Kawngpuiah uiin a rawn um nghal che a, a nih loh leh i exam question paper i kuta i ken chuan i rilru put hmang kha i hre reng em? I thinlung a na a, i thinlung a na zual a, i taksa a vawt a, a thawmhnaw a chhuak bawk... Hei hi " fight-or-flight " response kan tih chu a ni. Chu chu taksain "insual emaw tlan emaw" tura a inbuatsaih dan a ni. Hetih lai hian kan taksaah hna thawk mek adrenaline tih hi kan hre vek tawh. Mahse, a unaupa, adrenaline nen a inang hle a, mahse a danglam deuh deuh tih i hre tawh em? Norepinephrine an ti a. Vawiin hian heng pahnih chungchang hi kan sawi dawn a ni.
Heng catecholamines te hi engte nge ni?
A awlsam zawngin sawi ila, Norepinephrine leh Epinephrine hi hormone pawl pakhat ‘Catecholamines’ an tih zinga mi pahnih an ni. Heng hormone te hi kan taksaah hian kal (kidney) chunga awm gland te tak te pahnih atanga siam a ni. Hengte hi ‘Adrenal Glands’ kan ti thin. A châng chuan hengte hi thluak hian ‘Neurotransmitters’ tiin a siam bawk a, chu chu chemical messenger, nervous system-a thuchah kengtu a ni.
He pawla member pawimawh dang chu dopamine a ni . Hlauhna emaw, hlauhawm emaw, lungkhamna emaw i neih chuan heng hormone pathumte hian i taksa chu an buatsaih a ni. Hengte hi i taksaah a tam lutuk chuan, .
- Thluak leh taksa peng hrang hranga thisen kal zat a pung a.
- Ngaihtuahna leh fimkhurna a pung.
- Heart rate a sang chho zel.
- Thisen sang a sang chho zel a.
A châng chuan, enkawlnain a thunun theih loh thisen sang, lungkham fo, luak chhuak, leh lu na nasa tak ang chi symptoms awm reng i neih chuan, i doctor chuan heng catecholamines i awm zat enfiah turin thisen leh zun test turin a ti thei a ni. Hengte hi a tam reng chuan cancer chi khat, adrenal glands-a lo awm thin a ni thei.
Norepinephrine leh Epinephrine - Mi pahnih tan hna pahnih
Heng pahnih hi thawk ho mah se, an hnapui ber chu a inang lo deuh a ni. Chu chu engtin nge a thawh tih i en ang u.
| Norepinephrine (Noradrenaline) tih hi a tha hle. | Epinephrine (Adrenaline) tih hi a tha hle. |
|---|---|
| Vawi tam tak chu neurotransmitter a niNervous system-ah messenger angin a thawk a ni. | Hormone angin a thawk fo thin . Emergency-ah chuan adrenal gland atangin thisenah a chhuak thin. |
| Taksaah a thawk reng a, mut, ngaihtuahna leh thisen sang ang chi thilte a thunun a ni. | A bik takin emergency lai chauha kalpui a ni . |
| A hnathawh ber chu thisen kalna kawng (blood vessels) tihkhawtlai hmanga thisen sang vawn that hi a ni. | A hnathawh ber chu heart rate tih chak a, chakna tihpun leh natna hriat theihna tihtlem a ni. |
Norepinephrine hmang hian eng nge thleng?
Norepinephrine hi kan taksaah controller on reng ang mai a ni. Emergency-ah chauh ni lovin, nitin nunah pawh a thawk thei.
- Ngaihtuahna leh mut: Norepinephrine hian zingkar a thawh theih nan a pui a, nitin i fimkhur leh i ngaihtuahna fim tak a pe bawk. I ding nghal mai pawhin i active reng theih nan norepinephrine engemaw zat a chhuak thin.
- Thisen sang: Thisen kalna kawng a tikhawlo a, thisen sang a tlak hniam lutuk loh nan. Mahse, he level hi a sang reng chuan thisen sang a thlen thei a ni.
- Emotions: Level hniam hi depression leh rilru lam hriselna lama harsatna dangte nen a inzawm a ni. Tin, norepinephrine a pun nghal chuan hlimna leh hlauhna rilru a thlen thei bawk .
Epinephrine (Adrenaline) hi eng nge thleng?
Epinephrine hi kan hriat vek adrenaline a ni. Emergency-a hero ang maia chhanchhuaktu a ni.
- Chakna leh chakna: Heart rate leh thisen sang a tisang a, thisenah sugar (glucose) a dah belh a, instant energy a pe che a ni.
- Natna tihziaawmna : Hliam i tuar a nih pawhin hun eng emaw chen chu natna chu a ti reh thei a, insual emaw tlan chhunzawm zel turin a pui thei che a ni.
- Energy tihpun: Epinephrine hian hun engemaw chen atan i chakna a tipung thei bawk.
Amaherawhchu, mi rilru hahna nei reng rengah epinephrine level a sang reng a nih chuan, a rilru hahdam lohna, mut theih lohna leh thinlung a tichhe thei hial a ni.
Engtin nge hengte hi damdawi atan an hman?
An pahnih hian thiltithei tak, nghawng nghal mai an neih avangin doctor-te pawhin damdawi atan an hmang bawk.
| Norepinephrine hi engtikah nge pek tur | Epinephrine pek hun tur |
|---|---|
| Thisen sang chu nunna atana hlauhawm level (e.g., septic shock, cardiac arrest) a tlahniam chuan tihsan nan. | Lung a tawp hunah resuscitate (CPR) turin. |
| Spinal anesthesia avanga pressure a tlahniam chuan. | Allergy na tak (anaphylaxis) avanga emergency treatment angin . |
| ADHD leh antidepressant damdawi thenkhat chuan thluaka Norepinephrine level tihpunna hmangin hna an thawk a ni. | Asthma natna vei tan chuan boruak kawng hawn nan . |
| Spinal cord hliam avanga neurogenic shock a awm chuan. | Mit surgery neih laiin mitmeng (pupil) a lian zel theih nan. |
Epinephrine leh allergy na tak (Anaphylaxis) .
Epinephrine hmanna pawimawh ber pakhat chu allergy na tak (anaphylaxis) avanga emergency treatment atan a ni a, hei hian nunna a tichhe thei a ni. Mi thenkhat chuan ei tur thenkhat emaw, insect stings (e.g., wasp stings) an ei hnuah he natna hi an nei thei a ni.
Anaphylaxis natna lan chhuah dan thenkhat chu:
- Throat swelling emaw, tightness emaw a awm
- Thâwk harsa
- Chest tightness emaw khuh emaw
- Luak chhuak emaw, hriatna hloh emaw
Allergy na tak nei te chu doctor-in a pek epinephrine auto-injector (EpiPen ang chi) keng reng turin an chah. Inject vat chuan allergy a awm chuan nunna a chhanhim thei a ni.
Pawimawh tak: Epinephrine injection hmang chung pawha i natna lanchhuahna chu a reh vek loh emaw, natna lan chhuah lehna emaw a nih chuan damdawi in Emergency Department (ETU) pan nghal a pawimawh hle.
Heng hormone te hi taksaah a tlahniam a nih chuan eng nge thleng ang?
A chang chuan kan taksain heng hormone a siam chhuah hi a tlahniam thei a ni. Heng hormone level hniam hi hriselna lama harsatna hrang hrang nen a inzawm thei a ni.
- Norepinephrine level hniam nena inzawm harsatna: Lungkhamna, lungngaihna, ADHD, lu na, hriatrengna hloh, mut harsatna, thisen sang hniam.
- Epinephrine level hniam nena inzawm harsatna: lungkhamna, lungngaihna, lu na, mut harsatna, thisen sugar level hniam (hypoglycemia).
Hetiang symptoms i neih chuan doctor nen inbia a, a chhan dik tak chu heng hormone level inthlak danglam vang a ni em tih hriat a tha ber.
Take-Home Thuchah a ni
- Norepinephrine leh epinephrine te hi "fight-or-flight" hormone pahnih an ni a, hlauhna emaw, hlauhawm emaw i neih hunah an pui thin.
- Norepinephrine (Noradrenaline) hi taksa thermostat ang mai a ni. A thawk reng a, ngaihven leh thisen sang ang chi thil a control reng a ni.
- Epinephrine (Adrenaline) hi kangmei alarm ang mai a ni. Emergency-ah chauh a off a, instant boost a pe che a ni.
- Damdawi angin Norepinephrine hi thisen sang na tak tihsan nan hman a ni ber a, Epinephrine hi allergy na tak (anaphylaxis) enkawlna nghal atan hman a ni.
- Heng hormone level inthlauhna hian i taksa leh rilru hriselna a nghawng thei a, chuvangin ngaihtuahna i neih chuan doctor rawn la.
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