Isifo Sika-Addison

-Delile

• Ukubuka konke
• Ziyini izimpawu zesifo i-Addison?
• Yini ebangela isifo sika-Addison?
• Ukwehluleka okuyinhloko kwe-adrenal
• Ukwehluleka kwe-adrenal yesibili
• Ubani osengozini yesifo i-Addison?
• Ukuhlonza isifo i-Addison
• Selashwa kanjani isifo i-Addison?
• Imithi
• Ukunakekelwa kwasekhaya
• Ezinye izindlela zokwelapha
• Yini elindelwe esikhathini eside?

Ukubuka konke

Izindlala zakho ze-adrenal zitholakala ngaphezulu kwezinso zakho. Lezi zindlala zikhiqiza amahomoni amaningi umzimba wakho awadingayo ukuze wenze imisebenzi ejwayelekile.

Isifo i-Addison senzeka lapho i-adrenal cortex yonakele, kanti nezindlala ze-adrenal azikhiqizi ngokwanele ama-hormone e-steroid i-cortisol ne-aldosterone.

ICortisol ilawula ukusabela komzimba ezimweni ezicindezelayo. I-Aldosterone isiza ngomthethonqubo we-sodium ne-potassium. I-adrenal cortex iphinda ikhiqize ama-hormone ocansi (androgens).

Ziyini izimpawu zesifo i-Addison?

Abantu abanesifo i-Addison bangathola lezi zimpawu ezilandelayo:

• ubuthakathaka bemisipha
• ukukhathala nokukhathala
• mnyama ngombala wesikhumba
• ukuncipha komzimba noma ukuncipha kwesifiso sokudla
• ukwehla kwenhliziyo noma umfutho wegazi
• amazinga kashukela aphansi
• ukuquleka
• izilonda emlonyeni
• izifiso zikasawoti
• isicanucanu
• ukuhlanza

Abantu abaphila nesifo i-Addison bangathola nezimpawu ze-neuropsychiatric, njenge:

• ukucasuka noma ukucindezeleka
• ukungabi namandla
• ukuphazamiseka kokulala

Uma isifo i-Addison singalashwa isikhathi eside, singaba yinkinga ye-Addisonian. Izimpawu ezihambisana nenkinga ye-Addisonian zinga:

• ukuyaluza
• i-delirium
• ukubona izinto ezingekho emqondweni nokubukwayo

Inkinga ye-Addisonian iyisimo esiphuthumayo esisongela impilo. Shayela u-911 ngokushesha uma wena noma umuntu omaziyo eqala ukuzwa:

• ukuguquka kwesimo sengqondo, njengokudideka, ukwesaba, noma ukungahlaliseki
• ukulahlekelwa ukwazi
• umkhuhlane omkhulu
• ubuhlungu obungazelelwe emhlane ongezansi, esiswini, noma emilenzeni

Inkinga ye-Addisonian engalashwa ingaholela ekushaqekeni nasekufeni.

Yini ebangela isifo sika-Addison?

Kunezigaba ezimbili ezinkulu zesifo i-Addison: ukungasebenzi kahle kwe-adrenal kanye nokungakwazi ukusebenza kahle kwe-adrenal yesibili. Ukuze welaphe lesi sifo, udokotela wakho uzodinga ukuthola ukuthi yiluphi uhlobo olubhekene nesimo sakho.

Ukwehluleka okuyinhloko kwe-adrenal

Ukwehluleka okuyinhloko kwe-adrenal kwenzeka lapho izindlala zakho ze-adrenal zilimele kakhulu kangangokuthi azisakwazi ukukhiqiza ama-hormone. Lolu hlobo lwesifo i-Addison luvame ukubangelwa lapho amasosha akho omzimba ehlasela izindlala zakho ze-adrenal. Lokhu kubizwa ngokuthi yisifo sokuzilimaza.

Esikhathini sokuzivikela komzimba, amasosha omzimba wakho enza iphutha kunoma yisiphi isitho noma indawo yomzimba ngegciwane, amabhaktheriya, noma omunye umhlaseli ongaphandle.

Ezinye izimbangela zokungakwazi ukusebenza kahle kwe-adrenal zihlanganisa:

• ukuphathwa isikhathi eside kwama-glucocorticoids (isb. prednisone)
• izifo emzimbeni wakho
• umdlavuza nokukhula okungavamile (izicubu)
• izinciphisi ezithile zegazi zazivame ukulawula ukujiya kwegazi

Ukwehluleka kwe-adrenal yesibili

Ukwehluleka kwe-adrenal yesibili kwenzeka lapho indlala ye-pituitary (etholakala ebuchosheni bakho) ingakwazi ukukhiqiza i-adrenocorticotropic hormone (ACTH). I-ACTH itshela izindlala ze-adrenal ukuthi kufanele zikhishwe nini ama-hormone.

Kungenzeka futhi ukuthuthukisa ukungasebenzi kahle kwe-adrenal uma ungathathi imishanguzo ye-corticosteroid udokotela wakho akunika yona. ICorticosteroids isiza ukulawula izimo zempilo ezingamahlalakhona ezifana nesifuba somoya.

Kunezinye izimbangela eziningi zokungasebenzi kahle kwe-adrenal yesibili, kufaka phakathi:

• izimila
• imithi
• izakhi zofuzo
• ukulimala okubuhlungu kwengqondo

Ubani osengozini yesifo i-Addison?

Ungaba sengozini enkulu yesifo i-Addison uma:

• unomdlavuza
• thatha ama-anticoagulants (ama-thinner egazi)
• banezifo ezingalapheki njengesifo sofuba
• wahlinzwa ukuze kususwe noma iyiphi ingxenye yendlala yakho ye-adrenal
• unesifo sokuzilimaza, njengesifo sikashukela sohlobo 1 noma isifo se-Graves

Ukuhlonza isifo i-Addison

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha kanye nezimpawu obukade uhlangabezana nazo. Bazokwenza ukuhlolwa ngokomzimba, futhi banga-oda ezinye izivivinyo zelebhu ukuhlola amazinga akho e-potassium ne-sodium.

Udokotela wakho angaphinde ahlele ukuhlolwa kwe-imaging futhi alinganise amazinga akho e-hormone.

Selashwa kanjani isifo i-Addison?

Ukwelashwa kwakho kuzoya ngokuthi yini ebanga isimo sakho. Udokotela wakho angakunikeza imithi elawula izindlala zakho ze-adrenal.

Ukulandela uhlelo lokwelashwa udokotela wakho akwenzele lona kubaluleke kakhulu. Isifo se-Addison esingalashwa singaholela enkingeni ye-Addisonian.

Uma isimo sakho singalashwa isikhathi eside, futhi sesithuthukele esimweni esisongela impilo esibizwa nge-Addisonian crisis, udokotela wakho angakunikeza imithi yokwelapha lokho kuqala.

Inkinga ye-Addisonian ibangela umfutho wegazi ophansi, i-potassium ephezulu egazini, namazinga kashukela egazi aphansi.

Imithi

Ungadinga ukuthatha inhlanganisela yemithi ye-glucocorticoids (izidakamizwa eziyeka ukuvuvukala) ukuthuthukisa impilo yakho. Le mithi izothathwa impilo yakho yonke futhi awukwazi ukuphuthelwa umthamo.

Ukufakwa esikhundleni kwamaHormone kungabekwa esikhundleni samahomoni angenziwa yizindlala zakho ze-adrenal.

Ukunakekelwa kwasekhaya

Gcina ikhithi yezimo eziphuthumayo equkethe imishanguzo yakho ngaso sonke isikhathi. Cela udokotela wakho ukuthi abhale incwadi kadokotela ye-corticosteroid ejojelwayo yezimo eziphuthumayo.

Ungase futhi ufune ukugcina ikhadi lesaziso sokwelapha esikhwameni sakho kanye nesongo esihlakaleni sakho ukuze wazise abanye ngesimo sakho.

Ezinye izindlela zokwelapha

Kubalulekile ukugcina izinga lokuxineka kwakho liphansi uma unesifo i-Addison. Imicimbi emikhulu yokuphila, njengokushona kothandekayo noma ukulimala, ingakhuphula izinga lokucindezeleka kwakho futhi ithinte indlela ophendula ngayo emithini yakho. Khuluma nodokotela wakho ngezinye izindlela zokuqeda ukucindezeleka, njenge-yoga nokuzindla.

Yini elindelwe esikhathini eside?

Isifo i-Addison sidinga ukwelashwa impilo yonke. Ukwelashwa, njengemithi yokufaka esikhundleni se-hormone, kungakusiza ukuphatha izimpawu zakho.

Ukulandela uhlelo lokwelashwa olwenziwa udokotela wakho kuyisinyathelo esibalulekile sokukusiza ukuthi uphile impilo ekhiqizayo.

Khumbula, njalo thatha imithi yakho njengoba nje uqondisiwe. Ukuthatha imithi emincane kakhulu noma eyeqile kungayilimaza impilo yakho.

Uhlelo lwakho lokwelashwa lungadinga ukuthi libuyekezwe futhi lushintshwe kuye ngesimo sakho. Ngalesi sizathu, kubalulekile ukuthi ubonane nodokotela wakho njalo.