Dzimwe nguva unonzwa kuneta zvisina kujairika uye kuneta pasina chikonzero here? Une kurasikirwa nechido chekudya , kudzikira uremu , kana dzungu here? Ungave wakaonawo kuti ganda rako, kunyanya magokora nemabvi ako, rashanduka kuita brown. Usangoregeredza zvinhu izvi. Zvinogona kunge zviri chiratidzo chechimwe chinhu chakakosha chiri kuitika mumuviri wako. Nhasi tiri kutaura nezvechimwe chirwere chakadai, Addison's Disease .
Zvichitaurwa zviri nyore, chii chinonzi chirwere cheAddison?
Funga nezvemuviri wedu sekambani hombe. Kambani iyi ine boka re " vatumwa vemakemikari" vanotumirana mameseji kuti mabasa akasiyana-siyana arambe achishanda zvakanaka. Tinodaidza kuti mahormone aya.
Pamusoro peitsvo dzedu, sengowani mbiri diki, pane magland maviri madiki. Aya ndiwo atinodaidza kuti magland eadrenal . Magland aya anogadzira mahormone maviri akakosha muhupenyu hwedu. Ndiwo cortisol nealdosterone .
Chirwere cheAddison chirwere apo adrenal glands inokuvadzwa nechikonzero chakati uye haigone kugadzira huwandu hunodiwa hwemahormone aya. Ichi chirwere chisingawanzoitiki. Asi zvakakosha kuziva izvi.
Chii chinoshanda nemahormone maviri aya?
- Cortisol: Izvi zvakafanana ne "stress manager" yemuviri wedu. Hormone iyi inogadzirira muviri kuti ugadzirise zvirwere, njodzi, uye kushushikana. Inobatsirawo kudzora BP, huwandu hweshuga muropa, uye kushandiswa kwemapuroteni, makabhohaidhiretsi, nemafuta.
- Aldosterone: Hormone iyi ndiyo "mutongi wemunyu nemvura" wemuviri wedu. Inobatsira itsvo dzedu kuchengetedza mwero wemunyu (sodium) nepotassium mumuviri. Inodzorawo BP yedu.
Kana mahormone aya akaderera, mashandiro emuviri wese anokanganiswa. Ndizvo zvinoitika kuchirwere cheAddison.
Ndezvipi zviratidzo zvechirwere cheAddison?
Zviratidzo zvechirwere cheAddison zvinouya zvishoma nezvishoma, zvishoma nezvishoma. Saka dzimwe nguva zvinogona kutora nguva kuti zvizivikanwe sechirwere. Zviratidzo izvi zvakafanana nezvezvimwe zvirwere zvakajairika, saka zvinogona kusanzwisiswa.
Ona tafura iri pazasi kuti uone zvinhu zvikuru zvauchaona.
| Chiratidzo | Tsananguro |
|---|---|
| Kuneta kusingaperi uye kushaya simba kwetsandanyama | Kunzwa kuneta uye kusisina hupenyu zuva rese, zvisinei nekuti unowana zororo rakadini. |
| Kusviba/kusviba kweganda (Hyperpigmentation) | Kusviba kweganda panzvimbo dzakadai semagokora, mabvi, zvigunwe, miromo, nematadza. Kunyangwe mavanga ekare anogona kuita matema. |
| Kurasikirwa nechido chekudya uye kudzikira kwehuremu | Kushaya chido chekudya uye zvinozokonzera kudzikira kwehuremu. |
| Kuderera kweropa (Hypotension) | Kana uchinzwa dzungu, kunyanya paunomira wakagara, zvinogona kunge zvichikonzerwa neBP yakaderera. Unogona kutorasikirwa nepfungwa. |
| Kuda munyu zvakanyanya | Sezvo munyu wemuviri uchidzikira, pane chishuwo chekudya chikafu chine munyu nezvimwe zvakaita semagaka. |
| Zvimwe zvinhu | Kusvotwa, kurutsa, kurwadziwa mudumbu, kuzvimba, shuga shoma muropa (hypoglycemia), kusagadzikana kwepfungwa, uye kumwedzi kusina kurongeka kuvakadzi. |
Ndezvipi zvikonzero zvechirwere cheAddison?
Chikonzero chikuru chechirwere cheAddison chirwere chinokonzerwa ne autoimmune.Zvichitaurwa zviri nyore, ndipo apo masoja emuviri wedu anotanga kurwisa nekuparadza ma adrenal glands edu. Izvi ndizvo zvinokonzera 70% yevarwere veAddison.
Uyezve, panogona kunge paine zvimwe zvikonzero.
- Utachiona: Utachiona hwenguva refu hwakadai seTB neHIV hunogona kukuvadza adrenal glands.
- Kenza: Masero ekenza akaumbwa kune dzimwe nzvimbo anopararira achienda kuma adrenal glands.
- Kubuda ropa mukati: Kubuda ropa mukati meadrenal glands.
- Zvikonzero zvemajini: Kunewo njodzi yekubatwa nechirwere ichi nekuda kwemamwe mamiriro ezvinhu emajini.
- Kuvhiyiwa: Kana wakambovhiyiwa kubvisa adrenal glands.
Unoona sei izvi, Chiremba?
Kana uine chimwe chezviratidzo izvi, enda kuna chiremba wemhuri yako nekukurumidza. Achakuongorora uye achakutumira kuna chiremba kana zvichidikanwa.
Kuongororwa kweropa kwakawanda kunonyanya kushandiswa kuona chirwere chacho.
1. Kuongororwa kweropa kwekutanga: Izvi zvinotarisa kana huwandu hwesodium (munyu) muropa rako hwakaderera kana kuti huwandu hwepotassium muropa rako hwakakwira.
2. Kuongororwa kweACTH: Iyi ndiyo bvunzo inonyanya kukosha. Muiyi, huwandu hushoma hwehormone inonzi ACTH, inoburitswa neuropi hwako, inopihwa sejekiseni. Mumunhu ane hutano, jekiseni iri rinoita kuti adrenal glands igadzire hormone yakawanda ye cortisol. Zvisinei, mumunhu ane chirwere cheAddison, glands hadzipindure nenzira iyi. Chirwere ichi chinosimbiswa nekutora sampuli yeropa uye kuyera huwandu hwe cortisol iyi.
Pamusoro pezvo, CT scan inogona kuitwa kuti ionekwe kana paine hutachiona, kenza, kana kubuda ropa muadrenal glands.
Dambudziko guru: Dambudziko reAddisonian
Iyi ndiyo nhanho ine njodzi uye inongoerekana yaitika yechirwere cheAddison. Zviratidzo zvinowanzo buda zvishoma nezvishoma, saka vamwe vanhu havatombozivi kuti vane chirwere ichi. Panguva ino, kana muviri uri pasi pekushushikana kwakanyanya, senge chimwe chirwere, kuvhiyiwa, kana tsaona, zviratidzo zvinogona kungoerekana zvanyanya kuipa. Izvi zvinonzi Addisonian crisis .
Iyi inyaya yekurapwa uye inogona kukonzera rufu kana ikasarapwa.
Zviratidzo zvedambudziko reAddisonian:
- Kurwadziwa kwakakomba, kamwe kamwe kumusana, mudumbu, kana makumbo.
- Kurutsa zvakanyanya uye manyoka, zvichikonzera kupera mvura mumuviri.
- Kuvhunduka kunokonzerwa neBP yakaderera zvikuru.
- Kurasikirwa nepfungwa.
- Fivha inokurumidza uye kushaya simba kwakanyanya.
Kana zviratidzo izvi zvikaonekwa,Murwere anofanira kuendeswa kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo nekukasika.
Kurapwa uye hupenyu hwakajairika
Ungatya kunzwa nezvechirwere cheAddison, asi mashoko akanaka ndeekuti kune mishonga inoshanda zvikuru yekurapa chirwere ichi.
Chirwere ichi chinokonzerwa nemhando mbiri dzemahormone asipo mumuviri. Saka kurapwa kwacho ndekwekupa mahormone iwayo kunze kwemuviri muchimiro chemapiritsi.
- Hydrocortisone: Piritsi resteroid rinotsiva hormone inonzi cortisol.
- Fludrocortisone: Piritsi rinotsiva hormone inonzi aldosterone.
Mushonga uyu unofanira kutorwa zuva nezuva, sezvakarairwa nachiremba.
Chinhu chinonyanya kukosha ndechekuti usambofa wakasiya mushonga mumwe chete. Kusatora mushonga mumwe chete kunogona kuva nengozi.
Kana uine hutachiona, fivha, kana kuti uri kuvhiyiwa, chiremba wako achawedzera mushonga uyu kwenguva pfupi kudzivirira dambudziko reAddisonian.
Kana munhu ane chirwere cheAddison akarapwa zvakanaka , anogona kurarama hupenyu hwakanaka uye hwakajairika .
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheAddison chirwere apo adrenal glands inotadza kugadzira mahormone akakwana e cortisol ne aldosterone.
- Zviratidzo zvikuru kuneta nguva dzose, kudzikira kwehuremu, BP yakaderera, uye kusviba kweganda.
- Kana uine zviratidzo izvi, usavhunduka wobva waona chiremba nekukasika.
- Kunyangwe ichi chiri chirwere chehupenyu hwese, unogona kurarama hupenyu hwakajairika nekushandisa mishonga zuva nezuva.
- Kana uine chirwere cheAddison, gara wakapfeka kadhi kana bracelet inoratidza chirwere chako. Izvi zvinogona kuponesa hupenyu hwako kana paine emergency.
- Dambudziko reAddisonian idambudziko rinoda kurapwa nekukasika. Zvakakosha kuziva zviratidzo.
Chirwere cheAddison, mahormone, adrenal glands, cortisol, aldosterone, kuneta nguva dzose, kusviba kweganda, adrenal glands, adrenal insufficiency, BP yakaderera
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