Aldosterone Bvunzo

Zvemukati

• Chii Chinonzi Aldosterone Bvunzo Kuongorora?
• Kugadzirira kweAldosterone Kwayedza
• Kuedzwa Kwakaitwa Aldosterone Kuitwa
• Kududzira Zviwanikwa Zvako
• Mushure meTest

Chii chinonzi Aldosterone Bvunzo?

Iyo aldosterone (ALD) bvunzo inoyera chiyero cheALD muropa rako. Iyo inonziwo serum aldosterone test. ALD ihormone inogadzirwa neadrenal glands. Iwo adrenal gland anowanikwa pamusoro peitsvo dzako uye ane basa rekugadzira akakosha mahormone. ALD inokanganisa BP uye inogadzirisawo sodium (munyu) uye potasium muropa rako, pakati pemamwe mabasa.

Yakawandisa ALD inogona kukonzera kukwirisa kweropa uye pasi potasiamu mazinga. Inozivikanwa se hyperaldosteronism kana muviri wako uchiita zvakawandisa ALD. Chekutanga hyperaldosteronism inogona kukonzereswa neadrenal bundu (inowanzo kuve yakaipa, kana isinganetsi). Zvichakadaro, yechipiri hyperaldosteronism inogona kukonzerwa nemamiriro ezvinhu akasiyana siyana. Izvi zvinosanganisira:

• congestive moyo kutadza
• cirrhosis
• zvimwe zvirwere zveitsvo (semuenzaniso, nephrotic syndrome)
• yakawandisa potasium
• yakaderera sodium
• toxemia kubva pamuviri

Chii Chinonzi Aldosterone Bvunzo Kuongorora?

Chiyero cheALD chinowanzo shandiswa kuongorora huturu uye electrolyte kusagadzikana. Izvi zvinogona kukonzerwa ne:

• matambudziko emwoyo
• itsvo kutadza
• chirwere cheshuga insipidus
• adrenal chirwere

Iyo bvunzo inogona zvakare kubatsira kuongorora:

• BP yakakwira kudzora kana kuitika pazera diki
• orthostatic hypotension (yakaderera BP inokonzerwa nekusimuka)
• kuwedzeredza kwe ALD
• adrenal kusakwana (pasi peanoshanda adrenal glands)

Kugadzirira kweAldosterone Kwayedza

Chiremba wako anogona kukukumbira kuti uve nemuyedzo uyu pane imwe nguva yezuva. Iyo nguva yakakosha, sezvo mazinga e ALD anosiyana zuva rese. Matanho akakwirira mangwanani. Chiremba wako anogona zvakare kukubvunza iwe kuti:

• chinja huwandu hwesodium iwe yaunodya (inonzi sodium kudhibhisa kudya)
• dzivisa kurovedza muviri kunonetsa
• dzivisa kudya licorice (licorice inogona kutevedzera aldosterone zvivakwa)
• Izvi zvinhu zvinogona kukanganisa ALD mazinga. Kushungurudzika kunogona zvakare kuwedzera ALD kwenguva pfupi.

Mimwe mishonga inogona kukanganisa ALD. Udza chiremba wako nezvemishonga yose yauri kutora. Izvi zvinosanganisira zvinowedzera uye nepamusoro-pe-counter zvinodhaka. Chiremba wako anokuudza kana uchida kumira kana kushandura chero mishonga usati waedzwa.

Mishonga inogona kukanganisa ALD inosanganisira:

• nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen
• diuretics (mapiritsi emvura)
• mishonga yekudzivirira pamuromo (mapiritsi ekuberekwa)
• angiotensin-inoshandura enzyme (ACE) inhibitors, senge benazepril
• steroid, senge prednisone
• beta blockers, senge bisoprolol
• calcium chiteshi blockers, senge amlodipine
• lithium
• heparin
• propranolol

Kuedzwa Kwakaitwa Aldosterone Kuitwa

ALD kuyedza kunoda muyero weropa. Muenzaniso weropa unogona kutorwa muhofisi yechiremba wako kana unogona kuitiswa murabhoritari.

Kutanga, mupi wako wezvehutano anozoisa hutachiona nzvimbo pane ruoko kana ruoko. Vanozoputira bhanhire rakamonereka kutenderedza ruoko rwako rwekumusoro kuti ropa riunganidze mutsinga. Tevere, vanozoisa tsono mudiki mutsinga yako. Izvi zvinogona kuve zvinorwadza zvishoma uye zvinogona kukonzeresa kana kubaya manzwiro. Ropa richaunganidzwa mune rimwe kana anopfuura machubhu.

Anopa hutano hwako achabvisa iyo yakasununguka bland uye tsono, uye ivo vanozoshandisa kumanikidza kune kubaya kumisa kubuda ropa uye kubatsira kudzivirira kupwanya. Vanozora bhandeji kunzvimbo yekubaya. Iyo saiti yekubaya inogona kuramba ichirova, asi izvi zvinoenda mukati memaminetsi mashoma kune vanhu vazhinji.

Njodzi dzekutorwa kweropa rako dzakaderera. Inotorwa semuedzo wezvekurapa usinga pindike. Njodzi dzinogona kuitika dzekutorwa ropa rako dzinosanganisira:

• tsono dzinoverengeka nekuda kwekunetseka kuwana tsinga
• kubuda ropa zvakanyanya
• husina musoro kana kufenda
• hematoma (kuisa ropa pasi peganda)
• hutachiona panzvimbo yekubaya

Kududzira Zviwanikwa Zvako

Chiremba wako anoongorora ruzivo rwunounganidzwa nemuedzo. Ivo vanosvika kwauri kune imwe nguva inotevera kuti vakurukure zvabuda zvako.

Yakakwira mazinga e ALD anonzi hyperaldosteronism. Izvi zvinogona kuwedzera ropa re sodium uye rakaderera ropa potasium. Hyperaldosteronism inogona kukonzerwa ne:

• renal artery stenosis (kudzikira kweteri iyo inopa ropa kune itsvo)
• congestive moyo kutadza
• chirwere cheitsvo kana kukundikana
• cirrhosis (scarring yechiropa) toxemia yepamuviri
• chikafu chakanyanya kuderera mune sodium
• Conn syndrome, Cushing's syndrome, kana Bartter syndrome (kashoma)

Low ALD nhanho dzinonzi hypoaldosteronism. Zviratidzo zveichi chiitiko zvinosanganisira:

• yakaderera BP
• kupera mvura mumuviri
• yakaderera sodium mazinga
• yakaderera potasiamu mazinga

Hypoaldosteronism inogona kukonzerwa ne:

• adrenal kusakwana
• Chirwere cheAddison, chinokanganisa adrenal kugadzirwa kwehomoni
• hyporeninemic hypoaldosteronism (yakaderera ALD inokonzerwa nechirwere cheitsvo)
• chikafu chakanyanya kwazvo mune sodium (inopfuura 2,300 mg / zuva kune avo vane makore makumi mashanu zvichidzika; 1,500 pamusoro pemakore makumi mashanu)
• congenital adrenal hyperplasia (chirwere chekuzvarwa nacho umo vacheche vanoshaya enzyme inodiwa kugadzira cortisol, iyo inogona zvakare kukanganisa kugadzirwa kweALD.)

Mushure meTest

Kamwe kana chiremba wako aongorora zvabuda zvako newe, vanogona kuraira mimwe bvunzo kuti vabatsire kuongorora kuwanda-kugadzirwa kana kusiri-kugadzirwa kweALD. Iyi bvunzo inosanganisira:

• plasma renin
• renin-ALD reshiyo
• andrenocorticotrophin (ACTH) infusion
• captopril
• intravenous (IV) saline infusion

Iyi bvunzo ichakubatsira iwe nachiremba wako kudzidza zvakawanda nezve chii chiri kukonzera nyaya ne ALD yako.Izvi zvinobatsira chiremba wako kuti awane hutachiona uye auye nehurongwa hwekurapa.