Mayeso a Aldosterone

Zamkati

• Kodi Aldosterone Mayeso Amazindikira Chiyani?
• Kukonzekera Kuyesedwa kwa Aldosterone
• Momwe Kuyesedwa kwa Aldosterone Kumachitikira
• Kutanthauzira Zotsatira Zanu
• Pambuyo pa Mayeso

Kodi Mayeso a Aldosterone Ndi Chiyani?

Chiyeso cha aldosterone (ALD) chimayeza kuchuluka kwa ALD m'magazi anu. Amatchedwanso kuti serum aldosterone test. ALD ndi hormone yopangidwa ndi adrenal glands. Matenda a adrenal amapezeka pamwamba pa impso zanu ndipo ali ndi udindo wopanga mahomoni angapo ofunikira. ALD imakhudza kuthamanga kwa magazi komanso imayendetsa sodium (mchere) ndi potaziyamu m'magazi anu, mwazinthu zina.

ALD yochulukirapo imatha kuthandizira kuthamanga kwa magazi komanso potaziyamu wambiri. Amadziwika kuti hyperaldosteronism pamene thupi lanu limapanga ALD kwambiri. Pulayimale hyperaldosteronism imatha chifukwa cha chotupa cha adrenal (nthawi zambiri chosaopsa, kapena chosachita khansa). Pakadali pano, hyperaldosteronism yachiwiri imatha kuyambitsidwa ndi zochitika zosiyanasiyana. Izi zikuphatikiza:

• congestive mtima kulephera
• matenda enaake
• matenda ena a impso (mwachitsanzo, nephrotic syndrome)
• owonjezera potaziyamu
• otsika sodium
• toxemia kuyambira mimba

Kodi Aldosterone Mayeso Amazindikira Chiyani?

Mayeso a ALD amagwiritsidwa ntchito pozindikira matenda amadzimadzi ndi ma electrolyte. Izi zitha kuyambitsidwa ndi:

• mavuto amtima
• impso kulephera
• matenda a shuga insipidus
• matenda a adrenal

Kuyesaku kungathandizenso kuzindikira:

• kuthamanga kwa magazi komwe kumakhala kovuta kuwongolera kapena kumachitika adakali aang'ono
• orthostatic hypotension (kuthamanga kwa magazi chifukwa choyimirira)
• kuchulukitsa kwa ALD
• kusakwanira kwa adrenal (pansi pamatenda a adrenal)

Kukonzekera Kuyesedwa kwa Aldosterone

Dokotala wanu akhoza kukupemphani kuti muyesedwe nthawi ina. Nthawi ndiyofunikira, popeza milingo ya ALD imasiyanasiyana tsiku lonse. Mipata imakhala yokwera kwambiri m'mawa. Dokotala wanu angakufunseni kuti:

• sinthani kuchuluka kwa sodium yomwe mumadya (yotchedwa zakudya zoletsa sodium)
• pewani kuchita masewera olimbitsa thupi
• pewani kudya licorice (licorice imatha kutengera zinthu za aldosterone)
• Izi zingakhudze milingo ya ALD. Kupsinjika kungathenso kukulitsa ALD kwakanthawi.

Mankhwala angapo angakhudze ALD. Uzani dokotala wanu za mankhwala onse omwe mukumwa. Izi zimaphatikizapo mankhwala owonjezera komanso owonjezera. Dokotala wanu angakuuzeni ngati mukufuna kusiya kapena kusintha mankhwala aliwonse musanayesedwe.

Mankhwala omwe angakhudze ALD ndi awa:

• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen
• diuretics (mapiritsi amadzi)
• njira zakulera zam'kamwa (mapiritsi oletsa kubereka)
• angiotensin-converting enzyme (ACE) inhibitors, monga benazepril
• steroids, monga prednisone
• zotchinga beta, monga bisoprolol
• zotchinga calcium, monga amlodipine
• lifiyamu
• mankhwala
• mankhwala

Momwe Kuyesedwa kwa Aldosterone Kumachitikira

Kuyesedwa kwa ALD kumafuna kuyesa magazi. Zitsanzo zamagazi zitha kutengedwa kuofesi ya dokotala wanu kapena zitha kuchitidwa mu labu.

Choyamba, wothandizira zaumoyo wanu amateteza malo m'manja mwanu kapena m'manja. Adzakulunga kansalu kotanuka kumanja kuti magazi asonkhanitse mumtsinje. Kenako, amalowetsa singano tating'onoting'ono tanu. Izi zitha kukhala zopweteka pang'ono pang'ono ndipo zitha kupangitsa kumva kuwawa kapena kumenyedwa. Magazi adzasonkhanitsidwa mu chubu chimodzi kapena zingapo.

Wothandizira zaumoyo wanu adzachotsa zotupa ndi singano, ndipo azikakamiza kuboola kuti magazi asiye kutuluka ndikuthandizira kupewa kuvulala. Adzapaka bandeji pamalo opumira. Malo obowoleza amatha kupitilirabe, koma izi zimatha pakadali mphindi zochepa kwa anthu ambiri.

Zowopsa zokoka magazi anu ndizochepa. Imawerengedwa kuti ndi mayeso achipatala osagwira. Zowopsa zakutengedwa magazi anu ndi izi:

• zoluma zingapo za singano chifukwa chovuta kupeza mtsempha
• kutaya magazi kwambiri
• mutu wopepuka kapena kukomoka
• hematoma (kuphatikiza magazi pansi pakhungu)
• matenda pamalo opumira

Kutanthauzira Zotsatira Zanu

Dokotala wanu awunika zonse zomwe adapeza poyesa. Adzakufikirani tsiku lina kuti mudzakambirane zotsatira zanu.

Mulingo wapamwamba wa ALD umatchedwa hyperaldosteronism. Izi zitha kuwonjezera magazi potaziyamu komanso magazi m'munsi. Hyperaldosteronism itha kuyambitsidwa ndi:

• aimpso mtsempha wamagazi stenosis (kuchepa kwa mtsempha wamagazi womwe umapereka magazi ku impso)
• congestive mtima kulephera
• matenda a impso kapena kulephera
• matenda enaake (mabala a chiwindi) toxemia ya mimba
• chakudya chochepa kwambiri mu sodium
• Matenda a Conn, Cushing's, kapena Bartter syndrome (kawirikawiri)

Magawo otsika a ALD amatchedwa hypoaldosteronism. Zizindikiro za matendawa ndi monga:

• kuthamanga kwa magazi
• kusowa kwa madzi m'thupi
• magulu otsika a sodium
• potaziyamu otsika

Hypoaldosteronism itha kuyambitsidwa ndi:

• kusakwanira kwa adrenal
• Matenda a Addison, omwe amakhudza kupanga mahomoni a adrenal
• hyporeninemic hypoaldosteronism (otsika ALD yoyambitsidwa ndi matenda a impso)
• chakudya chambiri kwambiri mu sodium (kuposa 2,300 mg / tsiku kwa iwo azaka 50 ndi pansi; 1,500 opitirira zaka 50)
• congenital adrenal hyperplasia (matenda obadwa nawo omwe makanda alibe ma enzyme omwe amafunikira kupanga cortisol, yomwe ingakhudzenso kupanga kwa ALD.)

Pambuyo pa Mayeso

Dokotala wanu atakuwunikirani zotsatira zanu, atha kuyitanitsa mayeso ena kuti athandizire kudziwa ALD. Mayesowa akuphatikizapo:

• renin ya m'magazi
• chiŵerengero cha renin-ALD
• andrenocorticotrophin (ACTH) kulowetsedwa
• kapita
• kulowetsedwa kwamchere (IV) mchere

Kuyesaku kukuthandizani inu ndi dokotala kuti mudziwe zambiri pazomwe zikuyambitsa vuto lanu ndi ALD yanu.Izi zithandizira dokotala kupeza kuti ali ndi vuto ndikubwera ndi njira yothandizira.