Ko tētahi raruraru hauora noa e pāngia ana e te tini o tātou ko te toto toto tiketike , arā, te " pēhanga " e mōhiotia ana e tātou katoa. I ētahi wā, ka taea te whakahaere i tēnei mā te tango i te rongoā i tohua e te tākuta. Engari mō ētahi tāngata, ahakoa kua whakamahia e rātou ehara i te kotahi, ehara i te rua, engari e toru, e whā rānei ngā momo rongoā, kāore e taea te whakahaere i tēnei pēhanga, ā, kei raro rātou i te nui o te pēhanga. Nō reira, ki te mea he toto toto tiketike tōu e uaua ana ki te whakahaere, ko te take pea he āhuatanga e kiia nei ko te Hyperaldosteronism , kāore anō kia rangona whānuitia. Me kōrero noa tātou mō tēnei i tēnei rā.
Āe, he aha te Hyperaldosteronism?
Ki te kī māmā noa, ko te Hyperaldosteronism te whakaputanga nui rawa o te homoni e kiia nei ko te aldosterone e ngā repe adrenal i roto i te tinana.
Whakaarohia, ko ngā repe adrenal he repe iti e rua e noho ana i runga i ō tātou whatukuhu , pērā i te taupoki. He mea tino nui te homoni aldosterone e hangaia ana e ēnei repe. Ka āwhina i te pupuri i te nui tika o te wai, te konutai ( tote ) me te pāhare pākawa i roto i ō tātou tinana. Ara, ka āwhina tēnei homoni i te tinana ki te pupuri i te konutai me te wai e hiahiatia ana e ia, me te tuku i te pāhare pākawa nui ki roto i te mimi .
Nō reira, ki te nui rawa te whakaputanga o tēnei homoni aldosterone, ka kiia e mātou ko te Hyperaldosteronism. Ko te mea ka tupu, ka nui rawa te konutai me te wai e puritia ana e te tinana, ā, ka tino heke te taumata pāhare pāporo. Ko te hua matua o tēnei ko te toto toto tiketike, he tino uaua ki te whakahaere .
He aha i puta ai tēnei āhuatanga?
Ka taea te wehewehe i te hyperaldosteronism ki ngā momo matua e rua, i runga i ngā take.
1. Te Hyperaldosteronism Tuatahi
Kei te repe adrenal tonu te raruraru. Ara, ka nui rawa te homoni aldosterone e whakaputaina ana e te repe adrenal, engari kāore he mana whakahaere. He maha ngā take mō tēnei.
| Take | Whakaahuatanga |
|---|---|
| Adenoma | Koinei te tino take. He pukupuku ehara i te matepukupuku e tupu ana i roto i tētahi o ngā repe adrenal. E kiia ana hoki tēnei āhuatanga ko te mate a Conn. |
| Te Whakarahirahitanga Redrenal Tuarua | Te whakanui ake i ngā repe adrenal e rua, te tupu nui rawa rānei o ō rāua pūtau. |
| Ngā pukupuku matepukupuku | He tino onge, ka taea hoki tēnei āhuatanga te puta mai i tētahi pukupuku matepukupuku i roto i te repe adrenal. |
| Ngā take tuku iho | Ka taea hoki te puta mai i tētahi āhuatanga ira e kiia nei ko te familial hyperaldosteronism. |
2. Te Hiperaldosteronism Tuarua (Te Hiperaldosteronism Tuarua)
Kāore he he o te repe adrenal i roto i tēnei. Heoi, nā tētahi atu mate hauora i roto i te tinana, ka whakaohohia te repe adrenal ka whakaputa i te nui ake o te aldosterone. Ka puta tēnei mā te whakahohe i te pūnaha renin-angiotensin-aldosterone i roto i tō tātou tinana.
| Ngā āhuatanga hauora pea |
|---|
| Te whakawhāititanga o ngā uaua whatukuhu (te whakawhāititanga o ngā uaua e tuku toto ana ki ngā whatukuhu) |
| Te ngoikore o te ngākau |
| Mate ate mau tonu |
| Te haputanga |
| He pukupuku e whakaputa ana i te renin |
He aha ngā tohu o tēnei?
Kia maumahara, ko te tohu matua me te tohu tino kitea o tēnei mate ko te toto toto tiketike, he tino uaua ki te whakahaere ahakoa mā te whakamahi i ētahi rongoā noa.
Haunga ngā tohu o te toto toto tiketike, ka kitea anō hoki ngā tohu o te iti o te pāhare pāporo i roto i te tinana. I ētahi wā ka puta noa mai tēnei āhuatanga, kāore he tohu.
| Kāwai tohu | Ngā āhuatanga e kitea ana |
|---|---|
| Nā te toto toto tiketike | Te ānini o te upoko, te whanoke, te tirohanga pōuri, te mate ngakau. |
| Nā te iti o te pāhare pāporo (Hypokalemia) | Ngā āhuatanga pēnei i te ngoikore o ngā peka, te ngoikore o ngā uaua, te kikī o te uma, me te pararutiki rangitahi. |
| Nā te kore taurite o te wai me te tote | Te hiahia tonu ki te mimi, te ara ake i te pō ki te mimi, te matewai nui, te ngenge rawa. |
Me pēhea taku mōhio mēnā kei te wātea tēnei?
Mena he toto toto tiketike tōu e uaua ana ki te whakahaere, ka whakapae pea tō tākuta kei te pāngia koe e tēnei mate, ā, ka whakahaerehia e ia ētahi whakamātautau.
- Ngā whakamātautau toto: Ka tirohia ngā taumata o te pāhare pāporo, te aldosterone, me te renin i roto i tō toto. I te hyperaldosteronism tuatahi, he iti te pāhare pāporo, ā, he teitei te aldosterone. I te hyperaldosteronism tuarua, he teitei anō hoki ngā taumata o te renin.
- Ngā whakamātautau mimi: Ka whakamātauhia te mimi i kohia mō ngā haora 24 mō ngā taumata pāhare pāporo.
- Whakamātautau werohanga tote: Ka hoatu ngā papa konutai mō ngā rā e 3, ka hoatu rānei te tote ki roto i te uaua mō ngā hāora e 4, kātahi ka tirohia ngā taumata aldosterone i roto i te toto, i te mimi rānei.
- Ngā whakamātautau whakaahua: Ka taea te whakamahi i tētahi whakamātautau pēnei i te matawai CT hei tirotiro i ngā pukupuku, i te whakanui rānei o ngā repe adrenal.
- Te tango tauira o te uaua adrenal:Ka mahia tēnei whakamātautau mēnā kāore i te tino kitea ngā hua o ngā matawai. Ko te tikanga o tēnei ko te tango toto mai i ngā uaua o ngā repe adrenal e rua hei whakatau mēnā kei tētahi repe, kei ngā repe e rua rānei te raruraru. He maha ngā wā ka mahia tēnei i mua i te pokanga.
- Whakamātautau ira: Mena ka pāngia tetahi kei raro iho i te 20 tau te pakeke e tēnei mate, mena rānei kua pāngia tetahi o te whānau e tēnei mate, ka tukuna pea rātou mō tētahi whakamātautau ira.
Me pēhea te rongoā?
Ko ngā tikanga maimoatanga e whakawhirinaki ana ki te momo me te take o tēnei mate.
- Pokanga: Mena he pukupuku kei runga i te repe adrenal te raruraru, ka tūtohu tō tākuta i te pokanga laparoscopic hei tango i te repe. He torutoru ngā tapahi iti hei tango i tēnei, hei āwhina i a koe kia tere ake te ora me te whakaiti i tō noho hōhipera.
- Rongoā: Mena he raruraru kei ngā repe adrenal e rua (bilateral hyperplasia), kāore e taea te pokanga. Engari, ka hoatu he rongoā hei aukati i te mahi a te homoni aldosterone (hei tauira, spironolactone, eplerenone). Ahakoa kāore ēnei e whakaora i te mate, ka taea e rātou te whakahaere i ōna pānga.
- Ētahi atu maimoatanga: Mō te hyperaldosteronism tuarua, ka rongoatia te mate pūtake (hei tauira, te mate manawa, te stenosis o te uaua whatukuhu).
- Ngā huringa āhua noho: Ahakoa te maimoatanga, he mea nui kia hurihia te āhua noho hei whakahaere i te toto toto tiketike.
- Te karo i te waipiro
- Te whakamutu i te momi hikareti
- Te whakakori tinana i ia wā
- Te whakahaere i te taumaha tinana
- Te whakaiti i te tote (konutai) i roto i te kai
He aha ngā mōrearea mēnā kāore e rongoatia?
Ki te kore e rongoatia tika te hyperaldosteronism, ka taea e te toto toto tiketike me te iti o te pāhare pāporo te arahi ki ngā raruraru nui.
- Ka taea e te toto toto tiketike te whakararu i: Te mate ngakau, te whiu, te ngoikore o te ngakau, te mate whatukuhu, tae atu ki te mate wawe.
- Ka pā mai pea ngā āhuatanga pēnei i te ngoikore o te uaua, te pararutiki, te mate kōroke, ngā raruraru ki te mahi a te insulin, me te mate huka mēnā he iti ngā taumata pāhare pāporo .
Nō reira, ki te mea kei a koe ngā tohu pēnei i te toto toto tiketike e uaua ana ki te whakahaere, te matewai nui, te mimi pinepine, te ngoikore rānei o te uaua, kia kite koe i tō tākuta me te kōrero mō tēnei. Kaua e mataku, he mate tēnei ka taea te tātaritanga me te rongoā.
Karere Tangohia ki te Kāinga
- Ko te Hyperaldosteronism te wā e nui rawa ai te homoni aldosterone e whakaputaina ana e ō repe adrenal.
- Ko te tohu matua o tēnei ko te toto toto tiketike e uaua ana ki te whakahaere ahakoa te whakamahi i ētahi rongoā.
- Tērā pea ka puta ngā tohu pēnei i te iti o te pāhare pāporo i roto i te tinana, te ngoikore o te uaua, me te māuiui o ngā uaua.
- Ki te pā mai ēnei tohu ki a koe, kōrero ki tō tākuta mō ēnei. He mea nui kia kaua e mataku.
- I runga i te pūtake, ka taea te rongoā angitu i tēnei mate mā te pokanga, ngā rongoā, me ngā huringa āhua noho.
Hyperaldosteronism, toto toto tiketike, repe adrenal, aldosterone, pāhare pāporo iti, pēhanga, mate a Conn











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