Koj puas muaj ntshav siab, lossis ntshav siab? Tej zaum koj yuav noj ob lossis peb yam tshuaj uas koj tus kws kho mob sau. Tab sis puas tseem nyuaj rau tswj koj cov ntshav siab? Koj puas kuj xav tias nkees, tsis muaj zog, thiab feem ntau qhuav dej? Yog tias yog, qhov ua rau koj mob tej zaum yuav yog lwm yam tsis yog ntshav siab ib txwm muaj. Hnub no peb yuav tham txog qhov mob zoo li no. Nws yog Primary Aldosteronism, lossis Conn's Syndrome.
Hais yooj yim xwb, Primary Aldosteronism yog dab tsi?
Qhov no yog ib yam uas xav tau kev piav qhia me ntsis. Hauv peb lub cev, muaj ob lub qog me me saum lub raum. Peb hu cov no ua cov qog adrenal, lossis hauv lus Askiv, cov qog adrenal . Cov qog no tsim ntau hom tshuaj hormones uas tseem ceeb rau peb lub cev.
Aldosterone yog ib yam tshuaj steroid uas cov qog no tsim tawm. Lub luag haujlwm tseem ceeb ntawm cov tshuaj no yog tswj cov sodium (ntsev) thiab potassium hauv peb cov ntshav. Los ntawm qhov no, cov tshuaj no kuj pab tswj peb lub cev cov dej thiab cov ntshav siab.
Yog li, Primary Aldosteronism yog thaum koj cov qog adrenal tsim cov tshuaj hormone aldosterone ntau dhau rau qee qhov laj thawj. Thaum cov theem aldosterone nce ntxiv, qhov ntau ntawm sodium (ntsev) hauv koj lub cev nce ntxiv thiab qhov ntau ntawm potassium txo qis. Qhov no ua rau muaj ntshav siab tsis tuaj yeem tswj tau thiab cov ntshav potassium qis (hypokalemia).
Qhov no yav tas los suav tias yog ib yam kab mob tsis tshua muaj, tab sis tam sim no pom tias ntawm 5% thiab 10% ntawm cov neeg laus uas muaj ntshav siab yuav muaj tus mob no.
Cov tsos mob tseem ceeb ntawm tus kab mob no yog dab tsi?
Tsis yog txhua tus neeg uas muaj tus mob no yuav muaj cov tsos mob zoo ib yam. Tab sis cov no yog cov tsos mob uas pom ntau tshaj plaws. Cia peb saib lawv hauv daim ntawv teev.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Ntshav siab (Tshuaj ntshav siab) | Qhov no yog cov tsos mob tseem ceeb, tshwj xeeb yog ntshav siab uas nyuaj rau tswj txawm tias noj ntau yam tshuaj los xij. |
| Cov poov tshuaj tsawg hauv cov ntshav (Hypokalemia) | Kev kuaj ntshav yuav qhia tau tias cov potassium qis. Qhov no tuaj yeem ua rau cov leeg nqaij co thiab loog. |
| qaug zog ntau zaus | Xav tias nkees thiab tsis muaj sia nyob txhua lub sijhawm yam tsis muaj laj thawj. |
| Mob taub hau | Mob taub hau ntau zaus. |
| Nqhis dej ntau dhau thiab tso zis ntau zaus | Xav tias nqhis dej ntau dua li niaj zaus thiab yog li ntawd yuav tsum tau tso zis ntau zaus. |
| Cov leeg tsis muaj zog thiab cov leeg nqaij ntswj | Zoo li cov leeg nqaij ntawm ob txhais ceg thiab caj npab tab tom dov, tshwj xeeb yog vim muaj cov potassium tsawg. |
| Pom kev tsis meej | Qee zaum qhov muag tsis pom kev me ntsis. |
Vim li cas cov tshuaj hormones aldosterone thiaj li nce ntxiv li no?
Tej zaum yuav muaj ntau yam ua rau qhov no.
- Cov qog nqaij hlav zoo ntawm cov qog adrenal: Qhov no yog qhov ua rau muaj tus mob no rau feem ntau ntawm cov neeg. Ib qho qog nqaij hlav me me, tsis yog mob qog noj ntshav (adenoma) tshwm sim hauv ib lossis ob qho qog adrenal, uas tsim cov tshuaj hormone aldosterone ntau dhau.
- Ob sab adrenal hyperplasia: Qee zaum, yog tsis muaj qog, cov hlwb hauv ob lub qog adrenal tuaj yeem ua haujlwm ntau dhau thiab tsim cov tshuaj hormones ntau dhau.
- Tej yam ua rau muaj menyuam los ntawm noob caj noob ces: Tej yam mob no tuaj yeem muaj menyuam los ntawm noob caj noob ces hauv qee tsev neeg. Ib qho piv txwv yog '(Congenital Adrenal Hyperplasia)'.
- Mob qog nqaij hlav adrenal: Qhov no yog ib qho ua rau tsis tshua muaj.
Qhov sib txawv ntawm Primary thiab Secondary Aldosteronism
Muaj lwm yam tseem ceeb uas koj yuav tsum paub. Primary Aldosteronism, uas peb tau tham txog, yog ib qho teeb meem uas tshwm sim hauv lub qog adrenal nws tus kheej, ua rau muaj kev nce ntxiv ntawm cov tshuaj hormones.
Tiam sis qee zaum, cov theem aldosterone tuaj yeem nce ntxiv vim yog lwm yam mob hauv lub cev. Piv txwv li, cov tshuaj hormones no kuj tuaj yeem nce ntxiv rau cov mob xws li lub plawv tsis ua haujlwm, kab mob siab, lossis cov hlab ntsha hauv lub raum stenosis. Peb hu qhov no ua Secondary Aldosteronism . Tus kws kho mob yuav paub qhov txawv ntawm ob yam mob no kom meej.
Yuav ua li cas thiaj paub qhov no?
Yog koj muaj cov tsos mob uas tau hais los saum toj no, koj tus kws kho mob yuav xub kuaj koj cov ntshav siab. Tom qab ntawd, yog tias muaj kev tsis ntseeg txog qhov mob no, nws yuav xa koj mus kuaj ntshav tshwj xeeb.
- Cov tshuaj hormones hauv cov ntshav: Qhov no feem ntau ntsuas cov tshuaj hormones aldosterone thiab renin. Hauv cov neeg mob aldosteronism thawj zaug, cov tshuaj aldosterone siab thiab cov tshuaj renin qis.
- Kev Ntsuas Qib Electrolyte: Qhov no ntsuas cov sodium thiab potassium hauv koj cov ntshav.
Tseem Ceeb: Yog tias koj twb noj tshuaj ntsuas ntshav siab lawm, qee cov tshuaj no yuav cuam tshuam rau cov txiaj ntsig ntawm cov kev kuaj ntshav no. Yog li ntawd, txhawm rau kom paub tseeb tias koj mob, koj tus kws kho mob yuav qhia koj kom hloov lossis tsum tsis txhob noj koj cov tshuaj ib ntus.
Yog tias cov kev kuaj ntshav lees paub qhov mob no, cov kauj ruam tom ntej yog kuaj xyuas cov qog adrenal kom nrhiav tau qhov ua rau. Qhov no feem ntau ua tiav los ntawm kev siv CT scan (Computed Tomography) lossis MRI scan (Magnetic Resonance Imaging) .
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob rau tus kab mob no nyob ntawm seb ua rau muaj li cas. Muaj ob txoj kev kho mob tseem ceeb.
1. Kev kho mob nrog tshuaj
Yog tias ob lub qog adrenal ua haujlwm ntau dhau (hyperplasia), feem ntau tsis phais. Hloov chaw, cov tshuaj uas thaiv kev ua haujlwm ntawm cov tshuaj hormones aldosterone raug muab. Cov tshuaj siv feem ntau yog spironolactone thiab eplerenone . Cov tshuaj no tuaj yeem tswj cov ntshav siab thiab rov qab kho cov qib potassium.
2. Kev kho mob los ntawm kev phais
Yog tias kev ntsuas CT lossis MRI lees paub tias muaj qog (adenoma) tsuas yog nyob hauv ib lub qog adrenal xwb, kev kho mob zoo tshaj plaws yog phais tshem tawm lub qog ntawd. Kev phais no hu ua adrenalectomy . Qhov no feem ntau ua raws li kev phais keyhole (laparoscopic surgery) kom rov zoo sai dua.
Tom qab phais lawm, feem ntau cov neeg cov ntshav siab rov qab mus rau qhov qub lossis tuaj yeem tswj tau nrog me ntsis tshuaj.
Yog tias tsis kho ces yuav ua li cas?
Yog tias qhov mob no tsis kho, cov teeb meem loj tuaj yeem tshwm sim vim yog ntshav siab ntev thiab electrolyte tsis sib npaug.
- Mob plawv nres los yog lub plawv tsis ua haujlwm
- Mob stroke
- Kev ua haujlwm tsis zoo ntawm lub raum
- Lub plawv dhia tsis xwm yeem (Arrhythmia)
- Kev tuag tes tuag taw ib ntus
Yog li ntawd, yog tias koj muaj cov tsos mob, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tam sim ntawd thiab nrhiav kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Primary aldosteronism yog ib qho mob uas tshwm sim los ntawm kev tsim cov tshuaj hormones aldosterone ntau dhau los ntawm cov qog adrenal.
- Cov tsos mob tseem ceeb yog ntshav siab thiab cov potassium qis hauv cov ntshav, uas nyuaj rau tswj txawm tias siv ntau yam tshuaj los xij.
- Tej zaum yuav muaj cov tsos mob xws li qaug zog ntau zaus, mob taub hau, nqhis dej ntau dhau, thiab cov leeg nqaij co.
- Kev kuaj ntshav thiab kev ntsuas scans tuaj yeem kuaj pom tus kab mob no thiab nws qhov ua rau.
- Nyob ntawm seb ua rau muaj li cas, tus mob no tuaj yeem tswj tau zoo nrog kev siv tshuaj lossis phais.
- Yog tias koj muaj cov tsos mob no, tshwj xeeb tshaj yog tias koj muaj teeb meem tswj koj cov ntshav siab, nco ntsoov nrog koj tus kws kho mob tham txog qhov ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus