Yu gɛt ay blɔd prɛshɔn, ɔ yu gɛt ay blɔd prɛshɔn? Yu kin de tek tu ɔ tri mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ du. Bɔt yu tink se i stil at fɔ kɔntrol yu blɔd prɛshɔn? Yu kin fil bak se yu taya, yu wik, ɛn bɔku tɛm yu nɔ kin gɛt wata na yu bɔdi? If na so i bi, di tin we kin mek yu gɛt dis sik kin bi ɔda tin pas di nɔmal blɔd prɛshɔn. Tide wi go tɔk bɔt dis kayn kɔndishɔn. Na Praymari Aldosteronism, ɔ Kɔn Sindrom.
Fɔ tɔk am simpul wan, wetin na Praymari Aldosteronism?
Dis na sɔntin we nid fɔ ɛksplen smɔl. Insay wi bɔdi, tu smɔl smɔl gland dɛn de ɔp di kidni dɛn. Wi kin kɔl dɛn tin ya di adrenal gland dɛn, ɔ insay Inglish, di adrenal gland dɛn . Dɛn gland ya kin mek bɔku kayn ɔmon dɛn we rili impɔtant fɔ wi bɔdi.
Aldosterone na wan stεroyd כmon we dεn gland dεm ya de mek. di men wok we dis כmon de du na fכ kכntrכl di lεvεl dεm we di sכdiכm (sכlt) εn potashכm de insay wi bכdi. Tru dis, dis ɔmon de ɛp bak fɔ rigul wi bɔdi in wata balans ɛn blɔd prɛshɔn.
So, Praymari Aldosteronism na we yu adrenal gland dεm de prodyuz tu mכch כmon aldosterone fכ sכm rizin. we di aldosterone lεvεl inkrεs, di כmכnt כf sכdiכm (sכlt) na yu bכdi de inkrεs εn di כmכnt כf potashכm de dכn. Dis kin mek di blɔd prɛshɔn we pɔsin nɔ ebul fɔ kɔntrol ɛn di potashɔm we de na di blɔd smɔl (hypokalemia).
Fɔs, dɛn bin de tek dis as sik we nɔ kin bɔku, bɔt naw dɛn dɔn si se bitwin 5% ɛn 10% pan di big pipul dɛn we gɛt ay blɔd prɛshɔn kin gɛt dis sik.
Wetin na di men sayn dɛm fɔ dis sik?
Nɔto ɔlman wae gɛt dis sik go gɛt di sem kayn sik. Bɔt dɛn tin ya na di sayn dɛn we kin apin mɔ. Lɛ wi luk dɛn na wan tebul.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Ay blɔd prɛshɔn (Hypertension) . | Dis na di men sayn, mɔ di ay blɔd prɛshɔn we at fɔ kɔntrol ivin if yu tek bɔku mɛrɛsin. |
| Potashum we nɔ bɔku na di blɔd (Hypokalemia) . | If yu tɛst yu blɔd, yu go si se di potashɔm nɔ bɔku. Dis kin mek di mɔsul dɛn de shek shek ɛn mek dɛn nɔ gɛt bɛtɛ trɛnk. |
| Fɔ taya ɔltɛm | Fɔ fil taya ɛn nɔ gɛt layf ɔltɛm fɔ natin. |
| Ed de at | Yu ed kin at ɔltɛm. |
| Fɔ tɔsti pasmak ɛn fɔ pis bɔku tɛm | Fɔ fil se yu tɔsti pas aw yu kin fil ɛn dat mek yu nid fɔ pis bɔku tɛm. |
| Di mɔsul dɛn kin wik ɛn di mɔsul dɛn kin kramp | Fɔ fil lɛk se di mɔsul dɛn na di leg ɛn an dɛn de rɔl, mɔ bikɔs di potashɔm nɔ bɔku. |
| Di vishɔn we nɔ klia | Sɔntɛnde, di vishɔn nɔ kin shayn smɔl. |
Wetin mek di aldosterone ɔmon de bɔku lɛk dis?
Sɔntɛm bɔku rizin dɛn de fɔ dis.
- Benign tumors of the adrenal glands: Na dis kin mek dis sik kin kam pan bɔrku pipul dɛm. wan sכm tכmכro we nכ de kכnsa (adenoma) de divεlכp na wan כ tu di adrenal gland dεm, we de mek tu mכch כmon aldosterone.
- Baylatarɛl adrenal haypaplasia: Sɔntɛnde, if yu nɔ gɛt tumbu, di sɛl dɛn na di tu adrenal gland dɛn kin wok pasmak ɛn mek bɔku ɔmon.
- Di tin dɛn we kin mek pɔsin gɛt dis sik: Dis sik kin kɔmɔt frɔm sɔm famili dɛn. wan egzampl na `(Kongenital Adrenal Hyperplasia)`.
- Adrenal kansa: Dis na tin we nɔ kin apin so ɔltɛm.
Difrɛns bitwin Praymari ɛn Sɛkɔndari Aldosteronism
Wan ɔda impɔtant tin de we yu nid fɔ no. Praymari Aldosteronism, we wi bin tɔk bɔt, na prɔblɛm we kin apin na di adrenal gland insɛf, we kin mek di ɔmon go ɔp.
Bɔt sɔmtɛm, di aldosterone lɛvɛl kin go ɔp bikɔs ɔf ɔda mɛdikal kɔndishɔn dɛn na di bɔdi. fכ egzampl, dis כmon kin bכku bak pan kכndyushכn dεm lεk at fεl, liva sik, כ rεnal atεri stεnosis. Wi kɔl dis Sɛkɔndari Aldosteronism . Dɔktɔ go rili no difrɛns bitwin dɛn tu tin ya.
Aw fɔ no dis?
If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, yu dɔktɔ go chɛk yu blɔd prɛshɔn fɔs. Dɔn, if ɛni dawt de bɔt dis sik, i go rifer yu fɔ sɔm spɛshal blɔd tɛst.
- di blכd hכmon lεvεl dεm: Dis mεntal wan de mכsu di lεvεl dεm fכ di כmon dεm we dεn kכl aldosterone εn renin. insay praymar aldosteronism, di aldosterone lεvεl dεm de hכy εn di renin lεvεl dεm de lכw.
- Ilektrolayt Lεvεl Tεst: Dis de tεst di sכdiכm εn potashכm lεvεl dεm na yu bכdi.
Impɔtant: If yu dɔn ɔlrɛdi de tek blɔd prɛshɔn mɛrɛsin, sɔm pan dɛn mɛrɛsin dɛn de kin afɛkt di rizɔlt fɔ dɛn blɔd tɛst ya. So, fɔ mek yu no di sik kɔrɛkt wan, yu dɔktɔ go advays yu fɔ chenj ɔ stɔp yu mɛrɛsin fɔ sɔm tɛm.
If blɔd tɛst kɔnfirm dis sik, di nɛks tin we yu fɔ du na fɔ chɛk di adrenal gland dɛm fɔ no di kɔz. Bɔku tɛm, dɛn kin du dis wit CT skan (Computed Tomography) ɔ MRI skan (Magnetic Resonance Imaging) .
Wetin na di tritmɛnt dɛm fɔ dis?
De tritmɛnt fɔ dis sik kin dipen pan de kɔz. Tu men we dɛn de fɔ trit pɔsin.
1. Tritmɛnt wit mɛrɛsin
If ɔl tu di adrenal gland dɛn de wok pasmak (hyperplasia), bɔku tɛm dɛn nɔ kin du ɔpreshɔn. Bifo dat, dɛn kin gi dɛn mɛrɛsin dɛn we de mek di ɔmon we dɛn kɔl aldosterone nɔ wok. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na spironolactone ɛn eplerenone . Dɛn mɛrɛsin ya kin kɔntrol di blɔd prɛshɔn ɛn mek di potashɔm kam bak.
2. Tritmɛnt bay ɔpreshɔn
If CT ɔ MRI skan kɔnfirm se tumɔs (adenoma) de na wan adrenal gland nɔmɔ, di bɛst tritmɛnt na fɔ pul da gland de bay ɔpreshɔn. Dɛn kɔl dis ɔpreshɔn adrenalectomy . Dɛn kin du dis as kihol ɔpreshɔn (laparoskopik ɔpreshɔn) so dat i go wɛl kwik kwik wan.
Afta dɛn dɔn du ɔpreshɔn, bɔku pipul dɛn blɔd prɛshɔn kin kam bak to nɔmal ɔ dɛn kin kɔntrol am wit smɔl mɛrɛsin.
Wetin kin apin if dɛn nɔ trit am?
If dɛn nɔ trit dis kɔndishɔn, siriɔs prɔblɛm kin apin bikɔs ɔf lɔng tɛm ay blɔd prɛshɔn ɛn ilɛktrɔlayt imbalans.
- Hat atak ɔ at we nɔ de wok fayn
- Strok
- Kidni we nɔ de wok fayn
- At we nɔ de bit ɔltɛm (Aritmia) .
- Paralayz fɔ sɔm tɛm
So, if yu gɛt sɔm kayn sik, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm ɛn go to tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- praymari aldosteronism na wan kכndyushכn we di adrenal gland dεm de prodyuz di כmon aldosterone pasmak.
- Di men sayn dɛm na di ay blɔd prɛshɔn ɛn di lɔw potashɔm lɛvɛl na di blɔd, we nɔ kin izi fɔ kɔntrol ivin if yu yuz bɔku mɛrɛsin dɛm.
- Sɔm sayn dɛm lɛk fɔ taya ɔltɛm, fɔ gɛt ed we de at, fɔ tɔsti pasmak, ɛn fɔ mek yu mɔsul dɛn de shek shek kin apin bak.
- Blɔd tɛst ɛn skan kin rili no dis sik ɛn di tin we kin mek i gɛt am.
- Dipen pan di tin we kin mek i sik, dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan wit mɛrɛsin ɔ ɔpreshɔn.
- If yu gɛt dɛn sik ya, mɔ if i nɔ izi fɔ yu fɔ kɔntrol yu blɔd prɛshɔn, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
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