Ua manaʻo paha ʻoe i ka piʻi koke ʻana o ka makaʻu a i ʻole ka hopohopo? A i ʻole ke manaʻo nei ʻoe he piʻi koke kou ikaika i ka wā e kaumaha nui ana ʻoe? Ua ʻike paha ʻoe i nā kānaka e hana ana i nā mea kupaianaha i ka wā e pilikia ai lākou. Ma hope o kēia mau mea a pau, aia ʻelua mau kelepa liʻiliʻi, triangular ma luna o kou mau puʻupaʻa. Kāhea mākou i kēia mau kelepa adrenal . Kāhea pū kekahi poʻe iā lākou he mau kelepa adrenal. ʻOiai he liʻiliʻi paha ko lākou inoa, ʻaʻole liʻiliʻi iki kā lākou hana. Hoʻomalu kēia mau koa liʻiliʻi ʻelua i nā hana o kēlā me kēia lā o ko mākou kino. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau kelepa adrenal liʻiliʻi akā koʻikoʻi loa.
He aha maoli nā kelepa adrenal?
I ka ʻōlelo maʻalahi, ʻo nā kelepa adrenal ʻelua mau kelepa liʻiliʻi e like me ke pāpale e kū ana ma luna o ko kākou mau puʻupaʻa . He ʻāpana lākou o ka ʻōnaehana endocrine o ko kākou kino.
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka ʻōnaehana endocrine. E noʻonoʻo he pūnaewele kamaʻilio nui i loko o ko kākou kino. Ma nā wahi like ʻole o kēia pūnaewele, aia nā glands e like me nā hale hana liʻiliʻi. Hana kēia mau hale hana i nā ʻelele kūikawā a hoʻokuʻu iā lākou i loko o ke koko. Hele kēia mau ʻelele ma ke koko ma ke kino a haʻi i nā ʻōkana like ʻole i ka mea e hana ai a me ka wā e hana ai. Kāhea mākou i kēlā mau ʻelele he hormones .
No laila, ʻo kēia pūnaewele kamaʻilio holoʻokoʻa, ʻo ia hoʻi, kēia mau kelepa a me nā hormones a pau, kapa mākou iā ia ʻo ka ʻōnaehana endocrine. ʻO nā kelepa ʻē aʻe e pili ana i kēia ʻōnaehana:
- Hypothalamus
- ʻO ke kelepa pituitary
- ʻO ke kele thyroid
- ʻO ka pancreas
- Nā ovaries o nā wahine
- Nā testicles kāne (Testes)
Hana pū kēia mau kelepaʻa a pau e like me kahi hui hana maikaʻi, e kaohi ana i nā mea he nui i loko o ko mākou kino. He lālā koʻikoʻi loa nā kelepaʻa adrenal o kēia hui.
He aha ka lawelawe a kēia mau ʻōmole liʻiliʻi e hāʻawi ai i ko kākou kino?
Hoʻopuka nā kelepa adrenal i kekahi mau ʻano hormones e pono ai ko kākou ola. He ʻokoʻa ka hana a kēlā me kēia o kēia mau hormones. E nānā kākou i nā hormones nui a me kā lākou hana.
| Hormone | ʻO kāna hana wale nō |
|---|---|
| ʻO Cortisol | ʻO kēia ka mea a mākou e kapa nei ʻo "hormone stress." Ke manaʻo mākou i ka nui o ke kaumaha, inā paha he noʻonoʻo a he kino paha, hāʻawi kēia hormone iā mākou i ka ikaika e hoʻomanawanui ai. ʻAʻole wale ia, akā hoʻomalu pū ia i ke ʻano o kā mākou hoʻohana ʻana i nā momona, nā protein, a me nā carbohydrates i ka meaʻai a mākou e ʻai ai, hoʻēmi i ka mumū i loko o ke kino, hoʻomalu i ke koko, hoʻonui i nā pae kō koko, a kōkua i ka hoʻoponopono ʻana i ko mākou hiamoe a me ke ala ʻana. |
| ʻAldosterone | Ua like ia me kahi luna hoʻokele e hoʻoponopono ana i ke kaomi, ka paʻakai, a me ka wai o ko mākou kino. He mea nui loa kēia hormone no ka hoʻomalu ʻana i nā pae o ka sodium a me ka potassium (electrolytes) i loko o ko mākou koko a me ka mālama ʻana i ke kaomi koko ma ka pae kūpono. |
| ʻO DHEA a me nā Steroid Androgenic | Ua kapa ʻia kēia mau mea he mau hormones kāne nāwaliwali. ʻOiai ʻaʻohe o lākou hopena pololei, ua 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. |
| ʻO Adrenaline a me Noradrenaline | Ua kapa ʻia kēia mau hormones "hakakā a lele paha". E noʻonoʻo ʻoe e hele ana ma ke alanui a hoʻouka koke mai kahi ʻīlio iā ʻoe. I kēlā manawa, e paʻi wikiwiki ana kou puʻuwai, manaʻo kou kino i ka makemake e holo, a ʻākea kou mau maka, ʻeā? Hoʻomākaukau kēia mau hormones ʻelua iā ʻoe no kēlā pilikia. Hoʻonui lākou i kou puʻuwai, hoʻonui i ke kahe o ke koko i ka lolo a me nā ʻiʻo, a kōkua iā ʻoe e hoʻohana i ke kō koko. |
I ka ʻōlelo maʻalahi, pili pono nā kelepa adrenal i nā mea he nui, me ke kaomi o kou kino, ke kaulike paʻakai a me ka wai, pehea ʻoe e kū ai i ke kaumaha, pehea ʻoe e hoʻohana ai i ka ikehu, a me ka ulu ʻana o nā ʻano moekolohe.
Hana wale nā kele adrenal i kēia hana?
ʻAʻole. ʻAʻole he mau mea kūʻokoʻa nā kelepa adrenal. Loaʻa iā lākou nā ʻōlelo aʻoaʻo mai nā kikowaena kaohi ma ka lolo.
Ua like kēia me kahi ʻoihana nui.
- Luna Hoʻokele Nui (CEO): He aha ka mea i loko o ka loloʻO ka hypothalamus ka CEO. ʻO ia ka mea e hoʻomaopopo i ke kūlana a hoʻouna aku i kahi leka.
- Luna Hoʻokele: ʻO ka Luna Hoʻokele ka ʻōpū pituitary i loko o ka lolo. Ke loaʻa iā ia kahi leka mai ka CEO, ʻo ia ka mea e haʻi aku i nā ʻōpū adrenal, "ʻAe, e hoʻomaka e hana i kēia manawa."
- Mea Hana: ʻO ke kelepa adrenal ka mea e hana i nā hormones pili (e.g. cortisol) a hoʻokuʻu iā lākou i loko o ke koko, e like me ke kuhikuhi a ke luna.
Penei ka hana ʻana o ka ʻōnaehana. Eia kekahi, hoʻoholo nā kelepa adrenal i ka nui o ka hormone aldosterone e hana ai ma muli o nā hōʻailona mai nā puʻupaʻa. ʻO ke ʻano kēia ua pili pū kēia mau mea a pau e mālama i ke kaulike i loko o ke kino.
Pehea e hana ʻia ai ka ʻaoʻao o loko o ka kelepa adrenal?
ʻOiai ke ʻano o ke kelepa adrenal me he mea hoʻokahi lā mai waho mai, ʻelua ona ʻāpana nui. Ua like ia me kahi hua liʻiliʻi. He ʻokoʻa ka ʻaoʻao o waho a me ka ʻaoʻao o loko.
1. Cortex - ʻĀpana waho: ʻO kēia ka ʻāpana nui loa o ka gland. Ua like ia me ka ʻili a me ka pith o kahi hua. Hoʻopuka kēia ʻāpana waho i nā hormones steroid e like me cortisol a me aldosterone.
2. Medulla - ʻO ka ʻāpana o loko: ʻO kēia ka ʻāpana o loko o ka gland. Ua like ia me ka lua o kahi hua. Hana ʻia nā hormones "hakakā a lele paha" adrenaline a me noradrenaline ma kēia ʻāpana o loko.
He ʻokoʻa loa nā ʻano hormones i hana ʻia e kēia mau ʻāpana ʻelua a me kā lākou mau hana.
Hiki ke ola me ka ʻole o nā kelepa adrenal?
He nīnau kēia a ka poʻe he nui. ʻO nā hormones e like me ka cortisol, i hana ʻia e nā kelepa adrenal, he mea nui ia i ko kākou ola. Eia nō naʻe, ma muli o kekahi mau kūlana olakino (e laʻa me ke kanesa), aia kekahi mau manawa e pono ai ke ʻoki ʻia nā kelepa adrenal ʻelua (adrenalectomy).
Inā hana ʻia kēlā, pono kēlā kanaka e lawe i kēlā mau hormones ma waho e like me ka lāʻau lapaʻau no ke koena o ko lākou ola . Inā lawe pono lākou i kēlā mau hormones, hiki iā lākou ke ola i kahi ola maʻamau. No laila, ʻoiai me ka ʻole o nā glands, ʻaʻole hiki iā lākou ke ola me ka ʻole o kā lākou mau hormones.
Hiki ke loaʻa nā maʻi o ka kelepa adrenal?
ʻAe. E like me nā ʻōpū ʻē aʻe, aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i nā kelepa adrenal. Loaʻa kēia mau pilikia no ʻelua mau kumu:
- Ka hana nui ʻana o nā hormones: Inā lilo ka gland i mea hana nui a hana i nā hormones ma mua o ka mea e pono ai.
- Ka hana ʻole ʻana o nā hormones: Inā ʻaʻole hiki i ka gland ke hana i ka nui o nā hormones e pono ai, ma muli paha o ka hōʻino ʻia a i ʻole kekahi kumu ʻē aʻe.
Aia kekahi mau kumu e hiki ai ke hana ʻia kēia mau kūlana:
- Nā hoʻololi genetic
- Nā maʻi Autoimmune - ʻO ia hoʻi, hoʻouka ka ʻōnaehana pale ponoʻī o ko mākou kino i nā kelepa adrenal.
- Hoʻokumu ʻia ʻana o nā puʻupuʻu.
- Ka hōʻino ʻia ʻana o nā glands ma muli o kahi ulia, ka maʻi, a i ʻole ke kahe ʻana o ke koko.
- He pilikia me ka hypothalamus a i ʻole ka pituitary gland i loko o ka lolo. (E hoʻomanaʻo, inā he pilikia ko ka Luna Hoʻokele, ʻaʻole hiki i ka Luna Hana ke hana pono.)
- Ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau steroid.
ʻO kekahi o nā kūlana olakino nui:
- ʻO ka maʻi ʻo Addison: He kūlana kēia kahi i hana ʻole ʻia ai nā hormones cortisol a me aldosterone i nā nui kūpono. Hoʻokumu pinepine ʻia kēia e kahi pilikia me ka ʻōnaehana pale.
- ʻO ka maʻi Cushing: He kūlana kēia kahi e hana nui ai ke kino i ka hormone cortisol. Hiki ke hana ʻia kēia kūlana e kahi puʻupuʻu a i ʻole kekahi mau lāʻau lapaʻau.
- ʻO ka hyperplasia adrenal hānau: He kūlana kēia i loaʻa i ka wā hānau. Hiki mai kēia pilikia no ka mea ʻaʻohe enzyme i ke kino e pono ai e hana i nā hormones.
- ʻO ka aldosteronism mua: Ma kēia kūlana, nui ka nui o ka hormone aldosterone i hana ʻia.
Pehea e ʻike ai inā he pilikia koʻu me kaʻu mau kelepa adrenal?
ʻOkoʻa nā hōʻailona o nā pilikia o ke kelepa adrenal ma muli o ka hormone i kaulike ʻole. Ua like ka nui o nā hōʻailona me nā maʻi maʻamau ʻē aʻe, no laila hiki ke paʻakikī ke ʻike.
Hiki iā ʻoe ke loaʻa kahi manaʻo e pili ana i kēia mai ka papa ma lalo nei.
| ʻŌnaehana i hoʻopilikia ʻia | Nā hōʻailona hiki ke loaʻa |
|---|---|
| Ka hoʻololi ʻana o ka metabolism | Ka piʻi ʻana a i ʻole ka pohō ʻana o ke kaumaha i wehewehe ʻole ʻia, ka luhi mau, ka piʻi mau ʻana a i ʻole ka emi ʻana o ke kō koko, a me ka nāwaliwali. |
| ʻŌnaehana pale kino | Nā maʻi pinepine a me nā maʻi ʻili. |
| Ke koko | Ke koko kiʻekiʻe a i ʻole ke koko haʻahaʻa. |
| Nā ʻano moekolohe | Hoʻopili nā wāhine i ka ulu ʻana o ka lauoho maka, ka hāʻule ʻana o ka lauoho, ka ʻākīkē, a me ka hoʻohohonu ʻana o ka leo. |
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona i ʻōlelo ʻia ma luna, ʻoiai nā loli kaumaha i wehewehe ʻole ʻia, ka luhi nui, a i ʻole nā loli ʻē aʻe i ke koko , mai hoʻowahāwahā wale iā ia a noʻonoʻo, 'He mau mea maʻamau kēia.'
ʻO ka mea āu e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana (GP) a kamaʻilio maopopo e pili ana i kēia.
E nānā kāu kauka i kou pae hormone me kekahi mau hoʻāʻo koko a me ka mimi, inā pono. Inā he mau mea ʻē aʻe i kēlā mau hoʻāʻo, hiki iā ia ke kuhikuhi iā ʻoe no nā hoʻokolohua e like me ka CT scan a i ʻole MRI scan. Inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi endocrinologist, he kauka loea i ka ʻōnaehana endocrine a me nā hormones.
Leka Lawe-Home
- ʻO nā kelepa adrenal ʻelua mau kelepa liʻiliʻi akā koʻikoʻi, e hana ana i nā hormone aia ma luna o ko kākou mau puʻupaʻa.
- Nui nā mea nui, e like me ke kūpaʻa ʻana i ke kaumaha, ka kaohi ʻana i ke koko, a me ka hoʻokele ʻana i ka ikehu, i kaohi ʻia e nā hormones i hana ʻia e kēia mau glands.
- Kū mai nā pilikia inā hana nui ʻia kēia mau hormones a ʻaʻole lawa paha.
- Inā loaʻa iā ʻoe nā hōʻailona e like me nā loli kaumaha i wehewehe ʻole ʻia, ka luhi nui, nā loli i ke koko, a i ʻole nā loli ʻili, mai hoʻowahāwahā iā lākou.
- Inā he kānalua a he mau hōʻailona paha kāu, e ʻoluʻolu e nīnau i kāu kauka no ka ʻōlelo aʻo. ʻOi aku ka maʻalahi o ka ʻike mua ʻana i ka maʻi no ka mālama ʻana.
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