Ingabe kukhona inkinga engazelelwe emzimbeni wakho? Ake sifunde nge-Adrenal Crisis!

O, wake wazizwa ukhathele ngendlela engenakucatshangwa, uphethwe yisisu, futhi uzizwa ungenalusizo? Mhlawumbe ezinye izingxenye zomzimba wakho zibukeka zimnyama kancane? Lezi akuzona izinto ezilula ngempela, zingaba izimpawu zesimo esiphuthumayo esibizwa ngokuthi i-adrenal crisis . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba lokhu kungathinta nokuphila.

Kungani lokhu kubizwa ngokuthi yi-adrenal crisis? Kwenzekani kulokhu?

Kalula nje, inkinga ye-adrenal yisimo esibi kakhulu esenzeka lapho izindlala zakho ze-adrenal zingakhiqizi i -cortisol eyanele ye-hormone. Empeleni lolu uhlobo olubi kakhulu lokungasebenzi kahle kwe-adrenal , isimo esifana nesifo sika-Addison . Uma usola ukuthi unalesi simo, kungcono ukubona udokotela ngokushesha.

Bheka manje, lezi zindlala ze-adrenal zitholakala ngaphezu kwezinso zethu. Zifana nonxantathu ababili abancane. Lezi yizo ezikhiqiza ama-hormone amaningi abalulekile, okuhlanganisa ne-cortisol . Ama-hormone afana nezithunywa zamakhemikhali eziqondisa yonke imisebenzi emzimbeni wethu. Ahamba egazini futhi athwale imiyalezo kuzo zonke izingxenye zezitho zethu, isikhumba, kanye nemisipha, ethi, "Yenza lokhu lapha, yenza lokhu lapha, yenza lokhu lapha ngalesi sikhathi."

I-hormone i -cortisol ithinta cishe zonke izitho nezicubu emzimbeni wethu. Nazi ezinye zezinto eziyinhloko ezenzayo:

• Ilawula indlela umzimba wethu osabela ngayo ekucindezelekeni.
• Kuyasiza ekulawuleni imetabolism yethu.
• Kunciphisa ukuvuvukala emzimbeni.
• Ilawula umfutho wegazi.
• Ilawula amazinga kashukela egazini.
• Kuphinde kusize ekulawuleni umjikelezo wethu wokulala nokuvuka.

Lokhu kubizwa nangokuthi i-Addisonian crisis , noma i-acute adrenal crisis .

Kungani le nkinga ye-adrenal iyisimo esiphuthumayo kangaka?

Lokhu kuyingozi kakhulu, ngoba lapho kuvela inkinga ye-adrenal , imizimba yethu ingase ingatholi ukugeleza kwegazi okwanele. Lokhu sikubiza ngokuthi ukushaqeka . Lesi simo sokushaqeka singaba sibi kakhulu ngokushesha futhi silimaze izitho zethu zangaphakathi. Uma singelashwa kahle, cishe abantu abangu-20% abathola lesi simo bangafa. Futhi, ukuxhuzula kanye ne-coma kungase kwenzeke. Yingakho lokhu kubizwa ngokuthi isimo esiphuthumayo.

Ubani othinteka kakhulu yilesi simo? Sivame kangakanani?

Inkinga yezinso ingenzeka kunoma yimuphi ubudala, kodwa ivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-50.

Lokhu akuvamile. Izifundo zibonisa ukuthi cishe abantu abangu-42% abanesifo sokuntuleka kwe-adrenal bazoqala ukuba nesifo se-adrenal . E-United States, izinga lokushoda kwe-adrenal cishe lingu-1 kwabayi-100,000. Ezinye izifundo zisikisela ukuthi cishe abantu abangu-25% abanesifo se-adrenal bayafa. Yingakho kubalulekile ukuqaphela lokhu.

Yiziphi izimpawu zenkinga ye-adrenal?

Izimpawu eziyinhloko ezibonakala kulesi simo yilezi:

• Ubuhlungu besisu, noma ubuhlungu esiswini esingezansi.
• Ukuzizwa ukhathele njalo, ngokweqile.
• Ukudla akunambitheki.
• Ukufiphala kwezindawo ezithile zesikhumba (ukwanda kombala) .
• Ukuzizwa ubuthakathaka emzimbeni.
• Ukuba mncane ngaphandle kwesizathu.

Ngaphezu kwalokhu, kungase kube nezinye izimpawu eziyisixwayiso:

• Ukuphelelwa amanzi emzimbeni.
• Uhudo.
• Ukuzungeza, ukuba nekhanda elikhanyayo, ukuba nekhanda elikhanyayo, ukuquleka, noma ukulahlekelwa ukwazi (i-coma).
• Ukuthola umkhuhlane.
• Ikhanda elibuhlungu.
• Ubuhlungu bamalunga.
• Amazinga kashukela aphansi egazini (i-glucose ephansi egazini).
• Umfutho wegazi ophansi.
• Ukuhlanza kanye nesicanucanu.
• Ukuphefumula okusheshayo.
• Ukushaya kwenhliziyo okusheshayo.

Uma unesinye noma ngaphezulu salezi zimpawu, ungazithathi kalula.

Yiziphi izimbangela zenkinga ye-adrenal?

Lokhu kungabangelwa yizinto ezihlukahlukene ezibangela ukucindezeleka. Nazi ezinye zezizathu eziyinhloko:

• Ukungalaphi kahle isimo esibizwa ngokuthi ukungasebenzi kahle kwe-adrenal, njengesifo sika-Addison .
• Ukulimala kwendlala ye-adrenal. Okusho ukuthi, izinto ezifana nesifo sendlala ye-adrenal kanye nokuhlinzwa.
• Ukuphelelwa amanzi emzimbeni.
• Isimo esibizwa ngokuthi i-hypopituitarism (ukwehla kokusebenza kwe-pituitary gland).
• Izifo. Cabanga uma ubunomkhuhlane omubi noma olunye ukutheleleka.
• Ukuyeka ngokuzumayo imithi ye -glucocorticoid (njenge- prednisone ) ngemva kokusetshenziswa isikhathi eside.
• Ukucindezeleka okukhulu kwengqondo noma ngokomzwelo. Cabanga uma ubunenkinga enkulu, ukudabuka, noma ukucindezeleka okukhulu.

Itholakala kanjani inkinga ye-adrenal?

Kungaba nzima kancane ukuxilonga, njengoba izimpawu zakho zifana nezezinye izifo ezivamile. Kodwa-ke, kunezivivinyo ezimbalwa ezingasiza odokotela ukuxilonga ngokunembile:

• Ukuhlolwa kwegazi kwe-adrenocorticotropic hormone (ACTH)
• Ukuhlolwa kukashukela egazini (ukuhlolwa kukashukela egazini )
• Ukuhlolwa kwe-Cortisol ( ukuhlolwa okuhlola amazinga e-cortisol)
• ukuhlolwa kwegazi kwe-pH ( ukuhlolwa okukala ubumuncu egazini)
• Ukuhlolwa kwegazi le-potassium ( ukuhlolwa okuhlola izinga le-potassium egazini)
• Ukuhlolwa kwegazi le-sodium ( ukuhlolwa okuhlola izinga le-sodium egazini)

Lezi zivivinyo yizo ezivumela udokotela ukuthi akutshele ngqo ukuthi unenkinga ye-adrenal noma cha.

Kuphathwa kanjani lokhu?

Uma usola ukuthi unenkinga ye-adrenal , udokotela wakho uzoqala ukukwelapha ngokushesha . Lokhu kuvame ukuhilela ukukunika umjovo we-hydrocortisone (kungaba yi -hydrocortisone phosphate noma i-hydrocortisone sodium succinate ) kanye nesisombululo se-saline emthanjeni osesandleni sakho noma esandleni usebenzisa inalithi encane nepayipi. Lokhu kubizwa ngokuthi umjovo we-intravenous (IV) . Umjovo we -hydrocortisone usebenza ngokuthatha indawo ye-cortisol hormone elahlekile emzimbeni wakho.

Okubalulekile: Ukuqala lolu hlobo lokwelashwa ngokushesha okukhulu kuyindlela engcono kakhulu yokusindisa impilo.

Uma, noma ngabe kuyingozi nje, isimo sakho sibangelwa ukutheleleka ngamagciwane, udokotela wakho angakunika ama-antibiotic .

Futhi, ezinye izimpawu ezenzeka ngalesi simo se-adrenal ziyalashwa. Isibonelo, uma kukhona ukuphelelwa amanzi emzimbeni noma ukungalingani kwama-electrolyte ( ukungalingani kosawoti emzimbeni), amanzi, iziphuzo zemidlalo, noma amanzi kakhukhunathi kunganikezwa. Uma ushukela wegazi uphansi (hypoglycemia) , ukudla okuqukethe ama-carbohydrate kunganikezwa.

Uma ungakaze ube nenkinga ye-adrenal ngaphambili, udokotela wakho uzokwenza nokuhlolwa okufana nokuhlolwa kokukhuthazwa kwe-ACTH ukuthola imbangela.

Ingabe ikhona imiphumela emibi yomjovo we-hydrocortisone?

Yebo, njengayo yonke imithi, kunemiphumela emibi emincane. Kodwa-ke, uma kuqhathaniswa nobunzima benkinga ye-adrenal, lokhu ngokuvamile kuyabekezeleleka. Abanye abantu bangase babhekane nalokhu:

• Ukusabela kokungezwani komzimba.
• Indle emnyama noma enegazi.
• Imfiva.
• Umphimbo obuhlungu.
• Ukukhwehlela.
• Ukushintshashintsha kwemizwa.
• Ubuhlungu endaweni yesinqe, emhlane, ezimbanjeni, ezingalweni, emahlombe, noma emilenzeni.

Uma kwenzeka into efana nale, kufanele utshele udokotela .

Ingabe lo mjovo we-hydrocortisone ufanelekile kwabesifazane abakhulelwe?

Yebo, uma ukhulelwe futhi unezinkinga ze-adrenal , kuphephile ukuthola umjovo we -hydrocortisone . Lo muthi, obizwa ngokuthi i-hydrocortisone, awuweli emzalweni uye enganeni.

Cabanga nje, uma ungelashwa lokhu, kuyingozi empilweni yakho kanye neyengane. Ngakho-ke, kubalulekile ukuthola ukwelashwa njengoba kunqunywe odokotela.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Kungathatha amahora angama-24 noma ngaphezulu ukuze uzizwe ungcono ngemva kokuthola ukwelashwa kwenkinga ye-adrenal . Kudinga isineke esincane.

Ungakuvimbela kanjani inkinga ye-adrenal?

Uma une -adrenal insufficiency , kubalulekile ukuqaphela izinto ezibangela ukucindezeleka ezingabangela inkinga ye-adrenal . Uyakhumbula izinto esikhulume ngazo ngaphambili, njengokucindezeleka, ukuphelelwa amanzi emzimbeni, izifo, noma ukungawuthathi kahle umuthi wakho we-glucocorticoid owunikezwe udokotela?

Ukuhlinzwa nokukhulelwa nakho kungabhebhethekisa ukungasebenzi kahle kwe-adrenal . Ngakho-ke, kufanele utshele udokotela wakho ukuthi unalesi simo ngaphambi kokuhlinzwa. Uma uhlela ukuba nomntwana, khuluma nodokotela wakho ngalokho futhi.

Enye into ebaluleke kakhulu ukuthi uhlale uphethe ikhadi le-ID yezokwelapha, umgexo, noma isongo esichaza isimo sakho sezokwelapha. Kufanele sichaze ngokucacile ukuthi imiphi imithi oyidingayo kanye nomthamo oyidingayo. Lolu lwazi luzosiza labo abakwelaphayo ezimweni eziphuthumayo ukuthi bakunikeze ukwelashwa okufanele ngesikhathi esifanele.

Hlola isisindo sakho njalo bese uhlola umfutho wegazi lakho. Uma wehlisa isisindo noma umfutho wegazi wakho uphezulu kakhulu noma uphansi kakhulu, tshela udokotela wakho .

Udokotela wakho angakunika umjovo we-cortisol ukuze uwuthathe esimweni esiphuthumayo. Uzokutshela ukuthi uwuthathe nini nokuthi uwuthathe kanjani. Gcina lo muthi kanye nemiyalelo ozoyisebenzisa nawe ngaso sonke isikhathi. Uma ubuthakathaka kakhulu ukuthi ungawuthatha esimweni esiphuthumayo, fundisa ilungu lomndeni noma umngane oseduze ukuthi uwuthathe kanjani.

Kungumqondo omuhle ukwenza uhlelo nodokotela wakho mayelana nokuthi yini okufanele uyenze uma ungakwazi ukuthatha amaphilisi e-hydrocortisone ngenxa yesicanucanu noma ukuhlanza.

Kwenzekani uma unenkinga ye-adrenal? Yini ongayilindela?

Uma usola ukuthi unenkinga ye-adrenal , funa usizo lwezokwelapha ngokushesha. Ukuthatha ama-glucocorticoids amaningi isikhathi esifushane ngeke kulimaze kakhulu. Kodwa-ke, uma ungatholi ukwelashwa ngokushesha, kungaba yingozi. Ngakho-ke ungakuthathi kalula lokhu.

Ngokuvamile, abantu abaye baba nenkinga ye-adrenal kuzodingeka baphuze amaphilisi e-hydrocortisone impilo yabo yonke. Kuwukuhlakanipha ukuhlala unemithi eyengeziwe, uma kwenzeka ugula futhi udinga eminye.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zenkinga ye-adrenal , bona udokotela ngokushesha .

Uma unenkinga enkulu yokucindezeleka – kungaba ukulimala, ukugula, noma ukucindezeleka okukhulu – bona udokotela. Kungase kudingeke ulungise umthamo wemithi yakho.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ubona kanjani ngempela ukuthi nginenkinga ye-adrenal ?
• Uma ngingenaso isifo se-adrenal crisis , yisiphi esinye isimo engingaba naso?
• Yisiphi isimo esicindezelayo esibangele inkinga yami ye-adrenal ?
• Kuzongithatha isikhathi esingakanani ukuthi ngilulame?
• Hlobo luni lomuthi oluncomayo?
• Ngingawugcina kanjani lo muthi ngendlela efanele?
• Ingabe ikhona imiphumela emibi kulo muthi?

Buza le mibuzo ukuze uqonde kangcono isimo sakho.

Uyini umehluko phakathi kwe-Thyroid Storm kanye ne-Adrenal Crisis?

Nakuba kokubili lokhu kuyizimo eziphuthumayo, kunomehluko phakathi kwalokhu okubili.

I-thyroid storm uhlobo olubi kakhulu lwesimo esibizwa ngokuthi i-thyrotoxicosis . I-Thyrotoxicosis yilapho umzimba wakho ukhiqiza i-thyroid hormone eningi kakhulu. I-thyroid gland entanyeni yethu ikhiqiza ama-hormone i- triiodothyronine (T3) kanye ne-thyroxine (T4) . La ma-hormone alawula izinto ezifana nokushisa komzimba wethu, ukushaya kwenhliziyo, kanye nokusetshenziswa kwe-metabolism.

Kodwa-ke, inkinga ye-adrenal , njengoba sesixoxile, iyisimo esisongela impilo esenzeka lapho izindlala ze-adrenal zingakhiqizi i-cortisol eyanele.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, uma une -adrenal insufficiency , noma uma ubhekene nezimpawu zenkinga ye -adrenal ,Khuluma nodokotela ngokushesha. Ukwelashwa okusheshayo kungasindisa impilo yakho.

Uma unenkinga ye-adrenal , cishe kuzodingeka uphuze imithi impilo yakho yonke. Sebenzisana nodokotela wakho ukuthola noma yiziphi izimbangela ezingase zibangele isimo sakho bese uzama ukuzigwema ngangokunokwenzeka. Ukuphila kwakho kuyigugu kuwe, ngakho-ke kunakekele.

Inkinga yezinso, i - cortisol, isifo sika-Addison, ama-hormone, izindlala ze-adrenal, ukwelashwa okuphuthumayo, izimpawu