Tangoganizani kuti mukuyenda mumsewu ndipo mwadzidzidzi galu akudumpha. Kapena mukufuna kuchita mayeso ofunikira. Kugunda kwa mtima wanu kumawonjezeka mwadzidzidzi, mukutuluka thukuta, maso anu akutseguka, ndipo thupi lanu lonse mwadzidzidzi limakhala tcheru kwambiri, sichoncho? Mbali yaying'ono koma yamphamvu kwambiri ya thupi lanu imakukonzekeretsani nthawi yomweyo ku vuto ladzidzidzi kapena kupsinjika maganizo. Lero tikulankhula za 'malo ochitirapo kanthu mwadzidzidzi' m'thupi lathu, Adrenal Medulla.
Kodi Adrenal Medulla ndi chiyani? Ili kuti?
Mwachidule, Adrenal Medulla ndi gawo lamkati mwa Adrenal Glands m'thupi lathu. Monga dzenje la mango, Medulla ndi mkati mwa Adrenal Gland. Adrenal Glands ndi tinthu tating'onoting'ono tiwiri tomwe timakhala pamwamba pa impso zathu, ngati zipewa ziwiri.
Adrenal gland imagawidwa m'magawo awiri akuluakulu:
1. Adrenal Cortex: Iyi ndi gawo lalikulu kwambiri la gland, lomwe lili kunja.
2. Adrenal Medulla: Iyi ndi gawo laling'ono mkati mwa gland lomwe tikukamba lero.
Zigawo ziwirizi zimapanga mitundu yosiyanasiyana ya mahomoni. Adrenal medulla imapanga mahomoni omwe amalamulira dongosolo lathu la mitsempha lodziyimira pawokha. Dongosolo la mitsempha lodziyimira pawokha ndi dongosolo lomwe limalamulira zinthu zomwe sitizilamulira mwadala, monga kugunda kwa mtima, kupuma, ndi thukuta. Chifukwa chake ntchito ya adrenal medulla ndi yofunika kwambiri.
Kodi gawo laling'ono ili likupanga chiyani chachikulu?
Ntchito yaikulu ya Adrenal Medulla ndikuyankha kupsinjika . Ndiko kuti, kukonzekeretsa thupi lathu kuthana ndi vuto loopsa kapena ladzidzidzi. Timatcha izi kuti 'Nkhondo-kapena-Kuthawa' . Mu Chisinhala, zikutanthauza "nkhondo-kapena-kuthawa".
Tangoganizirani ngati mukuyenda nokha mumsewu usiku ndipo mukumva ngati wina akukutsatirani, kodi chingachitike n’chiyani ndi thupi lanu?
- Kugunda kwa mtima kumawonjezeka mwadzidzidzi.
- Kuthamanga kwa mpweya kumawonjezeka.
- Maso amakula ndipo maso amaona bwino kwambiri.
- Magazi ambiri amalowa m'minofu ya miyendo, zomwe zimawapatsa mphamvu zofunikira kuti azitha kuthamanga kapena kumenyana.
- Kumva ululu kumachepa kwakanthawi.
Zonsezi zimachitika mumasekondi ochepa chifukwa cha gulu la mahomoni otchedwa catecholamines, omwe amatulutsidwa ndi adrenal medulla. Izi ndi zomwe zimayambitsa 'chenjezo ladzidzidzi' la thupi lathu.
Pali mitundu iwiri ikuluikulu ya ma catecholamines:
1. Adrenaline - Dzina lina la izi ndi Epinephrine .
2. Noradrenaline - Dzina lina la izi ndi Norepinephrine .
Tiyeni tiwone bwino momwe mahomoni awiriwa amagwirira ntchito.
| Homoni | Zotsatira pa thupi |
|---|---|
| Adrenaline/Epinephrine |
|
| Noradrenaline/Norepinephrine |
|
Kodi kapangidwe ka Adrenal Medulla ndi kotani?
Chiwalo chaching'ono ichi chili ndi kapangidwe kapadera kogwirira ntchito yake bwino.
- Kupereka magazi: Adrenal medulla imakhala ndi magazi ambiri. Izi zili choncho chifukwa mahomoni omwe amatulutsidwa mwadzidzidzi amafunika kutumizidwa m'thupi lonse mwachangu kwambiri. Imalandira magazi kuchokera ku nthambi zomwe zimachokera ku mitsempha ikuluikulu yamagazi monga abdominal aorta.
- Kupereka kwa mitsempha: Medulla imalandira zizindikiro kuchokera ku mitsempha yayikulu ya splanchnic, yomwe ndi gawo la dongosolo lathu la mitsempha lodziyimira payokha. Ubongo ukalandira chizindikiro "Ngozi, chitanipo kanthu tsopano!", medulla imalimbikitsidwa kudzera mu mitsempha iyi.
- Maselo a Chromaffin: Awa ndi maselo apadera kwambiri mu adrenal medulla. Maselo amenewa ali ndi tinthu tating'onoting'ono todzaza ndi mahomoni otchedwa adrenaline ndi noradrenaline. Pamene chizindikiro cha mitsempha chifika, maselowa amatulutsa ma hormone awo mwachindunji m'magazi.
Kodi ndi mavuto ati omwe angachitike mu Adrenal Medulla?
Matenda a Adrenal medulla ndi osowa kwambiri , koma amatha kukhala pachiwopsezo chachikulu ngati atachitika. Mavuto ambiriwa amayamba chifukwa cha zotupa zomwe zimayamba mu medulla. Zotupa zambirizi sizikhala ndi khansa (zoipa). Nthawi zina zimatha kutengera cholowa.
Nazi mitundu ikuluikulu ya ziphuphu zomwe zingaoneke.
| Mtundu wa Chotupa | Kufotokozera kosavuta |
|---|---|
| Pheochromocytoma | Uwu ndi mtundu wofala kwambiri wa chotupa chomwe chimapezeka mu adrenal medulla. Chotupachi chimapangitsa kuti mahomoni a adrenaline ndi noradrenaline azitulutsidwa mosalamulirika, zomwe zimapangitsa kuti kuthamanga kwa magazi kukwere moopsa. |
| Paraganglioma | Ichi ndi chotupa chofanana ndi pheochromocytoma, koma chimapangika kunja kwa adrenal gland, mu minofu ya mitsempha. |
| Neuroblastoma | Iyi ndi khansa yomwe imayamba m'mitsempha ndipo imapezeka kwambiri mwa ana aang'ono ndi makanda. |
| Ganglioneuroma | Ichi ndi chotupa chosakhala khansa chomwe chimachokera ku maselo a dongosolo la mitsempha lodziyimira palokha. Chingachitike mwa akuluakulu ndi ana. |
Kodi zizindikiro za mtundu uwu wa vuto ndi ziti?
Zambiri mwa zotupazi zimakula pang'onopang'ono, kotero sizingayambitse zizindikiro zilizonse kumayambiriro. Nthawi zina, zimapezeka mwangozi panthawi ya CT kapena MRI scan kuti mudziwe vuto lina (adrenal incidenticaloma) .
Komabe, chotupa chikayamba kutulutsa mahomoni ambiri, zizindikiro zimatha kuwoneka .Kwa munthu amene ali ndi chotupa chonga ichi, momwe thupi limayankhira ngakhale kupsinjika pang'ono kumatha kukokomeza. Nthawi zina, ngakhale chinthu chosavuta monga kuwerama kapena kudya zakudya zina kungayambitse zizindikiro zoopsa. Timatcha vutoli kuti ndi vuto la kuthamanga kwa magazi .
Matenda a kuthamanga kwa magazi ndi vuto loopsa kwambiri lomwe limafuna chithandizo chadzidzidzi. Kuthamanga kwa magazi kumakwera mwadzidzidzi kufika pamlingo wokwera kwambiri.
Zizindikiro zomwe zingachitike pamavuto otere ndi izi:
- Mutu waukulu
- Kupweteka pachifuwa
- Kutuluka thukuta kwambiri (hyperhidrosis)
- Kuvuta kupuma (kupuma movutikira)
- Kusanza ndi kusanza
- Kugunda kwa mtima
- Kutaya chidziwitso (syncope)
- Kugwidwa ndi khunyu
Ngati zizindikiro ngati izi zachitika mwadzidzidzi, ndikofunikira kupita ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo .
Matenda ena omwe angayambitsidwe ndi kusalinganika kwa mahomoni
Mahomoni omwe amatulutsidwa ndi adrenal medulla (makamaka noradrenaline) amagwirizana kwambiri ndi malingaliro athu ndi thanzi lathu la maganizo. Kuchuluka kwa mahomoni amenewa kwa nthawi yayitali kungayambitse mavuto ena a maganizo.
Nazi zina mwazochitika zotere:
- Nkhawa
- Kuvutika maganizo
- Matenda a mantha
- Matenda a Attention Deficit Hyperactivity (ADHD)
- Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)
- Kuledzera
Izi sizikutanthauza kuti matenda onsewa amayamba chifukwa cha vuto la adrenal medulla. Komabe, kusalingana kwa mahomoni amenewa kungayambitse kapena kukulitsa zizindikirozi.
Kodi mankhwala a matenda amenewa ndi otani?
Njira zochiritsira zimadalira matenda anu komanso kuopsa kwa zizindikiro zanu. Dokotala wanu adzakuyang'anirani ndikukupatsani chithandizo choyenera kwambiri.
- Chithandizo cha Matenda Othamanga Kwambiri: Popeza izi ndi zadzidzidzi, chithandizo chimaperekedwa kuchipatala kuti chichepetse kuthamanga kwa magazi mwachangu. Pachifukwa ichi, mankhwala monga vasodilators (mankhwala okulitsa mitsempha yamagazi) amaperekedwa kudzera m'mitsempha.
- Chithandizo cha zotupa ndi khansa: Zotupa zambiri zimafunika kuchotsedwa opaleshoni. Nthawi zina adrenal gland imodzi kapena zonse ziwiri zingafunike kuchotsedwa. Ngati chotupacho ndi khansa, chithandizo monga radiation kapena chemotherapy chingafunikenso.
Kodi tiyenera kuchita chiyani kuti Adrenal Medulla ikhale yathanzi?
Kusunga thupi lathu lonse lathanzi kumathandiza kuti ziwalo zonse zigwire ntchito bwino, kuphatikizapo Adrenal Medulla. Makamaka, kupsinjika maganizo kosatha kungayambitse kutopa kwambiri. Chifukwa chake, ndikofunikira kwambiri kusamalira zinthuzi.
- Moyo wochita zinthu mwachangu: Kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kwambiri pochepetsa nkhawa.
- Zakudya zopatsa thanzi: Idyani ndiwo zamasamba, zipatso, ndi tirigu wopatsa thanzi.
- Kumwa madzi okwanira: Madzi ndi ofunikira pa ntchito zonse za thupi.
- Kuthetsa kupsinjika maganizo: Khazikitsani mtima wanu pochita masewera olimbitsa thupi opumira kwambiri, kusinkhasinkha, komanso kuchita zinthu zosangalatsa zomwe mungasankhe.
- Chisamaliro Chodzitetezera: Pitani kukayezetsa matenda nthawi zonse ndipo samalirani thanzi lanu.
Ngati muli ndi kukayikira kapena nkhawa zilizonse zokhudzana ndi zizindikiro zomwe zatchulidwa m'nkhaniyi, chonde funsani dokotala wanu ndipo mukambirane . Dokotala wa endocrinologist, makamaka, adzakupatsani malangizo olondola kwambiri.
Uthenga Wopita Nawo Kunyumba
- Adrenal Medulla ndi gawo lamkati mwa glands ya adrenal, lomwe lili pamwamba pa impso zathu. Lili ngati 'malo ochitirapo kanthu mwadzidzidzi' m'thupi lathu.
- Gawoli likapanikizika, limatulutsa mahomoni otchedwa adrenaline ndi noradrenaline kuti ayankhe 'nkhondo kapena kuthawa'.
- Matenda okhudzana ndi adrenal medulla ndi osowa, koma zotupa (makamaka pheochromocytoma) zingayambitse kuthamanga kwa magazi koopsa.
- Zizindikiro monga mutu waukulu, kupweteka pachifuwa, ndi thukuta kwambiri zingakhale zizindikiro za vuto la kuthamanga kwa magazi. Zikatero, muyenera kupita ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi, kuchepetsa kupsinjika maganizo) kungathandize kuti mahomoni azigwira ntchito bwino.
- Ngati muli ndi nkhawa iliyonse yokhudza thanzi lanu, ndikofunikira kwambiri kufunsa upangiri kwa dokotala wanu , m'malo mongoganizira.
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