Koj puas muaj cov tsos mob no nrog rau ntshav siab? Tej zaum yuav yog Primary Aldosteronism!

Koj puas nkees tas li? Koj puas nqhis dej heev? Los yog koj puas yuav tsum tau tso zis ntau zaus? Yog tias koj kuj muaj ntshav siab, koj yuav tsum txhawj me ntsis txog nws. Tej zaum qhov no tsis yooj yim li peb xav. Hnub no peb yuav tham txog ib qho mob hu ua Primary Aldosteronism , uas qee tus hu ua Conn's Syndrome .

Aldosteronism thawj zaug yog dab tsi?

Hais yooj yim xwb, thawj qhov aldosteronism yog ib qho mob uas tshwm sim los ntawm koj cov qog adrenal tsim ntau dhau ntawm cov tshuaj hormones hu ua aldosterone . Xav txog nws li no: cov qog adrenal yog ob lub qog me me, zoo li lub hau me me saum koj lub raum. Tab sis cov tshuaj hormones uas lawv tsim tawm tswj ntau yam haujlwm tseem ceeb hauv koj lub cev.

Aldosterone yog ib yam tshuaj steroid. Nws lub luag haujlwm tseem ceeb yog tswj cov sodium (ntses uas peb noj) thiab potassium hauv peb cov ntshav. Nws kuj pab tswj cov dej hauv lub cev, cov ntshav ntim, thiab cov ntshav siab.

Tam sim no xav txog nws, yuav ua li cas yog tias cov tshuaj aldosterone no siab dhau? Thaum ntawd cov teeb meem pib. Ntshav siab (Hypertension) thiab cov ntshav potassium qis (Hypokalemia) yog ob qho tsos mob tseem ceeb ntawm cov tshuaj aldosteronism thawj zaug. Yog tias qhov mob no tsis kho kom zoo, cov teeb meem loj xws li mob plawv nres thiab mob raum tsis ua haujlwm tuaj yeem tshwm sim. Txawm li cas los xij, yog tias kuaj pom thaum ntxov thiab kho kom zoo, qhov mob no tuaj yeem tswj tau zoo.

Tus mob no feem ntau tshwm sim li cas?

Yav tas los, tus kab mob aldosteronism thawj zaug raug suav hais tias yog ib yam kab mob tsis tshua muaj. Tab sis tam sim no qhov xwm txheej txawv lawm. Nws pom muaj nyob nruab nrab ntawm 5% thiab 10% ntawm cov neeg laus uas muaj ntshav siab. Nws pom ntau dua me ntsis rau cov poj niam. Feem ntau, cov neeg hnub nyoog 30 thiab 40 xyoo raug kuaj pom tias muaj tus kab mob no.

Cov tsos mob ntawm Primary Aldosteronism yog dab tsi?

Feem ntau, cov neeg uas muaj tus mob no muaj ob qho tib si ntshav siab thiab cov ntshav potassium qis. Kev tsis tswj ntshav siab ua rau muaj kev pheej hmoo ntawm kev mob plawv thiab mob hlwb . Cov potassium qis kuj tseem tuaj yeem ua rau lub plawv dhia tsis xwm yeem (arrhythmias) .

Ntxiv rau cov no, lwm cov tsos mob yuav pom tau:

• Xav tias nkees txhua lub sijhawm (Qaug zog): Txawm tias koj pw tsaug zog zoo los, koj tseem yuav xav tias nkees.
• Kev nqhis dej ntau dhau:Txawm kuv haus dej npaum li cas los xij, nws tseem zoo li nws tsis txaus.
• Tso zis ntau zaus: Yuav tsum mus rau chav dej ntau zaus dua li yav dhau los.
• Mob taub hau: Tej zaum koj yuav mob taub hau hnyav heev.
• Mob nqaij thiab mob plab: Mob plab tuaj yeem zoo li cov nqaij dov ncig hauv koj ob txhais ceg thiab caj npab.
• Cov leeg tsis muaj zog: Tej zaum koj yuav xav tias tsis muaj zog thiab muaj teeb meem tsa cov hnyav.
• Pom kev tsis meej: Qee zaum pom kev tsis meej me ntsis.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, tshwj xeeb tshaj yog nrog rau ntshav siab, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau txais lus qhia.

Dab tsi yog cov ua rau muaj Primary Aldosteronism?

Raws li peb tau hais ua ntej lawm, qhov mob no yog tshwm sim los ntawm cov qog adrenal tsim cov tshuaj hormone aldosterone ntau dhau. Muaj ntau yam ua rau cov tshuaj hormone no tuaj yeem tsim ntau dhau:

• Cov qog nqaij hlav zoo ntawm ib lossis ob lub qog adrenal: Cov no feem ntau tsis yog mob qog noj ntshav, tab sis lawv tuaj yeem ua rau muaj ntau cov tshuaj hormones.
• Cov mob uas los ntawm noob caj: Piv txwv li, cov mob xws li congenital adrenal hyperplasia .
• Mob qog nqaij hlav adrenal: Qhov no yog ib qho mob tsis tshua muaj.

Qhov no puas zoo ib yam li secondary aldosteronism?

Tsis yog. Qhov mob aldosteronism thawj zaug yog thaum muaj kev nce ntxiv ntawm aldosterone vim muaj teeb meem nrog cov qog adrenal lawv tus kheej. Tab sis qee zaum, lwm yam mob hauv qab no tuaj yeem ua rau cov tshuaj hormone aldosterone raug tsim ntau dhau. Cov kws kho mob hu qhov mob no ua aldosteronism theem ob . Qee qhov mob uas tuaj yeem ua rau qhov no suav nrog:

• Kab mob siab
• Kab mob raum hlab ntsha stenosis: Qhov no yog kev nqaim ntawm cov hlab ntsha uas nqa ntshav mus rau lub raum.
• Lub plawv tsis ua haujlwm
• Qee hom mob qog noj ntshav hauv lub raum
• Cev xeeb tub

Leej twg muaj feem yuav mob Primary Aldosteronism ntau dua?

Txhua tus neeg yeej muaj tus mob no. Txawm li cas los xij, qee tus neeg muaj feem yuav mob no ntau dua. Cov no suav nrog:

• Cov neeg uas muaj cov ntshav potassium qis.
• Cov neeg uas tau mob ntshav siab ua ntej hnub nyoog 30 xyoo.
• Cov neeg uas noj peb lossis ntau dua cov tshuaj los tswj cov ntshav siab.
• Cov neeg uas muaj qog adrenal.

Cov teeb meem dab tsi tuaj yeem tshwm sim los ntawm tus mob no?

Yog koj tsis kho tus mob aldosteronism thawj zaug, koj cov ntshav siab tuaj yeem nce mus rau qib txaus ntshai. Nws kuj tseem tuaj yeem ua rau koj lub cev cov electrolytes tsis sib npaug (cov zaub mov uas pab tswj cov dej hauv lub cev).

Qhov kev tsis sib npaug ntawm cov electrolyte thiab kev ntshav siab ntev ua rau muaj kev pheej hmoo ntawm cov teeb meem loj. Piv txwv li:

• Mob plawv nres los yog lub plawv tsis ua haujlwm
• Lub plawv dhia tsis xwm yeem
• Kev ua haujlwm tsis zoo ntawm lub raum
• Mob stroke
• Kev tuag tes tuag taw ib ntus

Tseem Ceeb: Txawm hais tias cov teeb meem no zoo li txaus ntshai los xij, ntau yam ntawm lawv tuaj yeem tiv thaiv tau yog tias kuaj pom tus kab mob thaum ntxov thiab kho kom zoo. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob.

Yuav kuaj mob Primary Aldosteronism li cas?

Cov kws kho mob feem ntau siv cov kev kuaj ntshav los kuaj mob no. Cov kev kuaj no nrhiav rau:

• Cov theem ntawm cov tshuaj hormones xws li aldosterone thiab renin hauv koj cov ntshav.
• Cov theem electrolyte, suav nrog sodium thiab potassium.

Tej zaum yuav xav tau ntau qhov kev kuaj ntshav kom paub tseeb tias yog dab tsi. Qee cov tshuaj kho mob ntshav siab tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm kev kuaj ntshav. Yog li ntawd, koj tus kws kho mob yuav hloov koj cov tshuaj kom paub tseeb tias qhov kev kuaj ntawd yog qhov tseeb.

Koj ua lwm yam kev ntsuam xyuas dab tsi?

Koj tus kws kho mob yuav pom zoo kom kuaj lwm yam los xyuas seb puas muaj qog adrenal, xws li:

• CT Scan (Computed Tomography - CT scans): Qhov no siv cov duab X-rays los thaij duab sab hauv ntawm lub cev.
• Kev Ntsuas MRI (Magnetic Resonance Imaging - MRI): Qhov no siv cov nthwv dej xov tooj cua thiab lub zog sib nqus los tshuaj xyuas sab hauv ntawm lub cev.

Cov kev kuaj no tuaj yeem pom tseeb tias qhov loj me, cov duab, thiab muaj tej yam tsis zoo hauv cov qog adrenal.

Cov kev kho mob zoo tshaj plaws rau Primary Aldosteronism yog dab tsi?

Cov tshuaj thiab/lossis phais feem ntau yog siv los kho tus mob no.

Tshuaj

Yog tias ob lub qog adrenal tsim cov aldosterone ntau dhau, cov kws kho mob feem ntau yuav sau ntawv kom siv cov tshuaj xws li Spironolactone (Aldactone®) lossis Eplerenone (Inspra®) . Cov tshuaj no ua haujlwm los ntawm kev thaiv cov haujlwm ntawm cov tshuaj aldosterone.

Kev phais mob

Yog tias tsuas yog ib qho ntawm cov qog adrenal tsim cov aldosterone ntau dhau, kev phais kom tshem tawm cov qog ntawd (adrenalectomy) . Hauv cov xwm txheej zoo li no, cov kws kho mob yuav pom zoo kom phais.

Tom qab phais lawm, tej zaum koj yuav tau noj tshuaj kom txog thaum koj cov ntshav siab rov qab mus rau qhov qub. Koj tus kws kho mob yuav piav qhia txog yam koj yuav tsum tau xav txog raws li koj tus mob.

Puas tiv thaiv tau qhov teeb meem no?

Tu siab kawg li, tam sim no tseem tsis tau muaj txoj hauv kev los tiv thaiv qhov mob no kom tag nrho. Txawm li cas los xij, kev kuaj xyuas koj cov ntshav siab tsis tu ncua tuaj yeem pab txheeb xyuas cov teeb meem thaum ntxov.

Kuv ua tau dab tsi los txo qhov kev pheej hmoo?

Kev hloov pauv qee yam kev ua neej yuav pab txo qhov kev pheej hmoo ntawm kev mob aldosteronism thawj zaug rau qee qhov:

• Ua kom lub cev muaj zog ntxiv: Nws yog ib qho tseem ceeb heev rau kev tawm dag zog txhua hnub.
• Txwv kev haus cawv.
• Txo cov ntsev (sodium) ntawm cov khoom noj.
• Tso kev haus luam yeeb.

Cov no kuj pab tswj cov ntshav siab, yog li ntawd lawv thiaj li muaj txiaj ntsig zoo rau koj txoj kev noj qab haus huv tag nrho.

Cov teebmeem mus sij hawm ntev ntawm Primary Aldosteronism yog dab tsi?

Mob ntshav siab, yog ib qho tseem ceeb ntawm tus mob no, ua rau muaj kev pheej hmoo ntawm kev mob stroke, mob plawv tsis ua haujlwm, mob raum, thiab lwm yam kab mob. Txawm li cas los xij, nrog kev kho mob kom zoo, cov neeg uas muaj tus kab mob aldosteronism thawj zaug tuaj yeem txo cov tsos mob thiab muaj lub neej zoo dua. Cov teeb meem loj mus sij hawm ntev feem ntau tshwm sim rau cov neeg uas tsis tau txais kev kho mob.

Yuav ua li cas rau ib tus neeg uas muaj Primary Aldosteronism?

Yog tias kho kom zoo, tus neeg uas muaj tus kab mob aldosteronism thawj zaug yuav zoo heev. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum mus ntsib kws kho mob sai li sai tau thaum cov tsos mob tshwm sim. Yog tias tsis kho, cov teeb meem uas ua rau tuag taus xws li mob hlwb, mob plawv nres, thiab mob raum tsis ua haujlwm yuav tshwm sim.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj xav tias koj nkees tas li, nqhis dej heev, lossis yuav tsum tau tso zis ntau zaus, mus ntsib kws kho mob tam sim ntawd. Lawv yuav ua cov kev kuaj mob tsim nyog los kuaj mob.

Tsis tas li ntawd xwb, yog tias koj muaj ntshav siab tas li lossis tau kuaj pom tias muaj cov potassium hauv cov ntshav qis, nug koj tus kws kho mob seb koj puas yuav tsum tau kuaj mob Primary Aldosteronism lossis lwm yam mob zoo sib xws.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj raug kuaj pom tias muaj Primary Aldosteronism, tej zaum koj yuav xav nug koj tus kws kho mob cov lus nug no:

• Ua cas ho ua rau kuv muaj qhov teeb meem no?
• Kuv yuav tsum tau ua lwm yam kev ntsuam xyuas dab tsi ntxiv?
• Kuv puas muaj qog adrenal?
• Kuv puas muaj lwm yam mob uas ua rau kuv cov tsos mob?
• Koj pom zoo kom siv hom kev kho mob twg?
• Kuv puas yuav tsum ntsuas kuv cov ntshav siab hauv tsev?

Thaum kawg, cov lus coj mus tsev

Muaj coob tus neeg noj tshuaj rau ntshav siab. Txawm li cas los xij, yog tias koj xav tias nkees tas li, nqhis dej, lossis tso zis ntau dua li niaj zaus, nws yuav tsis yog ntshav siab xwb. Yog tias cov tsos mob no zoo li koj paub, mus ntsib kws kho mob tam sim ntawd. Lawv yuav khiav kev kuaj mob kom paub seb puas muaj lwm yam teeb meem. Kev mob aldosteronism thawj zaug tuaj yeem ua rau muaj ntau yam tsos mob tsis zoo. Txawm li cas los xij, nrog kev kho mob kom zoo, qhov mob no tuaj yeem kho tau. Yog li tsis txhob ntshai, thiab ua raws li koj tus kws kho mob cov lus qhia. Kuv xav kom koj rov zoo sai sai!

Kev mob aldosteronism thawj zaug, Conn's syndrome, ntshav siab, aldosterone, cov qog adrenal, potassium qis, cov tsos mob, kev kho mob