Chauhna thut, taksa rihna sang leh a chang chuan buaina i nei bawk em? Heng thilte hi thil pangngai anga ngaihin kan theihnghilh fo thin. Mahse, a chang chuan hei hi i ngaihtuah ngai loh chhan a awm thei. Vawiin hian kan taksa peng te tak te, mahse pawimawh em em, adrenal glands leh chuta tang chuan harsatna lo chhuak thin te hi han sawi ila.
Heng adrenal glands te hi engte nge ni?
A awlsam zawngin sawi ila, adrenal glands hi kan kal chungah, kawrfual te pahnih ang maia awm, triangular ang chi gland pahnih a ni. An lian lo hle nachungin kan taksaah hna pawimawh tak an thawk a ni. Chu chu kan taksaa balance awm reng tura puitu hormone an siam tihna a ni.
Hetiang hian han ngaihtuah teh: kan taksa hi engine complex tak ang mai a ni. He engine hian a thawk tha tur chuan thil chi hrang hrang a neih zat tur dik tak a neih a ngai a ni. Chutiang bawkin, heng hormone te hian kan metabolism, thisen sang, immune system, leh stress kan hmachhawn dan te chu a thunun thei a ni.
Heng glands te hian hormone siam chhuah chi thum a awm a, chungte chu:
- Cortisol: Hormone pawimawh tak, stress kan hmachhawn theihna tura min puitu a ni.
- Adrenaline: Emergency-a kan taksa buatsaihtu hormone a ni.
- Aldosterone: Kan thisen sang leh taksaa chi leh tui awm zat control tu hormone a ni.
Adrenal gland nena inzawm thil hi heng hormone te hi a tam lutuk emaw, a tlakchham emaw hian a awm thin .
Adrenal gland natna langsar ber berte chu engte nge ni?
Chutiang dinhmun chu engemaw zat a awm. A bulpui te hi tlem tal i hrethiam zawk ang u. Hriatthiam awlsam zawk nan hei hi table -ah ka dah ang .
| Dinhmun | A awlsam zawngin hetiang hi a thleng thin. |
|---|---|
| Addison natna a ni | Taksa hian hormone cortisol leh/ emaw aldosterone te hi a siam chhuak tlem hle. |
| Cushing syndrome tih hi a ni | Taksa chhunga hormone cortisol level sang lutuk. |
| Congenital Adrenal Hyperplasia (CAH) natna a awm avangin a chhuak thei lo. | Hormone siam chhuahna atana enzyme mamawh pianpui a awm loh emaw, a tlakchham emaw. |
| Hyperaldosteronism tih hi a awm lo | Taksa chhunga hormone aldosterone siam chhuah tam lutuk. |
| Virilization tih a ni | Taksa chhunga mipa sex hormone siam chhuah tam lutuk. Hei hi hmeichhia leh mipa naupang kum tling lo (prepubescent boys)-ah chiang takin a lang. |
Tin, condition hi adrenal glands-a tumor awm vang pawh a ni thei bawk. Mahse lungngai suh, heng tumor tam zawk hi non-cancerous (benign) an ni. Mahse, a tlem berah chuan cancer (adrenocortical carcinoma) pawh a awm thei bawk.
Heng natna lanchhuahna te hi eng nge ni?
Symptoms chu eng hormone nge hniam leh sang tih ah a innghat. Hormone level tin a inthlak hian eng symptom nge a awm tih hi han en ila.
Cortisol level a san chuan (Cushing’s syndrome ang chi) .
| Symptom a ni | Hrilhfiahna |
|---|---|
| Taksa chunglam tihzauh | Hmai, kawr leh pum chu a lian deuh deuh a, kut leh ke te erawh a thim deuh thung. |
| Chauhna nasa tak a awm | Engmah ti lo pawhin chau lutuk tih hriat. |
| Thisen sang leh zunthlum vei | Thisen sang leh sugar level a sang. |
| Vun a inthlak danglam thin | Vun a thim a, hliam tenau tak atang pawhin a hliam awlsam. Pum chhungah hian stretch mark zau tak, purple rawng a lang a. |
Aldosterone level a san chuan
- Thisen sang a sang
- Thisena potassium level hniam (Hypokalemia) .
- Taksaah chak lo anga inhriatna
- Muscle na leh cramps (muscle spasms) .
Mipa hormone level a san chuan (hmeichhiaah) .
Hetiang dinhmun hi hmeichhiaah emaw, mipa naupang kum tling loah emaw a awm chuan mipa mizia a lo lang tan thin.
- Hmai sam a lo thang lian
- Sam tlakchham (baldness) .
- Acne a lo awm thin
- Aw thuk zawk (mipa aw ang deuha lo awm) .
- Muscle a lo thang lian
A pawimawh ber chu heng symptoms te hi natna dang ah pawh hmuh theih a ni. Chuvang chuan heng symptoms te hi i neih chuan doctor pan a, a diagnosis dik tak neih a pawimawh hle .
Engvangin nge heng natnate hi a lo awm?
Hei hi chhan hrang hrang a awm thei.
- Adrenal glands ngeiin hormone an siam tam lutuk emaw, an siam tlem emaw.
- Kan thluaka pituitary gland ang chi gland dang harsatna chuan adrenal glands hnathawh a tichhe thei a ni.
- Damdawi kan ei \henkhat (entir nan, steroid damdawi) hian hormone level a tidanglam thei a.
- A châng chuan heng dinhmunte hi genetic mutations vang pawh a awm thei bawk.
Vawi tam tak chu doctor-te pawhin mi thenkhatin heng natna an vei a, thenkhatin an vei loh chhan chiang takin an sawi thei lo.
Engtin nge natna hi hriatchhuah leh enkawl a nih?
Doctor i pan hunah i symptoms te a zawt hmasa ang che a, physical exam a ti ang. Tichuan, i thisen, i zun leh i hmuiah hormone awm zat enfiah turin test eng emaw zat a ti ang.
Tumor rinhlelhna a awm chuan CT scan (Computed Tomography) emaw MRI scan (Magnetic Resonance Imaging) ang chi scan te pawh tih theih a ni.
A tam zawkah chuan endocrinologist hnenah refer i ni thei.
Enkawl dan tur chu i dinhmun bik a zirin a ni. Condition thenkhatah chuan hormone level siamthat nan damdawi ei a ngai thei bawk. In cases where there are lumps , operation emaw radiation therapy emaw a ngai thei.
A tha ber chu, heng natna tam tak hi hriat hmasak a nih a, uluk taka enkawl a nih chuan , hlawhtling taka enkawl theih an ni a, nun tha tak an nei thei bawk.
Engtikah nge doctor i hmuh ang?
Adrenal gland natna i vei tih hmuhchhuah i nih pawhin a hnuaia symptoms te hi hre reng ang che. Chung zinga pakhat tal i neih chuan Doctor pan rawh.
| Heng symptoms te hi fimkhur rawh. |
|---|
| Chhan awm lovin taksa rihna tihtlem. |
| A bik takin taksa chunglam chu a lian chho zel a. |
| Ni khat chhunga hna thawh zawh theih loh khawpa chau lutuk nia inhria. |
| Natna awm reng emaw, na tak emaw neih. |
| Vun inthlak danglam (a hliam awlsam, stretch marks). |
| Taksa sam sei dan inthlak danglamna danglam tak. |
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
Cortisol level tlahniam thei natna, Addison natna ang chi i neih chuan nunna atana hlauhawm tak , adrenal crisis an tih chu i nei thei a ni. Hei hi taksaa cortisol level hlauhawm taka a tlahniam thut lai a ni.
A hnuaia symptoms te hi a lo lang a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin kal tur a ni.
| Rikrum! (Emergency chhinchhiahna) . |
|---|
| Taksa hnuai lam ( pum, hnungzang, ke) ah natna nasa tak a awm thut. |
| Luak chhuak nasa tak leh luak chhuak. |
| Chak lo lutuk anga inhria. |
| Buaina leh hriatna hloh (confusion). |
| Thisen sugar level hniam (Hypoglycemia). |
| Thisen sang a hniam hle. |
Adrenal insufficiency i neih chuan doctor hnenah injectable glucocorticoid, emergency-a hman theih tur chungchang zawt la. Nang leh i chhungte chu i lak dan tur hriattir a pawimawh.
Take-Home Thuchah a ni
- Adrenal glands hi taksa peng pawimawh tak a ni a, kan taksaah hormone balance vawng reng turin a pui a ni.
- Heng glands-a hormone awmte hi a pung emaw, a tlahniam emaw pawh nise, symptom hrang hrang a awm thei.
- Symptom rinhlelh awm tak tak i neih chuan guess suh la, doctor pan ngei ang che.
- Heng natna tam tak hi a hmaa hriatchhuah leh enkawl dan dik a nih chuan hlawhtling taka enkawl theih a ni.
- Emergency symptoms (adrenal crisis ang chi) a lo awm chuan damdawi in Emergency Treatment Unit (ETU)-ah kal nghal vat tur a ni.
- I damdawi lam dinhmun chu chiang takin hre rawh. Doctor zawhna zawh pawh hlau suh.
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