Matenda a Impso
Matenda a Bartter ndi matenda opatsirana ndi impso omwe amachititsidwa ndi vuto la impso kuti athetse potaziyamu. Izi zimapangitsa impso kuchotsa potaziyamu wochuluka kwambiri m'thupi.
Matenda a Bartter amachokera ku zozizwitsa , ngakhale kuti nthawi zina zimapezeka kwa munthu yemwe alibe mbiri ya banja. Sitikudziŵa bwino momwe kuchuluka kwa matenda a Bartter kumachitika, koma kafukufuku wina amawonetsa kuti izo zimakhudza anthu 1.2 pa anthu miliyoni.
Zikuwoneka kuti zimachitika kawirikawiri kwa ana obadwa ndi makolo omwe ali oyenerera, kapena ogwirizana kwambiri. Matenda a Bartter amakhudza amuna ndi akazi amitundu yonse.
Zizindikiro
Zizindikiro za matenda a Bartter zingaphatikizepo izi:
- kufooka kwathunthu ndi kutopa
- kuwonjezeka kwamtsinje (polyuria)
- ludzu lalikulu (polydipsia)
- Akudzuka usiku kuti amve (nocturia)
- kuchepa kwa madzi
- kukhumba mchere
- minofu cramping
- kudzimbidwa
Ana omwe ali ndi matenda a Bartter amakhala ovuta kukula ndikuyamba kukula.
Kudziwa
Matenda a Bartter amapezeka kawirikawiri poyesa kufufuza, zizindikiro zomwe zilipo, ndi zotsatira za kuyesa magazi ndi mkodzo. Izi zikuphatikizapo:
- potaziyamu wotsika m'magazi
- mkulu wa potassium mu mkodzo
- mlingo wochepa wa kloride m'magazi
- msinkhu wa kloride mu mkodzo
- Mapangidwe apamwamba a mahomoni renin ndi aldosterone m'magazi
Matenda a Gitelman ali ofanana ndi matenda a Bartter kuti mayesero owonjezereka angafunike kuti adziwe matenda omwe alipo.
Chithandizo
Kuchiza kwa matenda a Bartter kumaphatikizapo kusunga potaziyamu m'magawo abwino. Izi zimachitika pokhala ndi zakudya zowonjezera potaziyamu komanso kutenga piritsium zowonjezera ngati pakufunika. Palinso mankhwala omwe amachepetsa kutaya kwa potassium mu mkodzo, monga spironolactone, triamterene, kapena amiloride.
Mankhwala ena othandiza matenda a Bartter angaphatikizepo indomethacin, captopril, ndi ana, kukula kwa hormone.
> Zotsatira:
> "Bartter Syndrome." Medical Encyclopedia. 15 Oktoba 2008. MedlinePlus.
> "Kodi Bartter's Syndrome ndi chiyani?" Nkhani. 5 Oct 2008. Bartter Site.
> "Bartter Syndrome." Matenda opweteketsa ndi amaliseche a impso. Dec 2006. Library ya Merck Manuals Medical Library.