Litšoelesa tsa li- adrenal li na le litšoelesa tse nang le li-endocrine. Li fumaneha ka tsela e fapaneng - haufi le liphio tse ling 'me li etsa mesebetsi e mengata ea bohlokoa. Ke ka lebaka leo ho tla ba monate ho basali ho tseba matšoao a mafu a adrenal e le ho ba hlokomela, ha ho hlokahala. Ho seng joalo, mokuli a ka 'na a qala mathata a tebileng a bophelo bo botle, a sebetsana le seo ha se sebetse.
Maloetse a bothata ba adrenal ho basali
Mosebetsi o ka sehloohong oa litho ke tlhahiso ea adrenaline, norepinephrine le lihomone tse ling. Likokoana-hloko li kenella ts'ebetsong ea metabolism, li susumetsa ponahatso ea liketso tsa ho susumetsa ka ntle.
Litsebi li nka hore tlōlo ea moriana oa adrenal e bile bothata bo tebileng haholo. Ka lebaka la bona, 'mele o qala ho sebetsa hampe. Joalokaha mokhoa ona o bontša, hangata ho basali ho na le matšoao a mafu a joalo a litšoelesa tsa adrenal:
- Hyperaldosteronism ke ts'ebetso ea lefu lena e hlahang khahlanong le semelo sa tlhahiso e feteletseng ea aldosterone ka adrenal cortex. Lisosa tsa lefu lena li fapane: nephritis ea mofuta o sa foleng, pelo e senyehileng, ts'oaetso ea sebete sa sebete, ho thatafala ha sebete.
- Basali, matšoao a mafu a adrenal, a kang ho hloleha ha cortical , a hlahella ka lebaka la postpartum necrosis, lisele tsa boipheliso tsa mokokotlo oa pituitary, oncology, le mafu a nako e telele.
- Matšoao a Adrenogenital ke mohopolo o kopanyang lihlopha tse sa tšoaneng tsa congenital pathologies. Li etsa hore liphetoho tsa tsona li fetohe liphatseng tsa lefutso.
- Ka linako tse ling matšoao a mathata a bakoang ke basali a bakoa ke lihlahala . Ho thata ho bolela hantle hore na li-neoplasms li tsoa hokae, lingaka. Ho ka 'na ha etsahala hore phoso ke ntho ea lefutso.
- Mathata a Addison ke lefu le sa tloaelehang. Ka lebaka la boloetse bona, litšoelesa tsa adrenal li khaotsa ho hlahisa cortisol. E ka bakoa ke lefuba, tahi, e tsosoa ke ho kopana le lik'hemik'hale, mekhoa ea boipheliso.
- Le lefu la Isenko-Cushing, li-hormone tsa adrenal li susumetsa haholo 'meleng.
Matšoao a maholo a mafu a adrenal ho basali
Hlokomela hyperaldosteronism ka:
- bofokoli ba mesifa;
- lipontšo tsa tachycardia;
- hangata migraine;
- ho tepella;
- mokhathala o potlakileng;
- polyuria;
- ho patoa;
- edema.
Har'a matšoao a tlhekefetso e joalo ea li-gland tsa basali, e le ho haelloa ke cortical e thata, tse latelang li lokela ho khetholloa:
- nocturia;
- ho senyeha ha takatso ea lijo;
- ponahalo ea litšoantšo ka letlalo;
- dyspepsia;
- hypoglycemia ;
- hypotension;
- ho fufuleloa ho feteletseng;
- ho bata matsohong le maotong;
- mathata a kelello;
- ho tlohela habonolo;
- ka tšohanyetso o laola tahlehelo ea boima;
- ho tepella.
Hyperplasia e iponahatsa:
- mafura;
- virilization;
- clitoris e eketsehileng;
- mathata a potoloho ea khoeli;
- ho fokotseha ha boholo ba matsoele;
- ho tlōla tekano ea metsi.
Haeba lesela la adrenal le tšoaroang ke basali le bakoa ke lihlahala, matšoao a latelang a hlaha:
- tlhaselo ea khatello e eketsehileng;
- maqeba ;
- ho omella ha mucosa molomong;
- cyanosis ea letlalo;
- boemo ba ho tšoha;
- ho nyekeloa ke pelo;
- ho hlatsa;
- hlooho ea hlooho;
- ponahalo ea li-aches manonyeletso;
- ho halefa;
- phefumoloho e khutšoanyane;
- bohloko ka mpeng.
Boloetse ba Addison bo khetholloa ke:
- ho thothomela;
- e nyoriloeng kamehla;
- litsebo tsamaisong ea methapo ea bohareng;
- ho se tsebe ho hopola;
- ho tlohela motšehare.
Ha ho na le matšoao a mafu a adrenal, basali ba lokela ho fumanoa. U tla tlameha ho nka liteko tsa mali (ka kakaretso le lipatlisiso tsa boemo ba li-hormone), tlhahlobo ea urese, fetisa MRI, etsa ultrasound le computed tomography.