Nang pawhin i chau reng em? I vun rawng a danglam tawh em? Addison natna a ni thei ang em?

Nilengin chhan awm lovin i chau leh chau danglam hle bawk em? Thawhrimna nei lo ang maiin i inhria em? A nih loh leh ei duhna hloh rualin i taksa rihna i tihtlem em? Heng thilte hi hahna pangngai anga ngai fo mah ila, a chang chuan hei hi thil pawi zawk chhinchhiahna a ni thei. Chu chu vawiina kan sawi tak dinhmun, Addison natna hi a ni. Ngaihtuah buai suh, thumal awlsam takin engkim kan sawi dawn a ni.

A awlsam zawngin Addison-a Natna hi eng nge ni?

Kan taksa hi factory buaithlak tak, mak tak mai a ni tih han ngaihtuah teh. He factory-ah hian chemical messenger pawl pakhat an awm a, chu chuan engkim a inthlau hle a, a kal tha hle bawk. Hormone kan ti a . Kan kal chungah chiah hian gland te tak te pahnih a awm a, chu chu adrenal glands kan ti a ni. Heng gland te tak te pahnih hian kan nun atana pawimawh hormone chi hrang hrang an siam chhuak thin. Chuvangin, eng emaw chhan vanga heng adrenal glands te hian hormone mamawh zat an siam thei lo a nih chuan chu chu Addison’s Disease emaw Primary Adrenal Insufficiency kan tih chu a ni. Hei hi thil awm lo tak a ni. Mi maktaduai khat zinga pakhat vel a nghawng a ni. Mahse a tha ber chu i natna hi dik taka i hriat chian a, doctor-in a tih ang ang i ei chuan harsatna awm lovin nun pangngaiin i nung thei a ni.

Hormone pawimawh tak tak pahnih i zir dawn teh ang.

Addison natnaah hian taksaa hormone tihtlem chi hnih a awm a. 1. Cortisol: Hei hi ‘stress hormone’ an ti bawk. He hormone hi rilru lam emaw, taksa lam emaw pawh nise, rilru hahna (stress) hmachhawn thei tura taksa buatsaih nan hman a ni. Tin, thisen sang leh taksain protein, carbohydrates leh thau a hman dan a thunun thei bawk. 2. Aldosterone: He hormone hian kan kal (kidney) kaltlangin taksaa chi (sodium) leh potassium level a control a. Chutianga tih dik loh chuan taksaa chi (salt level) a tlahniam a, thisen sang a tlahniam tan thin.

Addison natna lan chhuah dan chu engte nge ni?

He natna lan chhuah dan hi zawi zawiin, zawi zawiin a lang chhuak thin. Chuvangin, a chang chuan natna hriat chian nan hun a duh thin. Heng chhinchhiahna tam tak hi natna dang nen a inang avangin, dik taka hriat theih nan doctor pan a pawimawh hle .

Addison natna hi engte nge ni?

Hei hi a chhan ber leh a tam ber chu autoimmune disease a ni . A awlsam zawngin kan taksa defence system (immune system) hian tihsualin kan adrenal glands te chu a rawn bei a, a tichhia a ni. Hei hi hri kai 70% vel awmna chhan a ni. Tin, a chhan dang pawh a awm thei bawk.

• Hri kai: Tuberculosis , .Hri kai na tak, hun rei tak chhunga awm, HIV leh fungal infection thenkhat te hian adrenal glands a tichhe thei a ni .
• Cancer: Hmun dang atanga cancer cell lo chhuakte hi adrenal glands-ah a darh thei (hei hi a tlem hle).
• Internal bleeding: Adrenal glands chhunga thisen chhuak.
• Genetic factors: Genetic condition thenkhat avangin he natna hi vei theihna a awm bawk.
• Surgery: Adrenal glands lakchhuahna tur surgery ang chi thil.

He natna hi engtin nge doctor hian a hriat theih ang?

Doctor i pan chuan i natna lan chhuah dan chu ngun takin a ngaithla ang a, i taksa a enfiah ang a, a bik takin i vun leh i hmuiah rawng dum danglam a awm tih a zawng ang. Tichuan, test eng emaw zat an kalpui ang a, an natna hmuhchhuah chu an finfiah ang.

• Thisen test: Hengte hian taksaa sodium (salt), potassium, leh cortisol hormone awm zat a enfiah thin. Addison natnaah chuan sodium level a hniam thei a, potassium level a sang thei bawk.
• ACTH stimulation test: Hei hi natna hriat theihna atana hman ber a ni. He test-ah hian thluak atanga chhuak hormone ACTH an tih chu injection angin an pe a, chumi hnuah thisenah cortisol level an teh thin. Mi hrisel takah chuan cortisol level a sang hle. Mahse, Addison natna vei tan chuan adrenal glands te hian hna an thawk lo va, chuvangin cortisol level chu a hniam reng a ni.
• Test dang: A châng chuan CT scan hmangin natna hrik, cancer, adrenal gland-a thisen chhuak a awm leh awm loh enfiah theih a ni.

Enkawl dan leh enkawl dan

Addison natna hi taksaa hormone tlakchhamna a ni a, a enkawl dan tur chu pawn lam atanga hormone tlakchhamna pek hi a ni. Hei hi dam chhung zawnga tih ngei ngei tur a ni.

• Hydrocortisone tablets: Hengte hi nitin ei tur a ni a, chu chu cortisol hormone thlak nan a ni.
• Fludrocortisone tablets: Hengte hi hormone aldosterone thlak nan nitin ei tur a ni.

Infection, surgery emaw accident emaw ang chi stress i neih chuan he damdawi hi i dose tihpun a ngai mai thei. Hemi chungchang hi i doctor chuan a hriattir ang che.

Harsatna hlauhawm ber chu: Addisonian Crisis

Hei hi Addison natna avanga emergency na ber leh nunna atana hlauhawm ber a ni.. Taksa chu stress na tak (e.g., infection na tak, accident, surgery) a awm chuan taksain hormone level a hniam avangin a tuar thei lo. Chutah chuan symptoms chu a na nghal zual sauh sauh thin. Addisonian crisis a lan chhuah dan:

• Sudden , hnungzang, pum, emaw kea natna nasa tak
• Luak chhuak nasa tak leh riltam, chu chuan tui tlakchhamna a thlen thin
• Thisen sang lutuk avanga shock awm
• Thil hriatna hloh
• Khawsik sang leh chak lohna

Heng symptoms zinga pakhat tal a awm chuan medical emergency a ni. Damlo chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.