya matenda, popanda kukumana ndi mavuto alionse kwambiri zoipa kwa chamoyo. Kulosera tsogolo la matenda Pankhaniyi anatsimikiza ndi bwino kuchotsa otchedwa mavuto.

Pankhani ya co-matenda matenda, ntchito opaleshoni, kuvulala munthu, yatsoka matenda m'mimba zofuna kuchuluka mwamsanga kukonzekera mlingo munali mahomoni yoikidwiratu dokotala.

pomaliza

Hypoadrenalism amachita aakulu kwambiri, matenda sizimadziwika ndithu, kaya liwiro ndi khalidwe la njira pathological mu thupi. Kuyembekezera kuti ziyende bwino za mankhwala, ndikofunika kuzindikira pasadakhale zizindikiro, ndi matenda Mkhalidwe, komanso kusankha mankhwala oyenera. Ngati zonse zichitike nthawi, mukhoza kusankha njira mankhwala zingathandize munthu kukhala ndi moyo mwangwiro zabwinobwino komanso kusangalala tsiku lililonse likadutsa.