Dambudziko rehutano rinowanzoitika kune vazhinji vedu iBP yakakwira , kana kuti " pressure " sezvatinozviziva tese. Dzimwe nguva, izvi zvinogona kudzorwa nekutora mushonga wakanyorerwa nachiremba. Asi kune vamwe vanhu, kunyangwe mushure mekushandisa mhando imwe chete, kwete mbiri, asi nhatu kana ina dzemishonga, pressure iyi haigone kudzorwa uye vanenge vari pasi pepressure yakawanda. Saka kana iwe uinewo BP yakakwira iyo yakaoma kudzora, chikonzero chingave chirwere chinonzi Hyperaldosteronism , chatisati tanzwa zvakawanda nezvacho. Ngatitaurei nezvazvo nhasi.
Saka chii chinonzi Hyperaldosteronism?
Zvichitaurwa zviri nyore, Hyperaldosteronism ihomoni yakawandisa inonzi aldosterone inoburitswa neadrenal glands mumuviri wedu.
Funga nezvazvo, adrenal glands matinji maviri madiki anogara pamusoro peitsvo dzedu. Homoni inonzi aldosterone inogadzirwa nematinji aya inokosha zvikuru. Inobatsira kuchengetedza huwandu hwakakwana hwemvura, sodium ( munyu ) uye potassium mumiviri yedu. Kureva kuti, homoni iyi inobatsira muviri kuchengetedza sodium nemvura yaunoda uye kubvisa potassium yakawandisa muweti .
Saka, kana nekuda kwechimwe chikonzero ichi aldosterone hormone iyi ikaburitswa yakawandisa, tinoidaidza kuti Hyperaldosteronism. Chinoitika ndechekuti muviri unochengeta sodium nemvura yakawandisa, uye huwandu hwepotassium hunodzikira zvine njodzi. Mugumisiro mukuru weizvi iBP yakakwira, iyo yakaoma kwazvo kudzora .
Sei mamiriro ezvinhu aya achiitika?
Hyperaldosteronism inogona kukamurwa kuita mhando mbiri huru zvichienderana nezvikonzero.
1. Kurwara kwemusoro kweropa (Primary Hyperaldosteronism)
Dambudziko riri paadrenal gland pachayo. Kureva kuti, adrenal gland pachayo inoburitsa aldosterone hormone yakawandisa pasina kudzora. Pane zvikonzero zvakawanda zveizvi.
| Chikonzero | Tsananguro |
|---|---|
| Adenoma | Ichi ndicho chikonzero chinowanzoitika. Bundu risiri rekenza rinokura mune rimwe remagland eadrenal. Chirwere ichi chinonziwo Conn's syndrome. |
| Hyperplasia yeAdrenal yemativi maviri | Kuwedzera kwemasero eadrenal glands kana kukura zvakanyanya kwemasero avo. |
| Mabundu ane kenza | Kashoma, chirwere ichi chinogonawo kukonzerwa negomarara riri muadrenal gland. |
| Zvikonzero zvenhaka | Inogonawo kukonzerwa nechirwere chemajini chinonzi familial hyperaldosteronism. |
2. Hyperaldosteronism Yechipiri (Secondary Hyperaldosteronism)
Hapana chakaipa neadrenal gland mune izvi. Zvisinei, nekuda kwechimwe chirwere chiri mumuviri, adrenal gland inosimudzirwa uye inoburitsa aldosterone yakawanda. Izvi zvinoitika nekushanda kwe renin-angiotensin-aldosterone system mumuviri wedu.
| Zvirwere zvinogona kuitika |
|---|
| Kuoma kwetsinga dzeitsvo (kutetepa kwetsinga dzinoendesa ropa kuitsvo) |
| Kukundikana kwemoyo |
| Chirwere chechiropa chisingaperi |
| Pamuviri |
| Bundu rinoburitsa renin |
Ndezvipi zviratidzo zveizvi?
Yeuka, chiratidzo chikuru uye chinowanzoonekwa chechirwere ichi iBP yakakwira, iyo yakaoma zvikuru kudzora kunyangwe nemishonga mishomanana yakajairika.
Kuwedzera pazviratidzo zveBP yakakwira, zviratidzo zve potassium shoma mumuviri zvinogonawo kuonekwa. Dzimwe nguva chirwere ichi chinogona kuvapo pasina zviratidzo.
| Chikamu chezviratidzo | Zvinhu zvinoonekwa |
|---|---|
| Nekuda kweBP yakakwira | Musoro, dzungu, kuona zvisipo, chirwere chemwoyo. |
| Nekuda kwehuwandu hwakaderera hwe potassium (Hypokalemia) | Zvirwere zvakaita sekuoma kwemakumbo, kushaya simba kwetsandanyama, kurwadziwa kwemusoro, uye kuoma mitezo kwenguva pfupi. |
| Nekuda kwekusaenzana kwemvura nemunyu | Kuda kuita weti kakawanda, kumuka husiku kuti uite weti, nyota yakawandisa, kuneta zvakanyanya. |
Ndingaziva sei kana izvi zviripo?
Kana uine BP yakanyanya kuoma kudzora, chiremba wako anogona kufungidzira dambudziko iri uye anogona kuita bvunzo dzakawanda.
- Kuongororwa kweropa: Kuongororwa kwemazinga e potassium, aldosterone, uye renin muropa rako. Mu hyperaldosteronism yekutanga, potassium yakaderera uye aldosterone yakakwira. Mu hyperaldosteronism yechipiri, mazinga e renin akakwirawo.
- Kuongororwa kweweti: Weti inounganidzwa kwemaawa makumi maviri nemana inoongororwa kuti ione kana ine potassium yakawanda sei.
- Kuongororwa kwekuiswa kwemunyu: Mapiritsi eSodium anopihwa kwemazuva matatu kana kuti saline inopihwa mutsinga kwemaawa mana, uye mazinga ealdosterone anoongororwa muropa kana weti.
- Miedzo yekufungidzira: Muedzo wakaita seCT scan unogona kushandiswa kutarisa bundu kana kukura kweadrenal glands.
- Kuongororwa kwetsinga dzeAdrenal:Kuongororwa uku kunoitwa kana scans dzisina kunyatsojeka. Izvi zvinosanganisira kutora ropa kubva mutsinga dzema "adrenal glands" ese kuti vaone kana dambudziko riri mu "gland" rimwe chete kana kuti ese ari maviri. Izvi zvinowanzoitwa vasati vavhiyiwa.
- Kuongororwa kwemajini: Kana munhu ari pasi pemakore makumi maviri akaonekwa nechirwere ichi kana kuti mumwe munhu mumhuri make akamborwara nechirwere ichi, anogona kutumirwa kunoongororwa majini.
Inorapwa sei?
Nzira dzekurapa dzinoenderana nechikonzero uye rudzi rwechirwere ichi.
- Kuvhiyiwa: Kana dambudziko riri bundu pane imwe adrenal gland, chiremba wako anowanzo kurudzira kuvhiyiwa kwe laparoscopic kubvisa gland. Izvi zvinosanganisira kucheka kadiki, izvo zvinogona kukubatsira kuti upore nekukurumidza uye kuderedza kugara kwako muchipatara.
- Mishonga: Kana paine dambudziko ne adrenal glands ese (bilateral hyperplasia), kuvhiyiwa hakusi sarudzo. Pane kudaro, mishonga inodzivisa kushanda kwehomoni aldosterone (semuenzaniso, spironolactone, eplerenone) inopiwa. Kunyange zvazvo mishonga iyi isingarapi chirwere ichi, inogona kudzora migumisiro yacho.
- Mamwe marapirwo: Mu hyperaldosteronism yechipiri, chirwere chiripo (semuenzaniso, chirwere chemwoyo, renal artery stenosis) chinorapwa.
- Kuchinja mararamiro: Pasinei nekurapwa, zvakakosha kuti munhu aite mamwe mararamiro ake kuti adzore BP.
- Kudzivisa doro
- Kurega kusvuta
- Kurovedza muviri nguva dzose
- Kudzora huremu hwemuviri
- Kuderedza kudya kwemunyu (sodium) mukudya
Ndezvipi njodzi dziripo kana dzikasarapwa?
Kana hyperaldosteronism ikasarapwa nemazvo, BP yakakwira kwenguva refu uye potassium shoma zvinogona kukonzera matambudziko akakomba.
- Kukwira kweropa kunogona kukonzera: Kurwara nemoyo, sitiroko, kutadza kushanda zvakanaka kwemoyo, chirwere cheitsvo, uye kunyange kufa nguva isati yakwana.
- Kuderera kwepotassium mumuviri kunogona kukonzera zvirwere zvakaita se: kushaya simba kwetsandanyama, kuoma mitezo, kuvimbiwa, matambudziko ekushanda kwe insulin mumuviri, uye chirwere cheshuga.
Saka, kana uine zviratidzo zvakaita seBP yakanyanya kuoma kudzora, nyota yakawandisa, kuita weti nguva nenguva, kana kushaya simba kwetsandanyama, iva nechokwadi chekuona chiremba wako wotaura nezvazvo. Usavhunduke, ichi chirwere chinogona kuongororwa uye kurapwa.
Mharidzo Yekuenda Nayo Kumba
- Hyperaldosteronism inoitika kana ma adrenal glands ako achiburitsa hormone aldosterone yakawandisa.
- Chiratidzo chikuru cheizvi iBP yakakwira iyo inonetsa kudzora kunyangwe uchishandisa mishonga yakawanda.
- Uyewo, zviratidzo zvakaita sekushomeka kwepotassium mumuviri, kushaya simba kwetsandanyama, uye kurwadziwa kwetsandanyama zvinogona kuitika.
- Kana uine zviratidzo izvi, taura nachiremba wako nezvazvo. Zvakakosha kuti usavhunduke.
- Zvichienderana nechikonzero chacho, chirwere ichi chinogona kurapwa zvinobudirira nekuvhiyiwa, mishonga, uye kuchinja mararamiro.
Hyperaldosteronism, BP yakakwira, adrenal glands, aldosterone, potassium yakaderera, pressure, Conn's syndrome
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