Kei te pāngia hoki koe e te ngenge ohorere, te pikinga taumaha ohorere, me te pōhēhē i ētahi wā? He maha ngā wā ka wareware tātou ki ēnei mea, me te whakaaro he mea noa iho. Engari i ētahi wā, tera pea he take kei muri i tēnei mea kāore koe e whakaaro. I tēnei rā, me kōrero tātou mō tētahi wāhanga iti engari he tino nui o tō tātou tinana, arā, ngā repe adrenal, me ngā raruraru e puta mai ana i aua mea.
He aha ēnei repe adrenal?
Ki te whakarapopoto, ko ngā repe adrenal he repe tapatoru e rua kei runga ake i ō tātou whatukuhu, he rite ki ngā potae iti e rua. Ahakoa he iti te rahi, he mahi tino nui tā rātou i roto i tō tātou tinana. Arā, ka whakaputa i ngā homoni hei āwhina i te pupuri i te taurite i roto i tō tātou tinana.
Whakaarohia pēnei: he rite tō tātou tinana ki tētahi miihini matatini. Kia tika ai te mahi a tēnei miihini, me nui ngā mea rerekē e tika ana. Waihoki, ka āwhina ēnei homoni ki te whakahaere i tō tātou pākia o te tinana, te toto toto tiketike, te pūnaha ārai mate, me te āhua o tā tātou whakatau i te ahotea.
E toru ngā momo homoni matua e whakaputaina ana e ēnei repe:
- Cortisol: He homoni matua e āwhina ana i a tātou ki te aro atu ki te ahotea.
- Adrenaline: Ko te homoni e whakarite ana i tō tātou tinana mō tētahi āhuatanga ohorere.
- Aldosterone: He homoni e whakahaere ana i te toto toto me te taumata o te tote me te wai i roto i te tinana.
Ka puta ngā mate e pā ana ki te repe adrenal ina nui rawa, ina ngoikore rānei te hanga o ēnei homoni.
He aha ngā mate o te repe adrenal e tino kitea ana?
He maha ngā āhuatanga o ēnei. Kia mārama ake tātou ki ngā mea matua. Kia māmā ake ai te mārama, ka whakatakotoria e au tēnei ki roto i tētahi ripanga .
| Āhua | Hei whakarāpopototanga, koinei te mea ka tupu. |
|---|---|
| Te mate a Addison | Kāore e nui ngā homoni cortisol me/ranei aldosterone e hangaia ana e te tinana. |
| Te mate Cushing | Te pikinga nui rawa atu o te taumata o te homoni cortisol i roto i te tinana. |
| Te Whakarahi Adrenal Whanau (CAH) | Te korenga, te korenga rānei o ngā whākōkī e hiahiatia ana hei whakaputa homoni i te whānautanga mai. |
| Te Hyperaldosteronism | Te nui rawa o te hanga o te homoni aldosterone i roto i te tinana. |
| Te whakapūtanga o te huakita | Te nui rawa o te whakaputanga o ngā homoni tāne i roto i te tinana. Ka kitea mārama tēnei i roto i ngā wāhine me ngā tama kāore anō kia pakeke. |
Hei tāpiritanga, ka taea hoki ngā mate te puta mai i ngā pukupuku i roto i ngā repe adrenal. Kaua e manukanuka, ko te nuinga o ēnei pukupuku ehara i te matepukupuku (he pai). Heoi, i ētahi wā onge, ka puta anō hoki te matepukupuku (adrenocortical carcinoma).
He aha ngā tohu o ēnei mate?
Ko ngā tohumate e whakawhirinaki ana ki te homoni e iti ana, e teitei ana rānei. Me titiro tātou ki ngā tohumate e puta ana ina rerekē te taumata o ia homoni.
Mena he teitei ake ngā taumata cortisol (pērā i te mate Cushing)
| Tohu | Whakaahuatanga |
|---|---|
| Te whakanui ake i te tinana o runga | Ka nui haere te mata, te kaki, me te puku, ka hiroki hoki ngā ringa me ngā waewae. |
| Ngenge rawa | Te tino ngenge ahakoa kāore he mahi. |
| Te toto toto tiketike me te mate huka | Te pikinga o te toto toto me te huka. |
| Ngā huringa kiri | Te angiangi o te kiri, te ngawari o te marutanga ahakoa he whara iti noa iho. Ka puta ngā tohu totoro whānui, papura te tae ki te puku. |
Mena kua piki ake ngā taumata aldosterone
- toto toto tiketike
- Ngā taumata pāhare pāporo iti i roto i te toto (Hypokalemia)
- Te ngoikore o te tinana
- Te mamae me te kōroke o ngā uaua (ngā kōroke o ngā uaua)
Mena ka piki ake ngā taumata homoni tāne (i roto i ngā wāhine)
Ki te puta tēnei āhuatanga i roto i ngā wāhine, i ngā tama rānei kāore anō kia pakeke, ka tīmata te puta ake o ngā āhuatanga tāne.
- Te tipu o te huruhuru kanohi
- Te ngaro o te makawe (pakira)
- hakihaki
- Te hōhonutanga o te reo (te rite ki te reo tāne)
- Te tipu o te uaua
Ko te mea nui, ka kitea anō hoki ēnei tohu i roto i ētahi atu mate. Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia toro atu koe ki te tākuta kia tika ai te tātaritanga.
He aha i puta ai ēnei mate?
Tērā pea he maha ngā take mō tēnei.
- Te nui rawa, te iti rānei o te hanga homoni e ngā repe adrenal.
- Ka pāngia te mahi a ngā repe adrenal e tētahi raruraru o tētahi atu repe, pērā i te repe pituitary i roto i te roro.
- Ka taea e ētahi rongoā e tangohia ana e tātou (hei tauira, ngā rongoā steroids) te whakaputa huringa ki ngā taumata homoni.
- I ētahi wā ka puta anō hoki ēnei āhuatanga nā ngā whakarerekētanga ira .
He maha ngā wā, kāore e taea e ngā tākuta te kī tika he aha i pāngia ai ētahi tāngata e ēnei mate, ko ētahi kāore.
Me pēhea te tautuhi me te rongoā i te mate?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate, ā, ka tirotirohia hoki e ia tō tinana. Kātahi ka whakahau ia i ētahi whakamātautau hei tirotiro i ngā taumata homoni i roto i tō toto, i tō mimi, me tō huware.
Mena kei te whakapaetia he pukupuku, ka taea te whakahaere i ngā matawai pēnei i te matawai CT (Computed Tomography) te matawai MRI rānei (Magnetic Resonance Imaging) .
I te nuinga o te wā, ka tukuna pea koe ki te endocrinologist.
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō āhua. Tērā pea ka hiahiatia he rongoā mō ētahi āhuatanga hei whakatika i ngā taumata homoni. Mēnā he puku , me mahi he pokanga, he rongoā irahiko rānei.
Ko te mea pai rawa atu, ki te kitea wawetia te nuinga o ēnei āhuatanga, ā, ka rongoatia tika , ka taea te whakahaere angitu, ā, ka ora pai ai.
Āhea koe me toro atu ki te tākuta?
Ahakoa kua tāpaetia koe he mate repe adrenal, kia tūpato ki ēnei tohu e whai ake nei. Mena kei a koe tētahi o ēnei, tirohia he tākuta.
| Kia tūpato ki ēnei tohu. |
|---|
| Te ngaronga taumaha mō te kore take. |
| Ina koa ka nui haere te wāhanga o runga o te tinana. |
| E ngenge rawa ana koe ki te whakaoti i ngā mahi o te rā. |
| Te mamae tonu, te mamae nui rānei. |
| Ngā panonitanga kiri (ngāwari te maru, ngā tohu totoro). |
| Ngā huringa rerekē o te tupu o te huruhuru o te tinana. |
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?
Mena kei a koe tētahi āhuatanga e iti ai te taumata cortisol, pērā i te mate a Addison, ka pāngia koe e tētahi āhuatanga morearea e kiia nei ko te adrenal crisis . Koinei te wā ka heke ohorere ngā taumata cortisol o te tinana ki raro rawa.
Ki te puta mai ngā tohu e whai ake nei, me haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
| Āhua ohorere! (Ngā Tohu Āhua ohorere) |
|---|
| Te mamae ohorere, te mamae nui ki te taha raro o te tinana (puku, tuara, waewae). |
| Te ruaki nui me te korere. |
| Te ngoikore rawa o te tinana. |
| Te pōhēhē me te ngaronga o te māramatanga (te pōhēhē). |
| Te iti o te huka toto (Hypoglycemia). |
| He toto toto tino iti. |
Mena he ngoikore tō adrenal, pātai atu ki tō tākuta mō tētahi werohanga glucocorticoid ka taea te whakamahi i roto i tētahi āhuatanga ohorere. He mea nui kia mōhio koe me tō whānau ki te tikanga tango.
Karere Tangohia ki te Kāinga
- He okana tino nui ngā repe adrenal e āwhina ana ki te pupuri i te taurite o ngā homoni i roto i tō tātou tinana.
- Ahakoa ka piki ake, ka heke rānei ngā homoni i roto i ēnei repe, ka puta pea ngā tohu rerekē.
- Ki te puta mai ngā tohu whakapae, kaua e whakaaro noa, engari me toro atu ki te tākuta.
- He maha o ēnei mate ka taea te whakahaere angitu mā te kitenga wawe me te maimoatanga tika.
- Ki te puta mai ngā tohu ohorere (pērā i te mate pūkahukahu adrenal), me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Kia mōhio koe ki tō āhua hauora. Kaua e wehi ki te pātai atu ki tō tākuta.
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