Hlauhna emaw, hlauhna emaw lo chhuak nghal mai i nei ngai em? A nih loh leh, i rilru hahna nasa tak i tawh laiin chakna a lo chhuak nghal mai ang tih i inhria em? Mite’n harsatna an tawh laiin thil mak tak tak an tih i hmu tawh mai thei. Heng zawng zawng hnuaiah hian i kal chungah awm, triangular gland te tak te pahnih a awm a. Hengte hi adrenal glands kan ti a . Mi thenkhat chuan adrenal glands an ti bawk. Hming lamah chuan te tak te pawh ni mah se, an hnathawh hi a tlem lo tak zet a ni. Heng mi huaisen te pahnih hian kan taksa nitin hnathawh tam tak an thunun a ni. Chuvangin, vawiin hian heng adrenal gland te tak te mahse pawimawh tak tak te hi kan sawi dawn a ni.
Adrenal glands hi eng nge ni tak tak?
A awlsam zawngin, adrenal glands hi kan kal chungah awm, cap ang chi gland te tak te pahnih a ni . Kan taksa endocrine system-a tel an ni.
Tunah chuan endocrine system hi eng nge ni tih i ngaihtuah mai thei. Kan taksa chhungah hian inbiakpawhna network lian tak a awm tih han ngaihtuah teh. He network chhunga hmun hrang hrangah hian factory te tak te ang maia gland a awm a. Heng factory te hian palai bik an siam a, thisenah an chhuah tir thin. Heng tirhkohte hian thisen kal tlangin taksa pum puiah an fang kual a, taksa peng hrang hrangte hnenah tih tur leh tih tur an hrilh thin. Chu thuchahte chu hormone kan ti a .
Chuvangin, he inbiakpawhna network pumpui, chu chu heng gland leh hormone zawng zawng hi an inzawm khawm chuan endocrine system kan ti a ni. He system-a tel gland dangte chu:
- Hypothalamus a ni
- Pituitary gland a ni
- Thyroid gland a ni
- Pancreas a ni
- Hmeichhe ovary
- Mipa testicle (Testes) 1.1.
Heng gland zawng zawng hi team tha tak angin an thawk dun a, kan taksa chhunga thil tam tak an thunun a ni. Adrenal glands te hi he team member pawimawh tak an ni.
Heng gland te te hian kan taksa tan eng rawngbawlna nge an pek?
Adrenal glands hian kan nunna atana pawimawh hormone chi hrang hrang a siam chhuak a. Heng hormone tin hian hna hrang hrang an nei a. Hormone bulpui leh an thil tih dan hi han thlir ila.
| Hormone a ni | A hnathawh dan mai mai a ni |
|---|---|
| Cortisol a ni | Hei hi "stress hormone" kan tih chu a ni. Rilru lam emaw, taksa lam emaw pawh ni se, lungkhamna nasa tak kan neih hian he hormone hian tuar chhuak thei turin chakna min pe a ni. Chu mai ni lovin, kan eitur a thau, protein leh carbohydrates te kan hman dan a thunun a, taksaa inflammation a tihziaawm a, thisen sang a control a, thisen sugar level a tisang a, kan mut leh harh dan a tidanglam thei bawk. |
| Aldosterone a ni | Kan taksa pressure, chi leh tui inthlauhna siamtu manager ang mai a ni. He hormone hi kan thisena sodium leh potassium (electrolytes) level control nan leh thisen sang level dik taka vawn nan a pawimawh hle. |
| DHEA leh Androgenic Steroid te a awm bawk | Chungte chu mipa hormone chak lo tia hriat a ni. Direct effect nei lo mah se, hmeichhe ovary-ah hmeichhe hormone (estrogens)-ah an inthlak a, mipa testicles-ah mipa hormone (androgens)-ah an inthlak bawk. |
| Adrenaline leh Noradrenaline te a awm bawk | Chungte chu "fight or flight" hormone an ti a. Kawngpuiah i kal a, rang takin ui pakhatin a rawn bei che ang tih han ngaihtuah teh. Chutih lai tak chuan i thinlung chu a na zual sauh a, i taksa chuan tlan chakna a nei a, i mit a chhing a, a dik em? Heng hormone pahnih hian chu emergency atan chuan a buatsaih che a ni. I heart rate a tisang a, thluak leh taksa peng hrang hranga thisen kalna a tipung a, thisen thlum hmannaah a pui bawk. |
A awlsam zawngin sawi ila, adrenal glands hi thil tam takah direct-in a inrawlh a, chung zingah chuan i taksa thisen sang, chi leh tui balance, stress i hmachhawn dan, chakna i hman dan leh mipat hmeichhiatna lama mizia lo piang chhuak te pawh a tel.
Adrenal glands hian anmahni chauhin he hna hi an thawk em?
No. Adrenal glands hi autonomous entity an ni lo. Thluak chhunga control center hrang hrang atangin thupek an dawng thin.
Hei hi company lian tak ang a ni.
- Chief Executive Officer (CEO): Thluak lam a niHypothalamus hi CEO a ni. Thil awmdan hrethiam a, thuchah thawn chhuaktu a ni.
- Manager: Manager hi thluaka pituitary gland a ni. CEO hnen atanga thuchah a dawn chuan adrenal glands te hnenah, "Okay, tunah hian hna thawk tan rawh," a ti thin.
- Hnathawktu: Adrenal gland hi a kaihhnawih hormone (e.g. cortisol) siam chhuaktu leh thisenah chhuahtirtu a ni a, chu chu manager-in a tih angin a ni.
Hei hi system hnathawh dan a ni. Tin, adrenal glands te hian kidney atanga signal lo chhuak atang hian aldosterone hormone engzat nge siam tur tih an rel bawk. Chumi awmzia chu heng zawng zawng hi taksaa balance awm reng turin an inzawm khawm vek tihna a ni.
Engtin nge adrenal gland chhungril hi a lo awm?
Pawn lam atanga thlir chuan adrenal gland hi thil pakhat ang mai ni mahse, a bulpui ber pahnih a nei a. Thei te tak te ang mai a ni. Pawn lam leh chhung lam a inang lo.
1. Cortex - Pawn lam: Hei hi gland a lian ber a ni. Thei vun leh pith ang deuh a ni. He pawn lam hian steroid hormone cortisol leh aldosterone te a siam chhuak thin.
2. Medulla - Inner part: Hei hi gland chhungril ber a ni. Thei rah khur ang mai a ni. "Fight or flight" hormone adrenaline leh noradrenaline te hi he chhungril lam ah hian siam a ni.
Heng hmun hnih atanga hormone siam chhuah chi hrang hrang leh an hnathawh dan hi a inang lo vek a ni.
Adrenal glands tel lovin nun theih a ni em?
Hei hi mi tam takin zawhna an neih a ni. Adrenal glands atanga siam cortisol ang hormone te hi kan nunah a pawimawh hle. Mahse, damdawi lam thil engemaw (e.g. cancer) avang hian adrenal gland pahnih hi operation hmanga lak chhuah a ngai fo thin (adrenalectomy).
Chutiang a nih chuan, chu mi chuan chu hormone chu a dam chhûng zawng damdawi atân pâwn lamah a ei a ngai dâwn a ni . Chu hormone te chu uluk taka an ei chuan nun pangngaiin an nung thei a ni. Chuvangin, glands tel lo pawhin an hormone tel lo chuan an nung thei lo.
Adrenal gland natna a awm thei em?
Awle. Organ dang ang bawkin damdawi lam thil engemaw zat a awm a, chu chuan adrenal glands a tichhe thei a ni. Heng harsatnate hi chhan pahnih vang a ni ber:
- Hormone siam tam lutuk: Gland chu a thawk nasa lutuk a, a tul aia tam hormone a siam chhuak a nih chuan.
- Hormone siam chhuah tlem: Gland hian hormone mamawh zat a siam thei lo a nih chuan, a chhiat vang emaw, thil dang vang emaw pawh nise.
Heng dinhmunte hi a lo awm theih chhan hrang hrang a awm a:
- Genetic mutations a awm thin
- Autoimmune diseases - Hei hian kan taksa invenna (defence system) ngeiin adrenal glands a bei tihna a ni.
- Tumor siam chhuah.
- Accident, infection, thisen chhuah avanga glands chhiatna.
- Thluaka hypothalamus emaw pituitary gland emaw chungchanga harsatna awm. (Manager-in harsatna a neih chuan Hnathawktuin hna a thawk tha thei lo tih hre reng ang che.)
- Steroid damdawi thenkhat hun rei tak hman.
Damdawi lam harsatna lian ber ber thenkhat chu:
- Addison natna: Hei hi hormone cortisol leh aldosterone te hi a tam tawk lo a siam chhuah loh vang a ni. Hei hi immune system lama harsatna avanga lo awm a ni fo.
- Cushing’s syndrome: Hei hi taksain hormone cortisol a siam chhuah tam lutukna a ni. Hetiang dinhmun hi tumor emaw damdawi thenkhat emaw avanga lo awm thei a ni.
- Congenital adrenal hyperplasia: Hei hi nau piang laia awm thin a ni. He harsatna hi taksain hormone siamna atana enzyme mamawh a tlakchham vang a ni.
- Primary aldosteronism: Hetiang dinhmunah hian hormone aldosterone tam lutuk a siam chhuak thin.
Engtin nge ka adrenal glands ah harsatna ka neih leh neih loh ka hriat theih ang?
Adrenal gland problem symptoms hi eng hormone nge out of balance a zirin a inang lo. A lan chhuah dan tam tak chu natna tlanglawn dang nen a inang a, chuvangin hriat a harsa thei hle.
Hemi chungchang hi a hnuaia table atang hian ngaihdan i hmu thei ang.
| A nghawng system | Symptoms awm thei te |
|---|---|
| Thilsiam (metabolism) a awm | Sawifiah loha taksa rihna sang leh tlahniam, hah reng, thisen sugar sang leh tlahniam, chak lohna te. |
| Immune system a ni | Natna leh natna hrik kai fo thin. |
| Thisen sang a ni | Thisen sang emaw, thisen sang hniam emaw. |
| Mipat hmeichhiatna lama mizia | Hmeichhia hian hmai sam a sei a, sam a tla a, acne a awm a, aw a thuk bawk. |
Engtikah nge doctor i hmuh ang?
A chunga kan sawi tak chhinchhiahna pakhat emaw, a aia tam emaw, a bîk takin sawifiah theih loha i taksa rihna inthlâk danglamna, hah lutuk, a nih loh leh thisen sang inthlak danglamna danglam tak i neih chuan, khawngaihin ngaihthah mai mai suh la, ‘Hengte hi thil pangngai a ni’ tiin ngaihtuah mai suh.
I tih tur chu i chhungkaw doctor (GP) hmu la, he thu hi chiang takin sawi rawh.
I doctor chuan i hormone level chu thisen leh zun test vawi tam tak hmangin a enfiah ang a, a tul chuan. Chutiang test-a thil danglam a awm chuan CT scan emaw MRI scan emaw ang chi test-na atan pawh a refer thei bawk. A tul chuan endocrinologist, endocrine system leh hormone lama tui tak doctor hnenah a refer ang che.
Take-Home Thuchah a ni
- Adrenal glands hi kan kal chungah awm, hormone siamtu gland te tak te pahnih, mahse pawimawh tak a ni.
- Thil pawimawh tam tak, stress hmachhawn te, thisen sang thunun te, leh chakna enkawl te hi heng glands siam hormone te hian a thunun a ni.
- Heng hormone te hi siam chhuah tam lutuk emaw, siam chhuah tlem emaw chuan harsatna a awm thin.
- Sawifiah loh taka taksa rihna inthlak danglam, hah lutuk, thisen sang inthlak danglam, vun inthlak danglam ang chi symptoms i neih chuan ngaihthah suh.
- Ringhlelna emaw, symptom emaw i neih chuan doctor rawn la, thurawn la rawh. Natna hriat hmasak hi enkawl a awlsam zawk hle.
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