Aldosterone Kev Xeem

Zoo Siab

• Kev kuaj mob Aldosterone yog li cas?
• Npaj rau Kev Xeem Ntawv Aldosterone
• Qhov Kev Ntsuas Aldosterone Ua Li Cas
• Txhais Koj Cov Lus Tau Los
• Tom qab Kev Ntsuas

Aldosterone Test Yog Dab Tsi?

Kev ntsuam xyuas aldosterone (ALD) ntsuas ntsuas ALD ntau hauv koj cov ntshav. Nws tseem hu ua kev ntsuas tshuaj aldosterone. ALD yog hormone ua los ntawm cov qog adrenal. Cov qog adrenal ua haujlwm nyob rau sab saum toj ntawm koj ob lub raum thiab ua lub luag haujlwm tsim ntau cov tshuaj hormones tseem ceeb. ALD cuam tshuam txog ntshav siab thiab tseem tswj hwm sodium (ntsev) thiab potassium hauv koj cov ntshav, thiab lwm yam haujlwm.

Ntau dhau ntawm ALD tuaj yeem ua rau muaj ntshav siab thiab cov poov tshuaj qis. Nws lub npe hu ua hyperaldosteronism thaum koj lub cev ua rau ntau dhau ALD. Thawj qhov mob hyperaldosteronism tuaj yeem yog los ntawm qog ua haujlwm adrenal (feem ntau ua mob me, lossis tsis mob). Lub caij no, hyperaldosteronism theem nrab tuaj yeem tshwm sim los ntawm ntau yam mob. Cov no suav nrog:

• congestive plawv tsis ua haujlwm
• mob ntsws
• qee cov kab mob hauv lub raum (e.g., nephrotic syndrome)
• tshaj poov tshuaj
• tsis muaj ntsev ntau
• mob toxic los ntawm cev xeeb tub

Kev kuaj mob Aldosterone yog li cas?

Kev ntsuam xyuas ALD feem ntau yog siv los kuaj ntshav thiab ntsha tsis zoo. Cov no tuaj yeem tshwm sim los ntawm:

• teeb meem hauv lub plawv
• raum tsis ua hauj lwm
• ntshav qab zib insipidus
• cov kab mob adrenal

Qhov kev kuaj mob tuaj yeem pab txheeb xyuas tau:

• ntshav siab uas nyuaj los tswj hwm lossis tshwm sim thaum tseem hluas
• orthostatic hypotension (ntshav siab los ntawm kev sawv los)
• kev ua haujlwm ntau dhau ntawm ALD
• adrenal tsis txaus (hauv qab cov qog adrenal)

Npaj rau Kev Xeem Ntawv Aldosterone

Koj tus kws kho mob yuav hais kom koj ua qhov kev kuaj no nyob rau qee lub sijhawm ntawm hnub ntawd. Lub sijhawm ua ke yog qhov tseem ceeb, raws li qib ALD sib txawv txhua hnub. Qib hauv siab tshaj plaws thaum sawv ntxov. Koj tus kws khomob yuav hais kom koj:

• hloov cov ntsev uas koj noj (hu ua sodium txwv kev noj)
• zam kev tawm dag zog
• zam kev noj licorice (licorice tuaj yeem uas muaj cov tshuaj aldosterone)
• Cov xwm txheej no tuaj yeem cuam tshuam rau ALD qib. Kev ntxhov siab kuj tseem yuav nce ALD ib ntus.

Ntau cov tshuaj tuaj yeem cuam tshuam rau ALD. Qhia rau koj tus kws kho mob txog txhua yam tshuaj koj noj. Qhov no suav nrog kev pabcuam ntxiv thiab cov tshuaj yuav tom khw. Koj tus kws kho mob yuav qhia koj yog tias koj xav tau tsum nres lossis hloov cov tshuaj ua ntej kev kuaj mob no.

Cov tshuaj uas yuav cuam tshuam rau ALD muaj xws li:

• nonsteroidal anti-inflammatory tshuaj (NSAIDs), xws li ibuprofen
• diuretics (dej tshuaj)
• tshuaj tiv thaiv kom txhob muaj me nyuam (tshuaj txwv)
• angiotensin-hloov enzyme (ACE) inhibitors, xws li benazepril
• cov tshuaj steroids, xws li prednisone
• beta blockers, xws li bisoprolol
• calcium channel blockers, xws li amlodipine
• lithium
• heparin
• propranolol

Qhov Kev Ntsuas Aldosterone Ua Li Cas

Kev tshuaj ntsuam ALD yuav tsum tso ntshav kuaj ntshav. Kev kuaj ntshav tuaj yeem nqa hauv koj tus kws kho mob lub chaw haujlwm lossis nws tuaj yeem ua hauv chav kuaj ntshav.

Ua ntej, koj tus neeg saib xyuas kev noj qab haus huv yuav rhuav tshem thaj chaw ntawm koj sab caj npab lossis tes. Lawv yuav muab ib txoj hlua khi ncig ntawm koj sab caj npab coj los ua kom cov ntshav sib luag. Tom ntej no, lawv yuav ntxig ib rab koob me me rau hauv koj cov leeg ntshav. Qhov no yuav mob me ntsis rau mob pesnrab thiab tej zaum yuav ua rau plev lossis pricking nws. Cov ntshav yuav ntim rau hauv ib lossis ntau lub leeg.

Koj tus neeg muab kev pab kho mob yuav tshem tawm txoj hlua ntawm lub ntsej muag thiab rab koob, thiab lawv yuav thov nias rau txhaws txhawm rau txhawm rau los ntshav thiab pab tiv thaiv kom txhob doog. Lawv yuav siv ntaub qhwv rau thaj chaw puncture. Qhov chaw puncture tuaj yeem txuas ntxiv mus rau throb, tab sis qhov no ploj mus li ntawm ob peb feeb rau cov neeg feem coob.

Qhov txaus ntshai ntawm kev coj koj cov ntshav mus qis yog tsawg. Nws suav hais tias yog kev kuaj mob tsis yog qhov tsis zoo ntxiv. Cov kev pheej hmoo txaus ntshai uas yuav tau kos koj cov ntshav muaj xws li:

• ntau rab koob prick vim muaj teeb meem nrhiav txoj hlab ntshav
• ntev li ntawm los ntshav
• pom kev tsaus muag lossis tsaus muag
• hematoma (ntshav nqaij hauv qab tawv nqaij)
• kis kab mob nyob rau thaj tsam puncture

Txhais Koj Cov Lus Tau Los

Koj tus kws kho mob yuav tshuaj xyuas cov ntaub ntawv uas khaws los ntawm kev ntsuam xyuas. Lawv yuav hu tuaj cuag koj nyob rau hnub tom qab los tham txog qhov koj xav tau.

Cov qib siab ntawm ALD yog hu ua hyperaldosteronism. Qhov no tuaj yeem nce cov ntshav sodium thiab txo cov poov tshuaj ntshav. Hyperaldosteronism tuaj yeem tshwm sim los ntawm:

• lub raum leeg mob stenosis (txoj hlab ntshav me uas xa ntshav mus rau lub raum)
• congestive plawv tsis ua haujlwm
• raum mob lossis tsis ua haujlwm
• cirrhosis (cirrhosis ntawm daim siab) mob ntshav hauv lub cev xeeb tub
• kev noj haus kom muaj ntsev tsawg kawg
• Tus mob Conn, tus mob Cushing, los sis Bartter syndrome (tsis tshua muaj)

Qeb ALD qis yog hu ua hypoaldosteronism. Cov tsos mob ntawm tus mob no suav nrog:

• ntshav siab
• lub cev qhuav dej
• cov dej qab ntsev tsawg
• cov poov tshuaj qab zib ntau ntau

Mob Hypoaldosteronism tuaj yeem tshwm sim los ntawm:

• adrenal tsis txaus
• Addison's disease, uas cuam tshuam rau kev loj hlob adrenal lawm
• kev mob hypoaldosteronism (qis ALD los ntawm kab mob raum)
• cov khoom noj uas muaj sodium ntau (ntau dua 2,300 mg / hnub rau cov hnub nyoog 50 thiab qis dua; 1,500 dua lub hnub nyoog 50)
• Congenital adrenal hyperplasia (kev tsis txaus siab thaum cov menyuam mos tsis muaj enzyme los ua cortisol, uas tuaj yeem cuam tshuam rau ALD ntau ntxiv.)

Tom qab Kev Ntsuas

Thaum koj tus kws kho mob tau soj ntsuam koj cov txiaj ntsig nrog koj, lawv yuav hais kom ua lwm yam kev kuaj los pab kuaj pom qhov dhau hwv lossis tsis dhau ALD. Cov kev ntsuam xyuas no suav nrog:

• ntshav renin
• renin-ALD piv
• andrenocorticotrophin (ACTH) Txoj kev lis ntshav
• captopril
• tso dej (IV) saline Txoj kev lis ntshav

Cov kev ntsuam xyuas no yuav pab koj thiab koj tus kws kho mob kawm paub ntxiv txog dab tsi ua rau muaj teeb meem nrog koj ALD.Qhov no yuav pab koj tus kws kho mob nrhiav kom paub tus mob thiab tuaj nrog txoj kev npaj kho mob.