Addisonian Crisis (Mavuto Acute Adrenal)

Zamkati

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• Kodi zizindikiro zavuto la Addisonia ndi ziti?
• Nchiyani chimayambitsa vuto la Addisonia?
• Ndani ali pachiwopsezo chamavuto a Addisonia?
• Kodi mavuto a Addisonia amapezeka bwanji?
• Kodi mavuto a Addisonia amachitidwa bwanji?
• Mankhwala
• Kusamalira kunyumba
• Kuchiza pamavuto akulu a Addisonia
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Mukapanikizika, ma gland anu adrenal, omwe amakhala pamwamba pa impso, amapanga mahomoni otchedwa cortisol. Cortisol imathandiza thupi lanu kuyankha bwino ndikapanikizika. Zimathandizanso pa thanzi la mafupa, kuyankha kwa chitetezo cha mthupi, komanso kagayidwe kazakudya. Thupi lanu nthawi zambiri limayesa kuchuluka kwa cortisol yopangidwa.

Vuto la Addisonian ndi vuto lalikulu lachipatala chifukwa cha kulephera kwa thupi kutulutsa kotekisi yokwanira. Vuto la Addisonian limadziwikanso kuti vuto lalikulu la adrenal. Anthu omwe ali ndi vuto lotchedwa matenda a Addison kapena omwe awononga ma adrenal gland sangathe kutulutsa cortisol yokwanira.

Kodi zizindikiro zavuto la Addisonia ndi ziti?

Zizindikiro zamavuto aku Addisonia ndi awa:

• kufooka kwakukulu
• kusokonezeka m'maganizo
• chizungulire
• nseru kapena kupweteka m'mimba
• kusanza
• malungo
• kupweteka mwadzidzidzi kumunsi kumbuyo kapena miyendo
• kusowa chilakolako
• kuthamanga kwambiri kwa magazi
• kuzizira
• zotupa pakhungu
• thukuta
• kugunda kwa mtima
• kutaya chidziwitso

Nchiyani chimayambitsa vuto la Addisonia?

Vuto la Addisonia limatha kuchitika ngati munthu yemwe sagwira bwino ntchito adrenal gland amakhala ndi vuto lalikulu. Matenda a adrenal amakhala pamwamba pa impso ndipo ali ndi udindo wopanga mahomoni ambiri ofunikira, kuphatikiza cortisol. Matenda a adrenal akawonongeka, sangatulutse mahomoni okwanira. Izi zitha kuyambitsa mavuto a Addisonia.

Ndani ali pachiwopsezo chamavuto a Addisonia?

Omwe ali pachiwopsezo chachikulu pamavuto a Addisonia ndi anthu omwe:

• apezeka ndi matenda a Addison
• achita opaleshoni posachedwa m'matenda awo a adrenal
• kuwonongeka kwa khungu lawo
• akuchiritsidwa chifukwa cha kulephera kwa adrenal koma samamwa mankhwala awo
• akukumana ndi vuto linalake kapena kupsinjika kwambiri
• alibe madzi okwanira m'thupi

Kodi mavuto a Addisonia amapezeka bwanji?

Dokotala wanu amatha kuzindikira koyamba poyesa kuchuluka kwa cortisol kapena adrenocorticotropic hormone (ACTH) m'magazi anu. Zizindikiro zanu zikayamba kulamulidwa, dokotala wanu adzakuyesaninso kuti mutsimikizire kuti mumapezeka matendawa komanso kuti muwone ngati kuchuluka kwa mahomoni a adrenal kuli bwino. Mayesowa atha kuphatikiza:

• kuyesa kokopa kwa ACTH (cosyntropin), komwe dokotala wanu amayesa milingo yanu ya cortisol asanakwane ndi pambuyo pa jakisoni wa ACTH
• mayeso a potaziyamu wa seramu kuti muwone kuchuluka kwa potaziyamu
• mayeso a seramu kuti muwone kuchuluka kwa sodium
• kuyesa magazi osala magazi kuti mudziwe kuchuluka kwa shuga m'magazi anu
• mayeso osavuta a cortisol

Kodi mavuto a Addisonia amachitidwa bwanji?

Mankhwala

Anthu omwe akukumana ndi vuto la Addisonia nthawi zambiri amalandira jakisoni wa hydrocortisone. Mankhwalawa akhoza kubayidwa muminyewa kapena mumitsempha.

Kusamalira kunyumba

Mutha kukhala ndi chida chomwe chimaphatikizapo jakisoni wa hydrocortisone ngati mwapezeka kuti muli ndi matenda a Addison. Dokotala wanu akhoza kukuwonetsani momwe mungadziperekere jakisoni mwadzidzidzi wa hydrocortisone. Kungakhalenso bwino kuphunzitsa wokondedwa wanu kapena wachibale wanu momwe angabayire jakisoni moyenera. Mungafune kusunga zida zosungira m'galimoto ngati mumayenda pafupipafupi.

Musayembekezere mpaka mutafooka kapena kusokonezeka kuti mudzipatse jakisoni wa hydrocortisone, makamaka ngati mukusanza kale. Mukadzipatsa jekeseni, pitani kuchipatala nthawi yomweyo. Chida chadzidzidzi chimatanthawuza kuti chithandizire kukhazikika kwanu, koma sikutanthauza kusinthitsa chithandizo chamankhwala.

Kuchiza pamavuto akulu a Addisonia

Pambuyo pamavuto a Addisonia, adokotala angakuuzeni kuti mupite kuchipatala kuti mukapimidwe. Izi zimachitika kawirikawiri kuti mutsimikizire kuti matenda anu athandizidwa bwino.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Anthu omwe ali ndi vuto la Addisonia nthawi zambiri amachira ngati vutoli lithandizidwa mwachangu. Ndi chithandizo chokhazikika, omwe alibe adrenal amatha kukhala ndi moyo wathanzi, wokangalika.

Komabe, vuto losagwiritsidwa ntchito ndi Addisonian lingayambitse:

• kugwedezeka
• kugwidwa
• chikomokere
• imfa

Mutha kuchepetsa chiopsezo chanu chokhala ndi vuto la Addisonia potenga mankhwala anu onse omwe mwapatsidwa. Muyeneranso kunyamula chidebe cha jakisoni wa hydrocortisone ndikukhala ndi khadi lakuzindikiritsa pofotokoza zavuto lanu pakagwa mwadzidzidzi.