ʻO kahi pilikia olakino maʻamau i loaʻa i ka hapa nui o kākou, ʻo ia ke koko kiʻekiʻe , a i ʻole ke " kaomi " e like me kā kākou e ʻike nei. I kekahi manawa, hiki ke hoʻomalu ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka. Akā no kekahi poʻe, ʻoiai ma hope o ka hoʻohana ʻana ʻaʻole i hoʻokahi, ʻaʻole ʻelua, akā ʻekolu a ʻehā paha ʻano lāʻau lapaʻau, ʻaʻole hiki ke hoʻomalu ʻia kēia kaomi a aia lākou ma lalo o ke kaomi nui. No laila, inā he koko kiʻekiʻe kou i paʻakikī ke kaohi, ʻo ke kumu paha he ʻano i kapa ʻia ʻo Hyperaldosteronism , kahi mea a mākou i lohe ʻole ai. E kamaʻilio wale kākou e pili ana i kēia i kēia lā.
ʻAe, he aha ka Hyperaldosteronism?
I ka ʻōlelo maʻalahi, ʻo ka Hyperaldosteronism ka hana nui ʻana o kahi hormone i kapa ʻia ʻo aldosterone e nā kelepa adrenal i loko o ko mākou kino.
E noʻonoʻo e pili ana i ia mea, ʻo nā kelepa adrenal he ʻelua mau kelepa liʻiliʻi e noho ana e like me ka pāpale ma luna o ko kākou mau puʻupaʻa . He mea nui loa ka hormone aldosterone i hana ʻia e kēia mau kelepa. Kōkua ia i ka mālama ʻana i ka nui kūpono o ka wai, sodium ( paʻakai ) a me ka potassium i loko o ko kākou kino. ʻO ia hoʻi, kōkua kēia hormone i ke kino e mālama i ka sodium a me ka wai e pono ai a hoʻokuʻu i ka potassium keu i loko o ka mimi .
No laila, inā no kekahi kumu e hoʻokuʻu nui ʻia ai kēia hormone aldosterone, kapa mākou ia he Hyperaldosteronism. ʻO ka mea e hana ʻia a laila, ʻo ia ka mālama ʻana o ke kino i ka nui o ka sodium a me ka wai, a hāʻule ka pae potassium i lalo loa. ʻO ka hopena nui o kēia, ʻo ke koko kiʻekiʻe, he mea paʻakikī loa ke kāohi .
No ke aha lā e kū mai ai kēia kūlana?
Hiki ke hoʻokaʻawale ʻia ka Hyperaldosteronism i ʻelua mau ʻano nui ma muli o nā kumu.
1. ʻO ka Hyperaldosteronism mua
Aia ka pilikia me ke kelepa adrenal ponoʻī. ʻO ia hoʻi, hana nui ke kelepa adrenal ponoʻī i ka hormone aldosterone me ka ʻole o ke kaohi. Nui nā kumu no kēia.
| Kumu | Wehewehena |
|---|---|
| ʻAdenoma | ʻO kēia ke kumu maʻamau. He puʻupuʻu ʻaʻole cancerous e ulu ana ma kekahi o nā kelepa adrenal. Ua kapa ʻia kēia ʻano ʻo Conn's syndrome. |
| ʻO ka Hyperplasia Adrenal Bilateral | Ka hoʻonui ʻia ʻana o nā kelepa adrenal ʻelua a i ʻole ka ulu nui ʻana o kā lākou mau cell. |
| Nā puʻupuʻu kanesa | I ka manawa kākaʻikahi loa, hiki ke hana ʻia kēia ʻano e kahi puʻupuʻu kanesa i loko o ka kelepa adrenal. |
| Nā kumu hoʻoilina | Hiki ke hana ʻia e kahi kūlana genetic i kapa ʻia ʻo familial hyperaldosteronism. |
2. ʻO ka Hyperaldosteronism Lua (ʻO ka Hyperaldosteronism Lua)
ʻAʻohe hewa o ke kelepa adrenal i kēia. Eia nō naʻe, ma muli o kekahi kūlana olakino ʻē aʻe i loko o ke kino, hoʻoulu ʻia ke kelepa adrenal a hana i ka aldosterone hou aʻe. Hana ʻia kēia ma ka hoʻoulu ʻana i ka ʻōnaehana renin-angiotensin-aldosterone i loko o ko mākou kino.
| Nā kūlana olakino hiki ke loaʻa |
|---|
| ʻO ka stenosis o ke aʻa Renal (ka hoʻohaiki ʻia ʻana o nā aʻa e hoʻolako koko i nā puʻupaʻa) |
| Ka hāʻule ʻana o ka puʻuwai |
| Maʻi akepaʻa mau loa |
| Hāpai keiki |
| He puʻupuʻu e hana ana i ka renin |
He aha nā hōʻailona o kēia?
E hoʻomanaʻo, ʻo ka hōʻailona nui a maʻamau o kēia maʻi, ʻo ia ke koko kiʻekiʻe, he mea paʻakikī loa ke kaohi me kekahi mau lāʻau lapaʻau maʻamau.
Ma waho aʻe o nā hōʻailona o ke koko kiʻekiʻe, hiki ke ʻike ʻia nā hōʻailona o nā pae potassium haʻahaʻa i loko o ke kino. I kekahi manawa hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona.
| Māhele hōʻailona | Nā hiʻohiʻona i ʻike ʻia |
|---|---|
| Ma muli o ke koko kiʻekiʻe | ʻEha poʻo, poniuniu, ʻike maka pohihihi, maʻi puʻuwai. |
| Ma muli o ka haʻahaʻa o ka potassium (Hypokalemia) | Nā kūlana e like me ka mae ʻana o nā lālā, ka nāwaliwali o nā ʻiʻo, nā ʻūmiʻi, a me ka maʻi lolo no ka manawa pōkole. |
| Ma muli o ke kaulike ʻole o ka wai a me ka paʻakai | ʻO ka makemake pinepine e mimi, ke ala ʻana i ka pō e mimi, ka make wai nui, ka luhi nui. |
Pehea e ʻike ai inā loaʻa kēia?
Inā he koko kiʻekiʻe kou i paʻakikī ke kaohi, hiki i kāu kauka ke kānalua i kēia kūlana a holo i kekahi mau hoʻokolohua.
- Nā hoʻāʻo koko: Nānā ʻia kou pae koko o ka potassium, aldosterone, a me ka renin. I ka hyperaldosteronism mua, haʻahaʻa ka potassium a kiʻekiʻe ka aldosterone. I ka hyperaldosteronism lua, kiʻekiʻe nō hoʻi nā pae renin.
- Nā hoʻāʻo mimi: Hoʻāʻo ʻia ka mimi i hōʻiliʻili ʻia ma luna o 24 mau hola no nā pae potassium.
- Hoʻāʻo hoʻokomo paʻakai: Hāʻawi ʻia nā papa sodium no 3 mau lā a hāʻawi ʻia paha ka saline i loko o kahi aa koko no 4 mau hola, a laila nānā ʻia nā pae aldosterone i loko o ke koko a i ʻole ka mimi.
- Nā hoʻāʻo kiʻi: Hiki ke hoʻohana ʻia kahi hoʻāʻo e like me ka CT scan e nānā i nā ʻōpū a i ʻole ka hoʻonui ʻia ʻana o nā kelepa adrenal.
- Ka hāpana ʻana o nā aʻa adrenal:Hana ʻia kēia hoʻāʻo inā ʻaʻole i maopopo nā scans. Pili kēia i ka lawe ʻana i nā hāpana koko mai nā aa koko o nā kelepa adrenal ʻelua e hoʻoholo ai inā aia ka pilikia ma kekahi kelepa a i ʻole nā mea ʻelua. Hana pinepine ʻia kēia ma mua o ke ʻoki ʻana.
- Ka hoʻāʻo ʻana i ka genetic: Inā loaʻa i kekahi ma lalo o 20 mau makahiki kēia ʻano a inā paha ua loaʻa i kekahi o ka ʻohana kēia maʻi, hiki ke kuhikuhi ʻia no ka hoʻāʻo genetic.
Pehea e mālama ʻia ai?
ʻO nā ʻano lapaʻau e pili ana i ke kumu a me ke ʻano o kēia maʻi.
- ʻO ke ʻoki kino: Inā he puʻupuʻu ma kekahi kelepa adrenal ka pilikia, e ʻōlelo pinepine kāu kauka i ke ʻoki laparoscopic e wehe i ke kelepa. Pili kēia i kekahi mau ʻoki liʻiliʻi, hiki ke kōkua iā ʻoe e hoʻōla wikiwiki a hōʻemi i kou noho ʻana ma ka haukapila.
- Lāʻau lapaʻau: Inā he pilikia me nā kelepa adrenal ʻelua (bilateral hyperplasia), ʻaʻole hiki ke hana ʻoki kino. Akā, hāʻawi ʻia nā lāʻau lapaʻau e ālai ana i ka hana o ka hormone aldosterone (e.g., spironolactone, eplerenone). ʻOiai ʻaʻole kēia mau mea e ho'ōla i ka maʻi, hiki iā lākou ke kāohi i kona hopena.
- Nā lāʻau lapaʻau ʻē aʻe: Ma ka hyperaldosteronism lua, mālama ʻia ke kūlana kumu (e.g., maʻi puʻuwai, stenosis artery renal).
- Nā loli o ke ʻano o ka nohona: Me ka nānā ʻole i ka lāʻau lapaʻau, he mea nui e hana i kekahi mau loli o ke ʻano o ka nohona e kaohi ai i ke koko kiʻekiʻe.
- Ke pale ʻana i ka waiʻona
- Ke hoʻōki nei i ka puhipaka
- Hoʻomaʻamaʻa mau
- Ke kāohi nei i ke kaumaha o ke kino
- Ka hōʻemi ʻana i ka ʻai ʻana o ka paʻakai (sodium) i ka meaʻai
He aha nā pilikia inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama pono ʻia ka hyperaldosteronism, hiki i ke koko kiʻekiʻe lōʻihi a me nā pae potassium haʻahaʻa ke alakaʻi i nā pilikia koʻikoʻi.
- Hiki i ke koko kiʻekiʻe ke kumu i: Ka hōʻeha puʻuwai, ka hahau ʻana, ka hāʻule ʻana o ka puʻuwai, nā maʻi puʻupaʻa, a me ka make koke.
- Hiki i nā pae potassium haʻahaʻa ke hana i nā kūlana e like me: nāwaliwali o nā ʻiʻo, ka maʻi lolo, ka paʻa ʻana o ka ʻōpū, nā pilikia me ka hana insulin, a me ka maʻi diabetes.
No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ke koko kiʻekiʻe e paʻakikī ke kāohi, ka makewai nui, ka mimi pinepine, a i ʻole ka nāwaliwali o nā ʻiʻo, e ʻike pono i kāu kauka a kamaʻilio e pili ana. Mai hopohopo, he ʻano kēia e hiki ke ʻike ʻia a mālama ʻia.
Leka Lawe-Home
- ʻO ka Hyperaldosteronism ka wā e hana nui ai kāu mau kelepa adrenal i ka hormone aldosterone.
- ʻO ka hōʻailona nui o kēia, ʻo ia ke koko kiʻekiʻe e paʻakikī ke kaohi ʻia me ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau.
- Eia kekahi, hiki ke ʻike ʻia nā hōʻailona e like me ka haʻahaʻa o ka potassium i loko o ke kino, ka nāwaliwali o nā mākala, a me nā ʻehaʻeha mākala.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e kamaʻilio me kāu kauka e pili ana iā lākou. He mea nui e pale aku i ka hopohopo.
- Ma muli o ke kumu, hiki ke mālama pono ʻia kēia ʻano me ke ʻoki ʻana, nā lāʻau lapaʻau, a me nā loli o ke ʻano o ka nohona.
ʻO ka Hyperaldosteronism, ke koko kiʻekiʻe, nā kelepa adrenal, aldosterone, potassium haʻahaʻa, kaomi, Conn's syndrome
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