So ɔhaw bi wɔ wo nipadua mu mpofirim? Momma yensua Adrenal Crisis ho ade!

Oh, so woate nka pɛn sɛ woabrɛ a wuntumi nsusuw ho, na wo yafunu ayɛ wo yaw, na woate nka sɛ wuntumi nyɛ hwee? Ebia wo nipadua no afã horow bi te sɛ nea ɛyɛ sum kakra? Eyinom nyɛ nneɛma a ɛyɛ mmerɛw ankasa, ebetumi ayɛ tebea a egye ntɛmpɛ a wɔfrɛ no adrenal crisis ho sɛnkyerɛnne . Momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, efisɛ eyi nso betumi aka asetra.

Dɛn nti na wɔfrɛ eyi sɛ adrenal crisis? Dɛn na ɛba wɔ eyi mu?

Sɛ yɛbɛka no tiawa a, adrenal ahokyere yɛ tebea a emu yɛ den a ɛba bere a wo adrenal ntini no ntumi nyɛ hormone cortisol a ɛdɔɔso no. Eyi ne adrenal insufficiency a emu yɛ den sen biara ankasa , tebea a ɛte sɛ Addison yare no . Sɛ wususuw sɛ wowɔ saa tebea yi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara.

Afei hwɛ, saa adrenal ntini yi wɔ yɛn asaabo atifi. Wɔte sɛ ahinanan nketewa abien. Eyinom na ɛma wonya nkwaadɔm a ɛho hia pii, a cortisol ka ho . Hormone ahorow te sɛ nnuru abɔfo a ɛma yɛn nipadua no dwumadi biara yɛ biako. Wɔtu kwan fa mogya no mu na wɔde nkrasɛm kɔ yɛn akwaa, honam ani, ne yɛn ntini afã nyinaa, sɛ, "Yɛ eyi wɔ ha, yɛ eyi wɔ ha, yɛ eyi wɔ ha saa bere yi."

Ɛkame ayɛ sɛ hormone cortisol ka yɛn nipadua no akwaa ne ntini biara. Nneɛma atitiriw a ɛyɛ no bi ni:

• Ɛhwɛ sɛnea yɛn nipadua yɛ n’ade wɔ adwennwen ho.
• Ɛboa ma yɛhwɛ yɛn nipadua mu nneɛma a ɛsakra no so.
• Ɛtew ɔfe a ɛwɔ nipadua no mu so.
• Ɛma mogya mmoroso yɛ yiye.
• Ɛhwɛ asikre dodow a ɛwɔ mogya mu so.
• Ɛboa nso ma yɛyɛ yɛn nna-nsɔre kyinhyia no ho nhyehyɛe.

Wɔsan frɛ eyi Addisonian crisis , anaasɛ adrenal ahokyere a emu yɛ den .

Dɛn nti na adrenal haw yi yɛ ntɛmpɛ saa?

Eyi yɛ asiane kɛse, efisɛ sɛ adrenal haw bi ba a, ebia yɛn nipadua no renkɔ mogya a ɛdɔɔso. Yɛfrɛ eyi sɛ ahodwiriw . Saa tebea a ɛma ahodwiriw yi betumi ayɛ kɛse ntɛmntɛm na asɛe yɛn akwaa a ɛwɔ yɛn mu no. Sɛ wɔansa no yiye a, nnipa a wonya saa tebea yi mu bɛyɛ 20% betumi awuwu. Afei nso, akisikuru ne coma betumi aba. Ɛno nti na wɔfrɛ eyi ntɛmpɛ no.

Henanom na tebea yi ka no kɛse? Ɛtaa ba dɛn?

Adrenal haw betumi aba wɔ mfe biara mu, nanso ɛtaa ba nnipa a wɔadi fi mfe 30 kosi 50 so.

Eyi nyɛ ade a ɛntaa nsi. Nhwehwɛmu ahorow kyerɛ sɛ nnipa a wɔn adrenal insufficiency bɛyɛ 42% benya adrenal haw . Wɔ United States no, nnipa a wɔn adrenal ntumi nyɛ adwuma yiye no bɛyɛ nnipa 100,000 biara mu 1. Nhwehwɛmu ahorow bi kyerɛ sɛ nnipa a wonya adrenal crisis no mu bɛyɛ 25% wuwu. Ɛno nti na ɛho hia sɛ wohu eyi no.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya adrenal crisis?

Nsɛnkyerɛnne titiriw a ɛda adi wɔ tebea yi mu ne:

• Yafunu mu yaw, anaa ɛyaw a ɛba yafunu no ase.
• Ɔbrɛ a ɛboro so a wɔte nka bere nyinaa.
• Aduan no nyɛ dɛ.
• Honam ani mmeae bi a ɛyɛ tuntum (hyperpigmentation) .
• Sɛ obi te nka sɛ wayɛ mmerɛw wɔ nipadua no mu.
• Ɔbɛyɛ teateaa a ntease biara nnim.

Nea ɛka eyi ho no, ebia kɔkɔbɔ nsɛnkyerɛnne afoforo wɔ hɔ:

• Nsu a ɛho ntew.
• Ayamtuo.
• Adwene a ɛyɛ mmerɛw, ne ti a ɛyɛ hare, ne ti yɛ hare, ɔtotɔ piti, anaasɛ n’adwene mu yɛ no naa (coma).
• Atiridiinini a wobenya.
• Tipaeɛ.
• Nkwaa mu yaw.
• Asikre dodow a ɛba fam wɔ mogya mu (mogya mu glucose a ɛba fam).
• Mogya mmoroso a ɛba fam.
• Ɔfe ne akisikuru.
• Ahome a wɔhome ntɛmntɛm.
• Koma a ɛbɔ ntɛmntɛm.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, mfa nyɛ hwee.

Dɛn ne nneɛma a ɛde adrenal crisis ba?

Eyi betumi afi nneɛma ahorow a ɛde adwennwen ba mu. Nneɛma atitiriw a enti ɛte saa no bi ni:

• Tebea bi a wɔfrɛ no adrenal insufficiency te sɛ Addison yare a wɔansa no yiye .
• Adrenal gland a ɛsɛe. Ɛne sɛ, nneɛma te sɛ adrenal gland yare ne oprehyɛn.
• Nsu a ɛho ntew.
• Tebea bi a wɔfrɛ no hypopituitarism (pituitary gland no dwumadi a ɛso tew).
• Nyarewa a wɔde nyarewa ba. Fa no sɛ atiridii bɔne anaa ɔyare mmoawa foforo bi wɔ wo mu.
• Glucocorticoid nnuru (te sɛ prednisone ) a wogyae mpofirim bere a wɔde adi dwuma bere tenten akyi no.
• Adwene anaa nkate fam nhyɛso a emu yɛ den. Fa no sɛ, sɛ wowɔ ɔhaw kɛse bi, awerɛhow, anaa nhyɛso a emu yɛ den.

Ɔkwan bɛn so na wohu sɛ obi anya adrenal crisis?

Ebetumi ayɛ den kakra sɛ wobehu, efisɛ ne sɛnkyerɛnne te sɛ nyarewa afoforo a ɛtaa ba no. Nanso, nhwehwɛmu kakraa bi wɔ hɔ a ebetumi aboa nnuruyɛfo ma wɔahu no pɛpɛɛpɛ:

• Adrenocorticotropic hormone (ACTH) mogya mu nhwehwɛmu
• Mogya mu asikre nhwehwɛmu (mogya mu asikre nhwehwɛmu) .
• Cortisol sɔhwɛ ( sɔhwɛ a ɛkyerɛ sɛnea cortisol dodow te) .
• pH mogya mu nhwehwɛmu ( nhwehwɛmu a ɛkyerɛ sɛnea mogya no mu acid te) .
• Potassium mogya mu nhwehwɛmu ( nhwehwɛmu a ɛkyerɛ sɛnea potassium dodow a ɛwɔ mogya no mu) .
• Sodium mogya mu nhwehwɛmu ( nhwehwɛmu a ɛkyerɛ sɛnea sodium dodow a ɛwɔ mogya no mu) .

Saa nhwehwɛmu ahorow yi ne nea ɛma oduruyɛfo tumi kyerɛ wo pɛpɛɛpɛ sɛ ebia wowɔ adrenal crisis anaasɛ ɛnte saa.

Ɔkwan bɛn so na wɔsa eyi?

Sɛ wususuw sɛ wowɔ adrenal crisis a wo duruyɛfo befi ase asa wo yare ntɛm ara . Mpɛn pii no, eyi hwehwɛ sɛ wɔde hydrocortisone a wɔde twitwiw wo mu ( hydrocortisone phosphate anaa hydrocortisone sodium succinate ) ne nkyene a wɔde ahyɛ ntini bi mu wɔ wo nsa anaa wo nsa mu denam ade ketewaa bi ne afiri a wɔde twitwiw wo nsa mu so. Wɔfrɛ eyi sɛ wɔde twitwiw ntini mu (IV) . Hydrocortisone a wɔde twitwiw wo nipadua mu no yɛ adwuma denam cortisol hormone a wo nipadua ahwere no a ɛsesa so.

Nea ɛho hia: Saa ayaresa yi a wubefi ase ntɛm ara no ne ɔkwan a eye sen biara a wobɛfa so agye obi nkwa.

Sɛ, sɛ ɛyɛ nea ɛbae ara kwa mpo a, ɔyare mmoawa bi na ɛde wo tebea no ba a, ebia wo duruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa .

Afei nso, wɔsa sɛnkyerɛnne afoforo a ɛba bere a adrenal haw yi ba no. Sɛ nhwɛso no, sɛ nsu a ɛho ayɛ fĩ anaasɛ electrolyte a ɛnkari pɛ ( nkyene a ɛwɔ nipadua no mu a ɛnkari pɛ) a, wobetumi ama nsu, agumadi mu anonne, anaa akutu nsu. Sɛ asikre a ɛwɔ mogya mu sua (hypoglycemia) , wobetumi de nnuan a carbohydrates wom ama.

Sɛ wunnyaa adrenal crisis da a, wo duruyɛfo nso bɛyɛ nhwehwɛmu te sɛ ACTH stimulation tests de ahu nea ɛde ba.

So nsunsuanso bɔne bi wɔ hydrocortisone a wɔde twitwiw nipadua no mu no mu?

Yiw, te sɛ nnuru nyinaa no, nneɛma nketenkete bi wɔ hɔ a ɛde ba. Nanso, sɛ wɔde toto sɛnea adrenal haw mu yɛ den ho a, mpɛn pii no, eyinom yɛ nea wotumi gyina ano. Ebia nnipa binom behyia:

• Nneɛma a ɛma obi ho yɛ no hyew.
• Nsu a ɛyɛ tuntum anaa mogya wom.
• Huraeɛ.
• Menemkuro.
• Ɛwa.
• Adwene mu nsakrae.
• Ɛyaw a ɛba asen, akyi, mpampam, nsa, mmati, anaa anan mu.

Sɛ biribi te sɛ eyi si a, ɛsɛ sɛ woka kyerɛ oduruyɛfo no .

So hydrocortisone a wɔde twitwiw wɔn yi fata ma mmea a wɔyem?

Yiw, sɛ woanyinsɛn na wowɔ adrenal crisis , a asiane biara nni ho sɛ wobɛma wo hydrocortisone injection. Saa aduru yi a wɔfrɛ no hydrocortisone no ntwa awotwaa no nkɔ akokoaa no mu.

Susuw ho hwɛ, sɛ woannya eyi ho ayaresa a, ɛyɛ asiane ma wo nkwa ne akokoaa no nso. Enti, ɛho hia sɛ wonya ayaresa sɛnea nnuruyɛfo akyerɛ wo no.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa me yare awie no?

Ebetumi agye nnɔnhwerew 24 anaa nea ɛboro saa ansa na wo ho atɔ wo bere a woanya adrenal haw ho ayaresa akyi . Egye boasetɔ kakra.

Ɔkwan bɛn so na wobetumi asiw adrenal haw ano?

Sɛ wowɔ adrenal insufficiency a , ɛho hia sɛ wuhu nneɛma a ɛde adwennwen ba a ebetumi ama adrenal haw aba . Wokae nneɛma a yɛadi kan aka ho asɛm, te sɛ adwennwen, nsu a ɛho ayɛ fĩ, ɔyare mmoawa, anaasɛ glucocorticoid nnuru a wɔakyerɛw ama wo a woannom no yiye?

Oprehyɛn ne nyinsɛn nso betumi ama adrenal a entumi nyɛ adwuma yiye no asɛe kɛse . Enti, ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ wowɔ saa tebea yi ansa na wɔayɛ wo oprehyɛn. Sɛ woreyɛ nhyehyɛe sɛ wobɛwo akokoaa a, wo ne wo duruyɛfo nkasa mfa ɛno nso ho asɛm.

Ade foforo a ɛho hia yiye ne sɛ wode aduruyɛ ho ID krataa, kɔnmuade, anaa abɔso a ɛkyerɛ w’ayaresa tebea bɛkɔ bere nyinaa. Ɛsɛ sɛ ɛka nnuru a wuhia ne dodow a wuhia no pefee. Saa nsɛm yi bɛboa wɔn a wɔresa wo yare wɔ tebea a egye ntɛmpɛ mu no ma wɔde ayaresa a ɛfata ama wo wɔ bere a ɛfata mu.

Hwɛ wo mu duru daa na hwɛ wo mogya mmoroso. Sɛ wo mu duru so retew anaasɛ wo mogya mmoroso akɔ soro dodo anaasɛ ɛba fam dodo a, ka kyerɛ wo duruyɛfo .

Ebia wo duruyɛfo bɛma wo cortisol aduru bi a wode bɛhyɛ wo mu wɔ tebea a egye ntɛmpɛ mu. Ɔbɛkyerɛ wo bere a ɛsɛ sɛ wofa ne sɛnea wobɛfa. Fa saa aduru yi ne akwankyerɛ a ɛfa sɛnea wode bedi dwuma ho sie wo nkyɛn bere nyinaa. Sɛ woyɛ mmerɛw dodo sɛ wobɛfa wɔ ntɛmpɛ mu a, kyerɛkyerɛ w’abusua muni anaa w’adamfo paa sɛnea wobɛfa.

Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛyɛ nhyehyɛe wɔ nea wobɛyɛ sɛ wuntumi nnom hydrocortisone nnuru esiane akisikuru anaa ɔfe nti a.

Sɛ wowɔ adrenal crisis a, dɛn na ɛba? Dɛn na ɛsɛ sɛ yɛhwɛ kwan?

Sɛ wususuw sɛ wowɔ adrenal crisis , kɔ oduruyɛfo ntɛm ara. Sɛ obi nom glucocorticoids pii bere tiaa bi a, ɛrempira kɛse. Nanso, sɛ woannya ayaresa ntɛm a, ebetumi akum wo. Enti mfa eyi nyɛ hwee.

Mpɛn pii no, ɛsɛ sɛ nnipa a wɔanya adrenal haw no nom hydrocortisone nnuru wɔn nkwa nna nyinaa. Nyansa wom sɛ wubenya nnuru foforo bi wɔ wo nsam bere nyinaa, sɛ ebia wobɛyare na wuhia pii a.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ adrenal crisis ho sɛnkyerɛnne a , kɔ oduruyɛfo nkyɛn ntɛm ara .

Sɛ wowɔ adwennwene kɛseɛ bi – sɛ ɛyɛ opira, yareɛ, anaa adwenemhaw a emu yɛ den a – kɔ oduruyɛfoɔ nkyɛn. Ebia ɛho behia sɛ wosakra nnuru dodow a wode di dwuma no.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm te sɛ eyinom:

• Wobɛyɛ dɛn ahu ankasa sɛ mewɔ adrenal crisis ?
• Sɛ minni adrenal crisis , tebea foforo bɛn na metumi anya?
• Tebea bɛn na adwennwen wom na ɛde me adrenal ahokyere bae ?
• Bere tenten ahe na ebegye ansa na me ho atɔ me?
• Aduru bɛn na wokamfo kyerɛ?
• Ɔkwan bɛn so na ɛsɛ sɛ mede aduru yi sie yiye?
• So aduru yi ho nsunsuanso bɔne bi wɔ hɔ?

Bisa nsɛm yi na ama woate wo tebea no ase yiye.

Nsonsonoe bɛn na ɛda Thyroid Storm ne Adrenal Crisis ntam?

Ɛwom sɛ eyinom abien nyinaa yɛ nea egye ntɛmpɛ de, nanso nsonsonoe da abien no ntam.

Thyroid ahum ne tebea bi a emu yɛ den sen biara a wɔfrɛ no thyrotoxicosis . Thyrotoxicosis yɛ bere a wo nipadua no yɛ thyroid hormone pii dodo. Thyroid ntini a ɛwɔ yɛn kɔn mu no na ɛma nkwaadɔm a wɔfrɛ no triiodothyronine (T3) ne thyroxine (T4) . Saa nkwaadɔm yi hwɛ nneɛma te sɛ yɛn nipadua mu hyew, yɛn koma bɔ, ne yɛn nipadua mu nneɛma a ɛsakra no so.

Nanso, adrenal crisis , sɛnea yɛaka ho asɛm no, yɛ tebea a ɛde nkwa to asiane mu a ɛba bere a adrenal ntini no ntumi nyɛ cortisol a ɛdɔɔso no.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Enti, sɛ wowɔ adrenal insufficiency , anaasɛ worehyia adrenal ahokyere ho sɛnkyerɛnne ahorow a , .Wo ne oduruyɛfo nkasa ntɛm ara. Ayaresa a wɔyɛ no ntɛm betumi agye wo nkwa.

Sɛ wowɔ adrenal crisis , ɛda adi sɛ ebehia sɛ wonom nnuru wo nkwa nna nyinaa. Wo ne wo duruyɛfo nyɛ adwuma na hu nneɛma biara a ebetumi akanyan wo tebea no na bɔ mmɔden sɛ wobɛkwati sɛnea wubetumi biara. Wo nkwa som bo ma wo, enti hwɛ so yiye.

` Adrenal ahokyere, cortisol, Addison yare, hormone, adrenal ntini, ayaresa a egye ntɛmpɛ, sɛnkyerɛnne ahorow