Hōʻike Aldolone

Anter

• He aha ka hōʻike a kahi Ald testosterone Test Diagnose?
• Ke hoʻomākaukau nei no ka hoʻāʻo ʻana iā Aldosteron
• Pehea e hana ai i ka hoʻāʻo ʻana ʻo Aldosterone
• Unuhi i kāu hopena
• Ma hope o ka hoʻāʻo

He aha ia kahi hōʻailona Aldolone?

Kuhi kahi aldolone (ALD) i ka nui o ka ALD i kou koko. Kāhea ʻia ia kahi hōʻike serum aldosteron. ʻO ALD kahi homone i hana ʻia e nā adrenal glands. Loaʻa nā ʻōpū adrenal ma luna o kou puʻupaʻa a he kuleana no ka hana ʻana i kekahi mau hormones nui. Hoʻopili ke ALD i ke kaomi koko a mālama pū i ka sodium (paʻakai) a me ka potassium i kou koko, i waena o nā hana ʻē aʻe.

Hiki i ka nui o ka ALD ke kōkua i ke kiʻekiʻe o ke koko a me nā pae potassium haʻahaʻa. ʻIke ʻia ʻo hyperaldosteronism ke hana nui kou kino ALD. Hiki ke kumu ʻia ka hyperaldosteronism primitive e kahi tumo adrenal (maʻa mau ʻia, a noncancerous paha). I kēia manawa, hiki i ka hyperaldosteronism lua ke kumu ʻia e nā ʻano ʻano like ʻole. Pākuʻi ʻia kēia mau mea:

• puʻuwai puʻuwai kongestive
• cirrhosis
• kekahi mau maʻi ʻōpū (e laʻa, nephrotic syndrome)
• potasiuma keu
• sodium haʻahaʻa
• toxemia mai hāpai keiki

He aha ka hōʻike a kahi Ald testosterone Test Diagnose?

Hoʻohana pinepine ʻia kahi hōʻike ALD e ʻike pono i nā maʻi wai a me nā electrolyte. Hoʻokumu ʻia kēia mau mea e:

• pilikia puʻuwai
• hakuʻala ʻole
• insipidus diabetes
• maʻi adrenal

Hiki i ke hōʻoia ke kōkua i ka hōʻoia ʻana:

• ke kiʻekiʻe o ke koko e paʻakikī e kaohi a hana ʻia i ka wā ʻōpio
• orthostatic hypotension (hoʻohaʻahaʻa i ke koko e pili ana i ke kū ʻana i luna)
• overproduction o ALD
• adrenal insufficiency (ma lalo o ʻeleu adrenal glands)

Ke hoʻomākaukau nei no ka hoʻāʻo ʻana iā Aldosteron

E noi paha kāu kauka iā ʻoe e hana i kēia hōʻoia ma kekahi manawa o ka lā. He mea nui ka manawa, no ka mea he ʻokoʻa nā pae ALD i ka lā holoʻokoʻa. ʻO nā pae kiʻekiʻe loa i ke kakahiaka. E noi paha kāu kauka iā ʻoe e:

• hoʻololi i ka nui o ka sodium āu e ʻai ai (i kapa ʻia ʻo ka sodium restriction diet)
• hōʻalo i ka hoʻoikaika kino
• hōʻalo i ka ʻai licorice (hiki i ka laikini ke hoʻohālikelike i nā waiwai aldosteron)
• Hiki i kēia mau mea ke hoʻopili i nā pae ALD. Hiki paha i ke koʻikoʻi ke hoʻonui iki iā ALD.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻololi iā ALD. E haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei. Pākuʻi ʻia kēia i nā mea hoʻopihapiha a me nā lāʻau i waho o ka counter. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e kū a hoʻololi paha i nā lāʻau i mua o kēia hōʻike.

Nā lāʻau i hiki ke hoʻopili iā ALD:

• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka ibuprofen
• diuretics (wai huaale)
• ʻōpū oral (pills kaohi hānau)
• Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi, e like me benazepril
• steroid, e like me prednisone
• beta blockers, e like me bisoprolol
• nā poloka ʻauʻa calcium, e like me amlodipine
• likiuma
• heparin
• propranolol

Pehea e hana ai i ka hoʻāʻo ʻana ʻo Aldosterone

Pono ka hoʻāʻo ʻana iā ALD i kahi laʻana koko. Hiki ke lawe i ka laʻana koko i ke keʻena o kāu kauka a i ʻole hiki ke hana ʻia ma kahi keʻena hana.

ʻO ka mea mua, e hoʻopau kāu kauka olakino i kahi ma kou lima a lima paha. E wahī lākou i kahi kaula elima a puni kou lima i luna e hōʻiliʻili i ke koko i ka aa. A laila, hoʻokomo lākou i kahi nila liʻiliʻi i kou aa. He ʻeha iki paha kēia a hoʻonāukiuki paha i kahi ʻono a prick paha. E hōʻiliʻili ʻia ke koko i hoʻokahi a i ʻole nā ​​paipu.

E hoʻopau kāu kauka olakino i ka bland a me ka nila, a e kau lākou i ka kaomi i ka puncture e hoʻōki i ke kahe ʻana a kōkua i ka pale ʻana i ka palapū. E hoʻopili lākou i kahi kaula i ka pūnaewele puncture. E hoʻomau paha ka puncture pūnaewele i ka uila, akā hele kēia i loko o kekahi mau minuke no ka hapa nui o ka poʻe.

Haahaa nā makaʻu o ke kau ʻana o kou koko. Manaʻo ʻia he hoʻokolohua lapaʻau hoʻomake ʻole. ʻO nā pilikia i hiki ke huki ʻia i kou koko me:

• mau kui kuikele he nui no ka loaʻa o ka pilikia i ka loaʻa ʻana o kahi aa
• kahe nui ke koko
• ʻālohilohi a maʻule paha
• hematoma (ke kōkō ʻana o ke koko ma lalo o ka ʻili)
• maʻi ma ka puncture kahua

Unuhi i kāu hopena

E nānā kāu kauka i ka ʻike i hōʻiliʻili ʻia e ka hoʻokolohua. E hele lākou i ou lā ma hope e kūkākūkā i kāu hopena.

Kapa ʻia nā pae kiʻekiʻe o ALD ʻo hyperaldosteronism. Hiki i kēia ke hoʻonui i ka sodium sodium a hoʻohaʻahaʻa i ka potassium o ke koko. Hiki ke kumu ʻia ʻo Hyperaldosteronism e:

• stenosis artery renal (hoʻoliʻiliʻi o ke aʻa e hoʻolako i ke koko i ka puʻupaʻa)
• puʻuwai puʻuwai kongestive
• maʻi kīnā ʻole ʻole ʻole
• cirrhosis (scarring o ke ake) toxemia o ka hāpai keiki
• kahi papaʻai haʻahaʻa loa i ka sodium
• Conn Syndrome, Cushing's Syndrome, a i ʻole Bartter Syndrome (kākaʻikahi)

Kapa ʻia nā pae ALD haʻahaʻa ʻo hypoaldosteronism. Nā ʻōuli o kēia ʻano:

• haʻahaʻa haʻahaʻa haʻahaʻa
• hoʻomake wai
• pae paʻakai haʻahaʻa
• pae pae potassium haʻahaʻa

Hiki ke kumu ʻia ka hypoaldosteronism e:

• lawa adrenal
• ʻO ka maʻi ʻo Addison, kahi e hoʻopili ai i ka hana adrenal hormone
• hyporeninemic hypoaldosteronism (haʻahaʻa ALD i hoʻokumu ʻia e ka maʻi puʻupaʻa)
• kahi papaʻai kiʻekiʻe loa i ka sodium (ʻoi aku ma mua o 2,300 mg / lā no kēlā mau makahiki 50 a i lalo; 1,500 ma mua o 50 mau makahiki)
• congenital adrenal hyperplasia (kahi maʻi hānau kahi e nele ai nā pēpē i ka enzyme e pono ai e hana i ka cortisol, a hiki ke hoʻopili i ka hana ALD.)

Ma hope o ka hoʻāʻo

I ka manawa i loiloi ai kāu kauka i kāu mau hopena me ʻoe, kauoha paha lākou i nā hoʻokolohua ʻē aʻe e kōkua i ka hōʻoia ʻana i ka hana nui a i ʻole ka hana o ALD Aia kēia mau hoʻāʻo:

• plasma renin
• lakio renin-ALD
• andrenocorticotrophin (ACTH) infusion
• captopril
• intravenous (IV) saline infusion

E kōkua kēia mau hōʻoia iā ʻoe a me kāu kauka e aʻo hou aʻe e pili ana i nā mea e hoʻopuka nei i ka pilikia me kāu ALD.E kōkua kēia i kāu kauka e ʻike i kahi kuhi a loaʻa i kahi papa hana.