Une BP yakakwira here, kana kuti BP yakakwira? Ungave uchitora mishonga miviri kana mitatu yawakanyorerwa nachiremba wako. Asi zvichiri kuoma here kudzora BP yako? Unonzwawo kuneta, kushaya simba, uye kazhinji usina mvura mumuviri? Kana zvakadaro, chikonzero chechirwere chako chingave chimwe chinhu chisiri BP yakajairika. Nhasi tichataura nezvechirwere chakadaro. IPrimary Aldosteronism, kana kuti Conn's Syndrome.
Zvichitaurwa zviri nyore, chii chinonzi Primary Aldosteronism?
Ichi chinhu chinoda tsananguro diki. Mumuviri wedu, mune matumbu maviri madiki ari pamusoro peitsvo. Tinoadaidza kuti matumbu eadrenal, kana kuti muchirungu, matumbu eadrenal . Matumbu aya anogadzira marudzi akasiyana-siyana emahormone akakosha mumuviri wedu.
Aldosterone ihormone inogadzirwa nemagland aya. Basa guru rehormone iyi nderekudzora huwandu hwesodium (munyu) nepotassium muropa redu. Kuburikidza neizvi, hormone iyi inobatsirawo kudzora kuenzana kwemvura mumuviri wedu uye BP.
Saka, Primary Aldosteronism inoitika kana adrenal glands yako ichiburitsa hormone aldosterone yakawandisa nekuda kwechimwe chikonzero. Kana mazinga e aldosterone akawedzera, huwandu hwe sodium (munyu) mumuviri wako hunowedzera uye huwandu hwe potassium hunoderera. Izvi zvinoguma neBP yakakwira isingadzoreki uye mazinga e potassium muropa akaderera (hypokalemia).
Ichi chaimboonekwa sechirwere chisingawanzoitiki, asi zvakaonekwa kuti pakati pe5% ne10% yevanhu vakuru vane BP vanogona kunge vaine chirwere ichi.
Ndezvipi zviratidzo zvikuru zvechirwere ichi?
Havasi vese vane chirwere ichi vanozosangana nezviratidzo zvakafanana. Asi izvi ndizvo zviratidzo zvinonyanya kuzivikanwa. Ngatizvitarisei patafura.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kukwira kweropa (BP) | Ichi ndicho chiratidzo chikuru, kunyanya BP yakanyanya kuoma kudzora kunyangwe nemishonga yakawanda. |
| Kushomeka kwepotassium muropa (Hypokalemia) | Kuongororwa kweropa kunogona kuratidza potassium shoma. Izvi zvinogona kukonzera kugwinha kwetsandanyama uye kusanzwa simba. |
| Kuneta kakawanda | Kunzwa kuneta uye kusisina hupenyu nguva dzese pasina chikonzero. |
| Musoro | Kurwadziwa nemusoro nguva nenguva. |
| Nyota zvakanyanya uye kuita weti kakawanda | Kunzwa nyota kupfuura zvakajairika nekudaro kuda kuita weti kakawanda. |
| Kushaya simba kwetsandanyama uye kurwadziwa kwetsandanyama | Kunzwa sekuti tsandanyama dzemakumbo nemaoko dziri kutenderera, kunyanya nekuda kwekushaya potassium yakakwana. |
| Kuona kusina kujeka | Dzimwe nguva kuona kunenge kusina kunyatsojeka. |
Sei hormone ye aldosterone ichikura seizvi?
Panogona kunge paine zvikonzero zvakati wandei zveizvi.
- Matumbu asina kunaka eadrenal glands: Ichi ndicho chikonzero chechirwere ichi kuvanhu vazhinji. Bundu diki, risiri rekenza (adenoma) rinokura mune rimwe kana ese ari maviri adrenal glands, iro rinoburitsa hormone aldosterone yakawandisa.
- Kuwanda kweadrenal plasia: Dzimwe nguva, pasina bundu, masero ari muadrenal glands anogona kushanda zvakanyanya uye kugadzira mahormone akawandisa.
- Zvikonzero zvenhaka: Chirwere ichi chinogona kugarwa nhaka mune dzimwe mhuri. Muenzaniso ndewekuti `(Congenital Adrenal Hyperplasia)`.
- Kenza yeadrenal: Ichi chikonzero chisingawanzoitiki.
Musiyano uripo pakati pePrimary neSecondary Aldosteronism
Pane chimwe chinhu chakakosha chaunofanira kuziva. Primary Aldosteronism, yatataura nezvayo, idambudziko rinowanzoitika muadrenal gland pachayo, zvichikonzera kuwedzera kwehomoni.
Asi dzimwe nguva, huwandu hwealdosterone hunogona kuwedzera nekuda kwezvimwe zvirwere mumuviri. Semuenzaniso, hormone iyi inogonawo kuwedzera mumamiriro ezvinhu akadai sekushaya simba kwemoyo, chirwere chechiropa, kana stenosis yetsinga dzeitsvo. Tinodaidza izvi kuti Secondary Aldosteronism . Chiremba achasiyanisa zvakarurama pakati pezvirwere zviviri izvi.
Ungaziva sei izvi?
Kana uine zviratidzo zvataurwa pamusoro apa, chiremba wako anotanga aongorora BP yako. Zvadaro, kana paine kusava nechokwadi nezvechirwere ichi, achakutumira kuti unoongororwa ropa rako.
- Mahormone eropa: Izvi zvinonyanya kuyera huwandu hwemahormone ealdosterone nerenin. Mu aldosteronism yekutanga, huwandu hwealdosterone hwakakwira uye huwandu hwerenin hwakaderera.
- Kuyedzwa kweElectrolyte Level: Izvi zvinoyedza huwandu hwesodium nepotassium muropa rako.
Zvakakosha: Kana watove kutora mishonga yeBP, mimwe yemishonga iyoyo inogona kukanganisa mhedzisiro yekuongororwa kweropa uku. Saka, kuti chiremba wako aongorore chirwere chako nemazvo, anogona kukukurudzira kuti uchinje kana kurega mushonga wako kwenguva yakati.
Kana bvunzo dzeropa dzikaratidza kuti chirwere ichi chaitika, danho rinotevera nderekuongorora ma adrenal glands kuti uwane chikonzero. Izvi zvinowanzoitwa neCT scan (Computed Tomography) kana MRI scan (Magnetic Resonance Imaging) .
Ndezvipi zvinorapwa izvi?
Kurapwa kwechirwere ichi kunoenderana nechikonzero chacho. Kune nzira mbiri huru dzekurapa.
1. Kurapa nemishonga
Kana ma adrenal glands ese ari maviri achishanda zvakanyanya (hyperplasia), kuvhiyiwa hakuwanzoitwa. Pane kudaro, mishonga inodzivisa kushanda kwehomoni aldosterone inopihwa. Mishonga inonyanya kushandiswa ndeye spironolactone ne eplerenone . Mishonga iyi inogona kudzora BP uye kudzoreredza huwandu hwe potassium.
2. Kurapwa nekuvhiyiwa
Kana CT kana MRI scan ikaratidza kuti pane bundu (adenoma) muadrenal gland rimwe chete, mushonga wakanakisa ndeyekubvisa gland iroro nekuvhiyiwa. Kuvhiyiwa uku kunonzi adrenalectomy . Izvi zvinowanzoitwa sekuvhiyiwa kwekiyi (laparoscopic surgery) kuitira kuti kupora kukurumidze.
Mushure mekuvhiyiwa, BP yevanhu vazhinji inodzokera payakajairika kana kuti inogona kudzorwa nemishonga mishoma.
Chii chinoitika kana chikasarapwa?
Kana chirwere ichi chikasarapwa, matambudziko akakomba anogona kuitika nekuda kweBP yakakwira kwenguva refu uye kusashanda zvakanaka kwemaelectrolyte mumuviri.
- Kurwara nemoyo kana kutadza kwemoyo
- Kurohwa
- Kukundikana kweitsvo
- Kurova kwemoyo kusina kurongeka (Arrhythmia)
- kuoma mitezo kwechinguva
Saka, kana uine zviratidzo, zvakakosha zvikuru kuona chiremba nekukasika wotsvaga kurapwa.
Mharidzo Yekuenda Nayo Kumba
- Kurwara kwepakutanga kwe aldosteronism chirwere chinokonzerwa nekuwanda kwekugadzirwa kwehomoni ye aldosterone ne adrenal glands.
- Zviratidzo zvikuru BP yakakwira uye potassium shoma muropa, izvo zvakaoma kudzora kunyangwe uchishandisa mishonga yakasiyana-siyana.
- Zviratidzo zvakaita sekuneta nguva nenguva, musoro, nyota yakawandisa, uye kugwinha kwetsandanyama zvinogonawo kuitika.
- Kuongororwa kweropa uye kuskena kunogona kunyatsoongorora chirwere ichi nechikonzero chacho.
- Zvichienderana nechikonzero, chirwere ichi chinogona kudzorwa zvinobudirira nemishonga kana kuvhiyiwa.
- Kana uine zviratidzo izvi, kunyanya kana uchinetseka kudzora BP yako, iva nechokwadi chekutaura nachiremba wako nezvazvo.
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