Hyperaldosteronism ea mantlha le ea bobeli

Hyperaldosteronism ke lefu leo ​​ho lona tšoelesa ea adrenal e ntšang hormone ea aldosterone e ngata haholo maling.

Hyperaldosteronism e ka ba ea mantlha kapa ea bobeli.

Hyperaldosteronism ea mantlha e bakoa ke bothata ba litšoelesa tsa adrenal ka botsona, tse etsang hore ba lokolle aldosterone e ngata haholo.

Ka lehlakoreng le leng, ka hyperaldosteronism ea bobeli, bothata kae kae 'meleng bo baka hore litšoelesa tsa adrenal li lokolle aldosterone e ngata haholo. Mathata ana a ka bakoa ke liphatsa tsa lefutso, lijo, kapa lefu la bongaka joalo ka pelo, sebete, liphio kapa khatello e phahameng ea mali.

Maemo a mangata a hyperaldosteronism ea mantlha a bakoa ke hlahala e sa phekoleheng ea kankere ea adrenal. Boemo bona bo ama haholo batho ba lilemo tse 30 ho isa ho tse 50 mme ke sesosa se tloaelehileng sa khatello e phahameng ea mali nakong ea lilemo tse bohareng.

Hyperaldosteronism ea mantlha le ea bobeli e na le matšoao a tloaelehileng, ho kenyelletsa:

• Khatello ea mali e phahameng
• Boemo bo tlase ba potasiamo mading
• Ho ikutloa ke khathetse ka linako tsohle
• Ho opeloa ke hlooho
• Bofokoli ba mesifa
• Boikitlaetso

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao a hau.

Liteko tse ka laeloang ho fumana hyperaldosteronism li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• ECG
• Boemo ba aldosterone ea mali
• Ketsahalo ea renin ea mali
• Tekanyo ea potasiamo ea mali
• Aldosterone ea Urinary
• Liphio tsa ultrasound

Mokhoa oa ho kenya catheter methapong ea litšoelesa tsa adrenal o kanna oa hloka ho etsoa. Sena se thusa ho hlahloba hore na ke efe ea litšoelesa tse peli tsa adrenal e etsang aldosterone e ngata haholo. Teko ena e bohlokoa hobane batho ba bangata ba na le lihlahala tse nyane tse nang le bothata liphatseng tsa adrenal tse sa ntšeng lihormone. Ho itšetleha feela ka CT scan ho ka baka hore tšoelesa e fosahetseng ea adrenal e tlosoe.

Matšoao a mantlha a hyperaldosteronism a bakoang ke hlahala ea adrenal gland hangata a phekoloa ka ho buuoa. Ka linako tse ling e ka phekoloa ka meriana. Ho tlosa hlahala ea adrenal ho ka laola matšoao. Le kamora ho buuoa, batho ba bang ba ntse ba na le khatello e phahameng ea mali mme ba hloka ho noa meriana. Empa khafetsa, palo ea meriana kapa tekanyetso e ka theoloa.

Ho fokotsa ho noa letsoai le ho noa moriana ho ka laola matšoao ntle le ho buuoa. Meriana ea ho phekola hyperaldosteronism e kenyelletsa:

• Lithethefatsi tse thibelang ketso ea aldosterone
• Diuretics (lipilisi tsa metsi), tse thusang ho sebetsana le mokelikeli o mongata 'meleng

Hyperaldosteronism ea bobeli e phekoloa ka meriana (joalo ka ha ho hlalositsoe kaholimo) le ho fokotsa ho ja letsoai. Hangata ho buoa ha ho sebelisoe.

Pono ea hyperaldosteronism ea mantlha e ntle ka ho hlahlojoa le kalafo kapele.

Ponahalo ea hyperaldosteronism ea bobeli e latela sesosa sa boemo.

Hyperaldosteronism ea mantlha e ka baka khatello e phahameng ea mali, e ka senyang litho tse ngata, ho kenyelletsa mahlo, liphio, pelo le boko.

Mathata a ho emisa le gynecomastia (matsoele a atolositsoeng ho banna) a ka hlaha ka ts'ebeliso ea nako e telele ea meriana ho thibela phello ea hyperaldosteronism.

Bitsa kopano le mofani oa hau haeba u ba le matšoao a hyperaldosteronism.

Lefu la Conn; Ho tlola ha diminerale

• Litšoelesa tsa endocrine
• Sephiri sa adrenal gland

Tlhokomelo RM, Padia SH. Mathata a mantlha a mineralocorticoid le khatello e phahameng ea mali. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 108.

Nieman LK. Cortex ea Adrenal. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 214.