Pane dambudziko rinongoerekana raitika mumuviri wako here? Ngatidzidzei nezve Adrenal Crisis!

O, wakambonzwa kuneta kusingafungidzike, kurwadziwa nemudumbu, uye kunzwa seusina simba? Pamwe dzimwe nhengo dzemuviri wako dzinoita sedzakasviba zvishoma? Izvi hazvisi zvinhu zviri nyore, zvinogona kunge zviri zviratidzo zve emergency inonzi adrenal crisis . Ngatitaurei nezvazvo zvakadzama nhasi, nekuti izvi zvinogonawo kukanganisa hupenyu.

Sei izvi zvichinzi dambudziko readrenal? Chii chinoitika mune izvi?

Zvichitaurwa zviri nyore, dambudziko readrenal chirwere chakakomba chinoitika kana ma adrenal glands ako asingagadzi hormone cortisol yakakwana. Ichi ndicho chimiro chakanyanya kuipa che adrenal insufficiency , chirwere chakafanana nechirwere cheAddison . Kana uchifungidzira kuti une chirwere ichi, zvakanaka kuti uone chiremba nekukasika.

Zvino tarisai, ma adrenal glands aya ari pamusoro peitsvo dzedu. Akaita sematriangle maviri madiki. Aya ndiwo anogadzira mahormone akawanda akakosha, anosanganisira cortisol . Mahormone akafanana nemakemikari anotumira mashoko kunhengo dzese dzemuviri wedu. Anofamba nemuropa uye anotakura mashoko kunhengo dzese dzemuviri wedu, ganda, netsandanyama, achiti, "Ita izvi pano, ita izvi pano, ita izvi pano panguva ino."

Homoni inonzi cortisol inokanganisa nhengo dzese dzemuviri wedu. Heano mamwe emabasa ayo makuru:

• Inodzora kuti muviri wedu unopindura sei kana wasangana nekushushikana.
• Zvinobatsira kudzora mashandiro emuviri wedu.
• Inoderedza kuzvimba mumuviri.
• Inodzora BP.
• Inodzora huwandu hweshuga muropa.
• Zvinobatsirawo kudzora kutenderera kwedu kwekurara nekumuka.

Izvi zvinonziwo Addisonian crisis , kana kuti acute adrenal crisis .

Sei dambudziko iri readrenal riri dambudziko rekukurumidza?

Izvi zvine njodzi huru, nekuti kana dambudziko re adrenal rikaitika, miviri yedu inogona kusawana ropa rakakwana. Tinozviti kuvhunduka . Dambudziko iri rinogona kukura nekukurumidza uye kukuvadza nhengo dzedu dzemukati. Kana rikasarapwa zvakanaka, vanhu vanosvika 20% vanowana dambudziko iri vanogona kufa. Uyewo, pfari uye coma zvinogona kuitika. Ndosaka izvi zvichinzi emergency.

Ndiani anonyanya kubatwa nechirwere ichi? Chinowanzoitika sei?

Dambudziko reAdrenal rinogona kuitika chero pazera ripi zvaro, asi rinowanzoitika kuvanhu vane makore ari pakati pe30 ne50.

Izvi hazviwanzoitika. Zvidzidzo zvinoratidza kuti vanhu vanosvika 42% vane adrenal insufficiency vachava nedambudziko readrenal . MuUnited States, kuwanda kweadrenal insufficiency kunenge munhu mumwe chete pavanhu 100,000. Dzimwe zvidzidzo zvinoratidza kuti vanhu vanosvika 25% vanova nedambudziko readrenal vanofa. Ndosaka zvichikosha kuziva izvi.

Ndezvipi zviratidzo zvedambudziko readrenal?

Zviratidzo zvikuru zvinoonekwa muchirwere ichi ndeizvi:

• Kurwadziwa kwedumbu, kana kurwadziwa mudumbu repazasi.
• Kunzwa kuneta nguva dzose, kwakanyanya.
• Chikafu hachina kunaka.
• Kusviba kwenzvimbo dzeganda (hyperpigmentation) .
• Kunzwa kusasimba mumuviri.
• Kuonda pasina chikonzero.

Pamusoro peizvi, panogona kunge paine zvimwe zviratidzo zvinonyevera:

• Kushaya mvura mumuviri.
• Manyoka.
• Dzungu, musoro mupfupi, musoro mupfupi, kupera simba, kana kurasikirwa nepfungwa (coma).
• Kurwara nefivha.
• Musoro.
• Kurwadziwa kwemajoini.
• Kuderera kweshuga muropa (kuderera kweshuga muropa).
• Kuderera kweropa.
• Kurutsa uye kuda kurutsa.
• Kufema nekukurumidza.
• Kurova kwemoyo nekukurumidza.

Kana uine chimwe chezviratidzo izvi kana kupfuura, usazvitore sezvisina basa.

Ndezvipi zvinokonzera dambudziko readrenal?

Izvi zvinogona kukonzerwa nezvinhu zvakasiyana-siyana zvinoshungurudza. Heano mamwe ezvikonzero zvikuru:

• Kusarapa zvakanaka chirwere chinonzi adrenal insufficiency, chakadai sechirwere cheAddison .
• Kukuvadzwa kweAdrenal gland. Kureva, zvinhu zvakaita sechirwere cheadrenal gland nekuvhiyiwa.
• Kushaya mvura mumuviri.
• Chirwere chinonzi hypopituitarism (kuderera kwebasa repituitary gland).
• Utachiona. Fungidzira dai waiva nedzihwa rakaipa kana chimwe chirwere.
• Kurega kamwe kamwe kushandisa mishonga yeglucocorticoid (yakadai seprednisone ) mushure mekushandisa kwenguva refu.
• Kushushikana kwepfungwa kana kwemanzwiro kwakanyanya. Fungidzira dai waiva nedambudziko guru, kusuruvara, kana kushushikana kwakakomba.

Dambudziko readrenal rinoonekwa sei?

Zvinogona kuoma zvishoma kuziva chirwere ichi, sezvo zviratidzo zvacho zvakafanana nezvezvimwe zvirwere zvakajairika. Zvisinei, kune mimwe miedzo inogona kubatsira vanachiremba kuona chirwere ichi nemazvo:

• Kuongororwa kweropa reAdrenocorticotropic hormone (ACTH)
• Kuongororwa kweshuga muropa (kuongororwa kweshuga muropa )
• Kuongororwa kweCortisol ( bvunzo inoongorora mazinga ecortisol)
• bvunzo yeropa re pH ( bvunzo inoyera acidity yeropa)
• Kuongororwa kweropa rePotassium ( bvunzo inoongorora huwandu hwepotassium muropa)
• Kuongororwa kweropa reSodium ( bvunzo inoongorora huwandu hwesodium muropa)

Miedzo iyi ndiyo inobvumira chiremba kukuudza kana uri nedambudziko readrenal kana kwete.

Izvi zvinorapwa sei?

Kana uchifungidzira kuti une dambudziko re adrenal , chiremba wako anotanga kukurapa nekukasika . Izvi zvinowanzosanganisira kukupa jekiseni re hydrocortisone (ingave hydrocortisone phosphate kana hydrocortisone sodium succinate ) uye saline solution mutsinga iri muruoko rwako kana muruoko uchishandisa tsono diki nechubhu. Izvi zvinonzi jekiseni re intravenous (IV) . Jekiseni re hydrocortisone rinoshanda nekutsiva hormone ye cortisol iyo muviri wako warasikirwa nayo.

Zvakakosha: Kutanga kurapwa uku nekukurumidza ndiyo nzira yakanakisisa yekuponesa hupenyu.

Kana, kunyangwe zviri zvega, chirwere chako chakakonzerwa nehutachiona hwebhakitiriya, chiremba wako anogona kukupa mishonga inorwisa mabhakitiriya .

Uyewo, zvimwe zviratidzo zvinoitika nedambudziko iri readrenal zvinorapwa. Semuenzaniso, kana paine kushaya mvura mumuviri kana kusawirirana kwema electrolyte ( kusawirirana kwemunyu mumuviri), mvura, zvinwiwa zvemitambo, kana mvura yekokonati zvinogona kupihwa. Kana shuga iri muropa yakaderera (hypoglycemia) , chikafu chine makabhohaidhiretsi chinogona kupihwa.

Kana usati wambosangana nedambudziko readrenal , chiremba wako achaitawo bvunzo dzakadai sedze ACTH stimulation tests kuti awane chikonzero chacho.

Pane migumisiro yakaipa here yekubaiwa jekiseni rehydrocortisone?

Ehe, semishonga yese, kune mimwe migumisiro midiki. Zvisinei, kana tichienzanisa nekuoma kwedambudziko re adrenal, izvi zvinowanzo bvumidzwa. Vamwe vanhu vanogona kusangana ne:

• Kurwara neallergy.
• Tsvina nhema kana kuti dzine ropa.
• Kupindwa nechando.
• Huro inorwadza.
• Kukosora.
• Kuchinja-chinja kwemanzwiro.
• Kurwadziwa muhudyu, musana, mbabvu, maoko, mapendekete, kana makumbo.

Kana chimwe chinhu chakadai chikaitika, unofanira kuudza chiremba .

Jekiseni rehydrocortisone iri rakakodzera vakadzi vane pamuviri here?

Ehe, kana uine pamuviri uye uine dambudziko re adrenal , zvakachengeteka kubayiwa jekiseni re hydrocortisone . Mushonga uyu, unonzi hydrocortisone, hauyambuke ne placenta uchienda kumwana.

Fungai kuti kana musingarapwe izvi, zvine njodzi kuhupenyu hwenyu pamwe nehwemwana. Saka, zvakakosha kuti murapwe sezvakarairwa navanachiremba.

Ndichakurumidza sei kupora mushure mekurapwa?

Zvinogona kutora maawa makumi maviri nemana kana kupfuura kuti unzwe zviri nani mushure mekurapwa dambudziko readrenal . Zvinoda mwoyo murefu.

Nzira yekudzivirira dambudziko readrenal?

Kana uine adrenal insufficiency , zvakakosha kuziva zvinhu zvinokonzera adrenal crisis . Unoyeuka here zvinhu zvatakambotaura nezvazvo, zvakaita sekushushikana, kushaya mvura mumuviri, hutachiona, kana kusatora mishonga yako yeglucocorticoid nemazvo?

Kuvhiyiwa nepamuviri zvinogonawo kuwedzera kusakwana kwe adrenal cortex . Saka, unofanira kuudza chiremba wako kuti une dambudziko iri usati wavhiyiwa. Kana uchironga kuva nemwana, taura nachiremba wako nezvazvo futi.

Chimwe chinhu chakakosha kugara uine kadhi reID rekurapa, chishongo chemuhuro, kana bracelet inotaura nezvechirwere chako. Rinofanira kutaura zvakajeka kuti mushonga upi waunoda uye kuti unoda mushonga upi. Ruzivo urwu ruchabatsira vari kukurapa munguva yenjodzi kuti vakupe kurapwa kwakakodzera panguva yakakodzera.

Tarisa huremu hwako nguva nenguva uye tarisa BP yako. Kana uri kudzikira huremu kana kuti BP yako yakakwira zvakanyanya kana kuti yakaderera, udza chiremba wako .

Chiremba wako anogona kukupa jekiseni re cortisol kuti unwe kana paine emergency. Iye achakuudza kuti unofanira kuinwa riini uye kuti ungainwa sei. Chengeta mushonga uyu nemirairo yekushandisa newe nguva dzese. Kana usina simba rekuinwa kana paine emergency, dzidzisa mumwe wemhuri yako kana shamwari yepedyo kuti ungainwa sei.

Zvakanaka kuronga nachiremba wako zvekuita kana usingakwanise kunwa mapiritsi ehydrocortisone nekuda kwekuda kurutsa kana kuda kurutsa.

Chii chinoitika kana uine dambudziko readrenal? Chii chaunotarisira?

Kana uchifungidzira kuti une dambudziko re adrenal , tsvaga rubatsiro rwechiremba nekukasika. Kutora glucocorticoids yakawandisa kwenguva pfupi hakukuvadzi zvakanyanya. Zvisinei, kana ukasawana kurapwa nekukurumidza, zvinogona kuuraya. Saka usatore izvi sezvisina basa.

Kazhinji, vanhu vakambova nedambudziko readrenal vanofanira kutora mapiritsi ehydrocortisone kweupenyu hwavo hwese. Zvakanaka kugara uine mimwe mishonga, kana ukarwara woda mimwe.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zvedambudziko readrenal , enda kuna chiremba nekukasika .

Kana uine dambudziko guru rekushushikana - kungava kukuvara, kurwara, kana kushushikana kwakanyanya - ona chiremba. Ungangoda kugadzirisa mwero wemishonga yako.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Kana uchienda kunoona chiremba, zvakanaka kubvunza mibvunzo yakaita seiyi:

• Unoziva sei chaizvo kana ndiri nedambudziko readrenal ?
• Kana ndisina dambudziko readrenal , ndechipi chimwe chirwere chandingasangana nacho?
• Chii chakakonzera dambudziko readrenal mudumbu rangu?
• Zvichatora nguva yakareba sei kuti ndipore?
• Mushonga werudzii wamunokurudzira?
• Ndinofanira kuchengeta mushonga uyu zvakanaka sei?
• Pane mimwe migumisiro yakaipa pamushonga uyu here?

Bvunza mibvunzo iyi kuti unzwisise zviri nani mamiriro ako ezvinhu.

Ndeupi musiyano uripo pakati peThyroid Storm neAdrenal Crisis?

Kunyangwe zvese izvi zviri zvekukurumidzira, pane musiyano pakati pezviviri izvi.

Thyroid storm ndiyo mhando yakanyanya yechirwere chinonzi thyrotoxicosis . Thyrotoxicosis inoitika kana muviri wako uchigadzira thyroid hormone yakawandisa. Gland rethyroid riri mumutsipa wedu rinogadzira mahormone e triiodothyronine (T3) ne thyroxine (T4) . Mahormone aya anodzora zvinhu zvakaita sekupisa kwemuviri wedu, kurova kwemoyo, uye metabolism.

Zvisinei, dambudziko readrenal , sezvatakakurukura, idambudziko rinotyisidzira hupenyu rinowanzoitika kana ma adrenal glands asingagadzire cortisol yakakwana.

Pakupedzisira, zvinhu zvekurangarira

Saka, kana uine adrenal insufficiency , kana kuti uri kuona zviratidzo zvedambudziko readrenal ,Taura nachiremba nekukasika. Kurapwa nekukurumidza kunogona kuponesa hupenyu hwako.

Kana uine dambudziko re adrenal , ungangoda kutora mishonga kweupenyu hwako hwese. Shanda nachiremba wako kuti uone chero zvinokonzera chirwere chako uye edza kudzivirira zvese sezvinobvira. Hupenyu hwako hunokosha kwauri, saka huchengetedze.

Dambudziko reAdrenal , cortisol, chirwere cheAddison, mahormone, adrenal glands, kurapwa kwekukurumidzira, zviratidzo