He raru kei roto i ō repe adrenal? (Ngā Mate o te Repe Adrenal) - Me kōrero māmā noa iho tēnei!

Ka ngenge koe i ētahi wā, kāore he take? Ka heke, ka piki rānei tō taumaha? Tērā pea ko te take o ēnei huringa i roto i tō tinana he hapa iti i roto i ō repe adrenal. He tokomaha te hunga kāore i te mārama ki te tikanga o ēnei repe me te aha ka puta ina pāngia rātou e te raruraru. Nō reira, i tēnei rā ka kōrero tātou mō ēnei repe adrenal, ngā mate e pā mai ana, me te pānga ki tō tātou tinana.

He aha ngā repe adrenal? He aha tā rātou mahi?

He whakarāpopototanga noa iho, ko ō repe adrenal he repe iti, tapatoru e rua kei runga ake i ō whatukuhu . He rite ki ngā potae e rua. Ahakoa he iti, he mahi tino nui tā rātou i roto i ō tātou tinana. Arā, he maha ngā momo homoni e whakaputa ana i a rātou hei āwhina i te pupuri i te taurite i roto i ō tātou tinana.

Ko ēnei homoni ko:

• Cortisol: Ka āwhina tēnei ki te whakahaere i te pākia o te tinana, arā, te hurihanga o te kai e kainga ana e tātou hei pūngao, te pūnaha ārai mate, me te urupare ki te ahotea.
• Adrenaline: Kua rongo pea koe i tēnei. Ka whakarite tō tātou tinana i a ia anō me tēnei homoni i ngā wā ohorere, i te wehi, i te whakaohooho nui rānei.
• Aldosterone: Koinei te mea e whakahaere ana i te toto toto me te taumata o te tote (konutai) me te pāhare pāporo i roto i te tinana.

Whakaarohia ēnei homoni he rite ki ngā pūnaha whakahaere rerekē i roto i te motuka. Mēnā he iti noa te panonitanga o tētahi, ka pā ki te mahi a te motuka katoa.

He aha ngā mate matua e pā ana ki ngā repe adrenal?

Nā, kia titiro tātou he aha ngā āhuatanga ka puta mēnā he nui rawa, he iti rawa rānei ngā homoni e whakaputaina ana e ēnei repe adrenal.

• Te mate a Addison (te koretake o te adrenal): I tēnei āhua, kāore e nui te cortisol me/te aldosterone rānei e whakaputaina ana e ngā repe adrenal. Pērā i te waea pūkoro kua mate, ka ngaro te kaha me te mana whakahaere o te tinana.
• Te pehi i te repe adrenal: He momo ngoikore hoki tēnei o te adrenal. Heoi, ka puta mai i ngā rongoā e mahi ana pērā i te cortisol ka tangohia ki waho. Hei tauira, ina tangohia e koe ngā rongoā pēnei i te prednisone, te dexamethasone rānei mō te wā roa, ka whakaaro ngā repe adrenal i roto i te tinana, "Āe, kei te puta mai ngā homoni i waho, kāore au e hiahia ki te mahi nui," ā, ka whakaitihia te hanga o ā rātou homoni.
• Te mate a Cushing: He rerekē tēnei i te mate a Addison. Arā, ka tino piki te taumata o te cortisol i roto i te tinana.
• Te whakanui ake i te repe adrenal (CAH):He mate whānau tēnei. Ko te mea e tupu ana i konei ko te hekenga o ētahi whākōkī e hiahiatia ana e ngā repe adrenal hei whakaputa i ngā homoni.
• Hyperaldosteronism: I tēnei āhua, ka nui rawa te homoni aldosterone e whakaputaina ana e te tinana.
• Te whakawhānautanga: Koinei te wā e nui rawa ai ngā homoni tāne e whakaputaina ana e te tinana. Ko te nuinga o tēnei ka pā ki ngā wāhine me ngā tama tāne kāore anō kia pakeke. Hei tauira, ka puta he pahau o te wahine, ka hohonu ake rānei te reo.

Ka taea hoki e ngā pukupuku te whakararu i ngā repe adrenal?

Ae, i ētahi wā ka whakararuraruhia te hanga homoni nā ngā pukupuku i roto, i te taha rānei o ngā repe adrenal.

• Ngā pukupuku o te repe adrenal: Ka taea e ēnei pukupuku te whakaputa i ngā huringa ki te hanga homoni. Heoi, i te nuinga o te wā, ehara i te mate pukupuku (pai) , arā, ehara i te mea morearea. He momo pukupuku noa te adenoma adrenal.
• Te mate pukupuku adrenocortical: He momo mate pukupuku onge tēnei e puta ana i te paparanga o waho o te repe adrenal.
• Pheochromocytoma: I tēnei āhua, ka nui rawa ngā homoni epinephrine me norepinephrine (e mōhiotia ana ko te adrenaline) e whakaputaina ana e ngā repe adrenal. Ka taea e tēnei te pikinga ohorere o te toto toto me te tere o te ngakau.
• Ngā adenoma pituitary: He rite te repe pituitary i roto i tō roro ki te repe matua e whakahaere ana i ngā repe maha atu. Nō reira, ki te puta he pukupuku kore-matepukupuku (adenoma) i roto i tēnei repe pituitary, ka pā anō hoki ki te hanga o ngā homoni e ngā repe adrenal.

He pēhea te noa o ēnei mate repe adrenal?

Ka pāngia te tangata e ngā mate o te repe adrenal, engari ko ētahi āhuatanga, pērā i te mate a Cushing, he nui ake te kitea i roto i ngā wāhine.

He aha ngā tohu o te mate o te repe adrenal?

He pātai tēnei e pātaihia ana e te tini tāngata. He rerekē ngā tohu o ngā mate repe adrenal i runga i te homoni e pāngia ana . He rite ētahi tohu ki ngā tohu o ētahi atu mate. Koia te take, ki te rongo koe i tētahi mea rerekē, he mea nui kia toro atu koe ki te tākuta me te whiwhi tātaritanga tika.

Ngā tohu o te taumata cortisol teitei:

• Ka nui haere te tinana o runga, engari ka hiroki haere ngā ringa me ngā waewae: Whakaarohia mēnā i te mea kei te nui haere tō puku, tō uma, me tō kaki, engari he noa, he hiroki ake rānei ō ringa me ō waewae.
• Te tino ngenge (Te ngenge nui).
• Te toto toto tiketike.
• Te mōrearea o te whakawhanake i te mate huka.
• Ka ngawari te maru o te kiri. Ahakoa he puku iti noa iho, ka taea e te kiri nui te whakakōwhai.
• Te putanga mai o ngā rārangi whānui, kua memeha te tae (ngā tohu totoro) i runga i te kiri o te puku.
• Te pōhēhē.

Ngā tohu o te taumata tiketike o te aldosterone:

• Te toto toto tiketike.
• Te iti o te pāhare pāporo i roto i te toto (hypokalemia): Ka pā mai pea ētahi atu raruraru.
• Te ngoikore o te ngākau.
• Ngā uaua e māuiui ana, e mamae ana rānei.

Ina piki ake ngā taumata o ngā homoni tāne (i roto i ngā wāhine, i ngā tama rānei kāore anō kia pakeke):

Ka taea e tēnei kore taurite o ngā homoni te whakaputa i tētahi āhuatanga e kiia nei ko te virilization, arā, ko te wā e whanake ai ngā āhuatanga tāne i roto i tētahi wahine, i tētahi tama rānei i mua i te pakeketanga.

• Te tupu o ngā huruhuru kanohi i roto i ngā wāhine (pērā i te tupu o te pahau).
• Te ngaro o te makawe (pakira).
• Te pikinga o te hakihaki.
• Te pāorooro o te reo.
• Te tipu o te uaua (te āhua he uaua).
• Te pikinga ake o te hiahia moepuku.

He aha i puta ai ēnei mate repe adrenal? He aha ngā take?

He maha ngā take ka pā mai ai te mate o te repe adrenal.

• He nui rawa, he iti rawa rānei ngā homoni e whakaputaina ana e ō repe adrenal.
• Kei te pāngia koe e te mate i tētahi atu repe, pērā i te repe pituitary .
• Ka rerekē pea ngā taumata o tō homoni nā ngā āhuatanga o waho – hei tauira, ētahi rongoā, ētahi matū rānei i te taiao.
• Ngā huringa o ngā taumata homoni nā ngā huringa ira (ngā whakarerekētanga ira - he huringa i roto i te DNA) .

Heoi, i ētahi wā, kāore e taea e ngā tākuta te kī tika he aha i pāngia ai ētahi tāngata e ēnei mate, ko ētahi kāore.

He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?

He mea nui ngā repe adrenal me ngā homoni e whakahaeretia ana e rātou mō ngā tukanga nui o roto i tō tātou tinana. Nō reira, ki te kore ēnei mate e rongoatia tika, ka puta pea ngā raruraru nui. Ko ētahi o ēnei ka mate pea. Koia te mea nui kia mōhio ki tēnei me te mahi i ngā mahi e tika ana.

Me pēhea te tautuhi i ngā mate o te repe adrenal?

Mena kei a koe ēnei tohu, ka pātai tuatahi te tākuta ki a koe mō ō tohu, ā, ka tirotirohia e ia te tinana. Kātahi ka whakaritea he whakamātautau hei tirotiro i ngā taumata homoni i roto i tō huware, i tō toto, me tō mimi.

Mena kei te whakapae te tākuta he pukupuku kei roto , ka tono pea rātou i ngā whakamātautau penei:

• Matawai CT (CT - matawai tomography rorohiko)
• Matawai MRI (MRI - whakaahua aukume)
• Ngā whakamātautau whakaahua rongoā karihi

Ka taea e tō tākuta whānui te tuku i a koe ki tētahi tākuta endocrinologist . Kei reira anō ngā tākuta endocrinologist tamariki e rongoā ana i ngā pēpi me ngā tamariki nohinohi.

Me pēhea te rongoā?

He rerekē te maimoatanga o ngā mate o te repe adrenal i runga i te āhua motuhake.

• Mō ētahi mate, ka taea te hoatu rongoā hei whakaora i ngā taumata homoni.
• Tērā pea ka tūtohutia te pokanga , te rongoā irahiko rānei mō ngā āhuatanga e pā ana ki ngā pukupuku.

He ara hei ārai i ēnei mate? Me pēhea te whakaiti i te mōrearea?

Nā te mea kāore anō kia tino mōhio ngā kairangahau he aha i puta ai te nuinga o ngā mate repe adrenal, kāore anō kia kitea he huarahi motuhake hei ārai i aua mate i tēnei wā.

Heoi anō, kotahi te mea ka taea e koe te mahi hei whakaiti i te mōrearea.

Ka tango ētahi tāngata i ngā homoni tāne hei hanga uaua. Ki te pena koe, whakaarohia kia rua ngā wā. Mā te kore tohutohu hauora ka pāngia pea e te mate repe adrenal me te kino ki ētahi atu repe.

He aha ngā mea ka taea e koe te tumanako mēnā he mate repe adrenal tōu?

Tērā pea ka rerekē tō tirohanga i runga i te āhua o tō mate. Heoi, ki te kitea tō mate, ā, ka rongoatia wawe, ka taea e koe te whakahaere angitu i tō mate me te noho ora. Kōrero ki tō tākuta mō tō mate kia mōhio ai koe ki ētahi atu kōrero.

Āhea koe me toro atu ki te tākuta?

Ahakoa kua tāpaetia koe he mate repe adrenal, tirohia he tākuta mēnā he tohu whakapae, he tohu āwangawanga rānei āu. Hei tauira:

• Te ngaronga taumaha mō te kore take.
• Te pikinga o te taumaha, inā koa ki te taha whakarunga o te tinana.
• Te ngenge rawa ki te mahi i ngā mahi o ia rā.
• Te mamae tonu, te mamae nui rānei.
• Ngā panonitanga o te tupu o te makawe, o te tinana rānei.
• Ngā panonitanga kiri (pērā i te ngawari o te maru, ngā tohu totoro).

Āhea koe me rapu maimoatanga ohorere? (Āhea koe me haere ki te ER)

Mena he ngoikore tō adrenal , tera pea ka pāngia koe e te mate adrenal . He mate morearea tēnei. Ka puta ina iti rawa ngā taumata o te homoni cortisol i roto i te tinana.

Ki te pāngia koe e ēnei tohu, waea atu ki te 1990 tonu atu, haere rānei ki te rūma whawhati tata:

• Te mamae ohorere, te mamae nui i te puku o raro, i te tuara rānei.
• Te ruaki me te korere pinepine.
• Te ngoikore rawa o te ngākau.
• Te pōhēhē me te ngaronga o te māramatanga (te pōhēhē).
• Te iti o te huka toto (hypoglycemia).
• Te toto toto iti.

Mena he ngoikore tō adrenal, pātai atu ki tō tākuta mō te werohanga o te glucocorticoid . He rongoā tēnei hei whakaiti i te mamae me te pupuhi. Kia mōhio koe ki te hoatu i tēnei werohanga ki a koe anō, ā, me kōrero ki tō whānau me ō hoa me pēhea me te wā e hoatu ai ki a koe.

Ka taea e te mate repe adrenal te haere tahi me ētahi atu tohu morearea. Hei tauira, he nui te pāhare pāporo i roto i te toto (hyperkalemia) he iti rānei te konutai (hyponatremia) .

Ki te pāngia koe e ēnei tohu kino, kaua e tatari mō tētahi wā hui noa. Haere tonu ki te rūma whawhati tata.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kitea e koe he mate repe adrenal tōu, tera pea ka ruarua koe, ka mataku hoki. He mea noa tēnā. Ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha te momo mate o te repe adrenal kei a au?
• Ka taea te rongoā i tēnei? Me whakahaere rānei e au, me noho tahi me tēnei?
• Me tango rongoā ahau? Mena koinā, he aha te momo?
• He pukupuku te take o aku tohumate?
• He aha ngā kōwhiringa maimoatanga kei a au?

Kāore pea koe e tino whakaaro nui ki ō repe adrenal kia tīmata rā anō te ngoikore o tā rātou mahi. Ka taea e ngā tohu hou, kāore i te mōhiotia, te whakararuraru, te noho mokemoke hoki. Engari, ehara i te mea ko koe anake. Pātai atu ki tō tākuta mō ētahi atu rauemi, rōpū tautoko rānei. Mā te noho hei mema kaha o tō rōpū hauora koe e āwhina ki te whakahaere i tō āhua me te whakapai ake i te kounga o tō oranga.

Kia maumahara ki te mea tino nui! (Karere hei tango ki te kāinga)

He uaua pea te mate repe adrenal. Heoi, mā te mōhio wawe ki ngā tohu me te whiwhi i ngā tohutohu hauora me te maimoatanga tika ka nui te rerekētanga. Kaua e mataku. Kōrero noa ki tō tākuta, me te pātai atu i ō pātai.

Kia maumahara, ko koe te mea e mōhio ana ki tō hauora. Nō reira, kia tūpato ki ngā huringa o tō tinana. Tonoa he āwhina mēnā e hiahiatia ana.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

Ngā repe adrenal, ngā homoni, te mate a Addison, te mate a Cushing, te cortisol, te aldosterone, te adrenaline