Inherited Disease Disease
Bartter syndrome inofanirwa kurwara nemafungiro epfungwa anokonzerwa nechirema mumakumbo ekukwanisa kubatanidza potassium. Izvi zvinoita kuti itsvo dzibvise potassium yakawanda kubva mumuviri.
Bartter syndrome inotora nhaka muzvinyorwa zvisinganzwisisiki , kunyange dzimwe nguva zvingaitika mune mumwe munhu asina nhoroondo yemhuri yedambudziko racho. Hazvinyatsozivikanwi kuti kazhinji sei Bartter syndrome inowanzoitika, asi kumwe kuongorora kunofungidzira kuti kunobata 1.2 vanhu pamamiriyoni evanhu.
Zvinoratidzika kuti zvinowanzoitika kakawanda muvana vanoberekwa nevabereki vanozvinyengera, kana kuti vanobatana zvakasimba. Chirwere cheBartter chinokanganisa varume nevakadzi vemarudzi ose.
Zviratidzo
Zviratidzo zveBartter syndrome zvinogona kusanganisira:
- kushaya simba uye kupera
- kuwedzera kukwira (polyuria)
- nyota yakawanda (polydipsia)
- Kumuka usiku kuti urinate (nocturia)
- mild dehydration
- kuchiva munyu
- muscle cramping
- kuvimbiswa
Vana vane Bartter syndrome vanoomerwa kukura nekuvandudza kazhinji.
Kuziva
Bartter syndrome inowanzoongororwa muhuduku zvichienderana nekuongororwa kwepanyama, zviratidzo zviripo, nemigumisiro yebazi re laboratory uye urine test. Izvi zvinosanganisira:
- low level of potassium muropa
- high level of potassium mumugini
- low level of chloride muropa
- high level of chloride mumugini
- akakwirira mahomoni renin uye aldosterone muropa
Gitelman syndrome yakafanana neBartter syndrome kuitira kuti kuwedzerwa kuwedzerwa kudikanwa kutarisa dambudziko ripi riripo.
Kurapa
Kurapa kwaBartter syndrome kunowedzera pakuchengeta ropa re potasium pane imwe nzvimbo yakakwana. Izvi zvinoitwa nekudya zvakapfuma mu potassium uye kutora potassium zvinowedzera kana zvichidikanwa. Panewo mishonga inoderedza kurasikirwa kwe potassium mumugini, zvakadai sa spironolactone, triamterene, kana amiloride.
Mamwe mishonga inoshandiswa kurapa Bartter syndrome inogona kusanganisira indomethacin, captopril, uye muvana, kukura hormone.
> Sources:
> "Bartter Syndrome." Medical Encyclopedia. 15 Gumiguru 2008. MedlinePlus.
> "Chii chinonzi Bartter's Syndrome?" Zvinyorwa. 5 Gumiguru 2008. The Bartter Site.
> "Bartter Syndrome." Tubular uye Cystic Kidney Disorders. Dec 2006. The Merck Manuals Online Medical Library.