Yuav Kho Cov Mob Cushings Rau Hauv Cov Dev

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Los ntawm Jennifer Coates, DVM

Cushing's disease, lossis hyperadrenocorticism, yog tshwm sim los ntawm kev ua haujlwm ntau dhau ntawm cortisol los yog kev siv tshuaj ntau dhau ntawm corticosteroid zoo li prednisone. Nyeem ntxiv kom paub cov ua, cov tsos mob thiab kev xaiv kho mob rau cov dev nrog Cushing's Disease.

Cov Kev Xaiv Kho

Tshuaj: Cov dev nrog Cushing's mob tshwm sim los ntawm qog ntshav hauv lawv cov qog pituitary feem ntau kho nrog mitotane (tseem hu ua Lysodren) lossis trilostane

Kev phais mob: Cushing's disease uas yog los ntawm cov qog ntshav hauv lub qog adrenal yog qhov zoo tshaj plaws los ntawm kev phais mob tawm lub qog

Dab Tsi Yuav Cia Siab ntawm Vet Chaw Haujlwm

Yog tias koj tus tsiaj raug soj ntsuam nrog tus mob Cushing's, koj tus kws kho tsiaj yuav tsum txiav txim seb qhov twg yog hom twg ntawm qhov kev txhaum uas yuav raug liam. Feem ntau yog mob qog ntawm cov qog ntshav hauv lub hlwb yog lub luag haujlwm feem ntau (80-85%). Cov seem ntawm cov dev (feem ntau cov tsiaj loj) muaj cov qog ntawm ib qho ntawm lawv cov qog adrenal hauv plab.

Cov qog adrenal yuav ua tau benign lossis malignant. Kev ntsuam xyuas qhov siab tshaj tawm dexamethasone thiab / lossis kev kuaj mob hauv plab yog qhov feem ntau txoj kev sib txawv ntawm cov qog adrenal-nyob ntawm tus mob pituitary-cuam tshuam ntawm Cushing's disease.

Kev kho mob kom tsim nyog rau Cushing's disease yog nyob ntawm tus dev lub tsos mob thiab seb puas yog adrenal lossis mob hauv lub cev ntawm tus kab mob yuav tsum tau liam:

Cov dev uas muaj tsos mob mentsis ntawm tus mob pituitary-depending Cushing's disease feem ntau tsis xav tau kev kho mob. Lawv yuav tsum tau saib xyuas kom zoo rau qhov kev mob ntawm lawv tus mob, uas yog lub sijhawm pib kho tau

Qhov ncauj tshuaj mitotane los yog trilostane tau muab rau lub cev tsim cov tshuaj hormone cortisol thaum tsis muaj kev cuam tshuam cov tsos mob ntawm tus mob cuitis nyob rau hauv Cushing's disease. Cov koob tshuaj tsim nyog yog txiav txim siab los ntawm tus dev lus teb rau cov tshuaj, tab sis yuav tsum tau kho lub neej ntev mus. Ob qhov tshuaj tuaj yeem muaj kev phom sij loj heev, yog li cov dev yuav tsum tau soj ntsuam kom zoo hauv tsev thiab kev ntsuam xyuas nyob hauv tsev kho mob veterinary tsis tu ncua

Cov dev nrog adrenal-tiv thaiv tus kab mob Cushing's feem ntau tau tso rau mitotane lossis trilostane li 2-4 hlis txhawm rau qog cov qog, tom qab ntawd tus kws kho tsiaj paub txog thaj chaw kho mob tshem nws. Yog tias kev phais mob tsis yog qhov kev xaiv, kev kho mob nrog mitotane lossis trilostane yuav tso cai rau qee tus dev nyob nrog kev zoo siab, feem ntau li ob peb hlis, ua ntej lawv lub neej tsis zoo

Dab Tsi Yuav Cia Siab Nyob Hauv Tsev

Yog tias koj thiab tus kws kho tsiaj tau txiav txim siab tawm tsam kev kho mob lub sijhawm no, koj yuav tsum saib xyuas koj tus dev kom ze rau qhov kev mob tshwm sim tsis zoo. Khaws cov ntawv teev hnub qub yog muaj txiaj ntsig. Jot down ntau npaum li cas koj yuav tsum sau koj tus dev lub tais dej, thaum koj xav tau kev tu "xwm txheej" lossis cia koj tus dev tawm thaum ib tag hmo los tso zis, ntev npaum li cas koj txoj hlua cab mus ntev, thiab lwm yam. Koj tus dev tseem yuav xav tau. yuav tsum tau pom koj tus kws kho tsiaj tsis tu ncua.

Cov dev uas noj trilostane lossis mitotane yuav tsum tau ua tib zoo saib. Lub hom phiaj ntawm kev kho tus kab mob Cushing hauv cov dev yog muab tshuaj txaus rau txo cov tsos mob hauv chaw kho mob mus rau theem txaus, tab sis tsis yog li ntawd kev xav tshwm sim tsis zoo. Cia siab tias yuav rov qab mus rau chaw kho tsiaj txhua ob lub lis piam thaum pib kho, tab sis ib zaug koj tus dev tus mob rov zoo li qub feem ntau tuaj yeem tau teem sijhawm txhua 3-6 hlis.

Yuav tsum tau mus kuaj tom qab tau phais neeg tas tom qab lub qog ua qog ua ntshav tag. Txwv tsis pub koj tus dev ua ub ua no (txoj hlua cab luv mus kev tsuas yog) rau 10-14 hnub tom qab tau tas thiab ua raws nraim li koj tus kws kho tsiaj cov lus qhia.

Cov lus yuav nug koj lub Vet

Yog tias koj tus dev tau kuaj pom tias Cushing's disease thaum nws lossis sai sai tom qab txiav ib hom tshuaj noj (qhov ncauj, txhaj tshuaj, lossis pleev ib qho) uas muaj corticosteroid (piv txwv li, prednisone lossis dexamethasone), nug koj tus kws kho tsiaj seb cov tshuaj puas tuaj yeem ua rau. Cushing's disease tuaj yeem loj hlob tuaj vim yog noj tshuaj corticosteroids. Txoj kev kho yuav tsum tau maj mam txiav cov dev tawm ntawm cov tshuaj.

Yog tias koj cov tsos mob ntawm tus dev tsis zoo thab dhau thiab koj tus kws kho tsiaj tau pom zoo rau kev kho mob, nug yog vim li cas thiaj ua rau lub tswv yim thib ob. Vim hais tias kev kho tus mob Cushing hauv cov dev yog lub sijhawm siv, kim thiab txaus ntshai, nws zoo tshaj rau cov mob loj tsawv mus rau mob hnyav. Cov tshuaj selegiline qee zaum sau tseg thaum kho ntau dua tsis tsim nyog, tab sis nws cov txiaj ntsig yog ib lo lus nug.

Muaj Teeb Meem Lawm Los Saib Rau

Yog tias koj txiav txim siab tawm tsam kev kho koj tus dev Cushing's disease, nco ntsoov tias nws muaj kev pheej hmoo siab rau kev txhim kho ntshav qab zib mellitus thiab pob txha caj qaum (hauv caug).

Cov dev ntawm trilostane lossis mitotane tuaj yeem txhim kho Addison tus kab mob, ib qho mob uas cuam tshuam nrog kev ua haujlwm ntawm cortisol hormone. Cov tsos mob ntawm Addison cov kab mob hauv cov dev suav nrog ua kom nkees, tsis qab los noj mov, ntuav, raws plab, thiab vau.

Yog tias koj tus dev tau raug phais kom tshem tawm cov qog adrenal, saib ze rau cov cim ntawm los ntshav sab hauv (tsis muaj zog, ua pa sai, mob plab, thiab pos hniav daj). Kuaj xyuas koj tus dev qhov phais ib hnub ob peb zaug hauv ib hnub rau kev kis tus mob (liab liab, o, lossis tso dej tawm), sutures ploj, thiab lwm yam uas zoo li tsis meej.

Hu rau tus kws kho tsiaj tam sim ntawd yog tias koj muaj kev txhawj xeeb lossis lus nug txog koj tus dev.

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