He raruraru ohorere kei tō tinana? Me ako tātou mō te Adrenal Crisis!

Āe, kua pāngia koe e te ngenge nui, te mamae o te puku, me te kore āwhina? Tērā pea he āhua pōuri te āhua o ētahi wāhanga o tō tinana? Ehara ēnei i te mea ngāwari noa iho, engari he tohu pea nō te āhuatanga ohorere e kiia nei ko te raruraru adrenal . Me kōrero tātou mō tēnei i tēnei rā, nā te mea ka pā anō hoki tēnei ki te oranga.

He aha i kiia ai tēnei he raruraru repeure? He aha ngā mea ka puta i roto i tēnei?

He whakarāpopototanga noa iho, he mate kino te mate adrenal e puta ana ina kore e nui te homoni cortisol e hangaia ana e ō repe adrenal. Koinei te momo tino kino o te ngoikore o te adrenal , he mate e rite ana ki te mate a Addison . Mena kei te whakapae koe kei a koe tēnei mate, he pai ake te toro atu ki te tākuta tonu.

Titiro mai, kei runga ake i ō tātou whatukuhu ēnei repe adrenal . He rite ki ngā tapatoru iti e rua. Koinei ngā mea e whakaputa ana i ngā homoni nui, tae atu ki te cortisol . He rite ngā homoni ki ngā karere matū e whakarite ana i ngā mahi katoa o tō tātou tinana. Ka haere rātou i roto i te toto, ka kawe karere ki ngā wāhanga katoa o ō tātou whekau, kiri, me ngā uaua, me te kī, "Me mahi tēnei i konei, me mahi tēnei i konei, me mahi tēnei i konei i tēnei wā."

E pāngia ana te nuinga o ngā okana me ngā kiko o te tinana e te homoni cortisol . Anei ētahi o ana mahi matua:

• Ka whakahaere i te urupare a te tinana ki te ahotea.
• Ka āwhina i te whakahaere i tā tātou pākia o te tinana.
• Ka whakaiti i te mumura i roto i te tinana.
• Whakahaere i te toto toto.
• Ka whakahaere i ngā taumata huka toto.
• Ka āwhina hoki ki te whakahaere i te huringa moe-ara.

Ka kiia hoki tēnei ko te raruraru Addisonian , ko te raruraru adrenal whakapeka rānei.

He aha i pēnei ai te āhuatanga ohorere o tēnei raruraru repe adrenal?

He tino morearea tēnei, nā te mea ina puta he raruraru repe adrenal , tērā pea kāore e ranea te rere o te toto i roto i tō tātou tinana. Ka kiia tēnei he ohorere . Ka tere te kino o tēnei āhuatanga ohorere , ā, ka kino hoki ō tātou whekau o roto. Ki te kore e rongoatia tika, tata ki te 20% o te hunga e pāngia ana e tēnei āhuatanga ka mate. Waihoki, ka puta pea ngā haurangi me te koma. Koia te take i kiia ai tēnei he ohorere.

Ko wai te hunga e tino pāngia ana e tēnei mate? He pēhea te noa o tōna pānga?

Ka taea e te mate pūkahukahu adrenal te pā ki ngā tau katoa, engari ko te nuinga o te wā ka pā ki te hunga i waenga i te 30 me te 50 tau te pakeke.

Ehara tēnei i te mea onge. E whakaatu ana ngā rangahau tata ki te 42% o te hunga e pāngia ana e te ngoikore o te adrenal ka pāngia e te mate adrenal . I te Hononga o Amerika, ko te maha o ngā tāngata e pāngia ana e te ngoikore o te adrenal he tata ki te 1 i roto i te 100,000. E kī ana ētahi rangahau tata ki te 25% o te hunga e pāngia ana e te mate adrenal ka mate. Koia te mea nui kia mōhio ki tēnei.

He aha ngā tohu o te raruraru repe adrenal?

Ko ngā tohu matua e puta ana i tēnei mate ko:

• Te mamae o te puku, te mamae rānei i te puku o raro.
• Te ahua o te ngenge tonu, te nui rawa.
• Kāore he reka o te kai.
• Te pōuriuri o ētahi wāhi o te kiri (te tae nui rawa atu) .
• Te ngoikore o te tinana.
• Te hiroki haere, kāore he take.

Hei tāpiri atu ki tēnei, tera pea ētahi atu tohu whakatūpato:

• Te maroketanga.
• Te korere.
• Pōuriuri, whanoke, whanoke, ngoikore, ngaro rānei te māramatanga (coma).
• Kei te pāngia e te kirika.
• Te mamae o te upoko.
• Mamae hononga.
• Te iti o te huka toto (te huka toto iti).
• Te toto toto iti.
• Te ruaki me te whakapairuaki.
• Te manawa tere.
• Te tere o te manawa.

Ki te pā mai tētahi, ētahi rānei o ēnei tohu ki a koe, kaua e whakahawea.

He aha ngā take o te raruraru repe adrenal?

Ka puta pea tēnei i ngā momo ahotea. Anei ētahi o ngā take matua:

• Te kore e rongoā tika i tētahi āhuatanga e kīia nei ko te ngoikore o te adrenal, pērā i te mate a Addison .
• Te kino o te repe adrenal. Arā, ngā mea pēnei i te mate repe adrenal me te pokanga.
• Te maroketanga.
• He āhuatanga e kiia nei ko te hypopituitarism (te ngoikore o te mahi a te repe pituitary).
• Ngā mate urutā. Whakaarohia mēnā kua pāngia koe e te makariri kino, e tētahi atu mate urutā rānei.
• Te whakamutu ohorere i ngā rongoā glucocorticoid (pērā i te prednisone ) i muri i te whakamahinga roa.
• Te ahotea hinengaro nui, te ahotea kare ā-roto rānei. Whakaarohia mēnā he raruraru nui tōu, he pouri, he pēhanga nui rānei.

Me pēhea te tautuhi i te mate pukupuku adrenal?

He uaua pea te tautuhi i tēnei mate, nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate noa. Heoi anō, he iti noa ngā whakamātautau hei āwhina i ngā tākuta ki te tautuhi tika i tēnei mate:

• Te whakamātautau toto mō te homoni Adrenocorticotropic (ACTH)
• Ngā whakamātautau huka toto (ngā whakamātautau huka toto )
• Whakamātautau Cortisol ( he whakamātautau e tirotiro ana i ngā taumata cortisol)
• whakamātautau toto pH ( he whakamātautau e ine ana i te waikawa o te toto)
• Whakamātautau toto pāhare pākawa ( he whakamātautau e tirotiro ana i te taumata o te pāhare pākawa i roto i te toto)
• Whakamātautau toto konutai ( he whakamātautau e tirotiro ana i te taumata o te konutai i roto i te toto)

Mā ēnei whakamātautau ka taea e te tākuta te kī atu mēnā kei te pāngia koe e te mate pukupuku repeure .

Me pēhea te rongoā mō tēnei?

Ki te whakapae koe kei te pāngia koe e te mate adrenal , ka tīmata tonu tō tākuta ki te rongoā i a koe. Ko te tikanga, me wero koe i te hydrocortisone ( hydrocortisone phosphate, hydrocortisone sodium succinate rānei) me te wai tote ki roto i te uaua i tō ringa, i tō ringaringa rānei mā te whakamahi i te ngira iti me te ngongo. Ka kiia tēnei he weronga intravenous (IV) . Ka mahi te weronga hydrocortisone mā te whakakapi i te homoni cortisol kua ngaro i tō tinana.

He mea nui: Ko te tīmatanga wawe tonu o tēnei maimoatanga te huarahi pai rawa atu hei whakaora i te ora.

Ahakoa he tūpono noa iho, ahakoa he mate kitakita te take o tō mate, ka hoatu pea e tō tākuta he rongoā paturopi ki a koe.

Waihoki, ka rongoatia ētahi atu tohu e puta mai ana i tēnei raruraru repe adrenal . Hei tauira, mēnā he matewai, he kore taurite rānei o ngā electrolyte (he kore taurite o ngā tote i roto i te tinana), ka taea te hoatu he wai, he inu hākinakina, he wai kokonati rānei. Mēnā he iti te huka toto (hypoglycemia) , ka taea te hoatu he kai kei roto ngā warowaihā.

Mena kāore anō kia pāngia koe e te raruraru adrenal i mua, ka whakahaerehia hoki e tō tākuta ngā whakamātautau pēnei i ngā whakamātautau whakaoho ACTH hei kimi i te pūtake.

He pānga taha anō kei te werohanga hydrocortisone?

Ae, pērā i ngā rongoā katoa, he iti noa iho ngā pānga taha. Heoi, ki te whakatauritea ki te kaha o te raruraru adrenal, he pai noa iho ēnei. Tērā pea ka pāngia ētahi tāngata e:

• Te uruparenga mate pāwera.
• Ngā tūtae mangu, toto rānei.
• Te kirika.
• Korokoro mamae.
• Maremare.
• Ngā panonitanga o te wairua.
• Te mamae i te hope, te tuara, ngā rara, ngā ringa, ngā pakihiwi, ngā waewae rānei.

Mena ka puta he mea pēnei, me kōrero koe ki te tākuta .

He pai tēnei werohanga hydrocortisone mō ngā wahine hāpu?

Āe, ki te mea kei te hapu koe, ā, he raruraru adrenal tōu, he haumaru te werohanga hydrocortisone . Kāore tēnei rongoā, e kiia nei ko te hydrocortisone, e whiti i te whenua whānau ki te pēpi.

Whakaarohia, ki te kore koe e whiwhi i tēnei rongoā, he tūponotanga tēnei ki tōu ora me te ora anō hoki o te pēpi. Nō reira, he mea nui kia whiwhi koe i te rongoā e ai ki ngā tohutohu a ngā tākuta.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

E 24 hāora, neke atu rānei, ka pai ake tō āhua i muri i te whiwhinga maimoatanga mō te raruraru adrenal . Me manawanui koe.

Me pēhea te ārai i te mate pukupuku adrenal?

Mena he ngoikore tō adrenal , he mea nui kia mōhio koe ki ngā taumahatanga ka puta ai he raruraru adrenal . Kei te mahara koe ki ngā mea i kōrerohia e tātou i mua ake nei, pērā i te ahotea, te matewai, ngā mate pāwera, te kore rānei e tango tika i te rongoā glucocorticoid kua tohua?

Ka taea hoki e te pokanga me te haputanga te whakararu i te ngoikore o te adrenal . Nō reira, me kōrero koe ki tō tākuta kei a koe tēnei mate i mua i te pokanga. Mena kei te whakaaro koe ki te whānau tamariki, kōrero ki tō tākuta mō tēnā.

Ko tētahi atu mea tino nui ko te kawe tonu i tētahi kāri tuakiri hauora, he hei, he poroporo rānei e whakaatu ana i tō āhua hauora. Me mārama te whakamārama i te rongoā e hiahiatia ana e koe me te horopeta e hiahiatia ana e koe. Mā ēnei mōhiohio ka āwhina i te hunga e rongoā ana i a koe i roto i tētahi āhuatanga ohorere ki te whakarato i te maimoatanga tika ki a koe i te wā tika.

Tirohia tō taumaha i ia wā, me tō toto toto hoki. Mena kei te heke tō taumaha, kei te tino teitei rawa rānei, kei te tino iti rawa rānei tō toto toto, me kōrero ki tō tākuta .

Tērā pea ka hoatu e tō tākuta he werohanga cortisol hei tango māu i roto i tētahi āhuatanga ohorere. Māna koe e kī atu ki te wā me tango ai, me pēhea hoki te tango. Puritia tonutia tēnei rongoā me ngā tohutohu mō te whakamahi. Ki te ngoikore rawa koe ki te tango i roto i tētahi āhuatanga ohorere, whakaakona tētahi mema o te whānau, tētahi hoa tata rānei, me pēhea te tango.

He mea pai kia whakaritea he mahere me tō tākuta mō te mea hei mahi mēnā kāore e taea e koe te tango i ngā pire hydrocortisone nā te whakapairuaki, te ruaki rānei.

He aha ngā mea ka puta mēnā he mate pūkahukahu tōu? He aha ngā mea hei tumanako atu?

Ki te whakapae koe kei te pāngia koe e te mate adrenal , rapua tonutia te awhina hauora. E kore e nui te kino o te tango i ngā glucocorticoids mō te wā poto. Heoi, ki te kore koe e whiwhi maimoatanga tere, ka mate pea. Nō reira kaua e whakahawea ki tēnei.

He maha ngā wā, ko te hunga kua pāngia e te mate adrenal me tango pire hydrocortisone mō te toenga o ō rātou oranga. He mea whakaaro nui kia mau tonu ētahi rongoā tāpiri, mehemea ka pāngia koe e te mate, ā, ka hiahia koe ki ētahi atu.

Āhea ahau me toro atu ki te tākuta?

Ki te puta mai ngā tohu o te mate adrenal , me toro atu ki te tākuta tonu .

Mena he tino taumahatanga tōu – ahakoa he whara, he mate, he pouri nui rānei – me toro atu ki te tākuta. Me whakarerekē pea te horopeta o tō rongoā.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ina haere koe ki te tākuta, he mea pai kia pātai koe i ēnei pātai:

• Me pēhea te mōhio kei te pāngia ahau e te mate pukupuku adrenal ?
• Mena kāore he mate pāwera repeure kei roto i ahau, he aha atu anō ngā mate ka pā mai ki ahau?
• He aha te āhuatanga taumaha i puta ai te raruraru o taku repe adrenal ?
• Kia pēhea te roa ka ora ake ahau?
• He aha te momo rongoā e taunaki ana koe?
• Me pēhea te penapena tika i tēnei rongoā?
• He pānga taha kei tēnei rongoā?

Pātaihia ēnei pātai kia pai ake ai tō māramatanga ki tō āhuatanga.

He aha te rerekētanga i waenga i te Āwhā Thyroid me te Adrenal Crisis?

Ahakoa he āhuatanga ohorere ēnei e rua, he rerekētanga kei waenganui i a rāua.

Ko te awha tairoiti te momo tino kino o te mate e kiia nei ko te thyrotoxicosis . Ko te thyrotoxicosis te wā e nui rawa ai te homoni tairoiti e whakaputaina ana e tō tinana. Ka whakaputahia e te repe tairoiti i roto i tō tātou kaki ngā homoni triiodothyronine (T3) me te thyroxine (T4) . Ka whakahaere ēnei homoni i ngā mea pēnei i te pāmahana o tō tātou tinana, te tere o te manawa, me te pākia o te tinana.

Heoi, ko te raruraru adrenal , e ai ki tā tātou i kōrero ai, he āhuatanga morearea ki te ora ka puta ina kore e nui te cortisol e whakaputaina e ngā repe adrenal.

Hei whakamutunga, ngā mea hei maumahara

Nō reira, ki te mea he ngoikore tō adrenal , ki te mea rānei kei te pāngia koe e ngā tohu o te raruraru adrenal ,Kōrero tonu ki te tākuta. Mā te maimoatanga tere ka ora ai koe.

Mena he mate pāwera koe ki te repe adrenal , me tango pea koe i te rongoā mō te toenga o tō oranga. Mahi tahi me tō tākuta ki te tautuhi i ngā mea e whakaoho ana i tō mate, me te ngana ki te karo i aua mea i ngā wā katoa e taea ana. He mea utu nui tō ora ki a koe, nō reira kia tiakina.

Te raruraru adrenal, te cortisol, te mate a Addison, ngā homoni, ngā repe adrenal, te maimoatanga ohorere, ngā tohu