Ese gufata imiti myinshi ntibigabanya umuvuduko w'amaraso? Reka tuvuge kuri iyi ndwara ya Hyperaldosteronism!

Ikibazo cy’ubuzima gikunze kugaragara kuri benshi muri twe ni umuvuduko ukabije w’amaraso , cyangwa " umuvuduko ukabije " nkuko twese tubizi. Hari igihe ibi bishobora gukemurwa no gufata umuti watanzwe na muganga. Ariko kuri bamwe, nubwo baba bamaze gukoresha ubwoko bumwe, bubiri, ahubwo butatu cyangwa bune bw’imiti, uyu muvuduko ntushobora gukemurwa kandi baba bafite umuvuduko mwinshi. Niba rero ufite umuvuduko ukabije w’amaraso bigoye kuwugenzura, impamvu ishobora kuba indwara yitwa Hyperaldosteronism , tutarabyumva cyane. Reka tubiganireho uyu munsi gusa.

None se Hyperaldosteronism ni iki?

Muri make, Hyperaldosteronism ni ikorwa ryinshi ry’imisemburo yitwa aldosterone ikorwa n’uturemangingo tw’inkende mu mubiri wacu.

Tekereza kuri ibi, imiterere y'uturemangingo tw'inkende ni imiterere ibiri mito imeze nk'umupfundikizo hejuru y'impyiko zacu. Imisemburo ya aldosterone ikorwa n'iyi misemburo ni ingenzi cyane. Ifasha mu kugumana ingano ikwiye y'amazi, sodium ( umunyu ) na potasiyumu mu mibiri yacu. Ni ukuvuga ko iyi misemburo ifasha umubiri kugumana sodium n'amazi ukeneye no gusohora potasiyumu irenze urugero mu nkari .

Rero, niba ku mpamvu runaka iyi hormone ya aldosterone isohoka cyane, tuyita Hyperaldosteronism. Icyo bibaho ni uko umubiri ubika sodiyumu n'amazi menshi cyane, kandi urugero rwa potasiyumu rukagabanuka cyane. Ingaruka nyamukuru z'ibi ni umuvuduko ukabije w'amaraso, bigoye cyane kubigenzura .

Kuki iki kibazo kibaho?

Hyperaldosteronism ishobora kugabanywamo ubwoko bubiri bw'ingenzi bitewe n'impamvu.

1. Hyperaldosteronism y'ibanze

Ikibazo kiri kuri adrenal gland ubwayo. Ni ukuvuga ko adrenal gland ubwayo ikora imisemburo myinshi ya aldosterone nta genzura. Hari impamvu nyinshi zibitera.

2. Hyperaldosteronism ya kabiri (Hyperaldosteronism ya kabiri)

Nta kibazo kiri muri iyi gland y’inkondo y’umura. Ariko, bitewe n’indi ndwara mu mubiri, gland y’inkondo y’umura irashishikarizwa kandi igakora aldosterone nyinshi. Ibi bibaho binyuze mu gukora sisitemu ya renin-angiotensin-aldosterone mu mubiri wacu.

Ni ibihe bimenyetso by'ibi?

Uretse ibimenyetso by'umuvuduko ukabije w'amaraso, ibimenyetso by'uko potasiyumu nkeya mu mubiri nabyo biragaragara. Hari igihe iyi ndwara ishobora kubaho nta bimenyetso.

Namenya nte niba ibi bihari?

Niba ufite umuvuduko ukabije w'amaraso ugoye kugenzura, muganga wawe ashobora gukeka iyi ndwara maze agakoresha ibizamini byinshi.

• Ibipimo by'amaraso: Ingano ya potasiyumu, aldosterone, na renin mu maraso yawe irasuzumwa. Mu ndwara ya hyperaldosterone y'ibanze, potasiyumu iba nke naho aldosterone iba nyinshi. Mu ndwara ya hyperaldosterone y'inyongera, urugero rwa renin narwo ruba ruri hejuru.
• Ibizamini by'inkari: Inkari zakusanyijwe mu masaha 24 zirapimwa kugira ngo harebwe urugero rwa potasiyumu.
• Ikizamini cyo guterwa umunyu: Ibinini bya sodiyumu bitangwa iminsi 3 cyangwa umunyu ugashyirwa mu mitsi mu gihe cy'amasaha 4, hanyuma hagasuzumwa urugero rwa aldosterone mu maraso cyangwa mu nkari.
• Ibizamini byo gupima: Ikizamini nka CT scan gishobora gukoreshwa mu gusuzuma ibibyimba cyangwa kwaguka kw'uturemangingo tw'intanga ngabo.
• Gupima imitsi y'inkende:Iki kizamini gikorwa iyo isuzuma ritagaragaje neza. Ibi bikubiyemo gufata amaraso mu mitsi y’uturemangingo twombi tw’intanga ngo hamenyekane niba ikibazo kiri mu turemangingo tumwe cyangwa twombi. Ibi bikunze gukorwa mbere yo kubagwa.
• Gupima imiterere y’uturemangingo: Iyo umuntu uri munsi y’imyaka 20 agize iyi ndwara cyangwa niba hari umuntu wo mu muryango we warwaye iyi ndwara, ashobora koherezwa gupimwa imiterere y’uturemangingo.

Ivurwa ite?

Uburyo bwo kuvura buterwa n'icyateye n'ubwoko bw'iyi ndwara.

• Kubagwa: Niba ikibazo ari ikibyimba kuri adrenal gland imwe, muganga wawe akunze kukugira inama yo kubagwa laparoscopic kugira ngo ukureho adrenal gland. Ibi bisaba gukata uduce duto, bishobora kugufasha gukira vuba no kugabanya iminsi yo mu bitaro.
• Imiti: Iyo hari ikibazo ku ngirabuzimafatizo zombi z'inkondo y'umura (hyperplasia y'imitsi yombi), kubagwa si amahitamo. Ahubwo, hatangwa imiti ibuza imikorere y'umusemburo wa aldosterone (urugero: spironolactone, eplerenone). Nubwo iyi miti idakiza indwara, ishobora kugenzura ingaruka zayo.
• Ubundi buryo bwo kuvura: Mu ndwara ya hyperaldosteronism ya kabiri, indwara ishingiye ku ndwara (urugero: indwara z'umutima, stenosis y'imitsi y'impyiko) iravurwa.
• Guhindura imibereho: Uko uburyo bwo kuvurwa bungana kose, ni ngombwa guhindura imibereho kugira ngo ugabanye umuvuduko ukabije w'amaraso.
• Kwirinda inzoga
• Kureka kunywa itabi
• Gukora imyitozo ngororamubiri buri gihe
• Kugenzura ibiro by'umubiri
• Kugabanya umunyu (sodium) mu mirire

Ni izihe ngaruka zishobora guterwa n’iyi ndwara iyo itavuwe?

Iyo hyperaldosteronism idavuwe neza, umuvuduko w'amaraso ukabije mu gihe kirekire n'umusemburo muke wa potasiyumu bishobora guteza ingorane zikomeye.

• Umuvuduko ukabije w'amaraso ushobora gutera: Indwara z'umutima, gucika imitsi, umutima guhagarara nabi, indwara z'impyiko, ndetse n'urupfu rudakira.
• Umunyu ngugu wa potasiyumu ushobora gutera indwara nko: intege nke z'imitsi, gucika intege, impatwe, ibibazo by'imikorere ya insuline, na diyabete.

Niba rero ufite ibimenyetso nk'umuvuduko ukabije w'amaraso bigoye kubigenzura, inyota ikabije, kwihagarika kenshi, cyangwa intege nke z'imitsi, menya neza ko wagiye kwa muganga ukaganira kuri byo. Ntugatinye, iyi ni indwara ishobora gusuzumwa no kuvurwa.

Hyperaldosteronism, umuvuduko ukabije w'amaraso, imisemburo y'inkende, aldosterone, potasiyumu nkeya, umuvuduko, indwara ya Conn