Aia ma luna o nā puʻupaʻa nā ʻeleʻele adrenal. Hoʻopuka kēia mau gland i ka hapa nui o nā hormones e pono ai ke kino no nā hana maʻamau.
ʻO ka maʻi o AddisonHana ʻia ia i ka wā e pōʻino ai ka cortex adrenal a ʻaʻole lawa ka hana ʻana o nā kelepa adrenal i nā hormones steroid cortisol a me aldosterone.
Cortisolhoʻoponopono i ka pane o ke kino i nā kūlana pilikia. Kōkua ʻo Aldosterone i ka hoʻoponopono ʻana i ka sodium a me ka potassium. Hoʻopuka pū ka cortex adrenal i nā hormones sex (androgens).
He aha ka Addison?
ʻO ka maʻi o AddisonHana ʻia ia i ka wā ʻaʻole e hoʻohua ʻia nā kiʻekiʻe kiʻekiʻe o ka nui o nā hormones koʻikoʻi, me ka cortisol a i kekahi manawa aldosterone.ka lawa ole adrenal he inoa ʻē aʻe no ke kūlana i kapa ʻia
Aia ma luna pono o nā puʻupaʻa a he kuleana koʻikoʻi ko ka adrenaline i ka hana ʻana i nā hormones like adrenaline a me nā corticosteroids, he nui nā hana i nā manawa o ke koʻikoʻi a me ke ola o kēlā me kēia lā.
Pono kēia mau hormones e mālama i ka homeostasis a hoʻouna i nā "aʻo" i nā ʻāpana a me nā ʻiʻo i loko o ke kino. ʻO ka maʻi o AddisonʻO nā hormones i hoʻopilikia ʻia e ka hormone thyroid e komo pū me nā glucocorticoids (e like me cortisol), mineralocorticoids (me ka aldosterone), a me nā androgens (nā hormones male kāne).
ʻOiai hiki i kēia maʻi ke hoʻoweliweli i ke ola i kekahi mau hihia, hiki ke mālama ʻia nā hōʻailona me ka hormone replacement therapy.
Nā kumu o ka maʻi o Addison
ʻO ka hoʻohaunaele ʻana i ka ʻalani adrenal
Hoʻopilikia i ka hana ʻana o ka hormone i loko o nā kelepa adrenal ʻO ka maʻi o Addisonke kumu. Hiki ke hana ʻia kēia pōʻino ma muli o kekahi mau kumu, e like me ka maʻi autoimmune, ka maʻi maʻi, a i ʻole kahi kīnā genetic.
Eia naʻe, ma kahi o 80 pakeneka o ka hapa nui o nā maʻi o Addison ma muli o nā kūlana autoimmune.
Hoʻopau nā ʻeleʻele adrenal i ka hana ʻana i nā hormone steroid (cortisol a me aldosterone) ke luku ʻia ka 90 pakeneka o ka cortex adrenal.
I ka hoʻomaka ʻana o ka hāʻule ʻana o nā pae o kēia mau hormones, Nā hōʻailona a me nā hōʻailona o ka maʻi o Addison hoomaka e puka mai.
nā kūlana autoimmune
ʻO ka ʻōnaehana pale kino ka mea pale o ke kino i nā maʻi, nā mea ʻawaʻawa, a i ʻole nā maʻi. Ke maʻi ke kanaka, hoʻopuka ko lākou ʻōnaehana pale i nā antibodies e hoʻouka i kekahi mea e maʻi ai lākou.
Hoʻomaka paha nā ʻōnaehana pale ʻana o kekahi poʻe e hoʻouka i nā ʻiʻo a me nā kino olakino - ʻo kēia pilikia autoimmune Ua kapa.
ʻO ka maʻi o Addison I kēia hihia, hoʻouka ka ʻōnaehana pale i nā keʻena o ka adrenal glands, e hoʻemi mālie i kā lākou hana.
ka hopena o kahi maʻi autoimmune ʻO ka maʻi o Addison, ka maʻi autoimmune o Addison Kāhea ʻia.
Nā kumu Genetic o ka maʻi o Autoimmune Addison
Ua hōʻike ʻia nā noiʻi hou e loaʻa i kekahi poʻe me kekahi mau genes i kahi maʻi autoimmune.
ʻO ka maʻi o AddisonʻOiai ʻaʻole i hoʻomaopopo pono ʻia nā genetics o ke ʻano, ʻo nā genes i pili pinepine ʻia me ka maʻi no ka ʻohana o nā genes i kapa ʻia ka paʻakikī leukocyte antigen (HLA).
Kōkua kēia paʻakikī i ka ʻōnaehana pale e hoʻokaʻawale i waena o nā protein ponoʻī o ke kino a me nā mea i hana ʻia e nā maʻi maʻi a me nā maʻi bacteria.
Maʻi puʻu (TB) he ma'i ma'i bacteria e pili ana i ka akemama a hiki ke laha i na wahi e ae o ke kino. Inā hiki i ka maʻi TB i nā ʻeleʻele adrenal, hiki iā ia ke hōʻino nui iā lākou a pili i kā lākou hana hormone.
ʻOi aku ka nui o ka pōʻino o ka poʻe maʻi maʻi maʻi maʻi maʻi i ka adrenal glands, ʻo ia hoʻi ko lākou ʻO ka maʻi o Addison hoʻonui i ka hiki ke ulu.
No ka emi ʻana o ka maʻi maʻi i kēia manawa, ke kumu o kēia maʻi ʻO ka maʻi o Addison kakaikahi no hoi na hihia. Eia nō naʻe, aia nā helu kiʻekiʻe ma nā ʻāina kahi pilikia nui ka TB.
Nā kumu ʻē aʻe
ʻO ka maʻi o Addison, hiki ke hana ʻia e nā kumu ʻē aʻe e pili ana i ka ʻāʻī adrenal:
ʻO kahi kīnā genetic kahi e ulu ʻole ai nā ʻeleʻele adrenal
– he kahe koko
- Adrenalectomy - ka wehe ʻana i nā ʻōpū adrenal
- Amyloidosis
he maʻi e like me ka maʻi HIV a i ʻole ka maʻi hū maʻamau
- ʻO ka maʻi maʻi i loaʻa i ka metastasized i nā ʻeleʻele adrenal
ʻAʻole lawa ka adrenal lua
Inā loaʻa ka maʻi o ka pituitary gland, hiki ke hoʻopilikia maikaʻi ʻia nā kelepa adrenal. ʻO ka maʻamau, hana ka pituitary i ka hormone adrenocorticotropic (ACTH). Hoʻoulu kēia hormone i nā kelepa adrenal e hana i nā hormones.
Inā pōʻino a maʻi paha ka pituitary, emi iho ka ACTH i hana ʻia a ma muli o ka hopena, ʻoi aku ka liʻiliʻi o nā hormones i hana ʻia e nā kelepa adrenal, ʻoiai inā ʻaʻole lākou i maʻi. Kapa ʻia kēia ʻo ka lua adrenal insufficiency.
Steroids
ʻO kekahi poʻe e lawe ana i nā steroid anabolic, e like me nā bodybuilders, ʻO ka maʻi o Addison ʻoi aku ka nui o ka pilikia. ʻO ka hana ʻana o ka hormone, ʻoi aku ka hopena ma muli o ka lawe ʻana i nā steroids no ka manawa lōʻihi, hiki ke hoʻopilikia i ka hiki ʻana o nā kelepa adrenal e hana i nā pae hormone olakino - hiki ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka maʻi.
ʻO nā Glucocorticoids e like me cortisone, hydrocortisone, prednisone, prednisolone, a me dexamethasone e hana like me cortisol. I nā huaʻōlelo ʻē aʻe, manaʻoʻiʻo ke kino aia ka piʻi ʻana o ka cortisol a hoʻopau i ka ACTH.
E like me ka mea i ʻōlelo ʻia ma luna nei, ʻo ka emi ʻana o ka ACTH e hoʻemi ʻia nā hormones e hana ʻia e nā kelepa adrenal.
Kekahi, lupus ʻO ka poʻe e lawe ana i nā corticosteroid waha no nā kūlana e like me ka maʻi ʻeha a i ʻole ka maʻi ʻeha a hoʻopau koke iā lākou, hiki ke loaʻa i ka hemahema adrenal lua.
He aha nā hōʻailona o ka maʻi o Addison?
ʻO ka maʻi o Addison Hiki i nā poʻe me ka dandruff ke ʻike i kēia mau hōʻailona:
– nāwaliwali o ka ʻiʻo
– Nawaliwali a me ka luhi
– Ka pōʻeleʻele o ka ʻili
– Hoʻemi kaumaha a emi ʻole ka makemake
- Hoʻemi ka puʻuwai a i ʻole ke koko
- Haʻahaʻa ke kō koko koko
– Eha ma ka waha
– Ka makemake paakai
- Nausea
- luaʻi
ʻO ka maʻi o Addison Hiki i nā poʻe e noho nei me kēia maʻi ke ʻike i nā hōʻailona neuropsychiatric e like me:
- Ka huhū a i ʻole ke kaumaha
– Haʻahaʻa ikehu
- Nā pilikia moe
ʻO ka maʻi o Addison inā haʻalele ʻole ʻia no ka lōʻihi loa, Pilikia Addisonian hiki ke lilo. Pilikia AddisonianʻO nā hōʻailona pili me ia:
- ʻO nā hiʻohiʻona ʻike a me ka auditory hallucinations
he lapaʻau ʻole ʻia Pilikia Addisonian hiki i ka ha'alulu a me ka make.
ʻO wai ka pilikia no ka maʻi o Addison?
Nā kānaka i loko o kēia mau kūlana: ʻO ka maʻi o Addison ʻoi aku ka nui o ka pilikia no:
– ʻO ka poʻe me ke kanesa
- Nā ʻāpana anticoagulant (mea hoʻokahe koko)
- ʻO ka poʻe me nā maʻi maʻi mau e like me ka maʻi maʻi maʻi
- ʻO ka poʻe i hōʻoki ʻia no ka wehe ʻana i kekahi ʻāpana o ka ʻeleʻele adrenal
- ʻO ka poʻe me kahi maʻi autoimmune e like me ka maʻi diabetes type 1 a i ʻole maʻi Graves
Pehea e ʻike ʻia ai ka maʻi o Addison?
E nīnau ke kauka e pili ana i ka mōʻaukala olakino a me nā hōʻailona. E hana ʻo ia i kahi hoʻokolohua kino a kauoha i kekahi mau hoʻokolohua lab e nānā i ka pae potassium a me ka sodium.
Hiki i ke kauka ke kauoha i nā hoʻokolohua kiʻi a ana i ke kiʻekiʻe o ka hormone.
Lapaʻau ʻana o Addison
ʻO ka mālama ʻana i ka maʻi ma muli o ke kumu o ke ʻano. Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻoponopono ai i nā kelepa adrenal.
He mea nui ka hahai ʻana i ka papa hana lapaʻau i hana ʻia e ke kauka. lapaʻau ʻole ʻia ʻO ka maʻi o Addison, Pilikia Addisonianka mea hiki ke alakai.
Inā ʻaʻole mālama ʻia ka maʻi no ka manawa lōʻihi loa a Pilikia Addisonian Inā ua holomua i kahi kūlana weliweli i kapa ʻia
Pilikia Addisonianke kumu haʻahaʻa o ke koko, kiʻekiʻe ka potassium a me ke kō koko haʻahaʻa i loko o ke koko.
Nā Lapaʻau
Pono paha e hoʻohana i kahi hui o nā lāʻau glucocorticoid (nā lāʻau anti-inflammatory) e hoʻōla i ka maʻi. E lawe ʻia kēia mau lāʻau i ke koena o ke ola.
Hiki ke hāʻawi ʻia ke pani ʻana o ka hormone e pani i nā hormones i hana ʻole ʻia e nā kelepa adrenal.
ʻO ka maʻi kūlohelohe o Addison
e hoopau i ka paakai
ʻO ka maʻi o Addisonhiki ke hoʻohaʻahaʻa i nā pae aldosterone, kahi e hoʻonui ai i ka pono o ka paʻakai. E ho'āʻo e kiʻi i kāu pono paʻakai nui mai nā meaʻai olakino e like me ka broth a me ka paʻakai kai.
E lawe i ka calcium a me ka vitamin D
ʻO ka lawe ʻana i nā lāʻau corticosteroid ua pili pū me ka nui o ka pilikia o ka osteoporosis a me ka nalowale o ka iwi iwi, ʻaʻole lawa. kalipuna a he mea koʻikoʻi ka ʻai ʻana i ka huaora D no ka mālama ʻana i ke olakino iwi.
Hiki ke hoʻonui ʻia ka nui o ka calcium ma ka ʻai ʻana i nā huahana waiu e like me ka waiū maka, yogurt, kefir a me ka fermented cheese, nā mea kanu ʻōmaʻomaʻo e like me ke kāpeti a me ka broccoli, a me nā meaʻai kiʻekiʻe i ka calcium e like me ka sardines, beans a me nā ʻalemona.
Vitamin D ʻO ke ala maikaʻi loa e hoʻonui ai i kou mau pae maʻamau, ʻo ia ka hoʻolilo ʻana i kekahi manawa i ka lā i kēlā me kēia lā me ka ʻike ʻana o ka ʻili.
E lawe i ka meaʻai anti-inflammatory
ʻO nā meaʻai a me nā mea inu e kaupalena ʻia ai ʻole e pale aku i ke kākoʻo ʻana i ka ʻōnaehana pale:
ʻO ka nui o ka waiʻona a i ʻole ka caffeine, hiki ke hoʻopilikia i ka pōʻai hiamoe a hoʻoulu i ka hopohopo a i ʻole ke kaumaha
ʻO ka hapa nui o nā kumu kō a me nā mea ʻono (me ka syrup kulina fructose kiʻekiʻe, nā mea ʻono i hoʻopaʻa ʻia, a me nā kīʻaha i hoʻomaʻemaʻe ʻia)
- E hōʻalo i nā meaʻai i hoʻopaʻa ʻia a hoʻoponopono ʻia e like me ka hiki no ka mea he nui nā ʻano mea hana, preservatives, sugar, etc.
- ʻO nā aila mea kanu i hoʻoheheʻe ʻia a hoʻomaʻemaʻe ʻia (soybean, canola, safflower, sunflower a me ka kulina)
E hoʻololi iā lākou me nā meaʻai maoli, i hoʻomaʻemaʻe ʻole ʻia ke hiki. ʻO kekahi o nā koho maikaʻi loa i komo i ka meaʻai anti-inflammatory:
- Nā ʻaila kūlohelohe a olakino (e laʻa me ka ʻaila ʻoliva)
- Nui nā mea kanu (ʻoi aku ka nui o nā lau lau a me nā mea kanu cruciferous e like me ka cauliflower, broccoli, Brussels sprouts)
- nā iʻa i hopu ʻia (e like me ka salmon, mackerel a i ʻole sardines, e hāʻawi ana i nā mea momona omega-3 anti-inflammatory)
- ʻO nā huahana holoholona kiʻekiʻe i hānai ʻia i ka mauʻu, hānai ʻia a me nā mea kūlohelohe (e laʻa i nā hua manu, pipi, moa a me ka pipi)
- Nā mea kanu kai e like me ka limu (ka nui o ka iodine e kākoʻo i ke olakino thyroid)
- ka paʻakai moana Celtic a i ʻole Himalayan
- ʻO nā meaʻai fiber kiʻekiʻe e like me nā strawberries, nā hua chia, nā hua flax, a me nā mea kanu starchy
- Nā meaʻai probiotic e like me kombucha, sauerkraut, yogurt a me kefir
- ʻO ke kīʻaha, turmeric, parsley, etc. nā mea kanu a me nā mea ʻala
mālama i ke kaumaha
Loaʻa ka hiamoe maikaʻi a loaʻa ka hoʻomaha. E noʻonoʻo i ʻewalu a 10 mau hola o ka hiamoe i kēlā me kēia pō, ma muli o kāu mau pono kikoʻī.
ʻO nā ala ʻē aʻe e kōkua ai i ka mālama ʻana i ke kaumaha, penei:
- Ke hana nei i nā leʻaleʻa a i ʻole kekahi mea leʻaleʻa i kēlā me kēia lā
– ka noonoo ana
– Nā ʻenehana hanu hoʻomaha
- Hoʻolilo manawa ma waho, i ka lā a me ke ʻano
- Ka mālama ʻana i kahi papa hana maʻamau a kūpono
- ʻAi ma ka papa hana maʻamau a pale aku i ka nui o nā mea hoʻoulu e like me ka waiʻona, ke kō a me ka caffeine
- E ʻimi i ke kōkua ʻoihana inā pono e hoʻoponopono i nā hanana ola nui a i ʻole trauma
Nā mea hoʻohui e kākoʻo i ka pane pilikia
Hiki i kekahi mau mea hoʻopihapiha ke kōkua i ke kākoʻo ʻana i ka ʻōnaehana pale a pale i ke kaumaha. ʻO nā laʻana e hiki ke hana:
- ʻO nā halo lāʻau lapaʻau e like me ka reishi a me ka cordyceps
- Nā mea kanu Adaptogen e like me ashwagandha a me astragalus
– ginseng
– Magnesium
- ʻO ka Omega-3 fatty acids
- Me kahi pākuʻi probiotic, ʻo ka lawe ʻana i kahi multivitamin maikaʻi e hāʻawi ana i nā huaora B, ka huaʻa D, a me ka calcium hiki ke kākoʻo i ke olakino ʻōpū a pale aku i nā hemahema o nā meaʻai.
He aha ka hana inā ʻaʻole mālama ʻia ka maʻi o Addison?
Kūlana pilikia adrenalInā holomua a mālama ʻole ʻia, hiki i nā kānaka ke ʻike i nā hōʻailona koʻikoʻi a hiki i ka make koke ʻana, no laila he mea pono e mālama nui ʻia.
pilikia adrenal ʻO ka hana maʻamau ka hoʻokomo ʻana i nā steroid kiʻekiʻe, nā wai, a me nā electrolytes e kōkua i ka hoʻihoʻi ʻana i ka hana o ka adrenal a me ka pituitary glands.
ʻO ka maʻi o Addison ke ola nei ʻoe? Hiki iā ʻoe ke waiho i kahi manaʻo.
Mahalo iā ʻoe no ka ʻike kikoʻī āu i hāʻawi ai. He maʻi au no Addison.
ʻAe kaʻu kaikamahine Addison desess maʻi .he 8 makahiki kona mau makahiki