ʻO ka hyperaldosteronism mua a me ka lua

ʻO Hyperaldosteronism kahi maʻi kahi e hoʻokuʻu ai ka adrenal gland i ka nui o ka hormone aldosterone i loko o ke koko.

Hiki i ka Hyperaldosteronism ke kumu mua a i ʻole ke kula kiʻekiʻe.

ʻO ka hyperaldosteronism kumu nui ma muli o kahi pilikia o nā adrenal glands ponoʻī iā lākou iho, a he kumu ia e hoʻokuʻu ai i ka nui aldosterone.

I ka hoʻohālikelike ʻana, me hyperaldosteronism lua, kahi pilikia ma nā wahi ʻē aʻe o ke kino e hoʻokuʻu i nā adrenal adrenal e hoʻokuʻu i ka nui aldosterone. Hiki i kēia mau pilikia me nā genes, nā papaʻai, a i ʻole nā ​​maʻi lapaʻau e like me ka puʻuwai, ka ate, nā puʻupaʻa, a me ke kahe kiʻekiʻe.

ʻO ka hapa nui o nā hyperaldosteronism mua e hoʻokumu ʻia e kahi noncancerous (benign) tumo o ka adrenal gland. Hoʻopili ka maʻi i ka poʻe 30 a 50 mau makahiki a he kumu maʻamau ke kiʻekiʻe o ke koko i ka makahiki waena.

ʻO nā hyperaldosteronism mua a me ke kula kiʻekiʻe he mau hōʻailona maʻamau, e like me:

• Piʻi koko kiʻekiʻe
• Low pae o ka potasiuma i loko o ke koko
• Manaʻo luhi i nā manawa āpau
• ʻEha poʻo
• Nāwaliwali ka ʻiʻo
• Pōpō

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

Hiki ke kauoha ʻia nā hoʻokolohua e kuhikuhi i ka hyperaldosteronism me:

• Scanner CT ʻōpū
• ECG
• Paʻa aldosterone koko
• ʻO ka hana renin koko
• Pae pae potassium
• Aldoster mimi
• Pākuʻi ultrasound

Pono e hana i kahi hana e hoʻokomo i kahi catheter i loko o nā uaua o nā adrenal glands. Kōkua kēia i ka nānā ʻana o nā gland adrenal ʻelua e hana nui nei i ka aldolone. He mea nui kēia hoʻāʻo no ka mea he nui nā kānaka i loaʻa i nā ʻōpū liʻiliʻi ma nā ʻaʻa adrenal e hūnā ʻole i kekahi mau homone. Ke hilinaʻi wale nei ma kahi scan CT hiki ke hopena i ka hemo ʻana o ke gland adrenal hewa.

Hoʻomaʻamaʻa pinepine ʻia ka hyperaldosteronism kumu e ka tumora adrenal gland me ka ʻoki kino. Hiki ke mālama ʻia i kekahi manawa me nā lāʻau. ʻO ka wehe ʻana i ka tumeke adrenal kaohi i nā ʻōuli. ʻOiai ma hope o ke kaha ʻana, loaʻa i kekahi poʻe ke koko kiʻekiʻe a pono e lawe i ka lāʻau. Akā pinepine, hiki ke hoʻohaʻahaʻa i ka helu o nā lāʻau a i ʻole nā ​​lāʻau.

ʻO ka palena ʻana i ka lawe ʻana i ka paʻakai a me ka lawe ʻana i ka lāʻau e kāohi paha i nā ʻōuli me ka ʻoki ʻole. ʻO nā lāʻau e mālama ai i ka hyperaldosteronism pū me:

• Nā lāʻau e ālai ana i ka hana o aldosteron
• ʻO Diuretics (nā wai wai), ka mea e kōkua i ka mālama ʻana i ka wai i loko o ke kino

Mālama ʻia ʻo hyperaldosteronism kiʻekiʻe me nā lāʻau (e like me ka mea i hōʻike ʻia ma luna) a me ka palena ʻana i ka lawe paʻakai. ʻAʻole hoʻohana pinepine ʻia ke ʻoki.

ʻO ka nānā no ka hyperaldosteronism mua he maikaʻi me ka hōʻoia mua a me ka lāʻau.

ʻO ka nānā no ka hyperaldosteronism kiʻekiʻe ma muli o ke kumu o ke ʻano.

Hiki i ke hyperaldosteronism mua ke kumu i ke koko kiʻekiʻe loa, i hiki ke hōʻino i nā ʻōpala he nui, e like me nā maka, nā puʻupaʻa, ka puʻuwai a me ka lolo.

ʻO nā pilikia kūkulu a me ka gynecomastia (nā umauma hoʻonui ʻia i nā kāne) hiki ke kū ʻia me ka hoʻohana lōʻihi o nā lāʻau e pale ai i ka hopena o hyperaldosteronism.

Kāhea i kahi manawa me kāu mea lawelawe inā hoʻomohala ʻoe i nā ʻōuli o hyperaldosteronism.

Conn Syndrome; Mineralocorticoid ʻoi aku

• Nānā Endocrine
• Huna ka adrenal gland hormone

Carey RM, Padia SH. ʻO ka mineralocorticoid mua maʻi nui a me ka hypertension. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 108.

Nieman LK. ʻO adrenal Cortex. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 214.