Babban rikici na adrenal

Rikicin adrenal mai rikitarwa shine yanayin barazanar rai wanda ke faruwa yayin rashin isasshen cortisol. Wannan hormone ne wanda gland adrenal ya samar.

Gland din adrenal yana sama da kodan. Glandar adrenal ta kunshi sassa biyu. Yankin waje, wanda ake kira bawo, yana samar da cortisol. Wannan muhimmin hormone ne don sarrafa karfin jini. Yankin ciki, wanda ake kira medulla, yana samar da adrenaline na hormone (wanda ake kira epinephrine). Dukansu cortisol da adrenaline an sake su don amsa damuwa.

Pituitary ne ke tsara aikin samar da Cortisol. Wannan ƙananan glandan ne kawai a ƙarƙashin ƙwalwa.Pituitary yana fitar da adrenocorticotropic hormone (ACTH). Wannan hormone ne wanda ke haifar da gland adrenal don saki cortisol.

Adrenaline ana sarrafa shi ta jijiyoyin da ke zuwa daga kwakwalwa da laka da kuma jujjuyawar hormones.

Rikicin adrenal na iya faruwa daga ɗayan masu zuwa:

• Adrenal gland ya lalace saboda, misali, cutar Addison ko wata cutar gland, ko kuma tiyata
• Mai cutar ya ji rauni kuma ba zai iya sakin ACTH (hypopituitarism)
• Ba a kula da ƙarancin adrenal da kyau ba
• Kuna shan magungunan glucocorticoid na dogon lokaci, kuma ba zato ba tsammani ya tsaya
• Ka zama mai bushewa sosai
• Kamuwa da cuta ko wata damuwa ta jiki

Kwayar cututtuka da alamun rikici na iya haɗawa da ɗayan masu zuwa:

• Ciwon ciki ko ciwon mara
• Rikicewa, rasa sani, ko suma
• Rashin ruwa
• Dizziness ko lightheadedness
• Gajiya, rauni mai tsanani
• Ciwon kai
• Babban zazzabi
• Rashin ci
• Pressureananan hawan jini
• Sugararancin sukarin jini
• Tashin zuciya, amai
• Saurin bugun zuciya
• Saurin numfashi
• Sannu a hankali, raunin motsi
• Gumi mara kyau da yawan gaske a fuska ko tafin hannu

Gwaje-gwajen da za a iya ba da oda don taimakawa wajen gano mummunan rikicin adrenal sun haɗa da:

• ACTH (cosyntropin) gwajin motsawa
• Matsayin Cortisol
• Sugar jini
• Matsayin potassium
• Matakan sodium
• matakin pH

A cikin rikici, ana buƙatar a ba ku magungunan hydrocortisone nan da nan ta cikin jijiyoyin (jijiyoyin jini) ko jijiyoyi (intramuscular). Kuna iya karɓar ruwan famfo idan kuna da ƙananan jini.

Kuna buƙatar zuwa asibiti don kulawa da kulawa. Idan kamuwa da cuta ko wata matsalar lafiya ta haifar da rikicin, kuna iya buƙatar ƙarin magani.

Girgiza na iya faruwa idan ba a ba da magani da wuri ba, kuma zai iya zama barazanar rai.

Jeka dakin gaggawa ko kira lambar gaggawa na cikin gida (kamar su 911) idan ka sami bayyanar cututtuka na babban rikicin adrenal.

Kira mai bada sabis na kiwon lafiya idan kuna da cutar Addison ko hypopituitarism kuma baza ku iya shan maganinku na glucocorticoid ba saboda kowane dalili.

Idan kuna da cutar Addison, yawanci za a gaya muku ku ƙara yawan adadin maganin ku na glucocorticoid idan kun kasance cikin damuwa ko rashin lafiya, ko kafin yin tiyata.

Idan kana da cutar Addison, koya yadda za ka gane alamun damuwa da ke iya haifar da mummunan rikici. Idan likitanku ya umurce ku, ku kasance a shirye don ba da kanku cutar gaggawa ta glucocorticoid ko don ƙara yawan maganin ku na maganin glucocorticoid a lokacin damuwa. Iyaye su koyi yin hakan don yaransu waɗanda ke da ƙarancin adrenal.

Koyaushe ka ɗauki ID na likita (kati, munduwa, ko abun wuya) wanda ya ce kana da ƙarancin adrenal. ID ɗin ya kamata ya faɗi irin magani da sashin da kuke buƙata idan akwai gaggawa.

Idan kun sha magungunan glucocorticoid don rashi ACTH na rashi, ku tabbata kun san lokacin da zaku sha matsin lamba na maganin ku. Tattauna wannan tare da mai ba ku sabis.

Karka taba shan shan magungunan ka.

Rikicin adrenal; Rikicin Addisoniya; Inarancin ƙarancin adrenal

• Endocrine gland
• Adrenal gland hormone ɓoyewa

Bornstein SR, Alloliu B, Arlt W, et al. Bincike da magani na rashin ƙarfi na farko: tsarin aikin asibiti na Endocrine Society. J Clin Endocrinol Metab. 2016; 101 (2): 364-389. PMID: PMC4880116 www.ncbi.nlm.nih.gov/pmc/articles/PMC4880116.

Stewart PM, Newell-Price JDC. Tsarin adrenal. A cikin: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Littafin Williams na Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: babi na 15.

Thiessen MEW. Thyroid da adrenal cuta. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 120.