Kawngpuiah i kal laiin ui pakhatin a rawn zuang nghal che tih han mitthla teh. A nih loh leh exam pawimawh tak i neih hmaa i nervous feeling kha... I thinlung chu a na zual tan a, i taksa chu a vawt a, a thawmhnaw a chhuak a, i mit a lian bawk. Second tlemte chhung chu i taksa pum pui chu insual lian tak emaw, tlan chakna emaw atan a inbuatsaih a. Hei hi ' fight-or-flight ' response kan tih chu a ni. Heng zawng zawng hnuaiah hian kan taksaah hian superhero pahnih an awm a. Chungte chu Epinephrine (Epinephrine) leh Norepinephrine (Norepinephrine) te an ni. Vawiin hian heng pahnih chungchang hi kan sawi dawn a ni.
Epinephrine leh Norepinephrine hi tuin nge sawi?
A awlsam zawngin, heng pahnih hi kan taksaa palai an ni. An pahnih hian thil pahnih an ti thei.
1. Hormone angin: Hormone hi chemical messenger a ni a, kan thisenah a kal a, taksa peng hrang hrangte chu "hetiang hian ti rawh" tiin a hrilh thin. Epinephrine leh Norepinephrine hi kan kal (kidney) chunga awm gland te tak te pahnih (adrenal glands) atanga siam a ni ber.
2. As neurotransmitters : Heng chemicals te hi kan thluak leh nervous system chhunga nerve cell trillion tam tak inkara message thawn chhuaktu an ni. Kan thinlung thawk atanga kan rilru natna thlengin an thunun thei a ni.
Heng pahnih hi chemical pawl pakhat catecholamines an tih zinga mi an ni . He pawla member lian dang chu dopamine a ni . Heng chemical pathumte hian an thawk dun vek a, i taksa chu i stress hunah i inbuatsaih a ni. Mahse dopamine hi kan hlimna, hriatrengna leh ngaihvenna ang chi thila nghawng a neih avangin hriat hlawh ber a ni.
Thil buaithlak tak karah heng hormone level te hi a san chuan i taksa hian a hnuaia mi ang hian a chhang let thin:
* Thluak leh taksa peng hrang hranga thisen kal a tipung.
* I fimkhur tha hle.
* Heart rate a tisang.
* Thisen sang a tisang.
A châng chuan, thisen sang , thunun harsa tak, lungkham fo, luak chhuak, leh lu na nasa tak ang chi natna lan chhuahna awm reng i neih chuan, i doctor chuan heng catecholamines i awm zat enfiah nân thisen leh zun test a ti thei a ni. Hengte hi a tam reng chuan kal (kidney) chhehvela glands cancer chi khat hmuh tur awm lo tak a nihzia a tilang thei a ni.
Engtin nge heng pahnih hian hna an thawh dan a inang lo?
Epinephrine leh norepinephrine te hi thawk dun mahse, an hnathawh ber chu a danglam deuh hlek a ni. Engtin nge tih hi han thlir ila.
| Norepinephrine (Noradrenaline) hnathawh dan . | Epinephrine (Adrenaline) hnathawh dan . |
|---|---|
| Neurotransmitter angin a thawk fo thin a, chu chu thluak atanga taksa peng dang thlenga thuchah a thawn tihna a ni. | Hormone angin a thawk fo thin . Stress laiin adrenal glands atangin a chhuak thin. |
| It's active in the body at all times , stress lai chauh ni lovin. A hnathawh ber chu kan thisen sang tihreh a, mut leh harh dan tihreh (zing thawh that nan a pui a), nilengin kan fimkhur theih nan min pui bawk. | A hnathawh ber chu ‘Fight-or-Flight’ response , emergency atan taksa a buatsaih thin. |
| Thisen kalna kawng tihtlem hian thisen sang control naah hmun pawimawh tak a chang a ni . Mahse, a level a san zel chuan thisen sang a awm thei a ni. | Emergency-a natna hriatna a tiziaawm. Hei hian hliam tuar mah ila tlan emaw, insual emaw a phalsak a ni. Hun engemaw chen chu i chakna a tipung bawk. |
| Level hniam hi rilru lam hriselna lama harsatna nei depression leh ADHD te nen a inzawm a ni . Level sang tak tak chuan euphoria nasa tak a thlen thei a, mahse panic attack a thlen thei bawk . | Stress sang zel chuan rilru hahdam lohna, mut theih lohna, leh thinlung tichhe thei pawh a thlen thei . |
Hengte hi engtin nge damdawi atan an hman?
Heng pahnih hian taksaah nghawng rang tak leh thuk tak a neih theih avangin doctor-te pawhin damdawi atan an hmang bawk.
Norepinephrine hi engtikah nge pek tur
Norepinephrine hi emergency-a thisen sang hlauhawm tak (thisen sang ) tihpun leh vawn thatna tur a ni. Chutiang case chu:
- Cardiac Arrest a ni
- Septic Shock (infection na tak avanga nunna atana hlauhawm shock) .
- Spinal anesthesia neih laiin (Spinal Anesth ESI a) .
- Damdawi thenkhat avanga reaction-ah
- Thinlung chhehvela tui awmkhawm (pericardial tamponade) ang chi thilah chuan .
Tin, attention deficit hyperactivity disorder (ADHD) damdawi leh antidepressant thenkhat chuan thluaka norepinephrine level tihsan hmangin hna an thawk bawk.
Epinephrine (Adrenaline) hi engtikah nge pek tur?
Synthetic epinephrine hi thil pawimawh takah damdawi atan hman a ni.
- Cardiopulmonary resuscitation (CPR) neih chhung hian .
- Mit surgery neih chhung hian mitmeng chu dilated takin dah thin ang che.
- Septic shock-ah thisen sang a tisang
- Asthma natna (inhaler angin) ah chuan thawkna kawng hawn rawh .
Anaphylaxis tan Epinephrine hman a pawimawhzia
Epinephrine hmanna pawimawh ber pakhat chu allergy na tak, nunna atana hlauhawm tak, anaphylaxis an tih, emergency treatment atan a ni.
Mi pakhatin buhfai, shrimp, a nih loh leh wasp-in a seh ang chi thil ei harsat thut ang che.
- Throat a tight a, a hring bawk
- Thâwk a harsa chho zel.
- Khuh, thawk hah.
- Mumang ang maiin a lang.
Hetiang hunah hian nunna chhanhimtu damdawi chu epinephrine a ni. Hei hi auto-injector pen (EpiPen ang chi) hmanga pek a ni tlangpui. Allergy na tak nei te chu an doctor te chuan he pen hi engtik lai pawhin an hnenah dah turin an hrilh fo thin. A chang chuan, symptoms a lan veleh inject nghal a ngai thin. Thâwk harsa ang chi natna lan chhuahna na tak takte chu rang takin a thunun thei a ni.
Pawimawh tak: Epinephrine injection hman a nih a, a natna lan chhuah dan a reh vek a nih pawhin, damdawi in hnai ber Emergency Department (ETU)-ah kal nghal emaw, 1990 Suwaseriya-a biak emaw a pawimawh hle. Hei hi damdawi a lo chhe tawh hnuah symptom a lo lang leh thei vang a ni.
Hengte hi taksaah a tawk lo a nih chuan eng nge thleng ang?
A chang chuan kan taksa hian heng hormone te hi a siam tlem thei hle. Hei hi a chhan chu a buaithlak thei hle a, doctor chauhvin a chhui chhuak thei a ni.
Norepinephrine level hniam avanga harsatna awmte:
- Lungkhamna leh Depression
- ADHD a awm
- Lu na
- Hriatrengna leh mut harsatna
- Thisen sang hniam (Hypotension) .
- Thisen thlum hniam (Hypoglycemia) .
Epinephrine level hniam avanga harsatna awmte:
- Lungkhamna leh Depression
- Lu na
- Mut harsatna a awm
- Thisen thlum hniam (Hypoglycemia) .
Hetiang symptoms i neih chhunzawm zel chuan a tha ber chu i doctor nen inbiak hi a ni.
Take-Home Thuchah a ni
- Epinephrine (Adrenaline) leh Norepinephrine te hi ‘Fight-or-Flight’ response-a player pawimawh pahnih an ni a, chu chuan i taksa chu hlauhawm laka a buatsaih a ni.
- Norepinephrine hi neurotransmitter a ni a, hnathawhna hmunah a awm reng a, thisen sang, ngaihven leh mut ang chi thil a control thei a ni.
- Epinephrine hi hormone a ni a, chu chu sudden stress lai hian a thawk nasa ber a ni.
- Norepinephrine hi thisen sang tihsan nan damdawi atan hman a ni a, hei hi a hniam lutuk a, nunna atana hlauhawm a ni.
- Epinephrine hi allergy na tak (anaphylaxis) nei tan chuan nunna chhanhim thei a ni.
- Harsatna awm reng, lungkhamna, lu na, thisen sang inthlak danglam ang chi i neih chuan doctor hnenah thurawn dil ngei ang che.
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