Matenda a Addison

Zamkati

• Chidule
• Zizindikiro za matenda a Addison ndi ziti?
• Nchiyani chimayambitsa matenda a Addison?
• Kulephera kwapadera kwa adrenal
• Kusakwanira kwa adrenal kwachiwiri
• Ndani ali pachiwopsezo cha matenda a Addison?
• Kuzindikira matenda a Addison
• Kodi matenda a Addison amachiritsidwa bwanji?
• Mankhwala
• Kusamalira kunyumba
• Njira zochiritsira zina
• Nchiyani chikuyembekezeredwa mtsogolo?

Chidule

Matenda anu a adrenal ali pamwamba pa impso zanu. Izi zimatulutsa mahomoni ambiri omwe thupi lanu limafunikira kuti lizigwira bwino ntchito.

Matenda a Addison amapezeka pomwe adrenal cortex yawonongeka, ndipo ma adrenal gland samatulutsa zokwanira mahomoni a steroid cortisol ndi aldosterone.

Cortisol amawongolera momwe thupi limayankhira pamavuto. Aldosterone imathandizira ndi malamulo a sodium ndi potaziyamu. Cortex ya adrenal imatulutsanso mahomoni ogonana (androgens).

Zizindikiro za matenda a Addison ndi ziti?

Anthu omwe ali ndi matenda a Addison atha kukhala ndi izi:

• kufooka kwa minofu
• kutopa ndi kutopa
• mdima wakhungu
• kuonda kapena kuchepa kwa njala
• kuchepa kwa kugunda kwa mtima kapena kuthamanga kwa magazi
• shuga wochepa wamagazi
• kukomoka
• zilonda mkamwa
• kulakalaka mchere
• nseru
• kusanza

Anthu omwe ali ndi matenda a Addison amathanso kukumana ndi matenda amitsempha, monga:

• kupsa mtima kapena kukhumudwa
• kusowa mphamvu
• kusokonezeka kwa tulo

Matenda a Addison akapanda kuchiritsidwa kwa nthawi yayitali, atha kukhala vuto la Addisonia. Zizindikiro zokhudzana ndi vuto la Addisonian zitha:

• kubvutika
• delirium
• ziwonetsero zowoneka komanso zomvera

Vuto la Addisonia ndiwopseza moyo pachipatala. Itanani 911 nthawi yomweyo ngati inu kapena munthu amene mumamudziwa wayamba kukumana ndi izi:

• kusintha kwa malingaliro, monga kusokonezeka, mantha, kapena kusakhazikika
• kutaya chidziwitso
• malungo akulu
• kupweteka mwadzidzidzi kumbuyo, m'mimba, kapena miyendo

Mavuto osakhudzidwa a Addisonia atha kudzetsa mantha komanso kufa.

Nchiyani chimayambitsa matenda a Addison?

Pali mitundu iwiri yayikulu yamatenda a Addison: kusowa koyambira kwa adrenal komanso kulephera kwa adrenal kwachiwiri. Pofuna kuchiza matendawa, dokotala wanu ayenera kudziwa kuti ndi mtundu wanji womwe umayambitsa matenda anu.

Kulephera kwapadera kwa adrenal

Kulephera kwa adrenal koyambirira kumachitika ma gland anu a adrenal atawonongeka kwambiri kotero kuti sangathenso kutulutsa mahomoni. Matenda amtunduwu a Addison nthawi zambiri amayamba pamene chitetezo chamthupi chanu chimaukira ma adrenal gland anu. Izi zimatchedwa matenda amthupi okha.

Mu matenda omwe amadzimadzimadzimadzimodzi, chitetezo cha mthupi lanu chimalakwitsa chiwalo chilichonse kapena gawo lililonse la thupi kukhala ndi kachilombo, bakiteriya, kapena china chilichonse chakunja.

Zina mwazomwe zimayambitsa kusakwanira kwa adrenal monga:

• kuyang'anira kwakanthawi kwa ma glucocorticoids (mwachitsanzo prednisone)
• matenda mthupi lanu
• khansa ndi zophuka zosazolowereka (zotupa)
• owonda magazi ena amawaletsa kuundana m'magazi

Kusakwanira kwa adrenal kwachiwiri

Kusakwanira kwa adrenal kwachiwiri kumachitika pamene vuto la pituitary (lomwe lili muubongo wanu) silingathe kupanga hormone ya adrenocorticotropic (ACTH). ACTH imauza adrenal gland nthawi yotulutsa mahomoni.

Ndikothekanso kukulitsa kusakwanira kwa adrenal ngati simutenga mankhwala a corticosteroid omwe dokotala akukupatsani. Corticosteroids imathandiza kuchepetsa matenda monga mphumu.

Palinso zifukwa zina zambiri zakusakwanira kwa adrenal, kuphatikizapo:

• zotupa
• mankhwala
• chibadwa
• zoopsa kuvulala kwaubongo

Ndani ali pachiwopsezo cha matenda a Addison?

Mutha kukhala pachiwopsezo chachikulu cha matenda a Addison ngati:

• khalani ndi khansa
• tengani maanticoagulants (owonda magazi)
• ali ndi matenda opatsirana monga chifuwa chachikulu
• Anachitidwa opaleshoni kuti achotse gawo lililonse la adrenal gland
• khalani ndi matenda omwe amadzichotsera okha, monga mtundu wa 1 shuga kapena matenda a Graves

Kuzindikira matenda a Addison

Dokotala wanu adzakufunsani za mbiri yanu yamankhwala komanso zomwe mwakhala mukukumana nazo. Adzafufuza, ndipo atha kuyitanitsa mayeso ena a labu kuti awone potaziyamu ndi sodium.

Dokotala wanu amathanso kuyitanitsa mayeso amakanema ndi kuyeza kuchuluka kwanu kwamahomoni.

Kodi matenda a Addison amachiritsidwa bwanji?

Chithandizo chanu chidzadalira pazomwe zikuyambitsa matenda anu. Dokotala wanu akhoza kukupatsani mankhwala omwe amayendetsa matenda anu a adrenal.

Kutsatira dongosolo lamankhwala lomwe dokotala amakupangirani ndikofunikira kwambiri. Matenda a Addison osachiritsidwa atha kubweretsa mavuto ku Addisonia.

Ngati matenda anu sanalandire chithandizo kwa nthawi yayitali, ndipo mwayamba kukhala pachiswe chotchedwa Addisonia, dokotala wanu akhoza kukupatsani mankhwala oti amuthandize kaye.

Mavuto a Addisonia amachititsa kuthamanga kwa magazi, potaziyamu wambiri m'magazi, komanso kutsika kwa shuga m'magazi.

Mankhwala

Mungafunike kumwa mankhwala osakaniza a glucocorticoids (mankhwala omwe amaletsa kutupa) kuti mukhale ndi thanzi labwino. Mankhwalawa adzamwa kwa moyo wanu wonse ndipo simungaphonye mlingo.

Mahomoni amatha kusintha m'malo mwa mahomoni omwe ma adrenal gland sakupanga.

Kusamalira kunyumba

Sungani zida zadzidzidzi zomwe zimakhala ndi mankhwala anu nthawi zonse. Funsani dokotala wanu kuti alembe mankhwala a jakisoni wa corticosteroid wadzidzidzi.

Mwinanso mungafunike kusunga khadi lachenjezo la zamankhwala muchikwama chanu ndi chibangili m'manja mwanu kuti anzanu adziwe za matenda anu.

Njira zochiritsira zina

Ndikofunika kuti muchepetse nkhawa zanu ngati mukudwala matenda a Addison. Zochitika zazikulu m'moyo, monga imfa ya wokondedwa kapena kuvulala, zitha kukulitsa nkhawa komanso kukhudza momwe mumayankhira mankhwala anu. Lankhulani ndi dokotala wanu za njira zina zothetsera nkhawa, monga yoga ndi kusinkhasinkha.

Nchiyani chikuyembekezeredwa mtsogolo?

Matenda a Addison amafuna chithandizo chamoyo wonse. Mankhwala, monga mankhwala obwezeretsa mahomoni, angakuthandizeni kuthana ndi matenda anu.

Kutsatira dongosolo lamankhwala lomwe dokotala amapanga ndi gawo lofunikira kukuthandizani kukhala ndi moyo wopindulitsa.

Kumbukirani, nthawi zonse tengani mankhwala anu monga momwe adanenera. Kumwa mankhwala ochepa kapena owonjezera kungasokoneze thanzi lanu.

Njira yanu yothandizira ingafunike kuwunikidwanso ndikusinthidwa kutengera momwe muliri. Pachifukwa ichi, ndikofunikira kuti muziwona dokotala wanu pafupipafupi.