Chekutanga uye chechipiri hyperaldosteronism

Hyperaldosteronism chirwere umo adrenal gland inoburitsa yakawandisa yehormone aldosterone muropa.

Hyperaldosteronism inogona kuve yekutanga kana yechipiri.

Primary hyperaldosteronism inokonzerwa nedambudziko readrenal gland ivo, izvo zvinoita kuti vaburitse aldosterone yakawandisa.

Mukupesana, neyechipiri hyperaldosteronism, dambudziko kumwe kunhu mumuviri kunokonzeresa maadrenal gland kuburitsa yakawandisa aldosterone. Aya matambudziko anogona kuve nemajini, chikafu, kana chirwere chekurapa senge nemoyo, chiropa, itsvo, kana kuwedzerwa kweropa.

Mazhinji kesi eakanyanya hyperaldosteronism anokonzerwa neisina-cancer (benign) bundu readrenal gland. Mamiriro acho anonyanya kubata vanhu vane makore makumi matatu kusvika makumi mashanu ekuberekwa uye ndicho chikonzero chinowanzoitika cheBP yakakwira muzera repakati.

Chekutanga uye chechipiri hyperaldosteronism ine zviratidzo zvinozivikanwa, zvinosanganisira:

• Kuwedzera kweropa
• Yakaderera mwero we potassium muropa
• Kunzwa kuneta nguva dzose
• Kutemwa nemusoro
• Tsvina kushaya simba
• Unhu

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako.

Miedzo inogona kurairwa kuti iongorore hyperaldosteronism inosanganisira:

• Abdominal CT scan
• ECG
• Ropa aldosterone nhanho
• Ropa renin chiitiko
• Ropa potasiamu mwero
• Urinary aldosterone
• Itsvo Ultrasound

Maitiro ekuisa catheter mukati metsinga dzeadrenal gland ingangoda kuitwa. Izvi zvinobatsira kutarisa kuti ndeapi maviri adrenal glands ari kuita yakawandisa aldosterone. Muedzo uyu wakakosha nekuti vanhu vazhinji vane mamota madiki ane hutachiona mune adrenal gland ayo asingabudise chero mahormone. Kuvimba chete neCT scan kunogona kukonzera kuti isiri adrenal gland ibviswe.

Primary hyperaldosteronism inokonzerwa neadrenal gland tumor inowanzo kurapwa nekuvhiya. Iyo dzimwe nguva inogona kurapwa nemishonga. Kubvisa adrenal bundu kunogona kudzora zviratidzo. Kunyangwe mushure mekuvhiyiwa, vamwe vanhu vachiri neBP uye vanoda kutora mishonga. Asi kazhinji, huwandu hwemishonga kana mishonga inogona kudzikiswa.

Kugumira kudya munyu uye kutora mushonga kunogona kudzora zviratidzo pasina kuvhiyiwa. Mishonga yekurapa hyperaldosteronism inosanganisira:

• Zvinodhaka zvinodzivirira chiito chealdosterone
• Diuretics (mapiritsi emvura), ayo anobatsira kudzora kuwanda kwemvura mumuviri

Sekondari hyperaldosteronism inorapwa nemishonga (sezvakatsanangurwa pamusoro) uye kudzora kunwa kwemunyu. Kuvhiya hakuwanzo kushandiswa.

Maonero ekutanga hyperaldosteronism akanaka nekutanga kuongororwa uye kurapwa.

Maonero echipiri hyperaldosteronism anoenderana nechikonzero chemamiriro acho.

Primary hyperaldosteronism inogona kukonzera kukwirisa kweropa, uko kunogona kukuvadza nhengo zhinji, kusanganisira maziso, itsvo, moyo uye huropi.

Matambudziko ekumisikidza uye gynecomastia (akawedzera mazamu muvarume) anogona kuitika nekushandisa kwenguva refu kwemishonga kuvharidzira mhedzisiro ye hyperaldosteronism.

Sheedza musangano pamwe nemupi wako kana iwe ukagadzira zviratidzo zve hyperaldosteronism.

Conn chirwere; Mineralocorticoid yakawandisa

• Endocrine masero
• Adrenal gland hormone kuchengetedzwa

Kutarisira RM, Padia SH. Primary mineralocorticoid yakawandisa matambudziko uye neBP. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 108.

Nieman LK. Adrenal cortex. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 214.