Hōʻike koko Aldolone

ʻO ke kaukā koko aldostero e ana ai i ka pae o ka hōmona aldosterone i ke koko.

Hiki ke ana ʻia ʻo Aldolone me ka hoʻāʻo ʻana i ka mimi.

Pono kahi laʻana koko.

E noi paha kāu mea mālama ola iā ʻoe e hoʻōki i ka lawe ʻana i kekahi lāʻau i kekahi mau lā ma mua o ka hoʻāʻo ʻana no ka mea ʻaʻole lākou e hoʻopili i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. Pākuʻi ʻia kēia mau mea:

• ʻO nā lāʻau lapaʻau kiʻekiʻe
• Nā lāʻau puʻuwai
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• ʻO nā lāʻau Antacid a me ulcer
• Pila wai (diuretics)

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana me kāu kauka. Koi paha kāu mea hāʻawi iā ʻoe e ʻai ma mua o 3 mau paʻakai o ka paʻakai (sodium) i kēlā me kēia lā no 2 mau pule ma mua o ka hoʻāʻo.

A i ʻole, e paipai kāu mea hāʻawi iā ʻoe e ʻai i kāu nui o ka paʻakai a hoʻāʻo hoʻi i ka nui o ka sodium i loko o kāu mimi.

I nā manawa ʻē aʻe, hana pololei ʻia ka hōʻoia aldosterone ma mua a ma hope o kou loaʻa ʻana i kahi wai paʻakai (saline) ma o ka aa (IV) no 2 mau hola. E makaʻala i nā kumu ʻē aʻe i hiki ke hoʻopili i nā ana aldosteron, e like me:

• Hapai keiki
• ʻO kaʻai kiʻekiʻe a sodium paha
• ʻO kaʻai kiʻekiʻe a haʻahaʻa paha
• Hoʻoikaika ikaika
• Kaumaha

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Kauoha ʻia kēia hōʻike no nā ʻano aʻe:

• ʻO kekahi mau maʻi a me nā electrolyte, pinepine pinepine haʻahaʻa a kiʻekiʻe i ke koko sodium a i ʻole potassium haʻahaʻa
• Paʻa i ka mālama ʻana i ke kaomi koko
• Ke kaomi haʻahaʻa i ke kū ʻana (orthostatic hypotension)

ʻO Ald testosterone kahi hormone i hoʻokuʻu ʻia e nā adrenal glands. Kōkua ia i ke kino e hoʻoponopono i ke kahe o ke koko. Hoʻonui ka Ald testosterone i ka reabsorption o ka sodium a me ka wai a me ka hoʻokuʻu ʻana o ka potassium i nā puʻupaʻa. Hāpai kēia hana i ke kaomi koko.

Hoʻohui pinepine ʻia ka hoʻāʻo koko Aldosterone me nā hoʻokolohua ʻē aʻe, e like me ka hoʻāʻo ʻana o ka hormone renin, e kuhikuhi ai i ka over- a i ʻole ma lalo o ka hana ʻana o aldosteron.

Kūlike nā pae maʻamau:

• Ma waena o nā keiki, ʻōpio, a me nā mākua
• Kaukaʻi ʻia inā ʻoe e kū ana, noho, a moe paha i ka wā i huki ʻia ai ke koko

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi kiʻekiʻe ma mua o ka pae maʻamau o aldolone ma muli o:

• ʻO Bartter Syndrome (kahi hui o nā kūlana maʻamau e hoʻopili i nā puʻupaʻa)
• Hoʻokuʻu nā gland adrenal i ka nui aldosterone hormone (hyperaldosteronism mua - ma muli o ka nodule benign i ka momona adrenal)
• ʻO kaʻai sodium haʻahaʻa loa
• Lawe i nā lāʻau kahe koko i kapa ʻia nā antagonist mineralocorticoid

ʻO kahi haʻahaʻa ma mua o ka pae maʻamau o aldolone ma muli o:

• Nā maʻi o ka adrenal gland, me ka hoʻokuʻu ʻole ʻana i ka aldolone lawa, a me kahi ʻano i kapa ʻia ka lawa ʻole o adrenal kumu (maʻi Addison)
• Papaʻai sodium kiʻekiʻe loa

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi mea hoʻomanawanui a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Aldosterone - serum; Maʻi Addison - serum aldosterone; ʻO hyperaldosteronism mua - aldosteron serum; ʻO Bartter Syndrome - aldosteron serum

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.

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.