Chirwere cheAddison

Zvemukati

• Mhedziso
• Ndezvipi zviratidzo zvechirwere cheAddison?
• Chii chinokonzera chirwere cheAddison?
• Primary adrenal insufficiency
• Sekondari adrenal kusakwana
• Ndiani ari panjodzi yechirwere cheAddison?
• Kuongorora chirwere cheAddison
• Chirwere cheAddison chinorapwa sei?
• Mishonga
• Kuchengetwa kwemusha
• Dzimwe nzira dzokurapa
• Chii chinotarisirwa munguva refu?

Mhedziso

Matanho ako adrenal ari pamusoro peitsvo dzako. Aya magemenzi anogadzira akawanda mahormone anodiwa nemuviri wako kuitira zvakajairika mashandiro.

Chirwere cheAddison chinoitika kana adrenal cortex yakanganisika, uye adrenal gland haigadzire zvakakwana zveiyo steroid mahormone cortisol uye aldosterone.

Cortisol inogadzirisa zvinoitwa nemuviri kune zvinonetsa mamiriro. Aldosterone inobatsira neodhiyamu uye potassium mutemo. Iyo adrenal cortex inoburitsa mahormone ebonde (androgens).

Ndezvipi zviratidzo zvechirwere cheAddison?

Vanhu vane chirwere cheAddison vanogona kuona zvinotevera zviratidzo:

• kushaya simba kwetsandanyama
• kuneta uye kuneta
• kusviba muvara rweganda
• kuonda kana kudzikira kwechido
• kuderera kwekurova kwemoyo kana kuwedzerwa kweropa
• shuga shoma yeropa
• kupera simba
• maronda mumuromo
• kushuva munyu
• kusvotwa
• kurutsa

Vanhu vanorarama nechirwere cheAddison vanogona zvakare kuona zviratidzo zveeuropsychiatric, senge:

• kusagadzikana kana kushushikana
• kushaya simba
• kukanganiswa kwekurara

Kana chirwere cheAdisonison chikaenda chisina kurapwa kwenguva yakareba, chinogona kuve dambudziko reAdhisonia. Zviratidzo zvinosanganisirwa nedambudziko reAdhisizoni zvinogona:

• kusagadzikana
• delirium
• zvinoonekwa uye zvekuona zvisipo

Dambudziko reAddisonia ihwo hunotyisidzira hupenyu hunotyisa. Fonera 911 nekukasira kana iwe kana mumwe munhu waunoziva atanga kuona:

• chimiro chezvepfungwa chinoshanduka, senge nyonganiso, kutya, kana kusagadzikana
• kurasikirwa kwekuziva
• kupisa muviri
• kurwadziwa kamwe-kamwe muzasi kwezasi, dumbu, kana makumbo

Dambudziko risingarapwe Addisonia dambudziko rinogona kukonzeresa kuvhunduka uye kufa.

Chii chinokonzera chirwere cheAddison?

Pane zvipenga zviviri zvakakura zvehosha yeAddison: yekutanga adrenal kusakwana uye yechipiri adrenal kusakwana. Kuti urape chirwere ichi, chiremba wako anozofanirwa kutsvaga kuti ndeupi rudzi unokonzeresa mamiriro ako.

Primary adrenal insufficiency

Chekutanga adrenal kusakwana kunoitika kana ako adrenal gland akakuvara zvakanyanya zvekuti haachakwanise kuburitsa mahormone. Urwu rudzi rwechirwere cheAddison chinowanzo kukonzerwa kana immune system yako ikarwisa adrenal gland. Ichi chinonzi chirwere chinodzivirira muviri.

Muchirwere chemuviri, immune system yako inokanganisa chero nhengo kana nzvimbo yemuviri kune hutachiona, hutachiona, kana chimwe chinopinda kunze.

Zvimwe zvikonzero zvekutanga adrenal kusakwana zvinosanganisira:

• kutungamira kwenguva refu kweglucocorticoids (semuenzaniso prednisone)
• hutachiona mumuviri wako
• kenza uye kusagadzikana kukura (mamota)
• vamwe vatete veropa vaishandisa kudzora kugwamba muropa

Sekondari adrenal kusakwana

Sekondari adrenal insufficiency inoitika kana iyo pituitary gland (iri muuropi yako) isingakwanise kuburitsa adrenocorticotropic hormone (ACTH). ACTH inotaurira adrenal gland nguva yekuburitsa mahormone.

Izvo zvakare zvinokwanisika kukudziridza adrenal kusakwana kana iwe ukasatora iyo corticosteroid mishonga inorairwa nachiremba wako. Corticosteroids inobatsira kudzora mamiriro ehutano husingaperi senge asthma.

Kune zvakare zvimwe zvakawanda zvikonzero zvechipiri adrenal kusakwana, kusanganisira:

• mamota
• mishonga
• genetics
• zvinoshungurudza kukuvara kwehuropi

Ndiani ari panjodzi yechirwere cheAddison?

Iwe unogona kuve uri panjodzi yakakwira yechirwere cheAddison kana iwe:

• vane kenza
• tora maanticoagulants (vatete veropa)
• vane hutachiona husingaperi senge tibhii
• akavhiyiwa kubvisa chero chikamu chenyu adrenal gland
• vane autoimmune chirwere, senge mhando 1 chirwere cheshuga kana Graves 'chirwere

Kuongorora chirwere cheAddison

Chiremba wako achakubvunza nezve yako nhoroondo yezvokurapa uye zviratidzo zvawanga uchisangana nazvo. Vachaita ongororo yemuviri, uye vanogona kuraira kumwe kuongorora kwelebhu kuti vatarise yako potasium uye mazinga e sodium.

Chiremba wako anogona zvakare kuraira bvunzo dzekufungidzira uye kuyera mahormone ako.

Chirwere cheAddison chinorapwa sei?

Kurapa kwako kunoenderana nezviri kukonzera mamiriro ako. Chiremba wako anogona kupa mishonga inodzora adrenal glands ako.

Kuteedzera chirongwa chekurapa icho chako chinogadzirwa nachiremba chakakosha kwazvo. Chirwere cheAddison chisina kurapwa chinogona kutungamira kumatambudziko eAddisonia.

Kana mamiriro ako asina kurapwa kwenguva yakareba, uye akafambira mberi kuenda kune chinotyisa hupenyu chinodaidzwa chinonzi Addisonia dambudziko, chiremba wako anogona kupa mishonga yekurapa iyo yekutanga.

Addisonian dambudziko rinokonzera kukwira kweropa, potasium muropa, uye huwandu hweshuga yeropa.

Mishonga

Ungangoda kutora musanganiswa wemaglucocorticoids mishonga (zvinodhaka zvinomisa kuzvimba) kunatsiridza hutano hwako. Iyi mishonga inotorwa kwehupenyu hwako hwese uye haugone kupotsa imwe dose.

Hormone kutsiva kunogona kunyoreswa kutsiva mahormoni ayo adrenal gland asiri kuita.

Kuchengetwa kwemusha

Chengetedza kititi chekukurumidzira chine mishonga yako paruoko nguva dzese. Kumbira chiremba wako kuti anyore mushonga wejekiseni corticosteroid yezvekukurumidzira.

Iwe unogona zvakare kuda kuchengeta yekurapa kadhi yekuzivisa muchikwama chako uye rundarira paruoko rwako kuti vamwe vazive nezve mamiriro ako.

Dzimwe nzira dzokurapa

Izvo zvakakosha kuti uchengetedze kushushikana kwako pasi kana iwe Addison's chirwere. Zviitiko zvakakura zvehupenyu, senge kufa kwemudiwa kana kukuvara, zvinogona kukwidza kushushikana kwako uye kukanganisa nzira yaunopindura nayo kumishonga yako. Taura nachiremba wako nezve dzimwe nzira dzekugadzirisa kushushikana, dzakadai seyoga uye kufungisisa.

Chii chinotarisirwa munguva refu?

Chirwere cheAddison chinoda kurapwa kweupenyu hwese. Mishonga, yakadai semishonga yekutsiva mahormone, inogona kubatsira iwe kubata zviratidzo zvako.

Kutevera chirongwa chekurapa chinogadzirwa nachiremba danho rakakosha mukukubatsira iwe kurarama hupenyu hune zvibereko.

Rangarira, gara uchitora yako mishonga chaizvo sekurairwa. Kutora mishonga yakawandisa kana yakawandisa kunogona kukanganisa hutano hwako.

Chirongwa chako chekurapa chingangoda kuongororwa zvakare uye kuchinjwa zvichienderana nemamiriro ako. Neichi chikonzero, zvakakosha kuti iwe ugare uchiona chiremba wako.