Isi hyperaldosteronism
Hyperaldosteronism bụ nsogbu nke adrenal gland na-ewepụta ọtụtụ hormone aldosterone n'ime ọbara.
Hyperaldosteronism nwere ike ịbụ isi ma ọ bụ nke abụọ.
Hyperaldosteronism bụ isi bụ n'ihi nsogbu nke adrenal glands n'onwe ha, nke na-eme ka ha hapụ aldosterone nke ukwuu.
N'ụzọ dị iche, na hyperaldosteronism nke abụọ, nsogbu dị n'akụkụ ọzọ n'ime ahụ na-eme ka gland adrenal hapụ ọtụtụ aldosterone. Nsogbu ndị a nwere ike ịbụ mkpụrụ ndụ ihe nketa, nri, ma ọ bụ nsogbu ahụike dịka obi, imeju, akụrụ, ma ọ bụ ọbara mgbali elu.
Otutu ihe banyere hyperaldosteronism bu ihe kpatara site na oria na adighi nma (benign) nke adrenal gland. Ọnọdụ a kachasị emetụta ndị 30 ruo 50 afọ na ọ bụ ihe na-akpatakarị ọbara mgbali elu n'etiti afọ.
Primary na secondary hyperaldosteronism nwere mgbaàmà nkịtị, gụnyere:
- Ọbara mgbali elu
- Ọkwa dị ala nke potassium n'ọbara
- Ike na-agwụ m mgbe niile
- Isi ọwụwa
- Ike adịghị ike
- Ọnụ ọgụgụ
Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma jụọ maka ihe mgbaàmà gị.
Ule ndị nwere ike inye iwu ka ha chọpụta ọrịa hyperaldosteronism gụnyere:
- Ime CT i scanomi
- ECG
- Ọbara aldosterone
- Ọrụ ọbara renin
- Ọbara potassium n'ọbara
- Urinary aldosterone
- Akụrụ ultrasound
Usoro iji tinye catheter n'ime veins nke adrenal glands nwere ike ịdị mkpa ịme. Nke a na - enyere aka ịchọpụta otu n'ime gland abụọ ahụ na - eme ọtụtụ aldosterone. Nnwale a dị mkpa n'ihi na ọtụtụ ndị nwere obere akpụ akpụ na gland adrenal na-anaghị ezoputa homonụ ọ bụla. Dabere nanị na CT scan nwere ike ime ka ewepụ adrenal gland na-ezighi ezi.
A na-ejikarị ịwa ahụ bụ isi nke ọrịa adrenal gland na ịwa ahụ. Mgbe ụfọdụ enwere ike iji ọgwụ agwọ ya. Iwepu ụbụrụ adrenal nwere ike ijikwa mgbaàmà ya. Ọbụna mgbe a wachara gị ahụ, ụfọdụ ndị ka nwere ọbara mgbali elu ma chọọ ị medicineụ ọgwụ. Mana oge ụfọdụ, enwere ike belata ọnụ ọgụgụ ọgwụ ma ọ bụ doses.
Machi iri nnu na ị medicineụ ọgwụ nwere ike ịchịkwa mgbaàmà ahụ na-enweghị ịwa ahụ. Ọgwụ iji mesoo hyperaldosteronism gụnyere:
- Ọgwụ na-egbochi omume nke aldosterone
- Diuretics (ọgwụ ọgwụ), nke na-enyere aka ịchịkwa mmiri dị n'ime ahụ
Secondary hyperaldosteronism na-emeso ọgwụ (dị ka akọwara n’elu) na ịmachi nnu oriri. A naghị ejikarị ịwa ahụ.
Echiche maka hyperaldosteronism bụ isi dị mma na nchoputa na ọgwụgwọ n'oge.
Echiche maka hyperaldosteronism nke abụọ na-adabere n'ihe kpatara ọnọdụ ahụ.
Isi hyperaldosteronism nwere ike ibute ọbara mgbali elu, nke nwere ike imebi ọtụtụ akụkụ, gụnyere anya, akụrụ, obi na ụbụrụ.
Nsogbu erection na gynecomastia (ara ara ebuwanye ibu n'ime ụmụ nwoke) nwere ike ime na iji ọgwụ eme ihe ogologo oge iji gbochie mmetụta nke hyperaldosteronism.
Kpọọ maka oge gị na onye na-eweta ọrụ gị ma ọ bụrụ na ị mepee mgbaàmà nke hyperaldosteronism.
Ọrịa Conn; Mineralocorticoid ngafe
- Ọgwụ endocrine
- Adrenal gland hormone ihe omimi
Carey RM, Padia SH. Isi ọrịa mineralocorticoid ngafe na ọbara mgbali elu. Na: Jameson JL, De Groot LJ, de Kretser DM, et al, ndị ọzọ. Endocrinology: Okenye na Ọrịa edimụaka. Nke 7. Philadelphia, PA: Elsevier Saunders; 2016: isi 108.
Nieman LK. Adrenal cortex. Akpaka Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 214.