Kei te tino ngenge koe, kei te tino ngenge hoki i te rā roa, kāore he take? Kei te ahua kore kaha koe? Kei te ngaro rānei tō taumaha me te kore hiahia kai? Ahakoa he maha ngā wā ka whakaarohia ēnei mea he ngenge noa, i ētahi wā he tohu pea tēnei o tētahi mea kino ake. Koinei te mate e kōrerohia ana i tēnei rā, arā, te Mate a Addison. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā.
He aha te mate a Addison?
Whakaarohia he wheketere tino uaua, he wheketere whakamiharo tō tātou tinana. I roto i tēnei wheketere, he rōpū karere matū e pupuri ana i te taurite me te rere pai o ngā mea katoa. Ka karangatia e tātou ko
ngā homoni . I runga ake i ō tātou whatukuhu, e rua ngā repe iti, ka karangatia e tātou
ko ngā repe adrenal . Ka whakaputahia e ēnei repe iti e rua ētahi momo homoni he mea nui mō ō tātou oranga. Nō reira, ki te kore e taea e ēnei repe adrenal te whakaputa i te nui o ngā homoni e hiahiatia ana, koinā te mea e karangatia ana e tātou ko te Mate a Addison, ko te Mate Adrenal Tuatahi rānei. He tino onge tēnei mate. Ka pā ki te kotahi i roto i te miriona tāngata. Engari ko te mea pai rawa atu
, ki te tika tō tātaritanga me te tango i te maimoatanga i whakaritea e te tākuta, ka taea e koe te noho noa me te kore raruraru. Kia ako tātou mō ngā homoni tino nui e rua.
E rua ngā momo homoni matua ka whakaitihia i roto i te tinana i te mate a Addison. 1.
Cortisol: Ka kiia hoki tēnei ko te 'hormone ahotea'. Ka whakamahia tēnei homoni hei whakarite i te tinana ki te aro atu ki te ahotea, ahakoa hinengaro, ahakoa tinana. Hei tāpiri, ka āwhina i te whakahaere i
te toto toto me te whakamahinga a te tinana i te pūmua, te warowaihā, me te ngako. 2.
Aldosterone: Ka whakahaere tēnei homoni i ngā taumata tote (konutai) me te pāhare pāporo i roto i te tinana mā roto i ō tātou whatukuhu. Ki te kore tēnei e mahia tika, ka heke ngā taumata tote i roto i te tinana, ā, ka tīmata te heke o te toto toto.
He aha ngā tohu o te mate a Addison?
Ka puta mārire ngā tohu o tēnei mate, ā, ka tino pōturi. Nō reira, he roa te wā e hiahiatia ana hei tautuhi i te mate. Nā te mea he rite te nuinga o ēnei tohu ki ētahi atu mate, he mea nui kia kite i te tākuta kia tika ai
te tautuhi .
| Tohu | He whakamārama māmā mō ngā mea e tupu ana |
|---|
| Te ngenge mau tonu me te ngoikore o te uaua | Te tino ngenge me te āhua kore ora ahakoa kāore he mahi. |
| Te ngaronga o te hiahia kai me te mate taimaha | Te ngaronga o te hiahia kai, ka hua ake te hekenga āta o te taumaha. |
| Te pōuriuri o te kiri (Hyperpigmentation) | Te tae parauri/pango o te kiri i ngā wāhi e pāngia ana e te rā me ērā kāore i pāngia e te rā. Ka kitea tēnei panonitanga i te rae, i ngā turi, i ngā tuke, i ngā koha, i ngā raina angiangi, me ngā kapia. |
| Te toto toto iti (hypotension) | Te toto toto iti. Ka pā te whanoke me te ngoikore, inā koa ina tū ake. |
| Te hiahia nui ki te tote | I te tangohia o te tote i te tinana, ka puta tonu te hiahia ki te kai i ngā kai tote. |
| Ētahi atu āhuatanga | Te iti o te huka toto (Hypoglycemia), te whakapairuaki, te ruaki, te mamae o te puku, te korere, te kore e taea te aro atu ki te ahotea, te riri, te matewai, me te mamae o ngā hononga. |
He mea nui: Ka taea hoki ēnei tohu te puta mai i ētahi atu mate. Nō reira, ki te pāngia koe e tētahi mea pēnei, me toro atu ki tō tākuta whānau mō ētahi tohutohu.
He aha ngā take o te mate a Addison?
Ko te tino take, ko te tino take o tēnei ko
te mate pūnaha ārai mate . I roto i ngā kupu māmā, ka whakaekea e te pūnaha ārai mate o tō tātou tinana (pūnaha ārai mate) ā tātou ake repe adrenal, ā, ka whakangaromia. Koinei te take o te 70% o ngā take. Hei tāpiri, tera pea ētahi atu take.
- Ngā mate urutā: Kohi ,Ka taea e ngā mate kino, roa hoki, pērā i te HIV me ētahi mate harore, te kino i ngā repe adrenal .
- Matepukupuku: Ka horapa pea ngā pūtau matepukupuku mai i hea atu ki ngā repe adrenal (he tino onge tēnei).
- Te toto o roto: Te toto i roto i ngā repe adrenal.
- Ngā āhuatanga ira: Tērā anō te mōrearea o te whakawhanake i tēnei mate nā ētahi āhuatanga ira.
- Pokanga: Ngā mahi pēnei i te pokanga hei tango i ngā repe adrenal.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka whakarongo pai ia ki ō tohumate, ka tirotiro hoki i tō tinana, ina koa ka rapu i ngā tae mangu o tō kiri me ō kapia. Kātahi ka whakahaerehia e ia ētahi whakamātautau hei whakaū i te mate.
- Ngā whakamātautau toto: Ka tirohia e ēnei ngā taumata o te konutai (tote), te pāhare pākawa, me ngā homoni cortisol i roto i te tinana. I roto i te mate a Addison, tera pea he iti ngā taumata o te konutai, tera pea he teitei ngā taumata o te pāhare pākawa.
- Whakamātautau whakaohooho ACTH: Koinei te whakamātautau matua e whakamahia ana hei tātaritanga i te mate. I roto i tēnei whakamātautau, ka werohia he homoni e kiia nei ko te ACTH, ka tukuna mai i te roro, kātahi ka inehia te taumata cortisol i roto i te toto. I roto i te tangata hauora, he teitei ngā taumata cortisol. Heoi, i roto i te tangata whai mate Addison, kāore ngā repe adrenal e mahi ana, nō reira ka noho iti tonu ngā taumata cortisol.
- Ētahi atu whakamātautau: I ētahi wā ka mahia he matawai CT hei tirotiro mō te mate pukupuku, te mate pukupuku, te toto rānei i roto i ngā repe adrenal.
Te maimoatanga me te whakahaere
Ko te mate a Addison he ngoikore o ngā homoni i roto i te tinana, ā, ko te rongoā he hoatu i ngā homoni ngoikore ki waho. He mea tēnei me mahi puta noa i te oranga.
- Papa hydrocortisone: Me tango ēnei i ia rā hei whakakapi i te homoni cortisol.
- Papa Fludrocortisone: Me tango ēnei i ia rā hei whakakapi i te homoni aldosterone.
Ko te mea nui ko te tango i te horopeta i tohua e tō tākuta, i te wā tika, me te kore e ngaro tetahi rā. He mea morearea te ngaronga ahakoa kotahi te horopeta.
Mena kei raro koe i te ahotea, pērā i te mate pāwera, te pokanga, te aituā rānei, me whakanui ake pea te horopeta o tēnei rongoā. Mā tō tākuta koe e whakamōhio atu.
Ko te raruraru tino morearea: Te raruraru Addisonian
Koinei
te āhuatanga ohorere tino kino, tino morearea hoki ka pā ki te ora i roto i te mate a Addison.. Ina pāngia te tinana e te ahotea nui (hei tauira, he mate kino, he aituā, he pokanga), kāore e taea e te tinana te aro atu nā te iti o ngā taumata homoni. Kātahi ka tino kino haere ngā tohu.
Ngā tohu o te raruraru Addisonian:- Te mamae ohorere , te mamae nui i te tuara, i te puku, i ngā waewae rānei
- Te ruaki nui me te korere, ka hua ake te matewai
- Te ohorere i puta mai i te toto toto tino iti
- Ngaronga o te māramatanga
- Te kirika nui me te ngoikore
Ki te puta tētahi o ēnei tohu, he āhuatanga ohorere hauora tēnā. Me hari tonu te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata. Karere Tangohia ki te Kāinga
- Ahakoa he mate mō te wā roa te mate a Addison, mā te maimoatanga tika, ka taea te ora i te oranga hauora, noa iho .
- Kaua e warewarehia ngā tohu pēnei i te ngenge tonu, te kiri mangu, te kore hiahia kai, me te ngaronga taumaha. Kōrero ki tō tākuta mō tēnei.
- Kaua rawa e mahue te horopeta o te rongoā i whakaritea e tō tākuta. Me pupuri tonu he rongoā tāpiri.
- Me mau tonu he kāri tuakiri hauora, he poroporo rānei e kī ana kei a koe te mate a Addison. Tērā pea ka āwhina i a koe ki te whakaora i tō ora i roto i tētahi āhuatanga ohorere.
- Kia mārama koe he āhuatanga ohorere hauora te raruraru Addisonian . He mea nui kia mōhio koe me tō whānau ki ngā tohu o tēnei raruraru.
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