ʻO ka maʻi o Addison ("maʻi keleawe") he maʻi nui ia o ka pūnaewele endocrine, i ho'ākāka muaʻia ma ka waenakonu o ke XIX mau kenekulia e ke kauka Pelekaneʻo T. Addison. ʻO nā kānaka i waena o nā makahiki 20 a 50 he mea nui loa ia i ka maʻi. He aha ka hana i loko o ke kino me kēia maʻi pilikino, he aha nā hopena o ka hopena a me nāʻano hou o ka mālamaʻana, e noʻonoʻo houʻia.
ʻO ka maʻi o Addison - etiology a me ka pathogenesis
ʻO ka maʻi o Addison ke kumu o ka hōʻinoʻinoʻana i ka maʻi palekana. I kēia hihia, he hapa nui loa a hoʻopauʻana paha o ka inoa o nā hormones,ʻo ia hoʻi glucocorticoids (cortisone a me hydrocortisone) e hoʻoponopono ana i ka meaola, carbohydrate a me ka momona ka momona, me ka mineralocorticoids (deoxycorticosterone a me aldosterone) ke kuleana no ka hoʻoponoponoʻana i ka metabolism pa'ū.
ʻO ka hapalima o nā hihia o kēia maʻi iʻikeʻoleʻia. ʻO nā kumu iʻikeʻia o ka maʻi o Addison, hiki iā mākou ke hoʻomaopopo i kēia mau mea penei:
- ka liona autoimmune o ke kiniponaʻona;
- AIDS;
- syphilis;
- adrenoleukodystrophy;
- ka maʻi.
- amyloidosis ;
- sarcoidosis;
- ka hoʻokuʻuʻiaʻana o nā āpau;
- nā hemorrhages ma nā'aleʻa;
- ka hoʻomalu lōʻihi me nā hormones;
- nā maʻi leʻaleʻa.
ʻO ka emiʻana o ka hanaʻana o ka mineralocorticoids ke alakaʻi aku i kaʻoiaʻiʻo ua pau ka lepo i ka mea nui,ʻo ia ka wai o ka wai, a ke emi nei ka nui o ka holoʻana o ke koko a me nā hana hana'ē aʻe. ʻO ka nele o ke kahakahaʻana o nā glucocorticoids e alakaʻi i ka hōʻehaʻana i ka metabolism kalo, ka paʻakai o ke koko, a me ka lawaʻole o ka maʻi.
Nā Hiʻona o ka maʻiʻo Adison
ʻOiai,ʻo ka uluʻana o ka maʻi o Addison e mālie mālie, mai nā mahina i kekahi mau makahiki, aʻikeʻoleʻia kona mau hōʻailona no ka manawa lōʻihi. Hiki ke hiki ke maʻi i ka wā e loaʻa ai i ka kino ka nui o ka pono no nā glucocorticoids, e hiki ke pili i nā pilikia a me nā maʻi pilikino.
ʻO nā hōʻailona o kēia maʻi:
- luhi luhi;
- nāwaliwali o ka maʻi;
- ho'ēmi i ka hoʻomanaʻo;
- ka poho kaumaha;
- ka hōʻehaʻehaʻana i ka'ōpū o ka maʻiʻilihune;
- ke kewaheia haʻahaʻa;
- ka hoʻopiʻiʻana o kaʻili (nā kiko o ke keleawe keleawe) - hiki i ka wā ma mua o kaʻikeʻiaʻana o nā hōʻailona'ē aʻe;
- ʻO ka hopena i ka paʻakai a me kaʻaiʻona;
- i ka make wai;
- ka hoʻomalina maʻamau;
- haʻalulu lima , poʻo;
- ka wikiwiki keu;
- kachycardia a me nā mea'ē aʻe.
Pākēnaʻi Addisonian
Inā hiki wawe ka maʻi o ka maʻi, hiki mai ka lawaʻole o ke olakino. Kapaʻia kēiaʻano "kūlana addisonian" a he mea weliweli ia e ola nei. Hōʻike ia i nā hōʻailona e like me ke kaumaha nui ma kaʻaoʻao lalo, ka'ōpū a me nā wāwae, ka luaʻi weliweli a me ka peheʻana, ka nalowale o kaʻike, ke pāpaleʻeleʻele ma ke alelo, a pēlā aku.
ʻO ka maʻi a Addison - hōʻoia
Inā noʻonoʻoʻia ka maʻi o Addison, ua hanaʻia nā hoʻokolohuaʻana eʻike i ka emiʻana o ka mea sodium a me ka potassium, kahi emiʻana o ka maʻi glucose, kahi haʻahaʻa o corticosteroids i loko o ke koko, kahi hoʻonuiʻia o nā eosinophils, a me nā mea'ē aʻe.
ʻO ka maʻi o Addison - ka lāʻau
ʻO ka hoʻomaʻamaʻaʻiaʻana o ka maʻi e kauʻia ma muli o ka hoʻololiʻana i ka hormone therapy. ʻOiai,ʻo ka nele o ka cortisol, ua hoʻololiʻia e ka hydrocortisone, a me ka nele o kahi corticosteroid mineral
Ma muli o ka pilikia o Addison, nā glucocorticoids a me ka nui o nā hōʻailona saline me nā dextrose e kauʻia, e hiki ai ke hoʻonui i keʻano a hemo i ka hōʻeha o ke ola.
Hoʻomaʻa i kahi meaʻai e hōʻemi ai i kaʻaiʻana o kaʻiʻo a me ka hoʻokuʻuʻiaʻana o kaʻuala, nā legumes, nā nuts, ka maiʻa (e hōʻemi i ka hoʻohanaʻana o ka pālolo). ʻO ka maʻamau o kaʻaiʻana o ka paʻakai,ʻo nā huaʻalea a me nā huaora,ʻo ia hoʻiʻo C a me B, ke ulu nei.ʻO ka hōʻailona me ka mālama ponoʻana o ka maʻi o Addison he mea maikaʻi.