Konke Nge-Canine Hyperadrenocorticism
Izifo zikaCushing ziyisimo ezinja ezivela lapho umzimba uveza i-hormone cortisol enkulu kakhulu. Futhi okuthiwa i-hyperadrenocorticism, kunezinhlobo ezimbili eziyinhloko zalesi sifo:
- I-Pituitary-dependent (ifomu elivame kakhulu): I-pituitary gland ebuchosheni inqwabelisa izigulane eziyingozi, ezibangela ukuba zikhiqize i-cortisol kakhulu.
- Ukuxhomekeka kwe-Adrenal: izigulane eziyingozi zidala i-cortisol ngokweqile
Ifomu lesithathu, i-hyperadrenocorticism ye-iatrogenic, kungenzeka uma inja iselashwa nge-steroids kumazinga aphakeme noma isikhathi eside.
Izifo zikaCushing zivame ukujwayela izinja futhi zivame ukuba ngamahhashi . Cushing sika kungenzeka ngamakati kanye nabantu, nakuba kancane ngokuvamile kanjalo.
Izimpawu zezifo zikaCushing
Izibonakaliso zezifo zikaCushing zingafana nezibonakaliso zezinye izinkinga zempilo , ngakho-ke kubalulekile ukubona udokotela wakho wezilwane uma inja yakho ibonakala igula . Izimpawu ezilandelayo zivame ukubonakala ezinja ezinesifo sikaCushing:
- Ukoma okwandisa nokuvuthwa
- Ukwandisa ukudla (izinja ngokuvamile zibonakala zihlambalaza)
- Isibeletho esandisiwe (ukubonakala "kokubambisa ngamabhodlela")
- Ukulahleka izinwele / ukugcoba, ikakhulukazi eceleni kwezinhlangothi zomzimba
- I-Lethargy / ubuthakathaka
- I-Panting
Yeka ukuthi izifo zikaCushing zisuswe kanjani
Isizathu esiqondile sezifo zeCushing asikwaziwa (ngaphandle kwefomu le-iatrogenic, elinemibangela yangaphandle). Ezinye izinhlobo zezinja zifakwe kulesi sifo, njengeBoston Terriers, Boxers , Dachshunds , ne- Poodles .
Iningi lezinja ezihlakulela isifo sikaCushing kukhona abadala asebekhulile kanye nabantu abadala.
Ukuthola izifo zeCushing
Udokotela wakho wezilwane uzoqala ngokuhlolwa okuphelele. Ngokusekelwe ekuhloleni kokuhlolwa kanye nomlando oyinikezayo, i-vet yakho cishe izosikisela umsebenzi webhu. Ekuqaleni, ama-vets amaningi asebenzisa i-chemistry yegazi, inani eliphelele legazi, kanye nokucubungula.
Ukungajwayelekile kulezi zivivinyo ezifana nokunyuka kwama-enzyme enesibindi, ukwanda kwe-cholesterol, nokunciphisa umchamo kungabonisa izifo ze-Cushing, futhi i-vet yakho izodinga ukuhlola izivivinyo eziningi. Ukuhlolwa okungeziwe okungase kudingeke ukuxilonga isifo sikaCushing kuhlanganisa:
- I-Urine Cortisol: Ukulinganisa i-Creatinine : Lokhu kuhlolwa komchamo ngokuvamile kuvamile ezinja ezinesifo sikaCushing. Kodwa-ke, ukuhlola okuqhubekayo kuyadingeka ukuze kuqinisekiswe izifo zikaCushing.
- I-Adrenocorticotropic test stimulation test (ACTH stim) : I-sampuli yegazi iyadonswa, bese kunikwa umjovo we-hormone. Esinye isampula segazi sithatha amahora amabili kuya kokubili ukukala impendulo yomzimba.
- Isivivinyo sokunciphisa i-dexamethasone esincane (LDDST) NOMA Ukuhlolwa kokucindezelwa kwe-dexamethasone ephakeme kakhulu (i-HDDST): Lezi zivivinyo zehora lesishiyagalombili zibandakanya isampula segazi, umjovo we-steroid, bese kuthiwa amasampuli egazi okweziwe ngezikhathi eziphelile ukukala impendulo yomzimba. Lezi zivivinyo zingasiza i-vet yakho ukuthi inqume ukuthi iyiphi inkinga emzimbeni wesilwane (pituitary vs adrenal).
- I-ultrasound ye-abdominal noma i-CT scan : I-ultrasound yesisu ivumela i-vet ukuthi ibone izigulane eziyingozi futhi ibheke okungavamile. I-CT scan izosiza izakhamuzi ukuba zibone okungavamile kwe-pituitary gland (etholakala engqondweni yobuchopho). Lezi zivivinyo zingasiza i-vet yakho ukuba ifunde uma inja yakho ine-hyperadrenocorticism exhomeke emthonjeni.
Uhlobo oluvame kakhulu lwezifo zikaCushing kuyinto ifomu le-pituitary-dependent. I-hyperadrenocorticism exhaswa yi-Adrenal ngokuvamile ibangelwa yisifo esisodwa noma ngaphezulu. Cishe isigamu sesikhathi, lezi zicubu ezinzima ziyingozi (enye ingxenye iyingozi).
Ukwelashwa kwezifo zikaCushing
Ukunakekelwa kwezokwelapha kusebenza ngokuphumelelayo nezifo ezibhekene nezifo zikaCushing. Isidakamizwa esibizwa ngokuthi i-trilostane sivame ukushiwo. I-Trilostane inqanda i-enzyme ehilelekile ekwakhiweni komzimba kwe-cortisol. Ukuvimbela le enzyme kuvimbela ukukhiqizwa kwe-cortisol.
Eminye imithi engavamile kakhulu ejwayele ihlanganisa i-lysodren, ketoconazole, ne-l-Deprenyl (Anipryl).
Endabeni ye-Cushing's-dependant-dependent disease, ezinye zemithi engenhla zingasebenza (nakuba izivumelwano zezidakamizwa ziyahluka). Noma kunjalo, ukuhlinzwa okuhlolisisayo futhi ngezinye izikhathi ukususwa kwe-grenal adrenal ethintekile kungavunyelwa.
Izinja ezizophathwa nge-Cushing's Disease zizodinga ukuvakashela i-vet njalo ukuze ziphinde zihlole izivivinyo nomsebenzi we-lab wokulandelela.
Uma inja yakho itholwe ukuthi ine-Cushing's Disease, khuluma nodokotela wakho wezilwane mayelana nezinzuzo nezinyathelo zokukhetha okwelashwa okuhlukahlukene.