Kodi kumwa mankhwala ambiri sikuchepetsa kuthamanga kwa magazi? Tiyeni tikambirane za Hyperaldosteronism iyi!

Vuto la thanzi lomwe ambiri a ife timakhala nalo ndi kuthamanga kwa magazi , kapena " kupanikizika " monga momwe tonse timadziwira. Nthawi zina, izi zimatha kuthetsedwa mwa kumwa mankhwala omwe dokotala watipatsa. Koma kwa anthu ena, ngakhale atagwiritsa ntchito mitundu itatu kapena inayi ya mankhwala, kuthamanga kumeneku sikungathe kuthetsedwa ndipo amakhala ndi kuthamanga kwa magazi kwambiri. Chifukwa chake ngati muli ndi kuthamanga kwa magazi komwe kumakhala kovuta kulamulira, chifukwa chake chingakhale vuto lotchedwa Hyperaldosteronism , lomwe sitinamvepo zambiri. Tiyeni tikambirane za izi lero.

Chabwino, kodi Hyperaldosteronism ndi chiyani?

Mwachidule, Hyperaldosteronism ndi kupanga kwambiri kwa hormone yotchedwa aldosterone ndi ma adrenal glands m'thupi lathu.

Taganizirani izi, ma adrenal glands ndi ma glands awiri ang'onoang'ono omwe amakhala ngati chivundikiro pamwamba pa impso zathu. Homoni ya aldosterone yomwe imapangidwa ndi ma glands awa ndi yofunika kwambiri. Imathandiza kusunga madzi okwanira, sodium ( mchere ) ndi potaziyamu m'thupi lathu. Izi zikutanthauza kuti, homoni iyi imathandiza thupi kusunga sodium ndi madzi omwe limafunikira ndikutulutsa potaziyamu wochulukirapo mu mkodzo .

Kotero, ngati pazifukwa zina hormone iyi ya aldosterone itulutsidwa mopitirira muyeso, timaitcha Hyperaldosteronism. Chomwe chimachitika ndichakuti thupi limasunga sodium ndi madzi ambiri, ndipo potaziyamu imatsika kwambiri. Zotsatira zake zazikulu ndi kuthamanga kwa magazi, komwe kumakhala kovuta kwambiri kuwongolera .

N’chifukwa chiyani vutoli limachitika?

Hyperaldosteronism ingagawidwe m'magulu awiri akuluakulu kutengera zomwe zimayambitsa.

1. Kuchuluka kwa magazi m'thupi (Primary Hyperaldosteronism)

Vuto lili ndi adrenal gland yokha. Izi zikutanthauza kuti adrenal gland yokha imapanga aldosterone hormone yochuluka kwambiri popanda kulamulira. Pali zifukwa zingapo zomwe zimapangitsa izi.

2. Hyperaldosteronism Yachiwiri (Secondary Hyperaldosteronism)

Palibe cholakwika ndi adrenal gland mu izi. Komabe, chifukwa cha matenda ena m'thupi, adrenal gland imalimbikitsidwa ndipo imapanga aldosterone yambiri. Izi zimachitika poyambitsa dongosolo la renin-angiotensin-aldosterone m'thupi lathu.

Kodi zizindikiro za izi ndi ziti?

Kuwonjezera pa zizindikiro za kuthamanga kwa magazi, zizindikiro za potaziyamu yochepa m'thupi zimathanso kuwoneka. Nthawi zina vutoli likhoza kukhalapo popanda zizindikiro zilizonse.

Kodi ndingadziwe bwanji ngati izi zikupezeka?

Ngati muli ndi kuthamanga kwa magazi komwe kumakhala kovuta kulamulira, dokotala wanu angakayikire vutoli ndipo angakuyezeni kangapo.

• Kuyezetsa magazi: Kuchuluka kwa potaziyamu, aldosterone, ndi renin m'magazi anu kumayesedwa. Mu hyperaldosteronism yoyamba, potaziyamu ndi yotsika ndipo aldosterone ndi yokwera. Mu hyperaldosteronism yachiwiri, kuchuluka kwa renin kumakhala kokweranso.
• Kuyesa mkodzo: Mkodzo womwe umatengedwa kwa maola 24 umayesedwa kuti upeze kuchuluka kwa potaziyamu m'thupi.
• Kuyesa kwa saline infusion: Mapiritsi a sodium amaperekedwa kwa masiku atatu kapena saline amaperekedwa mumtsempha kwa maola anayi, kenako milingo ya aldosterone imayesedwa m'magazi kapena mkodzo.
• Mayeso ojambulira: Mayeso monga CT scan angagwiritsidwe ntchito poyesa zotupa kapena kukula kwa adrenal glands.
• Kuyesa kwa mitsempha ya adrenal:Kuyezetsa kumeneku kumachitika ngati ma scan sakudziwika bwino. Izi zimaphatikizapo kutenga magazi kuchokera m'mitsempha ya glands zonse ziwiri za adrenal kuti adziwe ngati vuto lili mu gland imodzi kapena zonse ziwiri. Izi nthawi zambiri zimachitika opaleshoni isanachitike.
• Kuyezetsa majini: Ngati munthu wosakwana zaka 20 ali ndi vutoli kapena ngati wina m'banjamo wakhala ndi matendawa, akhoza kutumizidwa kukayezetsa majini.

Kodi imachiritsidwa bwanji?

Njira zochiritsira zimadalira chifukwa ndi mtundu wa vutoli.

• Opaleshoni: Ngati vuto ndi chotupa pa gland imodzi ya adrenal, dokotala wanu nthawi zambiri amalangiza opaleshoni ya laparoscopic kuti achotse gland. Izi zimaphatikizapo kudula pang'ono, zomwe zingakuthandizeni kuchira mwachangu ndikuchepetsa nthawi yomwe mumakhala kuchipatala.
• Mankhwala: Ngati pali vuto ndi ma adrenal glands onse awiri (bilateral hyperplasia), opaleshoni si njira ina. M'malo mwake, mankhwala omwe amaletsa ntchito ya hormone aldosterone (monga spironolactone, eplerenone) amaperekedwa. Ngakhale kuti mankhwalawa sachiza matendawa, amatha kuwongolera zotsatira zake.
• Mankhwala ena: Mu hyperaldosteronism yachiwiri, vuto loyambitsa matendawa (monga matenda a mtima, impso artery stenosis) limachiritsidwa.
• Kusintha kwa moyo: Mosasamala kanthu za chithandizo, ndikofunikira kusintha moyo wanu kuti muchepetse kuthamanga kwa magazi.
• Kupewa mowa
• Kusiya kusuta
• Kuchita masewera olimbitsa thupi nthawi zonse
• Kulamulira kulemera kwa thupi
• Kuchepetsa kudya mchere (sodium) m'zakudya

Kodi zoopsa zake ndi ziti ngati sizikuthandizidwa?

Ngati hyperaldosteronism sichithandizidwe bwino, kuthamanga kwa magazi kwa nthawi yayitali komanso kuchepa kwa potaziyamu kungayambitse mavuto aakulu.

• Kuthamanga kwa magazi kungayambitse: Matenda a mtima, sitiroko, kulephera kwa mtima, matenda a impso, komanso imfa isanakwane.
• Kuchepa kwa potaziyamu kungayambitse matenda monga: kufooka kwa minofu, kufooka kwa ziwalo, kudzimbidwa, mavuto a ntchito ya insulin, ndi matenda a shuga.

Choncho, ngati muli ndi zizindikiro monga kuthamanga kwa magazi komwe n'kovuta kulamulira, ludzu lopitirira muyeso, kukodza pafupipafupi, kapena kufooka kwa minofu, onetsetsani kuti mwaonana ndi dokotala wanu ndikukambirana za vutoli. Musachite mantha, ili ndi vuto lomwe lingathe kuzindikirika ndikuchiritsidwa.

Hyperaldosteronism, kuthamanga kwa magazi, adrenal glands, aldosterone, potaziyamu wochepa, kupanikizika, matenda a Conn