Kuyezetsa magazi kwa Aldosterone

Mayeso a magazi a aldosterone amayesa kuchuluka kwa mahomoni aldosterone m'magazi.

Aldosterone imatha kuyezedwanso pogwiritsa ntchito mayeso amkodzo.

Muyenera kuyesa magazi.

Wothandizira zaumoyo wanu akhoza kukupemphani kuti musiye kumwa mankhwala ena masiku angapo asanayezetse kuti asakhudze zotsatira za mayeso. Onetsetsani kuti mukuwuza omwe akukuthandizani za mankhwala onse omwe mumamwa. Izi zikuphatikiza:

• Mankhwala othamanga magazi
• Mankhwala amtima
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• Mankhwala a Antacid ndi zilonda zam'mimba
• Mapiritsi amadzi (okodzetsa)

Osasiya kumwa mankhwala musanalankhule ndi dokotala. Wothandizira anu akhoza kukulangizani kuti musadye kuposa magalamu atatu amchere (sodium) patsiku kwa milungu iwiri musanayese.

Kapenanso, wothandizira wanu angakulimbikitseni kuti mudye mchere womwe mumakonda komanso muyese kuchuluka kwa sodium mumkodzo wanu.

Nthawi zina, kuyezetsa magazi kwa aldosterone kumachitika musanalandire mchere wamchere (saline) kudzera mumitsempha (IV) kwa maola awiri. Dziwani kuti zina zingakhudze miyezo ya aldosterone, kuphatikiza:

• Mimba
• Zakudya zapamwamba kapena zochepa za sodium
• Zakudya zapamwamba kapena zochepa za potaziyamu
• Kuchita masewera olimbitsa thupi
• Kupsinjika

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kuluma kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Mayesowa amalamulidwa potsatira izi:

• Matenda ena amadzimadzi ndi ma electrolyte, nthawi zambiri amakhala otsika kapena magazi othira sodium kapena potaziyamu wochepa
• Zovuta kuwongolera kuthamanga kwa magazi
• Kuthamanga kwa magazi poyimirira (orthostatic hypotension)

Aldosterone ndi hormone yomwe imatulutsidwa ndi adrenal glands. Zimathandiza thupi kuwongolera kuthamanga kwa magazi. Aldosterone imakulitsa kuyambiranso kwa sodium ndi madzi ndikutulutsa potaziyamu mu impso. Izi zimakweza kuthamanga kwa magazi.

Kuyezetsa magazi kwa Aldosterone nthawi zambiri kumalumikizidwa ndi mayeso ena, monga mayeso a mahomoni a renin, kuti apeze aldosterone yopitilira muyeso.

Mulingo wamba umasiyana:

• Pakati pa ana, achinyamata, ndi akulu
• Kutengera kuti mukuyimirira, kukhala pansi, kapena kugona pansi magazi atatengedwa

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mulingo woposa aldosterone wokhazikika ukhoza kukhala chifukwa cha:

• Matenda a Bartter (gulu lazovuta zomwe zimakhudza impso)
• Matenda a Adrenal amatulutsa mahomoni ambiri a aldosterone (primary hyperaldosteronism - nthawi zambiri chifukwa chokhala ndi chotupa chambiri mu adrenal gland)
• Zakudya zochepa kwambiri za sodium
• Kutenga mankhwala a kuthamanga kwa magazi otchedwa mineralocorticoid antagonists

Mulingo wotsika kuposa aldosterone ukhoza kukhala chifukwa cha:

• Matenda a Adrenal gland, kuphatikiza kusatulutsa aldosterone yokwanira, ndi vuto lotchedwa kusowa kwa adrenal (Matenda a Addison)
• Zakudya zabwino kwambiri za sodium

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera kwa wodwala kupita kwa wina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakhudzidwa ndikutengedwa magazi ndizochepa koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Aldosterone - seramu; Matenda a Addison - serum aldosterone; Pulayimale hyperaldosteronism - serum aldosterone; Matenda a Bartter - serum aldosterone

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.

Guber HA, Farag AF. Kuwunika kwa endocrine ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 24.