Ukuhlushwa yi-Cushing Syndrome? Izimpawu, Izimbangela, Nokwelashwa

I-Cushing syndrome kwenzeka uma umzimba wakho unamazinga aphezulu ehormone ebizwa ngokuthi i-cortisol isikhathi eside kakhulu. Cabanga nge-cortisol njenge-hormone yemvelo yokucindezeleka yomzimba wakho esikusiza ukuba ubhekane nezimo ezinzima, kodwa uma amazinga ehlala aphezulu izinyanga noma iminyaka, kungathinta cishe yonke ingxenye yomzimba wakho.

Lesi simo sithuthuka kancane kancane, okusho ukuthi izimpawu zivame ukuvela kancane kancane ngokuhamba kwesikhathi. Abantu abaningi abazi ukuthi kukhona okungalungile ekuqaleni ngoba izinguquko zingaba zimbi. Izindaba ezinhle ukuthi ngokuxilongwa okulungile nokuphathwa, abantu abaningi abane-Cushing syndrome bangabona ukuthuthuka okukhulu ezimpawu zabo nasempilweni yabo yonke.

Iyini i-Cushing Syndrome?

I-Cushing syndrome yisifo se-hormone esibangelwa ukukhombisa isikhathi eside amazinga aphezulu e-cortisol emzimbeni wakho. Ama-adrenal glands akho, ahlala phezulu kwezinso zakho, avame ukukhiqiza i-cortisol ukusiza umzimba wakho ukuba uphendule ekucindezelekile, ulawule ushukela egazini, futhi unciphise ukuvuvukala.

Uma amazinga e-cortisol ehlala aphezulu isikhathi eside, kuya kuphazamisa imisebenzi evamile yomzimba wakho. Lokhu kungenzeka ngoba umzimba wakho ukhumbula i-cortisol eningi ngokwakho, noma ngoba uthathe imithi ye-corticosteroid isikhathi eside.

Lesi simo sithinta abantu bazo zonke izigaba zokuphila, nakuba sivame ukuxilongwa kubantu abadala abaneminyaka engama-20 kuya kwengu-50. Abafazi banethuba elingaphezulu kathathu lokukhula yi-Cushing syndrome kunamadoda, ikakhulukazi uma kubangelwa izinkinga ze-pituitary gland.

Ziyini izimpawu ze-Cushing syndrome?

Izimpawu ze-Cushing syndrome zingase zihluke kumuntu nomuntu, futhi zivame ukuthuthuka kancane kangangokuba ungase ungaziboni ngokushesha. Umzimba wakho ubhekene nemiphumela yokukhombisa isikhathi eside i-hormone yokucindezeleka, okuvela ngezindlela eziningi.

Izinqubo ezivamile zomzimba ongaziqaphela zihlanganisa:

• Ukuzuza isisindo, ikakhulukazi ngasezingxenyeni zakho zesisu nangemuva oluphezulu
• Ubuso obuqoshiwe, obugcwele, obubizwa ngokuthi “ubuso lwenyanga”
• Izimpawu ezibomvu noma ezimhlophe oluhlaza ezikhishwayo
• Ukuqhaqhazela kalula ngemivimbo emincane noma ukuthinta
• Ukuphulukiswa kancane kwezicucu, ukutheleleka, noma ukuqhaqhazela
• Ukubanda kwesikhumba esiqhekeka kalula
• Ubuthakathaka bemisipha, ikakhulukazi ezandleni nasezinzweni
• Uxinzelelo lwegazi oluphezulu
• Ushukela egazini oluphezulu noma isifo sikashukela

Ngaphezu kwezimpawu zomzimba, i-Cushing syndrome ivame ukuthinta impilo yakho yobuhle kanye nempilo yengqondo. Ungase ube nezinguquko zemoto, uzizwe ukhungathekile noma ukhathazekile, ubunzima bokuhlala ugxile, noma ukucasuka okubonakala kungafani nawe.

Abanye abantu bathuthukisa okubizwa ngokuthi “i-buffalo hump,” okuyisisekelo samafutha phakathi kwamaphethini. Abafazi bangase baphawule izikhathi ezingavamile zokuya exesheni noma izinkinga zokuzala, kanti amadoda angase abe nokuwohloka kokuthanda ubulili noma i-erectile dysfunction.

Kubalulekile ukuqaphela ukuthi akuwona wonke umuntu ohlangabezana nazo zonke lezi zimpawu, futhi abanye abantu bangase babe nezibonakaliso ezilula ezilula ukuzigwema. Uma uqaphela izinguquko eziningi zalezi zinguquko ezihamba ndawonye ngokuhamba kwesikhathi, kubalulekile ukuxoxa nodokotela wakho.

Yini ebangela i-Cushing syndrome?

I-Cushing syndrome inezingxenye eziningi ezingase zibangele, kodwa zonke ziholela ekubeni umzimba wakho unamazinga aphezulu e-cortisol. Ukuqonda imbangela kubalulekile ngoba kusiza ekutholeni indlela engcono yokwelapha isimo sakho esithile.

Imbangela evamile ukuthatha imithi ye-corticosteroid isikhathi eside. Le mithi, njenge-prednisone noma i-hydrocortisone, ivame ukubhalwa ukuze iphephe izimo ezinjenge-asthma, i-rheumatoid arthritis, noma isifo sokuvuvukala sezisu. Uma ithathwa ngamandla amakhulu noma isikhathi eside, ingaletha imiphumela efanayo nokuthola i-cortisol eningi yemvelo.

Umzimba wakho ungakhiqiza i-cortisol eningi ngokwakho ngenxa yezimo eziningi:

• I-Pituitary adenoma - umdlavuza ovame ukuba mubi e-pituitary gland yakho okhiqiza i-ACTH eningi (i-hormone eyalela ama-adrenal glands akho ukuba enze i-cortisol)
• Ama-adrenal tumors - ukukhula kuma-adrenal glands akho okhiqiza i-cortisol eningi ngokuqondile
• I-Ectopic ACTH syndrome - lapho ama-tumors ezingxenyeni eziningi zomzimba wakho ekhiqiza i-ACTH

Imbangela ye-pituitary, ngezinye izikhathi ebizwa ngokuthi i-Cushing's disease, ibalelwa cishe ku-80% yezimo lapho umzimba wakho ukhumbula i-cortisol eningi ngokwemvelo. Lezi zinto ze-pituitary cishe zonke zilungile, okusho ukuthi azilona i-cancer, kodwa zisabangela izinkinga ngokuphazamisa ibhalansi yakho ye-hormone.

Ngokungavamile, ama-tumors emaphaphwini akho, i-pancreas, noma ezinye izitho angakhiqiza i-ACTH, okubangela ukukhiqizwa kwe-cortisol eningi. Lokhu kubizwa ngokuthi i-ectopic ACTH syndrome futhi kudinga izindlela zokwelapha ezihlukile kunokuba imbangela ehambisana ne-pituitary.

Nini okufanele ubheke udokotela nge-Cushing syndrome?

Kufanele ucabangele ukubona udokotela wakho uma uhlangabezana nezimpawu eziningi ze-Cushing syndrome, ikakhulukazi uma zithinta impilo yakho yansuku zonke noma ziya ziba zimbi ngokuhamba kwesikhathi. Njengoba lesi simo sithuthuka kancane kancane, kulula ukugwema izibonakaliso zokuqala njengokuguga okuvamile noma ukucindezeleka.

Hlela i-aphoyintimenti uma uqaphela ukuzuza isisindo okungachazeki kanye nezinye izimpawu ezinjengokuqhaqhazela kalula, ubuthakathaka bemisipha, noma izinguquko zemoto. Lezi zinhlobo zezimpawu zidinga ukuhlolwa kwezokwelapha, ngisho noma isimo ngasinye singase sibonakale sincane.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa izimpawu ezinkulu ezinjengoxinzelelo lwegazi oluphezulu kakhulu, izinguquko zemoto ezinkulu noma ukucindezeleka, izibonakaliso zesifo sikashukela (ukomile okukhulu, ukuya exesheni njalo), noma uma unezinkinga nemisebenzi yansuku zonke ngenxa yobunqamana bemisipha.

Uma uthatha imithi ye-corticosteroid futhi uhlangabezana nalezi zimpawu, ungayeki imithi yakho ngokuzumayo, njengoba lokhu kungaba yingozi. Esikhundleni salokho, xoxa ngezinkathazo zakho nodokotela owakubhalela yona ukuze akwazi ukuhlola isimo sakho futhi mhlawumbe alungise ukwelashwa kwakho.

Ziyini izici ezingase zikhulise i-Cushing syndrome?

Izici eziningi zingandisa amathuba akho okukhula yi-Cushing syndrome, nakuba ukuba nezici ezingase zikhulise akusho ukuthi uzokhula ngokuqinisekile ngalesi simo. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuba niqaphele izimpawu ezingase zikhule.

Isici esikhulu esingase sikhulise ukusetshenziswa kwemithi ye-corticosteroid isikhathi eside. Uma uthatha le mithi ngezimo ezinjenge-asthma, i-arthritis, noma izifo ze-autoimmune, ingozi yakho iyanda ngamandla amakhulu nezikhathi ezide zokwelashwa. Noma kunjalo, le mithi ivame ukudingeka ekulawuleni izimo zezempilo ezinkulu, ngakho-ke izinzuzo zivame ukudlula izingozi.

Izici zedemografikhi nazo zidlalela indima:

• Ukuba owesifazane, ikakhulukazi phakathi kweminyaka engama-20-50
• Ukuba nomlando womndeni wezifo ze-endocrine
• Ukuba nezimo ezithile ze-genetic ezithinta ukukhiqizwa kwe-hormone

Nge-Cushing syndrome ehambisana ne-pituitary, azikho izici eziningi ezaziwayo ezingavimbeka ngoba ama-tumors e-pituitary avame ukuthuthuka ngaphandle kwesizathu esicacile. Noma kunjalo, ukwazi izimpawu kuba kubaluleke kakhulu uma unezinye izifo ze-endocrine noma umlando womndeni wezimo ezihlobene ne-hormone.

Kubalulekile ukukhumbula ukuthi abantu abaningi abanezi zici ezingase zikhulise abakhula yi-Cushing syndrome. Lezi zici zisho nje ukuthi ungase uzuze ngokuba uqaphele izimpawu ezingase zikhule futhi uxoxe nganoma yiziphi izinkathazo nodokotela wakho.

Ziyini izinhlanganisela ezingase zikhule ze-Cushing syndrome?

Uma ingalashwa, i-Cushing syndrome ingaletha izinhlanganisela ezinkulu zezempilo ngoba amazinga aphezulu e-cortisol athinta izinhlelo eziningi zomzimba. Izindaba ezinhle ukuthi izinhlanganisela eziningi zalezi zingathuthuka kakhulu ngokwelashwa okulungile, ikakhulukazi uma zitholakala ekuqaleni.

Izinhlanganisela ezivamile zithinta impilo yakho yemisipha kanye ne-metabolic:

• Uxinzelelo lwegazi oluphezulu olungase luqine inhliziyo yakho nemiphunga yakho
• Isifo sikashukela sohlobo 2 kusuka emazingeni aphezulu eshukela egazini
• Isifo senhliziyo kanye nengozi eyenyuke yokuhlushwa yinhliziyo noma isifo sokuqhaqhazela
• I-Osteoporosis kanye nengozi eyenyuke yokuqhekeka kwama-bone
• Ukutheleleka njalo ngenxa yesistimu yokulwa nezifo ebuthakathaka
• Ama-Kidney stones kusuka ekunciphile kwe-calcium

Izinhlanganisela zempilo yengqondo nazo zibalulekile futhi zingase zihlanganise ukucindezeleka okukhulu, ukukhathazeka, futhi ezimweni ezingavamile, i-psychosis noma imicabango yokuzibulala. Le miphumela ye-psychological ingaba nzima njengezinhlanganisela zomzimba futhi ivame ukuthuthuka ngokwelashwa.

Abanye abantu bathuthukisa ukuncipha kwemisipha, okungenza imisebenzi yansuku zonke ibe nzima kakhulu. Abafazi bangase babe nezinkinga zokuzala noma izikhathi ezingavamile, kanti amadoda angase abe namanqanaba e-testosterone aphansi athinta impilo yabo yonke.

Into ebalulekile okumele uyikhumbule ukuthi nakuba lezi zinhlanganisela zizwa zesabekayo, eziningi ziphendukayo noma zingathuthuka kakhulu ngokwelashwa okulungile. Ukuxilongwa ekuqaleni nokuphathwa okulungile kungavimbela imiphumela eminingi enzima.

I-Cushing syndrome ixilongwa kanjani?

Ukuxilongwa kwe-Cushing syndrome kudinga izinyathelo eziningi ngoba izimpawu zingabangelwa ezinye izimo, futhi amazinga e-cortisol avame ukuguquguquka usuku lonke. Udokotela wakho uzokuqala ngengxoxo ephelele yezimpawu zakho nomlando wakho wezokwelapha.

Inkqubo yokuxilongwa ivame ukuqala ngezivivinyo zegazi nezinye ze-urine ukuze uqaphele amazinga e-cortisol. Ungase udinge ukuqoqa i-urine yakho amahora angu-24 noma uthathe imithi ebizwa ngokuthi i-dexamethasone ukubona ukuthi umzimba wakho uphendula kanjani. Lezi zihloko zisiza ekuqondeni ukuthi amazinga e-cortisol aphezulu yini ngempela.

Uma izivivinyo zokuqala zikhomba i-Cushing syndrome, udokotela wakho uzobhalela ezinye izivivinyo ukuze uthole imbangela:

• Ama-MRI scans e-pituitary gland yakho ukubheka ama-tumors
• Ama-CT scans e-adrenal glands yakho
• Izivivinyo zegazi ukuze uqaphele amazinga e-ACTH
• Ngezinye izikhathi ama-scans engeziwe ukubheka ama-tumors ezingxenyeni eziningi zomzimba wakho

Inkqubo yokuxilongwa ingathatha amasonto noma izinyanga eziningi ngoba udokotela wakho udinga ukuqiniseka ngokuxilongwa ngaphambi kokuncoma ukwelashwa. Lokhu kungase kuzwakale kuyadumaza, kodwa ukuxilongwa okulungile kubalulekile ekutholeni indlela engcono yokwelapha.

Ngezinye izikhathi, odokotela bangase bancome ukusebenza nodokotela we-endocrinologist, ochwepheshe ezifweni ze-hormone, ukusiza ekuxilongweni nasekulungiseni uhlelo lokwelashwa. Laba ochwepheshe banolwazi olwengeziwe ekulawuleni izimo eziyinkimbinkimbi ze-hormone ezinjenge-Cushing syndrome.

Iyini indlela yokwelapha i-Cushing syndrome?

Ukwelashwa kwe-Cushing syndrome kuncike kulokho okubangela amazinga aphezulu e-cortisol, kodwa umgomo uhlala ukunciphisa i-cortisol emazingeni avamile futhi ulawule noma yiziphi izinhlanganisela eziye zathuthuka. Izindaba ezinhle ukuthi abantu abaningi babona ukuthuthuka okukhulu ezimpawu zabo ngokwelashwa okulungile.

Uma i-Cushing syndrome yakho ibangelwa imithi ye-corticosteroid, udokotela wakho uzosebenza nawe ukuze unciphise kancane umthamo noma ushintshe ezinye izindlela zokwelapha. Le nqubo kufanele yenziwe kancane futhi ngokucophelela ukuze ugweme izimpawu zokuhoxa futhi uqiniseke ukuthi isimo sakho esiyisisekelo sihlala silawulwa.

Nge-Cushing syndrome ebangelwa ama-tumors, izinketho zokwelapha zihlanganisa:

• Ukuhlinzwa ukususa ama-tumors e-pituitary, ama-tumors e-adrenal, noma ezinye ama-tumors akhiqiza i-hormone
• Ukwelashwa ngomgogodla wama-tumors e-pituitary ongenakususwa ngokuphelele ngokuhlinzwa
• Imithi evikela ukukhiqizwa kwe-cortisol noma isenzo
• Kwezinye izimo, ukususwa kwama-adrenal glands womabili kulandelelwa ukufakwa kwe-hormone okuphila konke

Ukuhlinzwa kuvame ukuba yindlela yokwelapha ekhethwayo yama-tumors e-pituitary ngoba kungaphilisa isimo uma lonke i-tumor lisusiwe. Ukuhlinzwa okuningi kwe-pituitary kwenziwa ngenxeba, okusho ukuthi azikho izinxeba ezingaphandle kanye nezikhathi zokubuyela emuva ezikhulu.

Iqembu lakho lezokwelapha lizoqaphela futhi ukuphatha izinhlanganisela ezinjengoxinzelelo lwegazi oluphezulu, isifo sikashukela, ne-osteoporosis. Le ndlela ephelele ikusiza ukuthuthukisa impilo yakho yonke ngenkathi ubhekana nokungahambisani kwe-hormone.

Ukubuyela emuva kuthatha isikhathi, futhi ungase ungaboni ukuthuthuka ngokushesha. Abantu abaningi baqala ukuzizwa bephilile phakathi nezinyanga ezimbalwa zokwelashwa okuphumelelayo, nakuba kungathatha unyaka noma ngaphezulu kwezinye izimpawu ukuba ziphulukiswe ngokuphelele.

Ungayilawula kanjani i-Cushing syndrome ekhaya?

Nakuba ukwelashwa kwezokwelapha kubalulekile nge-Cushing syndrome, kunezinto eziningi ongazenza ekhaya ukusekela ukubuyela kwakho futhi ulawule izimpawu. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokuphathwa kwakho kwezokwelapha okubhaliwe, hhayi njengokushintsha kwazo.

Gxila ekudleni ukudla okuqondile okukusiza ukuba ulawule ushukela egazini futhi usekele impilo yama-bone. Lokhu kusho ukukhetha izinhlamvu eziphelele, amaprotheni ahlanzekile, izithelo, nemifino ngenkathi ugcina ukudla okuqediwe, ushukela omningi, nesodium.

Ukuzivocavoca okuthambile kungasiza ngezimpawu eziningi, kodwa qala kancane ngoba ubuthakathaka bemisipha buvamile. Ukuhamba, ukubhukuda, noma ukuqeqeshwa kwamandla okulula kungasiza ekuqondeni imisipha kanye nokuqinisa ama-bone. Qaphela udokotela wakho ngaphambi kokuqala izinhlelo ezintsha zokuzivocavoca.

Ukulawula impilo yakho yobuhle kubalulekile ngokulinganayo:

• Cabanga ngokwelashwa noma ukuqeqeshwa ukukusiza ukubhekana nezinguquko zemoto nokucindezeleka
• Sebenzisa amasu okuthuthukisa ukucindezeleka njengokuphefumula okujulile noma ukucamngca
• Gcina uxhumano lomphakathi futhi ungazihlukanisi
• Thola ubuthongo obanele, nakuba lokhu kungase kube nzima nge-Cushing syndrome

Nakekela isikhumba sakho ngokwengeziwe ngoba singase sibe buthakathaka kunokujwayelekile. Sebenzisa imikhiqizo yokunakekela isikhumba ethambile, zivikele ekukhanyeni kwelanga, futhi uqaphele ukugwema ukulimala okungase kube yimbangela yokulimala okuphulukiswayo kancane.

Gcina uqaphele izimpawu zakho nanoma yiziphi izinguquko ozibona. Lolu lwazi lungaba lubalulekile ku dokotela wakho ekuhleni uhlelo lwakho lokwelapha nokubheka intuthuko yakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ekuqinisekiseni ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Njengoba izimpawu ze-Cushing syndrome zingase zihluke futhi zithuthuke kancane kancane, ukulungiselela okuhle kuba kubalulekile kakhulu.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi zonke izimpawu zakho, ngisho nalabo abangase bangabonakali bahlobene. Faka lapho uqale ukubona khona isimo ngasinye nokuthi ziye zaba zimbi kangakanani ngokuhamba kwesikhathi. Thatha izithombe uma uqaphele izinguquko ekuqondeni kwakho, njengoba lezi zingasiza udokotela wakho ukuba azibone.

Lungiselela uhlu oluphelele lwemithi yonke oyithathayo, kuhlanganise imithi yokubhalwa, imithi yokuthengwa ngaphandle kokubhalwa, kanye nezinhlanganisela. Qaphela imithi ye-corticosteroid oyithathile, kuhlanganise lapho uqale khona nokuthi yiziphi izilinganiso ozisebenzisile.

Letha ulwazi mayelana nomlando wakho wezokwelapha nanoma yimuphi umlando womndeni wezifo ze-hormone noma izinkinga ze-endocrine. Uma uke waba nezivivinyo zegazi ngaphambili noma ukuhlolwa kwezokwelapha, letha lezo ziphumo uma kungenzeka.

Bhala phansi imibuzo ofuna ukuyibuza udokotela wakho:

• Yiziphi izivivinyo engizidingayo ukuze ngiqinisekise ukuxilongwa?
• Yini engase ibe yimbangela yezimpawu zami?
• Ziyini izinketho zami zokwelashwa?
• Kungathatha isikhathi esingakanani ukubona ukuthuthuka?
• Yiziphi izinhlanganisela engingazibheka?

Cabanga ukuletha umngani othembekile noma ilungu lomndeni e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sibe yisikhathi esinzima.

Iyini into ebalulekile mayelana ne-Cushing syndrome?

I-Cushing syndrome yisimo esilawuleka esenzeka uma umzimba wakho unamazinga aphezulu e-cortisol isikhathi eside kakhulu. Nakuba ingabangela izimpawu nezinhlanganisela ezinkulu, into ebalulekile okumele uyikhumbule ukuthi abantu abaningi babona ukuthuthuka okukhulu ngokuxilongwa okulungile nokuphathwa.

Ukuphumelela kokwelashwa kuvame ukuncika embangelweni oyisisekelo, kodwa ngisho nasezimweni eziyinkimbinkimbi, kunezindlela eziningi zokwelapha ezitholakalayo. Abantu abaningi bangalindela ukubona ukuthuthuka kancane ezimpawu zabo izinyanga kuya eminyakeni ngemuva kokwelashwa okuphumelelayo.

Khumbula ukuthi ukubuyela emuva kuyinqubo, hhayi ushintsho lwobusuku bonke. Bekezela nawe njengoba umzimba wakho ulungisa amazinga e-cortisol avamile, futhi gcina uxhumano olukhulu neqembu lakho lezokwelapha kulo lonke uhambo lwakho lokwelashwa.

Imibuzo evamile ebuzwayo mayelana ne-Cushing syndrome

Ingaphela yodwa i-Cushing syndrome?

I-Cushing syndrome ngokuvamile ayipheli ngaphandle kokwelashwa. Uma ibangelwa imithi, izimpawu zingase zithuthuke uma imithi inciphisiwe noma iyeke ngokufanele ngaphansi kokunakekelwa kwezokwelapha. Noma kunjalo, uma ibangelwa ama-tumors noma ezinye izimo zezokwelapha, ukwelashwa okuthile kuvame ukudingeka ukulinganisa amazinga e-cortisol nokuvimbela izinhlanganisela.

Kuthatha isikhathi esingakanani ukubuyela emuva kusuka e-Cushing syndrome?

Isikhathi sokubuyela emuva sihluka kuye ngembangela nendlela yokwelapha. Abanye abantu baqala ukuzizwa bephilile phakathi nezinyanga ezimbalwa zokwelashwa okuphumelelayo, kanti abanye bangathatha unyaka noma ngaphezulu ukubona ukuthuthuka okuphelele. Izinqubo zomzimba ezinjengokwahlukaniswa kwesisindo namandla emisipha zivame ukuthatha isikhathi eside ukulinganisa kunokuba izimpawu ezinjengokuguquka kwemoto noma izinkinga zokulala.

Ingabe i-Cushing syndrome ifana ne-Cushing's disease?

I-Cushing's disease empeleni uhlobo oluthile lwe-Cushing syndrome. I-Cushing syndrome iyigama eliqondene nokuthola i-cortisol eningi, kungakhathaliseki imbangela. I-Cushing's disease ikhomba ngokuqondile izimo ezihambisana ne-pituitary tumor ekhiqiza i-ACTH eningi, bese kwenza ama-adrenal glands enze i-cortisol eningi.

Ingabe ukucindezeleka kungabangela i-Cushing syndrome?

Nakuba ukucindezeleka okuqhubekayo kungaphakamisa amazinga e-cortisol okwesikhashana, ngokuvamile akubangeli i-Cushing syndrome. Noma kunjalo, izimpawu zokucindezeleka okuqhubekayo ngezinye izikhathi zingase zihambisane nezimpawu ze-Cushing syndrome, kungakho ukuhlolwa kwezokwelapha okulungile kubalulekile. I-Cushing syndrome yangempela ibangelwa izimo zezokwelapha noma imithi, hhayi ukucindezeleka kwengqondo kuphela.

Ingabe ngizodinga ukuthatha imithi ukuphila konke ngemuva kokwelashwa?

Lokhu kuncike ekwelapheni kwakho okuthile nendlela umzimba wakho ophendula ngayo. Uma une-surgery yokususa i-pituitary tumor futhi iphumelele ngokuphelele, ungase ungadingi imithi yesikhathi eside. Noma kunjalo, uma ama-adrenal glands womabili asuswe, uzodinga ukufakwa kwe-hormone okuphila konke. Udokotela wakho uzosebenza nawe ukuze uthole uhlelo oluhle lokuphathwa kwesikhathi eside isimo sakho.