Matenda Cushing a - matenda ndi pituitary hyperfunction

Cushing Nthenda kapena Cushing a - matenda amene amayamba ndi kuphwanya ubongo imene imalamulira kutentha, pituitary ndi zopangitsa adrenal ndi kukula zotupa zovuta. Matendawa anafotokozedwa koyamba H. Cushing mu 1924, ndipo mu 1932 Cushing zogwirizana chitukuko ndi pituitary adenoma.

The zimayambitsa matenda Cushing ndi adenoma basophilic wa pituitary zapambuyo Lobe kapena kuwonjezera chiwerengero cha maselo basophilic pituitary. kusintha chingachitike n'chiyani ubongo zoopsa ndi kupwetekedwa maganizo, encephalitis, matenda endocrine.

Chifukwa cha matenda - hyperproduction wa pituitary adrenocorticotrophic timadzi, zomwe zimabweretsa kuwonjezeka mu kaphatikizidwe tochepa ndi zopangitsa kwa adrenal.

matenda Cushing a - matenda chithunzi

Matendawa akufotokozera pang'onopang'ono. Odwala amadandaula kufooka ambiri, kugona, mphwayi, mwapang'onopang'ono kunenepa. Kunenepa amakhudza makamaka theka chapamwamba za thupi. Chifukwa, odwala anapanga mwezi nkhope, mapewa zonse, m'chiuno, ndi yakusatetezeka woonda, mkono wonse wakumanja atrophic ndi shins. Pali dryness ndi khungu kwa khungu, thupi tsitsi pa chitsanzo mwamuna akazi, imfa ndi munthawi yomweyo tsitsi pa mutu, ndi feminization a anthu. Pa khungu la pamimba, mapewa, chifuwa kuoneka dystrophic mikwingwirima yambiri ya ofiirira mtundu. M'kupita kwa nthawi, osauka minofu ya manja miyendo, yafupika mphamvu zawo. Akutukuka matenda oopsa ndi matenda aimpso, zosokonezeka oziziritsa ndi atherosclerosis.

matenda Cushing Adzapeza kuphwanya kagayidwe mchere chifukwa cha zomwe ndi chitukuko cha kufooka kwa mafupa. Chifukwa kufooka kwa mafupa ndi osamukira ndi wothinikizidwa mizu mitsempha, pali anapwetekedwa mu malekezero, msana, anayamba kupindika msana thoracic ndi mapangidwe kyphosis, pathological fractures. kashiamu ndi mafuta mu ukuwonjezeka magazi. Imathetsa mayamwidwe a shuga, chifukwa kukhala shuga. Kuchuluka chizolowezi azitha magazi, bwino kuchiritsa mabala. Odwala amadandaula kukanika kugonana, utachepa libido ndi potency, kuoneka matenda kusamba. N'zotheka neuroses, maganizo, hypochondria, maganizo.

Mtima akufotokozera hypertrophy ya kumanzere yamitsempha yamagazi tachycardia, zilonda sekondale oopsa. Pamene kafukufuku impso awulule proteinuria, utachepa mlingo glomerular kusefera ndi aimpso magazi. Mwina chitukuko cha aimpso amamuyambitsa timabala chofunika ntchito ya ziwalo zimenezi. Odwala ena ndi miyala impso ndi wapezeka.

matenda a matenda

matenda Cushing a amawapeza atanyamula chigaza x-ray ndi kuphunzira mmene sella, yopangidwa tomography a Chigaza, ndi zopangitsa adrenal, maphunziro mtima - angiography. mayesero Laboratory kudziwa mlingo wa wa timadzi tochepa mu magazi ndi kuchuluka kwa corticosteroid mu mkodzo.

matenda Cushing a - Chithandizo

Posankha chithandizo kwakukulukulu zimadalira chifukwa cha matenda ndi zovuta mawonetseredwe matenda a matenda.

Mu magawo oyambirira Kwalamulidwa mankhwala mankhwala kuchepetsa katulutsidwe wa timadzi adrenocorticotropic ndi corticosteroids. Ntchito ngati mankhwala antihypertensive, symptomatic mankhwala. Njira ya mankhwala amatenga miyezi itatu. Ngati palibe tingati mitundu choopsa cha matenda, mankhwala osakaniza mankhwala ongokhala mankhwala cheza ndi opaleshoni (kuchotsa pituitary kapena adrenalectomy).