ʻO ka 'alarm' o ke kino e hoʻopakele iā ʻoe i ka wā o ke kaumaha: E aʻo wale kākou e pili ana i ka Adrenal Medulla!

E noʻonoʻo ʻoe e hele ana ma ke alanui a lele koke mai kahi ʻīlio. A i ʻole e lawe ana ʻoe i kahi hoʻokolohua koʻikoʻi. Piʻi koke kou puʻuwai, hou ʻoe, ākea kou mau maka, a makaʻala koke kou kino holoʻokoʻa, ʻeā? Hoʻomākaukau koke kahi ʻāpana liʻiliʻi akā ikaika loa o kou kino iā ʻoe no ia pilikia a i ʻole ke kaumaha. I kēia lā, ke kamaʻilio nei mākou e pili ana i ke 'kikowaena pane pilikia' i loko o ko mākou kino, ʻo ia hoʻi ka Adrenal Medulla.

He aha ka Adrenal Medulla? Aia i hea ia?

I ka ʻōlelo maʻalahi, ʻo ka Adrenal Medulla ka ʻāpana o loko o nā Adrenal Glands i loko o ko mākou kino. E like me ka lua o ka mango, ʻo ka Medulla ke kikowaena o loko o ka Adrenal Gland. ʻO nā Adrenal Glands ʻelua mau kelepa liʻiliʻi e noho ana ma luna o ko mākou mau puʻupaʻa, e like me ʻelua mau pāpale.

Ua māhele ʻia ka ʻōpū adrenal i ʻelua mau ʻāpana nui:

1. Adrenal Cortex: ʻO kēia ka ʻāpana nui loa o ka gland, aia ma waho.

2. Adrenal Medulla: ʻO kēia ka ʻāpana liʻiliʻi i loko o ka gland a mākou e kamaʻilio nei i kēia lā.

Hoʻopuka kēia mau ʻāpana ʻelua i nā ʻano hormones like ʻole. ʻO ka adrenal medulla ka mea nui e hana i nā hormones e kāohi i kā mākou ʻōnaehana nerve autonomic. ʻO ka ʻōnaehana nerve autonomic ka ʻōnaehana e kāohi i nā mea a mākou e kāohi ʻole ai, e like me ka helu o ka puʻuwai, ka hanu ʻana, a me ka hou ʻana. No laila, he mea nui loa ke kuleana o ka adrenal medulla.

He aha ka mea nui a kēia ʻāpana liʻiliʻi e hana nei?

ʻO ka hana nui o ka Adrenal Medulla ka pane ʻana i ke kaumaha . ʻO ia hoʻi, e hoʻomākaukau i ko mākou kino e hana i kahi kūlana weliweli a pilikia paha. Kāhea mākou i kēia ka pane 'Fight-or-Flight' . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi "pane hakakā a lele paha".

E noʻonoʻo inā ʻoe e hele wale ana ma ke alanui i ka pō a manaʻo ʻoe e like me kekahi e hahai ana iā ʻoe, he aha ka mea e hiki mai ana i kou kino?

• Piʻi koke ka puʻuwai.
• Piʻi ka wikiwiki o ka hanu ʻana.
• Lilo nā ʻōmaka o nā maka i mea nui a lilo ka ʻike i mea ʻoi.
• Holo hou aku ke koko i nā ʻiʻo o nā lālā, e hāʻawi ana iā lākou i ka ikehu e pono ai e holo a hakakā paha.
• Ua hoʻemi ʻia ke ʻano o ka ʻeha no kekahi manawa.

Hana ʻia kēia mau mea a pau i loko o kekona ma muli o kahi hui o nā hormones i kapa ʻia ʻo catecholamines, i hoʻokuʻu ʻia e ka adrenal medulla. ʻO kēia nā mea e hoʻāla ai i ka 'eleu makaʻala' o ko mākou kino.

ʻElua mau ʻano nui o nā catecholamines:

1. Adrenaline - ʻO kekahi inoa no kēia ʻo Epinephrine .

2. Noradrenaline - ʻO kekahi inoa ʻē aʻe no kēia ʻo Norepinephrine .

E nānā pono kākou i ka hana a kēia mau hormones ʻelua.

He aha ke ʻano o ka Adrenal Medulla?

He ʻano kūikawā ko kēia ʻōkana liʻiliʻi e hana pono ai i kāna hana.

• Lako koko: He nui loa ke koko o ka medulla adrenal. ʻO kēia no ka mea, pono e hoʻouna koke ʻia nā hormones i hoʻokuʻu ʻia i ka wā pilikia ma ke kino holoʻokoʻa. Loaʻa iā ia ke koko mai nā lālā e hele mai ana mai nā kīʻaha koko nui e like me ka aorta ʻōpū.
• Hoʻolako aʻalolo: Loaʻa i ka medulla nā hōʻailona mai ke aʻalolo splanchnic nui, ʻo ia kekahi ʻāpana o kā mākou ʻōnaehana aʻalolo autonomic. Ke loaʻa i ka lolo ka hōʻailona "Pōʻino, e hana i kēia manawa!", hoʻoulu ʻia ka medulla ma o kēia aʻalolo.
• Nā pūnaewele Chromaffin: ʻO kēia ke ʻano o nā pūnaewele kūikawā loa i loko o ka adrenal medulla. Loaʻa i kēia mau pūnaewele nā ​​granules liʻiliʻi i piha i nā hormones adrenaline a me noradrenaline. Ke hiki mai kahi hōʻailona nerve, hoʻokuʻu pololei kēia mau pūnaewele i kā lākou mau ʻeke hormone i loko o ke kahe koko.

He aha nā pilikia e hiki ke kū mai ma ka Adrenal Medulla?

He mea kākaʻikahi loa nā maʻi medulla adrenal, akā hiki iā lākou ke hoʻoweliweli i ke ola inā loaʻa. ʻO ka hapa nui o kēia mau pilikia i hoʻokumu ʻia e nā puʻupuʻu e ulu ana i loko o ka medulla. ʻO ka hapa nui o kēia mau puʻupuʻu he maʻi ʻaʻole ia he kanesa (benign). I kekahi manawa hiki ke hoʻoilina ʻia.

Eia kekahi o nā ʻano nui o nā puʻupuʻu i ʻike ʻia.

He aha nā hōʻailona o kēia ʻano pilikia?

He nui o kēia mau puʻupuʻu e ulu lohi loa ana, no laila ʻaʻole paha lākou e hōʻike i kekahi mau hōʻailona i nā pae mua. I kekahi manawa, loaʻa lākou i ka wā o ka CT a i ʻole MRI scan no kekahi maʻi ʻē aʻe (adrenal incidentaloma) .

Eia nō naʻe, ke hoʻomaka kahi puʻupuʻu e hūnā i nā hormones he nui, hiki ke ʻike ʻia nā hōʻailona. ʻOi loa aku ʻo PheochromocytomaNo kekahi kanaka me kēia puʻupuʻu, hiki ke hoʻonui ʻia ka pane a ke kino i kahi kaumaha maʻalahi. I kekahi manawa, ʻoiai kekahi mea maʻalahi e like me ke kūlou ʻana i mua a i ʻole ka ʻai ʻana i kekahi mau meaʻai hiki ke hoʻoulu i nā hōʻailona weliweli. Kāhea mākou i kēia maʻi he pilikia hypertensive .

ʻO nā hōʻailona e hiki ke kū mai i loko o ia ʻano pilikia:

• ʻEha poʻo nui
• ʻEha umauma
• Ka hou nui ʻana (hyperhidrosis)
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• Ka luaʻi a me ka luaʻi
• Nā palpitations o ka puʻuwai
• Ka nalowale o ka ʻike (syncope)
• Nā hopu ʻana

Inā loaʻa koke mai nā hōʻailona e like me kēia, he mea nui e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila .

ʻO nā pilikia ʻē aʻe e hiki ke hana ʻia e ka hormonal imbalance

Ua pili pono nā hormones i hoʻokuʻu ʻia e ka adrenal medulla (ʻoi aku ka noradrenaline) i ko kākou ʻano a me ke olakino noʻonoʻo. ʻO nā pae kiʻekiʻe loa o kēia mau hormones i kahi manawa lōʻihi e hiki ke kōkua i kekahi mau pilikia olakino noʻonoʻo.

Eia kekahi mau kūlana:

• Hopohopo
• Kaumaha
• Ka maʻi hopohopo
• Ka maʻi hyperactivity hemahema o ka nānā ʻana (ADHD)
• Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
• ʻAʻai ʻona

ʻAʻole kēia manaʻo ua hoʻokumu ʻia kēia mau maʻi āpau e kahi pilikia me ka adrenal medulla. Eia nō naʻe, hiki i kahi kaulike ʻole i loko o kēia mau hormones ke kumu a hoʻonui paha i kēia mau hōʻailona.

He aha nā lāʻau lapaʻau no kēia mau kūlana?

Aia nā koho lapaʻau i kāu hōʻailona a me ke koʻikoʻi o kāu mau hōʻailona. E nānā kāu kauka iā ʻoe a hāʻawi i ka lāʻau lapaʻau kūpono loa.

• Lapaʻau no ka pilikia koko kiʻekiʻe: ʻOiai he pilikia kēia, hāʻawi ʻia ka lāʻau lapaʻau ma ka haukapila e hoʻohaʻahaʻa koke i ke koko. No kēia, hāʻawi ʻia nā lāʻau lapaʻau e like me nā vasodilators (nā lāʻau lapaʻau e hoʻonui i nā kīʻaha koko) ma o ka intravenous.
• Lapaʻau no nā ʻōpū a me ke kanesa: Pono ka hapa nui o nā ʻōpū e wehe ʻia me ke ʻoki kino. I kekahi manawa pono e wehe ʻia kekahi a i ʻole nā ​​kelepa adrenal ʻelua. Inā he ʻōpū ka ʻōpū, pono paha ka lāʻau e like me ka radiation a i ʻole chemotherapy .

He aha kā mākou e hana ai e mālama i ke olakino o ka Adrenal Medulla?

He mea maikaʻi ka mālama ʻana i ko kākou kino holoʻokoʻa no ka hana ʻana o nā ʻōkana a pau, me ka Adrenal Medulla. ʻOi aku ka maikaʻi, hiki i ke kaumaha mau ke hoʻoluhi nui i kēia ʻōnaehana a hoʻoulu i ka luhi. No laila, he mea nui loa ka mālama ʻana i kēia mau mea.

• He nohona hana: He mea nui ka hoʻoikaika kino mau i ka hoʻokele ʻana i ke kaumaha.
• ʻAi momona: E ʻai i ka ʻai kaulike o nā mea kanu, nā huaʻai, a me nā palaoa momona.
• Inu wai lawa: He mea nui ka wai no nā hana kino āpau.
• Hoʻokele koʻikoʻi: E hōʻoluʻolu i kou manaʻo ma o nā hoʻomaʻamaʻa hanu hohonu, ka noʻonoʻo ʻana, a me ke komo ʻana i kahi hana leʻaleʻa āu e koho ai.
• Mālama Palekana: E hele i nā hoʻokolohua lapaʻau maʻamau a mālama i kou olakino kino.

Inā he kānalua a hopohopo paha kāu e pili ana i nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, e ʻoluʻolu e nīnau i kāu kauka a kūkākūkā iā ia . ʻO kahi endocrinologist, ma ke ʻano kūikawā, e hāʻawi iā ʻoe i ke alakaʻi pololei loa.

ʻO ka Adrenal Medulla, Adrenal Gland, Adrenaline, Epinephrine, Noradrenaline, Norepinephrine, Catecholamines, Pheochromocytoma, pilikia koko kiʻekiʻe, hakakā a lele paha, nā hormones kaumaha, Adrenal Gland, Adrenaline, nā hormones, ke koko kiʻekiʻe, kaumaha, hana kino