Bartter's syndrome: ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Matenda a Bartter ndi matenda osowa omwe amakhudza impso ndipo amachititsa kutayika kwa potaziyamu, sodium ndi klorini mumkodzo. Matendawa amachepetsa kuchuluka kwa calcium m'magazi ndikuwonjezera kutulutsa kwa aldosterone ndi renin, mahomoni omwe amachititsa kuti magazi aziyenda bwino.

Zomwe zimayambitsa Bartter's Syndrome ndizobadwa ndipo ndi matenda omwe amachokera kwa makolo kupita kwa ana, omwe amakhudza anthu kuyambira ali mwana. Matendawa alibe mankhwala, koma akawapeza msanga, amatha kuwongolera kudzera mumankhwala komanso zowonjezera mavitamini.

Zizindikiro zazikulu

Zizindikiro za Bartter's Syndrome zimawoneka muubwana, zazikuluzikulu ndizo:

• Kusowa zakudya m'thupi;
• Kuchepetsa kukula;
• Minofu kufooka;
• Kufooka kwa malingaliro;
• Kuchuluka kwamkodzo;
• Ludzu kwambiri;
• Kutaya madzi m'thupi;
• Malungo;
• Kutsekula m'mimba kapena kusanza.

Anthu omwe ali ndi Bartter's Syndrome ali ndi potaziyamu wochepa, chlorine, sodium ndi calcium m'magazi awo, koma samasintha magazi. Anthu ena atha kukhala ndi mawonekedwe athupi la matendawa, monga nkhope yamakona atatu, chipumi chowonekera kwambiri, maso akulu ndi makutu oyang'ana kutsogolo.

Kuzindikira kwa Bartter's Syndrome kumapangidwa ndi urologist, kudzera pakuwunika kwa zomwe wodwalayo adachita ndikuyesa magazi komwe kumazindikira kutha kwa potaziyamu ndi mahomoni, monga aldosterone ndi renin.

Momwe mankhwalawa amachitikira

Chithandizo cha Bartter's Syndrome chimapangidwa ndikugwiritsa ntchito potaziyamu zowonjezera kapena michere ina, monga magnesium kapena calcium, kuwonjezera kuchuluka kwa zinthuzi m'magazi, komanso kumeza madzi ambiri, obwezera kutayika kwakukulu kwa madzi mkodzo.

Mankhwala ochiritsira omwe amakhala ndi potaziyamu, monga spironolactone, amagwiritsidwanso ntchito pochiza matendawa, komanso mankhwala osagwiritsa ntchito zotupa monga indomethacin, omwe amayenera kutengedwa mpaka kumapeto kwa kukula kuti athe kukula bwino kwa munthuyo .

Odwala ayenera kuyezetsa mkodzo, magazi ndi impso za ultrasound. Izi zimathandizira kuwunika magwiridwe antchito a impso ndi thirakiti la m'mimba, kupewa zovuta zamankhwala pamatendawa.