Co to za choroba. Jak sie ja leczy i z jakim skutkiem Gzregorz

Co to za choroba. Jak sie ja leczy i z jakim skutkiem Pytanie bez sensu, bo zupelnie nieprecyzyjne i temat zbyt rozlegly. To nie jest takie proste, jak Ci sie wydaje. Poza tym forma tego pytania jest taka, ze watpie, zeby ktos mial ochote na nie odpowiadac. Krzysztof

Jezeli nie znasz angielskiego to wybierz _link_i i przetlumacze za chwile komputerowa tlumaczka na polski. Jacek Google Researcher Cos slaby z Ciebie Researcher )))))), bo te _link_i sa o: Cushing's Disease in Dogs ROTFL pzdr Krzysztof

Jezeli nie znasz angielskiego to wybierz _link_i i przetlumacze za chwile komputerowa tlumaczka na polski.

Chciałbym jednak wiedziec czy chorobę tą można skutecznie wyleczyć, i czy leczenie jest długotrwałe. Grzegorz How Is Cushing's Syndrome Treated? Treatment depends on the specific reason for cortisol excess and may include surgery, radiation, chemotherapy or the use of cortisol-inhibiting drugs. If the cause is long-term use of glucocorticoid hormones to treat another disorder, the doctor will gradually reduce the dosage to the lowest dose adequate for control of that disorder. Once control is established, the daily dose of glucocorticoid hormones may be doubled and given on alternate days to lessen side effects. Pituitary Adenomas Several therapies are available to treat the ACTH-secreting pituitary adenomas of Cushing's disease. The most widely used treatment is surgical removal of the tumor, known as transsphenoidal adenomectomy. Using a special microscope and very fine instruments, the surgeon approaches the pituitary gland through a nostril or an opening made below the upper lip. Because this is an extremely delicate procedure, patients are often referred to centers specializing in this type of surgery. The success, or cure, rate of this procedure is over 80 percent when performed by a surgeon with extensive experience. If surgery fails, or only produces a temporary cure, surgery can be repeated, often with good results. After curative pituitary surgery, the production of ACTH drops two levels below normal. This is a natural, but temporary, drop in ACTH production, and patients are given a synthetic form of cortisol (such as hydrocortisone or prednisone). Most patients can stop this replacement therapy in less than a year. For patients in whom transsphenoidal surgery has failed or who are not suitable candidates for surgery, radiotherapy is another possible treatment. Radiation to the pituitary gland is given over a 6-week period, with improvement occurring in 40 to 50 percent of adults and up to 80 percent of children. It may take several months or years before patients feel better from radiation treatment alone. However, the combination of radiation and the drug mitotane (LysodrenŽ) can help speed recovery. Mitotane suppresses cortisol production and lowers plasma and urine hormone levels. Treatment with mitotane alone can be successful in 30 to 40 percent of patients. Other drugs used alone or in combination to control the production of excess cortisol are aminoglutethimide, metyrapone, trilostane and ketoconazole. Each has its own side effects that doctors consider when prescribing therapy for individual patients. Ectopic ACTH Syndrome To cure the overproduction of cortisol caused by ectopic ACTH syndrome, it is necessary to eliminate all of the cancerous tissue that is secreting ACTH. The choice of cancer treatment