Ngaba nawe unazo ezi mpawu kunye noxinzelelo lwegazi oluphezulu? Isenokuba yi-Primary Aldosteronism!

Ngaba uziva udiniwe ngalo lonke ixesha? Ngaba uziva unxaniwe kakhulu? Okanye kufuneka uchame rhoqo? Ukuba une-high blood pressure, kufuneka ukhathazeke kancinci ngayo. Mhlawumbi oku akulula njengoko sicinga. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi -Primary Aldosteronism , eyaziwa ngokuba yi -Conn's Syndrome ngabanye.

Yintoni i-Primary Aldosteronism?

Ngamafutshane, i-aldosteronism eyintloko yimeko ebangelwa zii -adrenal glands zakho ezivelisa i-hormone eninzi ebizwa ngokuba yi-aldosterone . Cinga ngale ndlela: ii-adrenal glands zii-glands ezimbini ezincinci, njengee-caps ezincinci phezu kwezintso zakho. Kodwa ii-hormone ezizivelisayo zilawula imisebenzi emininzi ebalulekileyo emzimbeni wakho.

I-Aldosterone yi-hormone ye-steroid. Umsebenzi wayo ophambili kukulawula ubungakanani be -sodium (ityuwa esiyityayo) kunye ne-potassium egazini lethu. Ikwanceda ekulawuleni ubungakanani bamanzi emzimbeni, umthamo wegazi, kunye noxinzelelo lwegazi.

Khawucinge nje ngoku, kuya kwenzeka ntoni ukuba le hormone ye-aldosterone iba phezulu kakhulu? Kulapho ke iingxaki ziqala khona. Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) kunye ne-potassium ephantsi egazini (i-Hypokalemia) zezona mpawu zimbini ziphambili ze-aldosteronism eyintloko. Ukuba le meko ayinyangwanga kakuhle, iingxaki ezinkulu ezifana nokuhlaselwa yintliziyo kunye nokungasebenzi kakuhle kwezintso zinokwenzeka. Nangona kunjalo, ukuba ifunyenwe kwangethuba kwaye inyangwa ngokufanelekileyo, le meko inokulawulwa kakuhle.

Ixhaphake kangakanani le meko?

I-aldosteronism yokuqala yayikade ithathwa njengesifo esingaqhelekanga. Kodwa ngoku imeko yahlukile. Ifumaneka phakathi kwe-5% kunye ne-10% yabantu abadala abanoxinzelelo lwegazi oluphezulu. Ixhaphake kancinci kubasetyhini. Amaxesha amaninzi, abantu abakwiminyaka yama-30 nama-40 bafunyanwa benale sifo.

Ziziphi iimpawu ze-Primary Aldosteronism?

Rhoqo, abantu abanale meko banezinga eliphezulu legazi kunye nezinga eliphantsi le-potassium egazini. Uxinzelelo oluphezulu lwegazi olungalawulwayo lunyusa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sohlangothi . Amanqanaba aphantsi e-potassium anokubangela ukubetha kwentliziyo okungahambelaniyo (arrhythmias) .

Ukongeza kwezi, ezinye iimpawu zinokubonakala:

• Ukudinwa ngalo lonke ixesha (Ukudinwa): Nokuba ulele kakuhle, usenokuziva udiniwe.
• Ukoma kakhulu:Nokuba ndisela amanzi angakanani na, ndisaziva ngathi awanelanga.
• Ukuchama rhoqo: Ukufuna ukuya kwindlu yangasese rhoqo kunangaphambili.
• Intloko ebuhlungu: Usenokuba nentloko ebuhlungu kakhulu.
• Intlungu yemisipha kunye nokuqaqamba: Usenokuziva ngathi iziqwenga zemisipha zijikeleza emilenzeni nasezingalweni zakho.
• Ubuthathaka bemisipha: Usenokuziva ubuthathaka kwaye ube nobunzima bokuphakamisa iintsimbi.
• Umbono ofipheleyo: Ngamanye amaxesha umbono unokuba lufiphele kancinci.

Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi xa udibene noxinzelelo lwegazi oluphezulu, kungcono ukubona ugqirha ukuze akunike ingcebiso.

Zithini izizathu ze-Primary Aldosteronism?

Njengoko besitshilo ngaphambili, le meko ibangelwa ziindlala zeadrenal ezivelisa i-aldosterone eninzi kakhulu. Kukho izizathu ezininzi zokuba le hormone iveliswe ngokugqithisileyo:

• Iithumba ezingalunganga zesinye okanye zombini i-adrenal gland: Ezi azidli ngokuba ngumhlaza, kodwa zinokubangela ukwanda kwemveliso yeehomoni.
• Iimeko zofuzo: Umzekelo, iimeko ezifana ne -congenital adrenal hyperplasia .
• Umhlaza we-adrenal: Le yimeko engaqhelekanga.

Ngaba oku kuyafana ne-aldosteronism yesibini?

Hayi. I-aldosteronism ephambili iyenzeka xa kukho ukwanda kwe-aldosterone ngenxa yengxaki ngamadlala e-adrenal ngokwawo. Kodwa ngamanye amaxesha, enye imeko engaphantsi inokubangela ukuba i-hormone i-aldosterone iveliswe ngokugqithisileyo. Oogqirha bayibiza le meko ngokuba yi-aldosteronism yesibini . Ezinye zeemeko ezinokubangela oku ziquka:

• Isifo sesibindi
• I-Renal artery stenosis: Oku kukuncitshiswa kwemithambo yegazi ethwala igazi izise ezintsoni.
• Ukumelwa yintliziyo
• Ezinye iintlobo zomhlaza wezintso
• Ukukhulelwa

Ngubani osengozini enkulu yokufumana i-Primary Aldosteronism?

Nabani na angayihlakulela le meko. Nangona kunjalo, abanye abantu basengozini enkulu yokuba nayo. Ezi ziquka:

• Abantu abanamanqanaba aphantsi e-potassium egazini.
• Abantu abafumana uxinzelelo lwegazi oluphezulu ngaphambi kokuba babe neminyaka engama-30 ubudala.
• Abantu abasebenzisa amayeza amathathu nangaphezulu ukulawula uxinzelelo lwegazi oluphezulu.
• Abantu abane-tumor ye-adrenal gland.

Zeziphi iingxaki ezinokuvela kule meko?

Ukuba awuyinyangi i-aldosteronism eyintloko, uxinzelelo lwakho lwegazi lunokunyuka luye kumanqanaba ayingozi. Lunokubangela ukungalingani kwii -electrolytes zomzimba wakho (iiminerali ezinceda ukugcina ulungelelwano lwamanzi emzimbeni).

Oku kungalingani kwe-electrolyte kunye noxinzelelo lwegazi oluphezulu ixesha elide kwandisa umngcipheko weengxaki ezinkulu. Umzekelo:

• Ukuhlaselwa yintliziyo okanye ukungaphumeleli kwentliziyo
• Ukubetha kwentliziyo okungaqhelekanga
• Ukungasebenzi kakuhle kwezintso
• Istroke
• Ukukhubazeka okwethutyana

Kubalulekile: Nangona ezi ngxaki zinokubonakala ziyingozi, uninzi lwazo zinokuthintelwa ukuba isifo sichongiwe kwangethuba kwaye sinyangwa ngokufanelekileyo. Kungoko ke, kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza ukuba uneempawu.

Ifunyanwa njani i-Primary Aldosteronism?

Oogqirha basebenzisa kakhulu uvavanyo lwegazi ukufumanisa esi sifo. Olu vavanyo lukhangela oku kulandelayo:

• Amanqanaba eehomoni ezifana ne -aldosterone kunye ne-renin egazini lakho.
• Amanqanaba e-electrolyte, kuquka i-sodium kunye ne-potassium.

Kunokufuneka uvavanyo lwegazi oluninzi ukuze kufunyanwe isifo esichanekileyo. Amanye amayeza oxinzelelo lwegazi anokuthi achaphazele iziphumo zovavanyo lwegazi. Ke ngoko, ugqirha wakho unokutshintsha amayeza akho ukuqinisekisa ukuba uvavanyo luchanekile.

Zeziphi ezinye iimvavanyo ozenzayo?

Ugqirha wakho unokucebisa ezinye iimvavanyo zokujonga ii-tumor ze-adrenal, ezifana nezi:

• I-CT Scan (i-Computed Tomography - i-CT scans): Oku kusebenzisa i-X-rays ukuthatha imifanekiso yangaphakathi lomzimba.
• I-MRI Scan (Magnetic Resonance Imaging - MRI): Oku kusebenzisa amaza erediyo kunye ne-magnetic field enamandla ukuhlola ingaphakathi lomzimba.

Ezi mvavanyo zinokubona ngokucacileyo ubungakanani, imilo, kunye nokuba khona kwazo naziphi na iingxaki kwi-adrenal glands.

Ziziphi iindlela zonyango ezilungileyo ze-Primary Aldosteronism?

Amayeza kunye/okanye utyando zihlala zisetyenziswa njengonyango lwesi sifo.

Amayeza

Ukuba zombini ii-adrenal glands zivelisa i-aldosterone eninzi kakhulu, oogqirha badla ngokunika amayeza anjengeSpironolactone (Aldactone®) okanye i-Eplerenone (Inspra®) . La mayeza asebenza ngokuthintela ukusebenza kwehomoni ye-aldosterone.

Utyando

Ukuba linye kuphela idlala le-adrenal elivelisa i-aldosterone eninzi, utyando lokususa elo dlala (i-adrenalectomy) lunokwenziwa. Kwiimeko ezinjalo, oogqirha banokucebisa utyando.

Emva kotyando, kusenokufuneka uthathe amayeza de uxinzelelo lwakho lwegazi lubuyele esiqhelweni. Ugqirha wakho uza kukuchazela into omawuyilindele ngokwemeko yakho.

Ngaba le meko ingathintelwa?

Ngelishwa, okwangoku akukho ndlela yokuthintela ngokupheleleyo le meko. Nangona kunjalo, ukujonga uxinzelelo lwegazi rhoqo kunokunceda ekuchongeni naziphi na iingxaki kwangethuba.

Ndingenza ntoni ukunciphisa umngcipheko?

Ukwenza utshintsho oluthile kwindlela yokuphila kunokunceda ukunciphisa umngcipheko wokuba ne-aldosteronism esisiseko ukuya kuthi ga kwinqanaba elithile:

• Yandisa umsebenzi womzimba: Kubaluleke kakhulu ukuzilolonga yonke imihla.
• Ukunciphisa ukusetyenziswa kotywala.
• Ukunciphisa ityuwa (i-sodium) ekutyeni.
• Ukuyeka ukutshaya.

Ezi zinto zikwanceda ekulawuleni uxinzelelo lwegazi oluphezulu, ngoko ke ziluncedo kakhulu kwimpilo yakho iyonke.

Zithini iziphumo zexesha elide ze-Primary Aldosteronism?

Uxinzelelo lwegazi oluphezulu, uphawu oluphambili lwale meko, luyandisa umngcipheko westroke, ukusilela kwentliziyo, isifo sezintso, kunye nezinye izifo. Nangona kunjalo, ngonyango olufanelekileyo, abantu abane-aldosteronism yokuqala banokubona ukwehla kweempawu kunye nomgangatho ongcono wobomi. Iziphumo ezibi kakhulu zexesha elide zihlala zenzeka kwabo bangafumani unyango.

Iyintoni imbono yomntu one-Primary Aldosteronism?

Ngonyango olufanelekileyo, ikamva lomntu one-aldosteronism yokuqala lihle kakhulu. Yiyo loo nto kubalulekile ukubona ugqirha kwangoko xa kuvela iimpawu. Ukuba azinyangwa, iingxaki ezisongela ubomi ezifana nestroke, ukuhlaselwa yintliziyo, kunye nokungasebenzi kakuhle kwezintso zinokwenzeka.

Ndifanele ndimbone nini ugqirha?

Ukuba uziva udiniwe rhoqo, unxaniwe kakhulu, okanye kufuneka uchame rhoqo, bonana nogqirha ngoko nangoko. Baza kwenza uvavanyo olufunekayo ukuze kufunyanwe isifo.

Kwakhona, ukuba une-high blood pressure engapheliyo okanye ufunyaniswe ukuba unamanqanaba aphantsi e-potassium egazini, buza ugqirha wakho ukuba ngaba kufuneka uvavanywe i-Primary Aldosteronism okanye ezinye iimeko ezinxulumene noko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ufunyaniswe une-Primary Aldosteronism, ungabuza ugqirha wakho le mibuzo:

• Yintoni eyabangela le meko kum?
• Zeziphi ezinye iimvavanyo ekufuneka ndizenze?
• Ngaba ndine-tumor kwi-adrenal?
• Ngaba ndinezinye iimeko zempilo ezingabonakaliyo ezinokubangela iimpawu zam?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba kufuneka ndilinganise uxinzelelo lwegazi lam ekhaya?

Okokugqibela, umyalezo oya ekhaya

Abantu abaninzi basebenzisa amayeza oxinzelelo lwegazi oluphezulu. Nangona kunjalo, ukuba uziva udiniwe rhoqo, unxaniwe, okanye uchama rhoqo kunesiqhelo, kusenokwenzeka ukuba akupheleli nje ekubeni luxinzelelo lwegazi oluphezulu. Ukuba ezi mpawu zivakala ziqhelekile kuwe, bona ugqirha ngoko nangoko. Baza kwenza uvavanyo ukuze bafumane ukuba kukho enye ingxaki. I-aldosteronism eyintloko inokubangela iimpawu ezininzi ezikhathazayo. Nangona kunjalo, ngonyango olufanelekileyo, le meko inokuphiliswa. Ngoko ke musa ukoyika, kwaye ulandele imiyalelo kagqirha wakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

i- aldosteronism ephambili, i-Conn's syndrome, uxinzelelo lwegazi oluphezulu, i-aldosterone, amadlala e-adrenal, i-potassium ephantsi, iimpawu, unyango