Kodi nthawi zina mumamva kutopa kwambiri komanso kutopa popanda chifukwa? Kodi mumasowa chilakolako cha chakudya , kuchepa thupi , kapena chizungulire ? Mwina mwazindikiranso kuti khungu lanu, makamaka zigongono ndi mawondo anu, lasanduka bulauni pang'ono. Musangonyalanyaza zinthuzi. Zingakhale chizindikiro cha chinthu chofunikira chomwe chikuchitika m'thupi lanu. Lero tikulankhula za vuto limodzi lotere, Matenda a Addison .
Mwachidule, kodi matenda a Addison ndi chiyani?
Taganizirani thupi lathu ngati kampani yayikulu. Kampaniyi ili ndi gulu la " amithenga a mankhwala" omwe amatumizirana mauthenga kuti ntchito zosiyanasiyana ziyende bwino. Timatcha mahomoni awa.
Pamwamba pa impso zathu, monga zipewa ziwiri zazing'ono, pali tinthu tating'onoting'ono tiwiri. Izi ndi zomwe timazitcha kuti tinthu ta adrenal . Tinthu tating'onoting'ono timeneti timatulutsa mahomoni awiri ofunikira kwambiri omwe ndi ofunikira pa moyo wathu. Ndi cortisol ndi aldosterone .
Matenda a Addison ndi matenda omwe ma adrenal glands amawonongeka pazifukwa zina ndipo sangathe kupanga kuchuluka kofunikira kwa mahomoni awa. Uwu ndi vuto losowa kwambiri. Koma ndikofunikira kwambiri kudziwa izi.
Kodi ntchito ya mahomoni awiriwa ndi yotani?
- Cortisol: Izi zili ngati "woyang'anira kupsinjika" kwa thupi lathu. Homoni iyi imakonzekeretsa thupi kuthana ndi matenda, zoopsa, ndi kupsinjika. Imathandizanso kuwongolera kuthamanga kwa magazi, kuchuluka kwa shuga m'magazi, komanso kugwiritsa ntchito mapuloteni, chakudya, ndi mafuta.
- Aldosterone: Homoni iyi ndi "yolamulira mchere ndi madzi" m'thupi lathu. Imathandiza impso zathu kusunga mchere (sodium) ndi potaziyamu m'thupi. Imawongoleranso kuthamanga kwa magazi athu.
Mahomoni amenewa akachepa, ntchito zonse za thupi zimasokonekera. Ndicho chimene chimachitika ndi matenda a Addison.
Kodi zizindikiro za matenda a Addison ndi ziti?
Zizindikiro za matenda a Addison zimabwera pang'onopang'ono, pang'onopang'ono. Choncho nthawi zina zimatenga nthawi kuti zizindikire kuti ndi matenda. Zizindikirozi zimafanana ndi za matenda ena ofala, kotero zimatha kumvedwa molakwika.
Onani tebulo ili m'munsimu kuti mudziwe zinthu zazikulu zomwe muwona.
| Chizindikiro | Kufotokozera |
|---|---|
| Kutopa kosatha ndi kufooka kwa minofu | Kumva kutopa komanso wopanda moyo tsiku lonse, ngakhale mutapuma motani. |
| Khungu limakhala lofiirira/lakuda (Hyperpigmentation) | Khungu limakhala lakuda m'malo monga zigongono, mawondo, zala za miyendo, milomo, ndi m'kamwa. Ngakhale zipsera zakale zimatha kukhala zakuda. |
| Kutaya chilakolako cha chakudya ndi kuchepetsa thupi | Kutaya chilakolako cha chakudya ndi kuchepetsa thupi komwe kumatsatira. |
| Kuthamanga kwa magazi pang'ono (Hypotension) | Ngati mukumva chizungulire, makamaka mukayimirira kuchokera pamalo okhala, zitha kukhala chifukwa cha kuthamanga kwa magazi kochepa. Mutha kutaya chikumbumtima. |
| Kulakalaka mchere kwambiri | Pamene mchere m'thupi umachepa, munthu amakhala ndi chilakolako chodya zakudya zamchere ndi zinthu zina monga pickles. |
| Zina mwazinthu | Kusanza, kusanza, kupweteka m'mimba, kudzimbidwa, shuga wochepa m'magazi (hypoglycemia), kusakhazikika maganizo, komanso kusayenda bwino kwa msambo mwa akazi. |
Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Addison?
Chifukwa chachikulu cha matenda a Addison ndi matenda odziyimira pawokha.Mwachidule, izi ndi pamene chitetezo cha mthupi lathu chimasokonekera ndipo chimaukira ndikuwononga ma adrenal glands athu. Ichi ndi chomwe chimayambitsa 70% ya odwala a Addison.
Kuphatikiza apo, pakhoza kukhala zifukwa zina.
- Matenda: Matenda a nthawi yayitali monga chifuwa chachikulu ndi kachilombo ka HIV amatha kuwononga ma adrenal glands.
- Khansa: Maselo a khansa omwe adapangidwa kwina amafalikira ku glands za adrenal.
- Kutuluka magazi mkati: Kutuluka magazi mkati mwa adrenal glands.
- Zifukwa za majini: Palinso chiopsezo chotenga matendawa chifukwa cha matenda enaake a majini.
- Opaleshoni: Ngati mwachitidwa opaleshoni yochotsa adrenal glands.
Kodi mwapeza bwanji izi, Dokotala?
Ngati muli ndi zizindikiro izi, pitani kwa dokotala wa banja lanu mwamsanga. Iye adzakufufuzani ndikukutumizani kwa katswiri ngati pakufunika kutero.
Mayeso angapo a magazi amagwiritsidwa ntchito makamaka pozindikira matendawa.
1. Kuyezetsa magazi koyambira: Izi zithandiza kudziwa ngati muli ndi sodium (mchere) m'magazi mwanu kapena ngati muli ndi potaziyamu wambiri.
2. Kuyesa Kulimbikitsa ACTH: Iyi ndi mayeso ofunikira kwambiri. Pachifukwa ichi, timadzi tating'onoting'ono totchedwa ACTH, tomwe timatulutsidwa ndi ubongo, timaperekedwa ngati jakisoni. Mwa munthu wathanzi, jakisoniyu amachititsa kuti tiziwalo ta adrenal tipange timadzi tambiri ta cortisol. Komabe, mwa munthu amene ali ndi matenda a Addison, timadziti sitimayankha motere. Matendawa amatsimikiziridwa potenga magazi ndikuyeza kuchuluka kwa cortisol.
Kuphatikiza apo, CT scan ingachitike kuti ione ngati pali matenda, khansa, kapena kutuluka magazi m'ziphuphu za adrenal.
Choopsa kwambiri: Vuto la Addisonian
Iyi ndi gawo loopsa komanso ladzidzidzi la matenda a Addison. Zizindikiro nthawi zambiri zimabwera pang'onopang'ono, kotero anthu ena sadziwa ngakhale kuti ali ndi matendawa. Pa nthawiyi, ngati thupi lili ndi nkhawa kwambiri, monga matenda ena, opaleshoni, kapena ngozi, zizindikirozo zimatha kukhala zoopsa kwambiri mwadzidzidzi. Izi zimatchedwa vuto la Addisonian .
Izi ndi zadzidzidzi zachipatala ndipo zitha kubweretsa imfa ngati sizikuthandizidwa.
Zizindikiro za vuto la Addisonian:
- Kupweteka kwadzidzidzi, koopsa kumbuyo, m'mimba, kapena m'miyendo.
- Kusanza kwambiri ndi kutsegula m'mimba, zomwe zimapangitsa kuti munthu asathenso kutaya madzi m'thupi.
- Kugwedezeka komwe kumachitika chifukwa cha kuthamanga kwa magazi kochepa kwambiri.
- Kutaya chidziwitso.
- Malungo adzidzidzi ndi kufooka kwakukulu.
Ngati zizindikiro izi zikuwonekera,Wodwalayo ayenera kutengedwera ku Emergency Treatment Unit (ETU) ya chipatala chapafupi nthawi yomweyo.
Chithandizo ndi moyo wabwinobwino
Mungachite mantha kumva za matenda a Addison, koma nkhani yabwino ndi yakuti pali mankhwala othandiza kwambiri .
Matendawa amayamba chifukwa cha mitundu iwiri ya mahomoni omwe akusowa m'thupi. Choncho chithandizo chake ndi kupereka mahomoniwo kunja kwa thupi ngati mapiritsi.
- Hydrocortisone: Piritsi la steroid lomwe limalowa m'malo mwa hormone ya cortisol.
- Fludrocortisone: Piritsi lomwe limalowa m'malo mwa hormone ya aldosterone.
Mankhwalawa ayenera kumwedwa tsiku lililonse, monga momwe dokotala wanenera.
Chofunika kwambiri ndichakuti musalumphe mlingo umodzi wa mankhwala. Kuphonya ngakhale mlingo umodzi kungakhale koopsa.
Ngati muli ndi matenda, malungo, kapena mukuchitidwa opaleshoni, dokotala wanu adzawonjezera mlingo wa mankhwalawa kwakanthawi kuti apewe vuto la Addisonian.
Ndi chithandizo choyenera , munthu amene ali ndi matenda a Addison akhoza kukhala ndi moyo wabwinobwino komanso wathanzi .
Uthenga Wopita Nawo Kunyumba
- Matenda a Addison ndi matenda omwe ma adrenal glands amalephera kupanga mahomoni okwanira a cortisol ndi aldosterone.
- Zizindikiro zazikulu ndi kutopa kosalekeza, kuchepa thupi, kuthamanga kwa magazi, komanso khungu kukhala lakuda.
- Ngati muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala nthawi yomweyo.
- Ngakhale kuti vutoli ndi la moyo wonse, mutha kukhala ndi moyo wabwinobwino mwa kumwa mankhwala tsiku ndi tsiku.
- Ngati muli ndi matenda a Addison, nthawi zonse valani khadi kapena chibangili chosonyeza vuto lanu. Chingapulumutse moyo wanu pakagwa ngozi.
- Matenda a Addisonian ndi vuto ladzidzidzi lomwe limafuna chithandizo chadzidzidzi. Ndikofunikira kudziwa zizindikiro zake.
Matenda a Addison, mahomoni, adrenal glands, cortisol, aldosterone, kutopa kosalekeza, khungu lakuda, adrenal glands, adrenal insufficiency, kuthamanga kwa magazi kotsika.











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