Ke luhi mau nei ʻoe? Ke makewai nui nei ʻoe? A i ʻole pono ʻoe e mimi pinepine? Inā he koko kiʻekiʻe kou, pono ʻoe e hopohopo iki no ia mea. ʻAʻole paha kēia i maʻalahi e like me kā mākou e manaʻo nei. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana i kapa ʻia ʻo Primary Aldosteronism , i ʻike ʻia hoʻi ʻo Conn's Syndrome e kekahi poʻe.
He aha ka Aldosteronism mua?
I ka ʻōlelo maʻalahi, ʻo ka aldosteronism mua kahi kūlana i hoʻokumu ʻia e kāu mau kelepa adrenal e hana nui ana i kahi hormone i kapa ʻia ʻo aldosterone . E noʻonoʻo i kēia ʻano: ʻo nā kelepa adrenal he ʻelua mau kelepa liʻiliʻi, e like me nā pāpale liʻiliʻi ma luna o kou mau puʻupaʻa. Akā ʻo nā hormones a lākou e hana ai ke kāohi i nā hana koʻikoʻi he nui i loko o kou kino.
He hormone steroid ʻo Aldosterone . ʻO kāna hana nui ka hoʻoponopono ʻana i ka nui o ka sodium (ka paʻakai a mākou e ʻai ai) a me ka potassium i loko o ko mākou koko. Kōkua pū ia i ka hoʻomalu ʻana i ka nui o ka wai i loko o ke kino, ka nui o ke koko, a me ke kaomi koko.
I kēia manawa, e noʻonoʻo e pili ana i ia mea, he aha ka mea e hana ai inā piʻi nui kēia hormone aldosterone? ʻO ia ka manawa e hoʻomaka ai nā pilikia. ʻO ke koko kiʻekiʻe (Hypertension) a me ka potassium koko haʻahaʻa (Hypokalemia) nā hōʻailona nui ʻelua o ka aldosteronism mua. Inā ʻaʻole mālama pono ʻia kēia ʻano, hiki ke loaʻa nā pilikia koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hāʻule ʻana o ka puʻupaʻa . Eia nō naʻe, inā ʻike mua ʻia a mālama pono ʻia, hiki ke hoʻomalu maikaʻi ʻia kēia ʻano.
Pehea ka maʻamau o kēia ʻano?
Ua manaʻo ʻia ka aldosteronism mua he maʻi laha ʻole. Akā i kēia manawa ua ʻokoʻa ke kūlana. Loaʻa ia ma waena o 5% a me 10% o nā pākeke me ke koko kiʻekiʻe. ʻOi aku ka maʻamau o ia i nā wahine. ʻO ka hapa pinepine, ʻike ʻia ka poʻe i ko lākou mau makahiki 30 a me 40 me kēia maʻi.
He aha nā hōʻailona o ka Aldosteronism mua?
I ka manawa pinepine, loaʻa i ka poʻe me kēia maʻi ke koko kiʻekiʻe a me nā pae potassium haʻahaʻa. ʻO ke koko kiʻekiʻe i kāohi ʻole ʻia e hoʻonui i ka pilikia o ka hōʻeha puʻuwai a me ka hahau . Hiki i nā pae potassium haʻahaʻa ke hana i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias) .
Ma waho aʻe o kēia mau hōʻailona, hiki ke ʻike ʻia nā ʻano ʻē aʻe:
- Luhi mau ka manaʻo (Fatigue): ʻOiai inā hiamoe maikaʻi ʻoe, hiki nō iā ʻoe ke luhi.
- Ka makewai nui:ʻOiai ka nui o ka wai aʻu e inu ai, manaʻo mau ʻia ʻaʻole lawa.
- Ka mimi pinepine ʻana: Pono e hele i ka lua i nā manawa he nui ma mua.
- ʻEha poʻo: Hiki iā ʻoe ke loaʻa i kahi ʻeha poʻo nui.
- ʻEha ʻiʻo a me nā ʻūpā: Manaʻo paha ʻoe e like me nā ʻāpana ʻiʻo e ʻōwili ana a puni i kou mau wāwae a me kou mau lima.
- Nāwaliwali o nā ʻiʻo: Hiki iā ʻoe ke manaʻo nāwaliwali a paʻakikī i ka hāpai ʻana i nā kaupaona.
- ʻIke pōwehiwehi: I kekahi manawa hiki ke pōwehiwehi iki ka ʻike.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku hoʻi me ke koko kiʻekiʻe, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.
He aha nā kumu o ka Aldosteronism mua?
E like me kā mākou i ʻōlelo ai ma mua, ua hana ʻia kēia ʻano ma muli o ka nui o ka hana ʻana o nā kelepa adrenal i ka hormone aldosterone. Aia kekahi mau kumu e hiki ai ke hana nui ʻia kēia hormone:
- ʻO nā puʻupuʻu maikaʻi ʻole o kekahi a i ʻole nā kelepona adrenal ʻelua: ʻAʻole maʻamau kēia mau mea he maʻi kanesa, akā hiki iā lākou ke hoʻonui i ka hana ʻana o ka hormone.
- Nā kūlana hoʻoilina: No ka laʻana, nā kūlana e like me ka congenital adrenal hyperplasia .
- ʻO ke kanesa adrenal: He ʻano laha ʻole kēia.
Ua like anei kēia me ka aldosteronism lua?
ʻAʻole. ʻO ka aldosteronism mua ka wā e piʻi ai ka aldosterone ma muli o kahi pilikia me nā kelepa adrenal ponoʻī. Akā i kekahi manawa, hiki i kekahi kūlana ʻē aʻe ke kumu o ka hana ʻana o ka hormone aldosterone i ka nui. Ua kapa nā kauka i kēia kūlana he aldosteronism lua . ʻO kekahi o nā kūlana e hiki ai ke hana i kēia:
- Maʻi akepaʻa
- ʻO ka stenosis o ke aʻa Renal: ʻO kēia ka ʻūlū ʻana o nā aʻa e lawe i ke koko i nā puʻupaʻa.
- Ka hāʻule ʻana o ka puʻuwai
- ʻO kekahi mau ʻano maʻi ʻaʻai puʻupaʻa
- Hāpai keiki
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Aldosteronism mua?
Hiki i kekahi ke loaʻa i kēia maʻi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana. ʻO kēia mau mea:
- ʻO nā kānaka me nā pae potassium haʻahaʻa i ke koko.
- ʻO ka poʻe i loaʻa i ke koko kiʻekiʻe ma mua o 30 mau makahiki.
- ʻO ka poʻe e lawe ana i ʻekolu a ʻoi aku paha mau lāʻau lapaʻau e kaohi i ke koko kiʻekiʻe.
- ʻO nā kānaka me ka maʻi ʻōpū o ke kelepa adrenal.
He aha nā pilikia e hiki ke kū mai mai kēia maʻi?
Inā ʻaʻole ʻoe e mālama i ka aldosteronism mua, hiki i kou koko ke piʻi i nā pae weliweli. Hiki iā ia ke hana i kahi kaulike ʻole i nā electrolytes o kou kino (nā minelala e kōkua i ka mālama ʻana i ke kaulike wai i loko o ke kino).
ʻO kēia kaulike ʻole o ka electrolyte a me ke koko kiʻekiʻe no ka manawa lōʻihi e hoʻonui i ka pilikia o nā pilikia koʻikoʻi. Eia kekahi laʻana:
- Ka hāʻule ʻana o ka puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai
- Puʻuwai puʻuwai kūpono ʻole
- Ka hāʻule ʻana o ka puʻupaʻa
- Hahau
- Ka maʻi lolo no ka manawa pōkole
He mea nui: ʻOiai paha he mea weliweli kēia mau pilikia, hiki ke pale ʻia ka hapa nui o lākou inā ʻike mua ʻia ka maʻi a mālama pono ʻia. No laila, he mea nui loa e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.
Pehea e ʻike ʻia ai ka Aldosteronism mua?
Hoʻohana nui nā kauka i nā hoʻāʻo koko e ʻike ai i kēia maʻi. Ke nānā nei kēia mau hoʻāʻo:
- ʻO nā pae o nā hormones e like me aldosterone a me renin i loko o kou koko.
- Nā pae electrolyte, me ka sodium a me ka potassium.
Pono paha kekahi mau hoʻāʻo koko e hana i kahi hōʻailona pololei. Hiki i kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe ke hoʻopilikia i nā hopena o nā hoʻāʻo koko. No laila, hiki i kāu kauka ke hoʻololi i kāu lāʻau lapaʻau e hōʻoia i ka pololei o nā hoʻāʻo.
He aha nā hoʻokolohua ʻē aʻe āu e hana ai?
Hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua ʻē aʻe e nānā i nā ʻōpū adrenal, e like me:
- CT Scan (Computed Tomography - CT scans): Hoʻohana kēia i nā kukuna X e kiʻi i nā kiʻi o loko o ke kino.
- MRI Scan (Magnetic Resonance Imaging - MRI): Hoʻohana kēia i nā nalu lekiō a me kahi kahua magnetic ikaika e nānā i loko o ke kino.
Hiki i kēia mau hoʻokolohua ke ʻike maopopo i ka nui, ke ʻano, a me ke alo o nā mea ʻino i loko o nā kelepa adrenal.
He aha nā lāʻau lapaʻau maikaʻi loa no ka Aldosteronism mua?
Hoʻohana pinepine ʻia nā lāʻau lapaʻau a me/a i ʻole ke ʻoki ʻana ma ke ʻano he lāʻau lapaʻau no kēia ʻano.
Lāʻau lapaʻau
Inā hana nā kelepa adrenal ʻelua i ka nui o ka aldosterone, kuhikuhi pinepine nā kauka i nā lāʻau lapaʻau e like me Spironolactone (Aldactone®) a i ʻole Eplerenone (Inspra®) . Hana kēia mau lāʻau lapaʻau ma ke ālai ʻana i ka hana o ka hormone aldosterone.
ʻoki kino
Inā hoʻokahi wale nō o nā kelepa adrenal e hana ana i ka nui o ka aldosterone, hiki ke hana ʻia ke ʻoki ʻana e wehe i kēlā kelepa (adrenalectomy) . I ia mau hihia, hiki i nā kauka ke ʻōlelo aku i ke ʻoki ʻana.
Ma hope o ke ʻoki ʻana, pono paha ʻoe e lawe i ka lāʻau a hiki i ka hoʻi ʻana o kou koko i ka maʻamau. E wehewehe kāu kauka i ka mea e manaʻo ai ma muli o kou kūlana.
Hiki ke pale ʻia kēia kūlana?
ʻO ka mea pōʻino, ʻaʻohe ala e pale loa ai i kēia maʻi i kēia manawa. Eia nō naʻe, ʻo ka nānā mau ʻana i kou koko koko e hiki ke kōkua i ka ʻike ʻana i nā pilikia i ka wā mua.
He aha kaʻu e hana ai e hōʻemi i ka pilikia?
ʻO ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona e kōkua i ka hōʻemi ʻana i ka pilikia o ka hoʻomohala ʻana i ka aldosteronism mua i kekahi ʻano:
- Hoʻonui i ka hana kino: He mea nui loa ka hoʻoikaika kino i kēlā me kēia lā.
- Ke kaupalena nei i ka inu ʻana i ka waiʻona.
- Ka hōʻemi ʻana i ka paʻakai (sodium) mai ka meaʻai.
- Ke hoʻōki nei i ka puhipaka.
Kōkua nō hoʻi kēia mau mea i ka kaohi ʻana i ke koko kiʻekiʻe, no laila he mea maikaʻi loa ia no kou olakino holoʻokoʻa.
He aha nā hopena lōʻihi o ka Aldosteronism mua?
ʻO ke koko kiʻekiʻe, kahi hiʻohiʻona nui o kēia maʻi, hoʻonui i ka pilikia o ka hahau ʻana, ka hāʻule ʻana o ka puʻuwai, nā maʻi puʻupaʻa, a me nā maʻi ʻē aʻe. Eia nō naʻe, me ka mālama pono ʻana, hiki i ka poʻe me ka aldosteronism mua ke ʻike i ka emi ʻana o nā hōʻailona a me kahi ʻoi aku ka maikaʻi o ke ola. Loaʻa pinepine nā hopena koʻikoʻi lōʻihi i ka poʻe i loaʻa ʻole ka mālama ʻana.
He aha ka manaʻo no kekahi me ka Aldosteronism mua?
Me ka mālama kūpono, maikaʻi loa ka nānā ʻana no kekahi me ka aldosteronism mua. ʻO ia ke kumu he mea nui e ʻike i ke kauka i ka wā e ʻike ʻia ai nā hōʻailona. Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia e hoʻoweliweli i ke ola e like me ka hahau ʻana, ka hōʻeha puʻuwai, a me ka hāʻule ʻana o ka puʻupaʻa.
Āhea wau e ʻike ai i ke kauka?
Inā luhi mau ʻoe, makewai nui, a i ʻole pono ʻoe e mimi pinepine, e ʻike koke i ke kauka. E hana lākou i nā hoʻokolohua e pono ai e hana i kahi hōʻailona.
Eia kekahi, inā he koko kiʻekiʻe mau kou a ua ʻike ʻia paha he haʻahaʻa ka nui o ka potassium i ke koko, e nīnau i kāu kauka inā pono ʻoe e hoʻāʻo ʻia no ka Aldosteronism mua a i ʻole nā kūlana pili ʻē aʻe.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Inā ua ʻike ʻia ʻoe me ka Aldosteronism mua, makemake paha ʻoe e nīnau i kāu kauka i kēia mau nīnau:
- He aha ke kumu o kēia kūlana iaʻu?
- He aha nā hoʻokolohua ʻē aʻe e pono iaʻu e hana?
- He puʻupuʻu adrenal koʻu?
- Loaʻa iaʻu nā pilikia olakino ʻē aʻe e hiki ai ke hoʻoulu i kaʻu mau hōʻailona?
- He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
- Pono anei au e ana i koʻu koko ma ka home?
ʻO ka mea hope loa, leka lawe i ka home
He nui ka poʻe e lawe ana i ka lāʻau lapaʻau no ke koko kiʻekiʻe. Eia nō naʻe, inā luhi mau ʻoe, make wai, a mimi pinepine paha ma mua o ka maʻamau, ʻaʻole paha he koko kiʻekiʻe wale nō. Inā kamaʻāina kēia mau hōʻailona iā ʻoe, e ʻike koke i ke kauka. E hana lākou i nā hoʻokolohua e ʻike ai inā he pilikia ʻē aʻe. Hiki i ka aldosteronism mua ke hana i nā hōʻailona hoʻopilikia he nui. Eia naʻe, me ka mālama pono ʻana, hiki ke ho'ōla ʻia kēia ʻano. No laila, mai hopohopo, a e hahai i ka ʻōlelo a kāu kauka. Makemake au iā ʻoe e ho'ōla koke!
ʻAldosteronism mua , Conn's syndrome, koko kiʻekiʻe, aldosterone, adrenal glands, potassium haʻahaʻa, nā hōʻailona, lāʻau lapaʻau
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