Acute adrenal dambudziko

Acute adrenal dambudziko iri rinotyisidzira hupenyu rinoitika kana pasina kukwana cortisol. Iyi ihormone inogadzirwa neadrenal glands.

Iyo adrenal gland iri pamusoro peitsvo chete. Iyo adrenal gland ine zvikamu zviviri. Chikamu chekunze, chinonzi cortex, chinogadzira cortisol. Iyi inokosha hormone yekudzivirira BP. Chikamu chemukati, chinonzi medulla, chinogadzira iyo hormone adrenaline (inonziwo epinephrine). Ose cortisol uye adrenaline anosunungurwa mukupindura kunetseka.

Kugadzirwa kweCortisol kunoitwa nepituitary. Ichi chiduku chiduku chiri pasi pezasi pehuropi. Iyo pituitary inoburitsa adrenocorticotropic hormone (ACTH). Iyi ihormone inokonzeresa kuti maadrenal glands aburitse cortisol.

Adrenaline inogadzirwa inodzorwa netsinga dzinouya kubva muuropi uye musana uye nekutenderera mahormone.

Dambudziko reAdrenal rinogona kuitika kubva kune chero eanotevera:

• Iyo adrenal gland yakakuvara nekuda kwe, semuenzaniso, Addison chirwere kana chimwe adrenal gland chirwere, kana kuvhiyiwa
• Iyo pituitary yakakuvara uye haigone kuburitsa ACTH (hypopituitarism)
• Adrenal insufficiency haina kurapwa zvakanaka
• Wanga uchitora mishonga yeglucocorticoid kwenguva yakareba, uye pakarepo unomira
• Wava kushaya mvura yakawanda
• Utachiona kana kumwe kushushikana kwepanyama

Zviratidzo uye zviratidzo zveadrenal dambudziko zvinogona kusanganisira chero eanotevera:

• Kutambudzika kwepamuviri kana kurwadziwa kwepadivi
• Kuvhiringidzika, kurasikirwa kwekuziva, kana coma
• Kupera mvura mumuviri
• Dzungu kana hurema
• Kuneta, kushaya simba kwakanyanya
• Kutemwa nemusoro
• Kupisa zvakanyanya
• Kupererwa nechido
• Kuderera kweropa
• Shuga shoma yeropa
• Nausea, kurutsa
• Kukurumidza kurova kwemoyo
• Kukurumidza kufema mwero
• Inononoka, ine usimbe kufamba
• Zvinoitika zvisina kujairika uye kudikitira zvakanyanya kumeso kana muzvanza

Miedzo inogona kurairwa kuti ibatsire kuongorora yakaoma adrenal dambudziko inosanganisira:

• ACTH (cosyntropin) kukurudzira bvunzo
• Chikamu cheCortisol
• Ropa shuga
• Potassium chikamu
• Sodium pamwero
• pH nhanho

Mune adrenal dambudziko, unofanirwa kupihwa mushonga hydrocortisone ipapo ipapo kuburikidza nemutsinga (intravenous) kana mhasuru (intramuscular). Unogona kugamuchira mvura inopinza kana uine yakaderera BP.

Iwe unozofanirwa kuenda kuchipatara kunorapwa uye kuongororwa. Kana hutachiona kana rimwe dambudziko rezvekurapa rakakonzera dambudziko, ungangoda kumwe kurapwa.

Kuvhunduka kunogona kuitika kana kurapwa kukasapihwa kare, uye kunogona kutyisidzira hupenyu.

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana iwe ukaita zviratidzo zveacute adrenal dambudziko.

Fonera wako mupi wezvehutano kana iwe uine Addison chirwere kana hypopituitarism uye usingakwanise kutora yako glucocorticoid mushonga chero chikonzero.

Kana iwe uine chirwere cheAdisonison, iwe unowanzo kutaurwa kuti uwedzere kwechinguva chipimo chemushonga wako we glucocorticoid kana iwe uchishushikana kana kurwara, kana usati waitwa oparesheni.

Kana iwe uine chirwere cheAdisonison, dzidza kuona zviratidzo zvekushushikana izvo zvinogona kukonzera yakaoma adrenal dambudziko. Kana iwe wakarairwa nachiremba wako, gadzirira kuzvipa iwe emergency emergency yeglucocorticoid kana kuwedzera yako muyero wemuromo wemuromo glucocorticoid mushonga munguva dzekunetseka. Vabereki vanofanirwa kudzidza kuita izvi kuvana vavo vasina adrenal kukwana.

Gara uchitakura ID yekurapa (kadhi, bracelet, kana chishongo) icho chinoti une adrenal insufficiency. Chitupa chinofanira zvakare kutaura mhando yemushonga uye chipimo chemushonga chaunoda kana paitika njodzi.

Kana iwe ukatora mishonga yeglucocorticoid yekushomeka kwepituitary ACTH, ita shuwa kuti unoziva nguva yekutora dhizaini yemushonga wako. Kurukura izvi nemupi wako.

Usambofa wakarasikirwa kutora mishonga yako.

Dambudziko reAdrenal; Addisonian dambudziko; Acute adrenal kusakwana

• Endocrine masero
• Adrenal gland hormone kuchengetedzwa

Bornstein SR, Alloliu B, Arlt W, et al. Kuongororwa uye kurapwa kwekutanga adrenal Kusakwana: iyo Endocrine Society kiriniki yekudzidzira nhungamiro. J Clin Endocrinol Metab. 2016; 101 (2): 364-389. PMID: PMC4880116 www.ncbi.nlm.nih.gov/pmc/articles/PMC4880116.

Stewart PM, Newell-Mutengo JDC. Iyo adrenal cortex. Mune: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Chinyorwa cheEndocrinology. 13 ed. Philadelphia, PA: Elsevier; 2016: chits.

Thiessen MEW. Utachiona uye adrenal kusagadzikana. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 120.