Mate o Cushing - he mate ki te rapae o hyperfunction

a Cushing mate Cushing o ranei - he mate meinga nei e te takahi o te hypothalamus, rapae o me repe adrenal ki te whanaketanga o pāpaka matatini. Ko te mate i whakaahuatia tuatahi e H. Cushing i 1924, a i roto i 1932 hono Cushing tona whanaketanga ki rapae o adenoma.

Ko te take o te mate o Cushing ko te adenoma basophilic o te taupa rapae o mārōrō te whakanui ake i te maha o ngā pūtau rapae o basophilic ranei. kia hua ēnei huringa i te roro ngaukino, me te whētuki hinengaro, encephalitis, disorders endocrine.

Ko te pūtake o te mate - hyperproduction o rapae o taiaki adrenocorticotrophic, e ai he hua i roto i te kōtuitui o cortisol i te repe adrenal.

mate o Cushing - pikitia haumanu

whakawhanake āta te mate. Tūroro amuamu o ngoikore whānui, te momoe, tau'a, te mōmona ahu whakamua. pānga te nuinga mōmona te hawhe o runga o te tinana. Ka rite ki te hua, i hanga tūroro mata marama, pokohiwi tonu, hope, me te tä kikokore, ata horoia atrophic me shins. He he maroke me te etahi tihorenga o te kiri, te huruhuru tinana i runga i te tauira toa i roto i nga wahine, ki te mate tukutahi o makawe ki runga ki te matenga, te feminization o te tangata. I runga i te kiri o te puku, pokohiwi, puta uma whānui whiu dystrophic o te tae whero-papura. Neke atu i te wa, te whakawhanake uaua atrophy wahi, heke ratou kaha. Whakawhanake takawhita ki mate tākihi, pōauautanga kaka me te atherosclerosis.

arata'i te mate o Cushing ki te takahi o te kohuke ka pākia e, te hua o nei ko te whanaketanga o te osteoporosis. Nā ki e ngā osteoporosis me pakiaka karere kōpeke, i reira he mamae kaha i roto i te topito, tuarā, whakawhanakehia te curvature o te tuarā rei ki te hanganga o te kyphosis, piere pathological. konupūmā me te cholesterol i roto i nga piki toto. Aukati te absorption o te kūhuka i, hua i roto i te whakawhanake mate huka. hinaaro Nui ake ki te whakawhanake i toto, hei painga whakaora patunga. Tūroro amuamu o pōrearea fakasekisualé, heke libido me te mananga, puta disorders paheketanga. neuroses pea, korekore, hypochondria, āhotea.

O te ngakau whakawhanake hypertrophy o te maui tachycardia ventricular, mārere takawhita tuarua. A, no te whakakitea ako tākihi proteinuria, heke auau filtration glomerular me rere te toto tākihi. Pea te whanaketanga o te scarring tākihi mahi paunga o enei whekau. E kitea ētahi tūroro ki te kohatu tākihi.

tātaritanga o te mate

Kei te pāngia mate o Cushing e pupuri ana i te angaanga x-ray ki te ako pānga o Tira, tomography computed o te angaanga, me nga repe adrenal, rangahau iaia - angiography. whakamātautau Laboratory whakatau i te taumata o te cortisol taiki i roto i te toto me te nui o te corticosteroid i te mimi.

mate o Cushing - Treatment

Te tohu i te maimoatanga nuinga tei runga i te take o te mate, me te pakeke o te mau faaiteraa haumanu o te mate.

I roto i te tīmatanga o nga wāhanga whakaritea taero rongoā e whakaiti i te secretion o taiaki adrenocorticotropic me corticosteroids. Whakamahia rite taero antihypertensive, therapy symptomatic. Ko te akoranga o te maimoatanga hauora pumau ki runga ki te waru marama. Ki te kahore he pānga, ngā momo nui o te mate, whakahau huinga therapy arā, o radiation therapy me pokanga (tango o te rapae o adrenalectomy ranei).