Kodi mumamvanso kutopa kwambiri komanso kutopa tsiku lonse popanda chifukwa? Kodi mumamva ngati mulibe mphamvu? Kapena mukuchepetsa thupi limodzi ndi kusowa chilakolako cha chakudya? Ngakhale nthawi zambiri timaganiza kuti zinthuzi ndi kutopa kwachibadwa, nthawi zina izi zitha kukhala chizindikiro cha vuto lalikulu. Umenewo ndi vuto lomwe tikukamba lero, Matenda a Addison. Musadandaule, tidzakambirana chilichonse mwachidule.
Mwachidule, kodi matenda a Addison ndi chiyani?
Tangoganizani kuti thupi lathu ndi fakitale yovuta kwambiri komanso yodabwitsa. Mu fakitale iyi, muli gulu la mankhwala omwe amasunga chilichonse bwino komanso kuyenda bwino. Timawatcha
mahomoni . Pamwamba pa impso zathu, pali tinthu tating'onoting'ono tiwiri, timawatcha
ma adrenal glands . Tinthu tating'onoting'ono tiwiriti timatulutsa mitundu ingapo ya mahomoni omwe ndi ofunikira pamoyo wathu. Chifukwa chake, ngati pazifukwa zina tinthu tating'onoting'ono timeneti sitingathe kupanga mahomoni ofunikira, ndicho chomwe timatcha Matenda a Addison kapena Kulephera Kwambiri kwa Adrenal. Imeneyi ndi vuto losowa kwambiri. Limakhudza pafupifupi munthu m'modzi mwa anthu miliyoni. Koma chinthu chabwino kwambiri ndichakuti
ngati mwapezeka ndi matendawa molondola ndikumwa chithandizo chomwe dokotala wakupatsani, mutha kukhala moyo wabwinobwino popanda mavuto. Tiyeni tiphunzire za mahomoni awiri ofunikira kwambiri.
Pali mitundu iwiri ikuluikulu ya mahomoni omwe amachepa m'thupi la munthu amene ali ndi matenda a Addison. 1.
Cortisol: Iyi imatchedwanso 'hormone yovutitsa maganizo'. Homoni iyi imagwiritsidwa ntchito kukonzekeretsa thupi kuthana ndi kupsinjika maganizo, kaya m'maganizo kapena mwakuthupi. Kuphatikiza apo, imathandiza kulamulira
kuthamanga kwa magazi ndi momwe thupi limagwiritsira ntchito mapuloteni, chakudya, ndi mafuta. 2.
Aldosterone: Homoni iyi imalamulira kuchuluka kwa mchere (sodium) ndi potaziyamu m'thupi kudzera mu impso zathu. Ngati izi sizichitika bwino, kuchuluka kwa mchere m'thupi kumachepa ndipo kuthamanga kwa magazi kumayamba kutsika.
Kodi zizindikiro za matenda a Addison ndi ziti?
Zizindikiro za matendawa zimawonekera pang'onopang'ono, pang'onopang'ono kwambiri. Chifukwa chake, nthawi zina zimatenga nthawi kuti matenda azindikire. Popeza zizindikiro zambirizi zimafanana ndi matenda ena, ndikofunikira kwambiri kuonana ndi dokotala kuti adziwe
matenda molondola.
| Chizindikiro | Kufotokozera kosavuta kwa zomwe zikuchitika |
|---|
| Kutopa kosatha ndi kufooka kwa minofu | Kutopa kwambiri komanso kumva ngati wopanda moyo ngakhale osachita chilichonse. |
| Kutaya chilakolako cha chakudya ndi kuchepetsa thupi | Kutaya chilakolako cha chakudya, zomwe zimapangitsa kuti thupi lichepe pang'onopang'ono. |
| Kuda kwa khungu (Hyperpigmentation) | Kusintha kwa khungu la bulauni/lakuda m'malo omwe dzuwa limawomba ndi omwe saliwomba. Kusinthaku kungawonekere makamaka pamphumi, mawondo, zigongono, zipsera, mizere yopyapyala, ndi m'kamwa. |
| Kuthamanga kwa magazi pang'ono (Hypotension) | Kuthamanga kwa magazi kutsika. Izi zingayambitse chizungulire komanso kukomoka, makamaka mukayimirira. |
| Kulakalaka mchere kwambiri | Pamene mchere ukuchotsedwa m'thupi, pamakhala chilakolako chodya zakudya zamchere nthawi zonse. |
| Zina mwazinthu | Shuga wochepa m'magazi (Hypoglycemia), nseru, kusanza, kupweteka m'mimba, kutsegula m'mimba, kulephera kuthana ndi kupsinjika maganizo, kukwiya, kusowa madzi m'thupi, komanso kupweteka kwa mafupa. |
Chofunika: Zizindikirozi zingayambitsidwenso ndi matenda ena. Chifukwa chake, ngati mukukumana ndi vuto lotere, onetsetsani kuti mwawonana ndi dokotala wa banja lanu kuti akupatseni upangiri.
Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Addison?
Chifukwa chachikulu komanso chofala kwambiri cha izi ndi
matenda a autoimmune . Mwachidule, chitetezo cha mthupi lathu (chitetezo cha mthupi) chimaukira ndikuwononga ma adrenal glands athu molakwika. Ichi ndiye chifukwa cha pafupifupi 70% ya milandu. Kuphatikiza apo, pakhoza kukhala zifukwa zina.
- Matenda: Chifuwa chachikulu ,Matenda oopsa komanso a nthawi yayitali, monga kachilombo ka HIV ndi matenda ena a bowa, amatha kuwononga ma adrenal glands .
- Khansa: Maselo a khansa ochokera kwina amatha kufalikira ku ma adrenal glands (izi sizimachitika kawirikawiri).
- Kutuluka magazi mkati: Kutuluka magazi mkati mwa adrenal glands.
- Zinthu zokhudza majini: Palinso chiopsezo chotenga matendawa chifukwa cha matenda ena a majini.
- Opaleshoni: Zinthu monga opaleshoni yochotsa ma adrenal glands.
Kodi dokotala amazindikira bwanji matendawa?
Mukapita kukaonana ndi dokotala, adzamvetsera mosamala zizindikiro zanu ndikuyang'ana thupi lanu, makamaka kuyang'ana mtundu uliwonse wakuda pakhungu ndi m'kamwa mwanu. Kenako, adzayesa mayeso angapo kuti atsimikizire matendawa.
- Kuyezetsa magazi: Izi zimayesa kuchuluka kwa sodium (mchere), potaziyamu, ndi mahomoni a cortisol m'thupi. Mu matenda a Addison, kuchuluka kwa sodium kungakhale kochepa ndipo potaziyamu kungakhale kokwera.
- Mayeso olimbikitsa ACTH: Iyi ndi mayeso akuluakulu omwe amagwiritsidwa ntchito pozindikira matendawa. Mu mayesowa, homoni yotchedwa ACTH, yomwe imatulutsidwa muubongo, imaperekedwa ngati jakisoni, kenako kuchuluka kwa cortisol m'magazi kumayesedwa. Mwa munthu wathanzi, kuchuluka kwa cortisol kumakhala kwakukulu. Komabe, mwa munthu amene ali ndi matenda a Addison, ma adrenal glands sagwira ntchito, kotero kuchuluka kwa cortisol kumakhalabe kochepa.
- Mayeso ena: Nthawi zina CT scan ingachitike kuti aone ngati pali matenda, khansa, kapena kutuluka magazi m'ziphuphu za adrenal.
Chithandizo ndi kasamalidwe
Matenda a Addison ndi kusowa kwa mahomoni m'thupi, ndipo chithandizo chake ndi kupereka mahomoni osowa kunja. Ichi ndi chinthu chomwe chiyenera kuchitika moyo wonse.
- Mapiritsi a Hydrocortisone: Awa ayenera kumwedwa tsiku lililonse kuti alowe m'malo mwa mahomoni a cortisol.
- Mapiritsi a Fludrocortisone: Awa ayenera kumwedwa tsiku lililonse kuti alowe m'malo mwa hormone ya aldosterone.
Chofunika kwambiri ndikumwa mlingo womwe dokotala wanu wakupatsani, panthawi yoyenera, osaphonya tsiku lililonse. Kuphonya ngakhale mlingo umodzi kungakhale koopsa.
Ngati muli ndi nkhawa, monga matenda opatsirana, opaleshoni, kapena ngozi, mlingo wanu wa mankhwala awa ungafunike kuwonjezeredwa. Dokotala wanu adzakudziwitsani za izi.
Vuto loopsa kwambiri: Addisonian Crisis
Uwu ndiye
ngozi yaikulu komanso yoopsa kwambiri yomwe ingachitike mu matenda a Addison.Thupi likamavutika maganizo kwambiri (monga matenda oopsa, ngozi, opaleshoni), thupi silingathe kupirira chifukwa cha kuchepa kwa mahomoni. Zizindikiro zake zimakula mwadzidzidzi.
Zizindikiro za vuto la Addisonian: Ngati pali zizindikiro zilizonsezi, ndiye kuti ndi vuto lachipatala. Wodwalayo ayenera kutengedwera ku chipatala chapafupi nthawi yomweyo. Uthenga Wopita Nawo Kunyumba
- Ngakhale kuti matenda a Addison ndi matenda omwe amakhalapo kwa moyo wonse, ndi chithandizo choyenera, n'zotheka kukhala ndi moyo wabwinobwino komanso wathanzi .
- Musanyalanyaze zizindikiro monga kutopa kosalekeza, khungu lakuda, kusowa chilakolako cha chakudya, ndi kuchepa thupi. Lankhulani ndi dokotala wanu za izi.
- Musaphonye mlingo wa mankhwala omwe dokotala wanu wakupatsani. Nthawi zonse khalani ndi mankhwala owonjezera.
- Nthawi zonse valani chiphaso cha dokotala kapena chibangili chosonyeza kuti muli ndi matenda a Addison. Chingakuthandizeni kupulumutsa moyo wanu pakagwa ngozi.
- Dziwani kuti vuto la Addisonian ndi vuto lachipatala. Ndikofunikira kuti inu ndi banja lanu mudziwe zizindikiro zake.
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