Hyperaldosteronism thaum pib thiab theem nrab

Hyperaldosteronism yog ib qho kev cuam tshuam uas cov qog adrenal tso tawm ntau dhau ntawm hormone aldosterone rau hauv cov ntshav.

Hyperaldosteronism tuaj yeem yog thawj lossis theem nrab.

Thawj hyperaldosteronism yog vim muaj teeb meem ntawm cov qog adrenal lawv tus kheej, uas ua rau lawv tso aldosterone ntau dhau.

Hauv kev sib piv, nrog hyperaldosteronism yam thib ob, ib qho teeb meem nyob rau lwm qhov hauv lub cev ua rau cov qog adrenal tso tawm ntau dhau aldosterone. Cov teeb meem no tuaj yeem nrog cov noob, kev noj haus, lossis kev mob tsis xws luag xws li mob plawv, nplooj siab, raum, lossis ntshav siab.

Feem ntau ntawm cov thawj hyperaldosteronism tshwm sim los ntawm qog nqaij hlav ntawm lub qog adrenal. Tus mob feem ntau cuam tshuam cov neeg 30 txog 50 xyoo thiab yog ib qho ua rau cov ntshav siab nyob hauv nruab nrab hnub nyoog.

Kev muaj hyperaldosteronism thaum pib thiab theem nrab muaj cov tsos mob tshwm sim, suav nrog:

• Ntshav siab
• Qib kom qis ntawm cov vitamins nyob hauv cov ntshav
• Mloog zoo li nkees tas li
• Mob taub hau
• Nqaij tsis muaj zog
• Looj

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj cov tsos mob.

Kev ntsuam xyuas uas yuav raug yuam kom kuaj hyperaldosteronism suav nrog:

• Mob plab hauv TV
• ECG
• Qib ntshav aldosterone
• Ntshav renin kev ua si
• Cov ntshav poov tshuaj theem
• Urinary aldosterone
• Lub raum ultrasound

Tus txheej txheem los ntxig cov raj yas rau hauv cov hlab ntsha ntawm adrenal qog yuav tsum tau ua. Qhov no pab xyuas qhov twg ntawm ob lub qog adrenal ua ntau dhau aldosterone. Qhov kev kuaj no tseem ceeb vim tias ntau tus neeg muaj cov qog benign me hauv cov qog adrenal uas tsis zais cov tshuaj hormones. Relying tsuas yog ntawm CT scan yuav ua rau lub qog adrenal tsis zoo raug tshem tawm.

Thawj qhov hyperaldosteronism tshwm sim los ntawm kev mob qog ua haujlwm feem ntau kho nrog kev phais mob. Qee zaum tuaj yeem kho nrog tshuaj. Tshem tawm cov qog adrenal tuaj yeem tswj hwm tus tsos mob. Txawm tias tom qab phais tas los, qee tus neeg tseem muaj ntshav siab thiab yuav tsum noj tshuaj. Tab sis feem ntau, cov naj npawb ntawm cov tshuaj lossis cov koob tshuaj tuaj yeem raug txo qis.

Txwv tsis pub noj ntsev ntau thiab kev noj tshuaj yuav tswj cov tsos mob yam tsis tau phais. Cov tshuaj los kho hyperaldosteronism suav nrog:

• Cov tshuaj uas thaiv qhov kev txiav txim ntawm aldosterone
• Diuretics (dej tshuaj), uas pab tswj cov kua dej hauv lub cev

Hyperaldosteronism theem ob yog kho cov tshuaj (raws li tau piav saud) thiab txwv kev noj ntsev ntau ntxiv. Kev phais feem ntau tsis siv.

Qhov pom ntawm thawj hyperaldosteronism yog qhov zoo nrog kev paub ntxov thiab kho.

Qhov tshwm sim rau qib siab hyperaldosteronism yog nyob ntawm qhov ua rau ntawm tus mob.

Thawj cov tshuaj hyperaldosteronism tuaj yeem ua rau cov ntshav siab ntau, uas tuaj yeem ua rau ntau qhov hauv nruab nrog, nrog rau lub qhov muag, raum, lub siab thiab lub hlwb.

Teeb meem erection thiab gynecomastia (mob mis hauv txiv neej) tej zaum yuav tshwm sim nrog kev siv tshuaj ntev los txhawm rau txhaws cov nyhuv ntawm hyperaldosteronism.

Hu mus teem sijhawm nrog koj tus kws khomob yog tias koj muaj cov tsos mob ntawm hyperaldosteronism.

Cov mob ntsws Conn; Mineralocorticoid ntau heev

• Cov qog endocrine
• Adrenal caj pas hormone tso pa tawm

Carey RM, Padia SH. Thawj mineralocorticoid kev cuam tshuam ntau dhau thiab kev kub siab. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 108.

Nieman LK. Adrenal Cortex. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 214.