Hypoadrenalism: Izimpawu kanye Ukwelashwa

Kuthiwa ama-hormone zinengxenye imisebenzi ngokuphelele zonke zomzimba. Lezi izinto ezithinta inkambo izinqubo umzimba, kuthinta ukukhula nokuthuthuka kwezicubu. isimo kakhulu eziyinkimbinkimbi kuyinto hypoadrenalism. Izimpawu, izimpawu zesifo kanye nokwelashwa yayo okuxoxwe ngazo kulesi sihloko.

Ingqikithi inkinga

hypofunction adrenal okuholela ukukhiqizwa kwama-hormone enganele, kuhileleke nezinye izinkinga okuyinto ukulawula imisebenzi amangqamuzana omzimba. Uma ukwephula zokukhiqiza lingabonakala njengoba abantu zomzimba kancane kancane ayeka ukuba umsebenzi ovame.

I adrenals zibhangqwe izitho. Kugcine obhekene ukukhiqiza ama-hormone amaqembu amaningana. Kwenzekani uma ungaphenduki ngokuvamile hormone adrenal? Hypofunction futhi hyperfunction we nezindlala adrenal kungaholela ukwehluleka noma ngokweqile cortisol, aldosterone, ucansi kwezidakamizwa igazi. Konke lokhu kuphakamisa thuthuva sina emzimbeni nge nemiphumela emibi izitho ezihlukahlukene futhi izinhlelo.

Hypoadrenalism: izinhlobo isifo

amafomu eziningana abahlukene lesi sifo. Izifo kungaba esingamahlalakhona noma oyingozi. Ngendlela okukhulu sifo umuntu ehlupheka ngezikhathi kusukela lonke mass izimo esindayo, okubizwa ngokuthi addisonicheskih ezihluzekile ngesikhathi sezinhlekelele. Umuntu kufanele ulwisane nezinto ukwehla umdlandla, ukwehluleka kwezitho zangaphakathi.

hypoadrenalism Okungalapheki ihlukaniswe ifomu nemayunivesithi. Ifomu yesibili yenzeka izilonda kwezicubu adrenal ngokwabo. Lo mkhuba ivame asebekhulile. Ifomu ephakeme lingaphansi ezivamile futhi kwakheka uma kukhona uketshezi enganele corticotropin i-hormone zobuchopho - hypothalamus, okuyinto ke abangele yoma kancane kancane nezindlala adrenal.

Hypofunction we- cortex adrenal: Izimpawu

Ukuze lesi sifo libhekene zimpawu ezilandelayo:

1. Shintsha umbala kwesikhumba umzimba ukuba umthunzi mnyama. izinkinga ukugxila ngoba kwakuzoba umuntu oyedwa zingase zihluke, esekelwe ubude kumiswa inqubo sokugembula, bese lwakha isifo. Okokuqala, singagqunqi kwesikhumba kuyabonakala ngokucacile ezindaweni ezivulekile zomzimba: izandla, entanyeni nobuso. Kwezinye izimo, amabala amhlophe akhiwa umzimba, eyaziwa ngokuthi "Une-vitiligo." On the izinsini, olimini, ezindebeni nezinye nolwelwesi lwamafinyila zingavela izindawo ensundu.
2. Lapho hypoadrenalism eba umuzwa ukukhathala jikelele futhi ngakhula buthakathaka kwezicubu. Kamuva eyayihambisana uphawu ukunciphisa isisindo emzimbeni.
3. Kunciphisa umfutho wegazi.
4. Disorders ukugaya. Hypofunction we- cortex adrenal kungabangela sohudo, ukuqunjelwa, ukuhlanza, neziqubu ezivamile ukucanuzela kwenhliziyo, ubuhlungu esiswini.
5. ukucasuka Nervous, ukucobeka, inkumbulo ukungakhuli, ukudideka, ukulahlekelwa okuhlushwa.

Izimbangela zesifo

Hypoadrenalism avame eba ku isizinda normal ngokuzenzakalela mzimba ukusabela komzimba, ngesikhathi owabhubhisa izicubu adrenal. Lokhu kuholela imbangela sifo cishe 98% of amacala. Nokho, ngo-1-2% of amacala hypofunction kubangelwa sofuba adrenal.

Ngu ukwakheka isifo futhi kungadala ufuzo ezimbi. isifo okunjalo zofuzo, ezifana adrenoleukodystrophy, kubangela ukukhubazeka ku enzyme ukuthi abahileleke ngokuqondile okunamafutha acid umzimba. Ngesikhathi zokugula wabonisa ka lezinceku fatty acid basuke bagxila ndaba ezimhlophe isimiso sezinzwa. Ngebanga lalokho, lokhu kuholela izinguquko ezinkulu dystrophic emzimbeni.

Yini enye kungadalwa hypoadrenalism? Tifo letibangwa esimiso senhliziyo nemithambo yegazi, izimila pituitary - konke okungaba kulethe ukugula.

ukuhlola

sitholakale kanjani hypoadrenalism? isifo Suspect kungaba abantu unesikhalazo elihambisana izimpawu eziyinhloko zesifo. Ukuze uqinisekise ezizathwini esidumazayo, isiguli uthunyelwa i ezingxoxo endocrinology. Ngaphezu kwalokho, ngokusekelwe imiphumela inhlolovo, udokotela angase ubheke isiguli ukulethwa assays ezilandelayo:

• ukuhlolwa igazi for elithwala umoya-mpilo;
• glycemia - ukwambulwa ekunciphiseni ushukela;
• Ukutadisha electrolyte e-plasma - ukuthola ukwephulwa potassium okuhlushwa;
• ukuhlaziywa kwama-hormone - cortisol uphethwe ukuncishiswa;
• isampula ekhethekile - Throne isampula, umthwalo amanzi, iphrofayela glycemic.

Ngaphezu cwaningo ngenhla, endocrinologists musa ukuvala amathuba izinqubo negative sokuhlasela kwamasosha omzimba, isifo sofuba, nakho ngokuvamile kuholela adrenal hypofunction. Ukuze ukuhlola isimo adrenal ngokwabo, odokotela bavame iphendukele tomography, ultrasound ukuhlola yezitho zangaphakathi.

ukwelashwa

Ukwelashwa adrenal ukuthuthukiswa hypofunction kuhilela ukuphila i-hormone yemvelo esikhundleni izidakamizwa abaphathi nge okuqukethwe corticosteroids. emabangeni kokuqala ukwelashwa ngokuvamile iqala kusukela ujova esigulini (emthanjeni noma esicutshini) hydrocortisone. ekwenteni ncono isimo sokungapheleli komuntu ngalesi sinyathelo isiqinisekiso nokwanela kwesifo kokuqala. Ngemva kwalokho, lapho isiguli uhlaliseke, zinyanga imithi enqunyiwe nge amaminerali kanye glyukokordikoidov okuqukethwe.

Uma iziguli hypoadrenalism kufanele ahlale edla ukudla okuqinile. Ukudla kusekelwe ukusetshenziswa amanani andayo alabo okunama-kilojoule amaningi ukudla. Ubopha kudla ecebile amaprotheni, ama-fatty acid, amavithamini. Inani sikasawoti umkhiqizo ukudla kumele singeqi 10 amagremu ngosuku.

Iziguli hypofunction we nezindlala adrenal, kubalulekile ukugwema okuthuthukisiwe umsebenzi ngokomzimba, futhi ezimweni ukucindezeleka, okungaholela uthuthumele zokuziphatha. Futhi-ke kumele sina nomkhawulo ngokwaso ukusetshenziswa amaphilisi elele kanye notshwala.

Phakathi ukwelashwa, iziguli kufanele bafeze imisebenzi okuhloswe ngazo kumthethonqubo esisindo. Abantu ne hypoadrenalism Kunconywa ukuba silondoloze ezingeni potassium serum igazi. Kuyadingeka ukuthi ngezikhathi ezithile ukuqapha blood pressure kanye ukuthatha imithi ukuthi usize ukunakekela ezingeni layo esitebeleni.

Isibikezelo at hypoadrenalism

Nge ukuthola esifike izinkinga, okuyikona kanye nokuqaliswa efanele ekwelashweni kwama-hormone, abantu abaningi baye baphawula Yiqiniso evumayo lesi sifo, ngaphandle nemiphumela emibi emibi umzimba. Izibikezelo kulokhu kunqunywa impumelelo ekuqedeni zinhlekelele okuthiwa.

Endabeni co-ukutheleleka ngesifo esithile, imisebenzi kuhlinzwa, ukulimala siqu, elivela kuzo izinkinga zesisu ezidinga ukwanda ngokushesha emalungiselelweni umthamo equkethe hormone udokotela esimisiwe.

Ekuphetheni

Hypoadrenalism wenza sibi kakhulu, isifo ngempela ezingalindelekile, kungakhathaliseki ijubane nobunjalo izinqubo sokugembula emzimbeni. Ukuze ithemba labo bonke abantu lokhu kwakuyoba nomphumela omuhle yokuphathwa, kubalulekile ukukhomba kusengaphambili izimpawu, ukuxilongwa qualitative, kanye ukukhetha imithi efanele. Uma konke kwenziwa ngesikhathi, ungakhetha inketho yokwelapha kuzovumela umuntu ukuba siphile ukuphila ngokuphelele evamile futhi ujabulele usuku ngalunye lube.