Fungidzira kuti uri kufamba mumugwagwa uye kamwe kamwe imbwa inosvetuka. Kana kuti wava kuda kuita bvunzo inokosha. Kurova kwemoyo wako kunowedzera kamwe kamwe, unodikitira, maziso ako anovhurika, uye muviri wako wese unoerekana wava kungwarira, handiti? Chikamu chidiki asi chine simba kwazvo chemuviri wako chinokugadzirira pakarepo kune emergency kana stress yakadaro. Nhasi tiri kutaura nezve 'emergency response center' mumuviri wedu, Adrenal Medulla.
Chii chinonzi Adrenal Medulla? Iri kupi?
Zvichitaurwa zviri nyore, Adrenal Medulla ndiyo chikamu chemukati cheAdrenal Glands mumuviri wedu. Kufanana negomba remango, Medulla ndiyo chikamu chemukati cheAdrenal Gland. Adrenal Glands magonyeti maviri madiki anogara pamusoro peitsvo dzedu, sengowani mbiri.
Adrenal gland yakakamurwa kuita zvikamu zviviri zvikuru:
1. Adrenal Cortex: Ichi ndicho chikamu chikuru chegland, chiri kunze.
2. Adrenal Medulla: Ichi chikamu chidiki chiri mukati megland chatiri kutaura nezvacho nhasi.
Zvikamu zviviri izvi zvinogadzira mhando dzakasiyana dzemahormone. Adrenal medulla inonyanya kugadzira mahormone anodzora system yedu yetsinga. Autonomic nervous system ndiyo system inodzora zvinhu zvatisingatonge nemaune, zvakaita sekurova kwemoyo, kufema, uye kudikitira. Saka basa reAdrenal medulla rakakosha zvikuru.
Chikamu chidiki ichi chiri kuita basa rei?
Basa guru reAdrenal Medulla nderekupindura kushushikana . Kureva kuti, kugadzirira miviri yedu kuti igadzirire mamiriro ezvinhu ane njodzi kana emergency. Tinoti izvi 'Kurwa-kana-Kubhururuka' . MuchiSinhala, zvinoreva "kurwisa-kana-kubhururuka".
Fungidzira kuti dai waifamba wega mumugwagwa husiku wonzwa sekunge mumwe munhu ari kukutevera, chii chaizoitika kumuviri wako?
- Kurova kwemoyo kunowedzera kamwe kamwe.
- Kufema kunowedzera.
- Maziso anokura uye kuona kunowedzera kupenya.
- Ropa rakawanda rinoyerera richienda kutsandanyama dzemakumbo, zvichivapa simba rinodiwa kuti vamhanye kana kurwa.
- Kunzwa kurwadziwa kunodzikira kwenguva pfupi.
Zvese izvi zvinoitika mumasekonzi mashoma nekuda kweboka remahormone anonzi catecholamines, ayo anoburitswa neadrenal medulla. Aya ndiwo anoita kuti 'emergency alert' yemuviri wedu ishande.
Kune mhando mbiri huru dze catecholamines:
1. Adrenaline - Rimwe zita reizvi ndiEpinephrine .
2. Noradrenaline - Rimwe zita reizvi ndiNorepinephrine .
Ngatinyatsoongorora mashandiro emahormone maviri aya.
| Makemikoro | Mhedzisiro pamuviri |
|---|---|
| Adrenaline/Epinephrine |
|
| Noradrenaline/Norepinephrine |
|
Chii chinonzi chimiro cheAdrenal Medulla?
Nhengo diki iyi ine chimiro chakakosha chekuita basa rayo nemazvo.
- Kuwanikwa kweropa: adrenal medulla ine ropa rakawanda kwazvo. Izvi zvinodaro nekuti mahormone anoburitswa panguva yekukurumidzira anofanira kutumirwa mumuviri wese nekukurumidza. Inogamuchira ropa kubva kumapazi anobva mutsinga huru dzeropa dzakadai se abdominal aorta.
- Kuwanikwa kwetsinga: Medulla inogamuchira zviratidzo kubva kutsinga huru inoputika, iyo iri chikamu chehurongwa hwedu hwetsinga dzinozvitonga. Uropi pahunogamuchira chiratidzo chekuti "Njodzi, ita izvozvi!", medulla inomutswa kuburikidza netsinga iyi.
- Masero eChromaffin: Aya ndiwo marudzi emasero anonyanya kuzivikanwa muadrenal medulla. Masero aya ane granules diki dzakazadzwa nemahormone eadrenaline nenoradrenaline. Kana chiratidzo chetsinga chasvika, masero aya anoburitsa mahormone avo zvakananga muropa.
Ndezvipi zvinetso zvinogona kuitika muAdrenal Medulla?
Matambudziko eAdrenal medulla haawanzoitiki , asi anogona kuisa hupenyu panjodzi kana akaitika. Matambudziko mazhinji aya anokonzerwa nemabundu anokura mumedulla. Mabundu mazhinji aya haana kenza (haana kuipa). Dzimwe nguva anogona kugarwa nhaka.
Heano mamwe emhando huru dzemapundu anogona kuonekwa.
| Rudzi rwebundu | Tsananguro iri nyore |
|---|---|
| Pheochromocytoma | Iri ndiro rudzi rwebundu rinowanzoitika muadrenal medulla. Bundu iri rinoita kuti mahormone eadrenaline ne noradrenaline aburitswe nenzira isingadzoreki, zvichiita kuti BP ikwire zvine njodzi. |
| Paraganglioma | Iri bundu rakafanana ne pheochromocytoma, asi rinoumbwa kunze kweadrenal gland, mutsinga dzetsinga. |
| Neuroblastoma | Iyi igomarara rinotanga mutsinga dzeropa uye rinonyanya kuwanikwa muvana vadiki nevacheche. |
| Ganglioneuroma | Iri bundu risiri regomarara rinobuda mumasero etsinga dzinozvitonga. Rinogona kuitika kuvanhu vakuru nevana. |
Ndezvipi zviratidzo zvedambudziko rerudzi urwu?
Mazhinji emabundu aya anokura zvishoma nezvishoma, saka anogona kusakonzera zviratidzo pakutanga. Dzimwe nguva, anowanikwa netsaona panguva yeCT kana MRI scan yechimwe chirwere (adrenal incidenticaloma) .
Zvisinei, kana bundu rikatanga kuburitsa mahormone akawandisa, zviratidzo zvinogona kuoneka .Kune munhu ane bundu rakadai, maitiro emuviri kunyangwe paine kushushikana kudiki anogona kuwedzeredzwa. Dzimwe nguva, kunyangwe chimwe chinhu chiri nyore sekukotama kana kudya zvimwe zvekudya chinogona kukonzera zviratidzo zvine njodzi. Isu tinodana chirwere ichi kuti dambudziko reBP .
Dambudziko reBP chirwere chine njodzi zvikuru chinoda kurapwa nekukurumidza. Kumanikidzwa kweropa kamwe kamwe kunokwira zvakanyanya.
Zviratidzo zvinogona kuitika mudambudziko rakadaro ndeizvi:
- Musoro wakakomba
- Kurwadziwa kwechipfuva
- Kudikitira zvakanyanya (hyperhidrosis)
- Kuoma kufema (dyspnea)
- Kusvotwa nekurutsa
- Kurova kwemoyo
- Kurasikirwa nepfungwa (syncope)
- Kubatwa nepfari
Kana zviratidzo zvakadai zvikaitika kamwe kamwe, zvakakosha kuenda kuchipatara kuEmergency Treatment Unit (ETU) nekukasika .
Zvimwe zvirwere zvinogona kukonzerwa nekusawirirana kwemahomoni
Mahormone anoburitswa neadrenal medulla (kunyanya noradrenaline) ane chekuita nemanzwiro edu uye hutano hwepfungwa. Kuwanda kwemahormone aya kwenguva yakareba kunogona kukonzera mamwe matambudziko ehutano hwepfungwa.
Heano mamwe mamiriro ezvinhu akadaro:
- Kunetseka
- Kuora mwoyo
- Kutya kukuru
- Dambudziko rekushaya hanya zvakanyanya (ADHD)
- Dambudziko rekushungurudzika mushure mekutambudzika (PTSD)
- Kupindwa muropa
Izvi hazvirevi kuti zvirwere izvi zvose zvinokonzerwa nedambudziko re adrenal medulla. Zvisinei, kusaenzana kwemahormone aya kunogona kukonzera kana kuwedzera zviratidzo izvi.
Ndezvipi zvinorapwa zvezvirwere izvi?
Nzira dzekurapa dzinoenderana nekuongororwa kwawakaitwa chirwere chako uye kuoma kwezviratidzo zvako. Chiremba wako achakuongorora uye achakukurudzira kurapwa kwakakodzera.
- Kurapa Dambudziko reHypertensive: Sezvo iri dambudziko rekukurumidza, kurapwa kunoitwa muchipatara kuti kuderedzwa BP nekukurumidza. Pakuita izvi, mishonga yakaita semavasodilators (mishonga inokudza mitsipa yeropa) inopihwa netsinga.
- Kurapa bundu negomarara: Bundu zhinji dzinoda kubviswa nekuvhiyiwa. Dzimwe nguva rimwe kana ese ari maviri adrenal gland angada kubviswa. Kana bundu iri riri gomarara, kurapwa kwakadai semwaranzi kana chemotherapy kunogonawo kudiwa.
Chii chatinofanira kuita kuti Adrenal Medulla irambe iine hutano?
Kuchengetedza muviri wedu wese uine hutano kunobatsira pakushanda kwenhengo dzese dzemuviri, kusanganisira Adrenal Medulla. Kunyanya, kushushikana kusingaperi kunogona kushanda zvakanyanya uye kukonzera kuneta. Saka, zvakakosha kuchengetedza zvinhu izvi.
- Mararamiro ekushanda nesimba: Kurovedza muviri nguva dzose kunobatsira zvikuru mukuderedza kushushikana.
- Kudya kunovaka muviri: Idyai miriwo, michero, nezviyo zvinovaka muviri zvakaenzana.
- Kunwa mvura yakakwana: Mvura inokosha pakushanda kwemuviri wese.
- Kudzora kushushikana: Dzikama mupfungwa dzako kuburikidza nekurovedza muviri kwakadzika, kufungisisa, uye kuita chimwe chinhu chaunoda.
- Kuchengetedza Kurwara: Enda kunoongororwa nachiremba nguva dzose uye chengetedza hutano hwako.
Kana muine kusava nechokwadi kana kunetseka nezvezviratidzo zvataurwa munyaya ino, ndapota bvunzai chiremba wenyu mokurukura nezvazvo . Chiremba we endocrinologist, kunyanya, ndiye achakupai gwara rakarurama.
Mharidzo Yekuenda Nayo Kumba
- Adrenal Medulla ndiyo chikamu chemukati-kati cheadrenal glands, chiri pamusoro peitsvo dzedu. Yakafanana ne'emergency response centre' yemuviri wedu.
- Kana paine kushushikana, chikamu ichi chinoburitsa mahormone anonzi adrenaline ne noradrenaline kuti munhu aite 'fight-or-fly'.
- Zvirwere zvine chekuita neadrenal medulla hazviwanzoitiki, asi bundu (kunyanya pheochromocytoma) rinogona kukonzera BP yakakwira zvine njodzi.
- Zviratidzo zvakaita sekunge musoro wakakomba, kurwadziwa pachipfuva, uye kudikitira zvakanyanya zvinogona kuva zviratidzo zvedambudziko reBP. Muzviitiko zvakadaro, unofanira kuenda kuchipatara nekukurumidza.
- Mararamiro ane hutano (kudya zvakanaka, kurovedza muviri, kudzora kushushikana) zvinogona kuchengetedza mahormone aya ari pakati nepakati.
- Kana uine zvinokunetsa nezvehutano hwako, zvakakosha kubvunza chiremba wako pane kungofungidzira.
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