Ngaba ngamanye amaxesha uziva udiniwe ngendlela engaqhelekanga kwaye udiniwe ngaphandle kwesizathu? Ngaba uphelelwa ngumdla wokutya , ukwehla kobunzima , okanye isiyezi ? Usenokuba uqaphele ukuba ulusu lwakho, ingakumbi iingqiniba zakho namadolo , lujike lwaba mdaka kancinci. Musa ukuzityeshela ezi zinto. Zinokuba luphawu lwento ebalulekileyo eyenzekayo emzimbeni wakho. Namhlanje sithetha ngesinye sezifo ezinjalo, i-Addison's Disease .
Ngamafutshane, yintoni isifo sika-Addison?
Cinga ngemizimba yethu njengenkampani enkulu. Le nkampani ineqela " labathunywa beekhemikhali" abatshintshiselana imiyalezo ukugcina imisebenzi eyahlukeneyo isebenza kakuhle. Ezi hormone sizibiza ngokuba zi-.
Ngaphezulu kwezintso zethu, njengezigqoko ezimbini ezincinci, kukho amadlala amabini amancinci. La ngamadlala esiwabiza ngokuba yi-adrenal glands . La madlala avelisa iihomoni ezimbini ezibalulekileyo ebomini bethu. Ziyi -cortisol kunye ne -aldosterone .
Isifo sika-Addison sisifo apho amadlala e-adrenal onakeleyo ngesizathu esithile aze angakwazi ukuvelisa ubungakanani obufunekayo bezi hormone. Esi sisifo esingaqhelekanga kakhulu. Kodwa kubaluleke kakhulu ukukwazi oku.
Yintoni umsebenzi weehomoni ezimbini?
- I-Cortisol: Oku kufana "nomphathi woxinzelelo" womzimba wethu. Le hormone ilungiselela umzimba ukuba ujongane nokugula, ingozi, kunye noxinzelelo. Ikwanceda ukulawula uxinzelelo lwegazi, amanqanaba eswekile egazini, kunye nokusetyenziswa kweeproteni, iicarbohydrate, kunye namafutha.
- I-Aldosterone: Le hormone "yi-control yetyuwa namanzi" emzimbeni wethu. Inceda izintso zethu zigcine ibhalansi yetyuwa (i-sodium) kunye namanqanaba e-potassium emzimbeni. Ikwalawula uxinzelelo lwethu lwegazi.
Xa la ma-hormone esezantsi, yonke imisebenzi yomzimba iyaphazamiseka. Yiloo nto eyenzekayo kwisifo sika-Addison.
Zithini iimpawu zesifo sika-Addison?
Iimpawu zesifo sika-Addison ziza kancinci kancinci. Ngoko ke ngamanye amaxesha kungathatha ixesha ukuyiqonda njengesifo. Ezi mpawu ziyafana nezezinye izifo eziqhelekileyo, ngoko ke zinokungaqondwa kakuhle.
Jonga itheyibhile engezantsi ukuze ufumane iimpawu eziphambili oza kuzibona.
| Uphawu | Inkcazo |
|---|---|
| Ukudinwa okungapheliyo kunye nobuthathaka bemisipha | Ukuziva udiniwe kwaye ungenabomi imini yonke, nokuba ufumana ukuphumla okungakanani na. |
| Ulusu olumdaka/olumnyama (iHyperpigmentation) | Ukuba mnyama kwesikhumba kwiindawo ezifana neengqiniba, amadolo, amaqhubu, imilebe, neentsini. Kwanamanxeba amadala anokuba mnyama. |
| Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba | Ukulahlekelwa ngumdla wokutya kwaye oku kulandele ukwehla kobunzima bomzimba. |
| Uxinzelelo lwegazi oluphantsi (iHypotension) | Ukuba uziva unesiyezi, ingakumbi xa umi uhleli, kusenokwenzeka ukuba kungenxa yoxinzelelo lwegazi oluphantsi. Usenokude ulahlekelwe zingqondo. |
| Ukunqwenela ityuwa ngokugqithisileyo | Njengoko amanqanaba etyuwa emzimbeni ehla, kubakho umnqweno oqhubekayo wokutya ukutya okunetyuwa nezinto ezifana neepickles. |
| Ezinye iimpawu | Isicaphucaphu, ukuhlanza, iintlungu zesisu, ukudumba, iswekile ephantsi egazini (i-hypoglycemia), ukungazinzi kwengqondo, kunye nomjikelo wokuya exesheni ongaqhelekanga kubafazi. |
Zithini izizathu zesifo sika-Addison?
Eyona nto ibangela isifo sika-Addison sisifo esibangelwa kukuzikhusela komzimba.Ngamafutshane, oku kwenzeka xa inkqubo yomzimba wethu yokuzikhusela iqalisa ukuhlasela nokutshabalalisa amadlala ethu e-adrenal. Le yimbangela yama-70% ezigulane zika-Addison.
Ukongeza, kusenokubakho nezinye izizathu.
- Izifo: Izifo ezihlala ixesha elide ezifana nesifo sephepha kunye ne-HIV zingonakalisa amadlala e-adrenal.
- Umhlaza: Iiseli zomhlaza eziye zavela kwenye indawo zisasazeka ziye kumadlala e-adrenal.
- Ukopha ngaphakathi: Ukopha ngaphakathi kwi-adrenal glands.
- Izizathu zofuzo: Kukwakho nomngcipheko wokufumana esi sifo ngenxa yeemeko ezithile zofuzo.
- Utyando: Ukuba ukhe wenziwa utyando lokususa ii-adrenal glands.
Uyifumana njani le nto, Gqirha?
Ukuba unayo nayiphi na kwezi mpawu, bonana nogqirha wosapho lwakho ngokukhawuleza. Uza kukuhlola aze akuthumele kwingcali ukuba kuyimfuneko.
Uvavanyo lwegazi oluninzi lusetyenziswa kakhulu ukufumanisa isifo.
1. Uvavanyo lwegazi olusisiseko: Olu vavanyo luza kujonga ukuba amanqanaba e-sodium (ityuwa) egazini lakho aphantsi okanye ukuba amanqanaba e-potassium yakho aphezulu.
2. Uvavanyo Lokukhuthaza I-ACTH: Olu lolona vavanyo lubaluleke kakhulu. Kulo, inani elincinci lehomoni ebizwa ngokuba yi-ACTH, ekhutshwa yingqondo yakho, linikwa njengenaliti. Kumntu ophilileyo, olu tyando lubangela ukuba amadlala e-adrenal avelise i-hormone eninzi ye-cortisol. Nangona kunjalo, kumntu onesifo sika-Addison, amadlala awaphenduli ngale ndlela. Esi sifo siqinisekiswa ngokuthatha isampuli yegazi kunye nokulinganisa eli nqanaba le-cortisol.
Ukongeza, i-CT scan inokwenziwa ukujonga usulelo, umhlaza, okanye ukopha kwi-adrenal glands.
Eyona iyingozi kakhulu: Ingxaki yaseAddisonian
Eli lelona nqanaba liyingozi nelikhawulezileyo lesifo sika-Addison. Iimpawu zihlala zibonakala kancinci kancinci, ngoko abanye abantu abazi nokuba banesi sifo. Ngeli xesha, ukuba umzimba uphantsi koxinzelelo olukhulu, njengokugula okunye, utyando, okanye ingozi, iimpawu zinokuba nzima kakhulu ngequbuliso. Oku kubizwa ngokuba yi-Addisonian crisis .
Le yingxamiseko yezonyango kwaye inokukhokelela ekufeni ukuba ayinyangwa.
Iimpawu zengxaki ye-Addisonian:
- Intlungu ebuhlungu ngequbuliso, emqolo, esiswini, okanye emilenzeni.
- Ukuhlanza kakhulu kunye norhudo, okubangela ukuphelelwa ngamanzi emzimbeni.
- Ukothuka okubangelwa kuxinzelelo lwegazi oluphantsi kakhulu.
- Ukulahlekelwa yingqondo.
- Umkhuhlane okhawulezileyo kunye nobuthathaka obukhulu.
Ukuba ezi mpawu ziyavela,Isigulana kufuneka sisiwe kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele esikufutshane ngoko nangoko.
Unyango kunye nobomi obuqhelekileyo
Usenokoyika ukuva ngesifo sika-Addison, kodwa iindaba ezimnandi zezokuba kukho unyango olusebenzayo kakhulu lwaso.
Esi sifo sibangelwa ziintlobo ezimbini zeehomoni ezingekhoyo emzimbeni. Ngoko ke unyango kukunika ezo homoni ngaphandle ngendlela yeepilisi.
- I-Hydrocortisone: Ipilisi ye-steroid ethatha indawo yehomoni ye-cortisol.
- I-Fludrocortisone: Yipilisi ethatha indawo yehomoni i-aldosterone.
Eli yeza lifanele lithathwe yonke imihla, kanye njengoko ugqirha eliyalele.
Eyona nto ibalulekileyo kukuba ungaze ulibale idosi enye yamayeza. Ukungayisebenzisi nedosi enye kunokuba yingozi.
Ukuba unosulelo, umkhuhlane, okanye utyando, ugqirha wakho uza kunyusa idosi yale mithi okwethutyana ukuthintela ingxaki ye-Addisonian.
Ngonyango olufanelekileyo , umntu onesifo sika-Addison angaphila ubomi obuqhelekileyo nobusempilweni ngokupheleleyo .
Umyalezo Wokuya Ekhaya
- Isifo sika-Addison sisifo apho amadlala e-adrenal engaphumeleli ukuvelisa iihomoni ezaneleyo ze-cortisol kunye ne-aldosterone.
- Iimpawu eziphambili kukudinwa rhoqo, ukwehla kobunzima bomzimba, uxinzelelo lwegazi oluphantsi, kunye nokuba mnyama kolusu.
- Ukuba unale mpawu, ungoyiki kwaye ubone ugqirha ngokukhawuleza.
- Nangona le yimeko yobomi bonke, ungaphila ubomi obuqhelekileyo ngokuthatha amayeza emihla ngemihla.
- Ukuba unesifo sika-Addison, soloko unxibe ikhadi okanye isongo esichaza imeko yakho. Singasindisa ubomi bakho xa kukho imeko engxamisekileyo.
- Ingxaki yeAddisonian yimeko engxamisekileyo efuna unyango olukhawulezileyo. Kubalulekile ukwazi iimpawu.
Isifo sika-Addison, iihomoni, ii-adrenal glands, i-cortisol, i-aldosterone, ukudinwa rhoqo, ukuba mnyama kwesikhumba, ii-adrenal glands, ukungasebenzi kakuhle kwe-adrenal, uxinzelelo lwegazi oluphantsi
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