Uvavanyo lweAldosterone

Umxholo

• Yintoni eChonga uvavanyo lweAldosterone?
• Ukulungiselela ukuvavanywa kweAldosterone
• Uvavanyo lwe-Aldosterone lwenziwa njani
• Ukutolika iZiphumo zakho
• Emva kovavanyo

Yintoni uVavanyo lweAldosterone?

Uvavanyo lwe-aldosterone (ALD) lilinganisela inani le-ALD egazini lakho. Ikwabizwa ngokuba luvavanyo lwe-serum aldosterone. I-ALD yincindi yedlala eyenziwe ngamadlala adrenal. Amadlala adrenal afunyanwa ngaphezulu kwezintso zakho kwaye anoxanduva lokuvelisa iihomoni ezininzi ezibalulekileyo. I-ALD ichaphazela uxinzelelo lwegazi kwaye ikwalawula isodiyam (ityuwa) kunye ne-potassium egazini lakho, phakathi kweminye imisebenzi.

I-ALD eninzi kakhulu inokubangela uxinzelelo lwegazi oluphezulu kunye namanqanaba asezantsi e-potassium. Yaziwa njenge hyperaldosteronism xa umzimba wakho wenza i-ALD kakhulu. I-hyperaldosteronism yaseprayimari inokubangelwa yi-adrenal tumor (ihlala ilungile, okanye ingabinomdla). Okwangoku, i-hyperaldosteronism yesibini inokubangelwa ziimeko ezahlukeneyo. Oku kubandakanya:

• ukusilela kwentliziyo
• ukuqina kwesibindi
• ezinye izifo zezintso (umzekelo, i-nephrotic syndrome)
• i-potassium eninzi
• isodiyam ephantsi
• toxemia ukusuka ekukhulelweni

Yintoni eChonga uvavanyo lweAldosterone?

Uvavanyo lwe-ALD luhlala lusetyenziselwa ukufumanisa ukuphazamiseka kwamanzi kunye ne-electrolyte. Oku kunokubangelwa:

• iingxaki zentliziyo
• ukusilela kwezintso
• isifo seswekile insipidus
• isifo se-adrenal

Uvavanyo lunokunceda ukufumanisa isifo:

• uxinzelelo lwegazi olunzima ukulawula okanye lwenzeka esemncinci
• i-orthostatic hypotension (uxinzelelo lwegazi oluphantsi olubangelwa kukuma)
• Ukuveliswa ngokugqithisileyo kwe-ALD
• ukungabikho kwe-adrenal (phantsi kweengqungquthela ezisebenzayo ze-adrenal)

Ukulungiselela ukuvavanywa kweAldosterone

Ugqirha wakho unokukucela ukuba wenze olu vavanyo ngexesha elithile losuku. Ixesha libalulekile, njengoko amanqanaba e-ALD ahluka yonke imini. Amanqanaba aphezulu ekuseni. Ugqirha wakho unokukucela ukuba:

• tshintsha inani lesodium oyityayo (ebizwa ngokuba kukutya okuthintela isodiyam)
• thintela umthambo onzima
• thintela ukutya i-licorice (i-licorice inokulinganisa iipropathi ze-aldosterone)
• Ezi zinto zinokuchaphazela amanqanaba e-ALD. Uxinzelelo lunokunyusa i-ALD okwethutyana.

Inani lamayeza linokuchaphazela i-ALD. Tshela ugqirha wakho ngawo onke amayeza owathathayo. Oku kubandakanya izongezo kunye namayeza athengiswayo. Ugqirha wakho uya kukuxelela ukuba ufuna ukuyeka okanye utshintshe nawaphi na amayeza ngaphambi kolu vavanyo.

Amachiza anokuchaphazela i-ALD abandakanya:

• ii-nonsteroidal anti-inflammatory drugs (ii-NSAID), ezinje nge-ibuprofen
• i-diuretics (iipilisi zamanzi)
• izinto zokucwangcisa ngomlomo (iipilisi zolawulo lokuzalwa)
• i-angiotensin-converting enzyme (ACE) inhibitors, enjenge-benazepril
• i-steroids, njenge-prednisone
• iibhloko ze-beta, ezinje nge-bisoprolol
• iicalcium block blockers, ezinjengeamlodipine
• lithium
• heparin
• ipropranolol

Uvavanyo lwe-Aldosterone lwenziwa njani

Uvavanyo lwe-ALD lufuna isampulu yegazi. Isampulu yegazi ingathathwa kwiofisi kagqirha wakho okanye inokwenziwa elebhu.

Okokuqala, umboneleli wakho wezempilo uya kuyibulala ngentsholongwane indawo engalweni okanye esandleni sakho. Baza kusongela ibhanti e-elastic malunga nengalo yakho engaphezulu ukwenza igazi liqokelele emthanjeni. Emva koko, baya kufaka inaliti encinci emthanjeni wakho. Oku kunokuba buhlungu ngokuphakathi kwaye kunokubangela ukuqaqamba okanye ukubetha. Igazi liya kuqokelelwa kwityhubhu enye okanye ezingaphezulu.

Umboneleli wakho wezempilo uyakususa i-elastic bland kunye nenaliti, kwaye baya kufaka uxinzelelo kwindawo yokubamba ukuze bayeke ukopha kwaye bancede ukunqanda ukugruzuka. Baya kufaka i-bandage kwindawo yokugcoba. Indawo yokuhlatywa inokuqhubeka nokubetha, kodwa oku kuyaphela ngemizuzu embalwa kuninzi lwabantu.

Umngcipheko wokutsalwa kwegazi lakho usezantsi. Kuthathwa njengolu vavanyo lonyango olungenasiphelo. Ubungozi obunokubakho bokutsalwa kwegazi lakho kubandakanya:

• iinaliti ezininzi ngenxa yengxaki yokufumana umthambo
• ukopha kakhulu
• intloko elula okanye etyhafayo
• ihematoma (ukudityaniswa kwegazi phantsi kolusu)
• usulelo kwindawo yokuhlatywa

Ukutolika iZiphumo zakho

Ugqirha wakho uya kujonga ulwazi oluqokelelwe kuvavanyo. Baza kufikelela kuwe kamva ukuba baxoxe ngeziphumo zakho.

Amanqanaba aphezulu e-ALD abizwa ngokuba yi-hyperaldosteronism. Oku kunokunyusa i-potassium yegazi kunye negazi eliphantsi. I-Hyperaldosteronism inokubangelwa:

• i-renal artery stenosis (ukunciphisa umthambo obonelela ngegazi kwizintso)
• ukusilela kwentliziyo
• isifo sezintso okanye ukusilela
• i-cirrhosis (ukusilela kwesibindi) toxemia yokukhulelwa
• ukutya okuphantsi kakhulu kwi-sodium
• Isifo seConn, isifo sikaCushing, okanye isifo seBartter (kunqabile)

Amanqanaba asezantsi e-ALD abizwa ngokuba yi-hypoaldosteronism. Iimpawu zale meko zibandakanya:

• uxinzelelo lwegazi oluphantsi
• ukuphelelwa ngamanzi emzimbeni
• amanqanaba esodium ephantsi
• amanqanaba aphantsi e-potassium

I-Hypoaldosteronism inokubangelwa:

• ukungabikho kwe-adrenal
• Isifo iAddison, esichaphazela imveliso yehomoni yeadrenal
• hyporeninemic hypoaldosteronism (i-ALD esezantsi ebangelwa sisifo sezintso)
• ukutya okuphezulu kakhulu kwi-sodium (ngaphezulu kwama-2,300 mg / ngosuku kulabo baneminyaka engama-50 nangaphantsi; 1,500 ngaphezu kweminyaka engama-50)
• i-adrenal hyperplasia (isifo sokuzalwa esibelekweni apho iintsana zingenayo i-enzyme efunekayo ukwenza i-cortisol, enokuthi ichaphazele nemveliso ye-ALD.)

Emva kovavanyo

Nje ukuba ugqirha wakho aphonononge iziphumo zakho kunye nawe, banokuyalela ezinye iimvavanyo ukunceda ukufumanisa imveliso engaphezulu okanye imveliso engaphantsi kwe-ALD. Olu vavanyo lubandakanya:

• Iplasma renin
• Umyinge we-renin-ALD
• Ukufakwa kwe-andrenocorticotrophin (ACTH)
• captopril
• ukufakwa ngaphakathi (IV) kwetyuwa

Ezi mvavanyo ziya kukunceda wena nogqirha wakho ukuba ufunde okungakumbi ngento ebangela umba nge-ALD yakho.Oku kuya kunceda ugqirha wakho ukuba afumane isifo kwaye eze nesicwangciso sonyango.