Adrenal insufficiency

Adrenal insufficiency's disease overview

adrenal is a small endocrine gland located above the two kidneys, each with 2 parts: The marrow secretes the catechamine hormones to maintain blood pressure and heart rate; The shell secretes corticosteriod hormone. These are all very important hormones to maintain human life.

adrenal insufficiency is a condition that the adrenal gland produces too little cortison causes disturbing metabolic processes in the body, seriously affecting human health. adrenal insufficiency can occur in children or adults.

One of the causes of acute adrenal insufficiency is due to improper use of glucocorticoids. When drinking too much glucocorticoid will inhibit the adrenal gland activities and when stopping taking this medication, the adrenal glands are losing the ability to recover from normal activity. In particular, if the patient at the same time encountered a strong mental or physical stress (injury, surgery ...), it would be very dangerous for life.

Causes of Adrenal insufficiency's disease

The main cause of adrenal insufficiency is: When people have abnormal adrenal glands, the adrenal glands on the kidneys are damaged through a very stressful situation, making them unable to produce All important hormones for the body.

Patients with Addison disease are often at high risk for adrenal impairment when they are not treated promptly. The causes of Addison disease are also the causes of adrenal impairment such as:

  • Use glucocorticoid for a long time;
  • Severe infection (fungal infection and viral infection);

    Tumor;

  • Bleeding in the adrenal gland due to the use of blood clots to prevent blood clots;
  • History of each surgery in the adrenal gland.

    For cases of congenital adrenal impairment often due to genetics in normal chromosomes, the kidneys are deficient in specific enzymes leading to. The adrenal hormone cannot be synthesized to develop the body.

    Symptoms of Adrenal insufficiency's disease

    There are many symptoms to diagnose patients with adrenal insufficiency, usually with the following symptoms:

  • The body feels tired, the feeling of anorexia, very weak;
  • Mental disorders, frequent dizziness, nausea, vomiting;

    Fevers that appear often affect activities and health;

  • There is sudden pain in the back or at the foot;
  • Very low blood pressure, high heart rate;
  • Sweating sensation, cold body;
  • When there are any of these signs and symptoms, it is necessary to quickly go to the medical facility to accurately diagnose the disease and the disease to have timely treatment methods to avoid. Unfortunate complications occur.

    Transmission route of Adrenal insufficiency's diseaseAdrenal insufficiency

    There are many people who wonder about the possibility of adrenal infection. According to experts, adrenal impairment cannot be spread from person to person.

    People at risk for Adrenal insufficiency's disease

    The following subjects are at high risk of adrenal disease:

  • has been diagnosed with Addison's disease;
  • There is a history of pituitary damage;
  • Having had adrenal surgery;
  • has experienced physical or stressful injuries;
  • Severe dehydration.
  • Prevention of Adrenal insufficiency's disease

    To prevent adrenal impairment, pay attention to the following main issues:

  • Do not arbitrarily use the drug without a doctor's instructions;
  • No smoking and abuse of alcoholic substances;

  • Ensuring scientific activities, daily exercise;
  • Examination of a doctor regularly to promptly detect the disease and have a timely treatment regimen.
  • Diagnostic measures for Adrenal insufficiency's disease

    To diagnose adrenal insufficiency, the doctor initially can use cortisol or hormone adrenocorticotropic (ACTH) hormone level in the blood. When controlling a part of symptoms, the tests will be performed to diagnose the hormone level of the adrenal gland is normal or not, specific tests such as:

  • Check potassium concentration through serum potassium test;
  • Check the sodium concentration through sodium test;
  • Determination of blood sugar volume through glycemic tests;
  • Cortisol test;
  • Hormone tests.
  • Adrenal insufficiency's disease treatments

    Many patients wonder if adrenal impairment is dangerous and can adrenal impairment be cured? The adrenal impairment is not treated promptly (diseases such as shock, convulsions, coma), which can lead to death. Conversely, if treated promptly, people with adrenal insufficiency can live normally, relatively healthy.

  • To treat the disease, usually using maintenance treatments by replacing glucocorticoids in physiological doses, this therapy is prolonged for both patients with superior impairment. Secondary kidney and primary adrenal insufficiency . Patients may use hydrocortison 25-30 mg/day through oral. Glucocorticoids can be used once or divided 3 times/day.
  • The treatment of adrenal insufficiency is often based on the symptoms of the disease, with the lowest doses of patients who can avoid fatigue, weight loss, tanning.
  • For patients with primary adrenal impairment, they need to use mineralcorticoids instead of Fludrocortison dose of 0.05 - 0.2 mg oral daily and there is a change of increase and decrease depending on the depending on into the symptoms.
  • Patients with Tien Phat adrenal impairment should also use mineralcorticoid instead. Fludrocortison dose 0.05 - 0.2 mg oral daily and adjust the dose according to the symptoms of posture hypotension.
  • To treat children's adrenal insufficiency , it is necessary to have its own treatment regimen, suitable for the health and weight condition of each child.
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