Unonzwawo kuneta zvisina kujairika uye kuneta zuva rese pasina chikonzero here? Unonzwa sekunge hauna simba here? Kana kuti uri kudzikira uremu pamwe chete nekurasikirwa nechido chekudya? Kunyangwe tichiwanzofunga nezvezvinhu izvi sekuneta kwakajairika, dzimwe nguva izvi zvinogona kuva chiratidzo chechimwe chinhu chakakomba. Ndiyo mamiriro atiri kutaura nezvawo nhasi, Addison's Disease. Usazvidya moyo, tichataura nezvese zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi chirwere cheAddison?
Fungidzira kuti muviri wedu ifekitari yakaoma zvikuru uye inoshamisa. Mufekitori iyi, mune boka remakemikari anogadzira zvinhu zvose zvakaenzana uye zvinofamba zvakanaka. Tinoadaidza kuti
mahormone . Pamusoro peitsvo dzedu, pane maguru maviri madiki, tinoadaidza kuti
maguru eadrenal . Maguru maviri madiki aya anoburitsa marudzi akasiyana emahormone akakosha muhupenyu hwedu. Saka, kana nekuda kwechimwe chikonzero maguru aya eadrenal asingakwanise kugadzira huwandu hunodiwa hwemahormone, ndizvo zvatinodaidza kuti Addison's Disease kana kuti Primary Adrenal Insufficiency. Ichi chirwere chisingawanzoitiki. Chinobata munhu mumwe chete pavanhu miriyoni. Asi chinhu chakanakisa ndechekuti
kana ukaonekwa nemazvo uye ukatora kurapwa kwakanyorwa nachiremba, unogona kurarama hupenyu hwakajairika pasina matambudziko. Ngatidzidzei nezvemahormone maviri anonyanya kukosha.
Kune mhando mbiri huru dzemahormone dzinodzikira mumuviri muchirwere cheAddison. 1.
Cortisol: Iyi inonziwo 'stress hormone'. Iyi hormone inoshandiswa kugadzirira muviri kuti ugadzirire kushushikana, kungave kwepfungwa kana kwemuviri. Pamusoro pezvo, inobatsira kudzora
BP uye mashandisiro anoita muviri mapuroteni, makabhohaidhiretsi, nemafuta. 2.
Aldosterone: Iyi hormone inodzora munyu (sodium) nepotassium mumuviri kuburikidza neitsvo dzedu. Kana izvi zvikasaitwa nemazvo, munyu mumuviri unodzikira uye BP inotanga kudzikira.
Ndezvipi zviratidzo zvechirwere cheAddison?
Zviratidzo zvechirwere ichi zvinoonekwa zvishoma nezvishoma, zvishoma nezvishoma. Nokudaro, dzimwe nguva zvinotora nguva kuti chirwere chiongororwe. Sezvo zviratidzo izvi zvakawanda zvakafanana nezvimwe zvirwere, zvakakosha kuona chiremba kuti aongorore
chirwere chacho nemazvo.
| Chiratidzo | Tsananguro iri nyore yezviri kuitika |
|---|
| Kuneta kusingaperi uye kushaya simba kwetsandanyama | Kuneta zvakanyanya uye kunzwa sekuti hausisina hupenyu kunyangwe usina kuita chero chinhu. |
| Kurasikirwa nechido chekudya uye kudzikira kwehuremu | Kurasikirwa nechido chekudya, zvichikonzera kudzikira kwehuremu zvishoma nezvishoma. |
| Kusviba kweganda (Hyperpigmentation) | Kuchinja kweruvara rwebrown/dema kweganda munzvimbo dzinopisa zuva nedzisina kupiswa naro. Kuchinja uku kunogona kuonekwa kunyanya pahuma, mabvi, magokora, mavanga, mitsetse midiki, uye mazino. |
| Kuderera kweropa (Hypotension) | Kuderera kweropa. Izvi zvinogona kukonzera dzungu uye kupera simba, kunyanya kana wakamira. |
| Kuda munyu zvakanyanya | Sezvo munyu uchibviswa mumuviri, pane chishuwo chekudya chikafu chine munyu nguva dzose. |
| Zvimwe zvinhu | Shuga shoma muropa (Hypoglycemia), kuda kurutsa, kurutsa, kurwadziwa mudumbu, manyoka, kutadza kugadzirisa kushushikana, kushatirwa, kupera mvura mumuviri, uye kurwadziwa kwemajoini. |
Zvakakosha: Zviratidzo izvi zvinogonawo kukonzerwa nezvimwe zvirwere. Saka, kana ukasangana nechimwe chinhu chakadai, iva nechokwadi chekuona chiremba wemhuri yako kuti akupe mazano.
Ndezvipi zvikonzero zvechirwere cheAddison?
Chikonzero chikuru uye chinowanzoonekwa cheizvi
chirwere chinokonzerwa ne autoimmune . Zvichitaurwa zviri nyore, masoja emuviri wedu (masoja ekudzivirira muviri) anorwisa nekuparadza ma adrenal glands edu nemazvo. Ichi ndicho chikonzero chezviitiko zvinosvika 70%. Pamusoro pezvo, panogona kunge paine zvimwe zvikonzero.
- Utachiona: Tibhii ,Utachiona hwakakomba, hwenguva refu, hwakadai seHIV nedzimwe hutachiona hwefungus, hunogona kukuvadza adrenal glands .
- Kenza: Masero egomarara anobva kune dzimwe nzvimbo anogona kupararira achienda kuma adrenal glands (izvi hazviwanzoitiki).
- Kubuda ropa mukati: Kubuda ropa mukati meadrenal glands.
- Zvinhu zvinokonzerwa nemajini: Panewo mukana wekuwana chirwere ichi nekuda kwezvimwe zvirwere zvemajini.
- Kuvhiyiwa: Zvinhu zvakaita sekuvhiyiwa kubvisa adrenal glands.
Chiremba anoongorora sei chirwere ichi?
Paunoenda kunoona chiremba, iye achanyatsoteerera zviratidzo zvako uye achaongorora muviri wako, kunyanya achitsvaga kana paine mavara matema paganda rako nematadza. Zvadaro, vachakuitira bvunzo dzakawanda kuti vasimbise chirwere chacho.
- Kuongororwa kweropa: Izvi zvinoongorora huwandu hwemahormone e sodium (munyu), potassium, uye cortisol mumuviri. Muchirwere cheAddison, huwandu hwe sodium hunogona kunge hwakaderera uye huwandu hwe potassium hunogona kunge hwakakwira.
- Kuongororwa kweACTH: Iyi ndiyo bvunzo huru inoshandiswa kuona chirwere ichi. Muongororo iyi, homoni inonzi ACTH, inoburitswa muuropi, inopihwa sejekiseni, uye huwandu hwecortisol muropa hunoyerwa. Mumunhu ane hutano, huwandu hwecortisol hwakakwira. Zvisinei, mumunhu ane chirwere cheAddison, adrenal glands hadzisi kushanda, saka huwandu hwecortisol hunoramba hwakaderera.
- Mimwe miedzo: Dzimwe nguva CT scan inogona kuitwa kuti ionekwe kana paine hutachiona, kenza, kana kubuda ropa muadrenal glands.
Kurapwa uye manejimendi
Chirwere cheAddison kushaikwa kwemahormone mumuviri, uye kurapwa kwacho ndekwekupa mahormone asina kukwana kunze. Ichi chinhu chinofanira kuitwa muhupenyu hwese.
- Mapiritsi eHydrocortisone: Aya anofanira kutorwa zuva nezuva kuti atsive hormone yecortisol.
- Mapiritsi eFludrocortisone: Aya anofanira kutorwa zuva nezuva kuti atsive hormone aldosterone.
Chinhu chinonyanya kukosha kutora mushonga wawakanyorerwa nachiremba wako, panguva chaiyo, pasina zuva raunopotsa. Kutadza kutora mushonga mumwe chete kunogona kuva nengozi.
Kana uri pasi pekushushikana, zvakaita sehutachiona, kuvhiyiwa, kana tsaona, mushonga wako uyu ungangoda kuwedzerwa. Chiremba wako achakuzivisa nezveizvi.
Dambudziko rine njodzi huru: Dambudziko reAddisonian
Iyi ndiyo
njodzi yakakura uye inotyisidzira hupenyu inogona kuitika muchirwere cheAddison.Kana muviri uri pasi pekushushikana kwakanyanya (semuenzaniso, hutachiona hwakakomba, tsaona, kuvhiyiwa), muviri haugone kurarama nekuda kwemazinga akaderera emahormone. Zviratidzo zvinobva zvangoerekana zvanyanya.
Zviratidzo zvedambudziko reAddisonian:- Kurwadziwa kwakakomba, kumusana, mudumbu, kana makumbo kamwe kamwe
- Kurutsa kwakanyanya uye manyoka, zvichikonzera kupera mvura mumuviri
- Kuvhunduka kunokonzerwa neBP yakaderera zvikuru
- Kurasikirwa nepfungwa
- Fivha yakanyanya uye kushaya simba
Kana paine chimwe chezviratidzo izvi chikaitika, idambudziko rehutano. Murwere anofanira kuendeswa kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo nekukasika. Mharidzo Yekuenda Nayo Kumba
- Kunyangwe chirwere cheAddison chiri chirwere chehupenyu hwese, kana chikarapwa nemazvo, zvinokwanisika kurarama hupenyu hwakanaka uye hwakajairika .
- Usaregeredza zviratidzo zvakaita sekuneta nguva dzose, ganda rakasviba, kushaya chido chekudya, uye kudzikira kwehuremu. Taura nachiremba wako nezvazvo.
- Usambofa wakarasikirwa nemushonga wawakanyorerwa nachiremba wako. Gara uine mimwe mishonga.
- Gara wakapfeka kadhi rekuti une chirwere cheAddison kana bracelet inoratidza kuti une chirwere cheAddison. Izvi zvinogona kukubatsira kuponesa hupenyu hwako kana paine dambudziko.
- Nzwisisa kuti dambudziko reAddisonian idambudziko rehutano. Zvakakosha kuti iwe nemhuri yako muzive zviratidzo zvaro.
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