Pulayimale ndi sekondale hyperaldosteronism

Hyperaldosteronism ndimatenda pomwe adrenal gland imatulutsa mahomoni aldosterone ochuluka kwambiri m'magazi.

Hyperaldosteronism itha kukhala yoyambira kapena yachiwiri.

Pulayimale hyperaldosteronism imachitika chifukwa cha vuto la adrenal glands lokha, lomwe limapangitsa kuti amasule aldosterone yambiri.

Mosiyana ndi izi, ndi hyperaldosteronism yachiwiri, vuto kwinakwake mthupi limapangitsa kuti ma adrenal gland atulutse aldosterone yambiri. Mavutowa atha kukhala ndi majini, zakudya, kapena matenda azachipatala monga mtima, chiwindi, impso, kapena kuthamanga kwa magazi.

Matenda ambiri a hyperaldosteronism oyambilira amayamba chifukwa cha chotupa cha khansa ya adrenal. Matendawa amakhudza kwambiri anthu azaka 30 mpaka 50 ndipo ndizomwe zimayambitsa kuthamanga kwa magazi azaka zapakati.

Pulayimale ndi sekondale hyperaldosteronism ili ndi zizindikilo zofala, kuphatikiza:

• Kuthamanga kwa magazi
• Mulingo wochepa wa potaziyamu m'magazi
• Kumva kutopa nthawi zonse
• Mutu
• Minofu kufooka
• Kunjenjemera

Wothandizira zaumoyo adzakuyesani ndikufunsani za matenda anu.

Mayeso omwe atha kulamulidwa kuti apeze hyperaldosteronism ndi awa:

• M'mimba mwa CT scan
• ECG
• Mulingo wa aldosterone wamagazi
• Ntchito yamagazi
• Mulingo wa potaziyamu wamagazi
• Aldosterone yamikodzo
• Impso ultrasound

Njira yoyika catheter m'mitsempha ya adrenal gland ingafunike kuchitidwa. Izi zimathandizira kuwona kuti ndi iti mwa tiziwalo tating'onoting'ono tomwe timapanga aldosterone wambiri. Kuyesaku ndikofunikira chifukwa anthu ambiri ali ndi zotupa zazing'onoting'ono m'matenda a adrenal omwe samatulutsa mahomoni aliwonse. Kudalira kokha pa CT scan kungapangitse kuti adrenal gland yoipa ichotsedwe.

Pulayimale hyperaldosteronism yoyambitsidwa ndi chotupa cha adrenal gland nthawi zambiri imachiritsidwa ndi opaleshoni. Nthawi zina amatha kuthandizidwa ndi mankhwala. Kuchotsa chotupa cha adrenal kumatha kuchepetsa zizindikilo. Ngakhale atachitidwa opaleshoni, anthu ena amakhalabe ndi kuthamanga kwa magazi ndipo amafunika kumwa mankhwala. Koma nthawi zambiri, kuchuluka kwa mankhwala kapena Mlingo kumatha kutsitsidwa.

Kuchepetsa kumwa mchere komanso kumwa mankhwala kumatha kuletsa zizindikilozo popanda opaleshoni. Mankhwala ochizira hyperaldosteronism ndi awa:

• Mankhwala osokoneza bongo omwe amalepheretsa aldosterone
• Odzetsa (mapiritsi amadzi), omwe amathandiza kuthana ndi kuchuluka kwa madzi m'thupi

Sekondale hyperaldosteronism imathandizidwa ndi mankhwala (monga tafotokozera pamwambapa) komanso kuchepetsa kudya mchere. Opaleshoni nthawi zambiri sagwiritsidwa ntchito.

Maganizo a hyperaldosteronism oyambira ndi abwino atazindikira ndikuchiza koyambirira.

Maganizo a hyperaldosteronism yachiwiri amatengera chifukwa cha vutoli.

Hyperalosteronism yoyamba imatha kuyambitsa kuthamanga kwa magazi, komwe kumatha kuwononga ziwalo zambiri, kuphatikiza maso, impso, mtima ndi ubongo.

Mavuto okhalitsa ndi gynecomastia (kukulitsa mawere mwa amuna) atha kuchitika ndikugwiritsa ntchito mankhwala kwakanthawi kuti athetse vuto la hyperaldosteronism.

Funsani nthawi yokumana ndi omwe amakupatsani ngati mutayamba kukhala ndi matenda a hyperaldosteronism.

Matenda a Conn; Kuchulukitsa kwa Mineralocorticoid

• Matenda a Endocrine
• Kutulutsa kwa hormone ya adrenal

Wosamalira RM, Padia SH. Matenda oyambira a mineralocorticoid owonjezera komanso kuthamanga kwa magazi. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 108.

Nieman LK. Adrenal kotekisi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 214.