Steroid cheshuga: zvinokonzera, zviratidzo, kurapwa

Steroid cheshuga - ichi chirwere zvikuru chakakomba, inova rudzi cheshuga. mamwe zita rayo - dzisiri jekiseni kubatsirwa cheshuga wokutanga mhando. Chirwere kunoda ukama chakakomba murwere. Izvi mhando zveshuga kunogona kuitika pamusoro yaitwa kushandisa kwenguva yakareba zvimwe kugadzirira hormone, saka chinonzi shuga zvinodhaka.

Ndiani sei chirwere?

Steroid cheshuga mumwe zvirwere avo vane vnepankreaticheskim hunhu. Kureva, hazvina chokuita nezvinetso mubasa rwatata. Varwere vari kuchengetwa kusagadzikana carbohydrate muviri, asi iyo yaishandiswa glucocorticoids (mahormone neve adrenal mumasero) kwenguva refu, unogona kuva steroid cheshuga, inova munyoro.

Zvinoratidza chirwere inonyangarika pashure munhu akarega kutora kemikari zvinodhaka. Makumi matanhatu muzana varwere nechirwere ichi pakati rechipiri mhando chirwere cheshuga kunotungamirira kuti varwere vanofanira kuenda jekiseni kurapwa. Uyezve, zvinodhaka chirwere cheshuga vanogona kuva ave kuomesa zvirwere umo munhu kunosimudzirwa kugadzirwa adrenal mahormone, semuenzaniso, hypercortisolism.

Ndezvipi zvinodhaka kungamutsawo chirwere cheshuga zvinodhaka?

Chikonzero steroid chirwere cheshuga vanogona kuva kushandisa glucocorticoid mishonga, anosanganisira "Dexamethasone", "Prednisolone" uye "Hydrocortisone" kwenguva refu. mishonga ava Anti-anogumbura yomuchipatara kuti abatsire mushonga asima, dzinonzi rheumatoid arthritis, uyewo vamwe autoimmune zvirwere, izvo zvinosanganisira pemphigus, lupus erythematosus, uye eczema. Uyewo, mishonga iyi inoshandiswa kurapa chakakura chetsinga zvirwere zvakadai nemultiple sclerosis.

Uyezve, chirwere cheshuga zvinodhaka kunogona kuitika nokuda kushandiswa kwemakemikari omuviri yokuronga mapiritsi, uyewo vamwe thiazide diuretics, vari diuretics. zvinodhaka izvi zvinosanganisira "Dihlotiazid", "Hypothiazid", "Nefriks", "Navidreks".

Zvimwe zvinokonzera chirwere

Steroid chirwere cheshuga vanogona kuitika muvanhu uye pashure itsvo kuisirwa. Anti-anogumbura kurapa pashure nhengo transplantation zvinoda kushandisa corticosteroids huru mishonga kwenguva refu, saka varwere kunwa zvinodhaka hwose kudzvinyirira kutapata. Zvisinei, steroid chirwere cheshuga hariwaniki varwere vose vakambova akadaro akaoma zvomusejari, asi mukana kwakakwirira zvikuru nokuda negashiro mahormone kupfuura vairapwa vamwe zvirwere.

Kana munhu kwenguva refu nguva akashandisa steroids akava zviratidzo cheshuga, zvinoratidza kuti murwere ari pangozi. Kuti tidzivise steroid cheshuga, vakafutisa vanhu vanofanira kuderedza uremu uye kuchinja mararamiro avo, nguva dzose tichiita chiedza muviri. Kana kana munhu vafanorongerwa kuti chirwere, riri zvaisambobvumirwa kutora mahormone yakavakirwa ake vawana.

The specificity chirwere

Somushonga mellitus kunoratidzwa ndechokuti Chine zvose mhando cheshuga zviratidzo. Pakutanga corticosteroids chirwere vakawanda vanotanga kukuvadza Beta masero, izvo riri rwatata. Zviratidzo kwakadaro anowanzoramba kuti DM 1. Zvisinei, jekiseni iri Beta mumasero anorambira vrabatyvatsya. Papera kanguva, jekiseni pamwero kunotanga kutapudzwa uye nyama kuva haanyanyi kemikari ichi. Zviratidzo izvi ndiwo runozivisa cheshuga 2. Nokufamba kwenguva, mukuru Beta masero vanotanga kuputsa. Somugumisiro, kugadzirwa jekiseni anomiswa. Saizvozvowo inoyerera uye zvakajairika jekiseni nemataundi chirwere cheshuga wokutanga mhando.

symptomatology

Zviratidzo steroid chirwere zvakafanana mune dzimwe nzira cheshuga. Man anotambura simba uye kuita weti kakawanda, nyota yake uye kunzwa kuneta anooneka nokukurumidza. Zviratidzo izvi kazhinji nyoro richiratidzwa varwere, saka ivo kashoma kuriteerera. Kusiyana mhando 1 varwere pasina akurumidze uremu. Kwete nguva dzose vanachiremba vanogona rokuongorora chirwere cheshuga zvinodhaka kunyange pashure nomuedzo ropa murwere. Soro sandara iri weti uye neropa shuga hariwanikwi chaizvo. Uyezve, acetone shoma mukufambisira kuongorora murwere kuitikawo mune zvisingawanzoitiki zviitiko.

How Akadzosa kana jekiseni ikabereka

Kana muviri womunhu rinomira kugadzirwa insulin yakakodzera, vanhu steroid chirwere cheshuga kwakafanana wokutanga mhando akatungamirira, kunyange ane zvinoitwa yechipiri (zvinyama insulin irambe). chirwere cheshuga iri kubatwa zvakaenzana CD 2. Chokwadi, zvose zvinoenderana chii vachivavhiringidza mumuviri murwere anotambura. Kana murwere ane dambudziko vakafutisa, asi anoramba insulin, anofanira kunamatira kudya uye kudya zvinodhaka shuga-achidzikisa, akadai "thiazolidinediones" kana "Glucophage".

Kana rwatata kwava kuipa inoshanda, Zvinokurudzirwa kuti baya jekiseni jekiseni, iyo inobatsira kuderedza mutoro pamusoro muviri. Kana Beta-masero vari haisati atrophied, shure kwechinguva rwatata basa ikadzoka dzose. Nokuti chete dambudziko, vanachiremba akarayira varwere uye shoma-carbohydrate zvokudya. Varwere vasina nematambudziko yokufutisa, vane zvokudya nhamba 9. vaya vanotambura kuzara, vanachiremba vanokurudzira kudya nhamba 8.

Features kurapwa kana jekiseni haina anogadzirwa

Steroid pakurapwa kwechirwere cheshuga kunoenderana jekiseni zvinoberekwa nerwatata kana kwete. Kana kemikari ichi hakuchisina anogadzirwa muviri murwere, izvozvo chinotarisirwa dziri majekiseni. Treatment kuti ubudirire, murwere unofanira kudzidza kupa majekiseni jekiseni. Kuwanda shuga muropa anofanira kugara kuongororwa. cheshuga zvinodhaka kurapwa ndiyo chete nzira sezvo ari akatungamirira 1. Asi akafa Beta masero vasingachakwanisi kudzorera.

Non-mureza ezvinhu

Pane zvimwe nomumwe zviitiko steroid pakurapwa kwechirwere cheshuga, somuenzaniso, asima zvakakomba kana pashure pokuvhiyiwa kuti renal transplantation. Muzviitiko zvakadaro, kemikari kurapa, kunyange murwere uye kutanga chirwere cheshuga. shuga yomuropa inofanira kuchengetedzwa maererano sei tsime rwatata inoshanda. Uyezve, nyanzvi kufungawo nehanya kuti munyama kuti jekiseni. Mumamiriro ezvinhu aya, varwere vanotumirwa anaboliticheskie mahormone, zvinova mamwe rutsigiro muviri, uyewo yokufudza kuitwa glucocorticoids.

zvinokonzera njodzi

Munhu ane imwe mari adrenal mahormone huwandu iyo dzinoshandurwa nomumwe zvakasiyana. Asi kwete vanhu vose vanotora glucocorticoids vari pangozi kuva nechirwere cheshuga zvinodhaka. Corticosteroids chokuita functionality pakati rwatata, kuderedza nezvaizoitwa jekiseni chiito. Kuti tirambe zvakajairika pfungwa kweshuga muropa, rwatata ane kutsungirira makuru zvinorema. Kana murwere akaratidza zviratidzo steroid cheshuga, zvinoreva kuti munyama havazodi nehanya jekiseni, uye simbi kwakaoma kukunda mabasa avo.

The pangozi yokuita nechirwere cheshuga zvinodhaka zvinowedzera kana munhu ane dambudziko yokufutisa, anoshandisa steroids pamatunhu mishonga kana kwenguva refu. Sezvo chirwere zviratidzo havasi pakarepo, vakwegura kana vaya kufuta, anofanira akadzitira kuti Isimba rakadini rinogona kubudiswa siyana cheshuga asati atanga kemikari kurapa seanotora zvimwe mishonga kungamutsawo kugadzira zvirwere.