Kodi pali vuto ladzidzidzi m'thupi lanu? Tiyeni tiphunzire za Adrenal Crisis!

Kodi munayamba mwamvapo kutopa kwambiri, kupweteka m'mimba, komanso kusowa chochita? Mwina ziwalo zina za thupi lanu zimaoneka zakuda pang'ono? Izi si zinthu zosavuta kwenikweni, zitha kukhala zizindikiro za vuto ladzidzidzi lotchedwa adrenal crisis . Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa izi zingakhudzenso moyo.

N’chifukwa chiyani izi zimatchedwa vuto la adrenal? N’chiyani chimachitika pamenepa?

Mwachidule, vuto la adrenal ndi vuto lalikulu lomwe limachitika pamene ma adrenal glands anu sakupanga mahomoni okwanira a cortisol . Uwu ndiye mtundu woopsa kwambiri wa adrenal insufficiency , vuto lofanana ndi matenda a Addison . Ngati mukuganiza kuti muli ndi vutoli, ndi bwino kupita kwa dokotala nthawi yomweyo.

Tsopano taonani, ma adrenal glands awa ali pamwamba pa impso zathu. Ali ngati tinthu tating'onoting'ono tiwiri tating'ono. Awa ndi omwe amapanga mahomoni ambiri ofunikira, kuphatikizapo cortisol . Ma hormone ali ngati amithenga a mankhwala omwe amagwirizanitsa ntchito iliyonse m'thupi lathu. Amayenda m'magazi ndikupereka mauthenga ku ziwalo zonse za ziwalo zathu, khungu, ndi minofu, ponena kuti, "Chitani izi apa, chitani izi apa, chitani izi apa panthawiyi."

Homoni ya cortisol imakhudza pafupifupi ziwalo zonse ndi minofu m'thupi lathu. Nazi zina mwazinthu zazikulu zomwe imachita:

• Zimalamulira momwe thupi lathu limayankhira kupsinjika maganizo.
• Zimathandiza kulamulira kagayidwe kathu ka chakudya.
• Amachepetsa kutupa m'thupi.
• Amayang'anira kuthamanga kwa magazi.
• Amalamulira kuchuluka kwa shuga m'magazi.
• Zimathandizanso kuwongolera nthawi yathu yogona ndi kudzuka.

Izi zimatchedwanso Addisonian crisis , kapena acute adrenal crisis .

N’chifukwa chiyani vuto la adrenal limeneli ndi ladzidzidzi kwambiri?

Izi ndi zoopsa kwambiri, chifukwa pakagwa vuto la adrenal , thupi lathu silingayende bwino magazi. Timatcha izi kuti shock . Vutoli likhoza kukhala lalikulu kwambiri mwachangu kwambiri ndikuwononga ziwalo zathu zamkati. Ngati silinalandire chithandizo choyenera, pafupifupi 20% ya anthu omwe ali ndi vutoli amatha kufa. Komanso, khunyu ndi chikomokere zimatha kuchitika. Ichi ndichifukwa chake izi zimatchedwa zadzidzidzi.

Ndani amene amakhudzidwa kwambiri ndi vutoli? Kodi ndi lofala bwanji?

Vuto la adrenal limatha kuchitika pa msinkhu uliwonse, koma nthawi zambiri limapezeka mwa anthu azaka zapakati pa 30 ndi 50.

Izi sizachilendo. Kafukufuku akusonyeza kuti pafupifupi 42% ya anthu omwe ali ndi vuto la adrenal insufficiency adzakhala ndi vuto la adrenal . Ku United States, kuchuluka kwa adrenal insufficiency ndi pafupifupi 1 pa 100,000. Kafukufuku wina akusonyeza kuti pafupifupi 25% ya anthu omwe ali ndi vuto la adrenal insufficiency amafa. Ndicho chifukwa chake ndikofunikira kudziwa izi.

Kodi zizindikiro za vuto la adrenal ndi ziti?

Zizindikiro zazikulu zomwe zimawonekera mu mkhalidwe uwu ndi izi:

• Kupweteka m'mimba, kapena kupweteka m'mimba pansi.
• Kumva kutopa kosalekeza komanso kopitirira muyeso.
• Chakudyacho sichikoma.
• Kuda kwa madera ena a khungu (hyperpigmentation) .
• Kumva kufooka m'thupi.
• Kuchepa thupi popanda chifukwa.

Kuwonjezera pa izi, pakhoza kukhala zizindikiro zina zochenjeza:

• Kusowa madzi m'thupi.
• Kutsegula m'mimba.
• Chizungulire, mutu wopepuka, mutu wopepuka, kukomoka, kapena kutaya chidziwitso (coma).
• Kudwala malungo.
• Mutu.
• Kupweteka kwa mafupa.
• Shuga wochepa m'magazi (shuga wochepa m'magazi).
• Kuthamanga kwa magazi pang'ono.
• Kusanza ndi nseru.
• Kupuma mwachangu.
• Kugunda kwa mtima mwachangu.

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, musachitenge mopepuka.

Kodi ndi zinthu ziti zomwe zimayambitsa vuto la adrenal?

Izi zitha kuchitika chifukwa cha zinthu zosiyanasiyana zomwe zimapangitsa kuti munthu asamavutike maganizo. Nazi zina mwa zifukwa zazikulu:

• Kusachiza bwino vuto lotchedwa adrenal insufficiency, monga matenda a Addison .
• Kuwonongeka kwa gland ya adrenal. Izi zikutanthauza zinthu monga matenda a gland ya adrenal ndi opaleshoni.
• Kusowa madzi m'thupi.
• Matenda otchedwa hypopituitarism (kuchepa kwa ntchito ya pituitary gland).
• Matenda. Tangoganizirani ngati munali ndi chimfine choipa kapena matenda ena.
• Kusiya mwadzidzidzi kugwiritsa ntchito mankhwala a glucocorticoid (monga prednisone ) mutagwiritsa ntchito nthawi yayitali.
• Kupsinjika maganizo kapena maganizo kwambiri. Tangoganizirani ngati munali ndi vuto lalikulu, chisoni, kapena kupsinjika maganizo kwakukulu.

Kodi vuto la adrenal limapezedwa bwanji?

Zingakhale zovuta kuzizindikira, chifukwa zizindikiro zake zimafanana ndi za matenda ena ofala. Komabe, pali mayeso angapo omwe angathandize madokotala kuzindikira matendawa molondola:

• Kuyezetsa magazi kwa adrenocorticotropic hormone (ACTH)
• Kuyezetsa shuga m'magazi (kuyezetsa shuga m'magazi )
• Mayeso a Cortisol ( mayeso omwe amayesa kuchuluka kwa cortisol)
• Kuyesa magazi kwa pH ( kuyesa komwe kumayesa acidity ya magazi)
• Kuyezetsa magazi a potaziyamu ( kuyezetsa komwe kumayesa kuchuluka kwa potaziyamu m'magazi)
• Kuyezetsa magazi a sodium ( kuyezetsa komwe kumayesa kuchuluka kwa sodium m'magazi)

Mayeso awa ndi omwe amalola dokotala kukuuzani bwino ngati muli ndi vuto la adrenal kapena ayi.

Kodi izi zimachiritsidwa bwanji?

Ngati mukuganiza kuti muli ndi vuto la adrenal , dokotala wanu ayamba kukuthandizani nthawi yomweyo . Izi nthawi zambiri zimaphatikizapo kukupatsani jakisoni wa hydrocortisone (kaya hydrocortisone phosphate kapena hydrocortisone sodium succinate ) ndi yankho la saline mumtsempha womwe uli m'dzanja lanu kapena m'manja mwanu pogwiritsa ntchito singano yaying'ono ndi chubu. Izi zimatchedwa jakisoni wa m'mitsempha (IV) . Jakisoni wa hydrocortisone umagwira ntchito posintha mahomoni a cortisol omwe thupi lanu lataya.

Chofunika: Kuyamba chithandizochi mwachangu ndiyo njira yabwino kwambiri yopulumutsira moyo.

Ngati, ngakhale zitangochitika mwangozi, vuto lanu layamba chifukwa cha matenda a bakiteriya, dokotala wanu angakupatseni mankhwala opha mabakiteriya .

Komanso, zizindikiro zina zomwe zimachitika ndi vuto la adrenal cortex zimachiritsidwa. Mwachitsanzo, ngati pali kusowa madzi m'thupi kapena kusalingana kwa electrolyte (kusalingana kwa mchere m'thupi), madzi, zakumwa zamasewera, kapena madzi a kokonati angaperekedwe. Ngati shuga m'magazi ndi wochepa (hypoglycemia) , zakudya zokhala ndi chakudya cham'thupi zimatha kuperekedwa.

Ngati simunakhalepo ndi vuto la adrenal , dokotala wanu adzachitanso mayeso monga mayeso olimbikitsa ACTH kuti apeze chomwe chimayambitsa.

Kodi pali zotsatirapo zilizonse zoyipa za jakisoni wa hydrocortisone?

Inde, monga mankhwala ena onse, palinso zotsatirapo zina zazing'ono. Komabe, poyerekeza ndi kuopsa kwa vuto la adrenal, nthawi zambiri izi zimakhala zovomerezeka. Anthu ena angakumane ndi izi:

• Kusamva bwino kwa ziwengo.
• Chimbudzi chakuda kapena chamagazi.
• Malungo.
• Chikhure.
• Chifuwa.
• Kusintha kwa maganizo.
• Ululu m'chiuno, msana, nthiti, manja, mapewa, kapena miyendo.

Ngati chinthu chonga ichi chichitika, muyenera kuuza dokotala .

Kodi jakisoni wa hydrocortisone uyu ndi woyenera kwa amayi apakati?

Inde, ngati muli ndi pakati ndipo muli ndi vuto la adrenal , ndi bwino kulandira jakisoni wa hydrocortisone . Mankhwalawa, otchedwa hydrocortisone, sadutsa placenta kupita kwa mwana.

Tangoganizani, ngati simulandira chithandizochi, ndi chiopsezo pa moyo wanu komanso wa mwana. Chifukwa chake, ndikofunikira kulandira chithandizo monga momwe madokotala adanenera.

Kodi ndidzachira msanga bwanji nditalandira chithandizo?

Zingatenge maola 24 kapena kuposerapo kuti mumve bwino mutalandira chithandizo cha vuto la adrenal . Zimafunika kuleza mtima pang'ono.

Kodi mungapewe bwanji vuto la adrenal?

Ngati muli ndi vuto la adrenal insufficiency , ndikofunikira kudziwa zinthu zomwe zimayambitsa vuto la adrenal . Mukukumbukira zinthu zomwe tidakambirana kale, monga kupsinjika maganizo, kusowa madzi m'thupi, matenda opatsirana, kapena kusamwa mankhwala a glucocorticoid omwe mwapatsidwa?

Opaleshoni ndi mimba zingawonjezerenso vuto la adrenal insufficiency . Chifukwa chake, muyenera kuuza dokotala wanu kuti muli ndi vutoli musanachite opaleshoni. Ngati mukukonzekera kukhala ndi mwana, lankhulani ndi dokotala wanu za vutoli.

Chinthu china chofunika kwambiri ndichakuti nthawi zonse muzinyamula chiphaso cha dokotala, mkanda, kapena chibangili chomwe chimafotokoza matenda anu. Chiyenera kufotokoza momveka bwino mankhwala omwe mukufuna komanso mlingo womwe mukufunikira. Chidziwitsochi chithandiza omwe akukuthandizani pakagwa ngozi kuti akupatseni chithandizo choyenera panthawi yoyenera.

Yesani kulemera kwanu nthawi zonse ndipo yesani kuthamanga kwa magazi anu. Ngati mukuchepetsa thupi kapena kuthamanga kwa magazi kwanu kwakwera kwambiri kapena kotsika kwambiri, uzani dokotala wanu .

Dokotala wanu angakupatseni jakisoni wa cortisol kuti mumwe pa nthawi yadzidzidzi. Iye adzakuuzani nthawi yoti mumwe komanso momwe mungamwere. Sungani mankhwalawa ndi malangizo oti mugwiritse ntchito nthawi zonse. Ngati muli ofooka kwambiri kuti mumwe pa nthawi yadzidzidzi, phunzitsani wachibale wanu kapena mnzanu wapamtima momwe mungamwere.

Ndi bwino kupanga dongosolo ndi dokotala wanu la zomwe mungachite ngati simungathe kumwa mapiritsi a hydrocortisone chifukwa cha nseru kapena kusanza.

Kodi chimachitika ndi chiyani ngati muli ndi vuto la adrenal? Kodi mungayembekezere chiyani?

Ngati mukuganiza kuti muli ndi vuto la adrenal , pitani kuchipatala nthawi yomweyo. Kumwa glucocorticoids wambiri kwa kanthawi kochepa sikungawononge kwambiri. Komabe, ngati simulandira chithandizo mwachangu, chingakhale chakupha. Choncho musatenge izi mopepuka.

Kawirikawiri, anthu omwe akhala ndi vuto la adrenal cortex ayenera kumwa mapiritsi a hydrocortisone moyo wawo wonse. Ndi bwino kukhala ndi mankhwala ena nthawi zonse, ngati mutadwala ndipo mukufuna mankhwala ena.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za vuto la adrenal , pitani kwa dokotala nthawi yomweyo .

Ngati muli ndi vuto lalikulu la kupsinjika maganizo - kaya ndi kuvulala, matenda, kapena kuvutika maganizo kwambiri - onani dokotala. Mungafunike kusintha mlingo wa mankhwala anu.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso ngati awa:

• Kodi mumadziwa bwanji ngati ndili ndi vuto la adrenal ?
• Ngati ndilibe vuto la adrenal , ndi vuto lina liti lomwe ndingakhale nalo?
• Ndi vuto liti lovuta lomwe linayambitsa vuto langa la adrenal ?
• Kodi zinditengera nthawi yayitali bwanji kuti ndichire?
• Kodi mumalimbikitsa mankhwala amtundu wanji?
• Kodi ndiyenera kusunga bwanji mankhwalawa moyenera?
• Kodi pali zotsatirapo zilizonse pa mankhwalawa?

Funsani mafunso awa kuti mumvetse bwino za vuto lanu.

Kodi pali kusiyana kotani pakati pa chithokomiro cha chithokomiro ndi vuto la adrenal?

Ngakhale zonsezi ndi zadzidzidzi, pali kusiyana pakati pa ziwirizi.

Matenda a chithokomiro ndi mtundu woopsa kwambiri wa matenda otchedwa thyrotoxicosis . Matenda a chithokomiro ndi pamene thupi lanu limapanga mahomoni ambiri a chithokomiro. Chithokomiro chomwe chili m'khosi mwathu chimapanga mahomoni otchedwa triiodothyronine (T3) ndi thyroxine (T4) . Ma mahomoni amenewa amalamulira zinthu monga kutentha kwa thupi lathu, kugunda kwa mtima, ndi kagayidwe kachakudya.

Komabe, vuto la adrenal crisis , monga tafotokozera, ndi vuto lomwe limayambitsa imfa lomwe limachitika pamene ma adrenal glands sapanga cortisol yokwanira.

Pomaliza, zinthu zoti muzikumbukira

Chifukwa chake, ngati muli ndi vuto la adrenal insufficiency , kapena ngati mukukumana ndi zizindikiro za vuto la adrenal ,Kambiranani ndi dokotala nthawi yomweyo. Kulandira chithandizo mwachangu kungapulumutse moyo wanu.

Ngati muli ndi vuto la adrenal , mwina mungafunike kumwa mankhwala kwa moyo wanu wonse. Gwirani ntchito ndi dokotala wanu kuti mudziwe zomwe zimayambitsa vuto lanu ndipo yesetsani kupewa momwe mungathere. Moyo wanu ndi wamtengo wapatali kwa inu, choncho samalirani.

Matenda a adrenal , cortisol, matenda a Addison, mahomoni, adrenal glands, chithandizo chadzidzidzi, zizindikiro