No laila he aha kēia ʻōnaehana endocrine?
Ma mua o ko mākou kamaʻilio ʻana e pili ana i nā kelepa adrenal, pono ʻoe e ʻike iki e pili ana i ke ʻano o ka ʻōnaehana endocrine . I ka ʻōlelo maʻalahi, he hōʻiliʻili ia o nā kelepa i loko o ko mākou kino. Hoʻopuka kēia mau kelepa i nā ʻelele kemika i kapa ʻia he hormones a hoʻokuʻu pololei iā lākou i loko o ke kahe koko. E noʻonoʻo i nā hormones e like me nā ʻelele liʻiliʻi e lawe ana i nā leka i loko o ko mākou kino. Hele kēia mau leka ma ke kahe koko e haʻi i nā ʻāpana like ʻole o ko mākou kino, e like me ko mākou mau ʻōpū, ʻili, a me nā ʻiʻo, i ka mea e hana ai a me ka wā e hana ai. Hoʻonohonoho kēia mau hormones i nā hana like ʻole o ko mākou kino. ʻO nā kelepa nui i loko o kā mākou ʻōnaehana endocrine:- Hypothalamus
- ʻO ke kelepa pituitary
- ʻO ke kele thyroid
- Nā kelepa parathyroid
- Nā kelepa adrenal
- ʻO ke kelepaʻi pineal
- ʻO ka pancreas
- Nā ʻōhua (wahine)
- Nā ho'āʻo kāne
No laila, he aha ka mea e hana maoli ai i kēia mau kelepa adrenal?
ʻO nā kelepa adrenal he ʻelua mau kelepa liʻiliʻi, ʻano triangular. Aia lākou ma luna o ko mākou mau puʻupaʻa. Ua like lākou me nā pāpale liʻiliʻi ma ko mākou mau puʻupaʻa. Hoʻopuka lākou i kekahi mau hormones e pono ai no ko mākou kino. Hoʻomalu kēia mau hormones i kekahi mau kaʻina hana koʻikoʻi i loko o ko mākou kino. Eia kekahi laʻana:- Metabolism: Penei mākou e hana ai i ka ikehu mai ka meaʻai a mākou e ʻai ai a pehea mākou e hoʻokele ai.
- ʻŌnaehana palekana : ʻO ka ʻōnaehana e pale iā mākou mai nā maʻi.
- Ke koko koko: ʻO kā mākouKe kāohi nei i ke koko.
- Ka Pane ʻana i ke Kokoke: Ke hoʻomākaukau ʻana i ke kino e hana me ke kokoke ke hōʻike ʻia iā mākou, inā paha ma ka noʻonoʻo a i ʻole ke kino.
- Ka ulu ʻana o nā ʻano moekolohe.
ʻO Cortisol - ʻO ka 'hormone stress' o ko mākou kino!
He hormone ʻo Cortisol no kahi papa o nā hormones i kapa ʻia ʻo 'glucocorticoids.' Hana nui kāna hana.- Hoʻokele ia i ke ʻano o ka hoʻohana ʻia ʻana o nā momona, nā protein, a me nā kalapona i loko o ko mākou kino.
- Hoʻemi i ka mumū i loko o ke kino.
- Hoʻoponopono i ke kaomi koko.
- Hoʻonui i nā pae kō koko.
- Kōkua nō hoʻi ia i ka hoʻoponopono ʻana i kā mākou pōʻaiapuni hiamoe-ala.
ʻO Aldosterone - ka hoaaloha e kaulike i ke koko a me ka paʻakai!
He hormone ʻo Aldosterone no ka hui o nā minelala i kapa ʻia ʻo mineralocorticoids. ʻO kāna hana nui ka hoʻomalu ʻana i ke koko a me nā pae o ka sodium a me ka potassium (electrolytes) i loko o ko kākou koko. Kōkua pū kēia hormone i ka hoʻoponopono ʻana i ka pH o ko kākou koko (pehea kona ʻakika a alkaline paha) ma ka hoʻomalu ʻana i nā pae o nā electrolytes i loko o ke koko.ʻO DHEA a me nā Steroids Androgenic - He kōkua iki me nā ʻano moekolohe!
Ua manaʻo ʻia kēia mau hormones he mau hormones kāne nāwaliwali. ʻO ia hoʻi, ʻaʻohe o lākou hopena olaola koʻikoʻi. Hoʻololi ʻia lākou i mau hormones wahine (estrogens) i loko o nā ovaries o nā wahine a i loko o nā hormones kāne (androgens) i loko o nā testicles o nā kāne. Manaʻo pinepine ʻia ʻo Androgens he mau hormones kāne, akā hana maoli ʻia nā ʻāpana liʻiliʻi e ke kino wahine.ʻO Adrenaline/Epinephrine a me Noradrenaline/Norepinephrine - nā Hormones 'Hakakā a Holo paha'!
Ua ʻike ʻia kēia mau hormones ʻelua ʻo ia nā hormones e pili ana i ka pane " hakakā a lele paha". Ua kapa ʻia lākou he catecholamines. Hiki i ka Adrenaline a me ka noradrenaline ke:- E hoʻonui i ka helu o kou puʻuwai a me ka ikaika o nā ʻūʻī o kou puʻuwai.
- E hoʻonui i ka nui o ke koko e kahe ana i kou mau ʻiʻo a me kou lolo.
- Kōkua i ka hoʻoponopono ʻana i ka metabolism glucose.
- Kōkua pū kēia i ka kaohi ʻana i ka ʻūlū ʻana o nā kīʻaha koko (vasoconstriction), kahi e kōkua ai i ka mālama ʻana i ke koko.
Hiki ke hoʻokaʻawale ʻia kēia mau hormones i ʻelua ʻano, ʻeā?
ʻAe, hiki ke hoʻokaʻawale ʻia nā hormones i hana ʻia e nā kelepa adrenal i ʻelua mau pūʻulu nui: 1. Catecholamines: He hui kēia o nā mea like i hoʻokuʻu ʻia i loko o ke koko e ko mākou kino ma muli o ke kaumaha kino a noʻonoʻo paha. ʻO nā catecholamines nui he dopamine, adrenaline, a me noradrenaline. ʻO ka ʻāpana o loko o ka kelepa adrenal, ʻo ka medulla , e hana a hoʻokuʻu i ka adrenaline a me noradrenaline. 2. Nā hormones Steroid: Kōkua kēia i ka hoʻomalu ʻana i ka metabolism, ka mumū, ka hana o ka ʻōnaehana pale, ke kaulike paʻakai a me ka wai, ka ulu ʻana o nā ʻano moekolohe, a me ka hiki ke pale aku i nā maʻi a me nā ʻeha. ʻO ka ʻāpana o waho o ka kelepa adrenal, ʻo ka cortex , e hana a hoʻokuʻu i nā hormones steroid i kapa ʻia ʻo 'glucocorticoids', 'mineralocorticoids', a me nā androgens adrenal.Hana wale nō nā kelepa adrenal? ʻAʻole anei lākou e pili ana i nā ʻōpū ʻē aʻe?
ʻAʻole, ʻaʻole hana wale nā kelepa adrenal. Hana pū kekahi mau ʻāpana ʻē aʻe o ko mākou kino me lākou. ʻO nā mea nui:- Hypothalamus: He ʻāpana liʻiliʻi kēia o ka lolo e pili ana i ka hoʻoponopono ʻana i nā hormone.
- ʻO ka pituitary gland: He ʻāpana liʻiliʻi kēia ma ke kumu o ka lolo, i kapa ʻia hoʻi ʻo "master gland."
- Nā puʻupaʻa.
- ʻŌnaehana nerve lokomaikaʻi.
E noʻonoʻo, ua like kēia me nā keʻena like ʻole ma kahi ʻoihana nui e hana pū ana. Hana nā keʻena ʻē aʻe e like me kahi leka e hele mai ana mai kekahi keʻena. Hana ʻia nā mea āpau ma ke ʻano i hoʻonohonoho pono ʻia.
Hiki i ke kanaka ke ola me ka ʻole o nā kelepa adrenal?
Hoʻopuka nā kelepa adrenal i nā hormones e pono ai no ko kākou ola. ʻO nā hormones moekolohe a me ka cortisol nā mea nui loa o kēia mau mea. Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi mau maʻi kelepa adrenal ke koi i ke ʻoki ʻana (kahi adrenalectomy) e wehe i nā kelepa adrenal ʻelua. I kēlā hihia, pono nā kānaka e lawe i ka lāʻau lapaʻau e pani i nā hormones i hana ʻia e nā kelepa adrenal no ke koena o ko lākou ola.Aia ma hea nā kelepa adrenal? He aha ko lākou mau ʻāpana?
E like me kā mākou i ʻōlelo ai ma mua, loaʻa iā ʻoe ʻelua mau kelepa adrenal. Aia lākou ma luna o kou mau puʻupaʻa. Aia nā puʻupaʻa ma lalo o kou iwi ʻaoʻao, ma kēlā ʻaoʻao kēia ʻaoʻao o kou iwi kuamoʻo. Ke noʻonoʻo ʻoe i kahi kelepa adrenal, ʻelua ona ʻāpana nui:Medulla - ka ʻāpana o loko
ʻO kēia ka ʻāpana o ke kelepa adrenal i loko loa o ke kino. ʻO ia kahi e hoʻokuʻu ʻia ai nā hormones adrenaline (epinephrine) a me noradrenaline (norepinephrine) . Hoʻomalu kēia mau hormones i nā mea e like me kou koko, ka helu o ka puʻuwai, a me ka hou ʻana. He mau kaʻina hana kēia i hoʻomalu ʻia e ka ʻōnaehana nerve sympathetic.ʻO Cortex - ka ʻāpana o waho
ʻO kēia ka ʻāpana waho o ke kelepa adrenal. Hoʻokuʻu ia i nā hormones 'corticosteroid' a me 'mineralocorticoid'. Hoʻoulu pū ia i ka hana ʻana o nā hormones steroid kāne ('androgenic steroids') mai kēia cortex. ʻO ke kiʻekiʻe o kahi kelepa adrenal ma kahi o ka hapalua ʻīniha a ʻekolu ʻīniha ka lōʻihi. He poepoe a he triangular ke ʻano.He aha nā maʻi a me nā pilikia maʻamau e hoʻopilikia ai i nā kelepa adrenal?
Aia kekahi mau kūlana like ʻole e hoʻopilikia ai i nā kelepa adrenal. Hoʻokumu ʻia kēia e kāu mau kelepa adrenal e hana nui ana a liʻiliʻi paha o hoʻokahi a ʻoi aku paha mau hormones. He manawa pōkole kekahi mau pilikia kelepa adrenal, akā ʻo kekahi he mau loa (ʻo ia hoʻi, mau lākou i ke ola holoʻokoʻa).He aha nā kumu o kēia?
Hiki ke loaʻa nā maʻi ʻōpū adrenal no nā kumu like ʻole. ʻO kekahi o lākou:- Nā hoʻololi genetic ( nā loli i nā genes)
- nā maʻi Autoimmune (ʻo ia hoʻi, hoʻouka ke kino ponoʻī o ke kino i kona mau ʻāpana ponoʻī)
- nā puʻupuʻu, e like me pheochromocytomas.
- Ka hōʻino ʻia ʻana o nā kelepa adrenal ma muli o kahi ulia, ka maʻi, a i ʻole ke kahe koko ʻana.
- He pilikia me kou hypothalamus a i ʻole ka pituitary gland (ʻo ia mau mea ʻelua e kōkua i ka hoʻoponopono ʻana i nā kelepa adrenal).
- ʻO kekahi mau lāʻau steroid, e like me prednisone a me dexamethasone.
No laila he aha kēia mau maʻi?
Eia kekahi mau kūlana e pili ana i nā kelepa adrenal:- ʻO ka maʻi ʻo Addison (i ʻike ʻia hoʻi ʻo ka lawa ʻole o ka adrenal mua):He maʻi autoimmune kakaikahi kēia e hoʻoulu ai i nā kelepa adrenal e hana i nā pae cortisol a me aldosterone ma lalo o ka pae maʻamau.
- ʻO ka maʻi Cushing: Hana ʻia kēia ʻano ke hana nui nā kelepa adrenal i ka cortisol. Hiki ke hana ʻia kēia e kahi puʻupuʻu a i ʻole kekahi mau lāʻau lapaʻau.
- ʻO ka hyperplasia adrenal congenital: He kūlana kēia i loaʻa i ka wā hānau. Hana ia i ka wā e nele ai ke kino i kahi enzyme e pono ai nā kelepa adrenal e hana i nā hormones.
- Hirsutism: Hōʻike ʻia kēia ʻano e ka ulu nui ʻana o ka lauoho ma ke kino o nā wahine. Hoʻokumu ʻia ia e ka piʻi ʻana o nā pae o androgens i hana ʻia e nā kelepa adrenal.
- ʻO ka aldosteronism mua (Conn's syndrome): Hana ʻia kēia kūlana ke hana nā kelepa adrenal i ka nui o ka aldosterone.
- ʻO ke kahe koko nui ʻana o ka adrenal bilateral (Waterhouse-Friderichsen syndrome): He kūlana koke kēia kahi e hāʻule ai nā kelepa adrenal ma muli o ke kahe ʻana o ke koko i loko o ka gland. Hoʻopili pinepine ʻia me kahi maʻi koʻikoʻi i kapa ʻia ʻo sepsis.
He aha nā hōʻailona mua o nā pilikia me ka ʻōpū adrenal?
ʻOkoʻa nā hōʻailona o nā pilikia o ke kelepa adrenal ma muli o nā hormones i hoʻopilikia ʻia . Eia kekahi, hiki ke like ka nui o nā hōʻailona o nā maʻi kelepa adrenal me nā hōʻailona o nā maʻi ʻē aʻe. ʻO kekahi o nā hōʻailona e pili ana i nā kaʻina hana o ke kino i kāohi ʻia e nā hormones adrenal:- Nā hōʻailona metabolic: Ka piʻi ʻana a i ʻole ka emi ʻana o ke kaumaha i wehewehe ʻole ʻia, ka luhi, ke kiʻekiʻe a haʻahaʻa pinepine ʻana o ke kō koko , nāwaliwali.
- Nā hōʻailona e pili ana i ka ʻōnaehana pale: Maʻi pinepine a i ʻole nā mea maʻi .
- Nā hōʻailona e pili ana i ke koko: ke koko kiʻekiʻe (hypertension) a i ʻole ke koko haʻahaʻa (hypotension) .
- Nā hōʻailona e pili ana i nā ʻano moekolohe (e pili ana i nā kaikamahine a me nā keikikāne ma mua o ka wā ʻōpiopio): ka ulu ʻana o ka lauoho maka a/a i ʻole ka ʻōhule, ka ʻākena, ka hohonu o ka leo, ka ulu ʻana o nā ʻiʻo.
Pehea e nānā ai i ke olakino o koʻu mau kelepa adrenal?
Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he pilikia paha kāu me kāu mau kelepa adrenal, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua koko a me ka mimi e ana i nā pae o nā hormones adrenal like ʻole. Inā hōʻike kēlā mau hopena hoʻokolohua i nā pae maʻamau ʻole, hiki i kāu kauka ke hana i nā hoʻokolohua kiʻi , e like me nā CT scans (computed tomography scans) a i ʻole MRIs (magnetic resonance imaging). Hiki i kāu kauka lapaʻau ke kuhikuhi iā ʻoe i kahi endocrinologist.Hiki paha ke kuhikuhi ʻia ʻoe i kahi loea, he kauka i loea i nā maʻi o nā hormones a me ka ʻōnaehana endocrine.Āhea wau e ʻike ai i ke kauka e pili ana i koʻu mau kelepa adrenal? (ʻO ka mea hope loa akā ʻaʻole ka mea liʻiliʻi loa!)
ʻAe, i kēia manawa ua kamaʻilio mākou e pili ana i ia mea, pono ʻoe e hoʻomaopopo i ke koʻikoʻi o nā kelepa adrenal i loko o ko mākou kino. No laila, inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna , e like me ke koko kiʻekiʻe, ke koko haʻahaʻa, a i ʻole ka pohō kaumaha a i ʻole ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia, pono ʻoe e ʻike i kāu kauka . ʻOiai aia paha he mau kumu ʻē aʻe no kēia mau hōʻailona, hiki nō hoʻi ke pilikia me kāu mau kelepa adrenal.E hoʻomanaʻo, hana kāu mau kelepa adrenal i nā hormones koʻikoʻi he nui e pono ai no kāu mau hana kino i kēlā me kēia lā. Inā loaʻa iā ʻoe nā hōʻailona o ka hana ʻole o ke kelepa adrenal, a inā makemake ʻoe e ʻike inā he mau kumu pilikia kāu no kahi maʻi kelepa adrenal, mai kānalua e kamaʻilio me kāu kauka. Eia lākou e kōkua iā ʻoe.No laila, i kēia manawa ua ʻike nui ʻoe e pili ana i kēia mau kelepa adrenal liʻiliʻi akā ikaika, ʻeā? E noho olakino!
Nā kelepa adrenal, nā hormones, cortisol, adrenaline, ʻōnaehana endocrine, ke kaumaha, nā puʻupaʻa
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