Matenda a zopangitsa adrenal mu akazi: Zizindikiro ndi Chithandizo

Kachitidwe endocrine lakonzedwa kuti liyang'anire ndi malangizo ntchito ya chamoyo wonse. Khalidwe la chamoyo umadalira pa thanzi la munthu.

Ndi dongosolo endocrine ndi zopangitsa adrenal ali. matenda awo kungayambitse mavuto aakulu. Taonani nkhani, amene ali ndi zizindikiro za matenda adrenal. Chithandizo cha matenda a akazi ali peculiarities yake.

ntchito adrenal

Tisanafotokoze kuthana ndi pathologies wa zopangitsa izi, m'pofunika kupeza chomwe udindo wawo thupi. Iwo wophatikizidwa limba, limene lili kuseri kwa impso mu pamimba. Mu dongosolo lawo nyumba ziwiri anasiyanitsidwa: ndi medulla ndi kotekisi. Mu anthu, zopangitsa adrenal ntchito zingapo zofunika:

1. Kotekisi synthesizes mahomoni corticosterone ndi tochepa.
2. Pano, kotekisi adrenal, kaphatikizidwe mahomoni kugonana. Iwo mwachindunji zimakhudza mapangidwe a makhalidwe sekondale kugonana. Ngati akazi pali kwambiri mapangidwe mahomoni awa, n'zotheka kusunga maonekedwe zizindikiro zimene khalidwe la anthu.
3. Mahomoni opangidwa ku kotekisi, ndi kulamulira madzimadzi ndi electrolyte bwino mu thupi.
4. The medulla ndi udindo kaphatikizidwe wa zikuwonjezereka masiku ano ndi noradrenaline. Zimachititsa minofu mtima, kuonjezera shuga magazi, magazi, dilates wa bronchi.
5. Onse mahomoni adrenal yotithandiza zimene anachita thupi mavuto.

ntchito zonsezi zimagwiridwa ndi zopangitsa kwa adrenal, ngati sanaphwanye chilichonse ntchito zawo. Koma ichi, mwatsoka, sikuti kuchitika. Ntchito ya thupi ili akhoza kusweka, koma n'kofunika nthawi kudziwa matenda a zopangitsa adrenal mu akazi. Zizindikiro zosavuta kudziwa ngati nthendayo pafupi ndi kumvetsera thupi lanu.

zakusokonenezedwa mu ntchito ya thupi ili ndi kusonyezedwa awo, ndikofunika chidwi mu nthawi ndipo tinapita ku m'thupi yemwenso.

Maonekedwe a kudwala wa zopangitsa adrenal mu akazi

Mu thupi wamkazi monga owonjezera kapena kuchepa kwa timadzi zimabweretsa chisokonezo mu kachitidwe limba. Chinthu choyamba cha kudwala ngati amakhudza luso la mayi ndi pakati ndipo adzabala mwana. Zimasonyezedwa adrenal matenda akazi ndi mbali zotsatirazi:

• Kusagwirizana kwa dzuwa, izo nthawi zambiri ndinawona mu mawonekedwe a dzuwa kwambiri amphamvu.
• Zonse maganizo.
• Kupweteka pachifuwa.
• Kupezeka pa mawanga khungu mtundu.

• Akusokoneza mkombero pamwezi.
• Chifuwa amakhala ang'onoang'ono, komanso chiberekero.
• Zikuoneka pa nkhope ndi zina khungu ziphuphu zakumaso.
• Kukula nkongo.

Ngakhale ngati muli zizindikiro ochepa akazi ayenera yomweyo kukaonana ndi adokotala kutenga njira zothandiza kuti kukonza vutolo. Choncho m'pofunika kudziŵa zimene zizindikiro za matenda adrenal, yolumikizana zizindikiro zilipo ndi kudwala kwa chiwindi.

adrenal matenda akazi

madokotala onse amakhulupirira kuti mavuto mu ntchito ya thupi zingatipangitse mavuto aakulu mu akazi. Akatswiri zambiri lozani zotsatirazi adrenal matenda omwe zizindikiro zingaoneke:

1. Hyperaldosteronism. Ndi kudwala izi matupi lithe kwambiri wa timadzi aldosterone.
2. Insufficiency wa kotekisi lapansi.
3. Adrenal hyperplasia.
4. Pheochromocytoma.
5. syndrome Androgenitalny Chili kuvutika angapo kobadwa nako.
6. Zotupa za zopangitsa kwa adrenal.
7. matenda Addison akupezeka kuli zambiri kuposa pathologies ena.
8. Cushing ndi matenda.

Onse a matenda amenewa ndi monga zifukwa zawo chitukuko ndi zizindikiro. Matenda a zopangitsa adrenal mu akazi tione mwatsatanetsatane m'munsimu.

Kodi zizindikiro hyperaldosteronism

kudwala Izi mitundu pulayimale ndi sekondale. Iwo akuwonetseredwa mu chitukuko kumatheka wa kotekisi wa aldosterone adrenal. Madokotala ndi zifukwa zotsatirazi kuti chitukuko cha ngati boma:

• matenda chiwindi monga matenda enaake.
• Aakulu kutupa impso.
• Mtima kulephera.
• Mawonekedwe sekondale kumachitika pamene chachikulu sanali kwathunthu anachiritsidwa.

Hyperaldosteronism anaonetsa zizindikiro zotsatirazi:

• General kufooka ndi minofu.
• Pafupipafupi mutu.
• Kutopa.

• Kuukira zimachitika palpitations pafupipafupi.
• Tsiku chionekera mkodzo kwambiri.
• Anthu, zonse ludzu.
• Ngati atayezetsa, izo zikusonyeza kuchepa kwa calcium.
• Dzanzi zina za thupi.
• Pafupipafupi khunyu.

Mwamsanga pamene pali khalidwe la chikhalidwe monga matenda adrenal, zizindikiro, chithandizo, akazi ayenera kuyamba pomwepo. Sitepe yoyamba ndi kuthetsa kudwala, omwe anakhala chifukwa cha matenda.

Adrenocortical insufficiency

Childs, monga kudwala ndi limodzi mwa limati zina matenda m'thupi. Chifukwa chimene izi imatengedwa:

• Kugonjetsedwa kwa pituitary zapambuyo.
• Necrosis wa pituitary England.
• Zotupa.
• matenda opatsirana.

Chimaonekera kulephera kwa kotekisi zotsatirazi zizindikiro:

1. Asthenia.
2. Wodwala akumva kusokonezeka lakuthwa.
3. Zikuchepa wayamba ndichepe thupi.
4. Kusafuna kudya.
5. Kunyansidwa ndi kusanza.
6. Kupezeka pa mawanga khungu mtundu.
7. A kuchepa magazi, omwe si amenable kwa mankhwala.
8. Chopondapo monyanyira.
9. Mvula otaya mkodzo usiku.
10. Sachita misinkhu shuga magazi.

Ngati kutchulidwa zizindikiro zawo za matenda adrenal, chithandizo kwapatsidwa mawonekedwe a glucocorticoid ndi mineralocorticoid.

adrenal hyperplasia

Kawirikawiri, kudwala izi titadziwa, izo limodzi ndi kuphwanya bwino kupanga tochepa. Akatswiri amalitchula chifukwa cha boma matenda: kusintha kwa maselo. Ndi kungakhale chilichonse.

kudwala kumeneku kumaonekera motere:

• Zikuoneka kutchulidwa hyperpigmentation wa maliseche kunja.
• Virilization.
• molawirira kwambiri kuyamba kukula tsitsi mu armpit ndi tsitsi obisika.
• Ziphuphu zakumaso pa khungu.
• The atsikana amayamba kusamba pambuyo.

Ndi matenda, matenda oyambirira ndi zofunika kuti athe njira yoyenera kuti uziyenda bwino za thupi.

Kodi zimapezeka zotupa adrenal

Nthawi zambiri izi zotupa thupi ndi mtima wabwino chikhalidwe. Zimayambitsa enieni adakali sipakhala, koma ntchito m'thupi chotupa, amene amatchedwanso pheochromocytoma, wotchedwa akapsa zotsatirazi:

• Oncology chithokomiro.
• matenda zokhudza zonse ndi kobadwa nako chosayenerera ziwiya oziziritsa magazi, khungu, maso chipolopolo.
• Kugwiritsa kaphatikizidwe wa timadzi parathyroid.

Ndi kudwala izi zingaoneke zizindikiro zotsatirazi matenda adrenal mu akazi (chithunzi limasonyeza mmodzi wa iwo):

1. Kuthamanga magazi.
2. Kutanganidwa mtima mungoli.
3. Pali mavuto minofu.
4. Pafupipafupi adzafune bafa usiku.
5. Kunyansidwa ndi kusanza ndi anzake pafupipafupi wa munthu.
6. Thukuta.
7. Zopweteka.
8. Kuwonjezeka maonekedwe akunja a wodwalayo.
9. inagwedezeka zonse ndi kuzizira.
10. Dryness pakamwa.

Malinga mtundu wa matenda chionetsero zizindikiro za zopangitsa adrenal mu akazi, ndi akapatsidwa mankhwala.

matenda Addison a

Woterowo kudwala adrenals asiye lithe okwanira kuchuluka kwa tochepa. Pali zifukwa zinthu zotsatirazi:

1. Kugonjetsedwa kwa endocrine ndi zopangitsa TB.
2. Violation chifukwa cha kukhudzana ndi mankhwala.
3. Adrenal insufficiency.
4. Autoimmune njira.

Zizindikiro izi alipo matenda ndi pathologies ena:

• The mtima amayamba kumenya mofulumira.
• Kunyansidwa ndi kusanza.
• Amachepetsa magazi.
• Kulakwila mpando.
• The kuchepa lakuthwa mu thupi.
• Kutopa amapezeka.
• Lolani kukumbukira ndi chidwi.
• Tsitsi imfa akupezeka axillary ndi malo ena obisika.
• Utachepa libido.

Chiwonetsero cha matenda Cushing a

Nthawi zambiri kudwala izi kudziwa maonekedwe a neoplasms zosiyanasiyana zopangitsa kwa adrenal kapena ziwalo pafupi. Mwa zizindikiro za matenda ndi monga izi:

• Mu akazi osauka chidzalo cha mtundu wamwamuna.
• Pali manja ndi zofooka mu minofu.
• Permanent maganizo.
• Pafupipafupi mutu.
• Capillaries kukhala zosalimba, kotero mikwingwirima thupi.
• Abrasions.

Kaya kudwala kapena kukhala zofunika kwambiri oyambirira matenda a matenda adrenal.

Kodi kuzindikira matenda adrenal

Kuzindikira matenda a ziwalo zimenezi, madokotala pali zida lonse wa njira. Ngati pali zizindikiro za matenda adrenal mu akazi, "Kodi ndafika pa kudwala?" - funso loyamba. Pocheza ndi mkazi m'thupi yemwenso wauzidwa mitundu zotsatirazi wa maphunziro:

1. Pochitika pa kusanthula magazi ndi mkodzo.
2. Kukumana ndi mapanga sikani maginito.
3. Yopangidwa tomography sadzakhala zosafunika.
4. Pangani ndi X-ray a Chigaza, ndi kuyika kukula kwa pituitary England.
5. Kukumana ndi mayesero timadzi.
6. X-ray a dongosolo chigoba adzalola kukhazikitsa pamaso pa kufooka kwa mafupa.
7. njira zamakono matenda ndi radiological bwinobwino zimene limachititsa kuti mudziwe pa udindo ndi ntchito kwa zopangitsa kwa adrenal.

Tinkaphunzira mwatsatanetsatane matenda a zopangitsa adrenal mu akazi. Zizindikiro, matenda pathologies awa m'nkhani. Mpaka kufufuza mankhwala a matenda a limba.

Therapy matenda adrenal

Challenge akukumana madokotala pamene kupeza adrenal kudwala, ndi kubwezeretsa milingo yachibadwa mahomoni. Komanso, m'pofunika n'chongoletsa zinthu zonse zimene zimachititsa matenda. Odwala akulangizidwa kuti:

1. mankhwala m'thupi, koma mosamalitsa kuyang'aniridwa ndi dokotala ndi regimens akuchipatala ndi Mlingo. mankhwala Izi Kwalamulidwa yekha ndikatha kumfunsafunsa zonse.
2. Nthawi Kwalamulidwa mankhwala odana ndi tizilombo ndi odana ndi bakiteriya.
3. Zothandiza mavitamini ndi mchere.
4. Nkofunika kulabadira zakudya zanu.
5. Kukhala moyo wathanzi, nthawi yambiri panja zokwawa.
6. Pewani mavuto.

Ngati miyezo analimbikitsa ndi mankhwala kuti si zidapatsa zotsatira anakhumba, ndi matenda a zopangitsa adrenal mu akazi kusonyeza zizindikiro zake, m'pofunika amachita thandizo la dokotala.

adrenalectomy

Ndi opaleshoni anayamba pokha pokha kwambiri komwe timadzi mankhwala sikunapangitse zotsatira ankafuna. Popeza chikhalidwe cha kudwala akhoza kuchotsedwa mwa munthu kapena zopangitsa onse adrenal. Madokotala ntchito njira ziwiri:

1. Traditional. Opaleshoni m'mimba, ndi ang'ambe thupilo ang'onoang'ono anapangidwa, ngati chotupa kakang'ono - pa nsana, mu dera lumbar. Pakuti zotupa zazikulu ndi kupanga ang'ambe thupilo lalikulu m'mimba.
2. Endoscope njira amafuna opareshoni ntchito endoscope amene anayambitsa mwa dzenje ang'onoang'ono pamimba kapena kumbuyo. Njira zimenezi zili ndi ubwino wake:

• Wodwalayo mwina mu masiku ochepa kuti apite kunyumba.
• Kochepa choipa.
• Employability abwezeretsedwa masabata 2-3.
• Iwo sakhala zipsera pambuyo opaleshoni.
• Bedi zina - tsiku limodzi chabe.

Ngati munthu amachotsa England adrenal, nthawi zambiri zizindikiro za matenda zidzaiwalika, koma ectomy onse ndi moyo kutenga mahomoni.

Endocrine zopangitsa kwambiri mu uziyenda yachibadwa cha thupi lathu. Aliyense wa kudwala ayenera chofunika chokuchititsani mankhwala okwanira kuyang'aniridwa ndi katswiri wodziwa ntchito. Njira yokhayo kuonetsetsa kugwira ntchito machitidwe onse limba mu mode yachibadwa.