高稀释治疗肾上腺皮质亢进1例报告

Franscinne Brait Narita, C. Coelho, Bruna Scardoeli
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摘要

背景:肾上腺皮质亢进是一种常见的狗内分泌疾病,与皮质醇的过量产生或管理有关。目的:报告顺势疗法治疗一只10岁约克郡公犬肾上腺皮质亢进的进展,分析其基础和acth刺激后的皮质醇值。方法:选择顺势疗法治疗,基于相似的原则,因为它是有效的,对患者的危害较小,使用鸢尾花相关的皮质醇生物疗法来抑制皮质醇的产生和肾上腺生物疗法来刺激腺体反应。公开的信息已得到导师的同意。结果:犬经trilostane常规治疗后无反应,基础结果为5.41 μg/dL, acth后结果为11.8 μg/dL,于2021年12月12日症状最严重,表现为嗜睡、喘气,脱发更为明显,肌无力严重,无法站立。因此,该方案建议持续3个月,包括口服3粒黄芪30cH,每12小时一次,皮质醇生物疗法30cH 3粒,肾上腺生物疗法6ch每24小时一次,持续30天。2022年3月28日,acth基础和后刺激结果分别为3,71 μg/dL和5,79 μg/dL,患者更活跃,皮肤更好,甚至活动困难,独立性更强。结论:高稀释顺势疗法治疗有效,acth后指标保持在2.0 ~ 5.0推荐范围内,治疗监测充分,症状改善。关键词:顺势疗法,生物疗法,肾上腺皮质亢进,皮质醇参考文献:rom o, F.G.等。肾上腺皮质亢进症(英文):修订版。Clínica Veterinária, v. 91, 2011。Demarque d;茹阿尼,j .;Poitevin b;j . Saint-Jean, Y. Farmacologia e m.m.acriia m.m.acimica Homeopática。圣保罗:奥加纳,2009年。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hyperadrenocorticism Treatment with High Dilution – Case Report
Background: Hyperadrenocorticism is a common endocrinopathy in dogs, associated to an excessive production or administration of cortisol. Aims: Report the evolution of homeopathic treatment in hyperadrenocorticism of a yorkshire male dog with 10 years old, analyzing with basal and post-acth stimulation cortisol values. Methodology: Homeopathic treatment was chosen, based on the principle of similitude and because it is efficient and less harmful for the patient using Ignatia amara associated to cortisol biotherapy to inhibit cortisol production and adrenal biotherapy to stimulate the gland response. The exposed information is consented by the tutor. Results: The dog was in convencional treatment with trilostane but didn’t response to the therapy, showing 5,41 μg/dL of basal result and 11,8 μg/dL of post-acth result and the symptoms were worst on 12/12/2021, presenting lethargic, panting, more evident alopecia and severe muscle weakness which the patient unable to stand. Therefore, the protocol was recommended for 3 months, included 3 globules of Ignatia amara 30cH orally, every 12 hours, 3 globules of cortisol biotherapy 30 cH and also of adrenal biotherapy 6 cH every 24 hours for 30 days. On 03/28/2022 the basal and post-acth stimulation results was 3,71 μg/dL e 5,79 μg/dL respectively and the patient was more active, the skin was better and even with difficulty it was moving and having more independence. Conclusion: Homeopathic treatment with high dilution proved to be effective, keeping the indices with the recommended range of post acth between 2.0 and 5.0, confirming an adequate therapeutic monitoring and symptomatic improvement. Keywords: Homeopathy, Biotherapy, Hyperadrenocorticism, Cortisol   References: Romão, F.G. et al. Hiperadrenocorticismo em cães: revisão. Clínica Veterinária, v. 91, 2011. Demarque, D.; Jouanny, J.; Poitevin, B.; Saint-Jean, Y. Farmacologia e Matéria Médica Homeopática. S. Paulo: Organon, 2009.
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