Aia kekahi hewa me kou mau kelepa adrenal? (Nā maʻi Adrenal Gland) - E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ke luhi nei ʻoe i kekahi manawa me ke kumu ʻole? Ke emi koke nei a piʻi aʻe paha kou kaumaha? Malia paha ke kumu o kēia mau loli i kou kino he hana hewa liʻiliʻi i loko o kou mau kelepa adrenal. ʻAʻole maopopo i ka nui o ka poʻe he aha kēia mau kelepa a me ka mea e hana ʻia ke loaʻa iā lākou kahi pilikia. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia mau kelepa adrenal, nā maʻi a lākou e hoʻoulu ai, a pehea lākou e hoʻopilikia ai i ko mākou kino.

He aha nā kelepa adrenal? He aha kā lākou hana?

I ka ʻōlelo maʻalahi, ʻo kāu mau kelepa adrenal he ʻelua mau kelepa liʻiliʻi, ʻekolu ʻāpana aia ma luna o kou mau puʻupaʻa . Ua like lākou me ʻelua mau pāpale. ʻOiai he liʻiliʻi lākou, hana lākou i kahi hana koʻikoʻi loa i loko o ko mākou kino. ʻO ia hoʻi, hana lākou i kekahi mau ʻano hormones e kōkua i ka mālama ʻana i ke kaulike i loko o ko mākou kino.

ʻO kēia mau hormones:

• Cortisol: Kōkua kēia i ka kaohi ʻana i ka metabolism o ko mākou kino, ʻo ia ke ʻano o ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ikehu, ka ʻōnaehana pale, a pehea mākou e pane ai i ke kaumaha.
• Adrenaline: Ua lohe paha ʻoe i kēia. Hoʻomākaukau ko mākou kino iā ia iho me kēia hormone i nā manawa pilikia, makaʻu, a i ʻole ka hoʻoulu nui ʻana.
• ʻAldosterone: ʻO kēia ka mea e kaohi i ko mākou koko a me nā pae o ka paʻakai (sodium) a me ka potassium i loko o ke kino.

E noʻonoʻo i kēia mau hormones e like me nā ʻōnaehana hoʻokele like ʻole i loko o ke kaʻa. Inā he loli iki i kekahi, hoʻopilikia ia i ka hana o ke kaʻa holoʻokoʻa.

He aha nā maʻi nui e pili ana me nā kelepa adrenal?

I kēia manawa, e nānā kākou i nā kūlana e hiki ke hana inā hana nui a liʻiliʻi paha kēia mau kelepa adrenal i nā hormones.

• ʻO ka maʻi ʻo Addison (ka lawa ʻole o ka adrenal): Ma kēia kūlana, ʻaʻole hana nā kelepa adrenal i ka lawa o ka cortisol a/a i ʻole aldosterone. E like me ke kelepona make, nalowale ke kino i ka ikehu a me ka mana.
• Ka hoʻopau ʻana o ke kelepa adrenal: He ʻano kēia o ka lawa ʻole o ka adrenal. Eia nō naʻe, ua hana ʻia e nā lāʻau lapaʻau e hana like me ka cortisol i lawe ʻia ma waho. No ka laʻana, ke lawe ʻoe i nā lāʻau lapaʻau e like me ka prednisone a i ʻole dexamethasone no ka manawa lōʻihi, manaʻo nā kelepa adrenal i loko o ke kino, "ʻĀ, i kēia manawa ke hele mai nei nā hormones mai waho, ʻaʻole pono wau e hana nui," a hoʻemi lākou i kā lākou hana hormone.
• ʻO ka maʻi Cushing: ʻO ke kū'ē kēia o ka maʻi Addison. ʻO ia hoʻi, piʻi nui ka pae o ka cortisol i loko o ke kino.
• ʻO ka hyperplasia adrenal hānau (CAH):He maʻi hānau kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, aia ka emi ʻana o kekahi mau enzymes e pono ai nā kelepa adrenal e hana i nā hormones.
• Hyperaldosteronism: I kēia kūlana, hana nui ke kino i ka hormone aldosterone.
• Virilization: ʻO kēia ka manawa e hana ai ke kino i nā hormones kāne he nui loa. Hoʻopilikia nui kēia i nā wahine a me nā keikikāne ma mua o ka wā ʻōpiopio. No ka laʻana, hiki i ka wahine ke ulu i kahi ʻumiʻumi a i ʻole ka hohonu o ka leo.

Hiki i nā ʻōpū ke hoʻopilikia i nā pilikia me nā kelepa adrenal?

ʻAe, i kekahi manawa hiki ke hoʻopilikia ʻia ka hana ʻana o ka hormone ma muli o nā ʻōpū i loko a i ʻole a puni nā kelepa adrenal.

• Nā puʻupuʻu kelepa adrenal: Hiki i kēia mau puʻupuʻu ke hoʻololi i ka hana ʻana o nā hormone. Eia nō naʻe, ʻo ka hapa nui o ka manawa, ʻaʻole lākou he maʻi kanesa (benign) , ʻo ia hoʻi, ʻaʻole lākou he mea weliweli. He ʻano maʻamau ka adenoma adrenal.
• ʻO ka carcinoma Adrenocortical: He ʻano maʻi kanesa kakaikahi kēia e ulu ana ma ka papa waho o ka gland adrenal.
• Pheochromocytoma: Ma kēia kūlana, hana nui nā kelepa adrenal i nā hormones epinephrine a me norepinephrine (i ʻike ʻia hoʻi ʻo adrenaline). Hiki i kēia ke hoʻonui koke i ke koko a me ka puʻuwai wikiwiki.
• ʻO nā adenomas pituitary: ʻO ke kelepa pituitary i loko o kou lolo ua like ia me kahi kelepa haku e kāohi ana i nā kelepa ʻē aʻe he nui. No laila, inā ulu kahi puʻupuʻu ʻaʻole kanesa (adenoma) i loko o kēia kelepa pituitary, hiki iā ia ke hoʻopilikia i ka hana ʻana o nā hormones e nā kelepa adrenal.

Pehea ka maʻamau o kēia mau maʻi kelepa adrenal?

Hiki i nā maʻi kelepa adrenal ke hoʻopilikia i kekahi, akā ʻo kekahi mau kūlana, e like me Cushing's syndrome, ʻoi aku ka maʻamau i nā wahine.

He aha nā hōʻailona o ka maʻi kelepa adrenal?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻOkoʻa nā hōʻailona o nā maʻi kelepa adrenal ma muli o ka hormone i hoʻopilikia ʻia . Aia kekahi mau hōʻailona e like me nā hōʻailona o nā maʻi ʻē aʻe. ʻO ia ke kumu, inā manaʻo ʻoe i kekahi mea ʻē, he mea nui loa ia e ʻike i ke kauka a loaʻa kahi hōʻailona kūpono.

Nā hōʻailona o ke kiʻekiʻe o ka cortisol:

• Ke nui aʻe nei ke kino o luna, akā ke lahilahi nei nā lima a me nā wāwae: E noʻonoʻo inā manaʻo ʻoe e nui aʻe ana kou ʻōpū, umauma, a me kou ʻāʻī, akā ua maʻamau a lahilahi paha kou mau lima a me kou mau wāwae.
• Manaʻo luhi loa (Fatigue).
• Ke koko kiʻekiʻe.
• Ka pilikia o ka hoʻomohala ʻana i ka maʻi diabetes.
• ʻEha maʻalahi ka ʻili. Hiki i kahi puʻupuʻu liʻiliʻi ke hoʻolilo i kahi ʻāpana nui i uliuli.
• ʻO ke ʻano o nā laina ākea a ʻeleʻele hoʻi (nā māka kīkoʻo) ma ka ʻili o ka ʻōpū.
• Manaʻo huikau.

Nā hōʻailona o ke kiʻekiʻe o ka aldosterone:

• Ke koko kiʻekiʻe.
• Nā pae potassium haʻahaʻa o ke koko (hypokalemia): Hiki i kēia ke hana i nā pilikia ʻē aʻe.
• Manaʻo nāwaliwali.
• ʻO ke kuʻi ʻana o nā ʻiʻo a i ʻole ka ʻeha.

Ke piʻi aʻe ka nui o ka hormone kāne (i nā wahine a i ʻole nā ​​​​keikikāne ma mua o ka wā ʻōpiopio):

Hiki i kēia kaulike ʻole hormonal ke hana i kahi kūlana i kapa ʻia ʻo virilization, ʻo ia ka wā e ulu ai nā ʻano kāne i kahi wahine a i ʻole ke keikikāne prepubescent.

• Ka ulu ʻana o ka lauoho maka i nā wahine (e like me ka ulu ʻana o ka ʻumiʻumi).
• Ka hāʻule ʻana o ka lauoho (ʻōhule).
• Hoʻonui ʻia ka ʻākena.
• Ka leo palahalaha.
• Ka ulu ʻana o nā ʻiʻo (me he mea lā ua ʻiʻo).
• Hoʻonui ʻia ka makemake moekolohe.

No ke aha e loaʻa ai kēia mau maʻi kelepa adrenal? He aha nā kumu?

Aia paha he nui nā kumu o nā maʻi kelepa adrenal.

• Hoʻopuka kāu mau kelepa adrenal i nā hormones nui a liʻiliʻi paha.
• Loaʻa ka maʻi ma kekahi kelepa ʻē aʻe, e like me kou kelepa pituitary .
• Hiki ke loli ke kiʻekiʻe o kāu hormone ma muli o nā kumu o waho - no ka laʻana, kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​kemika i ke kaiapuni.
• Nā loli i nā pae hormone ma muli o nā loli genetic (genetic mutation - kahi loli i ka DNA) .

Eia nō naʻe, i kekahi manawa, ʻaʻole hiki i nā kauka ke ʻōlelo pololei i ke kumu e loaʻa ai i kekahi poʻe kēia mau maʻi a ʻo kekahi ʻaʻole.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

He mea nui nā kelepa adrenal a me nā hormones a lākou e kāohi ai no nā kaʻina hana koʻikoʻi he nui i loko o ko mākou kino. No laila, inā ʻaʻole mālama pono ʻia kēia mau maʻi, hiki ke loaʻa nā pilikia koʻikoʻi. Hiki i kekahi o lākou ke hoʻoweliweli i ke ola. No laila he mea nui e makaʻala i kēia a hana i nā hana e pono ai.

Pehea e ʻike ʻia ai nā maʻi o ke kelepa adrenal?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, e kauoha lākou i nā hoʻokolohua e nānā i nā pae hormone i loko o kou lawai, koko, a me ka mimi.

Inā kānalua ke kauka i kahi puʻupuʻu , hiki iā lākou ke kauoha i nā hoʻokolohua e like me kēia:

• CT scan (CT - nā scan tomography i helu ʻia)
• ʻO ke kiʻi MRI `(MRI - kiʻi resonance magnetic)`
• Nā hoʻokolohua kiʻi lāʻau lapaʻau nukelea

Hiki i kāu kauka lapaʻau ke kuhikuhi iā ʻoe i kahi endocrinologist . Aia kekahi mau endocrinologist pediatric e mālama ana i nā pēpē a me nā keiki ʻōpio.

Pehea e mālama ʻia ai?

ʻOkoʻa ka mālama ʻana i nā maʻi kelepa adrenal ma muli o ke kūlana kikoʻī.

• No kekahi mau maʻi, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hoʻihoʻi i kāu mau pae hormone.
• Hiki ke ʻōlelo ʻia ke ʻoki kino a i ʻole ka radiation therapy no nā kūlana e pili ana i nā tumors.

Aia kekahi ala e pale aku ai i kēia mau maʻi? Pehea e hiki ai ke hoʻēmi ʻia ka pilikia?

Ma muli o ka ʻike ʻole ʻana o nā kānaka noiʻi i ke kumu o ka nui o nā maʻi kelepa adrenal, ʻaʻohe ala kikoʻī e pale aku ai iā lākou i kēia manawa.

Eia nō naʻe, aia kekahi mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia.

Lawe kekahi poʻe i nā hormones kāne e kūkulu i ka nui o nā ʻiʻo. Inā hana ʻoe pēlā, e noʻonoʻo ʻelua. ʻO ka hana ʻana pēlā me ka ʻole o ke aʻo lapaʻau hiki ke hoʻoulu i ka maʻi adrenal gland a hōʻino i nā glands ʻē aʻe.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka maʻi kelepa adrenal?

Hiki ke ʻokoʻa kou ʻano ma muli o ke kūlana āu i loaʻa ai. Eia nō naʻe, inā ua ʻike ʻia a mālama ʻia ʻoe i ka wā mua, hiki iā ʻoe ke hoʻokele pono i kou kūlana a ola i kahi ola olakino. E kamaʻilio me kāu kauka e pili ana i kou kūlana e aʻo hou aku.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ua ʻike ʻia ʻoe me ka maʻi adrenal a i ʻole, e ʻike i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona kānalua a hopohopo paha . Eia kekahi laʻana:

• Ka pohō kaumaha me ke kumu ʻole.
• Ka piʻi ʻana o ke kaumaha, ʻoiai ma ke kino o luna.
• Manaʻo nui i ka luhi e hana i nā hana o kēlā me kēia lā.
• ʻEha mau a ʻeha nui paha.
• Nā loli i ka ulu ʻana o ka lauoho a i ʻole ka lauoho o ke kino.
• Nā loli o ka ʻili (e like me ka maʻalahi o ka palapū, nā māka kīkoʻo).

Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia? (I ka manawa hea e hele ai i ka ER)

Inā loaʻa iā ʻoe ka lawa ʻole o ka adrenal , loaʻa paha iā ʻoe kahi pilikia adrenal . He kūlana hoʻoweliweli kēia i ke ola . Hana ʻia ia i ka wā e haʻahaʻa loa ai nā pae o ka hormone cortisol o ke kino.

Inā ʻike ʻoe i nā hōʻailona ma lalo nei, e kāhea koke i ka 1990 a i ʻole e hele i ka lumi pilikia kokoke loa:

• ʻEha koke a nui ma ka ʻōpū lalo a i ʻole ke kua.
• Ka luaʻi pinepine ʻana a me ka maʻi pākī.
• Manaʻo nāwaliwali loa.
• Ka huikau a me ka nalowale o ka ʻike (huikau).
• Haʻahaʻa ke kō koko (hypoglycemia).
• Ke koko haʻahaʻa.

Inā loaʻa iā ʻoe ka lawa ʻole o ka adrenal, e noi i kāu kauka no ka inikini o ka glucocorticoid . He lāʻau lapaʻau kēia e hōʻemi ana i ka ʻeha a me ka pehu. E hōʻoia i kou ʻike pehea e hāʻawi ai iā ʻoe iho i kēia inikini, a e haʻi i kou ʻohana a me nā hoaaloha pehea a me ka manawa e hāʻawi ai iā ʻoe.

Hiki ke hele pū ʻia ka maʻi ʻōpū adrenal me nā hōʻailona hoʻoweliweli ola ʻē aʻe. No ka laʻana, ke kiʻekiʻe o ka potassium i loko o ke koko (hyperkalemia) a i ʻole nā ​​​​pae sodium haʻahaʻa (hyponatremia) .

Inā ʻike ʻoe i kēia mau hōʻailona koʻikoʻi, mai kali no kahi hālāwai maʻamau. E hele koke i kahi lumi pilikia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe he maʻi kou no ka ʻōpū adrenal, e hopohopo paha ʻoe a makaʻu hoʻi. He mea maʻamau kēlā. Hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• He aha ke ʻano o ka maʻi o ke kelepa adrenal i loaʻa iaʻu?
• Hiki ke ho'ōla ʻia kēia? A i ʻole e pono anei iaʻu ke hoʻokele a noho pū me ia?
• Pono anei au e lawe i ka lāʻau lapaʻau? Inā pēlā, he aha ke ʻano?
• He puʻupuʻu anei ke kumu o koʻu mau hōʻailona?
• He aha nā koho lapaʻau e loaʻa iaʻu?

ʻAʻole paha ʻoe e noʻonoʻo nui e pili ana i kāu mau kelepa adrenal a hiki i ka wā e hoʻomaka ai lākou e hana maikaʻi ʻole. Hiki i nā hōʻailona hou a maʻa ʻole ke hoʻoluhi a mehameha. Akā, ʻaʻole ʻoe hoʻokahi. E nīnau i kāu kauka e pili ana i nā kumuwaiwai hou a i ʻole nā ​​​​hui kākoʻo. ʻO ka lilo ʻana i lālā hana o kāu hui mālama ola e hiki ke kōkua iā ʻoe e hoʻokele i kou kūlana a hoʻomaikaʻi i kou ʻano ola.

E hoʻomanaʻo i ka mea nui loa! (Leka Lawe-Home)

Hiki ke paʻakikī ka maʻi ʻōpū adrenal. Eia nō naʻe, ʻo ka ʻike mua ʻana i nā hōʻailona a me ka loaʻa ʻana o ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka mālama ʻana hiki ke hana i kahi ʻokoʻa nui. Mai makaʻu. E kamaʻilio ākea me kāu kauka a nīnau i kāu mau nīnau.

E hoʻomanaʻo, ʻo ʻoe ka mea ʻike maikaʻi loa i kou olakino. No laila, e makaʻala i nā loli i kou kino. E noi i ke kōkua inā pono ʻoe.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

Nā kelepa adrenal , nā hormones, ka maʻi Addison, ka maʻi Cushing, cortisol, aldosterone, adrenaline