Tulaga lua ma le tulaga lua hyperaldosteronism

Hyperaldosteronism o se faʻaletonu o le adrenal gland faasaʻoloto tele o le homone aldosterone i le toto.

Hyperaldosteronism mafai ona muamua pe lua.

Peraimeri hyperaldosteronism e mafua mai i se faʻafitauli o le adrenal glands latou lava, lea e mafua ai ona latou faʻamatuʻu tele tele aldolone.

I se faʻatusatusaga, i le tulaga lua hyperaldosteronism, o se faʻafitauli i se isi mea i le tino mafua ai le adrenal glands e faʻamalolo tele aldolone. O nei faʻafitauli e mafai ona i ai i genes, taumafataga, poʻo se faʻafitauli faʻafomaʻi pei o le fatu, ate, fatugaʻo, poʻo le toto maualuga.

Ole tele ole tulaga ole hyperaldosteronism muamua e mafua mai ile tuma ole (benign) ole tuma ole adrenal gland. Ole tulaga e aʻafia tele ai tagata 30 ile 50 tausaga ma o se mafuaʻaga masani ole toto maualuga ile ogatotonu o tausaga.

Tulaga lua ma le tulaga lua hyperaldosteronism maua masani auga, aofia ai:

• Toto maualuga
• Maualalo tulaga o potasiuma i le toto
• Lagona le lelava i taimi uma
• Tigā ulu
• Vaivaiga maso
• Leai se mea

O le a faʻatautaia e le fomaʻi le soifua maloloina se suʻega o le tino ma fesili e uiga i ou faʻailoga.

Suʻega e ono okaina e faʻamaonia ai le hyperaldosteronism aofia ai:

• Suʻega CT scan
• ECG
• Toto aldolone tulaga
• Galue toto gaoioiga
• Toto maualuga potassium
• Urd aldolone
• Ultrasound fatugaʻo

O se faʻasologa e tuʻu ai se catheter i totonu o uaua o le adrenal glands atonu e manaʻomia ona faia. Lenei fesoasoani siaki poʻo fea o le lua adrenal glands o loʻo faia tele aldolone. E taua tele lenei suʻega aua o le toʻatele o tagata e maua i latou i le tino o le tino, e le nanaina ni homone. O le faʻamoemoe i le CT scan e ono tupu ai le sese o le adrenal gland.

Peraimeri hyperaldosteronism mafua mai i le adrenal gland tumo e masani ona togafitia i taotoga. E mafai i nisi taimi ona togafitia i vailaʻau. Aveʻese le tuma adrenal ono faʻatonutonu auga. Tusa lava pe a uma taotoga, o nisi tagata o loʻo maualuga lava le toto maualuga ma manaʻomia e inu vailaʻau. Ae masani, o numera o vailaʻau poʻo vailaʻau mafai ona tuʻuina i lalo.

Faʻatapulaʻaina le inuina o le masima ma le inuina o vailaʻau atonu e faʻatonutonuina ia faʻailoga e aunoa ma se taʻotoga. O vailaʻau e togafitia ai le hyperaldosteronism aofia ai:

• Fualaʻau e poloka ai gaioiga ole aldolone
• Diuretics (vai fualaʻau), e fesoasoani e faʻataʻavaleina le faʻaputuputuina o vai i le tino

Maualuga hyperaldosteronism e togafitia i vailaʻau (pei ona faʻamatalaina luga) ma faʻatapulaʻaina le inuina o le masima. O taotoga e masani ona le faʻaaogaina.

O le vaʻaiga mo le muamua hyperaldosteronism e lelei i le vave iloa ma togafitiga.

O le vaʻaiga mo le tulaga lua hyperaldosteronism faʻamoemoe i le mafuaʻaga o le tulaga.

Tulaga maualuga hyperaldosteronism mafai mafua mafua maualuga toto maualuga, lea e mafai ona faʻaleagaina tele totoga, aofia ai mata, fatugaʻo, fatu ma faiʻai.

Faʻatuina faʻafitauli ma gynecomastia (faʻalauteleina fatafata i aliʻi) ono tupu ma umi-taimi faʻaogaina o vailaʻau e poloka ai le aʻafiaga o hyperaldosteronism.

Valaʻau mo se taimi atofaina ma lau tautua pe a fai e te maua faʻailoga o le hyperaldosteronism.

Conn syndrome; Mineralocorticoid sili atu

• Laʻau Endocrine
• Adrenal gland homo faalilolilo

Carey RM, Padia SH. Tulaga muamua mineralocorticoid sili atu faʻaletonu ma toto maualuga. I totonu: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Matutua ma Tamaiti. 7th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 108.

Nieman LK. Adrenal cortex. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 214.