Adrenal insufficiency: Cov tsos mob thiab tej yam tshwm sim

Adrenocortical insufficiency - ib tug syndrome hu ua tsis tau gipokortitsizm thiab manifesting cov tsis muaj cov tshuaj hormones uas yuav tsum tau tsim los ntawm cov qog. Cia saib cov tsos mob thiab ua rau muaj tus mob no. adrenal kab mob nyob rau hauv txhua rooj plaub, ib tug hnyav kev nyuaj siab nyob rau hauv lub cev. Nws yog ib qho tseem ceeb kom nkag siab txog dab tsi nws yuav nyuab thiab lub sij hawm mus sim los mus tiv thaiv nws. Cia saib nyob rau hauv cov yam ntxwv nta hypocorticoidism li hyperpigmentation ntawm daim tawv nqaij thiab qog ua kua week.

Adrenal insufficiency: Cov tsos mob thiab lus qhia dav dav txog qhov twg mob

Nws yog ib qho tseem ceeb rau tam sim ntawd qhia tau tias tus kab mob no yog mob los yog mob. Mob tsis ua hauj lwm kuj muaj peev xwm muab faib ua ob hom. Primary hu ua Addison tus kab mob no tshwm sim raws li ib tug tshwm sim ntawm kev puas tsuaj ntawm prostate cov ntaub so ntswg. Tej adrenal tsis ua hauj lwm, cov tsos mob uas yuav tsum tau pom nyob rau hauv cov kev yees duab, tsuas pom nyob rau hauv cov kev tshwm sim hais tias koj khiav lag luam tsawg tshaj li kaum tsib feem pua ntawm cov ntaub so ntswg. Secondary kab mob yog lub qhov tsim nyog ntawm lub paj hlwb, nyob rau hauv uas lub puas hypothalamus los yog pituitary (hlav, kev poob plig, qaug cawv). Tom qab tag nrho, cov qog tswj cov kev ua ntawm cov qog adrenal. Addison tus kab mob predisposing yam: mob loj heev mob, amyloidosis, Atrophy ntawm lub adrenal cortex. Cov yav tas yog ib tug ntawm autoimmune txheej txheem los mus tsim cov tshuaj rau hauv lub cev tus kheej ntaub so ntswg. Mob theem nrab adrenal insufficiency, cov tsos mob uas yog yuav luag tib yam li hais tias ntawm lub thawj, tej zaum yuav tsim maj. Mob addisonichesky ntsoog - ib tug mob uas yuav tsum tau thaum muaj xwm ceev kho mob. Nws yuav tshwm sim thaum ntse discontinuation ntawm cov tshuaj hormones, tom qab qhov kev tshem tawm ntawm cov qog adrenal, raws li zoo raws li nyob rau hauv lub keeb kwm yav dhau ntawm mob tsis ua hauj lwm. Qhov no mob tej zaum yuav kuj ua tau vim yug poob plig, kab mob, los ntshav nyob rau hauv raug mob ntawm lub plab mog thiab hauv siab, peritonitis, kub nyhiab. Thaum muaj ib tug sai poob nyob rau hauv corticoid theem nyob rau hauv cov ntshav, thiab lub cev loses nws muaj peev xwm hloov mus rau kev nyuaj siab.

Adrenal insufficiency: Cov tsos mob thiab lawv cov hauj lwm

Gipokortitsizm muab ib tug heev muaj zog mucosal hyperpigmentation thiab daim tawv nqaij. Nws tshwm sim maj. Thawj tsaus ntuj qhib qhov chaw ntawm lub cev, uas yog irradiated los ntawm lub hnub, xws li daim tawv nqaij ntawm lub ntsej muag, ob txhais tes. Ces cov neeg feem ntawm daim tawv nqaij, uas feem ntau heev pigmented: mis, crotch, qhov tso. Ib tug yam ntxwv feature yog hypocorticoidism darkening creases rau lub xib teg. Nws yog kom meej meej pom nyob rau ib lub teeb daim tawv nqaij. Pigmented xim npog yuav tsum yog ib lub teeb xim kafes, xws li ib tug natural tan, tsaus ntuj heev - bronze, muaj pa taws. Txheej nyias nyias ntawm lub qhov ncauj, tus nplaig, qhov quav, lub paum ua xiav-dub. Nyob rau hauv tas li ntawd, nyob rau hauv cov neeg mob uas vitiligo xyuas (tsuas yog nyob rau hauv autoimmune gipokortitsizm), lawv poob phaus, kev tsis tu ncua qaug zog thiab txob taus. Lawv tau txo kev sib deev siab, muaj nkees, kev nyuaj siab, kev tsis taus, hypotension, syncope, dyspepsia.