He aha ka Maʻi Addison? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hiki mai ka maʻi Addison i ka wā ʻaʻole lawa nā hormones e pono ai kou kino mai kāu mau ʻōpū adrenal. Aia kēia mau ʻōpū liʻiliʻi ma luna o kou mau puʻupaʻa a hana i nā hormones e like me ka cortisol a me ka aldosterone e kōkua i ka hoʻoponopono ʻana i kou koko, ka kō koko, a me ka pane ʻana i ke kaumaha.

Ua kapa ʻia hoʻi ʻo ka nele adrenal nui, pili kēia maʻi ma kahi o 1 i 100,000 mau kānaka. ʻOiai he mea koʻikoʻi ia, hiki iā ʻoe ke ola i kahi ola piha a olakino maikaʻi me ka lapaʻau kūpono a me ka hoʻokele.

He aha nā hōʻailona o ka maʻi Addison?

Hoʻomaka pinepine nā hōʻailona o ka maʻi Addison i ka lohi ma nā mahina a i ʻole nā makahiki, kahi e maʻalahi ai ka nānā ʻole ʻana i ka mua. Ke paio nei kou kino i ka mālama ʻana i nā hana maʻamau me ka lawa ʻole o nā hormones adrenal.

Eia nā hōʻailona maʻamau e ʻike paha ʻoe:

• Luhi loa a nāwaliwali ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Kaumaha a emi iho ka makemake i ka ʻai
• ʻEleʻele o ka ʻili, ʻoi aku hoʻi i nā ʻeha, nā ʻili ʻili, a me nā gums
• Haʻahaʻa ke koko e hiki ke hoʻoulu i ka dizziness i ka wā e kū ana
• Makemake i ka paʻakai
• Nausea, luaʻi, a i ʻole ka diarrhea
• ʻEha o nā ʻiʻo a i ʻole nā hui
• Hoʻonāukiuki a me nā loli o ka manaʻo

ʻIke kekahi poʻe i nā hōʻailona liʻiliʻi e like me ka haʻahaʻa o ke kō koko, ʻoi aku hoʻi i nā keiki, a i ʻole nā manawa menstrual maʻamau ʻole i nā wāhine. Hiki i kēia mau hōʻailona ke manaʻo ʻia he vague a like me nā kūlana ʻē aʻe, ʻo ia ke kumu o ka lohi ʻana o ka ʻike ʻana i kekahi manawa.

He aha ka mea e hoʻoulu ai i ka maʻi Addison?

Hiki mai ka maʻi Addison i ka wā e hōʻino ʻia ai kāu mau ʻōpū adrenal a ʻaʻole hiki ke hana i nā hormones lawa. ʻO ka kumu maʻamau loa ka pane autoimmune kahi e hoʻouka ai ke ʻōnaehana pale o kou kino i kāu mau ʻōpū adrenal ponoʻī.

E nānā kākou i nā kumu nui, e hoʻomaka ana me ka mea maʻamau loa:

• Hoʻopau ʻana o ka autoimmune - hoʻouka kou ʻōnaehana pale i nā ʻōpū adrenal (kumu ma kahi o 80% o nā hihia)
• Ka maʻi tuberculosis e pili ana i nā ʻōpū adrenal
• Nā maʻi ʻē aʻe e like me nā maʻi fungal a i ʻole HIV
• Ka maʻi kanesa e pālahalaha ana i nā ʻōpū adrenal
• Ke kahe koko i loko o nā ʻōpū adrenal
• Nā maʻi genetic e pili ana i ka hana adrenal
• Wehe ʻia ʻana o nā ʻōpū adrenal

I nā hihia kakaikahi, hiki i kekahi mau lāʻau a i ʻole nā ​​​​lapaʻau ke hoʻopilikia i ka hana adrenal. I kekahi manawa, ʻaʻole hiki i nā kauka ke ʻike i ke kumu pololei, akā ʻaʻole kēia e hoʻololi i ka maikaʻi o ka mālama ʻana i ke kūlana.

I ka wā hea e ʻike ai i ke kauka no ka maʻi Addison?

Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe ka luhi mau, ka nalowale o ke kaumaha i wehewehe ʻole ʻia, a i ʻole ka ʻeleʻele o ka ʻili ʻaʻole like me ka hōʻike ʻana i ka lā. Kēia mau hōʻailona, ​​ʻoi aku hoʻi i ka hui pū ʻana, pono e loiloi ʻia e nā kauka.

E ʻimi i ka mālama pilikia inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka nāwaliwali nui, ka huikau, ka nausea nui a me ka luaʻi, a i ʻole ke koko haʻahaʻa loa. Hiki i kēia ke hōʻailona i ka pilikia adrenal, kahi pilikia olakino e pono ai ka mālama koke.

Mai kali inā ʻike ʻoe i nā hōʻailona he nui i hui pū ʻia, ʻoiai inā he māmā lākou. Hiki i ka ʻike mua a me ka mālama ʻana ke pale aku i nā pilikia koʻikoʻi a kōkua iā ʻoe e ʻoi aku ka maikaʻi.

He aha nā mea pilikia no ka maʻi Addison?

ʻO ka pilikia koʻikoʻi loa o ka maʻi Addison ka pilikia adrenal, i kapa ʻia ʻo ka pilikia Addisonian. Hiki mai kēia pilikia ola kino i ka wā ʻaʻole lawa nā hormones adrenal i kou kino e mālama i ke kaumaha, ka maʻi, a i ʻole ka ʻeha.

ʻO nā hōʻailona o ka pilikia adrenal e komo pū ana:

• Nāwaliwali nui a me ka huikau
• Hāʻule koke o ke koko
• Nausea nui, luaʻi, a me ka diarrhea
• Fever kiʻekiʻe
• Nalowale o ka ʻike
• Dehydration nui

Hiki i nā pilikia ʻē aʻe ke komo pū me ke kō koko haʻahaʻa weliweli, nā pae potassium kiʻekiʻe e hoʻopilikia i ka rhythm o ka naʻau, a me ka dehydration nui. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo kēia mau pilikia he nui ka pale ʻana me ka mālama kūpono a me ka mākaukau pilikia.

Me ka lapaʻau hoʻololi hormone kūpono a me ka hoʻokele kaumaha, pale aku ka hapa nui o nā kānaka me ka maʻi Addison i kēia mau pilikia koʻikoʻi loa.

Pehea ka ʻike ʻana i ka maʻi Addison?

ʻO ka ʻike ʻana i ka maʻi Addison e komo pinepine ana i nā hoʻokolohua koko e ana i kāu mau pae hormone a pehea ka pane ʻana o kāu mau ʻōpū adrenal i ka hoʻoulu ʻana. E hoʻomaka kāu kauka me ka kūkākūkā kikoʻī o kāu mau hōʻailona a me ka mōʻaukala lapaʻau.

ʻO nā hoʻokolohua ʻike nui e komo pū ana:

• Hoʻokolohua hoʻoulu ʻana ACTH - ana i ka pane ʻana o kāu mau ʻōpū adrenal i ka inikini hormone
• Nā hoʻokolohua koko no nā pae cortisol, ʻoi aku hoʻi ke kakahiaka cortisol
• Nā hoʻokolohua no nā electrolytes e like me ka sodium a me ka potassium
• Ana ʻana i ka pae ACTH
• Nā hoʻokolohua no nā antibodies e hoʻouka i nā ʻōpū adrenal
• I kekahi manawa nā hoʻokolohua kiʻi e like me nā CT scans o nā ʻōpū adrenal

Hiki i kāu kauka ke hoʻokolohua no nā kūlana autoimmune ʻē aʻe ʻoiai pinepine lākou e hui pū ana. Hiki i ke kaʻina hana ʻike ke lawe i kekahi manawa, akā ʻo ka loaʻa ʻana o ka ʻike pololei he mea nui no ka mālama kūpono.

He aha ka lapaʻau no ka maʻi Addison?

ʻO ka mālama ʻana i ka maʻi Addison e komo pū ana i ka hoʻololi ʻana i nā hormones ʻaʻole hiki i kāu mau ʻōpū adrenal ke hana. He mea maikaʻi loa kēia lapaʻau hoʻololi hormone a ʻae i ka hapa nui o nā kānaka ke ola i nā ola maʻamau a hana nui.

ʻO kāu hoʻolālā mālama e komo pū paha:

• Hydrocortisone a i ʻole prednisone e hoʻololi i ka cortisol
• Fludrocortisone e hoʻololi i ka aldosterone
• Pūʻolo inikini pilikia (hydrocortisone) no nā kūlana pilikia
• Nānā mau a me nā hoʻoponopono dosis
• Hoʻonui ʻia nā lāʻau lapaʻau i ka wā o ka maʻi a i ʻole ke kaumaha

Pono ʻoe e lawe i kēia mau lāʻau lapaʻau i kēlā me kēia lā no ke ola. E hana pū kāu kauka me ʻoe e ʻimi i nā dosis kūpono a aʻo iā ʻoe i ka wā e hoʻoponopono ai iā lākou. I ka wā o ke kaumaha kino, ka maʻi, a i ʻole ka ʻoki kino, pono paha ʻoe i nā dosis kiʻekiʻe e pale aku i nā pilikia.

ʻOi aku ka maikaʻi o ka hapa nui o nā kānaka i loko o nā hebedoma o ka hoʻomaka ʻana o ka mālama ʻana. ʻO ke kī ka lawe ʻana i kāu mau lāʻau lapaʻau mau a hahai i nā ʻōlelo a kāu kauka e pili ana i nā hoʻoponopono dosis.

Pehea ka mālama ʻana i ka maʻi Addison ma ka home?

ʻO ka mālama ʻana i ka maʻi Addison ma ka home e pili ana i ka lawe mau ʻana i kāu mau lāʻau lapaʻau a mākaukau no nā pilikia. Me nā ʻano mālama ponoʻī maikaʻi, hiki iā ʻoe ke mālama i ka olakino a me nā pae ikehu maikaʻi.

Eia nā hana hoʻokele home nui:

• E lawe i nā lāʻau lapaʻau i nā manawa like i kēlā me kēia lā, mai haʻalele i nā dosis
• E mālama i ka pūʻolo inikini hydrocortisone pilikia me ʻoe mau
• E hoʻonui i nā dosis lāʻau lapaʻau i ka wā o ka maʻi e like me ka ʻōlelo a kāu kauka
• E ʻai i nā meaʻai mau a noho maikaʻi i ka wai
• E komo i nā mea hoʻomaopopo lapaʻau e hōʻike ana i kou kūlana
• E mālama i nā lako lāʻau lapaʻau ke huakaʻi ʻoe
• E aʻo e ʻike i nā hōʻailona mua o ka pilikia adrenal

He mea nui hoʻi ke mālama i kahi ola olakino me ka hoʻoikaika kino mau, ka hiamoe lawa, a me ka hoʻokele kaumaha. Loaʻa i nā kānaka he nui ka mea kōkua e hoʻopili me nā hui kākoʻo a i ʻole nā ​​​​hui pūnaewele no nā kānaka me ka maʻi Addison.

Pehea ka pale ʻana i ka maʻi Addison?

ʻO ka mea pōʻino, ʻaʻole hiki iā ʻoe ke pale aku i ke ʻano autoimmune o ka maʻi Addison, ʻo ia ke ʻano maʻamau loa. ʻOiai e pili ana i kou ʻōnaehana pale e hoʻouka hewa i kāu mau ʻōpū adrenal, ʻaʻohe ala i ʻike ʻia e hoʻopau ai i kēia kaʻina hana mai ka hoʻomaka ʻana.

Eia naʻe, hiki iā ʻoe ke lawe i nā hana e pale aku ai i kekahi mau maʻi e hiki ke hōʻino i kāu mau ʻōpū adrenal. ʻO kēia ke komo pū me ka loaʻa ʻana o nā inikini i manaʻo ʻia, ka hana ʻana i ka maʻemaʻe maikaʻi, a me ka ʻimi ʻana i ka mālama koke no nā maʻi e like me ka tuberculosis.

Inā loaʻa iā ʻoe nā kūlana autoimmune ʻē aʻe a i ʻole ka mōʻaukala ʻohana o lākou, ʻo ka noʻonoʻo ʻana i nā hōʻailona mua e kōkua i ka hōʻoia ʻana i ka ʻike wikiwiki a me ka mālama ʻana inā hoʻomohala ʻia ka maʻi Addison.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

ʻO ka hoʻomākaukau ʻana no kāu manawa hiki ke kōkua iā ʻoe e loaʻa ka ʻike pololei loa a me ka mālama maikaʻi loa. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, ʻoiai nā mea i manaʻo ʻia ʻaʻole pili a liʻiliʻi paha.

E lawe mai i kēia ʻike i kāu manawa:

• Papa inoa piha o nā hōʻailona a me ka wā i hoʻomaka ai lākou
• Nā lāʻau lapaʻau a pau a me nā mea hoʻohui āu e lawe nei
• Mōʻaukala ʻohana o nā maʻi autoimmune
• Nā maʻi hou, nā ʻoki kino, a i ʻole nā ​​​​kaumaha nui
• Nā nīnau e pili ana i ka ʻike, ka mālama, a me ka hoʻokele i kēlā me kēia lā
• Papa inoa o nā kauka ʻē aʻe āu e ʻike nei

E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui. Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu ʻaʻole i maopopo - ʻo ka mālama maikaʻi ʻana i ka maʻi Addison e pono ai ka kamaʻilio maikaʻi me kāu hui mālama ola.

He aha ka mea nui e pili ana i ka maʻi Addison?

He maʻi koʻikoʻi akā hiki ke hoʻokele maikaʻi ʻia ka maʻi Addison i ka wā e mālama pono ʻia. ʻOiai ʻaʻole hiki ke hoʻoponopono ʻia kāu mau ʻōpū adrenal, hoʻololi maikaʻi ka lapaʻau hoʻololi hormone i ka mea e pono ai kou kino e hana maʻamau.

ʻO nā mea nui loa e hoʻomanaʻo ai ka lawe mau ʻana i kāu mau lāʻau lapaʻau, ka mākaukau no nā pilikia, a me ka hana pili me kāu hui mālama ola. Me ka hoʻokele kūpono, hiki iā ʻoe ke manaʻo e ola i kahi ola piha a hana nui me nā pae ikehu e manaʻo ʻia he maʻamau iā ʻoe.

ʻO ka ʻike mua a me ka mālama ʻana e hana i kahi ʻokoʻa nui i kāu manaʻo a me kou olakino lōʻihi. Inā loaʻa iā ʻoe nā hōʻailona e hopohopo nei iā ʻoe, mai kānalua e kūkākūkā me kāu kauka.

Nā nīnau pinepine e pili ana i ka maʻi Addison

Q1: Hiki iā ʻoe ke ola i kahi ola maʻamau me ka maʻi Addison?

ʻAe, ola ka hapa nui o nā kānaka me ka maʻi Addison i nā ola maʻamau loa me ka lapaʻau hoʻololi hormone kūpono. Hiki iā ʻoe ke hana, hoʻoikaika kino, huakaʻi, a komo i kāu mau hana maʻamau. ʻO ke kī ka lawe mau ʻana i kāu mau lāʻau lapaʻau a mākaukau no nā pilikia me kāu pūʻolo inikini.

Q2: He mea hoʻoilina anei ka maʻi Addison?

ʻAʻole hoʻoilina pololei ʻia ka maʻi Addison, akā hiki iā ʻoe ke loaʻa ka pilikia kiʻekiʻe inā loaʻa i nā lālā ʻohana nā kūlana autoimmune. Hiki i ka manaʻo i nā maʻi autoimmune ke holo i nā ʻohana, akā ʻo ka loaʻa ʻana o ka mōʻaukala ʻohana ʻaʻole ia e manaʻo e hoʻomohala ʻoe i ka maʻi Addison.

Q3: He aha ka mea e hoʻoulu ai i ka pilikia adrenal?

Hoʻoulu pinepine ʻia ka pilikia adrenal e ke kaumaha kino i ka wā ʻaʻole lawa ka cortisol i kou ʻōnaehana. ʻO nā mea hoʻoulu maʻamau e komo pū ana nā maʻi, nā ʻeha, nā ʻoki kino, ke kaumaha manaʻo nui, a i ʻole ka nalowale ʻana o nā dosis lāʻau lapaʻau. ʻO ia ke kumu he mea nui e hoʻonui i kāu lāʻau lapaʻau i ka wā o ka maʻi a mau loa ka lawe ʻana i kāu pūʻolo pilikia.

Q4: Hiki i ka maʻi Addison ke hele ma kona iho?

ʻAʻole, he kūlana mau loa ka maʻi Addison e pono ai ka lapaʻau hoʻololi hormone ola lōʻihi. Eia naʻe, me ka mālama kūpono, hiki iā ʻoe ke manaʻo e olakino a ikaika. ʻAʻole hiki ke hoʻihoʻi ʻia ka hōʻino ʻana i kāu mau ʻōpū adrenal, akā mālama maikaʻi ʻia nā hōʻailona me nā lāʻau lapaʻau.

Q5: Pehea ka wikiwiki o ka hoʻomaikaʻi ʻana o nā hōʻailona me ka mālama ʻana?

Hoʻomaka ka hapa nui o nā kānaka e ʻoi aku ka maikaʻi i loko o kekahi mau lā a i ʻole nā hebedoma o ka hoʻomaka ʻana o ka lapaʻau hoʻololi hormone. Hoʻomaikaʻi pinepine kāu mau pae ikehu, makemake i ka ʻai, a me ka maikaʻi holoʻokoʻa i ka lohi ʻana i ka wā e ʻimi ai kāu kauka i nā dosis lāʻau lapaʻau kūpono no ʻoe. ʻIke kekahi poʻe i nā hoʻomaikaʻi i loko o kekahi mau lā, ʻoiai ʻē aʻe paha kekahi mau hebedoma e manaʻo ai i ko lākou maikaʻi loa.