Kua pāngia koe e te mataku ohorere, te mataku rānei? E pēnei ana rānei koe me te mea he kaha ohorere tōu ina tino pāngia koe e te ahotea? Tērā pea kua kite koe i te tangata e mahi ana i ngā mea whakamiharo i a rātou e noho ana i roto i te āhuatanga ohorere. Kei muri i ēnei katoa ko ngā repe iti e rua, he tapatoru kei runga ake i ō whatukuhu. Ka karangatia ēnei e tātou ko ngā repe adrenal . Ka karangatia hoki ēnei e ētahi ko ngā repe adrenal. Ahakoa he iti te ingoa, ehara i te mea iti rawa tā rātou mahi. Ko ēnei toa iti e rua te hunga e whakahaere ana i te nuinga o ngā mahi o ia rā o tō tātou tinana. Nō reira, i tēnei rā ka kōrero tātou mō ēnei repe adrenal iti engari he mea nui rawa atu.
He aha tonu ngā repe adrenal?
He whakarāpopototanga noa iho, ko ngā repe adrenal he repe iti e rua, he rite ki te taupoki, kei runga ake i ō tātou whatukuhu . He wāhanga ēnei o te pūnaha endocrine o tō tātou tinana.
Tērā pea kei te whakaaro koe he aha te pūnaha endocrine. Whakaarohia he whatunga whakawhitiwhiti kōrero nui kei roto i tō tātou tinana. I ngā wāhi maha o tēnei whatunga, he repe kei reira e rite ana ki ngā wheketere iti. Ka hangaia e ēnei wheketere he karere motuhake ka tukuna ki roto i te toto. Ka haere ēnei karere i roto i te toto puta noa i te tinana, ka kī atu ki ngā okana he aha te mea hei mahi me te wā hei mahi. Ka kiia aua karere he homoni .
Nā, ko tēnei whatunga whakawhitiwhiti kōrero katoa, arā, ko ēnei repe me ngā homoni katoa, ka kiia ko te pūnaha endocrine. Ko ētahi atu repe nō tēnei pūnaha ko:
- Hypothalamus
- Repe pituitary
- Repe tairoiti
- Pancreas
- Ngā ovaries o ngā wāhine
- Ngā whakamātautau tāne (Testes)
Ka mahi tahi ēnei repe katoa, pērā i tētahi rōpū mahi pai, e whakahaere ana i ngā mea maha i roto i ō tātou tinana. He mema tino nui ngā repe adrenal o tēnei rōpū.
He aha te mahi a ēnei repe iti ki ō tātou tinana?
He maha ngā momo homoni e whakaputaina ana e ngā repe adrenal e whai tikanga ana ki ō tātou oranga. He rerekē te mahi a ia o ēnei homoni. Me titiro tātou ki ngā homoni matua me ā rātou mahi.
| Homoni | Ko tana mahi noa iho |
|---|---|
| Cortisol | Koinei te mea e kiia nei e tātou ko te "hormone ahotea." Ina pāngia tātou e te ahotea nui, ahakoa hinengaro, ahakoa tinana, ka homai e tēnei homoni te kaha ki a tātou kia kaha ai tātou ki te aro atu. Ehara i te mea koinā anake, engari ka whakahaere anō hoki i te whakamahinga o ngā ngako, ngā pūmua, me ngā warowaihā i roto i ngā kai e kainga ana e tātou, ka whakaiti i te mumura i roto i te tinana, ka whakahaere i te toto toto, ka whakapiki i ngā taumata huka toto, ā, ka āwhina i te whakahaere i tō tātou moe me te ara ake. |
| Aldosterone | He rite ki tētahi kaiwhakahaere e whakataurite ana i te pēhanga, te tote, me te wai o tō tātou tinana. He mea tino nui tēnei homoni mō te whakahaere i ngā taumata o te konutai me te pāhare pāporo (ngā irahiko) i roto i ō tātou toto, me te pupuri i te pēhanga toto ki te taumata tika. |
| DHEA me ngā Steroid Androgenic | E mōhiotia ana ēnei ko ngā homoni tāne ngoikore. Ahakoa kāore he pānga tika, ka hurihia hei homoni wahine (estrogens) i roto i ngā ovaries o ngā wāhine, me ngā homoni tāne (androgens) i roto i ngā testicles o ngā tāne. |
| Te Adrenaline me te Noradrenaline | Ko ēnei he homoni "whawhai, rere rānei". Whakaarohia kei te hikoi koe i te huarahi, ā, ka whakaekea koe e te kurī. I taua wā tonu, ka tere ake te pao o tō ngākau, ka hiahia tō tinana ki te oma, ā, ka whānui ō kanohi, tika? Mā ēnei homoni e rua koe e whakarite mō taua āhuatanga ohorere. Ka whakanui ake i te tere o tō ngākau, ka whakanui ake i te rere o te toto ki te roro me ngā uaua, ā, ka āwhina i a koe ki te whakamahi i te huka toto. |
He māmā noa iho, he maha ngā mea e whai wāhi tika ana ngā repe adrenal, tae atu ki te toto toto o tō tinana, te toenga tote me te wai, te āhua o tō whakatau i te ahotea, te āhua o tō whakamahi i te pūngao, me te whanaketanga o ngā āhuatanga ā-ira tangata.
Ka mahi takitahi rānei ngā repe adrenal i tēnei mahi?
Kāo. Ehara ngā repe adrenal i te mea motuhake. Ka whiwhi rātou i ngā tohutohu mai i ngā pokapū whakahaere i roto i te roro.
He rite tēnei ki tētahi kamupene nui.
- Tumu Whakahaere Matua (Tumuaki): Te roroKo te hypothalamus te Tumu Whakahaere Matua. Koinei te mea e mārama ana ki te āhuatanga, e tuku karere ana hoki.
- Kaiwhakahaere: Ko te Kaiwhakahaere te repe pituitary i roto i te roro. Ina whiwhi karere ia mai i te Tumu Whakahaere Matua, ko ia te tangata e kī atu ana ki ngā repe adrenal, "Āe, tīmata te mahi inaianei."
- Kaimahi: Ko te repe adrenal te mea e whakaputa ana i ngā homoni e tika ana (hei tauira, te cortisol) ka tuku i aua homoni ki roto i te toto, e ai ki ngā tohutohu a te kaiwhakahaere.
Koinei te mahi a te pūnaha. Waihoki, ko ngā repe adrenal te kaiwhakatau i te nui o te homoni aldosterone hei hanga i runga i ngā tohu mai i ngā whatukuhu. Ko te tikanga o tēnei he hononga tahi ēnei katoa hei pupuri i te taurite i roto i te tinana.
Me pēhea te hanganga o roto o te repe adrenal?
Ahakoa te āhua o te repe adrenal mai i waho, e rua ngā wāhanga matua. He rite ki tētahi hua iti. He rerekē te wāhanga o waho me te wāhanga o roto.
1. Uho - Wāhanga o waho: Koinei te wāhanga nui rawa atu o te repe. He rite ki te kiri me te uho o te hua. Ka whakaputahia e tēnei wāhanga o waho ngā homoni steroid pēnei i te cortisol me te aldosterone.
2. Medulla - Te wāhanga o roto: Koinei te wāhanga o roto rawa o te repe. He rite ki te pū o te hua. Kei roto i tēnei wāhanga o roto ka hangaia ngā homoni "whawhai, rere rānei" arā, te adrenaline me te noradrenaline.
He rerekē rawa ngā momo homoni e hangaia ana e ēnei wāhanga e rua me ā rāua mahi.
Ka taea te ora me te kore he repe adrenal?
He pātai tēnei e pā ana ki te tini tāngata. He mea nui ngā homoni pēnei i te cortisol, e whakaputaina ana e ngā repe adrenal, ki ō tātou oranga. Heoi, nā ētahi āhuatanga hauora (hei tauira, te mate pukupuku), tera ētahi wā me tango pokanga ngā repe adrenal e rua (adrenalectomy).
Ki te tupu tēnā, me tango e taua tangata aua homoni hei rongoā mō te toenga o tōna oranga . Ki te tangohia tika e rātou aua homoni, ka taea e rātou te noho noa. Nō reira, ahakoa kāore he repe, kāore e taea e rātou te ora me te kore ā rātou homoni.
Ka taea te puta mai ngā mate o te repe adrenal?
Āe. Pērā i tētahi atu okana, he maha ngā āhuatanga hauora ka pā ki ngā repe adrenal. E rua ngā take e puta ai ēnei raruraru:
- Te nui rawa o ngā homoni: Mena ka kaha rawa te mahi a te repe, ā, ka nui ake ngā homoni e whakaputaina ana i te mea e tika ana.
- Te iti o te hanga homoni: Mena kāore e taea e te repe te whakaputa i te nui o ngā homoni e hiahiatia ana, nā te kino rānei, nā tētahi atu take rānei.
He maha ngā take ka puta ai ēnei āhuatanga:
- Ngā whakarerekētanga ira
- Ngā mate pūnaha ārai mate - Ko te tikanga ka whakaekea e te pūnaha parepare o tō tātou tinana ngā repe adrenal.
- Te hanganga o ngā pukupuku.
- Te kino o ngā repe i puta mai i tētahi aituā, i tētahi mate urutā, i te toto rānei.
- He raruraru kei te hypothalamus, kei te pituitary rānei i roto i te roro. (Kia mahara, ki te raru te Kaiwhakahaere, kāore e taea e te Kaimahi te mahi tika.)
- Te whakamahinga roa o ētahi rongoā steroids.
Ko ētahi o ngā āhuatanga hauora matua ko:
- Te mate a Addison: He āhuatanga tēnei kāore e ranea te whakaputanga o ngā homoni cortisol me te aldosterone. He maha ngā wā ka puta mai tēnei i te raruraru o te pūnaha ārai mate.
- Te mate a Cushing: He āhuatanga tēnei e nui rawa ai te homoni cortisol e whakaputaina ana e te tinana. Tērā pea he pukupuku, he rongoā rānei e puta ai tēnei āhuatanga.
- Te hyperplasia adrenal whānau: He āhuatanga tēnei e kitea ana i te whānautanga. Ka puta tēnei raruraru nā te mea kāore i te tinana he whākōkī e hiahiatia ana hei hanga homoni.
- Te aldosteronism tuatahi: I tēnei āhuatanga, ka nui rawa te homoni aldosterone ka puta.
Me pēhea taku mōhio mēnā he raruraru tōku ki ōku repe adrenal?
He rerekē ngā tohu o ngā raruraru o te repe adrenal i runga i te homoni kāore i te taurite. He rite tonu te nuinga o ngā tohu ki ērā o ētahi atu mate noa, nō reira he uaua ki te tautuhi.
Ka kitea e koe tētahi whakaaro mō tēnei mea mai i te ripanga i raro nei.
| Pūnaha e pāngia ana | Ngā tohu pea |
|---|---|
| Te Pūnaha Whakaora | Te pikinga, te hekenga rānei o te taumaha kāore i te mārama, te ngenge tonu, te huka toto tiketike, iti rānei, me te ngoikore o te tinana. |
| Pūnaha ārai mate | Ngā mate me ngā mate pāwera pinepine. |
| Te toto totoka | Te toto toto tiketike, te toto toto iti rānei. |
| Ngā āhuatanga ā-ira tangata | Ka pāngia ngā wāhine e te tupu o ngā huruhuru i te mata, te ngaro o te makawe, te hakihaki, me te hōhonu haere o te reo. |
Āhea koe me toro atu ki te tākuta?
Mena kei a koe tētahi, ētahi rānei o ngā tohu kua whakahuatia ake nei, inā koa ngā huringa taumaha kāore i te whakamāramatia, te ngenge nui, ngā huringa rerekē rānei o te toto toto , kaua e wareware noa, me te whakaaro, 'He mea noa ēnei.'
Ko tāu mahi he toro atu ki tō tākuta whānau (GP) ka kōrero mārama mō tēnei mea.
Mēnā e tika ana, ka tirohia e tō tākuta ō taumata homoni mā te whakamahi i ētahi whakamātautau toto me te mimi. Mēnā he rerekētanga kei roto i aua whakamātautau, ka tukuna pea koe e ia mō ngā whakamātautau pēnei i te matawai CT, te matawai MRI rānei. Mēnā e tika ana, ka tukuna koe e ia ki te tākuta endocrinologist, he tākuta e tohunga ana ki te pūnaha endocrine me ngā homoni.
Karere Tangohia ki te Kāinga
- Ko ngā repe adrenal he repe iti e rua, engari he mea nui, e whakaputa ana i ngā homoni, kei runga ake i ō tātou whatukuhu.
- He maha ngā mea nui, pērā i te aro atu ki te ahotea, te whakahaere i te toto toto, me te whakahaere i te pūngao, e whakahaerehia ana e ngā homoni e whakaputaina ana e ēnei repe.
- Ka puta ngā raruraru mēnā ka nui rawa, ka kore rānei e ranea te hanga o ēnei homoni.
- Mena kei a koe ngā tohu pēnei i te huringa taumaha kāore i te whakamāramatia, te ngenge nui, te huringa toto toto, te huringa kiri rānei, kaua e warewarehia.
- Mena he ruarua, he tohu rānei āu, me toro atu ki tō tākuta mō ētahi tohutohu. He māmā ake te rongoā i te kitenga wawe i te mate.
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