I ētahi wā ka tino ngenge koe, ka ngoikore hoki, kāore he take? Kua ngaro tō hiahia kai , kua heke tō taumaha , kua pōuri rānei? Kua kite pea koe kua parauri te kiri, inā koa ō tuke me ō turi . Kaua e wareware noa ki ēnei mea. He tohu pea ēnei mō tētahi mea nui kei roto i tō tinana. I tēnei rā ka kōrero tātou mō tētahi o aua mate, arā, ko te Mate a Addison .
He aha te mate a Addison?
Whakaarohia tō tātou tinana he kamupene nui. He rōpū " karere matū" tō tēnei kamupene e whakawhitiwhiti karere ana kia pai ai te haere o ngā mahi. Ka kiia ēnei he homoni .
Kei runga ake i ō tātou whatukuhu, pērā i ngā potae iti e rua, e rua ngā repe iti. Koinei ngā mea e kiia nei e tātou ko ngā repe adrenal . Ka whakaputahia e ēnei repe e rua o ngā homoni tino nui e whai tikanga ana ki ō tātou oranga. Ko te cortisol me te aldosterone ēnei.
Ko te mate a Addison he mate e pakaru ai ngā repe adrenal mō tētahi take, ā, kāore e taea e rātou te whakaputa i te nui e hiahiatia ana o ēnei homoni. He mate tino onge tēnei. Engari he mea tino nui kia mōhio ki tēnei.
He aha te mahi a ngā homoni e rua?
- Cortisol: He rite tēnei ki te "kaiwhakahaere ahotea" o tō tātou tinana. Mā tēnei homoni e whakarite te tinana ki te aro atu ki ngā mate, ki ngā tūponotanga, me te ahotea. Ka āwhina hoki ki te whakahaere i te toto toto tiketike, ngā taumata huka toto, me te whakamahinga o te pūmua, te warowaihā, me te ngako.
- Aldosterone: Ko tēnei homoni te "kaiwhakahaere tote me te wai" o tō tātou tinana. Ka āwhina i ō tātou whatukuhu ki te pupuri i te taurite o te tote (konutai) me te pāhare pāporo i roto i te tinana. Ka whakahaere hoki i te toto toto.
Ina iti ēnei homoni, ka raru ngā mahi a te tinana katoa. Koinei te mea ka tupu i te mate a Addison.
He aha ngā tohu o te mate a Addison?
Ka puta mārire ngā tohu o te mate a Addison. Nō reira, ka roa pea te wā ka mōhiotia ai he mate. He rite ēnei tohu ki ērā o ētahi atu mate noa, nō reira ka taea te hē te mārama.
Tirohia te ripanga i raro nei mō ngā āhuatanga matua ka kitea e koe.
| Tohu | Whakaahuatanga |
|---|---|
| Te ngenge mau tonu me te ngoikore o te uaua | E ngenge ana, e kore e ora i te roanga o te rā, ahakoa te nui o te okiokinga e whiwhi ana koe. |
| Te parauri/te mangu o te kiri (Te whero o te kiri) | Te pōuriuri o te kiri i ngā wāhi pēnei i ngā tuke, ngā turi, ngā hononga o te ringa, ngā ngutu, me ngā kapia. Ahakoa ngā koha tawhito ka mangu pea. |
| Te ngaronga o te hiahia kai me te mate taimaha | Te ngaronga o te hiahia kai me te hekenga taumaha e whai ake nei. |
| Te toto toto iti (hypotension) | Ki te pōuri koe, ina koa ka tū ake koe i te tūnga noho, tera pea nā te toto toto iti. Tērā pea ka ngaro tō māramatanga. |
| Te hiahia nui ki te tote | I te hekenga o te tote o te tinana, ka puta tonu te hiahia ki te kai i ngā kai tote me ngā mea pēnei i te pīkara. |
| Ētahi atu āhuatanga | Whakapairuaki, ruaki, mamae puku, pupuhi, iti te huka toto (hypoglycemia), kore okiokinga hinengaro, me ngā huringa paheketanga koretake i roto i ngā wāhine. |
He aha ngā take o te mate a Addison?
Ko te tino take o te mate a Addison he mate pūnaha ārai mate.I te kī poto, koinei te wā e pōrearea ai te pūnaha ārai mate o tō tātou tinana, ka whakaeke, ka whakangaro i ō tātou ake repe adrenal. Koinei te take o te 70% o ngā tūroro Addison.
Hei tāpiritanga, tera pea ētahi atu take.
- Ngā mate urutā: Ka taea e ngā mate urutā roa pērā i te mate kohi me te HIV te kino i ngā repe adrenal.
- Matepukupuku: Ka horapa ngā pūtau matepukupuku kua hangaia ki ētahi atu wāhi ki ngā repe adrenal.
- Te toto o roto: Te toto i roto i ngā repe adrenal.
- Ngā take ira: Tērā anō te mōrearea o te whakawhanake i tēnei mate nā ētahi āhuatanga ira.
- Pokanga: Mena kua pokangahia koe hei tango i ngā repe adrenal.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ki te pā mai ētahi o ēnei tohu ki a koe, me toro atu ki tō tākuta whānau i te wā e taea ai. Māna koe e tirotiro, ā, māna koe e tuku atu ki tētahi tohunga mēnā e tika ana.
He maha ngā whakamātautau toto e whakamahia ana hei tautuhi i te mate.
1. Whakamātautau toto taketake: Mā tēnei ka tirohia mēnā he iti te taumata konutai (tote) o roto i tō toto, mēnā rānei he teitei te taumata pāhare pāporo.
2. Whakamātautau Whakaoho ACTH: Koinei te whakamātautau tino hira. I roto i tēnei, ka werohia he iti noa o te homoni e kiia nei ko te ACTH, e tukuna ana e tō roro. I roto i te tangata hauora, ka puta i tēnei werohanga te nui o te homoni cortisol i roto i ngā repe adrenal. Heoi, i roto i te tangata whai mate a Addison, kāore ngā repe e aro pēnei. Ka whakaūhia te mate mā te tango i tētahi tauira toto me te ine i tēnei taumata cortisol.
Hei tāpiritanga, ka taea te whakahaere i tētahi matawai CT hei tirotiro mō te mate urutā, te mate pukupuku, te toto rānei i roto i ngā repe adrenal.
Ko te mea tino morearea: Te raruraru Addisonian
Koinei te wāhanga tino mōrearea, tino ohorere hoki o te mate a Addison. Ka puta mārire ngā tohu, nō reira, kāore ētahi tāngata e mōhio kei a rātou te mate. I tēnei wā, ki te mea kei raro te tinana i te ahotea nui, pērā i tētahi atu mate, i te pokanga, i tētahi aituā rānei, ka taea e ngā tohu te tino kino rawa atu. Ka kiia tēnei he raruraru Addisonian .
He āhuatanga ohorere hauora tēnei , ā, ka mate pea mēnā kāore e rongoatia.
Ngā tohu o te raruraru Addisonian:
- Te mamae ohorere, te mamae nui ki te tuara, ki te puku, ki 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.
- Te ngaronga o te māramatanga.
- Te kirika ohorere me te ngoikore nui.
Ki te puta mai ēnei tohu,Me haria tonutia te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.
Te maimoatanga me te oranga noa
Tērā pea ka mataku koe ki te rongo mō te mate a Addison, engari ko te rongo pai he tino whai hua ngā maimoatanga mōna.
E rua ngā momo homoni e ngaro ana i te tinana e pā mai ai tēnei mate. Nō reira, ko te rongoā he hoatu i aua homoni ki waho i roto i te ahua o ngā pire.
- Hydrocortisone: He pire steroid e whakakapi ana i te homoni cortisol.
- Fludrocortisone: He pire hei whakakapi i te homoni aldosterone.
Me tango tēnei rongoā i ia rā, kia rite ki te whakahau a te tākuta.
Ko te mea nui kia kaua e mahue tetahi horopeta rongoā. He mea morearea te ngaronga o tetahi horopeta.
Mena kei te pāngia koe e te mate urutā, kei te kirika koe, kei te pokanga rānei, ka whakanuia e tō tākuta te horopeta o tēnei rongoā mō te wā poto hei ārai i te mate urutā Addisonian.
Mā te maimoatanga tika , ka taea e te tangata whai mate a Addison te ora i te oranga hauora, i te oranga noa .
Karere Tangohia ki te Kāinga
- Ko te mate a Addison he āhuatanga e kore ai e taea e ngā repe adrenal te whakaputa i te nui o ngā homoni cortisol me te aldosterone.
- Ko ngā tohu matua ko te ngenge tonu, te hekenga o te taumaha, te toto toto iti, me te pōuri o te kiri.
- Ki te pā mai ēnei tohu ki a koe, kaua e mataku, me toro atu ki te tākuta tonu.
- Ahakoa he mate tēnei mō te wā katoa, ka taea e koe te noho i tētahi oranga noa mā te tango i ngā rongoā o ia rā.
- Ki te mea kei a koe te mate a Addison, mauria he kāri, he poroporo rānei e whakaatu ana i tō āhua. Tērā pea he mea whakaora i roto i tētahi āhuatanga ohorere.
- He āhuatanga ohorere te raruraru Addisonian e hiahia ana kia rongoatia tonutia. He mea nui kia mōhio ki ngā tohu.
Te mate a Addison, ngā homoni, ngā repe adrenal, te cortisol, te aldosterone, te ngenge tonu, te pōuri o te kiri, ngā repe adrenal, te koretake o te adrenal, te toto toto iti
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