Ukuhlolwa kwe-Aldosterone

-Delile

• Yini Ukuxilongwa Kokuhlola kwe-Aldosterone?
• Ilungiselela Ukuhlolwa kwe-Aldosterone
• Kwenziwa Kanjani Ukuhlolwa Kwe-Aldosterone
• Ukuhumusha Imiphumela Yakho
• Ngemuva kweTest

Luyini Uvivinyo lwe-Aldosterone?

Ukuhlolwa kwe-aldosterone (ALD) kukala inani le-ALD egazini lakho. Kubizwa nangokuthi ukuhlolwa kwe-serum aldosterone. I-ALD iyi-hormone eyenziwe yizindlala ze-adrenal. Izindlala ze-adrenal zitholakala ngaphezulu kwezinso zakho futhi zibhekene nokukhiqiza ama-hormone amaningi abalulekile. I-ALD ithinta umfutho wegazi futhi ilawula ne-sodium (usawoti) ne-potassium egazini lakho, phakathi kweminye imisebenzi.

I-ALD eningi kakhulu ingaletha umfutho wegazi ophakeme namazinga aphansi e-potassium. Kuyaziwa njenge-hyperaldosteronism lapho umzimba wakho wenza i-ALD eningi kakhulu. I-hyperaldosteronism eyinhloko ingabangelwa i-adrenal tumor (imvamisa eyingozi, noma engeyona umdlavuza). Okwamanje, i-hyperaldosteronism yesibili ingabangelwa izimo ezahlukahlukene. Lokhu kufaka phakathi:

• ukuhluleka kwenhliziyo
• ukuqina kwesibindi
• ezinye izifo zezinso (isb., i-nephrotic syndrome)
• i-potassium eyeqile
• i-sodium ephansi
• i-toxemia kusukela ekukhulelweni

Yini Ukuxilongwa Kokuhlola kwe-Aldosterone?

Ukuhlolwa kwe-ALD kuvame ukusetshenziselwa ukuxilonga ukuphazamiseka koketshezi ne-electrolyte. Lokhu kungabangelwa:

• izinkinga zenhliziyo
• ukwehluleka kwezinso
• isifo sikashukela insipidus
• isifo se-adrenal

Ukuhlolwa kungasiza futhi ukuxilonga:

• umfutho wegazi ophakeme okunzima ukuwulawula noma owenzeka esemncane
• i-orthostatic hypotension (umfutho wegazi ophansi obangelwa ukusukuma)
• ukukhiqizwa ngokweqile kwe-ALD
• ukungakwazi ukusebenza kahle kwe-adrenal (ngaphansi kwezindlala ezisebenzayo ze-adrenal)

Ilungiselela Ukuhlolwa kwe-Aldosterone

Udokotela wakho angakucela ukuthi wenze lokhu kuhlolwa ngesikhathi esithile sosuku. Isikhathi sibalulekile, njengoba amazinga e-ALD ehlukahluka usuku lonke. Amaleveli aphezulu kakhulu ekuseni. Udokotela wakho futhi angakucela ukuthi:

• shintsha inani le-sodium oyidlayo (ebizwa nge-sodium restriction diet)
• gwema ukuvivinya umzimba kanzima
• gwema ukudla i-licorice (i-licorice ingalingisa izakhiwo ze-aldosterone)
• Lezi zinto zingathinta amazinga e-ALD. Ingcindezi nayo ingakhuphula i-ALD okwesikhashana.

Imithi eminingi ingathinta i-ALD. Tshela udokotela wakho ngayo yonke imithi oyiphuzayo. Lokhu kufaka phakathi izithasiselo nezidakamizwa ezingekho emthethweni. Udokotela wakho uzokutshela uma udinga ukuyeka noma ukushintsha noma yimiphi imithi ngaphambi kwalokhu kuhlolwa.

Imithi engathinta i-ALD ifaka phakathi:

• izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen
• isisu (amaphilisi wamanzi)
• izinto zokuvimbela inzalo ngomlomo (amaphilisi okulawula ukubeletha)
• i-angiotensin-converting enzyme (ACE) inhibitors, efana ne-benazepril
• ama-steroids, njenge-prednisone
• ama-beta blockers, njenge-bisoprolol
• ama-calcium channel blockers, njenge-amlodipine
• lithium
• i-heparin
• i-propranolol

Kwenziwa Kanjani Ukuhlolwa Kwe-Aldosterone

Ukuhlolwa kwe-ALD kudinga isampula yegazi. Isampuli yegazi ingathathwa ehhovisi likadokotela wakho noma ingenziwa elebhu.

Okokuqala, umhlinzeki wakho wezokunakekelwa kwempilo uzobulala amagciwane endaweni engalweni noma esandleni sakho. Bazosonga ibhande lokunwebeka engalweni yakho engenhla ukwenza igazi liqoqe emthanjeni. Okulandelayo, bazofaka inaliti encane emthanjeni wakho. Lokhu kungaba buhlungu ngokulingene futhi kungadala ukuzwa okuhlabayo noma okuhlabayo. Igazi lizoqoqwa kushubhu elilodwa noma ngaphezulu.

Umhlinzeki wakho wezokunakekelwa kwempilo uzosusa ukunwebeka nokunwebeka kwenalithi, futhi bazofaka ingcindezi ekubhobozeni ukubhoboza ukopha nokusiza ukuvimbela ukulinyazwa. Bazofaka ibhandishi endaweni yokubhoboza. Indawo yokubhoboza ingaqhubeka nokushaya ngamandla, kepha lokhu kuyaphela kungakapheli imizuzu embalwa kubantu abaningi.

Izingozi zokudonswa kwegazi lakho ziphansi. Kuthathwa njengesivivinyo sezokwelapha esingahlaseli. Izingozi ezingenzeka zokudonsa igazi lakho zifaka:

• izinaliti eziningi ngenxa yenkinga yokuthola umthambo
• ukopha ngokweqile
• ubuhlanya noma ukuquleka
• i-hematoma (ukuhlangana kwegazi ngaphansi kwesikhumba)
• ukutheleleka endaweni yokubhoboza

Ukuhumusha Imiphumela Yakho

Udokotela wakho uzobuyekeza imininingwane eqoqwe isivivinyo. Bazokuthinta ngelinye ilanga ukuze baxoxe ngemiphumela yakho.

Amazinga aphezulu e-ALD abizwa ngokuthi yi-hyperaldosteronism. Lokhu kungakhuphula i-potassium yegazi ne-potassium yegazi. I-Hyperaldosteronism ingabangelwa:

• i-renal artery stenosis (ukuncipha komthambo onikeza igazi ezinso)
• ukuhluleka kwenhliziyo
• isifo sezinso noma ukwehluleka
• i-cirrhosis (ukusikwa kwesibindi) i-toxemia yokukhulelwa
• ukudla okuphansi ngokweqile nge-sodium
• I-Conn syndrome, i-Cushing's syndrome, noma i-Bartter syndrome (kuyaqabukela)

Amazinga aphansi e-ALD abizwa ngokuthi yi-hypoaldosteronism. Izimpawu zalesi simo zifaka:

• umfutho wegazi ophansi
• ukoma komzimba
• amazinga aphansi e-sodium
• amazinga aphansi e-potassium

I-Hypoaldosteronism ingabangelwa:

• ukungabi namandla kwe-adrenal
• Isifo i-Addison, esithinta ukukhiqizwa kwamahomoni adrenal
• i-hyporeninemic hypoaldosteronism (i-ALD ephansi ebangelwa yisifo sezinso)
• ukudla okuphezulu kakhulu nge-sodium (ngaphezu kuka-2,300 mg / ngosuku kulabo abaneminyaka engama-50 nangaphansi; 1,500 ngaphezulu kweminyaka yobudala engama-50)
• i-congenital adrenal hyperplasia (isifo sokuzalwa lapho izingane zintula i-enzyme edingekayo ukwenza i-cortisol, engathinta nokukhiqizwa kwe-ALD.)

Ngemuva kweTest

Lapho nje udokotela wakho eseyibuyekezile imiphumela yakho nawe, bangahle ba-oda ezinye izivivinyo ukusiza ukuxilonga ukukhiqizwa okweqile noma ukukhiqizwa okungaphansi kwe-ALD. Lezi zivivinyo zifaka:

• i-plasma renin
• isilinganiso se-renin-ALD
• ukumnika i-andrenocorticotrophin (ACTH)
• bongiwe
• ukumfakelwa ngemithambo (IV) kasawoti

Lezi zivivinyo zizokusiza wena nodokotela wakho ukuthi nifunde kabanzi mayelana nokuthi yini ebanga inkinga nge-ALD yenu. Lokhu kuzosiza udokotela wakho ukuthola ukuxilongwa futhi aqhamuke nohlelo lokwelashwa.