Thisen sang, a nih loh leh hypertension i nei em? I doctor-in a pek damdawi pahnih pathum i ei a ni thei. Mahse, i thisen sang thunun a la harsa em? I chau, chak lo, leh tui tlakchham fo i nei bawk em? Chutiang a nih chuan i dinhmun chhan chu thisen sang pangngai ni lo thil dang a ni thei. Vawiin hian chutiang dinhmun chu kan sawi dawn a ni. Primary Aldosteronism, a nih loh leh Conn’s Syndrome a ni.
A awlsam zawngin, Primary Aldosteronism chu eng nge ni?
Hei hi tlema sawifiah ngai thil a ni. Kan taksaah hian kal (kidney) chung lamah hian gland te tak te pahnih a awm a. Chûngte chu adrenal glands kan ti a, English-ah chuan adrenal glands . Heng gland te hian kan taksa tana pawimawh hormone chi hrang hrang an siam chhuak thin.
Aldosterone hi heng glands atanga siam steroid hormone a ni. He hormone hnathawh ber chu kan thisena sodium (salt) leh potassium awm zat control hi a ni. Hemi hmang hian he hormone hian kan taksa tui balance leh blood pressure a tidanglam thei bawk.
Chuvangin, Primary Aldosteronism chu i adrenal glands ten eng emaw chhan vanga hormone aldosterone an siam tam lutuk hi a ni. Aldosterone level a san chuan i taksaah sodium (salt) a pung a, potassium a tlahniam bawk. Hei hian thunun theih loh thisen sang leh thisen potassium level hniam (hypokalemia) a thlen thin.
Tun hma chuan hei hi natna hmuh tur awm lo tak anga ngaih a ni a, mahse tunah chuan thisen sang nei puitling 5% leh 10% inkar chuan he natna hi an nei thei tih hmuhchhuah a ni ta.
He natna lan chhuah dan berte chu engte nge ni?
Hetiang natna vei zawng zawng hian symptom inang an nei vek dawn lo. Mahse hengte hi a lan chhuah dan tlangpui a ni. Table pakhatah han en ila.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thisen sang (Hypertension) 1.1. | Hei hi a chhinchhiahna ber a ni a, a bik takin thisen sang, damdawi tam tak ei pawhin thunun harsa tak a ni. |
| Thisenah potassium a tlem (Hypokalemia) . | Thisen test-ah chuan potassium level a tlahniam thei. Hei hian taksa ruh a ti na thei a, a ti na thei bawk. |
| Chauh fo thin | Chhan awm lovin chau leh nunna nei lo anga inhriatna. |
| Lu na | Lu na fo thin. |
| Tuihâl lutuk leh zun tam lutuk | A tlangpui aia tuihal zawka inhriatna leh chuvang chuan zun tam zawk a ngai. |
| Muscle chak lohna leh muscle cramps | Ke leh kut ruh te chu a inher ang maia hriatna, a bik takin potassium a tlem avangin. |
| Mit hmuh a fiah lo | A chang chuan mit hmuhna a fiah lo deuh thin. |
Engvangin nge aldosterone hormone hi hetiang hian a pung?
Hei hi chhan hrang hrang a awm thei.
- Benign tumors of the adrenal glands: Hei hi mi tam zawkah chuan he natna thlentu a ni. Adrenal gland pakhat emaw, pahnih emaw-ah hian cancer nei lo tumor (adenoma) te tak te a lo awm a, chu chuan hormone aldosterone a siam tam lutuk a ni.
- Bilateral adrenal hyperplasia: A châng chuan tumor a awm loh chuan adrenal gland pahniha cell te chu an thawk nasa lutuk thei a, hormone an siam tam lutuk thei bawk.
- Hereditary causes: Hetiang dinhmun hi chhungkaw thenkhatah rochun theih a ni. Entirna pakhat chu `(Congenital Adrenal Hyperplasia)` tih hi a ni.
- Adrenal cancer: Hei hi a awm lo hle.
Primary leh Secondary Aldosteronism inthlauhna
Thil pawimawh dang i hriat a ngai bawk. Primary Aldosteronism kan sawi tawh kha adrenal gland-ah ngei pawh a awm a, chu chuan hormone a tipung a ni.
Mahse a chang chuan taksaa damdawi lam thil dang vangin aldosterone level a sang thei hle. Entirnan, he hormone hian heart failure, liver disease, renal artery stenosis ang chi dinhmunah pawh a tipung thei bawk. Hei hi Secondary Aldosteronism kan ti a ni . Doctor chuan heng natna pahnih hi dik takin a thliar hrang ang.
Engtin nge hei hi kan hriat theih ang?
A chunga kan sawi tak symptoms i neih chuan i doctor chuan i thisen sang a enfiah hmasa ang. Tichuan, he dinhmun chungchangah hian rinhlelhna a awm chuan thisen test bik thenkhat atan a refer ang che.
- Thisen hormone level: Hei hian hormone aldosterone leh renin level a teh ber a ni. Primary aldosteronism-ah chuan aldosterone level a sang a, renin level a hniam bawk.
- Electrolyte Level Testing: Hei hian i thisena sodium leh potassium level a test thin.
Pawimawh: Thisen sang damdawi i ei tawh a nih chuan, chutiang damdawi thenkhat chuan heng thisen test result hi a nghawng thei a ni. Chuvangin, diagnosis dik tak siam tur chuan i doctor chuan i damdawi ei tur chu rei lo te chhung thlak emaw, chawlhsan emaw turin a fuih thei che a ni.
Thisen test-in he natna hi a nemnghet a nih chuan a dawt leh tur chu adrenal glands enfiah a, a chhan zawn chhuah a ni. Hei hi CT scan (Computed Tomography) emaw MRI scan (Magnetic Resonance Imaging) emaw hmanga tih a ni tlangpui.
Hei hi eng enkawlna nge ni?
He natna enkawl dan hi a chhanah a innghat a ni. Enkawl dan tlangpui pahnih a awm a.
1. Damdawi hmanga enkawl
Adrenal gland pahnih hi overactive (hyperplasia) a nih chuan operation tih a ni lo tlangpui. Chu ai chuan hormone aldosterone hnathawh tikhawlo thei damdawi an pe zawk a ni. Damdawi hman tam ber chu spironolactone leh eplerenone te an ni . Heng damdawi te hian thisen sang a control thei a, potassium level a siam tha leh thei bawk.
2. Surgery hmanga enkawl
CT emaw MRI scan emaw atanga adrenal gland pakhat chauh ah tumor (adenoma) a awm tih a hriat chuan enkawlna tha ber chu chu gland chu surgery hmanga lakchhuah hi a ni. He surgery hi adrenalectomy an ti a . Hei hi keyhole surgery (laparoscopic surgery) anga tih a ni tlangpui a, chutiang chuan a dam chak zawk a ni.
Surgery hnuah mi tam zawk thisen sang chu a pangngaiin a lo kir leh emaw, damdawi tlemte chauh hmanga control theih a ni.
Enkawl loh chuan eng nge thleng ang?
Hetiang dinhmun hi enkawl loh a nih chuan hun rei tak chhunga thisen sang leh electrolyte inthlauhna avang hian harsatna lian tak a awm thei a ni.
- Heart attack emaw heart failure emaw a awm thei
- Thai
- Kidney tha lo a awm
- Thinlung thawk mumal lo (Arrhythmia) .
- Hun eng emaw chen atan paralysis
Chuvang chuan symptoms i neih chuan Doctor pan vat a, inenkawlna zawn a pawimawh hle.
Take-Home Thuchah a ni
- Primary aldosteronism hi adrenal glands atanga hormone aldosterone siam tam lutuk avanga lo awm a ni.
- A lan chhuah dan ber chu thisen sang leh thisenah potassium level hniam a ni a, damdawi engemaw zat hman pawhin thunun harsa tak a ni.
- Chauh lutuk, lu na, tuihal lutuk, leh taksa ruh tliak ang chi symptoms te pawh a awm thei bawk.
- Thisen test leh scan hmangin he natna leh a chhan dik tak hriat theih a ni.
- A chhan azirin he natna hi damdawi emaw, operation emaw hmangin hlawhtling takin a control theih a ni.
- Heng symptoms te hi i neih chuan, a bik takin i thisen sang control harsa i tih chuan i doctor nen pawh hemi chungchang hi sawipui ngei ang che.
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