Saameyntani Sidee Steroidsku u Dhici kartaa Isticmaalka Muddada-dheer
Xanuun dhaco marka uu jirku ku dhaco cortisol aad u badan. Cortisol waa hormoon uu soo saaro jirka waxaana sidoo kale laga helaa daawooyinka corticosteroid. Cushing's syndrome ayaa ku dhici karta sababtoo ah cortisol waxaa ka buuxa jirka ama isticmaalka daroogooyinka leh cortisol (sida prednisone). Marka Cushing's syndrome uu keeno isticmaalka muddada dheer ee daawooyinka korticosteroid, waxaa sidoo kale loo yaqaan 'hypercortisolism'.
Waxaa jiri kara sababo kale oo Cushing's syndrome ah, sida buro. Cushing's syndrome waxaa loo arkaa mid naadir ah.
Guud ahaan, dhakhtarradu waxay ka shaqeynayaan sidii loo ogaan lahaa bukaanka looga saaro daawooyinka steroid sida prednisone sida ugu dhakhsaha badan. Marka la daaweynayo cudurka mindhicirka bararka (IBD), ujeedadu waa in bukaanka loo soo gudbiyo xanuunka (yaraynta caabuqa iyo astaamaha) iyada oo aan lahayn steroids ama isticmaalka xadidan ee steroids. Tani waa sababta oo ah steroids, ayadoo aad waxtar u leh, waxay yeelan kartaa saameyn qotodheer oo muddo dheer soconaya jirka, oo ay ku jiraan horumarinta Cushing's syndrome. Si kastaba ha noqotee, isticmaalka qunyar-socodka ah ee steroids waxaa laga yaabaa in lagu xaqiijiyo mararka qaarkood: waa xulasho daaweyn oo si taxadar leh looga wada hadli karo. Haddii aad qabto su'aalo ku saabsan isticmaalka steroids iyo halista suurtagalka ah ee faa'iidooyinka kiiskaaga gaarka ah, la hadal dhaqtarkaaga gastroenteritis .
Maxaa keena Cushing's Syndrome?
Cortisol waa walax si dabiici ah u soo saaray jirka, gaar ahaan xilliyada walaaca.
Cortisol wuxuu leeyahay shaqooyin dhowr ah, oo ay ku jiraan qawaaniinta caabuqa iyo xakamaynta sida jidhku u isticmaalo karbohidratka, dufanka, iyo borotiinka. Corticosteroids sida prednisone, oo inta badan loo isticmaalo daaweynta xaaladaha xanuunka sida Crohn's disease and colitis ulcerative, waxay la jaanqaadaan saameynta cortisol.
Waa Maxay Calaamadaha iyo Calaamadaha Cushing's Syndrome?
Calaamadaha iyo astaamaha Cushing's syndrome waxaa ka mid ah:
- walaac
- niyadjab
- heerarka gulukoosta ee sareeya
- haraad xad dhaaf ah
- daal
- dufka dufanka u dhexeeya garbaha
- kaadida joogtada ah
- cadaadiska dhiigga sareeya
- murqaha daciifka
- wejiga wareegsan
- calaamadee calaamadaha caloosha, gacmaha, naasaha, barida, iyo bowdaha (oo loo yaqaan 'striae')
- korodhka miisaanka ee jirka sare
Waxaa jiri kara calaamado iyo astaamo xaaladdan aan kor ku soo sheegin. Haddii aad ka walwal qabto inaad leedahay dhowr calaamadaha Cushing's syndrome, la hadal dhakhtarkaaga.
Sidee Cushing Cudurka loo Qabo?
Sida Cushing's syndrome loola dhaqmo iyadoo la yareeyo heerarka cortisol ee jirka. Xaaladda astaamaha hoosta ka ah, sida cirridka qanjidhka cirridka ama qanjirka 'adrenal disease', ayaa loo baahan yahay daaweyn gaar ah. Xaaladda Cushing's syndrom-sababo, qiyaasta corticosteroids ayaa laga yaabaa inay u baahan tahay in la xakameeyo oo laga yaabo in la joojiyo. Aad ayey muhiim u tahay in si tartiib tartiib ah loo yareeyo xaddiga corticosteroid ee la qaaday toddobaadyada ama xitaa bilood. Joojinta daawada si lama filaan ah waxay u yeelan kartaa saameyn halis ah jirka.
Haddii steroids aan la joojin karin, ama haddii ay qaadanayso waqti dheer si ay u joojiso, daawooyinka kale waxaa laga yaabaa in la siiyo si loo maareeyo qaar ka mid ah calaamadaha iyo astaamaha Cushing's syndrome.
Qaar ka mid ah qaybaha cilladkan oo laga yaabo in ay u baahdaan daaweyn daawooyinka kale iyo isbedelka cuntada ayaa waxaa ka mid ah sonkorta dhiigga oo saraysa iyo kolestaroolka sare. Yareynta halista jabka ee daawooyinka loo isticmaalo daaweynta lafdhabarta ayaa sidoo kale lagama maarmaan ah. Marka ay jirto xaalad niyadjab ama walaac, u gudbinta takhasusaha caafimaadka maskaxda ee daaweynta ayaa sidoo kale noqon karta mid waxtarka leh.
Bukaanku sidoo kale waxay qaadi karaan tallaabooyin guriga ah si loo daaweeyo saameynta Cushing's syndrome. Kormeerka cuntada si taxadar leh si looga fogaado miisaanka koritaanka iyo heerarka sonkorta dhiigga oo sarreeya, helitaanka jimicsi dhakhtareed oo joogto ah, iyo sameynta tallaabooyinka iscaawinta si loola joojiyo walaaca ayaa dhammaantood caawin kara.
Khadadka hoose
Cushing's syndrome waa halis ah in la qaato daawooyinka steroid, laakiin waa dhif. Cushing's syndrome waxaa lagu daaweyn karaa iyadoo la yareeynayo qadarka steroids la qaado, iyo iyadoo la daaweynayo qaar ka mid ah calaamadaha iyo astaamaha. Hadafku waa marwalba inuu bukaanjiifku ka saaro steroids sida ugu dhakhsaha badan iyo sida ugu badbaado badan.
Waxa kale oo la yaqaanaa: hypercortisolism
Xigasho:
Machadyada Qaranka ee Caafimaadka. "Cushing's Syndrome." Machadka Qaranka ee Sonkorowga iyo Cudurrada Dhiigga iyo Kelyaha (NIDDK). Apr 2012.
Sharma ST, Nieman LK. "Cushing's syndrome: dhammaan noocyada, ogaanshaha, iyo daaweynta." Endocrinol Metab Clin North Am. 2011 Jun; 40: 379-391, viii-ix.