{"id":5424,"date":"2020-05-07T09:13:23","date_gmt":"2020-05-07T08:13:23","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/endokrinologija-nodusi-nadbubrezne-zlezde-copy\/"},"modified":"2020-10-07T10:53:00","modified_gmt":"2020-10-07T09:53:00","slug":"endokrinologija-kusingov-sindrom","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/endokrinologija\/endokrinologija-kusingov-sindrom\/","title":{"rendered":"Endokrinologija &#8211; Ku\u0161ingov sindrom"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Poja\u010dano lu\u010denje kortizola uzrokuje Ku\u0161ingov sindrom i pribli\u017eno 20-25% ovih pacijenata ima tumor nadbubre\u017ene \u017elezde. Ovi tumori su obi\u010dno jednostrani i nisu maligni. Naj\u010de\u0107i uzrok ipak Ku\u0161ingovog sindroma je lekovima izazvan i to kod pacijenata koji su zbog drugih oboljenja na stalnoj kortikosteroidnoj terapiji.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Simptomi Ku\u0161ingovog sindroma su: dobijanje na telesnoj te\u017eini\u00a0 i to pre svega preraspodela\u00a0 masnog tkiva koje se pove\u0107ava\u00a0 u gornjem delu tela\u00a0 i u predelu lica i vrata \u2013 mese\u010dasto lice i \u201egrba\u201c na le\u0111ima. Prsti \u0161aka i stopala su tanki u odnosu na zadebljalo telo. Ko\u017ea postaje istanjena i sklona krvarenju i pojavi krvnih podliva, javljaju se roze obojene strije i bubuljice po ko\u017ei, rane zarastuje te\u017ee nakon povrede ili nekog hirur\u0161kog zahvata. Kod osoba \u017eenskog pola\u00a0 javlja se poreme\u0107aj menstrualnog ciklusa ( oligomenoreja)\u00a0 ili prestanak\u00a0 mestrualnog ciklusa (amenoreja), gubitak libida, poja\u010dana maljavost, emocionalna nestabilnost -depresija ,gubitak ko\u0161tano tkivne gustine &#8211; osteoporoza, pojava povi\u0161enog \u0161e\u0107era( dijabetes)<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-endokrinologa\/\">Dijagnoza se postavlja na osnovu\u00a0 endokrinolo\u0161kih testova<\/a>: merenje nivoa kortizola u krvi ( visokih vrednosti kortizola u krvi ),\u00a0 odustvo pravilnog dnevnog ritma lu\u010denja kortizola i izostanka supresije kortizola u krvi tokom endokrinolo\u0161kih ispitivanja , nizak ACTH .<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pacijent \u0107e nakon u\u010dinjenog hormonskog ispitivanja\u00a0 biti upu\u0107en i na skener i magnetnu rezonancu\u00a0 stomaka i hipofize kako bi se utvrdio uzrok , \u0161to je bitno za dalje le\u010denje ovih pacijenata.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Le\u010denje je usmereno na uzrok prekomernog lu\u010denja kortizola:<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> &#8211; hirur\u0161ko odstranjivanje tumora nadbubre\u017ene \u017elezde (laparoskopski) dovodi do izle\u010denja arterijske hipertenzije i ostalih poreme\u0107aja. Retko se mo\u017ee sprovesti i medikamentozno le\u010denje (\u201e medikamentozna\u201c adrenalektomija)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kod pacijenata koji su na dugotrajnoj kortikosteroidnoj terapiji \u2013 Ku\u0161ingov sindrom se le\u010di postepenim smanjivanjem doze leka.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Poja\u010dano lu\u010denje kortizola uzrokuje Ku\u0161ingov sindrom i pribli\u017eno 20-25% ovih pacijenata ima tumor nadbubre\u017ene \u017elezde&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":6867,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[478],"tags":[106,130],"class_list":["post-5424","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endokrinologija","tag-endokrinologija","tag-kusingov-sindrom"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Endokrinologija - Ku\u0161ingov sindrom - Dijagnostika i le\u010denje<\/title>\n<meta name=\"description\" content=\"Poja\u010dano lu\u010denje kortizola uzrokuje Ku\u0161ingov sindrom i pribli\u017eno 20-25% ovih pacijenata ima tumor nadbubre\u017ene \u017elezde. 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