Whakaarohia kei te hikoi koe i te huarahi, ā, ka peke ake tētahi kurī. Kei te tata rānei koe ki te mahi i tētahi whakamātautau nui. Ka piki ake tō manawa, ka werawera koe, ka whānui ō kanohi, ā, ka tino mataara tō tinana katoa, tika? He wāhanga iti engari he tino kaha o tō tinana e whakarite tonu ana i a koe mō tētahi āhuatanga ohorere, mō tētahi ahotea rānei. I tēnei rā kei te kōrero tātou mō te 'pokapū urupare ohorere' i roto i tō tātou tinana, te Adrenal Medulla.
He aha te Adrenal Medulla? Kei hea tōna wāhi?
Ki te kī māmā noa iho, ko te Adrenal Medulla te wāhanga o roto rawa o ngā Repe Adrenal i roto i tō tātou tinana. Pērā i te poka o te māngo, ko te Medulla te uho o roto o te Adrenal Gland. Ko ngā Adrenal Glands he repe iti e rua e noho ana i runga i ō tātou whatukuhu, pērā i ngā potae e rua.
E rua ngā wāhanga matua o te repe adrenal:
1. Te Uho o te Repe: Koinei te wāhanga nui rawa atu o te repe, kei waho.
2. Te Medulla Repeure: Koinei te wāhanga iti i roto i te repe e kōrerohia ana i tēnei rā.
He rerekē ngā momo homoni e whakaputaina ana e ēnei wāhanga e rua. Ko te medulla adrenal te nuinga e whakaputa ana i ngā homoni e whakahaere ana i tō tātou pūnaha io aunoa. Ko te pūnaha io aunoa te pūnaha e whakahaere ana i ngā mea kāore e taea e tātou te whakahaere, pērā i te tere o te manawa, te manawa, me te werawera. Nō reira, he mea tino nui te mahi a te medulla adrenal.
He aha te mea nui e hangaia ana e tēnei wāhanga iti?
Ko te mahi matua a te Adrenal Medulla he urupare ki te ahotea . Arā, he whakarite i tō tātou tinana ki te aro atu ki tētahi āhuatanga morearea, ohorere rānei. Ka kiia tēnei e tātou ko te urupare 'Whawhai-ā-rere rānei' . I te reo Sinhala, ko tōna tikanga he "whakautu whawhai-ā-rere rānei".
Whakaarohia mēnā kei te hikoi ko koe anake i te tiriti i te pō, ā, ka rongo koe me te mea kei te whai tetahi i a koe, ka ahatia tō tinana?
- Ka piki ake te tere o te manawa.
- Ka piki ake te tere o te manawa.
- Ka nui haere ngā kamo o ngā kanohi, ā, ka koi ake te tirohanga.
- Ka nui ake te toto e rere ana ki ngā uaua o ngā peka, ka hoatu ki a rātou te pūngao e hiahiatia ana hei oma, hei whawhai rānei.
- Ka whakaitihia te mamae mō tētahi wā poto.
Ka puta katoa ēnei i roto i ngā hēkona nā te mea he rōpū homoni e kiia nei ko ngā catecholamines, e tukuna ana e te adrenal medulla. Koinei ngā mea e whakahohe ana i te 'mataara ohorere' o tō tātou tinana.
E rua ngā momo matua o ngā catecholamines:
1. Adrenaline - Ko tētahi atu ingoa mō tēnei ko Epinephrine .
2. Noradrenaline - Ko tētahi atu ingoa mō tēnei ko Norepinephrine .
Kia tirohia ake tātou te mahi a ēnei homoni e rua.
| Homoni | Te pānga ki te tinana |
|---|---|
| Adrenaline/Epinephrine |
|
| Noradrenaline/Norepinephrine |
|
He aha te hanganga o te Adrenal Medulla?
He hanganga motuhake tō tēnei okana iti hei mahi tika i tana mahi.
- Te tuku toto: He nui rawa te toto kei roto i te medulla adrenal. Nā te mea me tere te tuku i ngā homoni e tukuna ana i roto i te āhuatanga ohorere puta noa i te tinana. Ka whiwhi toto ia mai i ngā manga e ahu mai ana i ngā oko toto nui pēnei i te aorta puku.
- Te tuku io: Ka whiwhi te medulla i ngā tohu mai i te io splanchnic nui, he wāhanga o tō tātou pūnaha io aunoa. Ina whiwhi te roro i te tohu "Mōrearea, mahi inaianei!", ka whakaohokia te medulla mā roto i tēnei io.
- Ngā pūtau Chromaffin: Koinei te momo pūtau tino motuhake i roto i te medulla adrenal. Kei roto i ēnei pūtau he kirikiri iti kua whakakiia ki ngā homoni adrenaline me te noradrenaline. Ina tae mai he tohu io, ka tukuna tika e ēnei pūtau ā rātou kete homoni ki roto i te toto.
He aha ngā raruraru ka puta i roto i te Adrenal Medulla?
He tino onge ngā mate o te medulla adrenal, engari ka taea te whakararu i te ora mēnā ka puta. Ko te nuinga o ēnei raruraru ka puta mai i ngā pukupuku e whanake ana i roto i te medulla. Ko te nuinga o ēnei pukupuku ehara i te matepukupuku (he pai). I ētahi wā ka taea te tuku iho.
Anei ētahi o ngā momo puku matua ka kitea.
| Momo Pukupuku | He whakamārama māmā |
|---|---|
| Pheochromocytoma | Koinei te momo pukupuku tino noa e puta ana i roto i te medulla adrenal. Mā tēnei pukupuku ka tukuna ngā homoni adrenaline me te noradrenaline i roto i te āhua kore e taea te whakahaere, ka piki ake te toto toto ki te taumata morearea. |
| Paraganglioma | He pukupuku tēnei e rite ana ki te pheochromocytoma, engari ka puta mai i waho o te repe adrenal, i roto i te kiko io. |
| Neuroblastoma | He mate pukupuku tēnei e tīmata ana i roto i ngā kiko io, ā, he mea tino kitea i roto i ngā tamariki nohinohi me ngā pēpi. |
| Ganglioneuroma | He pukupuku kore-matepukupuku tēnei e tipu mai ana i ngā pūtau o te pūnaha io motuhake. Ka pā pea ki ngā pakeke me ngā tamariki. |
He aha ngā tohu o tēnei momo raruraru?
He puhoi rawa te tipu o te nuinga o ēnei pukupuku, nō reira, kāore pea e puta he tohu i ngā wāhanga tōmua. I ētahi wā, ka kitea noa iho i te wā o te matawai CT, MRI rānei mō tētahi atu mate (adrenal incidentaloma) .
Heoi, ina tīmata te puku ki te whakaputa i te nui rawa o ngā homoni, ka puta pea ngā tohu. Ina koa ko te PheochromocytomaMō te tangata whai puku pēnei, ka taea te whakanui rawa i te urupare a te tinana ki tētahi ahotea noa iho. I ētahi wā, ahakoa he mea noa iho pēnei i te piko whakamua, te kai rānei i ētahi kai, ka taea te whakaoho i ngā tohu kino. Ka kiia tēnei āhuatanga he mate toto tiketike .
He tino morearea te mate toto tiketike e hiahia ana kia rongoatia wawetia. Ka piki ohorere te toto ki ngā taumata tino tiketike.
Ko ngā tohu ka puta i roto i tētahi āhuatanga ohorere pēnei ko:
- Te ānini nui
- Mamae o te uma
- Te werawera nui (hyperhidrosis)
- Te uaua ki te manawa (dyspnea)
- Whakapairuaki me te ruaki
- Ngā tere o te ngakau
- Te ngaronga o te māramatanga (syncope)
- Ngā mate hopuhopu
Ki te puta ohorere mai ēnei tohu, he mea nui kia haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera .
Ko ētahi atu āhuatanga ka puta mai i te kore taurite o ngā homoni
He hononga tata ngā homoni e tukuna ana e te adrenal medulla (ina koa ko te noradrenaline) ki tō tātou wairua me te hauora hinengaro. Ka taea e ngā taumata tiketike rawa o ēnei homoni i roto i te wā roa te whai wāhi ki ētahi raruraru hauora hinengaro.
Anei ētahi o aua āhuatanga:
- Manukanuka
- Te pouri
- Mate pāwera
- Mate aro nui koretake (ADHD)
- Te mate ahotea muri-whara (PTSD)
- Waranga
Ehara tēnei i te kī he raruraru kei te pūnaha adrenal e puta ai ēnei mate katoa. Heoi, mā te kore taurite o ēnei homoni ka puta, ka kaha ake rānei ēnei tohu.
He aha ngā maimoatanga mō ēnei āhuatanga?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō tātaritanga me te kaha o ō tohumate. Ka tirotirohia koe e tō tākuta, ā, ka tūtohu i te maimoatanga tino tika.
- Te Maimoatanga mō te Mate Pukupuku Toto: Nā te mea he āhuatanga ohorere tēnei, ka tukuna te maimoatanga i te hōhipera hei whakaheke tere i te toto. Mō tēnei, ka tukuna ngā rongoā pēnei i ngā vasodilator (ngā rongoā e whakawhanui ana i ngā oko toto) mā roto i te uaua.
- Te rongoā mō ngā pukupuku me te mate pukupuku: Ko te nuinga o ngā pukupuku me tango pokanga. I ētahi wā me tango tetahi, e rua rānei ngā repe adrenal. Mena he pukupuku te pukupuku, me rongoā anō hoki pērā i te radiation , te chemotherapy rānei.
Me aha tātou kia ora tonu ai te Adrenal Medulla?
He mea pai te pupuri i te hauora o te tinana katoa mō te mahi a ngā whekau katoa, tae atu ki te Adrenal Medulla. Ina koa, ka taea e te ahotea mau tonu te whakararuraru i tēnei pūnaha, ka puta ai te ngenge. Nō reira, he mea tino nui kia tiakina ēnei mea.
- He momo noho hihiko: He mea nui te whakakori tinana auau hei whakahaere i te ahotea.
- Kai tōtika: Kai i ngā kai taurite o ngā huawhenua, ngā hua, me ngā witi whai kiko.
- Te inu wai nui: He mea nui te wai mō ngā mahi katoa a te tinana.
- Te whakahaere ahotea: Whakamarietia tō hinengaro mā te manawa hōhonu, te whakaaroaro, me te whai wāhi atu ki tētahi mahi whakangahau e pai ana ki a koe.
- Tiaki Ārai: Me haere ki ngā tirotiro hauora i ia wā, me te tiaki hoki i tō hauora tinana.
Mena he ruarua, he āwangawanga rānei āu mō ngā tohu kua whakahuatia i roto i tēnei tuhinga, tēnā whakapā atu ki tō tākuta, ka kōrero mō tēnei mea . Mā te tohunga endocrinology koe e hoatu ki te tohutohu tino tika.
Karere Tangohia ki te Kāinga
- Ko te Adrenal Medulla te wāhanga o roto rawa o ngā repe adrenal, kei runga ake i ō tātou whatukuhu. He rite ki te 'pokapū urupare ohorere' o tō tātou tinana.
- Ina pāngia e te ahotea, ka tukuna e tēnei wāhanga ngā homoni adrenaline me te noradrenaline hei urupare 'whawhai-rānei-rere'.
- He onge ngā mate e pā ana ki te adrenal medulla, engari ka taea e ngā pukupuku (ina koa ko te pheochromocytoma) te whakararu i te toto toto tiketike rawa atu.
- Ko ngā tohu pēnei i te tīmatanga ohorere o te ānini nui, te mamae o te uma, me te werawera nui, he tohu pea ēnei o te mate toto tiketike. Mēnā koinei ngā āhuatanga, me haere tonu koe ki te Tari Ohotata o te hōhipera (ETU).
- Mā te oranga hauora (kai pai, whakakori tinana, whakahaere ahotea) ka taea te pupuri i te taurite o tēnei pūnaha homoni.
- Mena he āwangawanga āu mō tō hauora, he mea nui kia rapu tohutohu mai i tō tākuta , kaua e whakapae noa.
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