Yu no bɔt di smɔl ‘imergency center’ we de na yu bɔdi? (Adrenal Medulla) - Mek wi tok abaut dis!

Tide wi go tɔk bɔt wan rili wɔndaful ɛn rili impɔtant pat na wi bɔdi. I tan lɛk smɔl ‘imergency control center’ na wi bɔdi. Wi kin kɔl am di ``Adrenal Medulla''. Sɔntɛm yu nɔ bin dɔn yɛri bɔt dis nem bifo, bɔt di wok we i de du rili impɔtant to yu. So, lɛ wi si wetin i bi, aw i de wok, ɛn wetin i de du to wi.

Wetin na dis `(Adrenal Medulla)`?

Fɔ tɔk am simpul wan, di `(Adrenal Medulla)` na di smɔl pat we de insay yu `(Adrenal Gland)`, we wi kɔl di adrenal gland insay Sinhala. Imajin, dis adrenal gland tan lɛk wan smɔl triangul hat we de ɔp yu tu kidni dɛn. Yu gɛt tu kidni, smɔl dɔŋ di rib kech. Dɛn tu adrenal gland ya de ɔp dɛn tu kidni dɛn de. Dis adrenal gland gɛt tu men pat dɛn. di big pat we de na do dεn kכl am di `(Adrenal Cortex)`. Di `(Adrenal Medulla)` we wi de tɔk bɔt tide na di rili smɔl pat we de insay. so, dis `(Adrenal Medulla)` na di say we di imכtant כmon dεm we de kכntro wi כtonom nεv sεstem `(Autonomic nervous system)` de kכmכt. Yu no wetin na dis ɔtonomik nervɔs sistɛm? Na di wan we de kɔntrol tin dɛn we kin apin ɔtomɛtik wan we wi nɔ ivin tink bɔt am. Fɔ ɛgzampul, tin dɛn lɛk aw yu at de bit, aw yu de blo , ɛn aw yu de swet.

Wetin kin apin to di `(Adrenal Medulla)`? Di wok we impɔtant pas ɔl!

di men wok we dis `(Adrenal Medulla)` de du na fכ pripia wi bכdi fכ fεs imejensi, כ wetin wi kכl strεs . dis kin apin bay we i de rilis wan spεshal grup fכ כmon dεm, we na `(Catecholamines)`. Yu don yehri boht `(Adrenaline)` en `(Noradrenaline)`? (Dɛn kin kɔl dɛn tin ya bak `(Epinephrine)` ɛn `(Norepinephrine)`. Dɛn tu ɔmon dɛn de na dis `(Catecholamines)` grup. Imajin se yu de waka na strit ɛn wantɛm wantɛm wan dɔg kam de rɔnata yu. Dɔn da filin de fɔ mek yu at pwɛl, di at bit kwik kwik wan, di filin fɔ mek yu kol, di want fɔ rɔn – kam, ɔl dat de apin insay sɔm sεkכnd dεm bikoz fכ di כmon dεm we de kכmכt frכm dis `(Adrenal Medulla)` na dat wi kin kכl di `(Fight-or-flight response)` Dat na di rispכns we de pripia di b כdi fכ 'fεt כ rכn' .

• Ivin if yu gɛt injuri, yu nɔ kin fil pen da tɛm de.
• Yu trɛnk ɛn spid go go ɔp wantɛm wantɛm.
• Di atɛnshɔn to di envayrɔmɛnt de bɔku mɔ ɛn mɔ .

Wetin na di wok we `(Adrenaline)` de du?

di כmon ``Adrenaline`` de kכmכt frכm di ``Adrenal Medulla`` we di bכdi shuga lεvεl dכn כ we yu de du εksεsayz. I de ɛp di bɔdi fɔ dil wit imejensi dɛn we ya:

• I de sɛn mɔ ɔksijɛn to di mɔsul dɛn.
• I de mek blɔd prɛshɔn ɛn at rit go ɔp .
• I de mek smɔl smɔl blɔd vesel dɛn big.

Wetin kin apin wit `(Noradrenaline)`?

Dis ɔmon de ɛp di bɔdi bak fɔ bia wit strɛs. Na dis na aw:

• I de mek di blɔd shuga lɛvɛl go ɔp .
• Blɔd vesel dɛn kin kɔnstrikt (sɔm pan dɛn).
• I de mek blɔd prɛshɔn go ɔp.

Nɔto dat nɔmɔ, `(Norepinephrine)` (dat na `(Noradrenaline)` insɛf) de du tin dɛn bak lɛk:

• I de ɛp fɔ kip mɛmori dɛn na di bren.
• I de ɛp yu fɔ wek na mɔnin.
• I de mek pipul dɛn pe atɛnshɔn mɔ ɛn mek dɛn ebul fɔ du tin togɛda mɔ ɛn mɔ.
• I de sɔpɔt bak mental wɛlbɔdi.

Wetin na di strɔkchɔ fɔ di `(Adrenal Medulla)`?

Dis na sayɛns smɔl, bɔt lɛ wi tray fɔ ɔndastand am simpul wan.

• Blɔd saplai : Bikɔs di adrenal mɛdula de pul ɔmon dɛn, i nid fɔ gɛt gud blɔd saplai. i de gεt bכdi frכm di branch dεm na di big bכdi vεsul dεm lεk di infεriכs frεnik atεri, rεnal atεri, εn abdominal aorta.
• di nεv saplai: di nεv we dεn kכl `(Greater splanchnic nerve)` de εp di `(Adrenal Medulla)` fכ kכmכnik wit di rεst כf di bכdi. dis nεv de fכ di `(Autonomic nervous system)` we wi bin dכn tכk bכt.
• `(Kromafin sεl dεm)`: dis na spεshal tכp sεl dεm we dεn fכnshכn na di `(Adrenal Medulla)`. dis sεl dεm gεt sכm sכm granul dεm `(granules). we imejensi signal kכmכt frכm di `(Splanchnic nerve)`, dεn `(Chromaffin cells)` dεm ya de rilis dεn granul dεm. afta dat dεn de ad di כmon dεm `( Adrenaline )` εn `(Noradrenaline)` to di bכdi.

Us sik dεm de afekt di `(Adrenal Medulla)`?

Di tin dɛn we kin afɛkt di adrenal mɛdula nɔ kin bɔku , bɔt sɔntɛnde dɛn kin mek pɔsin in layf de pan denja. di mכtalman in kכndyushכn dεm na di adrenal tכmכro dεm. Bɔrku pan dɛn tumbu ya nɔr kin fayn, dat min se dɛn nɔr gɛt kansa. Bɔt sɔm kayn kansa kin apin. Sɔntɛnde, dɛn kin gɛt dɛn tumbu ya. sכm pan di tכmכro dεm we kin divεlכp na di adrenal mεdula na:

• Ganglioneuroma: Dis na tumor we kin kam pan big pipul ɛn pikin. i de kכmכt frכm di sεl dεm na di כtonom nεv sεstem.
• Nyuroblastoma: Dis na kansa we de divεlכp na di nεv tisu. I kin apin mɔ pan pikin dɛn. I kin kam na di bɛlɛ, chɛst, ɔ ivin rawnd di spɛshal kɔd.
• Paraganglioma: Dis na tכmכro bak we de kכmכt frכm di kromafin tisu na di adrenal gland dεm. i kin divεlכp na di pεriferal nεv sεstem εn i kin afekt εria dεm lεk di limb dεm, ed, nεk, εn bεlε.
• `(Pheochromocytoma)`: Dis tכmכro de afekt di rilis fכ `(Epinephrine)` εn `( Norepinephrine )` כmon dεm. Dis sik kin mek yu blɔd prɛshɔn go ɔp wantɛm wantɛm ɛn we de mek yu denja. Dɛn kɔl dis `(Hypertensive crisis)`.

Wetin na di sayn dɛm fɔ Adrenal Medulla Cysts?

Bɔku tɛm dɛn tumbu ya kin gro sloslo . So yu nɔ go notis ɛni sayn fɔs. Bɔku tɛm, dɛn kin no dɛn bay we dɛn de du am bay we dɛn de du wan imej stɔdi fɔ ɔda rizin. (Dεn kin kכl dεm bak adrenal incidentalomas.) כltu, if simptom dεm fכ adrenal mεdula tכmכro apin, dεn kin afekt dεn sistεm dεm ya:

• Blɔd prɛshɔn (e.g. ay blɔd prɛshɔn ) .
• dijestiv sistεm (e.g. bεlε pen, nכs) .
• Nεv sistεm (e.g., ed we de at, swet) .
• di rεspiretכri sistεm (e.g., i at fכ brith) .
• Yurinari sistɛm

Wetin na di sayn dɛm fɔ ``Hypertensive crisis''?

wan `(Hypertensive crisis)`, dat na di denja inkris na di bכdi prεshכn, kin apin if di כmon dεm we di `(Adrenal Medulla)` de kכmכt nכ kin kכntro fayn fayn wan bay ivin sכm `(strεs). Imajin, ivin sɔntin we simpul lɛk fɔ bɛn bifo ɔ it sɔm it dɛn kin mek yu gɛt dɛn sik ya:

• Chɛst de pen
• Fɔ swet pasmak (Hyperhidrosis) .
• Ed de at
• Sinkɔp we dɛn kɔl Syncope
• Nɔs ɛn vɔmit
• Epilepsy (we nɔrmal ilɛktrik aktiviti na di bren) .
• I nɔ izi fɔ blo (Dyspnea) .

Impɔtant: If yu gɛt sayn dɛn lɛk dis, i kin bi wan sik we yu nid fɔ go to dɔktɔ kwik kwik wan.

כda kכndishכn dεm de we de afekt di `(Adrenal Medulla)`?

Yɛs, if dis ɔmon lɛvɛl nɔr nɔrmal, i kin gɛt fɔ du bak wit sɔm mɛntɛl hεlth prɔblɛm dɛm. Fɔ ɛgzampul:

• Adikshɔn
• Wɔri
• Atɛnshɔn dɛfisit haypa aktiviti disɔda (ADHD) .
• Pwɛl at
• Panik disɔda
• Pɔst-traumatik strɛs disɔda (PTSD) .

Nɔto dɛn ɔmon dɛn ya nɔmɔ kin mek dɛn gɛt dɛn kayn tin ya, bɔt if dɛn ɔmon dɛn ya nɔ balans, dat kin mek dɛn gɛt dis sik.

Wetin na di tritmɛnt fɔ `(Adrenal Medulla)` sik dɛm?

De kayn tritmɛnt wae yu nid go dipen pan aw yu dɔn no bɔt yu sik ɛn aw yu sik bad bad wan. Di tritmɛnt kin inklud:

• Tritmɛnt fɔ `(Hypertensive crisis)`: Dɛn nid fɔ trit yu kwik kwik wan fɔ mek yu blɔd prɛshɔn go dɔŋ. dis kin bi wit mεdikeshכn lεk `(Vasodilators).` dεn mεdikeshכn ya kin mek di bכdi we dεn kכnstrikt kwik kwik wan.
• Tritmɛnt fɔ tumbu ɛn kansa:Bɔku tɛm, di sist dɛn kin nid ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn go gɛt fɔ pul wan ɔ ɔl tu pan yu adrenal gland dɛn. Sist dɛn we gɛt kansa kin nid fɔ gɛt raytin tɛrapi ɛn kemotɛrapi.

Aw a go kip mi `(Adrenal Medulla)` wɛlbɔdi?

We yu tek kia ɔf yusɛf gud gud wan, yu kin mek yu adrenal gland dɛn, ɔ di adrenal mɛdula, wok fayn fayn wan. Dɛn tin ya kin ɛp fɔ du dis:

• Liv layf we yu de du tin: Ɛksesaiz ɔltɛm . I fayn bak fɔ waka fɔ at le 30 minit insay di de.
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it: It mɔ vɛjitebul, frut, ligɛm, ɛn ɔl di tin dɛn we dɛn kin it. Ridyus di it dɛn we swit ɛn we gɛt fat.
• Drink bɔku klin wata: Tray fɔ drink at le 8 glas wata ɛvride.
• Fɔ kɔntrol di strɛs: We yu de du ɛksesaiz fɔ blo dip dip wan ɛn tink gud wan, dat kin ɛp fɔ mek yu nɔ strɛs. Fɛn wan we we go wok fɔ yu.
• Gɛt kia fɔ mek yu nɔ gɛt dis sik: Tek yu (physical exams) ɔltɛm so dat yu go no ɛni prɔblɛm kwik kwik wan.

Fɔ tɔk smɔl, wetin fɔ mɛmba! (Mɛsej we dɛn kin tek go na os)

Di ɔmon dɛm we yu adrenal mɛdula de mek de kɔntrol aw yu bɔdi de biev we yu gɛt imejensi, ɔ strɛs. Dɛn ɔmon ya de gi yu trɛnk fɔ sev we tin de mek yu denja. Bɔt if dɛn ɔmon dɛn ya nɔ bɔku, dat kin mek wi gɛt bɔku prɔblɛm dɛn wit wɛlbɔdi biznɛs, ɛn sɔm pan dɛn kin mek pɔsin in layf de pan denja.

If yu gɛt ɛni dawt ɔ fred bɔt adrenal medulla tumor, hypertensive crisis, ɔ we di ɔmon dɛn de bɔku, yu fɔ rili go to endocrinologist. Dɔn yu go no gud gud wan wetin de apin. Nɔr wɔri, gud tritmɛnt de fɔ bɔrku tin naw.