Addison's disease: ke eng, matšoao a mantlha le kalafo

Litaba

• Matšoao a mantlha
• Mokhoa oa ho netefatsa ts'oaetso
• Lisosa tse ka bang teng
• Kalafo e etsoa joang

Lefu la Addison, le tsejoang e le "primary adrenal insufficiency" kapa "Addison's syndrome", le etsahala ha litšoelesa tsa adrenal kapa adrenal, tse kaholimo ho liphio, li emisa ho hlahisa lihormone cortisol le aldosterone, tse ikarabellang ho laoleng khatello ea maikutlo, mali khatello le ho fokotsa ho ruruha. Kahoo, khaello ea lihormone tsena e ka lebisa bofokoling, khatello ea maikutlo le maikutlo a mokhathala o akaretsang. Utloisisa hantle hore na cortisol ke eng le hore na e etselitsoe eng.

Lefu lena le ka etsahala ho batho ba lilemo life kapa life, banna kapa basali, empa le atile haholo lipakeng tsa lilemo tse 30 le 40, mme le ka bakoa ke lintlha tse 'maloa, joalo ka ts'ebeliso ea nako e telele ea meriana, tšoaetso kapa mafu a itšireletsang mafung, mohlala.

Kalafo ea lefu la Addison e khethoa ke endocrinologist e ipapisitseng le tlhahlobo ea matšoao le litekanyetso tsa lihormone ka tlhahlobo ea mali mme hangata ho kenyelletsa tlatsetso ea hormone.

Matšoao a mantlha

Matšoao a bonahala ha maemo a li-hormone a fokotseha, a ka kenyeletsang:

• Bohloko ba mpeng;
• Bofokoli;
• Mokhathala
• Ho nyekeloa ke pelo;
• Ho otlanya;
• Ho ipolaisa tlala;
• Matheba letlalong, mareneneng le mamenong, a bitsoang ho tlatselletsa letlalo ka letlalo;
• Ho felloa ke metsi 'meleng;
• Postural hypotension, e tsamaellanang le ho tsekela ha o ema, le ho akheha.

Hobane ha e na matšoao a ikhethang, lefu la Addison hangata le ferekanngoa le maloetse a mang, joalo ka khaello ea mali kapa khatello ea maikutlo, e lebisang ho liehe ho etsa tlhahlobo e nepahetseng.

Mokhoa oa ho netefatsa ts'oaetso

Ts'oaetso e etsoa ka liteko tsa bongaka, tsa laboratori le tsa ho nka litšoantšo, joalo ka tomography, imaging resonance imaging le liteko ho lekola khatello ea sodium, potasiamo, ACTH le cortisol maling. Maemong a mang, ho kanna ha hlokahala hore ho etsoe teko ea ho hlasimolla ea ACTH, eo ho eona ho lekantsoeng mahloriso a cortisol pele le kamora ts'ebeliso ea ente ea maiketsetso ea ACTH. Bona hore na tlhatlhobo ea ACTH e etsoa joang le hore na e lokisetsoa joang.

Ho fumanoa ha lefu la Addison hangata ho etsoa ka mekhahlelo e tsoetseng pele haholo, hobane ho tsofala ha litšoelesa tsa adrenal kapa adrenal ho etsahala butle, ho etsa hore ho be thata ho tseba matšoao a pele.

Lisosa tse ka bang teng

Lefu la Addison hangata le bakoa ke mafu a itšireletsang mafung, moo sesole sa 'mele se qalang ho hlasela' mele ka bo ona, se ka sitisang ts'ebetso ea litšoelesa tsa adrenal. Leha ho le joalo, e ka bakoa ke ts'ebeliso ea meriana, tšoaetso ea fungal, livaerase kapa libaktheria, joalo ka blastomycosis, HIV le lefuba, mohlala, ntle le li-neoplasms.

Kalafo e etsoa joang

Kalafo ea lefu la Addison e ikemiselitse ho khutlisa khaello ea li-hormone ka meriana, e le hore matšoao a nyamele. E meng ea meriana ena e kenyelletsa:

• Cortisol kapa hydrocortisone;
• Fludrocortisone;
• Prednisone;
• Prednisolone;
• Dexamethasone.

Kalafo e etsoa ho latela khothatso ea setsebi sa 'mele' me e tlameha ho etsoa bophelo bohle, hobane lefu lena ha le na pheko, leha ho le joalo ka kalafo ho a khonahala ho laola matšoao. Ntle le kalafo ka ts'ebeliso ea meriana, lijo tse nang le sodium, calcium le vithamine D tse ngata, li thusa ho loants'a matšoao, mme li lokela ho bonts'oa ke setsebi sa phepo.