Cushing Syndrome - Zomwe Muyenera Kudziwa Zokhudza Matenda a Mwezi

Cushing syndrome ndi matenda osowa m'thupi ndipo nthawi zambiri amadziŵika ndi kupanga cortisol yambiri mu adrenal glands. Matendawa amachititsa zizindikiro zosiyanasiyana za thupi ndi zamaganizo m'thupi. Zimakhudza ngakhale moyo wabwino. M'nkhaniyi, tifotokoza zomwe zimayambitsa, zizindikiro ndi njira zothandizira matendawa kuti timvetse bwino matenda a Cushing ndi kuzindikira zizindikiro zake. Mutha kupeza zidziwitso zonse zomwe mukufuna kudziwa pankhaniyi m'nkhani yathu.

Kodi Cushing's Syndrome ndi chiyani?

Cushing's syndrome ndi vuto la thanzi lomwe limachitika chifukwa chopanga kwambiri cortisol hormone ndi pituitary kapena kuchuluka kwa cortisol m'thupi. Amadziwikanso kuti hypercortisolism. Matendawa amayamba chifukwa cha zifukwa zambiri, makamaka kugwiritsa ntchito nthawi yayitali mankhwala a corticosteroid.

Zizindikiro za Cushing's syndrome ndizosiyanasiyana ndipo nthawi zambiri zimayamba pang'onopang'ono. Zizindikiro zofala kwambiri ndi monga kuchuluka kwa mafuta kumaso, khosi ndi mapewa, kuzungulira kwa nkhope, zofiirira zofiirira, kuchulukana kwamafuta kumbuyo ndi pamimba, kufooka kwa minofu, kuwonda kwa khungu, kutengeka ndi matenda a khungu, kutopa, kukhumudwa, kuwonjezeka. pa kuthamanga kwa magazi ndi kusakhazikika kwa msambo.

Choyambitsa chachikulu cha Cushing's syndrome ndi kugwiritsa ntchito mankhwala a corticosteroid kwa nthawi yayitali. mphumu, nyamakazi, nyamakazi, lupus Mankhwala a Corticosteroid, omwe amagwiritsidwa ntchito mobwerezabwereza pochiza matenda otupa osatha monga, amachititsa kuti cortisol ichuluke m'thupi. Kuchulukitsidwa kwa mahomoni a corticotropin (ACTH) ndi pituitary kapena mitundu ina ya zotupa kungayambitsenso matenda a Cushing.

Cushing's syndrome ikapanda kuzindikiridwa ndi kulandira chithandizo msanga, ingayambitse matenda aakulu. Makamaka matenda amtima, matenda oopsa, shuga, matenda osteoporosisZovuta zambiri monga kupsinjika maganizo, mavuto a chitetezo cha mthupi komanso kuvutika maganizo kungakhalepo.

Chithandizo cha Cushing's syndrome chimasiyanasiyana malinga ndi momwe wodwalayo alili. Ngati Cushing's syndrome yayamba chifukwa chogwiritsa ntchito mankhwala a corticosteroid, pangakhale kofunikira kuchepetsa kapena kusiya kumwa mankhwalawa. Ngati zimayambitsidwa ndi chotupa, kuchitidwa opaleshoni kumafunika. Nthawi zina, chithandizo chamankhwala kapena radiotherapy chimagwiritsidwa ntchito.

Cushing syndrome ndi vuto la thanzi lomwe limasokoneza moyo wabwino. Komabe, n'zotheka kulamulira zizindikirozo ndi matenda oyambirira ndi chithandizo choyenera. Kuwongolera kwa dokotala komanso kutsata pafupipafupi ndikofunikira panthawi yamankhwala.

Adrenal Cushing Syndrome

Cushing's Syndrome ndi vuto la thanzi momwe timadzi tambiri ta cortisol timapangidwa m'thupi. Komabe, adrenal Cushing syndrome, yomwe ndi mtundu wa adrenal wa matendawa, imachitika chifukwa chopanga kwambiri timadzi ta cortisol mu adrenal glands, kawirikawiri chifukwa cha zotupa kapena zovuta zina.

Ma adrenal glands ndi glands za endocrine zomwe zimatulutsa timadzi ta cortisol, zomwe zimayang'anira kuyankha kwamavuto m'thupi. Koma nthawi zina, kukula kwachilendo kapena zotupa zina za tiziwalo timene timatulutsa timadzi tambiri timene timatulutsa timadzi ta cortisol, zomwe zimayambitsa matenda a adrenal Cushing.

Chizindikiro chodziwika bwino cha adrenal Cushing's syndrome ndi kudzikundikira kwamafuta ochulukirapo m'malo osiyanasiyana amthupi. Kuchulukana kwamafuta kumawonedwa makamaka kumaso, khosi, pamimba komanso kumtunda kumbuyo. Matendawa amawonekera ndi kusintha koonekeratu monga kuzungulira kwa nkhope (nkhope ya mwezi), maonekedwe ofanana ndi kunenepa kwambiri kumtunda (kunenepa kwambiri ndi potbelly), ndi kuwonda kwa manja ndi miyendo.

Kuphatikiza apo, anthu omwe ali ndi adrenal Cushing syndrome amatha kufooka minofu, kuwonda kwa mafupa, kuthamanga kwa magazi, matenda a shugaZizindikiro monga kusamba kosakhazikika (mwa amayi), kuyambira pang'onopang'ono mpaka kuwonda kwambiri, mawanga ofiirira kapena mabala osavuta pakhungu, komanso kuchedwa kuchira kwa bala kumawonedwanso.

Matenda a adrenal Cushing atapezeka, njira zochiritsira zoyenera zimawunikidwa. Njira zochiritsira zimasiyanasiyana malinga ndi kukula kwa chotupa cha wodwalayo, kufalikira kwake, ndi thanzi lake. Nthawi zina, chotupacho chingafunikire kuchitidwa opaleshoni. Chifukwa chake, kupanga mahomoni a cortisol kumabwerera mwakale ndipo zizindikiro za matendawa zimatha kapena kutha. Nthawi zina, chotupacho chimayendetsedwa mwaukadaulo ndikuchiwongolera ndi mankhwala kapena ma radiation.

Cushing Syndrome mwa Ana

Matenda a Cushing ndi osowa kwa makanda. Zizindikiro za Cushing's syndrome mwa makanda nthawi zambiri zimachitika chifukwa cha kuchuluka kwa mahomoni a cortisol m'thupi. Zizindikirozi ndi monga kunenepa kwambiri, kutupa kumaso, tsitsi lambiri ndi tsitsi la thupi, kutopa, kufooka, kukwiya, kuthamanga kwa magazi, kuvulala ndi ma striae (matambala) pakhungu.

Nthawi zambiri zimachitika chifukwa cha Cushing's syndrome, zotupa mu adrenal glands, kapena kugwiritsa ntchito kwambiri corticosteroids. Zotupazi zimapangitsa kuti pakhale kuchuluka kwa mahomoni a cortisol, pomwe mankhwala a corticosteroid angayambitsenso kuchuluka kwa cortisol. Chifukwa china ndi zinthu zina zomwe zimayambitsa matenda a Cushing.

Cushing's syndrome ikapezeka mwa makanda, njira zochizira nthawi zambiri zimaphatikizapo opaleshoni kapena kusiya kumwa mankhwala a corticosteroid. Ngati pali zotupa mu adrenal glands, angafunikire kuchotsedwa opaleshoni. Ngati matendawa apezeka chifukwa chogwiritsa ntchito mankhwala a corticosteroid, dokotala akhoza kuchepetsa mlingo wa mankhwala kapena kuwasiya kwathunthu.

Cushing Syndrome mwa Ana

Ngakhale kuti Cushing's syndrome nthawi zambiri imapezeka mwa akulu, imatha kuchitikanso mwa ana. Cushing's syndrome mwa ana akhoza kuyamba chifukwa cha zifukwa zosiyanasiyana, monga mavuto a endocrine system kapena kugwiritsa ntchito kwambiri mankhwala a cortisone.

Zizindikiro za matendawa zimasiyana mwa ana poyerekeza ndi akuluakulu. Choyamba, kuchuluka kwa cortisol mwa ana kumatha kubweretsa zovuta zakukula ndi chitukuko. Zizindikiro zina za Cushing's syndrome mwa ana ndizo kunenepa kwambiri, zotupa kumaso, ziphuphu zakumaso, kuwonda kwa manja ndi miyendo, zofiirira zapakhungu, ndi kufooka kwa minofu.

Kuzindikira kwa matendawa kumayamba ndi dokotala akuwunika zizindikiro za mwana komanso mbiri yachipatala. Kuyeza magazi ndi mkodzo kumathandizanso kudziwa kuchuluka kwa cortisol. Mayesero ena oyerekeza amafunikiranso kuti adziwe chifukwa chake cortisol ili pamwamba.

Kuchiza kwa Cushing's syndrome mwa ana makamaka cholinga chake ndi kuthetsa chomwe chimayambitsa. Mwachitsanzo, ngati ndi matenda a Cushing omwe amayamba chifukwa cha mankhwala a cortisone, mlingo wa mankhwalawo ungafunike kuchepetsedwa kapena kusinthidwa. Ngati pali vuto lina lomwe limakhudza dongosolo la endocrine, njira zoyenera zothandizira zimagwiritsidwa ntchito.

Njira yochizira matenda a Cushing mwa ana imasiyanasiyana malinga ndi msinkhu wa mwanayo, kuopsa kwake komanso chifukwa cha matendawa. Pa nthawi ya chithandizo ndikofunikanso kuchitapo kanthu kuti mwanayo akule bwino. Pochita izi, ndikofunikira kuchita motsogozedwa ndi dokotala.

Pamene Cushing Syndrome Iphatikizana ndi Mimba

Cushing Syndrome imapangitsa kuti mimba ikhale yovuta. Kusamalira mimba ndi Cushing's syndrome n'kofunika kwambiri pa thanzi la amayi oyembekezera komanso mwana.

Cushing's Syndrome ndi matenda omwe amadziwika ndi kutulutsa kwambiri kwa timadzi ta cortisol m'thupi. Matendawa nthawi zambiri amapezeka chifukwa cha chotupa cha pituitary kapena adrenal glands kapena kugwiritsa ntchito mankhwala a corticosteroid. Kuchuluka kwa cortisol kumeneku kungayambitse mavuto ambiri azaumoyo ndikupanga zovuta zapadera panthawi yomwe ali ndi pakati.

• Amayi omwe ali ndi matenda a Cushing amafunikira kuyang'aniridwa ndichipatala nthawi yomwe ali ndi pakati. Kuchuluka kwa cortisol kumatha kukhala ndi zotsatira zoyipa pakukula ndi kukula kwa mwana. Kuonjezera apo, mavuto a mimba monga preeclampsia, shuga, ndi kuthamanga kwa magazi ndizofala kwambiri.
• Chithandizo cha Cushing's syndrome nthawi zambiri chimafuna kuchitidwa opaleshoni. Komabe, panthawi yomwe ali ndi pakati, chithandizo choterocho chingakhale chowopsa ndipo nthawi zambiri chimaimitsidwa. M'malo mwake, madokotala angasankhe mankhwala kuti asunge milingo ya cortisol. Ndikofunika kulamulira milingo ya cortisol pa nthawi ya mimba ndi kuchepetsa zizindikiro za matendawa.
• Ngakhale kuti kutenga mimba ndi Cushing syndrome kungakhale kovutirapo, kumatha kukhala ndi zotsatirapo zoipa m'maganizo. Kuchuluka kwa cortisol kumatha kubweretsa mavuto amalingaliro monga kukhumudwa, nkhawa komanso kugona. Amayi oyembekezera ayenera kuganizira zopeza chithandizo kuti apirire zovutazi.
• Mimba yokhala ndi matenda a Cushing ndizochitika zomwe zimafunikira chisamaliro pa thanzi la mayi woyembekezera komanso mwana. Panthawi imeneyi, ndikofunikira kukaonana ndi madokotala nthawi zonse ndikutsatira malangizo achipatala ngati kuli kofunikira. Kuonjezera apo, njira zochepetsera kupsinjika maganizo, moyo wathanzi, ndi magulu othandizira angathandizenso ntchitoyi.

Pseudo-Cushing Syndrome

Zizindikiro zofanana za Cushing's syndrome nthawi zina zimatha kuwonetsa pseudo-Cushing's syndrome. Pseudo-Cushing syndrome ndi mkhalidwe womwe zizindikiro zofananira zimachitika mthupi ngakhale mulingo wa mahomoni a cortisol ndi wabwinobwino. Zizindikirozi ndi monga kufiira kumaso, zotupa zamafuta amaso, kunenepa, kutopa, kupweteka kwa msana ndi m'mimba, komanso kuwonda.

Pseudo-Cushing's syndrome nthawi zambiri imachitika chifukwa cha zinthu zakunja. Mwachitsanzo, matenda a pseudo-Cushing’s syndrome angayambe atagwiritsidwa ntchito kwa nthawi yaitali mankhwala ngati cortisol kapena pakakhala chotupa chomwe chimawonjezera kupanga cortisol m’thupi.

Nthawi zina matendawa amakhala ovuta kuwazindikira chifukwa ndi ofanana ndi a Cushing's syndrome. Komabe, kuyezetsa kolondola kumatha kupangidwa ndikuwunika mwatsatanetsatane thanzi komanso kuyeza kuchuluka kwa mahomoni.

Kuchiza kwa pseudo-Cushing syndrome kumakhazikika pakuchotsa zomwe zimayambitsa. Mwachitsanzo, ngati mankhwala a cortisol amayambitsa pseudosyndrome, kugwiritsa ntchito mankhwalawa kumatha kuchepetsedwa kapena kuyimitsidwa kwathunthu. Ngati matendawa apezeka chifukwa cha chotupa, chotupacho chingafunikire kuchotsedwa opaleshoni.

Kodi Cushing Syndrome Imachititsa Chiyani?

Zomwe zimayambitsa Cushing's syndrome ndi:

1. Kugwiritsa ntchito mankhwala: Chimodzi mwa zifukwa zomwe zimafala kwambiri ndikugwiritsa ntchito nthawi yayitali mankhwala a corticosteroid. Mankhwalawa, omwe amagwiritsidwa ntchito pochiza matenda monga chifuwa cha mphumu ndi nyamakazi, amatha kuyambitsa matenda a Cushing mwa kuwonjezera kupanga cortisol m'thupi.
2. Chotupa mu pituitary gland: Zotupa zomwe zili mu gland ya pituitary zomwe zimatulutsa cortisol zimatha kuyambitsa Cushing's syndrome. Zotupazi zimachulukitsa kupanga cortisol ndipo motero syndrome imachitika.

3. Zotupa za adrenal glands: Adrenal cortical adenoma kapena carcinoma, chifukwa chosowa, chimayambitsa kupanga chotupa m'maselo otulutsa cortisol a adrenal glands. Izi zingayambitse Cushing's syndrome.
4. Kumwa mowa mopitirira muyeso: Mowa umakhudza kagayidwe ka cortisol m'chiwindi ndikupangitsa kuti cortisol ichuluke. Kumwa mowa kwa nthawi yayitali kungayambitse Cushing's syndrome.
5. Kunenepa kwambiri: Kunenepa kwambiri kungagwirizane ndi Cushing's syndrome. Kunenepa kwambiri kumayambitsa kutupa m'thupi ndipo kumatha kuwonjezera kuchuluka kwa cortisol. Izi zimathandiza kuti Cushing's syndrome iyambe.

Kodi Zizindikiro za Cushing Syndrome ndi ziti?

Cushing syndrome imadziwonetsera ndi zizindikiro zosiyanasiyana. Zizindikirozi zimakhudza kwambiri moyo wa munthu. Tikhoza kulemba zizindikiro za Cushing syndrome motere;

• Chizindikiro chodziwika bwino cha Cushing's syndrome ndi kutupa komanso kuzungulira kwa nkhope ndi khosi. Chizindikirochi chimadziwikanso kuti "nkhope ya mwezi".
• Kunenepa kwambiri komanso kunenepa ndi zizindikiro za Cushing's syndrome. Nthawi zambiri, kunenepa kumakhazikika mu thunthu la thupi ndipo sikuwoneka bwino m'manja ndi miyendo.
• Mawanga ofiirira ndi mikwingwirima pakhungu ndizizindikiro zina za Cushing's syndrome. Nthawi zambiri mawangawa amapezeka pamimba, m'chiuno ndi pachifuwa.
• Cushing's syndrome imathanso kuyambitsa kuchuluka kwa shuga m'magazi. Izi zimawonjezera chiopsezo cha matenda a shuga.
• Zizindikiro zina monga kutupa m'maso, kusamba kosasintha, kufooka kwa mafupa, kutopa ndi kusokonezeka kwamaganizo.

Kuzindikira kwa Cushing's Syndrome

Kuzindikira matenda a Cushing's syndrome kumachitika kudzera mu mayeso ndi mayeso angapo. Nthawi zambiri, kuyezetsa magazi kumachitika kuti ayeze kuchuluka kwa mahomoni a cortisol. Kuphatikiza apo, mayeso owonjezera monga mayeso otulutsa cortisol ndi mayeso oyerekeza angafunike kuti adziwe komwe kumachokera cortisol. Kuzindikira kotsimikizika kumapangidwa ndi dokotala yemwe akuwunika zotsatira zonse za mayeso.

Odwala omwe ali ndi Cushing's syndrome nthawi zambiri amatsatira ndondomeko yamankhwala motsogozedwa ndi endocrinologist. Chithandizo chimasiyanasiyana malinga ndi zizindikiro za wodwalayo komanso chifukwa cha matenda a Cushing.

Chithandizo cha Cushing Syndrome

Akazindikira msanga ndi kulandira chithandizo choyenera, zotsatira za Cushing's syndrome zitha kulamuliridwa ndipo odwala amakhala ndi moyo wathanzi.

• Imodzi mwa njira zomwe zimagwiritsidwa ntchito pochiza Cushing Syndrome ndikuchitapo opaleshoni. Ngati pali chotupa chomwe chimayambitsa matendawa, kuchotsa chotupacho ndi sitepe yofunika kwambiri pa chithandizo. Milingo ya postoperative cortisol iyenera kuyang'aniridwa ndikuwunika pafupipafupi.
• Pamene opaleshoni si yoyenera, chithandizo chamankhwala chimasankhidwa. Mankhwalawa amagwiritsa ntchito mankhwala omwe amathandizira kuchepetsa kupanga cortisol. Malingana ndi momwe wodwalayo alili, mankhwala osiyanasiyana amagwiritsidwa ntchito pofuna kuchepetsa milingo ya cortisol kuti ikhale yabwino.
• Njira ina yochizira Cushing's syndrome ndi radiotherapy. Mu njira yochizira iyi, kupanga mahomoni kumachepetsedwa pogwiritsira ntchito ma radiation ku tiziwalo timene timatulutsa cortisol. Komabe, njira yochizira iyi nthawi zambiri imakonda ngati kuchitidwa opaleshoni kapena mankhwala akulephera.

Njira zochizira Cushing's syndrome zimasiyanasiyana malinga ndi wodwala. Njira zomwe zingagwiritsidwe ntchito pochiza zimatsimikiziridwa poganizira zizindikiro za wodwalayo, zomwe zimayambitsa komanso thanzi labwino. Chifukwa chake, ndikofunikira kupanga dongosolo lamankhwala lokhazikika kwa wodwala aliyense.

• Mankhwala a Cushing's syndrome

Mankhwala omwe amagwiritsidwa ntchito pochiza Cushing's Syndrome amathandizira kuchepetsa zizindikiro za matendawa ndikuwongolera kuchuluka kwa cortisol. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi cortisone ndi corticosteroids. Mankhwalawa amatengedwa pakamwa ndikuthandizira kuchepetsa kapena kuletsa kupanga cortisol. Mankhwala ena omwe amagwiritsidwa ntchito pochiza ndi mankhwala omwe amayang'anira katulutsidwe ka cortisol kapena kuwongolera magwiridwe antchito a adrenal glands.

Komabe, pali zinthu zina zomwe muyenera kusamala mukamagwiritsa ntchito mankhwala a Cushing's syndrome. Kugwiritsa ntchito nthawi yayitali kungayambitse mavuto. Choncho, ndikofunika kumwa mankhwala pa mlingo wochepa ndikutsatira malangizo a dokotala. Kuphatikiza apo, zotsatira zoyipa monga kuchepa kwa mafupa, kuthamanga kwa magazi, ndi kunenepa zimatha kuchitika chifukwa cha mankhwala.

Mankhwala a Cushing syndrome amapangitsa moyo wa odwala pochepetsa zizindikiro. Komabe, kuwunika pafupipafupi kwa dokotala ndikuwunika kuchuluka kwa mankhwala ndikofunikira kwambiri panthawi ya chithandizo. 

Chithandizo cha Zitsamba za Cushing Syndrome

Zakudya zopatsa thanzi, zolimbitsa thupi, kuchepetsa nkhawa komanso kuwunika pafupipafupi kumafulumizitsa njira ya chithandizo cha matendawa. Njira zotsatirazi zothandizira zachilengedwe ndizothandiza kwambiri pakuwongolera zizindikiro ndikufulumizitsa chithandizo.

• Idyani anti-yotupa

Cortisol imathandizira dongosolo lamanjenje lachifundo ndikuchepetsa kutulutsa m'mimba. Nthawi zina zimakhala zovuta kugaya chakudya, kuyamwa bwino zakudya, ndi kupita kuchimbudzi moyenera.

Zakudya zopatsa thanzi komanso zachilengedwe zimathandiza kupewa zovuta ndikuchepetsa zizindikiro mwa kulinganiza mahomoni mwachilengedwe, kukonza chimbudzi, komanso kuchepetsa kutupa.

Kudya zakudya zomwe zili ndi calcium, vitamini D, vitamini K ndi magnesium ndizofunikira kuti mafupa akhale ndi thanzi labwino. Kuchepetsa kudya kwa zinthu zopangira, mbewu zosinthidwa, caffeine, mowa, shuga ndi sodium kumathandizanso. Pofuna kuthana ndi zotsatira za kuchuluka kwa cortisol, idyani zakudya izi:

• Mafuta abwino komanso omega 3 fatty acids
• Zakudya zokhala ndi mavitamini a B
• Zakudya zomwe zimapereka calcium, potaziyamu, ndi magnesium 
• zakudya zama protein ambiri

Zakudya zamapuloteni zimathandizira kuwongolera njala komanso kuthana ndi kutopa pomwe zimapereka ma amino acid ofunikira kuti ma neurotransmitter agwire bwino ntchito. 

• Kuchita masewera olimbitsa thupi kumathandiza kuti mahomoni azikhala bwino

Kuchita masewera olimbitsa thupi, kuchitidwa moyenera komanso mwaumoyo, ndi njira yabwino yochepetsera nkhawa, kuwongolera cortisol, ndikuwongolera kulemera. Phindu lina lochita masewera olimbitsa thupi ndi loti amachepetsa nkhawa, amachepetsa mavuto a kuthamanga kwa magazi komanso amateteza mtima.

• Pumulani mokwanira ndi kuchepetsa nkhawa

Kugona mokwanira n'kofunika kuti muwongolere cortisol ndi mahomoni ena. Kusowa tulo Zimasokoneza ntchito za mahomoni, zimakweza cortisol, kusintha chilakolako, ndipo zimayambitsa kutopa kosatha, kunenepa kwambiri, kukwiya, ndi zizindikiro zina.

Muzigona kwa maola asanu ndi awiri mpaka asanu ndi anayi usiku uliwonse kuti muthe kuthana ndi nkhawa komanso kukwera kwa cortisol.

• Yesani zitsamba za adaptogen

Zitsamba za Adaptogenic ndi zachilengedwe kwathunthu ndipo zimathandiza kuchepetsa cortisol, kumawonjezera mphamvu yolimbana ndi nkhawa. Ambiri amakhalanso ndi mikhalidwe yopatsa mphamvu, antioxidant zotsatira, antidepressant zotsatira ndipo mwachilengedwe amathandizira kuchepetsa kutopa, kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi.

Funsani dokotala musanagwiritse ntchito mankhwala azitsamba, makamaka ngati mukumwa mankhwala a Cushing's syndrome, koma nthawi zambiri zitsambazi zakhala zikugwiritsidwa ntchito mosatetezeka kwa zaka masauzande ambiri ndipo zimakhala ndi zotsatirapo zochepa kwambiri. Pali zitsamba zosachepera 16 zotsimikizika za adaptogenic zomwe zingathandize kuchepetsa cortisol:

• Aswaganda
• Astragalus
• Ginseng
• Mzu wa Licorice
• Bowa wamankhwala, kuphatikiza reishi ndi cordyceps
• Rhodiola

Mafuta ofunikira monga lavender, mure, lubani ndi bergamot amathandizanso polimbana ndi nkhawa. Izi zimatha kuchepetsa cortisol, kuchepetsa kutupa, kukonza chitetezo chokwanira, mahomoni oyenerera, kuthandizira kugona ndi chimbudzi.

Cushing Syndrome ndi Nutrition

Kwa anthu omwe ali ndi matenda a Cushing, kagayidwe kake kamakhudzidwa ndipo kunenepa kumawonedwa. Choncho, zakudya zimakhala zofunika polimbana ndi matendawa. Mfundo zina zomwe anthu omwe ali ndi matenda a Cushing ayenera kusamala nazo pazakudya ndi izi:

1. Sankhani zakudya zomwe zili ndi index yotsika ya glycemic: Anthu omwe ali ndi matenda a Cushing's syndrome ayenera kupewa kudya zakudya zomwe zili ndi index yayikulu ya glycemic kuti shuga wawo wamagazi azikhala bwino. Mkate woyera, zokhwasula-khwasula shuga ndi zakumwa za carbonated M'malo mwake, zakudya zambewu zonse, ndiwo zamasamba ndi zakudya zokhala ndi mapuloteni ambiri ziyenera kukondedwa.
2. Tsatirani zakudya zopatsa thanzi komanso zopanda mafuta: Kuchulukana kwamafuta ochulukirapo m'thupi kumatha kuwonedwa chifukwa cha Cushing's syndrome. Choncho, ndikofunika kupewa zakudya zomwe zili ndi mafuta odzaza ndikutsatira zakudya zoyenera. Mafuta athanzi monga mafuta a azitona atha kukhala abwino.
3. Chepetsani kumwa sodium: Sodium retention (hypersensitivity to salt) ndizovuta kwambiri kwa anthu omwe ali ndi matenda a Cushing. Choncho, kuletsa kumwa mchere kumathandiza kupewa mavuto monga edema ndi kuthamanga kwa magazi. Kukhala kutali ndi zakudya zomwe zakonzedwa komanso zopangidwa kale ndi gawo lofunikira pochepetsa kumwa mchere.
4. Idyani zakudya zokhala ndi protein yambiri: Mapuloteni ndi michere yofunika kwambiri pakusunga minofu ndikuthandizira kuchira. Kwa anthu omwe ali ndi matenda a Cushing's syndrome, ndikofunikira kupeza zomanga thupi zokwanira chifukwa chiopsezo cha kuwonongeka kwa minofu chimawonjezeka. Mapuloteni ochokera ku nyama ndi zomera ayenera kumwedwa moyenera.
5. Samalani pakugwiritsa ntchito madzi: Kuchuluka kwa madzi m'thupi kumatha kusokonekera chifukwa cha Cushing's syndrome. Choncho, nkofunika kuonjezera kumwa madzi tsiku ndi tsiku ndikukwaniritsa zosowa za thupi. Muyenera kupewa zakumwa zoledzeretsa ndi shuga ndikuyika patsogolo kumwa madzi.

Kodi Pali Kusiyana Kotani Pakati pa Matenda a Cushing ndi Syndrome?

Ngakhale kuti nthawi zina amagwiritsidwa ntchito mofanana, pali kusiyana kwina pakati pa matenda a Cushing ndi syndrome. Ngakhale kuti matenda a Cushing amayamba ndi chotupa china chake chomwe chimachulukitsa kupanga cortisol, Cushing's syndrome imatanthawuza kufalikira komwe milingo ya cortisol imakhala yokwera ndipo chifukwa chenicheni sichingadziwike. Zinthu zonsezi zingayambitse matenda aakulu ndipo zimafuna chithandizo. Ndi matenda ndi chithandizo choyenera, odwala amatha kuwongolera zizindikiro ndikusintha moyo wawo.

Kodi Cushing Syndrome ndi Genetic?

Cushing syndrome imatha kuchitika chifukwa cha zinthu zosiyanasiyana. Nthaŵi zina, zifukwa za majini zimaganiziridwanso kuti zimathandizira kukula kwa matenda a Cushing.

Sizolondola kunena kuti Cushing syndrome ndi matenda obadwa nawo. Komabe, nthawi zina, matendawa amatha kuchitika chifukwa cha majini. Mwachitsanzo, matenda a Cushing amapezeka kawirikawiri m'mabanja ena ndipo angagwirizane ndi chibadwa cha makolo. Pamenepa, majini oyambitsa matenda amaperekedwa kwa mbadwo wotsatira mwa cholowa.

Kodi Cushing Syndrome ingachiritsidwe?

Cushing Syndrome imatha kusintha. Komabe, njira yochira imasiyanasiyana malinga ndi momwe wodwalayo alili komanso momwe angayankhire chithandizo. Chifukwa chake, ndikofunikira kuti wodwala aliyense yemwe wapezeka ndi Cushing's syndrome awonane ndi endocrinologist yemwe amawunika momwe alili ndikusankha njira yoyenera yamankhwala.

Kodi Cushing's Syndrome Ingayambitse Chiyani Ngati Siyikuthandizidwa?

Anthu omwe ali ndi Cushing's syndrome akhoza kukumana ndi zotsatirazi ngati salandira chithandizo:

• kuwonongeka kwa mafupa
• mafupa othyoka
• Kutayika kwa minofu ndi kufooka
• Matenda oopsa
• mtundu 2 shuga
• Matenda
• Kuwonjezeka kwa pituitary chotupa
• Mwala wa impso 

Cushing's syndrome chifukwa cha zotupa za pituitary zimatha kusokoneza kupanga kwa mahomoni ena. Mukangoyamba kulandira chithandizo, zotsatira zake zimakhala zabwino. Zitha kutenga nthawi kuti zizindikiro zisinthe. Ndicho chifukwa chake muyenera kumaliza chithandizo popanda kusokoneza.

Matenda a Cushing Syndrome

Cushing syndrome ingayambitsenso zovuta zingapo. Zovutazi ndizo zomwe zimapangitsa kuti matendawa akhale ovuta komanso amachepetsa moyo. Zovuta zoyambira ndizo:

1. Matenda a shuga: Cushing's syndrome ingayambitse matenda a shuga chifukwa imasokoneza luso la kuwongolera kuchuluka kwa shuga m'magazi. kukana insulini zikhoza kuwonjezeka ndipo kuwonjezeka kwakukulu kwa shuga m'magazi kungachitike.
2. Osteoporosis: Miyezo yambiri ya cortisol imachepetsa kuchulukira kwa mafupa ndikuwonjezera chiopsezo cha osteoporosis. Izi zingapangitse mafupa kukhala ophwanyika komanso kusweka mosavuta.
3. Kutaya minofu: Chifukwa cha mmene cortisol imakhudzira minofu, Cushing's syndrome imatha kuwononga minofu. Mphamvu za minofu zimatha kuchepa ndipo zimatha kukhala zovuta kuchita ntchito za tsiku ndi tsiku.
4. Kukhumudwa ndi nkhawa: Cushing syndrome imatha kuyambitsa mavuto amalingaliro monga kupsinjika maganizo ndi nkhawa chifukwa cha kusalinganika kwa mahomoni. Odwala nthawi zambiri amakhala ndi kusinthasintha kwamalingaliro ndipo kusintha kwamalingaliro kumawonedwa.
5. Kusabereka: Hypercortisolism imathanso kukhala ndi zotsatira zoyipa pa chonde. Ngakhale kuti amayi akhoza kukhala ndi vuto la msambo ndi kuchepa kwa libido, umuna ukhoza kuchepa mwa amuna.

Chifukwa;

Cushing's syndrome ndi matenda omwe thupi limatulutsa kuchuluka kwa timadzi ta cortisol. Matendawa nthawi zambiri amayambitsa kuwonongeka kwa minofu ndi ziwalo zofewa ndipo zimayambitsa zizindikiro zosiyanasiyana. Cushing's syndrome ndi matenda ochiritsika, choncho aliyense amene ali ndi zizindikiro ayenera kuonana ndi dokotala. Kuzindikira msanga ndi chithandizo choyenera kumathandiza odwala kuti azisamalira bwino thanzi lawo komanso kukhala ndi moyo wabwino. 

Gwero: 1, 2, 3, 4, 5, 6, 7