Ðe kuxi aɖe le wò ŋutilã ŋu kpataa? Mina míasrɔ̃ nu tso Adrenal Crisis ŋu!

Oo, ɖe nèse le ɖokuiwò me kpɔ be ɖeɖi te ye ŋu ale gbegbe be yeƒe dɔgbo le veve sem, eye nèse le ɖokuiwò me be yemate ŋu awɔ naneke oa? Ðewohĩ wò ŋutilã ƒe akpa aɖewo adze viviti viea? Esiawo menye nu bɔbɔe ŋutɔŋutɔ o, woate ŋu anye nɔnɔme kpata aɖe si woyɔna be adrenal crisis ƒe dzesiwo . Mina míaƒo nu tso esia ŋu tsitotsito vie egbea, elabena esia ate ŋu akpɔ ŋusẽ ɖe agbe hã dzi.

Nukatae woyɔa esia be adrenal crisis? Nukae dzɔna le esia me?

Kpuie ko la, adrenal ƒe kuxi nye nɔnɔme sesẽ aɖe si dzɔna ne wò adrenal glands mele lãmetsi si nye cortisol wɔm wòde edeƒe o. Le nyateƒe me la, esiae nye adrenal insufficiency ƒomevi si nu sẽ wu , si nye nɔnɔme si ɖi Addison ƒe dɔlélea . Ne èsusu be dɔléle sia le ye ŋu la, anyo wu be nàkpɔ ɖɔkta enumake.

Azɔ kpɔ ɖa, adrenal gland siawo le míaƒe ayikuwo tame. Wole abe dzogoe etɔ̃ sue eve ene. Esiawoe wɔa lãmetsi vevi geɖe, siwo dome cortisol hã le. Lãmetsiŋusẽwo le abe atikewo ƒe dɔla siwo wɔa ɖoɖo ɖe míaƒe ŋutilã ƒe dɔwɔwɔ ɖesiaɖe ŋu ene. Wozɔa mɔ to ʋua me eye wotsɔa gbedasiwo yia míaƒe ŋutinuwo, ŋutigbalẽ, kple lãmekawo ƒe akpawo katã, gblɔna be, "Wɔ esia le afisia, wɔ esia le afisia, wɔ esia le afisia le ɣeyiɣi sia me."

Lãmetsiŋusẽ si nye cortisol kpɔa ŋusẽ ɖe míaƒe ŋutilã ƒe ŋutinu kple lãkusi ɖesiaɖe kloe dzi. Nu vevi siwo wòwɔna dometɔ aɖewoe nye esi:

• Ekpɔa ŋusẽ ɖe ale si míaƒe ŋutilã wɔa nu ɖe ​​nuteɖeamedzi ŋui dzi.
• Ekpena ɖe mía ŋu míeɖua míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi.
• Eɖea abi si le ŋutilãa me dzi kpɔtɔna.
• Eɖɔa ʋu ƒe sisi ɖo.
• Ekpɔa sukli ƒe agbɔsɔsɔ si le ʋu me dzi.
• Ekpena ɖe mía ŋu hã be míaɖɔ míaƒe alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam ɖo.

Wogayɔa esia be Addisonian crisis , alo adrenal crisis sesẽ .

Nukatae adrenal-kuxi sia nye nudzɔdzɔ kpata alea gbegbe ɖo?

Afɔku le esia me ŋutɔ, elabena ne adrenal ƒe kuxi aɖe do mo ɖa la, ɖewohĩ ʋu mate ŋu atso míaƒe ŋutilã wòade edeƒe o. Míeyɔa esia be nusi wɔ nuku ŋutɔ . Nɔnɔme sia si nana ame ƒe dzi gbãna ate ŋu asẽ kaba ŋutɔ eye wòagblẽ nu le míaƒe ŋutinu ememetɔwo ŋu. Ne womewɔ atike na wo nyuie o la, amesiwo ŋu dɔléle sia le la dometɔ siwo ade 20% ate ŋu aku. Azɔ hã, alɔ̃madɔmadɔ kple alɔ̃madɔmadɔ ate ŋu adzɔ. Esia tae woyɔa esia be nudzɔdzɔ kpata.

Ameka ŋue nɔnɔme sia gblẽa nu le wu? Aleke gbegbe wòbɔe?

Adrenal ƒe kuxi ate ŋu adzɔ le ƒe ɖesiaɖe me, gake ebɔ ɖe amesiwo xɔ tso ƒe 30 va ɖo ƒe 50 me wu.

Esia mebɔ o. Numekukuwo ɖee fia be amesiwo ƒe adrenal insufficiency la dometɔ siwo ade 42% axɔ adrenal crisis . Le United States la, adrenal ƒe dɔmawɔmawɔ nyuie ƒe dzɔdzɔ ade ame 1 le 100,000 ɖesiaɖe me. Numekuku aɖewo ɖee fia be amesiwo xɔa adrenal crisis la dometɔ siwo ade 25% kuna. Esia tae wòle vevie be nànya esia ɖo.

Nukawoe nye adrenal crisis ƒe dzesiwo?

Dzesi vevi siwo dzena le nɔnɔme sia mee nye:

• Dɔgbo ƒe vevesese, alo vevesese le ƒodo ƒe akpa si le anyime.
• Ðeɖiteameŋu si gbɔ eme ƒe seselelãme ɣesiaɣi.
• Nuɖuɖua mevivina o.
• Ŋutilã ƒe akpa aɖewo ƒe viviti dodo (hyperpigmentation) .
• Sese le eɖokui me be yegbɔdzɔ le ŋutilã me.
• Be woazu ame tsɛ le susu aɖeke manɔmee.

Tsɔ kpe ɖe esia ŋu la, nuxlɔ̃amedzesi bubuwo ate ŋu anɔ anyi:

• Tsikuɖiɖi.
• Dɔmetɔtrɔ.
• Taɖuame, taɖuame, taɖuame, alɔ̃madɔmadɔ, alo tagbɔsesẽ (coma).
• Asrã ƒe amedzidzedze.
• Taɖuame.
• Ƒunukpeƒewo ƒe vevesese.
• Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me).
• Ʋu ƒe sisi ƒe ɖiɖi.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Gbɔgbɔ kabakaba.
• Dzi ƒe tsotso kabakaba.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mègabu eŋu nu tsɛe o.

Nukawoe hea adrenal ƒe kuxi vɛ?

Nuteɖeamedzi vovovowo ate ŋu ahe esia vɛ. Susu vevi aɖewoe nye esi:

• Nɔnɔme aɖe si woyɔna be adrenal insufficiency, abe Addison ƒe dɔléle ene, dada nyuie o .
• Adrenal gland ƒe gbegblẽ. Eyae nye nuwo abe adrenal gland dɔléle kple amekoko ene.
• Tsikuɖiɖi.
• Nɔnɔme aɖe si woyɔna be hypopituitarism (pituitary gland ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ).
• Dɔlékuiwo. Bu eŋu kpɔ ne dzamezã vɔ̃ɖi alo dɔlékui bubu aɖe le ŋuwò.
• Glucocorticoid- tikewo (abe prednisone ) zazã kpata le wo zazã ɣeyiɣi didi megbe.
• Susu alo seselelãme ƒe nuteɖeamedzi sesẽ. Bu eŋu kpɔ ne kuxi gã aɖe, blanuiléle, alo nyaƒoɖeamenu sesẽ aɖe le ŋuwò.

Aleke wowɔa dea dzesi adrenal crisis?

Ate ŋu asesẽ vie be woakpɔ dɔlélea, elabena eƒe dzesiwo sɔ kple dɔléle bubu siwo bɔ la tɔ. Gake dodokpɔ ʋɛ aɖewo li siwo ate ŋu akpe ɖe ɖɔktawo ŋu woakpɔe nyuie:

• Adrenocorticotropic hormone (ACTH) ƒe ʋudodokpɔ
• Suklidɔ dodokpɔ le ʋu me (sukli dodokpɔ le ʋu me ) .
• Cortisol dodokpɔ ( dodokpɔ si léa ŋku ɖe cortisol ƒe agbɔsɔsɔ ŋu) .
• pH blood test ( dodokpɔ si wotsɔ dzidzea ʋua ƒe acidity) .
• Potassium blood test ( dodokpɔ si me woléa ŋku ɖe potassium ƒe agbɔsɔsɔ si le ʋua me ŋu) .
• Sodium blood test ( dodokpɔ si me wokpɔa sodium ƒe agbɔsɔsɔ le ʋua me) .

Dodokpɔ siawoe nana ɖɔkta gblɔna na wò pɛpɛpɛ nenye be adrenal ƒe kuxi aɖe le fu ɖem na wò loo alo mèle fu ɖem na wò o.

Aleke wowɔa nu ɖe ​​esia ŋui?

Ne èsusu be adrenal crisis le ye ŋu la , wò ɖɔkta adze atikewɔwɔ na wò gɔme enumake . Zi geɖe la, esia bia be woado hydrocortisone ( hydrocortisone phosphate alo hydrocortisone sodium succinate ) kple dzetsi ɖe ʋuka aɖe me le wò alɔnu alo asi me to aŋe kple mɔ̃ sue aɖe zazã me. Woyɔa esia be atike si wodona ɖe ʋuka me (IV) . Hydrocortisone -tikea wɔa dɔ to cortisol lãmetsi si wò ŋutilã bu la ɖɔliɖɔli me.

Vevietɔ: Dɔdamɔnu sia gɔmedzedze kaba ale si wòanya wɔe nye mɔ nyuitɔ si dzi nàto aɖe ame ƒe agbe.

Ne ne edzɔ le vome gɔ̃ hã la, dɔlékui aɖe gbɔe wò nɔnɔmea tso la, ke wò ɖɔkta ate ŋu ana dɔlékuiwutikewo wò .

Azɔ hã, wodaa dzesi bubu siwo dona tso adrenal ƒe kuxi sia me. Le kpɔɖeŋu me, ne tsi vɔ le lãme na ame alo elektrikŋusẽ ƒe dɔmawɔmawɔ nyuie ( dze siwo le ŋutilã me ƒe dadasɔ) la, woate ŋu ana tsi, kamedefefenono, alo akɔɖutsi. Ne sukli si le ʋu me mesɔ gbɔ o (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) , la, woate ŋu ana nuɖuɖu siwo me carbohydrates le.

Ne adrenal-kuxi aɖeke meva dziwò kpɔ o la, wò ɖɔkta awɔ dodokpɔwo abe ACTH stimulation tests ene hã be yeanya nusi gbɔ wòtso.

Ðe hydrocortisone dodo ɖe lãme na ame ƒe nugbegblẽ aɖewo lia?

Ẽ, abe atikewo katã ene la, eƒe nugbegblẽ le ame ŋu suesuesue aɖewo hã li. Gake ne wotsɔe sɔ kple alesi adrenal-kuxi sesẽe la, zi geɖe la, woate ŋu alɔ̃ ɖe esiawo dzi. Ame aɖewo ate ŋu akpɔe be:

• Nulɔdɔ ƒe dɔléle.
• Aɖuɖɔ yibɔ alo ʋu si me ʋu le.
• Asrã.
• Vemexɔabi.
• Kpe.
• Seselelãme ƒe tɔtrɔ.
• Vevesese le akɔta, akɔta, akɔta, abɔwo, abɔta, alo afɔwo ŋu.

Ne nane si le abe esia ene dzɔ la, ele be nàgblɔe na ɖɔktaa .

Ðe hydrocortisone ƒe atike sia sɔ na funɔwoa?

Ẽ, ne èfɔ fu eye adrenal crisis , la, anyo be woado hydrocortisone na wò. Atike sia si woyɔna be hydrocortisone metsoa vidzidɔa me yia vidzĩa gbɔ o.

Bu eŋu kpɔ ko, ne mèwɔ atike na esia o la, anye afɔku na wò agbe kpakple vidzĩa hã. Eyata ele vevie be nàxɔ atike abe alesi ɖɔktawo gblɔe ene.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Ate ŋu axɔ gaƒoƒo 24 alo esi wu nenema hafi nàse le ɖokuiwò me be yeƒe lãme sẽ ne èxɔ atike na adrenal crisis vɔ . Ebia dzigbɔɖi vi aɖe.

Aleke woawɔ axe mɔ ɖe adrenal ƒe kuxi nu?

Ne adrenal insufficiency le ŋuwò la , ele vevie be nànya nuteɖeamedzi siwo ate ŋu ahe adrenal ƒe kuxi vɛ . Èɖo ŋku nusiwo ŋu míeƒo nu tsoe va yi, abe nuteɖeamedzi, tsikuɖiɖi, dɔlékuiwo xɔxɔ, alo glucocorticoid atike si woŋlɔ na wò nono nyuie o dzia?

Amekoko kple fufɔfɔ hã ate ŋu ana adrenal ƒe dɔmawɔmawɔ nyuie nagado gã ɖe edzi . Eyata ele be nàgblɔ na wò ɖɔkta be dɔléle sia le ye ŋu hafi woawɔ dɔ na ye. Ne èle ɖoɖo wɔm be yeadzi vi la, ƒo nu tso ema hã ŋu na wò ɖɔkta.

Nu bubu si le vevie ŋutɔe nye be nàtsɔ atikewɔgbalẽvi, kɔgɛ, alo asigɛ si dzi woŋlɔ wò dɔlélea ɖo ɖe asi ɣesiaɣi. Ele be wòagblɔ atike si nèhiã kple agbɔsɔsɔme si nèhiã la eme nakɔ. Nyatakaka siawo akpe ɖe amesiwo le dɔ wɔm na wò le nɔnɔme kpata aɖe me ŋu be woawɔ atike nyuitɔ wò le ɣeyiɣi nyuitɔ dzi.

Lé ŋku ɖe wò kpekpeme ŋu edziedzi eye nàlé ŋku ɖe wò ʋu ƒe sisi ŋu. Ne èle lolo dzim ɖe edzi alo wò ʋu ƒe sisi le dzi yim akpa alo le ɖiɖim akpa la, gblɔe na wò ɖɔkta .

Wò ɖɔkta ate ŋu ado cortisol na wò be nàdo le nɔnɔme kpata aɖe me. Agblɔ ɣeyiɣi si nànoe kple alesi nànoe na wò. Na atike sia kple mɔfiame siwo ku ɖe eŋudɔwɔwɔ ŋu nanɔ gbɔwò ɣesiaɣi. Ne ègbɔdzɔ akpa be màte ŋu anoe le nɔnɔme kpata aɖe me o la, fia wò ƒometɔ alo xɔ̃wò vevi aɖe alesi nànoe.

Anyo be nàwɔ ɖoɖo kple wò ɖɔkta le nusi nàwɔ ne màte ŋu ano hydrocortisone atikekuiwo o le ʋuʋudedi alo ʋuʋudedi ta ŋu.

Nukae dzɔna ne adrenal crisis le ŋuwò? Nukae míakpɔ mɔ na?

Ne èsusu be yele adrenal crisis , yi atikewɔƒe enumake. Glucocorticoids nono fũ akpa hena ɣeyiɣi kpui aɖe magblẽ nu boo aɖeke o. Gake ne mèxɔ atike kaba o la, ate ŋu awu ame. Eyata mègabu nya sia nu tsɛe o.

Zi geɖe la, ahiã be amesiwo ŋu adrenal-kuxi aɖe le nano hydrocortisone- tikewo le woƒe agbemeŋkekewo katã me. Nunya le eme be atike bubu aɖewo nanɔ asiwò ɣesiaɣi, nenye be èdze dɔ eye nèhiã bubuwo ko.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne adrenal crisis ƒe dzesiwo le ŋuwò la , yi ɖɔkta enumake .

Ne nuteɖeamedzi gã aɖe le ŋuwò – eɖanye abi, dɔléle, alo blanuiléle sesẽ o – yi ɖɔkta gbɔ. Ðewohĩ ahiã be nàtrɔ asi le wò atike ƒe agbɔsɔsɔme ŋu.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo tɔgbe:

• Aleke tututue nàwɔ anya nenye be adrenal crisis le ŋunye ?
• Ne adrenal crisis mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ ŋunye?
• Nɔnɔme si me nuteɖeamedzi le kae na nye adrenal-kuxi ?
• Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ?
• Atike ka ƒomevie nèkafu?
• Aleke wòle be madzra atike sia ɖo nyuie?
• Ðe atike sia ƒe nugbegblẽ le ame ŋu aɖewoa?

Bia nya siawo be nàse wò nɔnɔmea gɔme nyuie wu.

Vovototo kae le Thyroid Storm kple Adrenal Crisis dome?

Togbɔ be nu siawo evea siaa nye nudzɔdzɔ kpatawo hã la, vovototo le wo ame evea dome.

Thyroid ahom nye dɔléle si woyɔna be thyrotoxicosis ƒe ƒomevi si nu sẽ wu . Thyrotoxicosis nye ne wò ŋutilã wɔa thyroid lãmetsi si sɔ gbɔ akpa. Lãmetsiŋusẽ si le míaƒe kɔ me la wɔa lãmetsi siwo nye triiodothyronine (T3) kple thyroxine (T4) . Lãmetsiŋusẽ siawo kpɔa nuwo abe míaƒe ŋutilã ƒe dzoxɔxɔ, dzi ƒe tsotso, kple lãmenugbagbeviwo ƒe dɔwɔwɔ dzi.

Gake abe alesi míedzro eme ene la, adrenal crisis , nye nɔnɔme si dea ame ƒe agbe afɔku me si dzɔna ne adrenal glands mewɔ cortisol si sɔ o.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata ne adrenal insufficiency le ŋuwò , alo ne adrenal crisis ƒe dzesiwo le fu ɖem na wò , .Ðo dze kple ɖɔkta enumake. Atikewɔwɔ kabakaba ate ŋu axɔ wò agbe.

Ne adrenal crisis , le ŋuwò la, anɔ eme be ahiã be nàno atike le wò agbemeŋkekewo katã me. Wɔ dɔ kple wò ɖɔkta be nàde dzesi nusiwo ate ŋu ahe wò dɔlélea vɛ eye nàdze agbagba aƒo asa na wo alesi nàte ŋui. Wò agbe xɔ asi na wò, eyata lé be nɛ.

` Adrenal ƒe kuxi, cortisol, Addison ƒe dɔléle, lãmetsiwo, adrenal glands, atikewɔwɔ kpata, dzesiwo