I-Addisonian Crisis (Inkinga Ye-Acren Adrenal)

-Delile

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• Ziyini izimpawu zenkinga ye-Addisonian?
• Yini ebangela inkinga ye-Addisonian?
• Ngubani osengozini yenkinga ye-Addisonian?
• Itholakala kanjani inkinga ye-Addisonian?
• Iphathwa kanjani inkinga yase-Addisonian?
• Imithi
• Ukunakekelwa kwasekhaya
• Ukwelashwa kwenkinga enkulu ye-Addisonian
• Uyini umbono wesikhathi eside?

Uma ucindezelekile, izindlala zakho ze-adrenal, ezihlala phezu kwezinso, zikhiqiza i-hormone ebizwa nge-cortisol. ICortisol isiza umzimba wakho ukuthi uphendule ngempumelelo ekucindezelekeni. Iphinde ibambe iqhaza kwezempilo yamathambo, ekuphenduleni kwamasosha omzimba, nasekuguqulweni kokudla emzimbeni. Umzimba wakho ngokujwayelekile ulinganisela inani le-cortisol ekhiqizwayo.

Inkinga ye-Addisonian yisimo esibi sezokwelapha esibangelwa ukungakwazi komzimba ukukhiqiza inani elanele le-cortisol. Inkinga ye-Addisonian yaziwa nangokuthi inkinga ebucayi ye-adrenal. Abantu abanesimo esibizwa nge-Addison’s disease noma abalimele izindlala ze-adrenal bangase bangakwazi ukukhiqiza i-cortisol eyanele.

Ziyini izimpawu zenkinga ye-Addisonian?

Izimpawu zenkinga ye-Addisonian zifaka:

• ubuthakathaka obukhulu
• ukudideka kwengqondo
• isiyezi
• isicanucanu noma ubuhlungu besisu
• ukuhlanza
• imfiva
• ubuhlungu obungazelelwe emhlane ongezansi noma emilenzeni
• ukungathandi ukudla
• umfutho wegazi ophansi ngokweqile
• Ukugodola
• ukuqubuka kwesikhumba
• ukujuluka
• ukushaya kwenhliziyo okuphezulu
• ukulahlekelwa ukwazi

Yini ebangela inkinga ye-Addisonian?

Isimo esibucayi se-Addisonian singenzeka lapho umuntu ongenazo izindlala ze-adrenal ezisebenza kahle ehlangabezana nesimo esicindezela kakhulu. Izindlala ze-adrenal zihlala ngaphezu kwezinso futhi zibhekene nokukhiqiza amahomoni amaningi abalulekile, kufaka phakathi i-cortisol. Lapho izindlala ze-adrenal zilimele, azikwazi ukukhiqiza ngokwanele kula mahomoni. Lokhu kungadala inkinga ye-Addisonian.

Ngubani osengozini yenkinga ye-Addisonian?

Labo abasengozini enkulu yenkinga ye-Addisonia ngabantu:

• kutholakale ukuthi nginesifo i-Addison
• basanda kuhlinzwa izindlala zabo ze-adrenal
• babe nomonakalo endlaleni yabo ye-pituitary
• belashelwa ukungeneli kwe-adrenal kodwa ungathathi imishanguzo yabo
• babhekene nohlobo oluthile lokuhlukumezeka ngokomzimba noma ukucindezeleka okukhulu
• ziphelelwe amanzi emzimbeni

Itholakala kanjani inkinga ye-Addisonian?

Udokotela wakho angenza ukuxilongwa kokuqala ngokulinganisa izinga le-cortisol noma i-adrenocorticotropic hormone (ACTH) egazini lakho. Uma izimpawu zakho sezilawuliwe, udokotela wakho uzokwenza ezinye izivivinyo ukuqinisekisa ukuxilongwa futhi anqume ukuthi amazinga akho e-adrenal hormone ajwayelekile yini. Lezi zivivinyo zingafaka:

• isivivinyo sokukhuthaza i-ACTH (cosyntropin), lapho udokotela wakho ezohlola amazinga akho e-cortisol ngaphambi nangemva komjovo we-ACTH
• ukuhlolwa kwe-serum potassium ukuhlola amazinga e-potassium
• ukuhlolwa kwe-serum sodium ukuhlola amazinga e-sodium
• ukuhlolwa kweglucose egazini lokuzila ukuthola inani likashukela egazini lakho
• ukuhlolwa okulula kwezinga le-cortisol

Iphathwa kanjani inkinga yase-Addisonian?

Imithi

Abantu ababhekene nenkinga ye-Addisonian bathola umjovo osheshayo we-hydrocortisone. Umuthi ungafakwa emisipheni noma emthanjeni.

Ukunakekelwa kwasekhaya

Kungenzeka ukuthi usuvele unayo ikhithi efaka umjovo we-hydrocortisone uma utholakale unesifo i-Addison. Udokotela wakho angakubonisa ukuthi ungazinikeza kanjani umjovo ophuthumayo we-hydrocortisone. Kungaba umqondo omuhle futhi ukufundisa umlingani wakho noma ilungu lomndeni indlela yokujova umjovo ngokufanele. Ungahle uthande ukugcina ikithi lokugcina emotweni uma ungumuntu ohamba njalo.

Ungalindi uze ubuthakathaka kakhulu noma udideke ukuze uzinike umjovo we-hydrocortisone, ikakhulukazi uma usuvele uhlanza. Uma usuzinikezile umjovo, shayela udokotela wakho ngokushesha. Ikhithi yezimo eziphuthumayo yenzelwe ukusiza ukuzinzisa isimo sakho, kepha akuhloselwe ukufaka esikhundleni ukunakekelwa kwezokwelapha.

Ukwelashwa kwenkinga enkulu ye-Addisonian

Ngemuva kwenkinga ye-Addisonian, udokotela wakho angakutshela ukuthi uye esibhedlela ukuyohlolwa okuqhubekayo. Lokhu kuvame ukwenziwa ukuqinisekisa ukuthi isimo sakho selashwe ngempumelelo.

Uyini umbono wesikhathi eside?

Abantu abanenkinga ye-Addisonian bavame ukululama uma isimo siphathwa ngokushesha. Ngokwelashwa okungaguquguquki, labo abane-insufficiency ye-adrenal bangaphila impilo enempilo, esebenzayo.

Kodwa-ke, inkinga engalashwa ye-Addisonian ingaholela ku:

• ukushaqeka
• isithuthwane
• ikhoma
• ukufa

Ungakhawulela ubungozi bakho bokuthola inkinga ye-Addisonia ngokuthatha yonke imithi oyibekiwe. Kufanele futhi uphathe ikhithi yokujova ye-hydrocortisone futhi ube nekhadi lokukhomba elisho isimo sakho uma kunesimo esiphuthumayo.