Shin kana da hawan jini, ko hawan jini? Kana iya shan magunguna biyu ko uku da likitanka ya rubuta maka. Amma shin har yanzu yana da wahala a rage hawan jininka? Shin kana jin gajiya, rauni, kuma sau da yawa kana bushewa? Idan haka ne, dalilin ciwon na iya zama wani abu daban da hawan jini na yau da kullun. A yau za mu yi magana game da irin wannan yanayin. Ita ce Primary Aldosteronism, ko Conn's Syndrome.
A taƙaice dai, menene Primary Aldosteronism?
Wannan wani abu ne da ke buƙatar ɗan bayani. A jikinmu, akwai ƙananan gland guda biyu a saman koda. Muna kiran waɗannan gland ɗin adrenal, ko kuma a Turanci, gland ɗin adrenal . Waɗannan gland suna samar da nau'ikan hormones da yawa waɗanda suke da mahimmanci ga jikinmu.
Aldosterone wani sinadari ne na steroid da waɗannan glanders ke samarwa. Babban aikin wannan sinadari shine sarrafa matakan sodium (gishiri) da potassium a cikin jininmu. Ta wannan hanyar, wannan sinadari yana taimakawa wajen daidaita daidaiton ruwan jikinmu da hawan jini.
Don haka, Babban Aldosteronism shine lokacin da glandar adrenal ɗinku ke samar da hormone aldosterone da yawa saboda wani dalili. Lokacin da matakan aldosterone suka ƙaru, adadin sodium (gishiri) a jikinku yana ƙaruwa kuma adadin potassium yana raguwa. Wannan yana haifar da hawan jini mara iyaka da ƙarancin matakan potassium a cikin jini (hypokalemia).
A da, an yi la'akari da wannan cuta a matsayin cuta mai matuƙar wahalar magani, amma yanzu an gano cewa tsakanin kashi 5% zuwa 10% na manya masu hawan jini na iya samun wannan matsalar.
Menene manyan alamomin wannan cuta?
Ba duk wanda ke da wannan yanayin zai fuskanci irin waɗannan alamun ba. Amma waɗannan su ne alamomin da aka fi sani. Bari mu duba su a cikin teburi.
| Alamar | Bayani mai sauƙi |
|---|---|
| Hawan jini (Hawan jini) | Wannan ita ce babbar alamar, musamman idan kana da hawan jini wanda yake da wahalar shawo kansa koda da magunguna da yawa. |
| Ƙarancin sinadarin potassium a cikin jini (hypokalemia) | Gwajin jini na iya nuna ƙarancin sinadarin potassium. Wannan na iya haifar da girgiza tsoka da kuma suma. |
| Gajiya akai-akai | Jin gajiya da rashin rai a kowane lokaci ba tare da wani dalili ba. |
| Ciwon kai | Ciwon kai akai-akai. |
| Ƙishirwa da yawan fitsari da kuma yawan yin fitsari | Jin ƙishirwa fiye da yadda aka saba, don haka yana buƙatar yin fitsari akai-akai. |
| Raunin tsoka da ciwon tsoka | Jin kamar tsokoki a ƙafafu da hannaye suna birgima, musamman saboda ƙarancin sinadarin potassium. |
| Gani mara kyau | Wani lokaci gani yana ɗan duhu. |
Me yasa hormone na aldosterone ke ƙaruwa haka?
Akwai dalilai da dama da suka sa hakan ya faru.
- Ciwon daji mara kyau na glandar adrenal: Wannan shine sanadin wannan yanayin a yawancin mutane. Ƙaramin ciwon daji mara ciwon daji (adenoma) yana tasowa a cikin glandar adrenal ɗaya ko duka biyun, wanda ke samar da hormone aldosterone da yawa.
- Hawan jini na adrenal na biyu: Wani lokaci, ba tare da ƙari ba, ƙwayoyin halitta a cikin glandar adrenal guda biyu na iya yin aiki fiye da kima kuma su samar da hormone da yawa.
- Dalilan gado: Ana iya gadon wannan yanayin a wasu iyalai. Misali shine `(Congenital Adrenal Hyperplasia)`.
- Ciwon daji na Adrenal: Wannan abu ne da ba kasafai ake samunsa ba.
Bambanci Tsakanin Aldosteronism na Farko da na Sakandare
Akwai wani muhimmin abu da ya kamata ka sani. Babban Aldosteronism, wanda muka yi magana a kai, matsala ce da ke faruwa a cikin glandar adrenal kanta, wanda ke haifar da ƙaruwar hormone.
Amma wani lokacin, matakan aldosterone na iya ƙaruwa saboda wasu matsalolin lafiya a jiki. Misali, wannan hormone ɗin na iya ƙaruwa a cikin yanayi kamar gazawar zuciya, cututtukan hanta, ko stenosis na jijiyoyin koda. Muna kiran wannan Secondary Aldosteronism . Likita zai bambanta tsakanin waɗannan yanayi biyu daidai.
Ta yaya za a gane wannan?
Idan kana da alamun da aka ambata a sama, likitanka zai fara duba hawan jininka. Sannan, idan akwai shakku game da wannan yanayin, zai tura ka zuwa wasu gwaje-gwajen jini na musamman.
- Matakan hormones na jini: Wannan galibi yana auna matakan hormones na aldosterone da renin. A cikin aldosteronism na farko, matakan aldosterone suna da yawa kuma matakan renin suna da ƙasa.
- Gwajin Matakan Electrolyte: Wannan yana gwada matakan sodium da potassium a cikin jinin ku.
Muhimmi: Idan kana shan magungunan hawan jini, wasu daga cikin waɗannan magungunan na iya shafar sakamakon waɗannan gwaje-gwajen jini. Saboda haka, don yin cikakken ganewar asali, likitanka zai iya ba ka shawara ka canza ko ka daina shan maganin na ɗan lokaci.
Idan gwaje-gwajen jini sun tabbatar da wannan yanayin, mataki na gaba shine a duba glandar adrenal don gano musabbabin hakan. Yawanci ana yin hakan ne ta hanyar amfani da hoton CT (Computed Tomography) ko kuma hoton MRI (Magnetic Resonance Imaging) .
Menene hanyoyin magance wannan?
Maganin wannan cuta ya dogara ne da musabbabinsa. Akwai manyan hanyoyi guda biyu na magani.
1. Maganin da magani
Idan glandar adrenal guda biyu suna aiki fiye da kima (hyperplasia), yawanci ba a yin tiyata. Madadin haka, ana ba da magungunan da ke toshe aikin hormone aldosterone. Magungunan da aka fi amfani da su sune spironolactone da eplerenone . Waɗannan magunguna na iya sarrafa hawan jini da kuma dawo da matakan potassium.
2. Maganin tiyata
Idan hoton CT ko MRI ya tabbatar da cewa akwai ƙari (adenoma) a cikin glandar adrenal guda ɗaya kawai, mafi kyawun magani shine a cire wannan gland ɗin ta hanyar tiyata. Ana kiran wannan tiyatar adrenalectomy . Wannan yawanci ana yin sa ne a matsayin tiyatar ramin maɓalli (tiyatar laparoscopic) don murmurewa cikin sauri.
Bayan tiyata, hawan jinin mutane da yawa yana komawa daidai ko kuma ana iya sarrafa shi da ƙarancin magunguna.
Me zai faru idan ba a yi maganinsa ba?
Idan ba a yi maganin wannan yanayin ba, matsaloli masu tsanani na iya faruwa saboda hawan jini na dogon lokaci da rashin daidaiton electrolyte.
- Ciwon zuciya ko gazawar zuciya
- bugun jini
- Matsalar koda
- Zuciyar da ba ta dace ba (Arrhythmia)
- gurguwar wucin gadi
Saboda haka, idan kana da alamun cutar, yana da matuƙar muhimmanci ka ga likita nan take ka nemi magani.
Saƙon Ɗauka Gida
- Babban aldosteronism yanayi ne da ke faruwa sakamakon yawan samar da hormone aldosterone ta glandar adrenal.
- Manyan alamomin cutar sune hawan jini da ƙarancin sinadarin potassium a cikin jini, wanda ke da wahalar shawo kansa koda da amfani da magunguna da dama.
- Alamomi kamar gajiya akai-akai, ciwon kai, ƙishirwa mai yawa, da kuma karkacewar tsoka suma na iya faruwa.
- Gwaje-gwajen jini da kuma daukar hoton jini na iya gano wannan cuta da kuma musabbabinta daidai.
- Dangane da dalilin, ana iya magance wannan matsalar ta hanyar amfani da magani ko tiyata.
- Idan kana da waɗannan alamomin, musamman idan kana da matsala wajen sarrafa hawan jini, ka tabbata ka yi magana da likitanka game da hakan.
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