{"id":49619,"date":"2018-01-12T12:40:31","date_gmt":"2018-01-12T09:40:31","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=49619"},"modified":"2018-01-12T12:40:31","modified_gmt":"2018-01-12T09:40:31","slug":"sindromul-andrenogenital","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/sindromul-andrenogenital\/","title":{"rendered":"Sindromul\u00a0andrenogenital"},"content":{"rendered":"<p>Glandele suprarenale sunt glande cu secre\u021bie intern\u0103. Scoar\u021ba superioar\u0103 ale acestora este responsabil\u0103 pentru sinteza de androgeni \u2013 organe genitale masculine.\u00a0Disfunc\u021bia\u00a0acestor glande face s\u0103 creasc\u0103 producerea de androgeni, ceea ce duce la tulbur\u0103ri sexuale\u00a0\u0219i\u00a0a sistemului endocrin.<\/p>\n<p>Sindromul\u00a0andrenogenital\u00a0este o boal\u0103 ereditar\u0103. Se dezvolt\u0103 \u00een timpul sarcinii. Ea apare la copii chiar din prima zi, dar se va manifesta mai t\u00e2rziu, c\u00e2nd\u00a0\u00a0\u00eencep s\u0103 creasc\u0103.<br \/>\nAndrogenul e un hormon sexual masculin, care este, de asemenea, \u0219i \u00een organismul feminin. \u00cen caz de boal\u0103, ei se produc mult mai dec\u00e2t e necesar.\u00a0\u0218i\u00a0atunci predomin\u0103 semnele caracteristice sexului\u00a0masculin. Poate fi\u00a0\u00a0mai grav \u2013 se poate dezvolta hermafroditismul sau perturbat\u0103 capacitatea reproductiv\u0103 a femeii.<\/p>\n<h3>Cauzele<\/h3>\n<p>Principala cauza a bolii este deficitul \u00eenn\u0103scut\u0103 de 21 &#8211;\u00a0hidroxylase. Fermentul dat este implicat \u00een sinteza de androgeni, ceea ce\u00a0\u00a0duce la un deficit. Aceast\u0103 enzim\u0103 este situat\u0103 \u00een a\u00a0s\u0103sea\u00a0pereche de cromozomi. Dac\u0103 va fi modificat\u0103 doar o gen\u0103,\u00a0maladia\u00a0nu se va manifesta.<\/p>\n<p>Patogeneza bolii const\u0103 \u00een inhibarea produc\u021biei unui tip de corticosteroizi \u0219i cre\u0219terea produc\u021biei aaltora. Din aceast\u0103 cauz\u0103 se dezvolt\u0103 deficitul produc\u021biei de\u00a0cortizon\u00a0\u0219i aldosteron. Lipsa de\u00a0cortizon\u00a0duce la cre\u0219terea produc\u021biei de hormon ACTH, ceea ce influen\u021beaz\u0103\u00a0producerea cortexului suprarenal \u0219i\u00a0hipersecre\u021biei\u00a0de corticosteroizi. Acest lucru duce la\u00a0hiproandrogenul\u00a0suprarenal.<\/p>\n<p>Conform clasific\u0103rii clinice se eviden\u021biaz\u0103 3 tipuri de deficit de 21 \u2013\u00a0hydroxylase:<\/p>\n<ul>\n<li>Deficitul fermentului.<\/li>\n<li>Deficitul incomplet.<\/li>\n<li>Forma\u00a0neclasica.<\/li>\n<\/ul>\n<h3>Simptomele<\/h3>\n<p>Principala simptomatologiei depinde de formele de sindrom.<\/p>\n<p>Ele sunt 3:<br \/>\nDeficitul incomplet \u2013 cea mai comun\u0103 form\u0103 a bolii. Ea persist\u0103 la jum\u0103tate din to\u021bi pacien\u021bii cu astfel de boal\u0103. Maladia se\u00a0trapeza.<br \/>\nO form\u0103 mai rar\u0103 de boal\u0103, care ar trebui s\u0103 fie supus\u0103 unui tratament urgent. \u00cen caz contrar, se \u00eenregistreaz\u0103 decese \u00een r\u00e2ndul copiilor. Caracteristice sunt simptomele de dispepsie, sc\u0103derea tensiunii arteriale, tahicardie. O astfel de form\u0103 este greu de diagnosticat, deoarece de multe ori simptomele corespund\u00a0\u015fi\u00a0altor boli.<\/p>\n<p>Forma hipertonic\u0103 este cea mai rar\u0103. \u00cen afar\u0103 de simptomatologia caracteristic\u0103, se remarc\u0103 o cre\u0219tere persistent\u0103 a IAD, care nu scade dup\u0103 administrarea medicamentelor necesare. Daca nu se aplic\u0103 un tratament specific, se dezvolt\u0103 insuficien\u021b\u0103 renal\u0103, ceea ce duce la o \u00eenc\u0103lcare a circula\u021biei cerebral\u0103 a\u00a0s\u00e2ngelui.<\/p>\n<h3>Simptomatica general\u0103:<\/h3>\n<p>Copiii r\u0103m\u00e2n\u0103 \u00een urm\u0103 \u00een cre\u0219tere \u0219i greutate. La o v\u00e2rst\u0103 fraged\u0103 asemenea probleme nu se observ\u0103. Dar, dup\u0103 12 ani, copiii nu adaug\u0103 \u00een greutate, ci pierd \u0219i din cauza aceasta nu cresc.<\/p>\n<p>De asemenea, se men\u021bioneaz\u0103 cre\u0219terea timpurie a penisului, iar testiculele r\u0103m\u00e2n\u00a0de dimensiuni mici, la fete se atest\u0103 o cre\u0219tere a clitorisului\u00a0\u0219i\u00a0al p\u0103rului ca la persoanele de sex masculin, se \u00eengroa\u0219\u0103 vocea \u0219i apare o instabilitate psihologic\u0103.<\/p>\n<p>Hipertensiune\u00a0arterial\u0103 stabil\u0103 \u2013 cre\u0219terea nivelului de IAD, care nu poate fi corectat\u0103 \u0219i apare \u00een fraged\u0103 copil\u0103rie. Totalitatea simptomelor presupune existen\u021ba sindromului\u00a0andrenogenital.\u00a0Developarea dispepsiei \u2013 tulbur\u0103rile digestive, care sunt prezente\u00a0\u0219i\u00a0\u00een alte boli, complic\u0103 stabilirea unui astfel de diagnostic.<\/p>\n<h3>Diagnosticul<\/h3>\n<p>Cu ajutorul tehnologiilor \u0219i a metodelor moderne de cercetare se poate pune un astfel de diagnostic. Acest lucru \u00eel poate face un ginecolog, precum \u0219i un endocrinolog. Pentru \u00eenceput are loc colectarea de anamnez\u0103 de la pacient \u0219i de la mama sa. Se efectueaz\u0103 o inspec\u021bie general\u0103, care permite de a identifica at\u00e2t simptome comune, c\u00e2t \u0219i specifice. Principala metod\u0103 de diagnostic este un test de s\u00e2nge pentru hormoni, care va depista o cre\u0219tere a nivelului de hormoni a glandelor suprarenale.<\/p>\n<h3>Op\u021bional se desf\u0103\u0219oar\u0103:<\/h3>\n<p>O\u00a0investiga\u021bie\u00a0ultra sonor\u0103, care va ar\u0103ta starea \u00een care se g\u0103sesc glandele suprarenale.<br \/>\nRadiografia \u2013 pentru a evalua starea oaselor, care va ar\u0103ta dac\u0103 exist\u0103 o \u00eent\u00e2rziere \u00een cre\u0219tere. Diagnosticul diferen\u021bial pentru a exclude alte boli.<br \/>\nRMN \u0219i CT pentru studiul glandelor suprarenale\u00a0cu scopul de a exclude prezen\u021ba tumorilor.<\/p>\n<h3>Tratamentul<\/h3>\n<p>De regul\u0103 se\u00a0administreaz\u0103\u00a0Dexametazon\u0103\u00a0\u00een doz\u0103 de 0,5 \u2013 0,25 mg pe zi. Eficien\u021ba terapiei este recunoscut\u0103 atunci c\u00e2nd apare ciclul menstrual,\u00a0\u00a0ovula\u021bia. Se observ\u0103 debutul sarcinii. Dac\u0103 acest lucru s-a \u00eent\u00e2mplat, se continu\u0103 tratamentul cu hormoni p\u00e2n\u0103 la 12-13 s\u0103pt\u0103m\u00e2ni de sarcin\u0103.<\/p>\n<p>Aceasta este perioad\u0103 de formare a placentei. Tratamentul \u00een timpul sarcinii se efectueaz\u0103 \u00een sta\u021bionar sub stricta supraveghere a medicilor. Femeilor, care nu doresc o graviditate, dar au pl\u00e2ngeri de\u00a0cre\u0219tere\u00a0\u00een\u00a0abundenta\u00a0a p\u0103rului, schimbarea vocii, neregularitatea ciclului menstrual, li se administreaz\u0103\u00a0estrogen\u00a0\u0219i\u00a0anti androgeni.<\/p>\n<p>O astfel de terapie este simptomatic\u0103\u00a0\u0219i\u00a0nu v\u0103 va sc\u0103pa de boal\u0103.\u00a0Deacea\u00a0anularea drogurilor va duce la revenirea simptomelor men\u021bionate.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Glandele suprarenale sunt glande cu secre\u021bie intern\u0103. Scoar\u021ba superioar\u0103 ale acestora este responsabil\u0103 pentru sinteza de androgeni \u2013 organe genitale masculine.\u00a0Disfunc\u021bia\u00a0acestor glande face s\u0103 creasc\u0103 producerea de androgeni, ceea ce duce la tulbur\u0103ri sexuale\u00a0\u0219i\u00a0a sistemului endocrin. Sindromul\u00a0andrenogenital\u00a0este o boal\u0103 ereditar\u0103. Se dezvolt\u0103 \u00een timpul sarcinii. Ea apare la copii chiar din prima zi, dar se [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":47544,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-49619","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sindromul\u00a0andrenogenital<\/title>\n<meta name=\"description\" content=\"Glandele suprarenale sunt glande cu secre\u021bie intern\u0103. 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