Cushing's disease yog kab mob endocrine cuam tshuam txog li 100,000 tus dev txhua xyoo hauv Tebchaws Meskas. Cushing tus kab mob tuaj yeem tshwm sim thaum muaj ib yam dab tsi cuam tshuam nrog lub caj pas pituitary thiab / lossis cov qog adrenal, ua rau muaj ntau cov cortisol raug tsim tawm.
Raws li tus tswv dev, nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas cov cim txawv txawv uas koj tus dev tau nthuav tawm. Licking yog ib qho kev coj cwj pwm hauv dev thiab nws yog ib qho uas qee tus neeg yuav yaim ntau dua li lwm tus. Qee lub sij hawm, licking tuaj yeem qhia tau tias muaj teeb meem kev coj cwj pwm lossis kev mob hauv qab.
licking ntau dhau, tshwj xeeb tshaj yog hauv pem teb lossis lwm yam khoom tsis muaj sia tau cuam tshuam nrog Cushing's kab mob, txawm hais tias nws tsis raug thiab tsis suav tias yog ib qho kev qhia. Hauv cov ntawv ceeb toom tsis tshua muaj, licking tej zaum yuav yog qhov tshwm sim ntawm kev nqhis dej ntau ntxiv, yog ib qho cim ntawm tus kab mob. Hauv tsab xov xwm no, peb yuav piav qhia ntxiv txog Cushing tus kab mob thiab yuav qhia li cas thaum koj tus dev licking yuav ua rau muaj kev txhawj xeeb.
Cov Ntaub Ntawv Qhia Txog Cushing's Disease
Cushing's disease, tseem hu ua hyperadrenocorticism, tshwm sim thaum cov qog adrenal zais cortisol ntau dhau.1 Cortisol yog lub npe hu ua cov tshuaj hormones kev ntxhov siab vim nws raug tso tawm thaum muaj kev ntxhov siab, xws li cov xwm txheej "sib ntaus sib tua lossis ya". Nws tuaj yeem muaj ntau yam cuam tshuam rau tus dev lub cev.
Cov cortisol ntau dhau tuaj yeem ua rau lwm yam mob hnyav xws li ntshav qab zib, kab mob urinary, ntshav siab, mob raum, thiab lwm yam. Qee qhov ua rau muaj kev hem thawj rau lub neej.
Cushing's Disease yog dab tsi?
Muaj ob peb qhov kev kuaj mob uas cuam tshuam nrog tus kab mob Cushing.
Licking tsis yog feem ntau teev raws li ib qho ntawm cov cim qhia no vim nws feem ntau tshwm sim los ntawm xeev siab lossis nqhis dej ntau dhau, ob qho kev mob tshwm sim ntawm tus mob.
Cov cim hauv qab no yog txhua yam cuam tshuam nrog Cushing's:
- Nyob qab los noj mov
- nqhis dej heev
- Thinning ntawm daim tawv nqaij
- Cov tawv nqaij rov tshwm sim dua
- Hair Loss
- tso zis ntau heev
- Muscle qaug zog
- Pab plab (pob-bellied tsos)
- Panting
- Nyob zoo
Cushing's Disease yog dab tsi?
Cov qog pituitary yog cov qog qog nqaij hlav ntawm lub hauv paus ntawm lub hlwb uas tsim cov tshuaj hormones ntau, nrog rau cov tshuaj hormone adrenocorticotropic. Cov tshuaj hormones adrenocorticotropic txhawb cov qog adrenal los tsim cortisol.
Cushing's disease tshwm sim thaum muaj ib yam dab tsi tsis zoo nrog lub caj pas pituitary thiab/los yog cov qog adrenal, ua rau cov cortisol ntau dhau lawm.
Cushing's disease tuaj yeem muab faib ua peb hom, txhua tus muaj qhov sib txawv hauv paus.
1. Pituitary-Dependent Cushing's Disease
Pituitary-dependent Cushing's disease tshwm sim thaum lub qog pituitary qog secretes ntau dhau ntawm cov tshuaj hormones ua ntej uas ua rau cov adrenals tsim cortisol.
Cov qog qog pituitary feem ntau me me thiab benign tab sis cov tsos mob ntawm lub paj hlwb tuaj yeem tshwm sim thaum cov qog loj tuaj. Cov mob pituitary dependent yog lub luag haujlwm rau 80 mus rau 85 feem pua ntawm cov neeg mob Cushing tus kab mob hauv dev.2
2. Adrenal Dependent Cushing's Disease
Adrenal-dependent Cushing tus kab mob ua rau kwv yees li 15 txog 20 feem pua ntawm cov neeg mob. Qhov no tshwm sim thaum muaj qog nqaij hlav ntawm ib los yog ob qho tib si ntawm cov qog adrenal, uas ua rau muaj kev tso tawm ntau dhau ntawm cortisol. Cov qog qog adrenal tuaj yeem yog benign lossis malignant.
3. Iatrogenic Cushing's Disease
Cov qog adrenal ib txwm tsim ob hom corticosteroids: glucocorticoids thiab mineralocorticoids. Cortisol yog ib qho ntawm glucocorticoids thiab cuam tshuam cov metabolism ntawm carbohydrates, rog, thiab protein, thiab txo qhov mob.
Corticosteroids raws li cov tshuaj kws kho mob yuav ua rau muaj kev phiv nyob rau hauv luv luv thiab mus sij hawm ntev thiab yuav tsum tau ib txwm muab nyob rau hauv kev saib xyuas ntawm ib tug kws kho tsiaj.
Iatrogenic Cushing's tus kab mob tuaj yeem yog qhov tshwm sim ntev uas tshwm sim los ntawm kev siv cov tshuaj corticosteroids mus ntev li kev kho mob rau lwm yam mob.
Cushing's Disease Li Cas?
Cov dev uas qhia cov cim qhia yuav tau txais kev kuaj mob uas tsim nyog tau khiav los txiav txim rau lwm yam kev mob nkeeg. Cov kws kho tsiaj feem ntau siv cov kev kuaj ntshav los kuaj Cushing tus kab mob. Ultrasounds thiab CT scans kuj tseem muaj txiaj ntsig zoo hauv kev kuaj pom cov qog ntawm lub qog adrenal thiab pab txiav tawm lwm yam kab mob uas tuaj yeem ua rau muaj cov tsos mob zoo sib xws. MRI yog lwm txoj hauv kev zoo los kuaj Cushing's vim nws tso cai rau kev saib xyuas ntawm cov qog adrenal.
Kev Kho Mob Cushing's Disease yog dab tsi?
Kev kho mob rau Cushing tus kab mob yuav nyob ntawm seb qhov mob tshwm sim. Cov kev xaiv muaj xws li kev phais, tshuaj, thiab hluav taws xob. Hauv qhov tsis tshua muaj qhov xwm txheej tshwm sim los ntawm kev siv steroid ntau dhau, qhov ntau npaum li cas ntawm cov tshuaj steroids yuav raug txo los yog txiav tawm tag nrho ntawm kev txiav txim siab ntawm tus kws kho tsiaj.
Yog hais tias cov qog adrenal yog benign, kev phais tshem tawm cov qog yuav kho tau tus kab mob. Yog tias cov tshuaj yog cov kev kho mob pom zoo, cov tshuaj trilostane lossis mitotane yuav raug tshuaj xyuas thiab saib xyuas los ntawm koj tus kws kho tsiaj raws li txoj kev kho mob tshwj xeeb.
11 Tej Yam Uas Yog Ua Li Cas Koj Tus dev thiaj Li Ntshai
Liab yog tus cwj pwm zoo rau dev thiab feem ntau tsis ua rau muaj kev txhawj xeeb. Qee tus dev yuav yaim ntau dua li lwm tus, ib yam nkaus. Muaj ntau ntau yam laj thawj uas vim li cas dev yaim, thiab nws yog ib lub tswv yim zoo kom nkag siab txog tus cwj pwm kom koj tuaj yeem khaws txhua yam txawv txawv uas yuav taw qhia rau qhov teeb meem hauv qab uas yuav tsum tau daws.
1. Kev hlub
Ntau tus dev yaim ua lub cim ntawm kev hlub. Kev hnia ntau slobbery tsuas yog koj tus dev txoj kev qhia koj tias lawv hlub koj. Yog tias koj pom koj tus dev nyiam snuggle nrog koj thiab da dej koj licks, lawv tsuas yog qhia koj qee qhov kev hlub.
2. Nco ntsoov
Dab yuav mus ntev heev kom ntes tau koj mloog. Qee tus tuaj yeem qw, qw, yws, lossis txawm ntsia koj tab sis koj tuaj yeem cia siab tias qee tus dev yuav yaim koj kom tso siab rau lawv. Qhov no tuaj yeem yog vim lawv tshaib plab, npaj txhij rau lawv txoj kev taug kev lossis sijhawm ua si, lossis tsuas yog xav kom koj mloog ncaj qha rau lawv.
3. Ntsuag
Lawv hais tias txhais tes tsis ua haujlwm yog dab ntxwg nyoog lub rooj cob qhia, tab sis tsis muaj paws tuaj yeem ua rau ntau tus cwj pwm txawv. Licking tsuas yog ib qho ntawm ntau yam uas tus dev yuav ua tau yog tias lawv dhuav. Yog tias kev dhuav yog lub hauv paus ua rau licking ntau dhau, nws raug nquahu kom koj muab koj tus dev nrog lwm txoj kev txhawb nqa, xws li cov khoom ua si sib tham sib, thiab tej zaum txawm tias nce ntxiv hauv lawv cov kev tawm dag zog txhua hnub.
4. Kev tshaib plab los yog nqhis dej
Zoo heev rau cov dev yaim yog tias lawv tshaib plab lossis nqhis dej. Koj tuaj yeem ntes lawv licking random chaw uas muaj tee dej los yog zaub mov seem ntawm lawv. Xyuas kom koj ib txwm muaj cov dej tshiab, huv si rau haus, thiab sim ua raws li lub sijhawm pub mis. Qee tus dev yuav ib txwm ua rau lawv ib puag ncig rau txhua qhov cim ntawm ib yam dab tsi qab, txawm li cas los xij.
5. Kev tu tus kheej
Miv tej zaum yuav paub txog lawv lub peev xwm tu tu thiab siv sij hawm ntau heev, tab sis cov dev kuj yuav koom nrog kev tu tus kheej kom tu me ntsis. Qee cov tsiaj txhu feem ntau yuav tu lawv tus kheej ntau dua li lwm tus, tab sis nws tseem ceeb heev uas yuav tsum tau tiv tauj koj tus kws kho tsiaj yog tias lawv cov tu cev zoo li ntau dhau los yog ua rau poob ntawm cov plaub hau lossis tawv nqaij, vim tias nws tuaj yeem yog vim muaj mob hauv qab.
6. Khawv koob
Koj yuav pom koj tus dev licking ntau yog tias lawv khaus khaus. Nyob rau hauv cov ntaub ntawv no, lawv feem ntau yuav licking lawv tus kheej nyob rau hauv lub cheeb tsam uas thab lawv. Qhov no tuaj yeem yog kab mob parasites, kab mob fungal, ua xua, tawv nqaij mob, lossis lwm yam teeb meem kev noj qab haus huv. Yog tias koj tus dev khaus, nws yog lub sijhawm hu rau koj tus kws kho tsiaj thiab coj koj tus dev mus rau lub sijhawm teem sijhawm kom koj tuaj yeem nkag mus rau hauv qab ntawm nws thiab tau txais kev pab sai li sai tau.
7. Cov teeb meem coj tus cwj pwm
licking ntau dhau tuaj yeem yog vim qhov teeb meem ntawm tus cwj pwm xws li kev ntxhov siab sib cais lossis kev coj cwj pwm tsis zoo. Nyob rau hauv cov ntaub ntawv no, koj tus dev yuav licking lawv tus kheej, lawv tsev neeg, lwm yam tsiaj, los yog txawm inanimate yam khoom xws li hauv pem teb los yog phab ntsa. Yog tias koj xav tias koj tus dev licking yog vim muaj kev txhawj xeeb ntawm tus cwj pwm, koj yuav tsum xub teem sijhawm nrog koj tus kws kho tsiaj kom txiav txim siab txog kev kho mob thiab nrhiav kev kho mob lossis txawm tias kev pab los ntawm tus kws tshaj lij.
8. Cognitive Issues
Nrog hnub nyoog, tus dev txoj kev txawj ntse tuaj yeem poob qis heev. Kev licking ntau dhau tsuas yog ib qho ntawm ntau cov cim qhia ntawm kev paub tsis meej uas tuaj yeem tshwm sim thaum tus dev laus xyoo. Lwm cov cim qhia muaj xws li pacing, tsaug zog ntau dhau, tsis meej pem, lossis lwm yam kev hloov pauv tus cwj pwm.
9. Nausea
Ntsuab yog ib yam uas tuaj yeem cuam tshuam nrog ntau yam mob, tab sis nws tus kheej tuaj yeem ua rau licking ntau dhau. Mob plab tuaj yeem ua rau lub qhov ncauj dej, uas tuaj yeem ua rau licking. Koj tus dev kuj tau nkag mus rau hauv ib yam dab tsi uas nws yuav tsum tsis txhob muaj, uas ua rau mob plab, lossis nws tuaj yeem raug mob los ntawm lwm qhov teeb meem kev noj qab haus huv.
Yog tias koj tus dev licking ntau tam sim ntawd thiab koj xav tias xeev siab, nws yog ib lub tswv yim zoo hu rau koj tus kws kho tsiaj rau cov kauj ruam tom ntej uas koj yuav tsum ua. Tej zaum lawv yuav xav pom koj tus dev tom tsev kho mob, lossis koj yuav tsum tau saib xyuas lawv ntev me ntsis.
10. Mob
Ib qhov pom tseeb ntawm tus dev nyob hauv qhov mob yog qhov ntau dhau thiab rov qab licking, uas lawv ua rau thaj chaw uas lawv tsis xis nyob lossis ua tus cwj pwm zoo.
Thaum mob hnyav, koj tus dev yuav quaj qw los yog mob. Qhov no yuav lav tau mus ntsib kws kho tsiaj, yog li ua tib zoo saib xyuas thaj chaw lawv licking (yog tias lawv licking lawv tus kheej ntau dhau) thiab lwm yam kev mob tshwm sim yog li koj tuaj yeem hla lawv ntawm koj mus ntsib.
11. Kev mob nkeeg hauv qab
Muaj ntau yam mob hauv qab uas tuaj yeem ua rau tus dev yaim ntau dhau. Feem ntau, licking yuav tshwm sim los ntawm lwm cov cim qhia ntawm tus mob, xws li nqhis dej, ntxhov siab, lossis xeev siab. Qhov zoo tshaj plaws uas koj tuaj yeem ua tau yog hu rau koj tus kws kho tsiaj thiab kom koj tus dev soj ntsuam kom tsis txhob muaj kev mob nkeeg uas tuaj yeem ua rau lawv yaim ntau heev.
Conclusion
Licking tej zaum yuav tsis yog ib qho ntawm cov cim qhia ntawm Cushing's disease, tab sis kev licking ntau dhau tau raug muab sau tseg tias yog ib qho tsos mob ntawm tus mob, tej zaum yuav yog vim qhov nce hauv nqhis dej los ntawm qhov cuam tshuam ntawm tus kab mob hauv lub cev. Licking tuaj yeem yog tus cwj pwm zoo tag nrho tab sis kuj tseem tuaj yeem cuam tshuam nrog cov teeb meem kev coj tus cwj pwm lossis lwm yam mob hauv qab no. Txhua lub sij hawm koj tus dev pib nthuav tawm tus cwj pwm txawv txawv uas nyob sab nraum lawv cov cai, koj yuav tsum tau kuaj xyuas los ntawm koj tus kws kho tsiaj kom nyob nyab xeeb.
