Zvirwere adrenal mumasero vakadzi: Zviratidzo neMarapirwo

The kwemakemikari anobudiswa Hurongwa chakagadzirirwa kuongorora uye waidzora basa rose muviri. The kunaka kwayo kushanda kunotsamira utano hwomunhu.

Zviri kuti kwemakemikari anobudiswa maitiro uye mumasero adrenal vari. chirwere kwavo kunogona zvakakomba. Funga nyaya, iro rine zviratidzo adrenal chirwere. Kurapa chirwere ichi mu vakadzi ine peculiarities ayo.

adrenal basa

Tisati kukurira pathologies kwemasero aya, zvinokosha kuti tizive chii basa ravo mumuviri. It aiwanzopiwa wokushanda Nhengo, riri seri itsvo mudumbu. In mamiriro avo zvivako zviviri vanoparadzaniswa: yacho medulla uye cortex. Muvanhu, adrenal mumasero vanoita rinokosha mabasa:

1. Cortex synthesizes hormone corticosterone uye cortisol.
2. Pano, ari adrenal cortex, kubatana kwetunhu bonde mahormone. Ivo zvakananga kunyengera paumbwe pamusoro yechipiri dzepabonde zvatariswa. Kana vakadzi pane kunyanya inotungamirwa mahormone izvi, zvinokwanisika kuchengeta chimiro zviratidzo kuti vari yo nevanhu.
3. Makemikari anogadzirwa cortex, kudzora Urume uye electrolyte mwero mumuviri.
4. The medulla ndiye anokonzera kwetunhu adrenaline uye noradrenaline. Ivo inotokonya mwoyo tsandanyama, kuwedzera shuga ropa, BP, dilates ari principales.
5. All ose adrenal mahormone kukurudzira kwaiita muviri ichatii zvinokangaidza.

Mabasa ose aya anoitwa pasi adrenal omumuviri, kana asina kutyora chinhu basa ravo. Asi ichi, zvinosuruvarisa hapasi kuitika. Basa muviri ichi avhuniwe, asi zvakakosha nguva kuziva chirwere ari adrenal mumasero vakadzi. Zviratidzo nyore kuona kana kunyatsoongorora uye kuteerera muviri wako.

Chero kutyorwa mubasa muviri uyu anoratidza zvavo, zvakakosha kuteerera kwavari nguva uye kushanyira imwe endocrinologist.

Kuratidza zvokurwara of adrenal mumasero vakadzi

In hadzi muviri sezvo zvakawandisa kana kuperevedza mahormone kunotungamirira kuvhiringidzika nenhengo dzawo. Danho zvokurwara kudaro rokutanga kunokanganisa mukadzi anogona nemimba, nokubereka mwana. Asi akaratidza adrenal chirwere vakadzi Ndiyewo anotevera zvinhu:

• Kurambidzwa kuti chiedza chezuva, izvozvo kakawanda kuonekwa muchimiro wakanyanya simba zuva.
• Constant mwoyo.
• Kurwadziwa muchipfuva.
• Kuoneka ruvara rweganda mavara.

• Kwakakanganiswa pamwedzi kutenderera.
• Zamu rinova duku, uyewo dumbu.
• Kunenge chiso uye nedzimwe nzvimbo ganda mburwa.
• Achikura clitoris.

Kunyange kana uine zviratidzo mashomanana vakadzi hwobva kushanyira chiremba kuti utore matanho anodiwa kuti ugadzirise dambudziko. Naizvozvo zvakakodzera kuziva chii zviratidzo adrenal chirwere, kubatanidza huripo zviratidzo pamwe zvokurwara kuti nhego iyi.

adrenal chirwere vakadzi

All vanachiremba vanodavira kuti zvinetso mubasa muviri izvi zvingaita zvakakomba zvoutano matambudziko vakadzi. Nyanzvi kazhinji achibva anotevera chirwere adrenal vakadzi vane zviratidzo zvinogona kuonekwa:

1. Hyperaldosteronism. With zvokurwara ichi mitumbi synthesize yakawandisa kemikari aldosterone.
2. Insufficiency of cortex.
3. Adrenal hyperplasia isiri yekenza.
4. Pheochromocytoma.
5. Androgenitalny chirwere rinobatanidza vakawanda vachiberekwa abnormalities.
6. Mapundu ose adrenal mumasero.
7. chirwere Addison kuti kunoitika ndoda kazhinji pane dzimwe pathologies.
8. Cushing kuti syndrome.

All zvirwere izvi vane sezvo yavo zvikonzero kukura uye zviratidzo. Zvirwere adrenal mumasero vakadzi funga zvakadzama pazasi.

Ndezvipi zviratidzo hyperaldosteronism

zvokurwara Ndiwo nesekondari siyana. It richiratidzwa akanatsiridzwa Kugadzirwa cortex ari adrenal aldosterone. Doctors ndeizvi zvikonzero kukura ezvinhu akadaro:

• Chiropa zvirwere zvakadai cirrhosis.
• Chirwere kuzvimba neitsvo.
• Heart kukundikana.
• The yechipiri chimiro kunoitika apo chikuru haina zvakakwana aporeswa.

Hyperaldosteronism kwakaratidzwa anotevera zviratidzo:

• General simba uye tsandanyama.
• Kakawanda nomusoro.
• Kuneta.

• Kurwisa kuitika kakawanda palpitations.
• Zuva anomira panze weti yakawandisa.
• Muvanhu, nyota kugara.
• Kana bvunzo ropa, zvinoratidza vasanyanye calcium.
• Chiveve dzimwe nzvimbo dzomuviri.
• Kakawanda pfari.

Mangoti pane yo ezvinhu akadai adrenal chirwere, zviratidzo, kurapwa, vakadzi vanofanira kutanga pakarepo. Danho rokutanga kubvisa zvokurwara, iyo yakava mhaka chirwere.

Adrenocortical insufficiency

Kazhinji, zvokurwara kwakadaro aine vamwe chirwere rinoti mumuviri. Chikonzero ichi anonzi:

• The kukundwa of Anterior pituitary.
• Necrosis kuti pituitary shwanu.
• Anomera.
• Zvirwere zvinotapuriranwa.

Pachena kukundikana cortex anotevera zviratidzo:

1. Asthenia.
2. Murwere anonzwa jeko Kuparara.
3. Mavara inotanga kutapudzwa muviri uremu.
4. Kurasikirwa kudya.
5. Svoto uye kurutsa.
6. Kuoneka ruvara rweganda mavara.
7. A kuderera BP, zvisina amenable kuti zvinodhaka mishonga.
8. Chetsoka hadzina kufambiswa zvakanaka.
9. Hune chokubuda weti usiku.
10. Lowers ropa shuga yomuropa.

Kana akazivisa Zviratidzo avo adrenal chirwere, kurapwa anopiwa ari muchimiro glucocorticoid uye mineralocorticoid.

Adrenal hyperplasia isiri yekenza

Kazhinji, zvokurwara izvi chokuziva, zviri pamwe kutyorwa pachena cortisol kugadzirwa. Nyanzvi vanodana ichi mhaka chirwere wehurumende: magene mutation. It kungakonzera chinhu.

zvokurwara Izvi zvinoratidza pacharo sezvinotevera:

• Anozviratidza akazivisa hyperpigmentation pamusoro kwokunze nhengo dzokubereka nadzo.
• Virilization.
• Too mangwanani kutanga kukura mvere hapwa uye pubic bvudzi.
• Acne paganda.
• Vasikana vanotanga kuenda kumwedzi gare gare.

With chirwere ichi, mangwanani chirwere Zvakakosha kukwanisa kutora matanho akakodzera kuti zvakakodzera nokushanda kwenhengo dzomuviri.

How anozviratidza adrenal anomera

namamota muviri kakawanda kupfuura ichi kwete vari benign zvisikwa. Chaiwo zvinokonzera zvichiri haana kuisa, asi nokuda hormone basa bundu, rinonziwo pheochromocytoma, akadana zvinotevera ude:

• Oncology thyroid.
• Systemic zvirwere vane vachiberekwa abnormality rimwe chepfungwa tsinga, ganda, ziso deko.
• Kunwisa kwetunhu parathyroid kemikari.

With zvokurwara ichi inogona kuchengetwa zvinotevera zviratidzo adrenal chirwere vakadzi (mufananidzo inoratidza mumwe wavo):

1. CheBP.
2. Kushushikana mwoyo mutinhimira.
3. Pane kusimba tsandanyama.
4. Kakawanda chido kuchimbuzi usiku.
5. Svoto uye kurutsa muri shamwari kakawanda munhu.
6. Vangadikitira.
7. Nokugwinha.
8. Ndirasikirwe kwokunze pakuonekwa murwere.
9. Constant chakamira pakunodengenyeka zvine uye chills.
10. Kuoma iri mumuromo.

Zvichienderana worudzii chirwere zviratidzwa zviratidzo adrenal mumasero vakadzi, uye ari kunoshanda kurapa.

Addison chirwere

With vakadaro zvokurwara adrenals regera synthesize zvakakwana huwandu cortisol. Zvikonzero ndiwo mamiriro ezvinhu anotevera:

1. The kukundwa of kwemakemikari anobudiswa mumasero tibhii.
2. Kukanganisa somugumisiro yokuwana makemikari.
3. Adrenal insufficiency.
4. Autoimmune kwendangariro.

Zviratidzo chirwere bindepinde ichi nevamwe pathologies:

• The mwoyo kurova nokukurumidza.
• Svoto uye kurutsa.
• Kunoderedza BP.
• Kutyora chair.
• The unopinza kuderera uremu muviri.
• Kuneta kunoitika.
• Kutambudzika ndangariro uye kutarisirwa.
• kurasikirwa Hair rinowanikwa muna axillary uye pubic munzvimbo.
• Ungaderedza libido.

Kuratidza Cushing kuti urwere

Kakawanda zvokurwara ichi kuona chimiro neoplasms siyana mune adrenal mumasero kana pedyo nhengo. Pakati zviratidzo chirwere ichi zvinosanganisira zvinotevera:

• In vakadzi kusimukira kuzara mukono mhando.
• Pane atrophy uye kusimba tsandanyama.
• Permanent mwoyo.
• Kakawanda nomusoro.
• Capillaries vanova kusimba, saka muviri mavanga.
• Abrasions.

Chero zvokurwara kana kuva anokosha chaizvo mangwanani chirwere pamusoro adrenal zvirwere.

Sei kuziva adrenal chirwere

Kuziva chirwere zvomukati izvi, vanachiremba pane zvombo yose nzira. Kana pane zviratidzo adrenal chirwere vakadzi, "Ini sei tarisa zvokurwara?" - mubvunzo wokutanga. Kana kushanyira mukadzi endocrinologist akakumbira kutora zvinotevera marudzi zvidzidzo:

1. Zvakaitika Kuongororwa ropa uye weti.
2. Chaidzo rinobva Scans.
3. Computed tomography haangavi okushamisira.
4. Itai chinhu X-ray yeDehenya, kuti kuisa kukura pituitary shwanu.
5. Achiona kemikari nemiedzo.
6. Maekisirei ari skeletal ino kuchaita kuti pave pamberi osteoporosis.
7. nzira nechirwere Modern riri radiological kuongororwa, izvo zvinoita kuti tikwanise kuwana ruzivo pamusoro chinzvimbo uye kushanda adrenal mumasero.

Taidzidza muudzame zvirwere adrenal mumasero vakadzi. Zviratidzo, chirwere pathologies izvi zvinokurukurwa munyaya. Zvazvinosarira kuongorora kurapa zvirwere zviri nenyere.

Therapy adrenal zvirwere

Dambudziko vanachiremba kana Detective adrenal zvokurwara, zviri kudzorera chakaipa kwevari mahormone. Uyezve, zvinokosha kuti neutralize zvose zvinokonzera chirwere. Varwere vari zano kuti:

1. Hormone zvinodhaka, asi zvakasimba pasi pokudzora chiremba uye kuvarayira regimens uye dosages. kurapa iri ushandiswe chete mushure kuongorora zvizere.
2. Chinowanzoonekwa ushandiswe mishonga Anti-nemavhairasi uye Anti-kwemabhakitiriya.
3. Useful mavhitaminzi uye zvicherwa.
4. Zvakakosha chaizvo kuti teererai zvaunodya.
5. Kutungamirira mararamiro utano, kupedza nguva yakawanda panze uye uchifamba.
6. Edza kudzivisa anoshungurudza ezvinhu.

Kana zvose zvavakabvumirana zviyero uye kurapa havana kubereka zvinodiwa mugumisiro, uye zvirwere adrenal mumasero vakadzi kuratidza zviratidzo zvayo, zvakakodzera kushandisa achibatsirwa chiremba.

adrenalectomy

By kuvhiyiwa kuri kuita chete muzviitiko apo kemikari kurapa asina akauya unodikanwa zvabuda. Akapiwa yezvakaita zvokurwara anogona kubviswa mumwe kana adrenal mumasero vose. Vanachiremba vanovhiya vanoshandisa nzira mbiri:

1. Traditional. Akaita abdominal kuvhiyiwa, duku incision anoitwa, kana bundu duku - seri, ari lumbar nharaunda. Nokuti namamota huru kuita guru incision mudumbu.
2. Endoscope kusvika kunoda kuvhiyiwa kushandisa endoscope iyo akatanga kuburikidza kadiki buri pamusoro mudumbu kana shure. Nzira iyi ine mikana:

• Murwere anogona mumazuva mashomanana kuenda kumba.
• Minimal kukuvara.
• Employability anodzorerwa mavhiki 2-3.
• Hazvina kuramba mavanga pashure kuvhiyiwa.
• Bed zororo - chete zuva.

Kana munhu anobvisa adrenal shwanu, kazhinji zviratidzo chirwere chinogona kukanganikwa, asi ectomy vose vane hwose kutora mahormone.

Kwemakemikari anobudiswa mumasero vari zvikuru mune chakaipa nokushanda kwenhengo dzomuviri wedu. Chero zvokurwara kwavo kunofanira aifanira yakakwana kurapa pasi pokudzora munhu anokwanisa nyanzvi. The chete nzira nechokwadi kushanda zvose nenhengo dzawo dziri dzose nzira.