Hyperfunction oo ka mid ah qanjidhada adrenal: Sababaha, Calaamadaha, Cilad-iyo Daaweynta

The qanjidhada adrenal lamaanahaaga xubnaha nin habka hormoonada jidhka ah. Dhibaatooyinka ugu badan ee la xidhiidha ay disorder waa hypofunction iyo hyperfunction. Xaaladda hore, qanjidhada hormoonada jidhka aaday lumiyaan awoodda in ay soo saaraan tiro ku filan oo hormoono, iyo kii labaad, on lid ku ah, aad u badan oo ka mid ah wax soo saarka.

Maxay yihiin qanjidhada adrenal?

xubin hormoonada jidhka Tani waa labo ka yar oo qanjidhada, oo ku yaalla kaliya kor ku xusan xagga sare ee kelyaha. The qanjirka adrenal midig waxaa qaabeeya sida saddex xagal ah, oo bidix - moon qeybtii.

Hormoonnada soo saaro jidhka aaday kuwaasi waxay gali wareegga systemic oo muhiim u ah nolosha ee u shaqeeyo. qanjirka kasta adrenal ka kooban yahay laba qaybood oo kala duwan: layers cortical cerebral gudaha iyo dibadda. qodobada qaarkood keeni kartaa cillad ka mid ah qanjidhada ah jihada of hoos waxqabad iyo kordhinta.

Qoondaynta oo ah hyperfunction adrenal

Ciyi kuwaas qanjidhada aadeen ka kooban yahay medulla ah, ileyska, iyo goobaha ku jirase aad glomerular. qayb kasta oo ka mid ah cortical qanjidhada adrenal secretes hormoonnada. xadgudub ah ee ay howlgalka cudurada soo socda waxay keeni kartaa:

• xad-dhaaf ah mineralocorticoid, xakameeyo tirada electrolytes dhiigga;
• hyperandrogenism adrenal;
• catecholamines xad-dhaaf ah, kuwaas oo loo soo sameeyey buro malignant ama stress,
• xad dhaaf ah glucocorticoids, wuxuu mas'uul ka yahay dayactirka cadaadiska dhiigga ee difaaca iyo Dheef caadiga ah.

qanjidhada adrenal: hyperfunction iyo hypofunction

xubin wajihi doonta nidaamka hormoonada jidhka ah si deeqsinimo ah bixisey dhiig. La'aanteed nolosha waa hawl aan macquul aheyn. Tusaale ahaan, xayawaanka dhinto dhowr maalmood gudahood ka dib markii uu ka saari doonaa qanjidhada adrenal.

Hyperfunction iyo hypofunction waa cudur halis ah ee jirka ku jira. Yaraynta waxqabad oo ka mid ah qanjidhada adrenal waa hoose iyo kuwa sare. qaabka Primary sameeyey by hababka burbur karin in kiliyaha qanjidhada ah, iyo sare ee waa natiijada rabshooyin nidaamka hypothalamo-hypophysial.

Calaamadda ugu badan ee kaafi adrenal - midabka maqaarka. Waxaa ay ku bilaabataa si aad u hesho mugdi ah, sida caadiga ah, oo ku saabsan qaybaha soo socda ee jirka, qoorta, gacmaha iyo wejiga.

Hyperfunction of kiliyaha adrenal - xadgudub ku ah dhaqdhaqaaqa of xubin, oo ay la socdaan carruurta in soo bixitaanka hore ee hormoonnada jinsiga. Waxaas oo dhan waxay keeni kartaa in la baaluqo dhicis ah. Waxaa jira xaalado marka wiilasha 4-6 sano muuqan jiidashada galmada, koray gadhka ah iyo xubnaha taranka gaaraan tirada dadka waaweyn.

Hyperfunction qanjirka adrenal leh wax soo saarka sare ee glucocorticoids ku dhici kara burooyinka in dhirfinaya horumarinta Cushing ee syndrome. Tani waa cudur halis ah soo jiidasho leh.

Hyperfunction oo ka mid ah qanjidhada adrenal, iyo sidoo kale shaqo hypo, inta badan waxay muujinaysaa joogitaanka ee jirka ka mid ah cudurada halis ah, sidaa darteed ha moogaanina calaamadaha ugu horreeya ee cudurka, iyo waxa fiican in aad la tashato dhakhtar takhasus u leh.

Sidee galmada tabardaran lagu muujiyey fawdada ah oo ka mid ah qanjidhada adrenal?

Calaamadaha in haweenka la formation-dhaafka ah ee hormoonnada soo socda:

• finan;
• midabka maqaarka,
• niyad-jabka.

Haddii qof dumar ah oo uur leh cudurka hyperandrogenism, in si kale loo dhigo, wax soo saarka sare ee hormoonnada lab, markaas waa in had iyo jeer lagu arko dumarka in ay ka fogaadaan dhicin. Inta badan oo lagu daweeyo cudurka this ee loo xilsaaray in ay helaan analogs dardaro of yaqaano Cortisol, anada saarka antiandrogen. More ku saabsan caadi ah ee jirka ka mid ah labada nin qori karaa vitamin B iyo C, optionally sidoo kale loo raad raaco canaasirta.

Intaa waxaa dheer, hawlaha xadgudub ku ah qanjidhada aaday in haweenka la kulmi karaan in uuraysanayna oo dhibaato ilmaha. Hyperfunction oo ka mid ah qanjidhada adrenal in haweenka inta badan u muuqataa koritaanka kintirka, xabad xanuun, caadada joogto ahayn, iyo xataa hoos u dhac ku size ee ilmo-galeenka.

Haweenka uurka qaadashada, waa in ay u joojiso isticmaalidda dawada, si caadi shaqaynaya oo ka mid ah qanjidhada aadeen. Guud ahaan, haddii gabadha laga helay fawdada ah oo ka mid ah qanjidhada adrenal, waxay yeelan doontaa in aad bedesho qaab nololeedkaaga si looga fogaado xaaladaha walaaca iyo, dabcan, ay si buuxda u dejiso. Loo baahan yahay haddii jebinta sida lagama maarmaan ah in si sax ah cunaan. Intaa waxaa dheer, baahida loo qabo in la ogaado waxa load weli qaba cudurka this qanjidhada adrenal la kulmi karaan. Calaamadaha, baaritaanka iyo daawaynta waqtiga qanjirada ku aaday hyperfunction si deg deg ah loo soo celiyo caafimaadka.

Sababaha cudurada

Hyperfunction of kiliyaha adrenal dhacaa sabab u ah hawl-dhaafka ah ee unugyada u jilacsan. Habkaani u muuqataa in cudurada functional ama sabab u ah geedi socodka bararka. In carruurta waa fawdada ah adrenal dhif.

The sababaha ay u formation waxaa laga yaabaa kala duwan, laakiin ugu badan waa:

• Hyperplasia - isbedel laban size ee qanjidhka.
• xanuunada Functional ee jirka, diabetes, cayilka, dhalmada, stress.
• Burooyinka saameeya qanjidhada adrenal.

calaamadaha

Cilad la sameeyo ogaanshaha ee barar iyo cilladaha kale oo ka mid ah qanjidhada adrenal, laakiin qaar ka mid ah calaamadaha ah oo aan hal dhibic si ay cudurka jira ee jirka. Tusaale ahaan, marka bukaanka hyperfunction laga yaabaa in ay dareemaan xanuunka caloosha, in ay dhibaatadu ka calool engeg ama shuban.

Cudurka Addison ee muuqato hoos u midab muruqyada siman iyo lafaha, tabar dhanka muruqa ah, hyperpigmentation oo ka mid ah maqaarka iyo xub-axaleedka. Melanosis marxalad hore dhacdaa at heerka grooves iyo laalaabyada maqaarka, isuna markaas waajihi. Horumarinta cudurada this waxaa sabab u ah hoos u dhacay wax soo saarka ee cortisol adrenal iyo dheecaan aldosterone oo kordhay melanoformnogo hormone pituitary.

Laakiin syndrome Cushing ee calaamadaha cad - bilaha-qaabeeya, wejigiisii la-galyadeena iyo guduud, khafiifinta ah kayd maqaarka iyo xaydha qoorta ka. Xaaladaha intooda badan, maadaama ay sii kordhayeen uruureen sonkorta dhiigga baxdo diabetes maxaa yeelay, xammeetidu ma soo saaro qadarka loo baahan yahay oo ah insulin. Marka dheecaan xad dhaaf ah hormoonada lab arkay koritaanka timaha xoog iyo korodhka cadaadiska dhiigga ee carruurta iyo haweenka.

La'aanta glucocorticoids ee jirka oo dood ah ee hypoglycemia, miisaanka oo yaraada, hypotension, cudurada nidaamka wadnaha iyo nidaamka dheef shiidka. Oo sabab u ah hypotension halbowlaha waa suurto gal in la yareeyo size ee wadnaha.

Garashada hyperfunction adrenal

Ka hor inta cudurka, dhakhtarka baarayaa bukaanka hore iyo ururiya taariikhda. Markaasaa waxaa u soo diro in ay ku deeqida dhiiga iyo kaadida si ay u qiimeeyaan xaaladda hormoon oo cortisol. Intaa waxaa dheer, bukaan-socodka laftiisa ultrasound iyo MRI.

Sida loo caadi hawlaha qanjidhada hormoonada jidhka aadeen?

Daaweynta hyperfunction adrenal waxaa laga yaabaa kala duwan. Tusaale ahaan, haddii sabab u cudurada of burada ay, waxay u badan tahay in la loo qoondeeyey in ay ka saarida qalliinka. Sida caadiga ah ka dib sida qalliin, inta badan calaamadaha baaba'aan on iyaga u gaar ah oo aan wax therapy dheeraad ah.

Daaweynta habkan daawada cudurka ku saleysan yahay isu-gaynta kala duwan ee glucocorticoids, "copolymer Kortison", "hydrokortisoni", "Dexamethasone". Waxaa intaa dheer, waxay ahaan loogu talo galay hormoonnada jinsiga lab iyo dhaddig sida estrogen iyo antiandrogen. Ka sokow, waxaa lagu talinayaa in la yareeyo isticmaalka cusbo.

shah dhirta la-soo-saarka-dhaafka ah ee hormoonnada

Waxaa waa in aanay noqon careysan iyo quusan, haddii cudurka "fawdada ah oo ka mid ah qanjidhada adrenal." Daaweynta dawayn lahaa dad kaa caawin kara hagaajiyo waxqabadka oo ka mid ah xubnaha hormoonada jidhka aadeen.

Ujeedooyinka-daweynta, waxaad isticmaali kartaa lungwort, daawooyinka, caleemo iyo laamo ah kuwaas oo loo ogol yahay in ay la wada baabbi'in qaab cusub. Waxaa ka mid ah wax badan oo macdanta iyo fitamiino. Laga soo bilaabo warshad this lagu daaweyn jiray hyperfunction adrenal diyaariso maraq ah, kaas oo u dareen wax soo saarka ee hormoonnada.

Si aad u diyaariso Tincture waa in diyaariyo 30 garaam oo caws engegan. Iyana way ku shubtay biyo karkaraya iyo tagin ilaa qabow. Isku dar ah ayaa waxaa ka dibna si fiican u sifeeyo. Decoction waa inay qaataan ugu yaraan 4 jeer maalintii mudo ah 250 ml doorbidayaa 30 daqiiqo cuntada ka hor. Muddada aad daawada waa 2-3 bilood.

Xitaa inta lagu guda jiro adrenal hyperfunction waxtar leh si ay u isticmaalaan decoction ah oo madow iyo bukaa cad. In la abuuro cabniin ah u baahan doonaa caleemaha bukaa. Waxay marka hore u baahan tahay inaad si fiican u biyo raaci, ka dibna jar jaraan. In 1 litir oo biyo ah loo baahan yahay in lagu daro 4 caleemo Qaadada aad jarjartey iyo isku kari ilaa in ka badan kulayl yar yahay muddo 15 daqiiqo ah. Isku dar ah la qaboojiyey daadi doonaa oo keliya. Waxaa lagu talinayaa inuu cabbo sida shaaha caadiga ah. Si loo hagaajiyo dhadhanka, ku dar cabniin oo ah malab.

Si looga hortago horumarinta hyperfunction of kiliyaha adrenal, waxaa lagama maarmaan ah in ay u hoggaansamaan xeerarka qaarkood cunto. Waa in ay ka tanaasulaan isticmaalka oo ah digir, shukulaatada, digirta, kookaha, shaah xoog leh iyo iniinta. Waxaa fiican in la siiyo doorashada si cayriin ukunta digaagga yellow, basasha, iyo geedo yaryar cusub, jiis iyo tufaax la dubay.