Kev tsis txaus ntawm adrenal cortex yog ib qho mob hu ua hypocorticism thiab tshwm sim los ntawm qhov tsis muaj cov tshuaj hormones uas yuav tsum tau ua los ntawm cov qog no. Cia peb saib cov tsos mob thiab ua rau tus mob no. Kab mob qog adrenal nyob rau hauv txhua rooj plaub yog ib qho kev ntxhov siab heev rau lub cev. Nws yog ib qho tseem ceeb kom nkag siab tias yuav ua li cas nws tuaj yeem nyuaj thiab sim tiv thaiv nws hauv lub sijhawm. Cia peb saib cov yam ntxwv ntawm hypocorticism li hyperpigmentation ntawm daim tawv nqaij thiab mucous daim nyias nyias.
Adrenal insufficiency: cov tsos mob thiab cov lus qhia dav dav txog tus kabmob
Nws yog ib qho tseem ceeb kom qhia tam sim ntawd tias tus kab mob no mob thiab ntev. Mob tsis txaus kuj tuaj yeem muab faib ua ob hom. Thawj yog hu ua Addison's disease thiab tshwm sim vim kev puas tsuaj ntawm cov qog nqaij hlav. Xws li adrenal tsis txaus, cov tsos mob uas tuaj yeem pom hauv daim duab, pom nws tus kheej tsuas yog tias tsawg dua kaum tsib feem pua ntawm cov ntaub so ntswg ua haujlwm. Secondary yog qhov tshwm sim ntawm cov kab mobntawm lub hlwb, nyob rau hauv uas lub hypothalamus los yog pituitary caj pas puas lawm (mob, raug mob, intoxication). Tom qab tag nrho, nws yog cov qog uas tswj kev ua haujlwm ntawm cov qog adrenal. Predisposing yam rau Addison tus kab mob: mob hnyav, amyloidosis, atrophy ntawm adrenal cortex. Qhov kawg yog qhov tshwm sim ntawm cov txheej txheem autoimmune nrog kev tsim cov tshuaj tiv thaiv rau lub cev cov ntaub so ntswg. Kev mob qog nqaij hlav qog adrenal tsis txaus, cov tsos mob uas yuav luag zoo ib yam li thawj zaug, tuaj yeem loj hlob zuj zus.
Tus mob Addisonian ntsoog yog ib yam mob uas yuav tsum tau saib xyuas xwm txheej ceev. Nws tuaj yeem txhim kho nrog kev txo qis ntawm cov tshuaj hormones, tom qab tshem tawm cov qog adrenal, thiab tseem tiv thaiv keeb kwm yav dhau los ntawm qhov tsis txaus. Cov mob no kuj tuaj yeem tshwm sim los ntawm kev yug me nyuam, kab mob, hemorrhages thaum raug mob rau lub plab thiab hauv siab, peritonitis, kub hnyiab. Nrog rau nws, muaj qhov poob qis hauv qib ntawm corticoids hauv cov ntshav, thiab lub cev poob lub peev xwm los hloov cov kev ntxhov siab.
Adrenal insufficiency: cov tsos mob thiab piav qhia
Hypocorticism muab lub zog hyperpigmentation ntawm mucous daim nyias nyias thiab tawv nqaij. Qhov no tshwm sim maj mam. Ua ntej, nthuav tawm thaj chaw ntawm lub cev uas raug tshav ntuj, xws li daim tawv nqaij ntawm lub ntsej muag, tes, tsaus nti.
Tom qab ntawd cov ntu ntawm daim tawv nqaij uas ib txwm muaj xim xim: txiv mis, perineum, armpits. Ib qho cim qhia ntawm hypocorticism yog qhov tsaus ntuj ntawm cov quav ntawm cov xib teg. Nws pom meej meej hauv keeb kwm yav dhau.thaj chaw teeb ntawm daim tawv nqaij. Cov xim ntawm pigmented integuments tuaj yeem yog lub teeb kas fes ntxoov ntxoo, zoo ib yam li lub ntuj tan, lossis tsaus heev - bronze, haus luam yeeb. Cov mucous daim nyias nyias ntawm lub qhov ncauj, tus nplaig, qhov quav, qhov chaw mos ua xiav-dub. Tsis tas li ntawd, cov neeg mob tau kuaj pom tias muaj vitiligo (tsuas yog nrog autoimmune hypocorticism), lawv poob phaus, muaj kev qaug zog tas li thiab chim siab. Lawv tau txo qis kev ntshaw, kev qaug zog, kev nyuaj siab, kev tsis taus, arterial hypotension, fainting, digestive disorders.
