Ingxaki yeAddisonia (Ingxaki yeAdrenal Acute)

Umxholo

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• Zithini iimpawu zengxaki yeAddison?
• Yintoni ebangela ingxaki yeAddisonia?
• Ngubani osemngciphekweni wengxaki yeAddison?
• Ichongwa njani ingxaki yeAddisonia?
• Iphathwa njani ingxaki yaseAddisonia?
• Amayeza
• Unonophelo lwasekhaya
• Unyango lwengxaki enkulu yeAddisonia
• Ithini imbono yexesha elide?

Xa uxinezelekile, amadlala akho adrenal, ahlala phezu kwezintso, avelisa ihomoni ebizwa ngokuba yi-cortisol. ICortisol inceda umzimba wakho uphendule ngokufanelekileyo kuxinzelelo. Ikwadlala indima kwimpilo yethambo, ekuphenduleni kwamajoni omzimba, nakwimetabolism yokutya. Umzimba wakho ngesiqhelo ulinganisa inani lecortisol evelisiweyo.

Ingxaki ye-Addisonian yimeko enzulu yonyango ebangelwa kukungakwazi komzimba ukuvelisa isixa esaneleyo se-cortisol. Ingxaki yeAddison ikwabizwa ngokuba yingxaki yeadrenal. Abantu abanesifo esibizwa ngokuba sisifo iAddison okanye abonakalise amadlala eadrenal abanako ukuvelisa icortisol eyaneleyo.

Zithini iimpawu zengxaki yeAddison?

Iimpawu zengxaki ye-Addisonian zibandakanya:

• ubuthathaka obukhulu
• ukudideka engqondweni
• isiyezi
• isicaphucaphu okanye iintlungu esiswini
• ukugabha
• ifiva
• iintlungu ngesiquphe kumqolo ongezantsi okanye emilenzeni
• Ukuphelelwa ngumdla wokutya
• uxinzelelo lwegazi olusezantsi kakhulu
• Ukugodola
• irhashalala
• ukubila
• ukubetha kwentliziyo ephezulu
• ukulahleka kwengqondo

Yintoni ebangela ingxaki yeAddisonia?

Ingxaki yeAddison inokwenzeka xa umntu engenakho ukusebenza kakuhle kwamadlala eadrenal efumana imeko yoxinzelelo olukhulu. Amadlala adrenal ahlala ngaphezulu kwezintso kwaye anoxanduva lokuvelisa iihormone ezininzi ezibalulekileyo, kubandakanya necortisol. Xa amadlala eadrenal onakele, awanako ukuvelisa ngokwaneleyo la mahomoni. Oku kunokubangela ingxaki yeAddison.

Ngubani osemngciphekweni wengxaki yeAddison?

Abona basemngciphekweni wentlekele yeAddisonia ngabantu aba:

• kuye kwafunyaniswa ukuba unesifo iAddison
• kutshanje baye benza utyando kwidlala yabo yeadrenal
• banomonakalo kwidlala labo
• baphathwa ngokungabikho kwe-adrenal kodwa musa ukuthatha amayeza abo
• bafumana uhlobo oluthile loxinzelelo lomzimba okanye uxinzelelo olukhulu
• baphelelwe ngamandla emzimbeni

Ichongwa njani ingxaki yeAddisonia?

Ugqirha wakho unokwenza uxilongo lokuqala ngokulinganisa inqanaba le-cortisol okanye i-adrenocorticotropic hormone (ACTH) egazini lakho. Xa iimpawu zakho ziphantsi kolawulo, ugqirha wakho uya kwenza ezinye iimvavanyo ukuqinisekisa ukuxilongwa kunye nokuchonga ukuba ngaba amanqanaba akho e-adrenal aqhelekileyo. Olu vavanyo lunokubandakanya:

• uvavanyo lwe-ACTH (cosyntropin), apho ugqirha wakho aya kuvavanya amanqanaba akho e-cortisol ngaphambi nasemva kwenaliti ye-ACTH
• uvavanyo lwe-serum potassium ukujonga amanqanaba e-potassium
• uvavanyo lwe-serum sodium ukujonga amanqanaba esodium
• uvavanyo olukhawulezayo lweswekile yegazi ukumisela inani leswekile egazini lakho
• uvavanyo olulula lomgangatho wecortisol

Iphathwa njani ingxaki yaseAddisonia?

Amayeza

Abantu abahlangabezana nengxaki yeAddison bafumana isitofu esikhawulezileyo sehydrocortisone. Iyeza linokutofwa kwimisipha okanye emthanjeni.

Unonophelo lwasekhaya

Usenokuba sele unayo ikiti equka inaliti ye-hydrocortisone ukuba ufunyaniswe unesifo sika-Addison. Ugqirha wakho angakubonisa indlela yokuzinika inaliti engxamisekileyo yehydrocortisone. Isenokuba ngumbono olungileyo ukufundisa iqabane lakho okanye ilungu losapho ukuba ulitofa njani ngokufanelekileyo. Unokufuna ukugcina ikiti yokugcina emotweni ukuba ungumhambi rhoqo.

Musa ukulinda de ube buthathaka kakhulu okanye udideke ukuze uzinike inaliti ye-hydrocortisone, ngakumbi ukuba sele ugabha. Nje ukuba uzinike inaliti, biza ugqirha ngoko nangoko. Ikhithi yexakeka yenzelwe ukunceda ukuzinzisa imeko yakho, kodwa ayenzelwanga ukubuyisela ukhathalelo lonyango.

Unyango lwengxaki enkulu yeAddisonia

Emva kwengxaki yeAddisonia, ugqirha wakho angakuxelela ukuba uye esibhedlele kuvavanyo oluqhubekayo. Oku kuhlala kwenziwa ukuqinisekisa ukuba imeko yakho inyangwe ngokufanelekileyo.

Ithini imbono yexesha elide?

Abantu abanengxaki yeAddison bahlala bechacha ukuba imeko inyangwa ngokukhawuleza. Ngonyango olungaguquguqukiyo, abo bangonelanga yi-adrenal banokuphila ubomi obunempilo, nobusebenzayo.

Nangona kunjalo, ingxaki ye-Addisonian enganyangekiyo inokubangela:

• ukothuka
• ukuxhuzula
• isiqaqa
• ukufa

Unokuwunciphisa umngcipheko wokukhula kwengxaki yeAddison ngokuthatha onke amayeza akho amiselweyo. Kuya kufuneka uphathe ikiti yenaliti ye-hydrocortisone kwaye ube nekhadi lokuchonga elichaza imeko yakho kwimeko kaxakeka.