Aldosterone kev kuaj ntshav

Qhov kev kuaj ntshav aldosterone ntsuas ntsuas qib ntawm hormone aldosterone hauv ntshav.

Aldosterone tuaj yeem tseem ntsuas tau siv ntsuas cov zis.

Xav tau cov ntshav ntxiv.

Koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj qee yam tshuaj nyob rau ob peb hnub ua ntej kev kuaj mob kom lawv tsis txhob cuam tshuam rau kev kuaj mob. Nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj koj noj. Cov no suav nrog:

• Ntshav siab tshuaj
• Tshuaj kho plawv
• Nonsteroidal anti-inflammatory tshuaj (NSAIDs)
• Tshuaj Antacid thiab mob rwj
• Dej tshuaj (diuretics)

Tsis txhob tsum tsis noj cov tshuaj ua ntej tham nrog koj tus kws kho mob. Koj tus kws kho mob yuav qhia kom koj tsis txhob noj ntsev ntau tshaj 3 gram (ib hnub twg) tsawg kawg 2 lub lis piam ua ntej ntsuas.

Lossis, koj tus kws kho mob yuav qhia kom koj noj ntsev li qub thiab ntsuam xyuas koj cov ntsev ntau nyob hauv koj cov zis.

Lwm lub sijhawm, kev kuaj ntshav aldosterone yog ua tiav ua ntej thiab tom qab koj tau txais cov tshuaj ntsev (dej qab ntsev) los ntawm cov leeg ntshav (IV) li 2 teev. Nco ntsoov tias lwm yam tuaj yeem cuam tshuam kev ntsuas aldosterone, suav nrog:

• Cev xeeb tub
• Kev noj zaub mov kom siab-lossis ntsev tsawg
• High- lossis qis-poov tshuaj noj
• Kev tawm dag zog
• Kev ntxhov siab

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus neeg tsuas hnov ​​tus cwj pwm lossis lub qhov ncauj. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Qhov kev kuaj no raug xaj rau cov xwm txheej hauv qab no:

• Qee cov kua ntsha thiab cov ntshav ntshawb tsis zoo, feem ntau feem ntau tsis tshua muaj ntshav ntsev los yog muaj poov tshuaj tsawg
• Kev tswj xyuas ntshav cov ntshav
• Tsis tshua muaj ntshav siab thaum sawv ntsug (orthostatic hypotension)

Aldosterone yog yam tshuaj uas tso tawm los ntawm qog adrenal. Nws pab lub cev tswj ntshav siab. Aldosterone ntau ntxiv reabsorption ntawm sodium thiab dej thiab tso cov potassium hauv lub raum. Qhov kev ua no nce cov ntshav siab.

Aldosterone kev kuaj ntshav feem ntau ua ke nrog lwm yam kev sim, xws li kev sim renin hormone, txhawm rau txheeb xyuas dhau-los yog qis dua ntawm aldosterone.

Qib txawv sib txawv:

• Ntawm cov menyuam, cov hluas, thiab cov laus
• Nyob ntawm seb koj sawv ntsug, zaum, lossis pw thaum ntshav tawm los

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis kuaj cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Qhov siab dua li theem ntawm aldosterone yuav yog vim:

• Tus mob Bartter (pawg mob uas tsis tshua muaj mob uas cuam tshuam rau lub raum)
• Cov qog adrenal tso tawm ntau dhau ntawm aldosterone hormone (thawj hyperaldosteronism - feem ntau yog vim muaj lub ntsej muag benign hauv lub qog adrenal)
• Kev noj haus muaj ntsev tsawg kawg
• Noj tshuaj ntshav siab hu ua mineralocorticoid antagonists

Qhov qis dua theem ntawm aldosterone yuav yog vim:

• Adrenal ua rau lub qog mob, nrog rau tsis tso cov tshuaj aldosterone txaus, thiab ib qho mob hu ua adrenal tsis txaus (Kab mob Addison)
• Cov zaub mov muaj ntsev ntau kawg

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Txoj leeg thiab cov hlab ntsha sib txawv ntawm ib tus neeg mob mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Aldosterone - ntshav dej; Addison tus kab mob - ntshiab aldosterone; Thawj hyperaldosteronism - ntshiab aldosterone; Cov leeg mob Bartter - ntshiab ntshav aldosterone

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.

Guber HA, Farag AF. Kev soj ntsuam ntawm endocrine muaj nuj nqi. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 24.