Chirwere cheAddison: Zviratidzo, Zvinokonzera, Kurapa

Chirwere cheAddison chinoitika kana mazamu ako e adrenal asingagadzire mahomoni akakwana anodiwa kuti muviri wako ushande zvakanaka. Aya mazamu madiki anogara pamusoro peitsvo dzako uye anoita mahomoni senge cortisol ne aldosterone anobatsira kudzora kumanikidza kweropa rako, shuga yeropa, uye kupindura kumanzwiro.

Zvinozivikanwawo se primary adrenal insufficiency, chirwere ichi chinotapura vanhu vanenge 1 pavagumi zviuru zana. Kunyange zvazvo chiri chakakomba, unogona kurarama hupenyu hwazvo, hwutano ne kurapwa kwakakodzera nekutarisirwa kwakanaka.

Ndeapi zviratidzo zvechirwere cheAddison?

Zviratidzo zvechirwere cheAddison kazhinji zvinoonekwa zvishoma nezvishoma kwemwedzi kana makore, izvo zvinogona kuita kuti zvive nyore kukanganisa pakutanga. Muviri wako unotambura zvishoma nezvishoma kuchengetedza mabasa akajairika pasina mahomoni akakwana e adrenal.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kuneta kwakanyanya nekushaya simba kunoshanduka nekuzorora
• Kurasikirwa nehuremu nekuderedza chido chekudya
• Kuita rima kweganda, kunyanya mumavara, makunyanzva eganda, nemaganda
• Kumanikidza kweropa kwakaderera kunogona kukonzera kuzviramba kana kumira
• Chido chemunyu
• Kusvotwa, kurutsa, kana manyoka
• Marwadzo emhasuru kana majoini
• Kushatirwa nekushanduka kwemanzwiro

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge shuga yeropa yakaderera, kunyanya muvana, kana kusagadzikana kwemwedzi muvakadzi. Aya maratidzo anonzwa asingazivikanwi uye akafanana nemamwe mamiriro akawanda, ndosaka kuongororwa kwenguva dzose kuchitora nguva.

Chii chinokonzera chirwere cheAddison?

Chirwere cheAddison chinoitika kana mazamu ako e adrenal akakuvadzwa uye asingagoni kugadzira mahomoni akakwana. Chikonzero chakajairika ndechekuita kwe autoimmune umo sisitimu yemuviri wako yekudzivirira inorwisa mazamu ako e adrenal.

Ngationei zvikonzero zvikuru, tichigara nezvakajairika:

• Kuparadzwa kwe autoimmune - sisitimu yako yekudzivirira inorwisa mazamu e adrenal (inokonzera anenge 80% yezviitiko)
• Tuberculosis inotapukira inotapukira mazamu e adrenal
• Mamwe maitiro senge fungal infections kana HIV
• Kenza inopararira kumazamu e adrenal
• Kubuda ropa mumazamu e adrenal
• Zvirwere zvemajini zvinokanganisa basa re adrenal
• Kubviswa kwemazamu e adrenal nekuvhiya

Muitiko usina kujairika, mishonga kana kurapwa kunogona kukanganisa basa re adrenal. Dzimwe nguva, vanachiremba havaoni chikonzero chaicho, asi izvi hazvichinji kuti chirwere ichi chinorapwa sei.

Rini unofanira kuona chiremba nechirwere cheAddison?

Unofanira kuona chiremba kana uri nekuneta kwenguva refu, kurasikirwa nehuremu kusina tsananguro, kana kuita rima kweganda kunoratidzika kusina hukama nezuva. Aya maratidzo, kunyanya kana akabatana, anoda kuongororwa nachiremba.

Tsvaga rubatsiro rwekurapa nekukurumidza kana uine zviratidzo zvakakomba senge kushaya simba kwakanyanya, kusanzwisisa, kusvotwa kwakanyanya nekurutsa, kana kumanikidza kweropa kwakaderera kwazvo. Izvi zvinogona kuratidza adrenal crisis, iyo inenge iri emergency inoda kurapwa nekukurumidza.

Usamirire kana ukaona zviratidzo zvakawanda pamwe chete, kunyangwe zvichiita zvishoma. Kuongororwa nekukurumidza nekurapwa kunogona kudzivirira matambudziko akakomba uye kukubatsira kunzwa zviri nani.

Ndeapi njodzi dzechirwere cheAddison?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuwana chirwere cheAddison. Kunzwisisa aya njodzi kunogona kukubatsira iwe nechikurapa chako kuchengetedza zviratidzo zvepakutanga.

Njodzi huru dzinosanganisira:

• Kuve nemamwe mamiriro e autoimmune senge chirwere cheshuga che type 1, chirwere che thyroid, kana vitiligo
• Nhoroondo yemhuri yezvirwere zve autoimmune
• Kuve pakati pemakore makumi matatu kusvika makumi mashanu (kunyange zvazvo zvingaitika pazera ripi zvaro)
• Kuve ne tuberculosis kana mamwe maitiro akakomba
• Kutora mishonga inoderedza ropa inogona kuwedzera njodzi yekubuda ropa
• Kuve nemamwe mamiriro emajini

Vakadzi vane mukana wakakura wekuwana chirwere cheAddison che autoimmune. Zvisinei, kuve nenjodzi hazvirevi kuti uchave nechirwere ichi - vanhu vazhinji vane aya njodzi havazombovi nematambudziko e adrenal.

Ndeapi matambudziko anogona kuitika nechirwere cheAddison?

Chinetso chakakomba chechirwere cheAddison ndeche adrenal crisis, inonziwo Addisonian crisis. Iyi emergency inotyisa inoitika kana muviri wako usina mahomoni akakwana e adrenal kubata kushushikana, chirwere, kana kukuvara.

Zviratidzo zve adrenal crisis zvinosanganisira:

• Kushaya simba kwakanyanya nekusaona
• Kudonha kwakanyanya kwekumanikidza kweropa
• Kusvotwa kwakanyanya, kurutsa, nemanyoka
• Fivha yakanyanya
• Kurasikirwa nekuziva
• Kushomeka kwemvura kwakanyanya

Mamwe matambudziko anogona kusanganisira shuga yeropa yakaderera kwazvo, potassium yakawanda inokanganisa mwoyo, uye kushomeka kwemvura kwakanyanya. Mashoko akanaka ndeawo kuti aya matambudziko anogona kudzivirirwa ne kurapwa kwakakodzera nekugadzirira kwezviitiko zvekukurumidza.

Nekurapwa kwakakodzera kwe hormone uye kudzora kushushikana, vanhu vazhinji vane chirwere cheAddison vanodzivisa aya matambudziko akakomba zvachose.

Chirwere cheAddison chinoongororwa sei?

Kuongorora chirwere cheAddison kazhinji kunosanganisira bvunzo dzeropa dzinochera mahomoni ako uye kuti mazamu ako e adrenal anopindura sei kukurudzira. Chiremba wako anotanga nehurukuro yakadzama yezviratidzo zvako nenhoroondo yekurapa.

Bvunzo huru dzekuongorora dzinosanganisira:

• ACTH stimulation test - inoyerera kuti mazamu ako e adrenal anopindura sei kune hormone injection
• Bvunzo dzeropa dze cortisol levels, kunyanya cortisol yemangwanani
• Bvunzo dze electrolytes senge sodium ne potassium
• ACTH level measurement
• Bvunzo dzema antibodies anorwisa mazamu e adrenal
• Dzimwe nguva bvunzo dze mifananidzo senge CT scans yemazamu e adrenal

Chiremba wako anogonawo kuongorora mamwe mamiriro e autoimmune sezvo kazhinji anoitika pamwe chete. Maitiro ekuongorora anogona kutora nguva, asi kuwana kuongororwa kwakakwana kwakakosha pakurapwa kwakakodzera.

Kurapwa kwechirwere cheAddison ndechii?

Kurapwa kwechirwere cheAddison kunosanganisira kutsiva mahomoni mazamu ako e adrenal asingagoni kuita. Iyi hormone replacement therapy inoshanda kwazvo uye inobvumira vanhu vazhinji kurarama hupenyu hwakanaka, hunoshanda.

Chirongwa chako chekurapa chinowanzo sanganisira:

• Hydrocortisone kana prednisone kutsiva cortisol
• Fludrocortisone kutsiva aldosterone
• Emergency injection kit (hydrocortisone) yezviitiko zvekukurumidza
• Kuongororwa nguva dzose nekugadziriswa kwe dose
• Kuwedzera mishonga panguva yechirwere kana kushushikana

Uchada kutora aya mishonga zuva nezuva kweupenyu hwako. Chiremba wako acashanda newe kuwana dose yakakodzera uye kukudzidzisa kuti ungagadzira sei. Panguva yekushushikana kwemuviri, chirwere, kana kuvhiya, ungada dose yakawanda kudzivirira matambudziko.

Vanhu vazhinji vanonzwa zviri nani mukati memavhiki ekutanga kurapwa. Chinhu chikuru kutora mishonga yako nguva dzose uye kutevera nhungamiro yechiremba wako nezve kugadziriswa kwe dose.

Nzira yekutarisira chirwere cheAddison pamba?

Kutarisira chirwere cheAddison pamba kunotarisisa pakutora mishonga yako nguva dzose uye kugadzirira zviitiko zvekukurumidza. Ne tsika dzakanaka dzekuzvichengeta, unogona kuchengetedza hutano hwakanaka uye simba.

Heano mazano ekutarisira pamba:

• Tora mishonga panguva imwe chete zuva rega rega, usambosiya dose
• Chengetedza emergency hydrocortisone injection kit newe nguva dzose
• Wedzera dose yemishonga panguva yechirwere sezvakarayirwa nachiremba wako
• Dya zvokudya zvakajairwa uye uve nemvura yakakwana
• Pfeka zvishongo zvekunyevera zvinoratidza mamiriro ako
• Chengetedza zvinhu zvakawanda zvemishonga kana uchifamba
• Dzidza kuziva zviratidzo zvepakutanga zve adrenal crisis

Zvakakoshawo kuchengetedza mararamiro akazara ne kurovedza muviri nguva dzose, hope dzakakwana, uye kudzora kushushikana. Vanhu vazhinji vanoona zvichibatsira kubatana nemapoka ekutsigira kana ma communities e online evaya vane chirwere cheAddison.

Chirwere cheAddison chingadzivirirwa sei?

Zvinosuruvarisa, haugoni kudzivirira chirwere cheAddison che autoimmune, icho chiri rudzi rwakajairika. Sezvo chinosanganisira sisitimu yako yekudzivirira inorwisa mazamu ako e adrenal, hapana nzira inozivikanwa yekumisa maitiro aya kubva pakutanga.

Zvisinei, unogona kutora matanho ekudzivirira mamwe maitiro anogona kukuvadza mazamu ako e adrenal. Izvi zvinosanganisira kuwana majekiseni akakurudzirwa, kushandisa tsika dzakanaka dzekuchena, uye kutsvaga kurapwa nekukurumidza kwezvirwere senge tuberculosis.

Kana uine mamwe mamiriro e autoimmune kana nhoroondo yemhuri yacho, kuchengetedza zviratidzo zvepakutanga kunogona kubatsira kuve nechokwadi chekuongororwa nekukurumidza nekurapwa kana chirwere cheAddison chikaitika.

Ungagadzirira sei kuenda kuchiremba?

Kugadzirira kuenda kuchiremba kunogona kukubatsira kuwana kuongororwa kwakakwana nekurapwa kwakanaka. Tanga nekunyora zviratidzo zvako zvose, kunyange izvo zvinoita sezvisina hukama kana zvishoma.

Uye uuyise ruzivo urwu kuenda kuchiremba:

• Rondedzero yakazara yezviratidzo uye nguva yavakatanga
• Mishonga yose nezvinowedzerwa zvauri kutora
• Nhoroondo yemhuri yezvirwere zve autoimmune
• Zvirwere zvitsva, kuvhiya, kana kushushikana kukuru
• Mibvunzo nezve kuongororwa, kurapwa, uye kutarisirwa kwezuva nezuva
• Rondedzero yemamwe vanachiremba vaunoona

Funga kuuya nemhuri kana shamwari kukubatsira yekurangarira ruzivo rwakakosha. Usazengese kubvunza chiremba wako kuti atsanangure chero chinhu chisinganzwisisiki - kutarisira chirwere cheAddison zvinobudirira kunoda kutaurirana kwakanaka nechikwata chako chekurapa.

Chii chinonyanya kukosha nezve chirwere cheAddison?

Chirwere cheAddison chirwere chakakomba asi chinogona kutarisirwa kana chakapihwa kurapwa kwakakodzera. Kunyange mazamu ako e adrenal asingagoni kugadziriswa, hormone replacement therapy inotsiva zvakakwana zvinodiwa nemuviri wako kuti ushande zvakanaka.

Zvinhu zvinonyanya kukosha kurangarira ndekutora mishonga yako nguva dzose, kugadzirira zviitiko zvekukurumidza, uye kushanda pedyo nechikwata chako chekurapa. Nekutarisirwa kwakakodzera, unogona kutarisira kurarama hupenyu hwazvo, hunoshanda nesimba rinonzwa rakajairika kwauri.

Kuongororwa nekukurumidza nekurapwa zvinoita musiyano mukuru pakuti unonzwa sei nehutano hwako hweramangwana. Kana uri nezviratidzo zvinokunetsa, usazengese kutaura navo nachiremba wako.

Mibvunzo inobvunzwa kazhinji nezve chirwere cheAddison

Mubvunzo 1: Unogona kurarama hupenyu hwazvo nechirwere cheAddison here?

Hongu, vanhu vazhinji vane chirwere cheAddison vanorarama hupenyu hwazvo ne hormone replacement therapy yakakodzera. Unogona kushanda, kurovedza muviri, kufamba, uye kubatanidzwa mumabasa ako ese akajairika. Chinhu chikuru kutora mishonga yako nguva dzose uye kugadzirira zviitiko zvekukurumidza ne injection kit yako.

Mubvunzo 2: Chirwere cheAddison chinogona kuwira mumhuri here?

Chirwere cheAddison pachacho hachina kuwira mumhuri, asi ungave nenjodzi yakakura kana nhengo dzemhuri dzine mamiriro e autoimmune. Maitiro ekurwara kwe autoimmune anogona kuwira mumhuri, asi kuve nenhoroondo yemhuri hazvirevi kuti uchave nechirwere cheAddison.

Mubvunzo 3: Chii chinokonzera adrenal crisis?

Adrenal crisis kazhinji inokonzerwa nekushushikana kwemuviri kana usina cortisol yakakwana mumuviri mako. Zvinokonzera zvakajairika zvinosanganisira zvirwere, kukuvara, kuvhiya, kushushikana kwemanzwiro kwakanyanya, kana kusapotsa dose yemishonga. Ndosaka zvakakosha kuwedzera mishonga yako panguva yechirwere uye nguva dzose uine emergency kit yako.

Mubvunzo 4: Chirwere cheAddison chinogona kupera pachacho here?

Kwete, chirwere cheAddison chirwere chinogara chiripo chinoda hormone replacement therapy yeupenyu hwese. Zvisinei, nekurapwa kwakakodzera, unogona kutarisira kunzwa utano uye simba. Kukuvadzwa kumazamu ako e adrenal kazhinji hakungagone kugadziriswa, asi zviratidzo zvinogona kutarisirwa zvakanyanya nemishonga.

Mubvunzo 5: Zviratidzo zvinokurumidza sei kuvandudza nekurapwa?

Vanhu vazhinji vanotanga kunzwa zviri nani mukati memazuva mashoma kusvika kumavhiki ekutanga hormone replacement therapy. Simba rako, chido chekudya, uye hutano hwese kazhinji zvinovandudza zvishoma nezvishoma sezvo chiremba wako achiwana dose yakakodzera yemishonga kwauri. Vamwe vanhu vanoona kuvandudzwa mumazuva mashoma, nepo vamwe vangatora mavhiki mashoma kunzwa zvakanaka.