Cachexia - He aha ka mea? Cachexia i ka maʻi 'aʻai

Cachexia - He aha ka mea? Cachexia, i loko o nā hua'ōlelo, ka depletion o ke kino - he luna 'kaʻina wehewehe aku ma ka nui o ka lilo kino ke kaupaona ana, a mau nawaliwali e like me loli ma ka naau. He dramatically depleted momona a me ka carbohydrate me ke koe, hoemiia kumuʻiʻo hoʻololi kemikala, oiai mahuahua kona catabolism (hālāwai hope). hiki no hoi Cachexia ana i loko o oncological maʻi.

N me ka haumāna exhaustion

Elua ano o ka cachexia maʻi - iniiaiie a me nā haumāna. Helu depletion ua i kapaia ka pituitary, a me ke kula kiʻekiʻe - symptomatic.

● n ole exogenous cachexia ia lŘlŘ ma muli o ka lawa oleʻai ana o ka mahuaola, e like me ia i kaʻilihune o ka kēia kāna hana: cerebral trauma,ʻeho a systemic lesion pituitary, autoimmune hypophysitis, hooloihi ae i stress, hemorrhage (kahe ana ke koko ma thinning moku), anorexia, embolism ( ingress o ka haole (particles) i loko o ke koko pono, e kauoha ana vascular occlusion), kekahi maʻi maʻiʻaʻai.

● Secondary a endogenous cachexia mea he hopena o ka maʻi, a ua kauoha ae la ia e kumumea like me gipoinsulinizm (insulina deficiency), mahuahua hoʻololi kemikala o glucagon, malabsorption (malabsorption o ka mahuaola), glucocorticoid deficiency, ulu neoplastic, oi somatostatin.

kumu o ka

Cachexia mai ia lŘlŘ like me ka hopena o ka nui o nā kumu a me nā kumumea:
1. hooloihiia malnutrition a me ka pololi.
2. Nā Maʻi o ka gastrointestinal'āpana, pakahi aku la ia i ka esophagus, like hoʻi me celiac maʻi, enterocolitis.
3. hooloihiia intoxication me brucellosis, tuberculosis a me nā infectious maʻi a me ka maʻi suppuration keʻano o ka hanaʻana.
4. Psychogenic anorexia.
5. kāna hana o ka thyroid gland, adrenal insufficiency.
6. Endocrine maʻi pili me ka metabolic kāna hana.
7. Heart ole.
8. Malignantʻeho.
9. i hoomaunauna aku ai i na keiki.

He aha i na symptoms o cachexia ua wehewehe aku ma? He aha nō kēia mau symptoms?

symptomatology

Aia nō i ka helu o nā symptoms, a ua wehewehe aku ma ka cachexia. I keia maʻi i ai i ko kakou mau kino.
1. koke ke kaupaona lilo ana i ka 50% o ka kino kaumaha, a me ka loa hihia hou ma mua o 50%.
2. Dehydration.
3. Muscle nawaliwali.
4. kīnā o ke kino.
5. E hiamoe kāna hana.
6. E hoomahuahua oe i make nā mea palahēhē.
7. emi iho i loko o ke koko, (arterial puʻe).
8. Pale a flabby ili.
9. E hiki anei wikamina deficiency, a me ka niho me keia poho.
10. Trophic loli ma ka lauoho a me nā kui.
11. ka hooulu ana o ka stomatitis.
12. ka hanana o ka constipation aie i intestinal motility kāna hana.
13. ka haahaa kumuʻiʻo maʻiʻo o ke koko, albumin, hao, B12.
14. Women kānāwai amenorrhea (cessation o menstruation).
15. ka noʻonoʻo 'kāna hana.

Cachexia a me ka psyche

I makemake makemake e kālele ana ma luna o ka noʻonoʻo 'kāna hana i loko o cachexia. Ka mea, ke hoike mai ai ia ia iho i loko o irritability, kaumaha a me ka tearfulness i smoothly kahe i apathy, he piha hālāwai hope. Ma ka exacerbation o ka maʻi i i ke kumu o ka cachexia hiki e malama amentia / amential maʻi pale (pōniuniu, wehewehe aku ma ka hikiʻole, e kālele ana, chaotic ka hele a me ka hihia, a me ka incoherence o ka manaʻo a me ka olelo) a delirium (pupule ma i ke kanaka i mea i loko o ka ikaika noho ana o ka iini a me ka pīhoihoi ike hallucinations), psevdoparalich.

Cachexia ma oncology

Cancerous cachexia - he maʻi pale i loko o i noke emi skeletal Muscle nuipa a adipose'aʻaʻa i loko o ka ulu ana o kaʻeho me ka ho okumu, kū kaʻawale o ka palaoa. Depletion ua hoi'ōlelo ai i loko o ka poʻe e hoomanawanui i ka poe i maʻi 'aʻai o ka gastrointestinal'āpana a me nā loko ia maʻiʻaʻai. Na kanaka hiki ke lilo i mea like 80% o ke kino ke kaupaonaʻana, e alakai i ka immobility.

Cancer like me ka mea o ka cachexia

Cachexia i ka maʻi 'aʻai hiki. Ke kumu o ka cachexia hiki ia heʻeho. No ka mea, o ka hikoko pūnao i atypical, hoʻomaʻa me ia. Kaʻeho pono i substrates, a e hiki ke hōʻoia 'kona ulu a me ka ulu ana. Ua mea i uhi malu ia maʻi 'aʻai cachexia wai ia i ola nā'aʻaʻa a me nā loko, hoololiia'na lākou me nā hale, a ma o na la malfunctions.

Ma ke kahua o ka hikoko i loko o ka huina nui o lacticʻakika mea pōʻino, ua make ake. I mea e normalize i ka lehulehu o lacticʻakika, i ke kino hoʻomaka e hoʻohana i ke koko kō, a me ka pinepine hiki ole e mai no ka poho.

I ka maʻi 'aʻai cachexia malama:
- he nalu p emi ma ke kaupaona a me ka nawaliwali;
- 'aʻe' ana o ka hoʻoponopono-hooponopono keʻano o ka hanaʻana;
- ka ho'ēmiʻana o ka wai koko naʻokoko;
- i ka hooulu ana o nā mea palahēhē aie i ka 'aʻe' ana i ke kelepona hele, a humoral e hoʻonele;
- dysphagia (pilikia moni 'ia);
- ka luaʻi, diarrhea;
- he mahuahua ma ka ikehu koi;
- antidiuresis a, nolaila, hyponatremia;
- hypercalcemia;
- nani;
- mahuahua ana i loko o ke koko glucocorticoids;
- i loko o kekahi mau hihia, delirium a hiki coma.

Ka hopena o ka maʻi 'aʻai cachexia

Cancer cachexia ka noho pilikia loa. Hoomahuahua ae la lakou glucocorticoid koko haʻalele no keʻano o ka hanaʻana gluconeogenesis (monakō koko hoʻololi kemikala) i loko o ke ake, a Muscle'aʻaʻa, maoli ka hālāwai hope o nā polokina a me nā bipi kūpaluʻia. No ka mea, monakō koko uptake ma ka maʻi 'aʻai aeee e hoʻomōhala ana i hypoglycemia (haʻahaʻa koko monakō koko). Ma kēia kāʻei kua (a hiki e hou i ka stress), endocrine glands 'Imi paka hormones oi aku ke dala i hiki aku ai i ka intoxication a hemic hypoxia (hoemi iki arteriovenous i oxygenʻano piʻina). Homeostatic abnormalities ana. A pau i kēia hiki alakai i ka make.

cachexia lapaʻau

Ka hapa nui o ka iapaau ana o nā mea maʻi me ka cachexia hana i loko o ka haukapilaʻo a me nā keʻena lāʻau lapaʻau. I ka papa kuhikuhiE lapaʻau kikowaena Inc no ka hoʻolilo o neoplasms. Kaula a me ke ola ka mana, a ua loaʻa ka waiwai ole i ke kino a me nā wikamina, kumumea hehee wale, i ka momona, a me nā polokina. No keia mea hiki ke hoʻohana hoopuni digestibleʻai. Hoʻohana 'ia ai': i multivitamin no ka iapaau ana o ka hypovitaminosis, nā'ūhū e? Ienoai digestion. Food ua hoʻolauna i nāʻaoʻao: enteral (ka wā e komo ai i ka digestive'āpana) a me ka parenteral (ai misses ka digestive'āpana). Parenteral hana ua hoʻohana 'ia e wehe i ka hoʻomanawanui mai i ka paakiki moku'āina (coma) ma ka lapaau ana o Ka maʻi' aʻai, a, ma hope o lākou, loa malnourished, loa nā mea palahēhē, moni 'ia kāna hana. Pela lawelawe monakō koko, nā wikamina,'aminoʻakika nā mea huihuina, electrolytes, kumuʻiʻo hydrolysates (lawelawe parenterally). Nō hoʻi, ma ka hoʻomaʻamaʻa hoʻohana na mea paahana, i mahuahua ai kona'ōpū. Inā ka hoʻomanawanui poino mai hoʻopōʻino digestion o ka ai, a me kona omo, hoʻohana 'ia i loko o ka iapaau ana o ka polyenzyme ai' (lāʻau "Pancreatin", "Festal" lāʻau).
E pale aku ka luaʻi, i hoakaka ia i kekahi mea o ka "Aaeuoa-9-tetrahydrocannabinol". He pono, a ma hope o chemotherapy. Cannabinoids hookomoia ma keia la hoomalolo, hoʻoulu ikaika loa ka makemake, a, pakahi, a me ke kaumaha o koʻu pomaikai ia. Weight poho hiki ke oki hoʻohana iʻa kaʻaila, no laila ia mea no hoi i kekahi hapa o ka iapaau ana o ia maʻi, e like me cachexia.

Kanaka me ka lapaʻauʻia.
E hoʻopau i ka hoʻohana 'ana o ka cachexia ia ai':
1) "carboxylase" - kōkua normalize ke kaupaonaʻana, ho'ēmi i kāʻeha, a kākoʻo i ke kino o ka nenoai. ʻaoʻao 'ole - allergic. Ua hiki ole ke hoohanaia, ina o ka meaola mea susceptible ia ma ka liʻiliʻi loa hoʻokahi ke keʻena.
2) "Megeys" a me "megestrol'ākeka" - paipai 'ana i ka mahuahua ma ka Muscle nuipa a me ka momona. Ua hiki ole ke hoʻohana 'ina he mea pā lonoaʻili i ka eiiiiiaiou o ka lāʻau, no ka poʻe ma lalo o makahiki 18 o ka makahiki, i hāpai keiki, a breastfeeding.
Ma ke alo o infectious maʻi nā ka iapaau ana o antibacterial Inc. Inā pono, komo anaboliticheskie hormones. Ma na hihia o psychogenic kāna hana pae'āina hana maikaʻiʻole o ka psychiatrist.
Mākou manaolana Ua pane aku mākou i kou nīnau "Cachexia - He aha ia mea, pehea e hoakaka, a pehea e kaua."