Kawngpuiah i kal a, rang takin ui a rawn zuang chhuak ang tih han ngaihtuah teh. A nih loh leh exam pawimawh tak i nei dawn ta. I heart rate a sang nghal a, i thawk a hah a, i mit a zau a, i taksa pum pui chu high alert-ah a lut nghal vek a ni lawm ni? I taksa peng te tak te, mahse thiltithei tak tak chuan chutiang emergency emaw, stress emaw atan chuan a buatsaih nghal che a ni. Vawiin hian kan taksaa ‘emergency response center’, Adrenal Medulla chungchang kan sawi dawn a ni.
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Adrenal Medulla hi eng nge ni? Khawiah nge a awm?
A awlsam zawngin sawi ila, Adrenal Medulla hi kan taksa chhunga Adrenal Glands chhungril ber a ni. Mango khur ang maiin Medulla hi Adrenal Gland chhungril ber a ni. Adrenal Glands hi gland te tak te pahnih, kan kal chungah a thu a, lukhum pahnih ang mai a ni.
Adrenal gland hi chi hnih ah then a ni a, chungte chu:
1. Adrenal Cortex: Hei hi gland a lian ber a ni a, pawn lam a awm a ni.
2. Adrenal Medulla: Hei hi tunlaia kan sawi tak gland chhunga hmun te tak te hi a ni.
Heng hmun hnih hian hormone chi hrang hrang a siam chhuak a. Adrenal medulla hian kan autonomic nervous system control tu hormone a siam chhuak ber a ni. Autonomic nervous system hi kan hriat chian loh thil, heart rate, thawk leh thawk hah te control tu system a ni. Chuvangin adrenal medulla chanvo hi a pawimawh hle.
He part tenau tak hian eng thil lian tak nge a siam?
Adrenal Medulla hnathawh ber chu stress chhan let hi a ni . Chu chu thil hlauhawm emaw, emergency emaw hmachhawn tura kan taksa buatsaih tur tihna a ni. Hei hi ‘Fight-or-Flight’ chhanna kan ti a ni . Sinhala tawng chuan "fight-or-flight response" tihna a ni.
Zanah khawlaia kea i kal a, mi pakhatin a rawn zui che ang maia i inhriat chuan i taksaah eng nge thleng ang?
- Heart rate chu a sang nghal zung zung a.
- Thâwk lak chakna a sang chho zel.
- Mit mitmeng (pupil) te chu a lian a, mit a fiah zual bawk.
- Thisen tam zawk chu ke ruhteah a luang a, chu chuan tlan emaw, insual emaw atana chakna mamawh a pe a ni.
- Natna hriatna chu rei lo te chhungin a tlahniam thin.
Heng zawng zawng hi second tlemte chhungin hormone pawl pakhat catecholamines an tih vang a ni a, chu chu adrenal medulla atanga chhuak a ni. Hengte hian kan taksa ‘emergency alert’ a tichak a ni.
Catecholamines hi chi hnih a awm a, chungte chu:
1. Adrenaline - Hei hi a hming dang chu Epinephrine a ni.
2. Noradrenaline - Hei hi a hming dang chu Norepinephrine a ni.
Heng hormone pahnih hnathawh dan hi ngun zawkin han thlir ila.
| Hormone a ni | Taksa chunga nghawng a neih dan |
|---|---|
| Adrenaline/Epinephrine hmanga siam a ni |
|
| Noradrenaline/Norepinephrine hmanga tihdam theih a ni |
|
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Check Availability →Adrenal Medulla hi eng ang structure nge ni?
He taksa peng te tak te hian a hna dik taka thawk turin structure bik a nei a.
- Thisen supply: Adrenal medulla hian thisen supply a nei lian hle a. Hei hi a chhan chu emergency-a hormone chhuakte hi taksa pum puiah rang taka thawn chhuah a ngai a ni. Thisen kalna kawng lian tak tak, abdominal aorta atanga lo chhuak branch atanga thisen a dawng thin.
- Nerve supply: Medulla hian kan autonomic nervous system-a tel, greater splanchnic nerve atanga signal a dawng thin. Thluak hian "Danger, act now!", tih signal a dawn chuan he nerve hmang hian medulla chu a tichak a ni.
- Chromaffin cells: Hengte hi adrenal medulla-a cell chi hrang hrang specialized ber an ni. Heng cell-ah hian granule te tak te, hormone adrenaline leh noradrenaline te nen a khat a awm a. Nerve signal a lo thlen chuan heng cell te hian an hormone packet te chu thisenah direct in an chhuah tir thin.
Adrenal Medulla-ah hian eng harsatna nge thleng thei?
Adrenal medulla disorder hi a tlem hle , mahse a lo awm chuan nunna atana hlauhawm tak a ni thei. Heng harsatna tam zawk hi chu medulla-a tumor lo awm vang a ni. Heng tumor tam zawk hi non-cancerous (benign) an ni. A chang chuan rochun theih an ni.
Hengte hi lumps chi hrang hrang hmuh tur lian ber berte chu tarlan a ni.
| Tumor chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Pheochromocytoma natna a ni | Hei hi adrenal medulla-a tumor chi khat awm tam ber a ni. He tumor hian hormone adrenaline leh noradrenaline te chu thunun theih loh khawpin a tichhuak a, chu chuan thisen sang chu hlauhawm takin a tisang a ni. |
| Paraganglioma natna a ni | Hei hi pheochromocytoma ang chi tumor a ni a, mahse adrenal gland pawnah, nervous tissue-ah a lo awm a ni. |
| Neuroblastoma natna a ni | Hei hi cancer a ni a, nerve tissue atanga intan a ni a, naupang te leh nausen te zingah a tam ber. |
| Ganglioneuroma natna (Ganglioneuroma) a ni | Hei hi cancer ni lo tumor a ni a, autonomic nervous system cell atanga lo piang a ni. Puitling leh naupangah pawh a awm thei. |
Hetiang harsatna chi hrang hrang chhinchhiahnate chu engte nge ni?
Heng tumor tam tak hi an thang zawi hle a, chuvangin a tir lamah chuan symptom engmah an nei lo mai thei. A châng chuan, natna dang (adrenal incidentaloma) CT emaw MRI scan-naah accident-in hmuh an ni ṭhin .
Mahse, tumor hian hormone tam lutuk a chhuah tan chuan symptoms a lang thei. A bik takin Pheochromocytoma vang a niHetiang lump nei tan chuan taksain stress awlsam tak pawh a chhanlet dan hi a sawi uar thei hle. A châng chuan, hmalam pan emaw, ei tûr ṭhenkhat ei emaw ang chi thil awlsam tak pawh hian natna lan chhuahna hlauhawm tak a thlen thei a ni. Hetiang dinhmun hi hypertensive crisis kan ti a .
Hypertensive crisis hi natna hlauhawm tak a ni a, emergency medical treatment a ngai a ni. Thisen sang chu a sang chho nghal a, a sang hle.
Chutiang harsatna karah chuan symptoms lo awm thei chu:
- Lu na na tak
- A rilru a na
- Thaw tam lutuk (hyperhidrosis) .
- Thâwk harsa (dyspnea) .
- Nausea leh luak chhuak
- Lung na tak tak
- Thil hriatna hloh (syncope) .
- Seizures a awm thin
Hetiang symptoms hi a lo lang nghal a nih chuan damdawi in Emergency Treatment Unit (ETU) pan nghal a pawimawh hle .
Hormonal imbalance avanga lo awm thei dinhmun dang
Adrenal medulla (a bik takin noradrenaline) atanga hormone chhuak hi kan mood leh rilru hriselna nen a inzawm tlat a ni. Hun rei tak chhunga heng hormone tam lutuk hian rilru lam harsatna thenkhat a thlen thei a ni.
Chutiang dinhmun thenkhat chu hetiang hi a ni:
- Hlauhthawnna
- Lungngaihna
- Panic disorder a ni
- Ngaihtuahna tlakchhamna lama harsatna (ADHD) .
- Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
- Addiction a ni
Chumi awmzia chu heng natna zawng zawng hi adrenal medulla-a harsatna awm vang a ni tihna a ni lo. Mahse, heng hormone-te inthlauhna hian heng symptoms te hi a thlen thei a, a tizual thei bawk.
Heng natnate hi eng enkawlna nge ni?
Enkawl dan tur chu i natna hmuhchhuah leh i natna lan chhuah dan nasat danah a innghat a ni. I doctor chuan a enfiah ang che a, enkawl dan tur dik ber a rawn rawt ang che.
- Hypertensive Crisis enkawl dan: Hei hi emergency a nih avangin rang taka thisen sang tihhniam nan damdawi inah enkawl a ni. Chumi atan chuan damdawi, vasodilators (thisen kalna tizau thei damdawi) te chu thisen kaltlangin an pe thin.
- Tumor leh cancer enkawl dan: Tumor tam zawk hi surgery hmanga lakchhuah a ngai a ni. A châng chuan adrenal gland pakhat emaw, pahnih emaw chu lak chhuah a ngai thei bawk. Tumor hi cancer a nih chuan radiation emaw chemotherapy emaw ang chi enkawlna a ngai thei bawk.
Adrenal Medulla hrisel taka awm theih nan eng nge kan tih ang?
Kan taksa pum pui hrisel taka vawn hi taksa peng zawng zawng hnathawhna atan a \angkai a, Adrenal Medulla pawh a \angkai hle. A bik takin, chronic stress hian he system hi a thawk nasa lutuk thei a, hahna a thlen thei bawk. Chuti a nih chuan hengte hi kan enkawl a pawimawh hle a ni.
- Nunphung chak tak: Exercise neih fo hian stress control-na kawngah kawng thui tak a zawh a ni.
- Nutritious diet: Thlai, thei leh thlai chi hrang hrang ei tur inthlau tak ei thin ang che.
- Tui tlem in: Taksa hnathawh zawng zawngah tui hi a pawimawh hle.
- Stress management: Thâwk thûk taka exercise, ngaihtuahna leh i duhzâwng hobby-a inhmang hmangin i rilru chu ti thlamuang rawh.
- Preventive Care: Damdawi lam enfiah fo la, i taksa hriselna enkawl rawh.
He thuziaka tarlan symptoms chungchangah hian rinhlelhna emaw, ngaihtuahna emaw i neih chuan i doctor rawn la, sawiho rawh . A bik takin endocrinologist chuan kaihhruaina dik ber a pe ang che.
Take-Home Thuchah a ni
- Adrenal Medulla hi adrenal glands chhungril ber a ni a, kan kal (kidney) chungah a awm a ni. Kan taksa ‘emergency response center’ ang mai a ni.
- Stress a nih chuan he part hian ‘fight-or-flight’ response atan hormone adrenaline leh noradrenaline te a tichhuak thin.
- Adrenal medulla nena inzawm natna hi a tlem hle a, mahse tumor (a bik takin pheochromocytoma) hian thisen sang hlauhawm tak a thlen thei a ni.
- Lu na tak tak, rilru na, leh thawk hah lutuk ang chi symptoms te hi hypertensive crisis chhinchhiahna a ni thei. Chutiang hunah chuan damdawi in pakhat Emergency Department (ETU)-ah i kal nghal tur a ni.
- Nun hrisel (ei leh in tha, exercise, stress management) hian he hormonal system hi a balance thei a ni.
- I hriselna chungchangah ngaihtuahna i neih chuan, i doctor hnen atanga thurawn lak a pawimawh hle , rinhlelh ai chuan.
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