Ngaba nawe uziva udiniwe kwaye udiniwe ngendlela engaqhelekanga imini yonke ngaphandle kwesizathu? Ngaba uziva ngathi awunawo amandla? Okanye ulahlekelwa bubunzima kunye nokuphelelwa ngumdla wokutya? Nangona sihlala sicinga ngezi zinto njengokudinwa okuqhelekileyo, ngamanye amaxesha oku kunokuba luphawu lwento enzulu ngakumbi. Leyo yimeko esithetha ngayo namhlanje, i-Addison's Disease. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Ngamafutshane, yintoni isifo sika-Addison?
Khawuthelekelele ukuba imizimba yethu yifektri entsonkothileyo nemangalisayo. Kule fektri, kukho iqela lezithunywa zeekhemikhali ezigcina yonke into ilungelelene kwaye isebenza kakuhle. Sizibiza ngokuba
ziihomoni . Ngaphezulu nje kwezintso zethu, kukho iihomoni ezimbini ezincinci, sizibiza ngokuba
ziihomoni ze-adrenal . Ezi homoni zimbini zincinci zivelisa iintlobo ezahlukeneyo zeehomoni ezibalulekileyo ebomini bethu. Ngoko ke, ukuba ngesizathu esithile ezi homoni ze-adrenal azikwazi ukuvelisa ubungakanani obufunekayo beehomoni, yiloo nto siyibiza ngokuba yi-Addison's Disease okanye i-Primary Adrenal Insufficiency. Le yimeko engaqhelekanga kakhulu. Ichaphazela malunga nomntu omnye kwisigidi. Kodwa eyona nto ilungileyo kukuba
ukuba uxilongiwe ngokuchanekileyo kwaye uthatha unyango oluchazwe ngugqirha, ungaphila ubomi obuqhelekileyo ngaphandle kweengxaki. Masifunde ngeehomoni ezimbini ezibalulekileyo.
Kukho iintlobo ezimbini eziphambili zeehomoni ezincitshiswa emzimbeni kwisifo sika-Addison. 1.
I-Cortisol: Le ikwabizwa ngokuba yi-'stress hormone'. Le homoni isetyenziselwa ukulungiselela umzimba ukuba ujongane noxinzelelo, nokuba lwengqondo okanye lomzimba. Ukongeza, inceda ukulawula
uxinzelelo lwegazi kunye nendlela umzimba osebenzisa ngayo iiproteni, iicarbohydrate, kunye namafutha. 2.
I-Aldosterone: Le homoni ilawula amanqanaba etyuwa (i-sodium) kunye ne-potassium emzimbeni ngezintso zethu. Ukuba oku akwenziwanga ngokufanelekileyo, amanqanaba etyuwa emzimbeni ayancipha kwaye uxinzelelo lwegazi luqala ukwehla.
Zithini iimpawu zesifo sika-Addison?
Iimpawu zesi sifo zibonakala kancinci kancinci. Ngenxa yoko, ngamanye amaxesha kuthatha ixesha ukuxilonga esi sifo. Ekubeni uninzi lwezi mpawu zifana nezinye izifo, kubaluleke kakhulu ukubona ugqirha ukuze enze
uxilongo oluchanekileyo.
| Uphawu | Ingcaciso elula yoko kwenzekayo |
|---|
| Ukudinwa okungapheliyo kunye nobuthathaka bemisipha | Ukudinwa kakhulu kunye nokuziva ungenabomi nokuba ungenzanga nto. |
| Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba | Ukulahlekelwa ngumdla wokutya, nto leyo ebangela ukwehla kobunzima kancinci kancinci. |
| Ubumnyama besikhumba (iHyperpigmentation) | Umbala omdaka/omnyama wesikhumba kwiindawo ezichatshazelwe lilanga nezo zingachatshazelwanga lilanga. Olu tshintsho lunokubonwa ngakumbi ebunzini, emadolweni, ezingqinibeni, emanxebeni, emigqweni emincinci, nasezintsinini. |
| Uxinzelelo lwegazi oluphantsi (iHypotension) | Uxinzelelo lwegazi oluphantsi. Oku kunokubangela isiyezi kunye nokuquleka, ingakumbi xa umile. |
| Ukunqwenela ityuwa ngokugqithisileyo | Njengoko ityuwa isuswa emzimbeni, kubakho umnqweno oqhubekayo wokutya ukutya okunetyuwa. |
| Ezinye iimpawu | Iswekile ephantsi egazini (iHypoglycemia), isicaphucaphu, ukuhlanza, iintlungu zesisu, urhudo, ukungakwazi ukumelana noxinzelelo, ukucaphuka, ukuphelelwa ngamanzi emzimbeni, kunye nentlungu yamalungu. |
Kubalulekile: Ezi mpawu zinokubangelwa nazezinye izifo. Ngoko ke, ukuba ufumana into efana nale, qiniseka ukuba ubona ugqirha wosapho lwakho ukuze akunike iingcebiso.
Zithini izizathu zesifo sika-Addison?
Eyona nto iphambili neyona ixhaphakileyo yoku
sisifo esibangelwa kukuzikhusela komzimba . Ngamafutshane, inkqubo yokuzikhusela yomzimba wethu (inkqubo yokuzikhusela komzimba) ihlasela ngempazamo kwaye itshabalalise amadlala ethu e-adrenal. Le yimbangela yamatyala amalunga nama-70%. Ukongeza, kunokubakho nezinye izizathu.
- Iintsholongwane: Isifo sephepha ,Usulelo olunzima noluhlala ixesha elide, olufana ne -HIV kunye nosulelo oluthile lwefungus, lunokonakalisa amadlala e-adrenal .
- Umhlaza: Iiseli zomhlaza ezivela kwenye indawo zinokusasazeka ziye kumadlala e-adrenal (oku kunqabile kakhulu).
- Ukopha ngaphakathi: Ukopha ngaphakathi kwi-adrenal glands.
- Izinto ezibangela ufuzo: Kukwakho nomngcipheko wokufumana esi sifo ngenxa yezinye iimeko zofuzo.
- Utyando: Izinto ezifana notyando lokususa amadlala e-adrenal.
Ugqirha uxilonga njani esi sifo?
Xa usiya kugqirha, uza kumamela ngononophelo iimpawu zakho aze ahlole umzimba wakho, ingakumbi ekhangela nayiphi na i-dark color eluswini nakwiintsini zakho. Emva koko, baza kwenza iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwegazi: Olu vavanyo lujonga amanqanaba e-sodium (ityuwa), i-potassium, kunye ne-cortisol hormones emzimbeni. Kwisifo sika-Addison, amanqanaba e-sodium anokuba phantsi kwaye amanqanaba e-potassium anokuba phezulu.
- Uvavanyo lokukhuthaza i-ACTH: Olu lolona vavanyo luphambili olusetyenziselwa ukufumanisa isifo. Kolu vavanyo, ihomoni ebizwa ngokuba yi-ACTH, ekhutshwa engqondweni, inikwa njengenaliti, emva koko kulinganiswa inqanaba le-cortisol egazini. Kumntu ophilileyo, amanqanaba e-cortisol aphezulu. Nangona kunjalo, kumntu onesifo sika-Addison, amadlala e-adrenal awasebenzi, ngoko ke amanqanaba e-cortisol ahlala ephantsi.
- Ezinye iimvavanyo: Ngamanye amaxesha i-CT scan inokwenziwa ukujonga usulelo, umhlaza, okanye ukopha kwi-adrenal glands.
Unyango kunye nolawulo
Isifo sika-Addison sisifo esibangelwa kukunqongophala kweehomoni emzimbeni, kwaye unyango kukunika iihomoni ezingonelanga ngaphandle. Le yinto ekufuneka yenziwe ubomi bonke.
- Iipilisi zeHydrocortisone: Ezi kufuneka zithathwe yonke imihla ukuze zithathe indawo yehomoni yecortisol.
- Iipilisi zeFludrocortisone: Ezi kufuneka zithathwe yonke imihla ukuze zithathe indawo yehomoni i-aldosterone.
Eyona nto ibalulekileyo kukuthatha idosi oyinikwe ngugqirha wakho, ngexesha elifanelekileyo, ungaphoswa lusuku olunye. Ukuphoswa nedosi enye kunokuba yingozi.
Ukuba uphantsi koxinzelelo, njengosulelo, utyando, okanye ingozi, umthamo wakho wale mayeza unokufuneka unyuswe. Ugqirha wakho uza kukwazisa ngale nto.
Eyona ngxaki iyingozi kakhulu: Ingxaki yaseAddisonian
Le yeyona
meko inzima neyingozi kakhulu enokwenzeka kwisifo sika-Addison.Xa umzimba uphantsi koxinzelelo olukhulu (umz., usulelo olunzima, ingozi, utyando), umzimba awukwazi ukumelana nalo ngenxa yamanqanaba aphantsi ehomoni. Iimpawu ziqala ukuba nzima ngequbuliso.
Iimpawu zengxaki ye-Addisonian: Ukuba kukho naziphi na kwezi mpawu, yingxamiseko yezonyango. Isigulana kufuneka sisiwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngoko nangoko. Umyalezo Wokuya Ekhaya
- Nangona isifo sika-Addison sisifo esihlala ubomi bonke, ngonyango olufanelekileyo, kunokwenzeka ukuba uphile ubomi obuqhelekileyo nobusempilweni .
- Musa ukungazinaki iimpawu ezifana nokudinwa rhoqo, ulusu olumnyama, ukungabi namdla wokutya, kunye nokwehla kobunzima bomzimba. Thetha nogqirha wakho ngayo.
- Ungaze uphoswe yidosi yamayeza owanikwe ngugqirha wakho. Hlala ugcina amayeza angaphezulu kuwe.
- Soloko unxibe ikhadi lesazisi okanye isongo esichaza ukuba unesifo sika-Addison. Sinokukunceda usindise ubomi bakho xa kukho imeko engxamisekileyo.
- Qonda ukuba ingxaki ye-Addisonian yingxamiseko yezonyango. Kubalulekile ukuba wena nosapho lwakho nizazi iimpawu zayo.
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