Hypoadrenalism: Zviratidzo neMarapirwo

Makemikari munyaya mabasa zvachose muviri zvose hurongwa. Izvi zvinhu sei mararamiro metabolic urongwa, zvinokanganisa kukura munyama. Zvikuru kuoma mamiriro ndiyo hypoadrenalism. Zviratidzo, nezviratidzo chirwere chacho kurapwa riri munyaya ino.

Musimboti dambudziko

adrenal hypofunction zvichikonzera kukwana kemikari kugadzirwa, izvo zvinobatanidzwa yokudzora mashandiro anoita masero omuviri. Kana kutyora okuwana wavo anogona kuonekwa sezvo muviri womunhu zvomukati zvishoma nezvishoma kurega basa zvakanaka.

The adrenals vari aiwanzopiwa wokushanda nhengo. Last nebasa kugadzira mahormone mapoka akawanda. Chii chinoitika kana musingakangamwiri kazhinji adrenal mahormone? Hypofunction uye hyperfunction pamusoro adrenal mumasero kunogona kukundikana kana nekumwisa cortisol, aldosterone, bonde steroids muropa. izvi zvose anopa kukonzera zvakakomba vachivavhiringidza mumuviri nezvinhu zvakaipa nokuda siyana nadzo uye hurongwa.

Hypoadrenalism: siyana chirwere

Several vakasiyana siyana chirwere. Chirwere chinogona kuva chirwere kana chakasimba. Mugore chenjera chimiro chirwere munhu anotambura nguva nenguva kubva mukanyiwa yose inorema ezvinhu, vanonzi addisonicheskih nematambudziko. Munhu ane nharo vasanyanye simba, kukundikana ari zvomukati.

Chirwere hypoadrenalism rakakamurwa yechipiri uye tertiary chimiro. The yechipiri chimiro ikabuda maronda ari adrenal munyama pachavo. Chiitiko kazhinji kunokanganisa vakwegura. The tertiary muchimiro ishoma uye aumbwa kana paine kukwana secretion pakati corticotropin kemikari uropi - the hypothalamus, iyo zvino kunokonzera zvishoma nezvishoma atrophy pamusoro adrenal mumasero.

Hypofunction of adrenal cortex: Zviratidzo

Nokuti chirwere kunoratidzwa anotevera zviratidzo:

1. Kushandura ruvara muviri ganda kuti zvasviba mumvuri. Kuchinyanya zvinetso imwe munhu angava akasiyana, kunobva ya paumbwe pathological muitiro, uye anoumba chirwere. Chokutanga, achiipa ganda inova pachena zvinoonekwa pakachena nzvimbo muviri: maoko, mutsipa uye chiso. Mune zvimwe zviitiko, nzvimbo chena zviri akaumba mumuviri, rinozivikanwa "Vitiligo". On the matadza, rurimi, miromo, dzimwe mucous membranes kuonekwe shava makwapa.
2. Kana hypoadrenalism anovandudza kunzwa vakawanda kuneta uye kwakawedzera tsandanyama simba. Gare gare vaisanganisa ne chiratidzo zvinoderedza uremu muviri.
3. Kunoderedza BP.
4. Zvirwere ari kugaya. Hypofunction of adrenal cortex kunogona kukonzera manyoka, kupatira, kurutsa, kugara tichibatwa kuda kurutsa, kurwadziwa mudumbu.
5. Huta kushatirwa, lethargy, ndangariro vanotaura, kuvhiringidzika, kurasikirwa yevasungwa.

Zvinokonzera chirwere

Hypoadrenalism kazhinji anova pamusoro pakanyorwa zvemamiriro car-zvirwere chinja muviri, umo akaparadza adrenal tishu. Izvi zvinotisvitsa mhaka chirwere munenge 98% nyaya. Zvisinei, muna 1-2% kuti zviitiko hypofunction kunokonzerwa adrenal tibhii.

By paumbwe chirwere kunogonawo kukonzera nhodzera akaipa. chirwere kuvabereki kwakadaro, akadai adrenoleukodystrophy, anoita zvikanganiso zviri makemikari kuti dzinoshanda mafuta asidhi muviri. Panguva akaratidza zvokurwara pakati enhaka mafuta acids vari pfungwa iri chena nyaya tsinga. Uyewo, izvi zvinotungamirira dzakakomba dystrophic kuchinja mumuviri.

Chiizve zvinogona kukonzerwa hypoadrenalism? Zvirwere kumwoyo, mapundu ose pituitary - zvose izvo zvinogona anowedzera urwere.

Diagnostics

Sei chirwere hypoadrenalism? Fungira chirwere unogona kuva vanhu vane chichemo chaienzanirana huru zviratidzo chirwere. Kuziva mwoyo zvekungofungira, murwere akatuma kubvunzana kuti endocrinologist. Uyezve, inobva kuongorora zvabuda, chiremba anogona kureva murwere kuti hurukuro inotevera assays:

• kuongororwa ropa kuti Chizenga;
• glycemia - achiratidza achidzikisa shuga;
• Kudzidza electrolytes mu plasma - kuonekwa kuti kutyorwa potassium wevasungwa;
• kuongorora mahormone - cortisol kuongorora chirwere rutapudzo;
• chinokosha yokuenzanisira - mharidzo Chigaro, mutoro mvura, glycemic profile.

Kuwedzera pamusoro apa Analyses, endocrinologists regai kudzivirira kubata kunaka autoimmune urongwa, tibhii, idzo kazhinji kunotungamirira adrenal hypofunction. Kuongorora mamiriro adrenal pachavo, vanachiremba kakawanda unodzokera tomography, Ultrasound Diagnostics kuti nhengo dzomukati.

mabatiro

Zvipatara nokuti adrenal hypofunction kukura kunosanganisira upenyu zvakasikwa kemikari yokutsiva zvinodhaka rokutarisira aine zviri corticosteroids. mu kwokutanga nzendo kurapwa Kazhinji rinotanga kubva Kubayiwawo jekiseni kupinda murwere (intravenous kana intramuscular) hydrocortisone. Rinokosha nani evanhu panguva danho iri nokusimbisa adequacy ari kutanga nechirwere. Zvadaro, kana murwere akagadzikana, wokupedzisira ndishandise mishonga pamwe chicherwa uye glyukokordikoidov kugutsikana.

Kana hypoadrenalism varwere kuomerera vaitofanira kudya. Zvokudya kunobva pakushandisa vawedzere uwandu mukuru-mafuta chikafu. Ndichisunga vari zvokudya akapfuma mapuroteni, mafuta acids, mavhitaminzi. Kuwanda munyu zvokudya chigadzirwa haafaniri kupfuudza 10 magiramu pazuva.

Varwere vanenge hypofunction pamusoro adrenal omumuviri, zvakakodzera kunzvenga kunowedzera kurovedza muviri, uye kushushikana ezvinhu, izvo zvinogona kuita kuti tsika ukapisa murwi. Uyewo yazvinofanira zvakakomba kutadzisa pacharo kushandisa akarara mapiritsi uye doro.

Panguva kurapwa, varwere vanofanira tiite mabasa zvainanga murau kurema muviri. Vanhu vane hypoadrenalism yakarumbidza kuramba padanho potassium muropa serum. Zvinokoshawo kuti nguva nenguva akuteerere BP uye kutora mishonga kuti vabatsire kuramba yacho yakagadzikana chechetere.

Kushurudzira pa hypoadrenalism

With nenguva kuonekwa matambudziko, akarurama chirwere uye kwakarurama Implementation pamusoro hormone kurapa, vanhu vakawanda vakaona zvakanaka weboka chirwere, pasina chinokosha zvakaipa nokuda muviri. Fungidziro iyi nyaya iri pakutsvaga kubudirira kubvisa vanonzi nematambudziko.

Kana co-chirwere chirwere, kuvhiya kushandiswa, pachake kukuvara, panowanikwa gastrointestinal zvirwere rinoda kukurumidza kuwedzera dose kugadzirira ane mahormone yakatarwa chiremba.

In mhedziso

Hypoadrenalism anoita zvikuru, zvikuru nezvimwewo zvirwere, pasinei nokukurumidza uye hunhu pathological pezvakaitwa mumuviri. Kuti tariro yakanaka mugumisiro kurapwa, zvakakosha kuziva pachine zviratidzo, munhu Qualitative nechirwere, uyewo kuti kusarudza mishonga yakakodzera. Kana zvose zvinoitwa nguva, unogona kusarudza marapirwo sarudzo kuti achabvumira munhu kurarama zvakakwana kwomuzvarirwo upenyu uye vanakidzwe roga zuva.