I taksaa ‘emergency center’ te tak te chungchang hi i hria em? (Adrenal Medulla) - Hemi chungchang hi han sawi ila!

Vawiin hian kan taksa peng mak tak leh pawimawh tak kan sawi dawn a ni. Kan taksaah hian 'emergency control center' tlemte ang mai a ni. ``Adrenal Medulla'' kan ti a. He hming hi i la hre ngai lo mai thei, mahse a hnathawh hi i tan a pawimawh hle. Chuvangin, eng nge a nih, engtin nge a hnathawh, kan chungah eng nge a tih tih hi i lo en ang u.

Hei hi eng nge ni `(Adrenal Medulla)`?

A awlsam zawngin, `(Adrenal Medulla)` hi i `(Adrenal Gland)` chhunga a hmun te tak te a ni a, chu chu Sinhala tawngin adrenal gland kan tih chu a ni. Ngaihtuah teh, he adrenal gland hi i kal pahnih chunga triangular hat te tak te ang mai a ni. Kidney pahnih i nei a, rib cage hnuai deuhah. Heng adrenal gland pahnih hi chu kidney pahnih chungah chuan an awm a. He adrenal gland hi hmunpui pahnih atanga siam a ni. Pawn lama a lian ber chu `(Adrenal Cortex)` an ti a. Vawiina kan sawi tur `(Adrenal Medulla)` hi a chhung lam a tlem ber a ni. Chuvangin, he `(Adrenal Medulla)` hi kan autonomic nervous system `(Autonomic nervous system)` control tu hormone pawimawh tak tak te chhuahna hmun a ni. He autonomic nervous system hi eng nge a nih i hria em? Kan ngaihtuah pawha thil thleng automatic-a thununtu a ni. Entîr nân, i thinlung thawk, thawk , leh thawk hah ang chi thilte.

`(Adrenal Medulla)` hi eng nge thleng? Role pawimawh ber chu!

He `(Adrenal Medulla)` hnathawh ber chu kan taksa hi emergency, a nih loh leh stress kan tih ang chi hmachhawn tura buatsaih hi a ni. Hei hi hormone pawl bik, `(Catecholamines)` tihchhuah avanga thleng a ni. `(Adrenaline)` leh `(Noradrenaline)` tih hi i hre tawh em? (Hengte hi `(Epinephrine)` leh `(Norepinephrine)` an ti bawk. Chu hormone pahnih chu he `(Catecholamines)` pawla mi an ni. Kawngpuiah i kal laiin rang takin ui pakhatin a rawn um che ang tih han ngaihtuah teh. Chutah chuan chu rilru natna hriatna, thinlung na chak tak, khawsik tih hriatna, tlan duhna – lo thleng rawh, chu zawng zawng chu tlemte chhungin a thleng vek a ni seconds chhan chu he ` ( Adrenal Medulla)` atanga lo chhuak hormone te hi a ni.

• Hliam i nei a nih pawhin chutih lai chuan natna i nei tlem zawk.
• I chakna leh i tlan chakna chu a pung thut ang.
• Environment ngaihsakna pawh nasa takin a pung zel a ni .

`(Adrenaline)` hian eng hna nge a thawh?

Hormone ``Adrenaline`` hi ``Adrenal Medulla`` atang hian thisen sugar level a tlahniam emaw, exercise lak laiin emaw a chhuak thin. Taksain emergency a hmachhawn dan tur chu hetiang hian a pui thin:

• Muscles ah oxygen tam zawk a thawn thin.
• Thisen sang leh heart rate a tisang .
• Thisen kalna kawng te te a tizau thin.

`(Noradrenaline)` hi eng nge thleng?

He hormone hian taksain stress a tuar theih nan a pui bawk. Hetiang hi a ni:

• Thisen sugar level a tisang .
• Thisen kalna kawng a constrict (a then chu).
• Thisen sang a tisang.

Chu mai ni lovin, `(Norepinephrine)` (chu chu `(Noradrenaline)` ngei pawh a ni) hian hetiang thil hi a ti bawk:

• Thluak chhunga hriatrengna dahkhawmna atan a pui thin.
• Zingkar a thawh theih nan a pui thin.
• Ngaihtuahna leh inremna a tipung.
• Rilru hriselna a thlawp bawk.

`(Adrenal Medulla)` hi engtin nge a awm?

Hei hi scientific deuh a ni a, mahse awlsam taka hriatthiam tum ila.

• Thisen supply : Adrenal medulla hian hormone a tihchhuah avangin thisen supply tha tak a mamawh a ni. Thisen kalna kawng lian ber ber branch hrang hrang, inferior phrenic artery, renal artery, leh abdominal aorta atanga thisen a dawng thin.
• Nerve supply: `(Greater splanchnic nerve)` an tih nerve hian `(Adrenal Medulla)` chu taksa peng dang nena inbiakpawhna atan a pui thin. He nerve hi a hmaa kan sawi tawh `(Autonomic nervous system)` a mi a ni.
• `(Chromaffin cells)`: Hengte hi `(Adrenal Medulla)`-a awm cell chi khat bik an ni. Heng cell-ah hian granule te te `(granules) a awm a. `(Splanchnic nerve)` atanga emergency signal a lo chhuah chuan heng `(Chromaffin cells)` te hian an granule te chu an chhuah tir thin. Chumi hnuah hormone `( Adrenaline )` leh `(Noradrenaline)` te chu thisenah an dah lut leh a.

Eng natnain nge `(Adrenal Medulla)` a nghawng?

Adrenal medulla tichhe thei dinhmun hi a tlem tlangpui , mahse a chang chuan nunna atana hlauhawm thei a ni. Heng natna tam zawk hi adrenal tumor a ni. Heng tumor tam zawk hi benign an ni a, cancer an ni lo tihna a ni. Mahse, cancer chi hrang hrang a awm thei. A chang chuan heng tumor te hi rochun theih a ni. Adrenal medulla-a tumor chi hrang hrang lo awm thei thenkhat chu:

• Ganglioneuroma: Hei hi puitling leh naupangah pawh a lo awm thei a ni. Autonomic nervous system cell atanga lo chhuak a ni.
• Neuroblastoma: Hei hi cancer a ni a, nerve tissue-ah a lo awm a. Naupangah a tam ber. Pum chhungah, rilruah emaw, ruhro vel thlengin a lo awm thei.
• Paraganglioma: Hei hi adrenal glands chromaffin tissue atanga lo chhuak tumor a ni bawk. Peripheral nervous system-ah a lo thang lian thei a, ke ruh, lu, kawng leh pum ang chi hmun a nghawng thei bawk.
• `(Pheochromocytoma)`: He tumor hian `(Epinephrine)` leh `( Norepinephrine )` hormone chhuahna a nghawng a. Hetiang dinhmun hian thisen sang a tisang nghal thei a, hlauhawm takin a tisang thei a ni. Hei hi `(Hypertensive crisis)` an ti a.

Adrenal Medulla Cysts natna lan chhuah dan chu engte nge ni?

Heng tumor te hi a lo thang zawi zawi hle fo thin . Chuvangin a tir lamah chuan symptom engmah i hmu lo mai thei. A tam zawkah chuan thil thleng mai mai, chhan dang avanga imaging study an neih laiin hmuhchhuah an ni. (Adrenal incidentalomas an ti bawk.) Mahse, adrenal medulla tumor symptoms a awm chuan a hnuaia system te hi a nghawng thei a ni.

• Thisen sang (e.g. thisen sang ) .
• Digestive system (e.g. pum na, rilru hahna) .
• Nervous system (e.g., lu na, thawk hah) .
• Thluak lam (e.g., thawk harsa) .
• Urinary system a ni

``Hypertensive crisis'' a lan chhuah dan chu engte nge ni?

`(Hypertensive crisis)`, chu chu thisen sang tihsan hlauhawm tak a ni thei a, chu chu `(Adrenal Medulla)` atanga hormone chhuak te hi `(stress) tenau tak pawhin a thunun theih loh chuan a awm thei a ni. Ngaihtuah teh, hmalam pan emaw, ei tur thenkhat ei emaw ang chi thil awlsam tak pawh hian heng chhinchhiahnate hi a thlen thei a ni:

• A rilru a na
• Thaw chhuak lutuk (Hyperhidrosis) .
• Lu na
• Syncope a ni
• Nausea leh luak chhuak
• Epilepsy (thluaka electric hnathawh dan pangngai lo) .
• Thâwk harsa (Dyspnea) .

Pawimawh: Hetiang symptoms i neih chuan damdawi lam pan vat ngai natna a ni thei.

`(Adrenal Medulla)` tichhe thei dinhmun dang a awm em?

Ni e, he hormone level hi a tlangpuiin a sang a nih chuan rilru lam harsatna thenkhat nen pawh a inzawm thei bawk. Entir nan:

• Addiction a ni
• Hlauhthawnna
• Ngaihtuahna tlakchhamna lama harsatna (ADHD) .
• Lungngaihna
• Panic disorder a ni
• Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.

Heng hormone te chauh hi heng natna thlentu an ni lo va, mahse heng hormone inthlauhna hian a thlen thei a ni.

`(Adrenal Medulla)` natna enkawl dan tur engte nge ni?

Enkawlna i mamawh chi chu i natna hmuhchhuah dan leh i natna lan chhuah dan nasat danah a innghat ang. Enkawlna atan hian:

• `(Hypertensive crisis)` enkawl dan: Thisen sang tihhniam nan emergency treatment a ngai a. Hei hi `(Vasodilators) ang chi damdawi hmanga tih theih a ni.` Heng damdawi hian thisen kalna kawngkhar (constricted blood vessels) chu a tizau nghal vat a ni.
• Tumor leh cancer enkawl dan:Cysts hi operation a ngai fo thin. Surgeon chuan i adrenal gland pakhat emaw, pahnih emaw a lakchhuah a ngai mai thei. Cancer cyst nei tan chuan radiation therapy leh chemotherapy a ngai thei.

Engtin nge ka `(Adrenal Medulla)` hi hrisel taka ka vawn theih ang?

I in enkawl tha chuan i adrenal glands, a nih loh leh adrenal medulla te chu a level tha takah i thawk thei a ni. Hei hi a hnuaia thilte hian a pui thei a ni:

• Nun chak tak hmang rawh: Exercise tih fo . Ni khatah minute 30 tal kea kal pawh a tha.
• Ei leh in tha tak ei: Thlai, thei, legumes leh whole grains te ei tam rawh. Chaw thlum leh thau tak takte tihtlem.
• Tui thianghlim in tam: Ni khatah tui glass 8 tal in tum ang che.
• Stress enkawl dan: Thâwk thûk taka exercise leh meditation hian stress tihziaawmna kawngah a pui thei a ni. I tana tha tur method zawng rawh.
• Preventive care la rawh: (physical exams) enfiah fo la, chutiang chuan harsatna i neih chuan i hre hmasa thei ang.

A tawi zawngin, eng nge hriat reng tur! (In lama hruai tur thuchah)

I adrenal medulla atanga hormone siam hian i taksain emergency, a nih loh leh stress a hmachhawn dan a control a ni. Heng hormone te hian dinhmun hlauhawm tak tak paltlang thei turin chakna a pe che a ni. Mahse, heng hormone level hi a pangngai lo taka a san chuan hriselna lama harsatna engemaw zat a thlen thei a, a then chu nunna atana hlauhawm tak a ni.

Adrenal medulla tumor, hypertensive crisis, hormone tihpun chungchangah rinhlelhna emaw hlauhna emaw i neih chuan endocrinologist i pan ngei ngei tur a ni. Tichuan eng thil nge thleng tih chiang takin i hre mai ang. Lungngai suh, tunah hian thil tam zawkah hian enkawlna tha tak tak a awm tawh.