Cachexia - abin da yake da shi? Cachexia a ciwon daji

Cachexia - abin da yake da shi? Cachexia, a cikin wasu kalmomi, da depletion na jiki - wani hadadden tsari halin da gagarumin asara na jiki nauyi da kuma janar wani rauni, kazalika da canji a hankali. Wannan cika fuska tsautsayi kitsen da kuma carbohydrate reserves, rage gina jiki kira, yayin da kara ta catabolism (fashewa). Cachexia kuma iya faruwa a oncological cututtuka.

Primary da kuma sakandare ci

Biyu siffofin cachexia cuta - firamare da kuma sakandare. Primary ãr kuma ake kira pituitary, da kuma na biyu - symptomatic.

● Primary ko exogenous cachexia auku saboda kasa ci na gina jiki, kazalika da sakamako daga wadannan cuta: cerebral rauni, ƙari ko tsari rauni pituitary, autoimmune hypophysitis, shafe tsawon danniya, hemorrhage (zub da jini a lokacin thinning tasoshin), anorexia, embolism ( ingress na waje barbashi a cikin jini halin yanzu, haddasa jijiyoyin bugun gini occlusion), musamman na kullum kamuwa da cuta.

● Secondary, ko na ciki cachexia ne a sakamakon cututtuka da kuma ne ya sa ta dalilai kamar gipoinsulinizm (insulin rashi), ta ƙara kira na glucagon, malabsorption (malabsorption na gina jiki), glucocorticoid rashi, neoplastic girma, haddi somatostatin.

Sanadin

Cachexia cuta na faruwa a sakamakon wata yawan dalilan da dalilai:
1. tsawo tamowa, kuma yunwa.
2. Cututtuka na gastrointestinal fili, musamman na esophagus, kazalika da celiac cuta, enterocolitis.
3. Tsawo maye da brucellosis, da tarin fuka da sauran cututtuka da kullum suppuration tafiyar matakai.
4. Psychogenic anorexia.
5. Cuta na thyroid gland shine yake, adrenal insufficiency.
6. endocrine cututtuka hade da rayuwa cuta.
7. Zuciya gazawar.
8. m ƙari.
9. wasting a yara.

Mene ne bayyanar cututtuka na cachexia ne halin? Mene ne wadannan cututtuka?

symptomatology

Akwai da dama daga cututtuka, wanda aka halin cachexia. Wannan da wannan cuta ya aikata to jikin mu:
1. Kwatsam nauyi asarar up to 50% na jiki nauyi, kuma a cikin tsanani lokuta fiye da 50%.
2. dehydration.
3. Muscle rauni.
4. tawaya.
5. Barci cuta.
6. karuwa kashi cututtuka.
7. karu a jini (na jijiya matsa lamba).
8. Kodadde da flabby fata.
9. Shin bitamin karanci, kuma hakori hasãra.
10. trophic canje-canje a cikin gashi kuma kusoshi.
11. A ci gaba da stomatitis.
12. The faru na maƙarƙashiya saboda hanji motility cuta.
13. A low gina jiki abun ciki na jini, albumin, da baƙin ƙarfe, B12.
14. mata na iya faruwa amenorrhea (lõkacin fatara daga haila).
15. shafi tunanin mutum cuta.

Cachexia da psyche

Ina son in mayar da hankali a kan shafi tunanin mutum da cuta a cikin cachexia. Suna iya bayyana kanta a irritability, ciki da kuma tearfulness cewa smoothly daga ƙarƙashinsu a cikin apathy, cikakken rashin lafiya. A wani exacerbation da cutar wadda ne dalilin cachexia za a iya lura amentia / amential ciwo (dizziness, halin da rashin mayar da hankali, m motsi da shagala, kuma incoherence na tunani da kuma magana) ko delirium (hauka a wadda wani mutum ne a wani m jihar tashin hankali da kuma tashin hankali Mai gani ne ga hallucinations), psevdoparalich.

Cachexia a Oncology

Cancerous cachexia - wani ciwo a cikin abin da ci gaba da rage-rage kwarangwal tsoka taro kuma adipose nama a cikin ci gaban da ƙari tsarin, da kansa da cin abinci. Ãr ne musamman ya furta a cikin wadanda marasa lafiya da suke da ciwon daji na gastrointestinal fili ko huhu gabobin. Irin wadannan mutane za su iya rasa kamar yadda 80% na jiki nauyi, abu don immobility.

Cancer a matsayin hanyar cachexia

Cachexia a ciwon daji zai yiwu. A sabili da cachexia iya zama wani ƙari. Saboda maruran metabolism zama atypical, daidaitawa da shi. A ƙari bukatar substrates, wanda suke iya tabbatar da girma da kuma ci gaba. Shi ne ba wani asirin da cewa ciwon daji cachexia intoxicating sakamako a kan m tsokoki da kuma gabobin, musanyãwa sifa da haddasa malfunctions.

A samuwar marurai a cikin manyan adadin lactic acid ne lalace hanta. Domin normalize da taro na lactic acid, jiki fara amfani da jini sugar, kuma sau da yawa ba zai iya yin up for hasarori.

Lokacin da ciwon daji cachexia lura:
- a game da mummunan karu a nauyi kuma rauni.
- take hakkin kai-tsari tafiyar matakai.
- rage jini cholesterol.
- ci gaban da cututtuka saboda da take hakkin salon salula da kuma humoral rigakafi.
- dysphagia (wahala hadiya).
- amai, zawo.
- wani karuwa a samar da makamashi da bukatar.
- antidiuresis, saboda haka, hyponatremia.
- hypercalcemia.
- kumburi.
- karuwa a jini glucocorticoids.
- a wasu lokuta, delirium kuma ko da coma.

A sakamakon ciwon daji cachexia

Cancer cachexia ne mai hadarin gaske. Karuwan glucocorticoid jini activates matakai gluconeogenesis (glucose kira) a cikin hanta da tsoka nama, qara fashewa da sunadaran da fats. Saboda glucose fahimta da ciwon daji Kwayoyin tasowa da qarancin ruwa da (low jini glucose). A wannan bango (wanda za a iya kara wa danniya), endocrine gland rayayye nuna hormones haddi adadin wadda take kaiwa zuwa, abin mãye da hemic hypoxia (rage bambanci arteriovenous oxygen dan tudu). Homeostatic munanan faruwa. Duk wannan zai iya kai ga mutuwa.

cachexia magani

Mafi yawa daga cikin lura da marasa lafiya da cachexia yi a asibitoci ko kananan dakunan shan magani. Babban magani hada far don zubar da neoplasms. Wayoyi da kuma dawo da ikon, wanda aka samu da enriching da jiki da bitamin, alama abubuwa, fats da kuma sunadarai. A saboda wannan dalili za a iya amfani da sauƙi digestible abinci. Amfani da irin wannan kwayoyi: a multivitamin domin lura da hypovitaminosis, enzymes don inganta narkewa. Abinci da aka gabatar a hanyoyi biyu: enteral (a lokacin da ta shiga cikin narkewa kamar fili) kuma parenteral (abinci kuskure narkewa kamar fili). Parenteral Hanyar da aka yi amfani da su cire haƙuri daga mai wuya jihar (coma) a cikin magani na cutar kansa da kuma, bayan su, mai tsanani mai gina jiki, mai tsanani cututtuka, hadiya cuta. Kamar wancan gudanar glucose, bitamin, amino acid garwayayye, Wutan, da furotin da hydrolysates (gudanar parenterally). Har ila yau, a yi amfani da kayayyakin aikin da ƙara ci. Idan haƙuri shan wahala daga illa narkewa abinci da sha, yi amfani da magani na polyenzyme kwayoyi (miyagun ƙwayoyi "Pancreatin", "Festal" miyagun ƙwayoyi).
Don hana amai, rubũta a wajen "Delta-9-tetrahydrocannabinol". Yana da tasiri da kuma bayan jiyyar cutar sankara. Cannabinoids kunshe ne a cikin wannan shiri, ta ci, kuma, bi da bi, da kuma nauyi riba. Nauyi asara za a iya tsaya ta amfani da kifi mai, don haka shi ne kuma wani ɓangare na lura da irin cututtuka, kamar cachexia.

Jiyya tare da magani.
Don kawar da yin amfani da cachexia irin kwayoyi:
1) "carboxylase" - taimaka normalize nauyi, rage zafi da kuma goyon bayan jiki ta tsarin. Side effects - rashin lafiyan. Yana ba za a iya amfani da shi, idan kwayoyin ne mai saukin kamuwa zuwa akalla daya bangaren.
2) "Megeys" ko "megestrol acetate" - inganta da karuwa a tsoka taro kuma kitse. Yana ba za a iya amfani da idan akwai ƙwarai zuwa ga gyara da miyagun ƙwayoyi, ga mutane a karkashin shekaru 18 da haihuwa, a lokacin daukar ciki da kuma nono.
A gaban cututtuka sun hada da magani daga antibacterial far. Idan dole, shigar anaboliticheskie ji ba gani. A lokuta da psychogenic cuta da hannu magani daga likita hauka.
Muna fatan mun amsa tambayar "Cachexia - abin da shi ne, yadda za a samar da da kuma yadda za a yi yãƙi."