Primary da sakandare hyperaldosteronism

Hyperaldosteronism cuta ne wanda adrenal gland yake fitar da yawancin hormone aldosterone cikin jini.

Hyperaldosteronism na iya zama na farko ko na sakandare.

Primary hyperaldosteronism saboda matsalar gland adrenal kansu ne, wanda ke haifar musu da sakin aldosterone da yawa.

Sabanin haka, tare da hyperaldosteronism na sakandare, wata matsala a wasu wurare a cikin jiki tana haifar da gland don fitowar aldosterone da yawa. Wadannan matsalolin na iya kasancewa tare da kwayoyin halitta, abinci, ko matsalar rashin lafiya kamar ta zuciya, hanta, koda, ko hawan jini.

Yawancin lokuta na cututtukan cututtuka na farko ana haifar da su ne daga cututtukan ƙwayar cuta (mara kyau) na gland adrenal. Halin da ya fi shafar mutane masu shekaru 30 zuwa 50 kuma sanadi ne na hawan jini a cikin tsakiyar shekaru.

Primary da secondary hyperaldosteronism suna da alamomin gama gari, gami da:

• Hawan jini
• Levelananan matakin potassium a cikin jini
• Jin kasala a kowane lokaci
• Ciwon kai
• Raunin jijiyoyi
• Numfashi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamunku.

Gwaje-gwajen da za a iya ba da oda don tantance cututtukan cututtuka sun haɗa da:

• CT scan na ciki
• ECG
• Matakan aldosterone na jini
• Ayyukan renin jini
• Matakan potassium na jini
• Urinary aldosterone
• Koda duban dan tayi

Hanyar da za a saka catheter a cikin jijiyoyin gland na iya buƙatar ayi. Wannan yana taimakawa duba wanne daga cikin gland dinnan yake yin aldosterone da yawa. Wannan gwajin yana da mahimmanci saboda mutane da yawa suna da ƙananan ƙwayoyin cuta marasa kyau a cikin gland adrenal waɗanda basa ɓoye kowane homon. Dogaro kawai akan hoton CT na iya haifar da cire glandon adrenal mara kyau.

Primary hyperaldosteronism da sanadin sanadin ciwon gland shine yawanci ana kula dashi tare da tiyata. Wani lokaci ana iya magance shi da magunguna. Cire ƙwayar cutar adrenal na iya sarrafa alamun. Ko bayan tiyata, wasu mutane har yanzu suna da cutar hawan jini kuma suna bukatar shan magani. Amma galibi, ana iya saukar da adadin magunguna ko allurai.

Iyakance shan gishiri da shan magani na iya sarrafa alamun ba tare da tiyata ba. Magunguna don magance hyperaldosteronism sun haɗa da:

• Magungunan da ke toshe aikin aldosterone
• Diuretics (kwayoyi na ruwa), wanda ke taimakawa sarrafa haɓakar ruwa a jiki

Ana kula da tsinkayen sakandare tare da magunguna (kamar yadda aka bayyana a sama) da iyakance cin gishiri. Ba a amfani da tiyata yawanci.

Hangen nesa na hyperaldosteronism yana da kyau tare da ganewar asali da magani.

Hangen nesa na hyperaldosteronism ya dogara da dalilin yanayin.

Halin farko na iya haifar da hawan jini, wanda zai iya lalata gabobi da yawa, gami da idanu, koda, zuciya da kwakwalwa.

Matsalar haɓaka da gynecomastia (kara girman nono a cikin maza) na iya faruwa tare da amfani da magunguna na dogon lokaci don toshe tasirin hyperaldosteronism.

Kira don alƙawari tare da mai ba da sabis idan kun ci gaba bayyanar cututtukan cututtukan zuciya.

Ciwon Conn; Mineralocorticoid wuce haddi

• Endocrine gland
• Adrenal gland hormone ɓoyewa

Carey RM, Padia SH. Matakan farko na mineralocorticoid da hauhawar jini. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 108.

Nieman LK. Karkashin fata. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 214.