Isifo iAddison

Umxholo

• Ushwankathelo
• Ziziphi iimpawu zesifo sika-Addison?
• Yintoni ebangela isifo sika-Addison?
• Ukungabikho ngokwaneleyo kwe-adrenal
• Ukwanela kwe-adrenal yesibini
• Ngubani osemngciphekweni wesifo sika-Addison?
• Ukuchonga isifo sika-Addison
• Isifo se-Addison siphathwa njani?
• Amayeza
• Unonophelo lwasekhaya
• Olunye unyango
• Kulindelwe ntoni kwixesha elide?

Ushwankathelo

Amadlala akho abekwe phezulu kwizintso zakho. Ezi ndlala zivelisa iihomoni ezininzi ezifunwa ngumzimba wakho kwimisebenzi yesiqhelo.

Isifo i-Addison senzeka xa i-adrenal cortex yonakele, kwaye iincindi zamadlala azivelisi ngokwaneleyo iihomoni ze-steroid ze-cortisol kunye ne-aldosterone.

ICortisol ilawula ukusabela komzimba kwiimeko zoxinzelelo. I-Aldosterone iyanceda kummiselo wesodium kunye nepotassium. I-adrenal cortex ivelisa iihomoni zesini (androgens).

Ziziphi iimpawu zesifo sika-Addison?

Abantu abanesifo sika-Addison banokufumana ezi mpawu zilandelayo:

• ubuthathaka bemisipha
• ukudinwa nokudinwa
• mnyama ngombala wolusu
• ukunciphisa umzimba okanye ukunciphisa ukutya
• ukwehla kwentliziyo okanye uxinzelelo lwegazi
• amanqanaba eswekile esezantsi egazi
• ukuphelelwa amandla
• izilonda emlonyeni
• iminqweno yetyuwa
• isicaphucaphu
• ukugabha

Abantu abaphila nesifo iAddison banokufumana iimpawu ze-neuropsychiatric, ezinje:

• ukucaphuka okanye ukudakumba
• ukunqongophala kwamandla
• ukuphazamiseka kokulala

Ukuba isifo sika-Addison singanyangeki ixesha elide, kunokuba yingxaki ye-Addisonian. Iimpawu ezinxulunyaniswa nengxaki yeAddisoni:

• ukuphazamiseka
• Ukuphambuka
• ukubonwa kunye nokuva izinto ezingekhoyo

Ingxaki ye-Addisonian yingozi engxamisekileyo yonyango. Shayela u-911 ngokukhawuleza ukuba wena okanye umntu omaziyo uqala ukufumana amava:

• utshintsho kubume bengqondo, olunje ngokudideka, uloyiko, okanye ukungazinzi
• ukulahleka kwengqondo
• umkhuhlane ophezulu
• iintlungu ngesiquphe kumqolo ongezantsi, isisu, okanye imilenze

Ingxaki engaphendulwanga yeAddison ingakhokelela kukothuka kunye nokufa.

Yintoni ebangela isifo sika-Addison?

Kukho iindidi ezimbini eziphambili zesifo sika-Addison: ukungabikho kakuhle kwe-adrenal kunye nokungabikho kwe-adrenal yesibini. Ukuze unyange esi sifo, ugqirha wakho kuya kufuneka afumanise ukuba loluphi uhlobo olunoxanduva kwimeko yakho.

Ukungabikho ngokwaneleyo kwe-adrenal

Ukungabikho kakuhle kwe-adrenal kwenzeka xa amadlala akho e-adrenal onakaliswe kakhulu kangangokuba angabinako ukuvelisa iihomoni. Olu hlobo lwesifo iAddison luhlala lubangelwa xa amajoni akho omzimba ehlasela amadlala akho eadrenal. Oku kubizwa ngokuba sisifo sokuzimela.

Kwisifo esizenzekelayo, amajoni omzimba wakho enza iimpazamo kulo naliphi na ilungu okanye indawo yomzimba yintsholongwane, ibhaktiriya, okanye omnye umhlaseli ongaphandle.

Ezinye izizathu zokungoneliseki kwe-adrenal zibandakanya:

• Ulawulo olude lwee-glucocorticoids (umz.i-prednisone)
• usulelo emzimbeni wakho
• umhlaza kunye nokukhula okungaqhelekanga (tumors)
• yegazi elithile lisetyenziselwa ukulawula ukujiya kwegazi

Ukwanela kwe-adrenal yesibini

Ukungabikho ngokwaneleyo kwe-adrenal kwenzeka xa i-pituitary gland (ekhoyo kwingqondo yakho) ayikwazi ukuvelisa i-adrenocorticotropic hormone (ACTH). I-ACTH ixelela iincindi zamadlala xa iza kukhupha iihomoni.

Kuyenzeka ukuba uhlakulele ukungoneli kwe-adrenal ukuba awuthathi iyeza le-corticosteroid eligqirha ugqirha wakho amyalelayo. ICorticosteroids inceda ukulawula iimeko zempilo ezingapheliyo njengesifuba.

Zininzi nezinye izizathu zokungoneliseki kwe-adrenal yesibini, kubandakanya:

• amathumba
• amayeza
• yemfuza
• ukwenzakala kwengqondo ebuhlungu

Ngubani osemngciphekweni wesifo sika-Addison?

Unokuba semngciphekweni omkhulu wesifo sika-Addison ukuba:

• unomhlaza
• thatha ii-anticoagulants (igazi elincinci)
• banesifo esinganyangekiyo njengesifo sephepha
• Utyando lwasusa naliphi na ilungu le-adrenal gland
• unesifo sokuzimela, njengohlobo lweswekile 1 okanye isifo seMangcwaba

Ukuchonga isifo sika-Addison

Ugqirha wakho uya kukubuza malunga nembali yakho yezonyango kunye neempawu okhe wahlangabezana nazo. Baza kwenza uvavanyo lomzimba, kwaye banoku-odola iimvavanyo zelebhu ukujonga amanqanaba akho e-potassium kunye nesodium.

Ugqirha wakho unokuyalela iimvavanyo zokucinga kunye nokulinganisa amanqanaba akho ehomoni.

Isifo se-Addison siphathwa njani?

Unyango lwakho luya kuxhomekeka kwinto ebangela imeko yakho. Ugqirha wakho unokukunika amayeza alawula amadlala akho eadrenal.

Ukulandela isicwangciso sonyango esenziwe ngugqirha wakho kubaluleke kakhulu. Isifo esinganyangekiyo iAddison singakhokelela kwingxaki yeAddison.

Ukuba imeko yakho ayinyangeki ixesha elide, kwaye iqhubekele kwimeko esongela ubomi ebizwa ngokuba yingxaki yeAddisonia, ugqirha wakho unokuyalela amayeza ukuba anyange kuqala.

Ingxaki yeAddionia ibangela uxinzelelo lwegazi olusezantsi, i-potassium ephezulu egazini, kunye namanqanaba eswekile esezantsi.

Amayeza

Kuya kufuneka uthathe indibaniselwano yamayeza e-glucocorticoids (amachiza amisa ukudumba) ukuphucula impilo yakho. La mayeza aya kuthathwa ubomi bakho bonke kwaye awunakuphulukana nedosi.

Ukufakwa endaweni yeHormone kunokumiselwa endaweni yamahomoni angenziwa ngamadlala akho eadrenal.

Unonophelo lwasekhaya

Gcina ikiti engxamisekileyo enamayeza akho ngesandla ngalo lonke ixesha. Buza ugqirha wakho ukuba abhale iyeza le-corticosteroid enesitofu ngexesha likaxakeka.

Unokufuna ukugcina ikhadi lezilumkiso kwezonyango kwisipaji sakho kunye nesacholo esihlahleni sakho ukwazisa abanye ngemeko yakho.

Olunye unyango

Kubalulekile ukugcina amanqanaba oxinzelelo phantsi ukuba uyasongeza isifo sika-Addison. Iziganeko zobomi, ezinje ngokusweleka komntu omthandayo okanye ukwenzakala, zinokunyusa uxinzelelo lwakho kwaye zichaphazele indlela ophendula ngayo kumayeza akho. Thetha nogqirha wakho malunga nezinye iindlela zokunciphisa uxinzelelo, ezinje ngeyoga kunye nokucamngca.

Kulindelwe ntoni kwixesha elide?

Isifo iAddison sifuna unyango olungapheliyo. Unyango, njengamayeza okubuyisela i-hormone, anokukunceda ulawule iimpawu zakho.

Ukulandela isicwangciso sonyango esenziwe ngugqirha linyathelo elibalulekileyo ekuncedeni ukuba uphile ubomi obunemveliso.

Khumbula, soloko uthabatha amayeza akho ngqo njengoko kuyalelwe. Ukuthatha amayeza amancinci okanye amaninzi kakhulu kunokuchaphazela impilo yakho.

Isicwangciso sakho sonyango sinokufuna ukuphinda sihlolwe kwaye sitshintshwe ngokuxhomekeke kwimeko yakho. Ngesi sizathu, kubalulekile ukuba ubone ugqirha wakho rhoqo.