Diabetes steroid: oonobangela, iimpawu, unyango

diabetes steroid - oku kakhulu sisifo esibi, nto leyo uhlobo seswekile. elinye igama layo - secondary insulin seswekile obesondliwa uhlobo lokuqala. Izifo kudinga ukuba ukuthandana isigulane. Olu hlobo seswekile kunokwenzeka nxamnye kwimvelaphi ukusetyenziswa elide amalungiselelo athile kwamadlala, ngoko ke kuthiwa iziyobisi seswekile.

Ngubani bachatshazelwa sesi sifo?

diabetes steroid yenye ezo zifo ukuba babe nesimilo vnepankreaticheskim. Oko kukuthi, ukuba sinxulumana iingxaki kumsebenzi zepancreas. Izigulane kuvandlakanywa ukuphazamiseka of carbohydrate ukutya, kodwa lalisetyenziswa glucocorticoids (iihomoni eziveliswa adrenal) ixesha elide, Unokuba seswekile steroid, leyo unomoya.

Mbonakaliso sifo shwaka emva kokuba umntu siyeka ukuthatha amachiza hormone. Amashumi amathandathu ekhulwini lezigulane nesi sifo phakathi kuhlobo lwesibini lwesifo seswekile kukhokelela yokuba izigulane kufuneka uye unyango insulin. Ukongeza, isifo seswekile kweziyobisi lisenokuba njenge kwingxaki yezifo apho umntu kunyuswa imveliso iihomoni adrenal, umz, hypercortisolism.

Ziziphi iziyobisi zingabangela isifo seswekile iziyobisi?

Isizathu sokuba seswekile steroid inokuba ukusetyenziswa ixesha elide amayeza glucocorticoid, eziquka "Dexamethasone", "Prednisolone" yaye "Hydrocortisone". La machiza arhente anti-ukudumba ezinceda eliyeza isifuba, isifo samathambo, kwakunye nezinye izifo samathambo, eziquka pemphigus, lupus zomzimba, kunye nerhashalala. Kwakhona, la machiza asetyenziswa ekunyangeni izifo luvo ezinjalo ezimandundu ezifana multiple.

Ukongeza, isifo seswekile kweziyobisi esinokubakho ngenxa yokusetyenziswa iipilisi zokulawula inzala kwamadlala, kwakunye ezinye womchamo thiazide, ezo womchamo. La machiza aquka "Dihlotiazid", "Hypothiazid", "Nefriks", "Navidreks".

Ezinye izinto zizifo

diabetes steroid kungenzeka ebantwini nasemva nokufakelwa zezintso. Unyango ngamachiza okwandisa ixesha ukudumba emva abohlukeneyo ifuna ukusetyenziswa ixesha elide corticosteroids ngeedosi ezinkulu, ngoko izigulane kufuneka ukuba ukusela amachiza ubomi ukucinezela nezifo. Noko ke, diabetes steroid akwenzeki kuzo zonke izigulane abaye baba ngotyando nzima ezinjalo, kodwa amathuba iphezulu kakhulu ngenxa ulwamkelo hormone ngaphezu kwimeko unyango nezinye izifo.

Ukuba umntu ixesha elide wasebenzisa steroids waba imiqondiso seswekile, libonisa ukuba isigulana usengozini. Ukunqanda diabetes steroid, abantu abatyebe kakhulu kufuneka ukuba unciphise umzimba baze batshintshe indlela yabo yokuphila, ukuya rhoqo umthambo ekukhanyeni. Kwimeko ukuba umntu kubuphepha esi sifo, kuba Akuvunyelwe ngokungqongqo ukuba iihomoni ezisekelwe kwiziphumo zakhe.

Ingakumbi esi sifo

sinwenwa amayeza luphawulwa yokuba luhlanganisa zombini iindidi zesifo seswekile. Ekuqaleni sifo corticosteroids kumanani amakhulu baqale umonakalo iiseli beta, apho ibekwe pancreas. iimpawu ezinjalo nakuba ukuba DM 1. Nangona kunjalo, i-insulin iiseli beta usaqhubeka vrabatyvatsya. Emva kwexesha, lo inqanaba insulin uqalisa ukunciphisa nezihlunu babe kangako kule hormone. Ezi mpawu uphawu seswekile 2. Ekuhambeni kwexesha, iiseli beta ziqala ukuyeka. Ngenxa yoko, ukuveliswa insulin uvinjwa. iqukuqela Ngokufanayo kunye insulin yesiqhelo seswekile abaxhomekeke Uhlobo lokuqala.

symptomatology

Iimpawu seswekile steroid ziyafana kwezinye iintlobo seswekile. Umntu enesifo amandla rhoqo ukuchama, utshoba umphefumlo wakhe yaye bechwayitile ukudinwa ivela ngokukhawuleza kakhulu. Ezi mpawu zikholisa banomoya wabonakalaliswa izigulane, ngoko kunqabile ukuba anikele ingqalelo kuso. Ngokungafaniyo uhlobo 1 izigulane akukho umzimba ngokukhawuleza. Akusoloko oogqirha ukufumanisa isifo seswekile isiyobisi emva kokuba isigulane uvavanyo lwegazi. zinga liphezulu kule umchamo kwaye iswekile yegazi kunqabile kakhulu. Ngaphezu koko, acetone amanani eluseludinini uhlahlelo isigulane zenzeka kwiimeko ezinqabileyo.

Indlela ukubuyisa xa incindi eveliswa

Xa umzimba womntu eyeka imveliso ye insulin, i seswekile steroid iyafana nohlobo yokuqala ka-LED, noxa ubunjalo (ukumelana insulin inyama) yesibini. Le seswekile iphathwa ngokufanayo CD 2. Kakade ke, konke kuxhomekeke koko yokuphazamiseka emzimbeni isigulane ubunzima. Ukuba isigulane onengxaki utyebile, kodwa iyaqhubeka ukuvelisa insulin, ufanele unamathele idayethi utye iziyobisi sugar-ukunciphisa, ezifana "thiazolidinediones" okanye "Glucophage".

Xa injeke iye elisebenza kubi, kucetyiswa ukuba bafake insulin, nto leyo inceda ukwehlisa umthwalo emzimbeni. Ukuba beta-iiseli azinikezelwanga atrophied ngokupheleleyo, ngoko emva kwexesha kuza umsebenzi injeke zibuyele esiqhelweni. Kuba ingxaki efanayo, oogqirha amisele kwizigulane kunye ezisezantsi-ekudleni yokudla. Izigulane musa abanengxaki umzimba, abe inombolo ukudla 9 Kuba abo abaphethwe nenzaliseko, oogqirha bacebisa inani yokudla-8.

Iimpawu zonyango insulin xa ayivelanga

unyango steroid seswekile kuxhomekeke insulin eveliswe yi-injeke okanye hayi. Ukuba le hormone engasekho ekuveliseni umzimba umguli, kuya kuqhutywa uhlobo lwezitofu. Unyango ukuba siphumelele, isigulane kufuneka bafunde ukubapha inaliti ye-insulin. Uyondelelwano lwee- iswekile egazini kufuneka rhoqo esweni. unyango lwesifo seswekile isiyobisi ngendlela efanayo kwi LED 1. Kodwa iiseli beta abafileyo abasazi lula ukubuyisela.

iimeko ezingekho semgangathweni

Kukho ezinye iimeko ngabanye unyango steroid seswekile, umzekelo, xa sisifo okanye emva kotyando lwe abohlukeneyo kwezintso. Kwiimeko ezinjalo, unyango ihomoni, nangona isigulane nokuphuhlisa isifo seswekile. amaqondo eswekile kufuneka kugcinwe ngokusekelwe zepancreas isebenza njani kakuhle. Ukongezelela, iingcali athathele ingqalelo uvakalelo izicwili insulin. Kwezi meko, izigulane zabelwa iihomoni anaboliticheskie, ezo inkxaso eyongezelelweyo umzimba, kwakunye lizinzise intshukumo ye glucocorticoids.

ubungozi

Lo mntu isixa esithile zamadlala adrenal umgangatho apho kutshintshwe nganye ngokwahlukileyo. Kodwa asingabo bonke abantu bathathe glucocorticoids basengozini yokuba nesifo seswekile iziyobisi. Corticosteroids kuchaphazela ukusebenza zepancreas, ukunciphisa ifuthe amanyathelo insulin. Ukuze alondoloze yoxinaniso eqhelekileyo iswekile egazini, ukuba injeke kufuneka ukumelana imithwalo emikhulu. Ukuba isigulane wavakalisa iimpawu seswekile steroid, oko kuthetha ukuba ancedisana babe kangako insulin, kunye nentsimbi kunzima ukumelana noxanduva lwabo.

Ingozi yokuba nesifo seswekile isiyobisi kwandisa xa umntu sinengxaki umzimba, usebenzisa steroids ngeedosi eziphezulu okanye ixesha elide. Ekubeni ezi mpawu sifo ngoko nangoko, abadala okanye abo utyebile, kufuneka umana lweefomu abagxothwa seswekile phambi kokuqala unyango ihomoni njengoko ngokuthatha amayeza athile engabangela kuphuhliso izifo.