Aldosterone kuongororwa kweropa

Iyo aldosterone yeropa bvunzo inoyera chiyero chehormone aldosterone muropa.

Aldosterone inogona kuyerwa zvakare uchishandisa weti bvunzo.

Muenzaniso weropa unodiwa.

Anokupa hutano anogona kukukumbira kuti umire kutora mimwe mishonga mazuva mashoma usati waedzwa kuitira kuti isakanganisa zvawanikwa pakuyedzwa. Ive neshuwa yekuudza mupi wako nezveese mishonga yaunotora. Izvi zvinosanganisira:

• Yakakwira blood pressure mishonga
• Mishonga yemwoyo
• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• Antacid uye ulcer mishonga
• Mapiritsi emvura (diuretics)

Usarega kutora chero mushonga usati wataura nachiremba wako. Wako mupi anogona kukurudzira kuti iwe usadye anopfuura matatu magiramu emunyu (sodium) pazuva pazuva kweinenge mavhiki maviri pamberi pekuedzwa.

Kana, wako mupi achakurudzira kuti iwe udye yako yakajairwa huwandu hwemunyu uye zvakare kuyedza huwandu hwesodium mumuguta wako.

Pane dzimwe nguva, iyo aldosterone ropa bvunzo inoitwa pamberi uye mushure mekunge wagamuchira munyu mhinduro (saline) kuburikidza nevevheni (IV) kwemaawa maviri. Ziva kuti zvimwe zvinhu zvinogona kukanganisa aldosterone zviyero, zvinosanganisira:

• Kubata pamuviri
• Kudya kwepamusoro- kana kwakaderera-sodium
• Kudya kwepamusoro- kana kwakaderera-potasium
• Kurovedza muviri kunonetsa
• Kushungurudzika

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kuruma. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Uyu muedzo unorairwa kune inotevera mamiriro:

• Zvimwe zvinemvura uye electrolyte kusagadzikana, kazhinji kazhinji yakadzika kana yakakwira ropa sodium kana yakaderera potasium
• Zvakaoma kudzora BP
• Kuderera kweropa pakumira (orthostatic hypotension)

Aldosterone ihormone inosunungurwa neadrenal glands. Inobatsira muviri kutonga BP. Aldosterone inowedzera kudzorerwazve kwesodium nemvura uye kusunungurwa kwe potassium muitsvo. Ichi chiito chinokwidza BP.

Aldosterone yeropa bvunzo inowanzo kuve yakabatana nemimwe bvunzo, senge renin hormone bvunzo, kuongorora pamusoro- kana kusiri-kugadzirwa kwealdosterone.

Maitiro akajairika anosiyana:

• Pakati pevana, vachiri kuyaruka, uye nevakuru
• Zvichienderana nekuti iwe wanga wakamira, wakagara, kana wakarara pasi panotorwa ropa

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Iyo yepamusoro kupfuura yakajairwa nhanho yealdosterone inogona kunge iri nekuda kwe:

• Bartter syndrome (boka remamiriro asingawanzo anokanganisa itsvo)
• Adrenal glands inoburitsa yakawandisa aldosterone hormone (primary hyperaldosteronism - kazhinji nekuda kwebonyule nodule mune adrenal gland)
• Yakanyanya yakaderera-sodium kudya
• Kutora mishonga yekumanikidza kweropa inonzi mineralocorticoid vanopikisa

Iyo yakaderera pane yakasarudzika nhanho yealdosterone inogona kunge iri nekuda kwe:

• Adrenal gland kusagadzikana, kusanganisira kusaburitsa yakakwana aldosterone, uye mamiriro anonzi ekutanga adrenal insufficiency (Addison chirwere)
• Yakanyanya yakanyanya-sodium dhayeti

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kune mumwe murwere kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Aldosterone - serum; Addison chirwere - serum aldosterone; Chekutanga hyperaldosteronism - serum aldosterone; Bartter chirwere - serum aldosterone

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.

Guber HA, Farag AF. Kuongorora kwe endocrine basa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 24.