Cachexia - waa maxay? Cachexia ee kansarka

Cachexia - waa maxay? Cachexia, in si kale loo dhigo, daaqa ee jirka - geedi socod adag lagu gartaa khasaare weyn ee miisaanka jidhka iyo tabar guud iyo sidoo kale isbedel ku hay. Tani waxay u xuub dhammaaday baruurta iyo carbohydrate kaydka, hoos Avv borotiinka, halka laga kordhinayo ay catabolism (burburka). Cachexia sidoo kale ku dhici kara cudurada oncological.

daal hoose iyo sare

Laba nooc oo cudurka cachexia - hoose iyo kuwa sare. yaraadan Primary waxaa kaloo loo yaqaan pituitary ee, iyo sare - astaamaha.

● cachexia Primary ama exogenous dhacaa sabab u tahay qaadashada ku filnayn ee nafaqooyinka, iyo sidoo kale natiijo ah oo ka mid ah cudurada soo socda: trauma cerebral, buro ama pituitary nabar systemic, hypophysitis, shalalka, stress dheer, hemorrhage (dhiig inta lagu guda jiro weelashii khafiifiya), anorexia, lungemboli ( ingress ee Qurub shisheeye ee dhiigga hadda, taasoo keenta qabsamin vascular), cudurka chronic gaar ah.

● cachexia Sare ama qoomiyadda waa natiijo ka mid ah cudurada iyo waxa sababa arrimo sida gipoinsulinizm (deficiency insulin), duubis kordhay glucagons, nuugeynin (nuugeynin nafaqooyinka), deficiency glucocorticoid, koritaanka neoplastic, somatostatin xad-dhaaf ah.

sababaha

cudurka Cachexia dhacaa sabab u ah dhowr sababood oo arrimood:
1. daran nafaqo-xumo iyo gaajo.
2. Cudurada of mareenka caloosha iyo mindhicirka, gaar ahaan hunguriga, iyo sidoo kale cudurka cøliaki, enterocolitis.
3. sarkhaan muddo dheer la brucellosis, qaaxada iyo cudurrada kale ee faafa iyo geedi socodka suppuration chronic.
4. anorexia Psychogenic.
5. Xanuunka qanjirka thyroid ka, yaridu adrenal.
6. cudurada hormoonada jidhka ee la xidhiidha cudurada dheefshiidka.
7. Heart failure.
8. buro halista ah.
9. lumin carruurta.

Maxay yihiin calaamadaha cachexia waxa lagu gartaa? Waa maxay calaamadahaas?

symptomatology

Waxaa jira tiro ka mid ah calaamadaha, taas oo ah waxa lagu gartaa cachexia. In cudurkan ma in jirkeena:
1. miisaanka lama filaan ah oo luma ilaa 50% ee miisaanka jidhka, iyo xaaladaha daran ka badan 50%.
2. Fuuqbaxu.
3. Daciiftinnimo murqaha ah.
4. Disability.
5. xanuunada hurdada.
6. cudurada Kordhi soo gaartay.
7. Decrease ee cadaadiska dhiigga (cadaadiska halbowlayaasha).
8. Maqaarkaaga iyo flabby.
9. karaa fitamiin, iyo ilkuhu.
10. isbedel Trophic in timaha iyo cidiyaha.
11. Horumarinta ee stomatitis.
12. dhacdo ee caloosha oo ay sabab u tahay xanuunada motility xiidmaha.
13. The content protein yar ee dhiigga, albumin, birta, B12 ah.
14. Haweenka dhici kara amenorrhea (joojiyo caadada).
15. xanuunada dhimirka.

Cachexia iyo soo gunaanadeen

Waxaan jeclaan lahaa in ay diiradda saaraan xanuunada maskaxda ee cachexia. Waxay soo tari kartaa caro, niyad-jabka iyo ilmayn in si habsami qulquli galay arxandarro, burburka dhamaystiran. At sii daridda ah ee cudurka taas oo sabab u ahayd cachexia laga dheehan karo amentia / syndrome amential (wareer, lagu gartaa awood ah in ay diiradda saaraan, dhaqdhaqaaqa qasan iyo Madadaalo, iyo incoherence oo fikirka iyo hadalka) ama delirium (waali in uu nin waa in gobolka joogta ah walwalka iyo farax arkaa malaawaalka), psevdoparalich.

Cachexia ee kansarka

cachexia kansar - syndrome ah oo si joogto ah hoos u mass muruqa lafaha iyo unugyada adipose horumarinta qaababka buro, madax banaan oo bur ah. Yaraadan waxaa si gaar ah loogu dhawaaqo in kuwa bukaanka qaba kansarka of mareenka ama sambabada xubnaha caloosha iyo mindhicirka. dadka noocan oo kale ah ku waayi kartaa sida ugu badan ee 80% ee miisaanka jidhka, taasoo keentay in muddaada.

Cancer sida sabab ah cachexia

Cachexia in kansarka suurto gal. Sababta oo ah cachexia noqon kartaa buro. Sababtoo ah burooyinka-shiid noqdo atypical, la qabsado waxa ay si. buro wuxuu u baahan yahay in muhashada, taas oo ay awoodaan si loo hubiyo in ay koritaanka iyo horumarka. Waa wax qarsoodi ah cachexia kansarka saamayn sarkhaamayo on unugyada caafimaad iyo xubnaha, beddelidda ay qaab-dhismeedka iyo keenaya ayna.

In formation of burooyinka in xaddiga badan ee jėrto waa beerka dhaawacan. Si aad u caadi fiirsashada of jėrto, jirka bilaabmin si ay u isticmaalaan sonkorta dhiigga, iyo inta badan ma ka dhigi kartaa khasaare.

Marka cachexia kansarka lagu arkay:
- hoos u dhac musiibo iyo miisaamidda iyo itaaldarro,
- xadgudub ku ah geeddi socodka is-sharciyeynta,
- yareynta cholesterol plasma;
- horumarinta cudurada ay sabab u tahay xadgudub ku ah difaaca jirka iyo gacanta humoral;
- dysphagia (liqidda oo dhib ah);
- matag, shuban,
- in la kordhiyo baahida tamarta;
- antidiuresis iyo, sidaas awgeed, hyponatremia;
- hypercalcemia,
- bararka,
- kordhay glucocorticoids dhiig;
- xaaladaha qaarkood, delirium iyo xataa kooma.

Cawaaqibka cachexia kansarka

cachexia Cancer waa mid aad u halis ah. Kordhinta dhiig glucocorticoid shidaa geedi socodka gluconeogenesis (Avv glucose) ku jirta unugyada beerka iyo murqaha, waxay kordhisaa burburka ee borotiin iyo dufan. Maxaa yeelay, qaadashada glucose by unugyada kansarku hypoglycemia (sonkorta dhiigga oo hooseeya). Ku saabsan asalka this (taas oo laga yaabaa in lagu daray in ay walwalka), qanjidhada hormoonada jidhka si firfircoon uga soo saaraan hormoonada qadar xad-dhaaf ah taas oo horseedaysa sarkhaan iyo hypoxia hemic (dhimay farqiga arteriovenous Wehliyaha oxygen). aan caadi ahayn Homeostatic dhacaan. All ay tani keeni kartaa dhimasho.

daaweynta cachexia

Inta badan daaweynta bukaannada qaba cachexia sameeyaa isbitaallada ama rugaha caafimaadka. Daweynta weyn ee ka mid ah therapy for asturidda neoplasms. Fiilooyin iyo awoodda dib u soo kabashada, oo waxaa lagu gaarayaa by jidhka kobciya la vitamins, xubno ka raad, dufanka iyo borotiinka. Ujeedada this waxaa loo isticmaali karaa cuntada si fudud digestible. daawooyin sida loo isticmaalo, fiitamiinada lagu daaweyn jiray hypovitaminosis, falgalka si loo hagaajiyo dheefshiidka. Cuntada waxaa lagu soo bandhigay laba siyaabood: enteral (marka galo marinka dheef shiidka) iyo parenteral (cunto seego marinka dheef shiidka). Habka Parenteral waxaa loo isticmaalaa si loo soo saaro bukaanka ka dawlad adag (kooma) ee lagu daaweeyo kansarka iyo, ka dib markii iyaga, nafaqo-xumo ba'an, cudurada daran, xanuunada liqidda. Sayidka maamula glucose, vitamins, isku amino acid, electrolytes, hydrolysates protein (parenterally maamula). Sidoo kale, ku dhaqanka la isticmaalayo qalab in la kordhiyo cunto xumo. Haddii bukaanka xanuunka dheefshiidka oo yaraada oo cunto iyo nuugista, loo isticmaalo in lagu daaweeyo daawooyin polyenzyme (daroogada "Pancreatin", "xidha" daroogada).
Si looga hortago matag, qori loola "Delta-9-tetrahydrocannabinol". Waa wax ku ool ah iyo ka dib markii chemotherapy. Cannabinoids ku jira diyaarinta this, kicin rabitaanka cuntada, iyo, siday u kala horreeyaan, iyo miisaanka oo kordha. Miisaanka oo yaraada lagu joojin karo iyadoo la isticmaalayo saliidda kalluunka, sidaas oo kale waa qayb ka mid ah daawaynta cudurada sida, sida cachexia.

Daaweynta daawo.
Si aad u baabi'iyo isticmaalka cachexia daawooyin sida:
1) "carboxylase" - caawisaa caadi miisaanka, yaraynaysaa xanuunka iyo taageera nidaamka jirka ee. Dhibaatooyinka ay keento - xasaasiyad. Ma loo isticmaali karaa, haddii u shaqeeyo waa u nugul ugu yaraan hal qayb.
2) "Megeys" ama "copolymer megestrol" - kor u kordhiyo mass muruqa iyo xaydha. Waxa aan la isticmaali karaa haddii ay jirto dareen in ay ka kooban of daroogada, ee dadka ka yar 18 sano jir, xilliga uurka iyo nuujinta.
In jiritaanka cudurrada faafa waxaa ka mid ah daaweynta therapy bakteeriyada. Haddii loo baahdo, geli hormoonnada anaboliticheskie. Xaaladaha of cudurada psychogenic lug daaweynta maskaxda.
Waxaan rajaynaynaa in aannu u jawaabay su'aashaada "Cachexia - waxa ay tahay, sida ay u qeexaan iyo sida ay u dagaalamaan."