Crisis Addisonian (Crisis Adrenal Crute)
Toka Te Manawa
- He aha nga tohu o te raru Addisonian?
- He aha te take o te raru Addisonian?
- Ko wai hoki ka raru mo te raru o Addisonian?
- He pehea te whakatau mo te raru Addisonian?
- Me pehea te tiaki i te raru Addisonian?
- Nga rongoa
- Tiaki kaainga
- Maimoatanga mo te mate kino Addisonian
- He aha te tirohanga mo te pae tawhiti?
Ka pehanga ana koe, ko o repe repe, e noho ana i runga ake o nga whatukuhu, ka hua mai he homoni e kiia nei ko te cortisol. Ma te Cortisol e awhina to tinana kia aro pai ki te ahotea. He mea nui hoki ki te hauora o te koiwi, te urupare a te punaha aukati, me te whakarahi i te kai. Te toenga o to tinana ki te toenga i te nui o te cortisol e mahia ana.
Ko te raru Addisonian he tino mate hauora na te ngoikoretanga o te tinana ki te whakaputa i te nui o te cortisol. Ko te raru Addisonian e mohiotia ana ko te raru adrenal tino. Ko nga taangata e pa ana ki te mate e kiia ana ko te mate o Addison, kua whara ranei i nga repe adrenal, kaore pea e taea te whakaputa i te nui o te cortisol.
He aha nga tohu o te raru Addisonian?
Ko nga tohu o te raru Addisonian ko:
- tino ngoikore
- puputu'u hinengaro
- whanoke
- whakapairuaki mamae puku ranei
- ruaki
- kirika
- he mamae ohorere i te tuara o raro, o nga waewae ranei
- te ngaro o te hiahia
- tino pēhanga toto
- te wiri
- ruihi kiri
- werawera
- he tere ngakau nui
- Tuhinga o mua
He aha te take o te raru Addisonian?
Ka pa mai tetahi raru Addisonian ka tupono ana tetahi kaore nei i te tika te mahi i nga repe adrenal i tetahi ahuatanga tino taumahatanga. Ko nga repe adrenal ka noho ki runga ake o nga whatukuhu, ana kei te kawenga ki te whakaputa i nga homoni nui, tae atu ki te cortisol. Ka pakaru nga repe adrenal, kaore e taea te whakaputa i enei homoni. Ma tenei ka puta he raru Addisonian.
Ko wai hoki ka raru mo te raru o Addisonian?
Ko te hunga e raru ana mo te raru Addisonian ko nga tangata e:
- kua tohua he mate Addison
- inatata nei kua pokaia o ratou repe adrenal
- he kino ki o ratou repe pituitary
- kei te rongoa mo te kore o te adrenal engari kaua e tango i o raatau rongoa
- kei te pangia e etahi momo o te wharanga tinana, te ahotea nui ranei
- kua tino maroke
He pehea te whakatau mo te raru Addisonian?
Ka kitea pea e to taakuta te taatai tuatahi ma te ine i te taumata o te cortisol adrenocorticotropic hormone (ACTH) ranei ki o toto. I te wa e whakahaerehia ana o tohu, ka mahia e to taakuta etahi atu whakamatautau hei whakatuturu i te tohu mate, me te whakatau mena he pai nga taumata o te homoni adrenal. Kei roto i enei whakamatautau:
- he whakamātautau whakaongaonga ACTH (cosyntropin), ana ka tirotirohia e to taakuta nga taumata cortisol i mua atu i muri i te weronga o ACTH
- he whakamātautau pāhare pāporo serum hei tirotiro i nga taumata pāhare pāporo
- he whakamatautau konutai serum hei tirotiro i nga taumata konutai
- he whakamātautau glucose toto nohopuku kia kitea te nui o te huka i roto i o toto
- he whakamātautau taumata cortisol māmā
Me pehea te tiaki i te raru Addisonian?
Nga rongoa
Ko nga taangata e raru ana ki te raru o Addisonian, ka wero wero tonu i te waipiro. Ka taea te rongoa i te rongoa ki roto i te uaua uaua ranei.
Tiaki kaainga
Kei i a koe tonu he kete e whakauru ana i te weronga hydrocortisone mena kua kitea e koe he mate Addison. Ka taea e to taakuta te whakaatu ki a koe me pehea te weronga ohorere i te hydrocortisone. Akene he pai ake te ako i to hoa rangatira, i to mema ranei o te whanau, me pehea te tuku tika i te weronga. Akene ka hiahia koe ki te pupuri i tetahi kete waatea i roto i te motuka mena he haerenga nui koe.
Kaua e tatari kia ngoikore rawa koe, kia porangi ranei koe ki te tuku i te werohanga hydrocortisone, ina koa kei te ruaki koe. Ka mutu kua werohia koe, waea atu ki to taakuta. Ko te kete ohorere ko te awhina i a koe ki te whakapumau i to ahuatanga, engari ehara i te mea hei whakakapi i te tiaki hauora.
Maimoatanga mo te mate kino Addisonian
Whai muri i te raru o Addisonian, ka kii pea to taakuta kia haere koe ki te hohipera kia haere tonu to arotake. Ka mahia tenei kia mohio ai koe kua pai te manaaki i to mate.
He aha te tirohanga mo te pae tawhiti?
Ko nga taangata e raru ana ki Addisonian ka hoki mai ano mena ka tere te whakaora i taua ahuatanga. Ma te rongoa rite tonu, ko te hunga kaore e ea ana te mate adrenal ka ora tonu i te ora, i te koiora.
Heoi, ko te raru o Addisonian kaore i te whakamaatauhia ka arahi ki:
- ohorere
- haehae
- he piko
- mate
Ka taea e koe te whakaiti i to tuponotanga ki te whakawhanake i tetahi raru Addisonian ma te tango i o rongoa kua whakaritea. Me mau e koe he kete weronga hydrocortisone me te kaari tuakiri e whakaatu ana i to ahua ka pa he mate ohorere.