Kodi adrenal gland yanu ndiyo imayambitsa kuthamanga kwa magazi? Tiyeni tikambirane za Adrenal Venous Sampling (AVS)!

Kodi muli ndi kuthamanga kwa magazi? Mwina mukuvutika kulamulira kuthamanga kwa magazi ngakhale mutamwa mankhwala angapo omwe dokotala wanu wakupatsani. Nthawi ngati izi, zitha kukhala chifukwa cha kusintha kwa magwiridwe antchito a tinthu tating'onoting'ono tiwiri m'thupi lanu. Lero, tikulankhula za mayeso apadera otchedwa Adrenal Venous Sampling, kapena AVS, omwe ndi mayeso omwe angakuthandizeni kudziwa chomwe chimayambitsa kuthamanga kwa magazi.

Kodi Adrenal Venous Sampling (AVS) ndi chiyani?

Mwachidule, AVS ndi mayeso omwe amafufuza ngati gland imodzi kapena zonse ziwiri za adrenal gland yanu zikupanga mahomoni ambiri. Gland izi zili pamwamba pa impso zathu, ngati zipewa ziwiri.

Homoni imodzi yofunika kwambiri yopangidwa ndi tiziwalo timeneti imatchedwa aldosterone . Homoni iyi ndi yofunika kwambiri pakusunga kuthamanga kwa magazi ndi ma electrolyte m'thupi. Komabe, ngati homoni iyi ya aldosterone itulutsidwa kwambiri, kuthamanga kwa magazi anu kumatha kukwera ndipo potaziyamu m'magazi anu imatha kutsika.

Mu mayeso a AVS, katswiri wa radiology amaika utoto wapadera m'mitsempha yomwe imalumikiza ma adrenal glands anu ndipo amatenga zitsanzo ziwiri za magazi kuchokera m'mitsempha imeneyo. Zitsanzo ziwirizi za magazi zimayesedwa kuti ziwone ngati aldosterone ikuchokera ku gland yakumanja, gland yakumanzere, kapena zonse ziwiri. Dokotala wanu adzagwiritsa ntchito zotsatirazi kuti asankhe chithandizo chomwe angakupatseni pambuyo pake.

Nchifukwa chiyani muyenera kuchita mayeso a AVS awa?

Kuyezetsa kumeneku nthawi zambiri kumalimbikitsidwa ngati mukukayikiridwa kuti muli ndi vuto lotchedwa Primary Aldosteronism (Conn's Syndrome) , lomwe limayamba chifukwa cha kupanga kwambiri kwa aldosterone ya hormone.

Mwanjira imeneyi, mukadziwa bwino komwe kuli vuto, zimakhala zosavuta kusankha chithandizo. Nthawi zina mayesowa amagwiritsidwanso ntchito pozindikira matenda monga pheochromocytoma, chotupa chosowa chomwe chimapezeka mu adrenal gland.

Kodi ndiyenera kukonzekera bwanji mayesowa?

AVS ndi njira yochizira matenda yomwe imachitikira kuchipatala kapena m'chipinda chochitira opaleshoni. Mudzakhala maso panthawi ya opaleshoniyi, koma simudzamva kupweteka kulikonse. Izi zili choncho chifukwa imachitidwa pogwiritsa ntchito mankhwala oletsa ululu komanso nthawi zina mankhwala oletsa ululu kuti muchepetse nkhawa ndikugona tulo tochepa.

Ngati mwapatsidwa mankhwala ochepetsa ululu, ndikofunikira kuti wina akhalepo kuti akutengereni kunyumba mukamaliza kuyezetsa.

Komanso, dokotala wanu angakupempheni kuti musiye kumwa mankhwala ena masiku angapo mayeso asanachitike. Chifukwa chake, dziwitsani dokotala wanu za mankhwala onse omwe mukumwa. Muyenera kusala kudya m'mawa wa mayeso.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Izi ndi zomwe zimachitika panthawi ya mayeso:

• Choyamba, cannula (mzere wa IV) idzaikidwa mumtsempha womwe uli m'dzanja lanu, womwe umapatsa mankhwala olimbikitsa ma adrenal glands anu. Ngati mupatsidwa mankhwala oti akutonthozeni, nawonso adzaperekedwa kudzera mu izi.
• Kenako, malo anu a m'mimba omwe katheta (chubu chopyapyala) amaikidwamo adzatsekedwa kotero simudzamva kupweteka kulikonse.
• Katswiriyu amadula khungu laling'ono pakhungu la bere ndikulowetsa catheter kudzera mmenemo. Amagwiritsa ntchito ultrasound scan kuti apeze mtsempha weniweni.
• Kenako, madzi apadera (zinthu zosiyana) amalowetsedwa kudzera mu catheter iyi, ndipo pogwiritsa ntchito X-ray, catheter imatsogoleredwa ku mitsempha ya glands yanu ya adrenal.
• Mtsempha ukapezeka, magazi ochepa amatengedwa kuchokera ku mitsempha ya adrenal ya kumanja ndi kumanzere.
• Pomaliza pake, catheter imachotsedwa ndipo bandeji imayikidwa pamwamba pa chodulidwacho.

Kodi izi zimapweteka?

Ayi, sizikupweteka. Simudzamva kupweteka kulikonse chifukwa cha dzanzi. Anthu ena amati madzi apadera akadutsa m'mitsempha, amamva ngati kutentha pang'ono. Koma zimenezo zimatha pakangopita masekondi ochepa.

Kodi zotsatira zake zikuti chiyani?

Dokotala wanu akatumiza magazi ku labu ndikuwayesa, angakuuzeni komwe vuto lili.

• Ngati adrenal gland imodzi yokha ikupanga aldosterone yochulukirapo, kuchotsa adrenal gland imeneyo (adrenalectomy) kungalimbikitsidwe.
• Ngati ma gland onse awiri amatulutsa aldosterone yochuluka, chithandizo chabwino kwambiri nthawi zambiri chimakhala mankhwala.

Ndondomeko yanu yonse ya chithandizo idzadalira zotsatira izi.

Kodi zoopsa za mayesowa ndi ziti?

AVS ndi mayeso otetezeka komanso opambana, koma monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zazing'ono.

Nthawi yochira komanso nthawi yoti mukaonane ndi dokotala

Zingatenge masiku angapo kuti munthu achire bwino atalandira mayeso a AVS. Ndikofunikira kupuma mokwanira panthawiyi. Ngati mubwerera kuntchito zanu zachizolowezi msanga, mavuto monga kutuluka magazi kuchokera pamalo obayidwa angabwere.

Dokotala wanu angakulangizeni kuti mupewe zotsatirazi kwa masiku atatu:

• Kuyendetsa galimoto.
• Kugwiritsa ntchito makina olemera.
• Kukweza zolemera.
• Kuchita masewera olimbitsa thupi kapena kugwira ntchito yolemetsa.
• Zinthu monga kulowa mu bafa, kusambira, ndi zina zotero.
• Kusaina zikalata zalamulo (chifukwa cha mankhwala omwe amakupangitsani kugona).

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati zizindikiro zotsatirazi zikuwonekera pambuyo pa mayeso, dziwitsani dokotala wanu mwamsanga.

• Kutuluka magazi chifukwa cha kuvulala m'mimba.
• Ngati ululu ukukulirakulira.
• Malungo.
• Kusanza kapena kusanza.

Kuyesa kwa AVS kungawoneke kovuta kwa inu, koma ndiyo njira yabwino yodziwira ngati kuthamanga kwa magazi kwanu kumayambitsidwa ndi adrenal glands. Chifukwa chake lankhulani ndi dokotala wanu za mafunso, nkhawa, kapena kukayikira kulikonse komwe muli nako pankhaniyi.