Khawuthelekelele inja itsiba ngequbuliso phezu kwakho ngelixa uhamba esitalatweni. Okanye loo mvakalelo yovalo oyifumanayo ngaphambi kovavanyo olubalulekileyo... Intliziyo yakho iqala ukubetha ngokukhawuleza, umzimba wakho uyabanda kwaye ubila, amehlo akho aba makhulu. Kwimizuzwana embalwa, umzimba wakho wonke ulungiselela umlo omkhulu okanye ukubaleka. Oku sikubiza ngokuba yimpendulo ' yokulwa okanye ukubaleka '. Emva kwako konke oku kukho amaqhawe amabini emzimbeni wethu. Lawa yi-Epinephrine (Epinephrine) kunye ne-Norepinephrine (Norepinephrine). Siza kuthetha ngala mabini namhlanje.
Ngubani othi i-Epinephrine kunye ne-Norepinephrine?
Ngamafutshane, aba babini bangabathunywa emzimbeni wethu. Bobabini banokwenza izinto ezimbini.
1. Njengeehomoni: Ihomoni sisithunywa sekhemikhali esihamba egazini lethu kwaye sixelele amalungu ahlukeneyo ukuba "enze oku." I-Epinephrine kunye neNorepinephrine ziveliswa ikakhulu zii-glands ezimbini ezincinci ezikwizintso zethu (ii-adrenal glands).
2. Njengee -neurotransmitters : Ezi ziikhemikhali ezithumela imiyalezo phakathi kweetriliyoni zeeseli zemithambo-luvo kwingqondo yethu nakwinkqubo yemithambo-luvo. Zinceda ekulawuleni yonke into ukususela kwintliziyo yethu ukuya kwiimvakalelo zethu.
Zombini ezi khemikhali ziyinxalenye yeqela leekhemikhali ezibizwa ngokuba yi -catecholamines . Elinye ilungu eliphambili kweli qela yi -dopamine . Zonke ezi khemikhali zintathu zisebenza kunye ukulungiselela umzimba wakho xa uxinezelekile. Kodwa i-dopamine yaziwa kakhulu ngemiphumo yayo kwizinto ezifana nolonwabo lwethu, inkumbulo, kunye nengqalelo.
Xa la manqanaba e-hormone enyuka ngexesha lemeko yoxinzelelo, umzimba wakho uphendula ngale ndlela ilandelayo:
* Yandisa ukuhamba kwegazi ukuya engqondweni nakwimisipha.
* Uphaphile kakuhle.
* Yonyusa izinga lokubetha kwentliziyo.
* Yonyusa uxinzelelo lwegazi.
Ngamanye amaxesha, ukuba uneempawu ezingapheliyo ezifana noxinzelelo lwegazi oluphezulu olunzima ukuzilawula, ukuxhalaba rhoqo, isicaphucaphu, kunye nentloko ebuhlungu kakhulu , ugqirha wakho unokuyalela uvavanyo lwegazi nomchamo ukujonga amanqanaba akho ezi catecholamines. Amanqanaba aphezulu angapheliyo anokuba luphawu lohlobo olungaqhelekanga lomhlaza wamadlala ajikeleze izintso.
Zisebenza njani ezi zimbini ngendlela eyahlukileyo?
Nangona i-epinephrine kunye ne-norepinephrine zisebenza kunye, iindima zazo eziphambili zahlukile kancinci. Makhe sijonge indlela ezisebenza ngayo.
| Umsebenzi weNorepinephrine (iNoradrenaline) | Umsebenzi we-Epinephrine (i-Adrenaline) |
|---|---|
| Idla ngokusebenza njenge -neurotransmitter , oko kuthetha ukuba ithwala imiyalezo esuka engqondweni iye kwezinye iindawo zomzimba. | Idla ngokusebenza njengehomoni . Ikhutshwa kwi-adrenal glands ngexesha loxinzelelo. |
| Isebenza emzimbeni ngamaxesha onke , kungekuphela nje ngamaxesha oxinzelelo. Imisebenzi yayo ephambili kukulawula uxinzelelo lwegazi, ukulawula ubuthongo kunye nokuvuka (ikunceda ukukuvusa kusasa), kunye nokusinceda sihlale siphaphile imini yonke. | Isebenza kakhulu ngexesha lokuphendula 'ngokulwa okanye ukubhabha' , ilungiselela umzimba ukuba ulungele imeko engxamisekileyo. |
| Ukuncitshiswa kwemithambo yegazi kudlala indima enkulu ekulawuleni uxinzelelo lwegazi . Nangona kunjalo, ukuba inqanaba liyaqhubeka nokunyuka, uxinzelelo lwegazi oluphezulu lunokubakho. | Iyanciphisa ukuziva iintlungu xa kukho imeko engxamisekileyo. Oku kukuvumela ukuba ubaleke okanye ulwe nokuba wenzakele. Ikwanyusa amandla akho okwethutyana. |
| Amanqanaba aphantsi anxulunyaniswa neengxaki zempilo yengqondo ezifana nokudakumba kunye ne-ADHD . Nangona amazinga aphezulu ngequbuliso anokubangela uvuyo olukhulu, anokubangela uloyiko . | Amanqanaba aphezulu oxinzelelo rhoqo anokubangela ukungazinzi, ukungakwazi ukulala, kwanomonakalo wentliziyo . |
Zisetyenziswa njani ezi zinto njengeyeza?
Ngenxa yokuba zombini ezi zinto zinokuba nefuthe elikhawulezayo nelinzulu emzimbeni, oogqirha bazisebenzisa njengeyeza.
Ixesha lokunika iNorepinephrine
I-Norepinephrine liyeza elinikwa kakhulu kwiimeko ezingxamisekileyo ukunyanga uxinzelelo lwegazi oluphantsi kakhulu (uxinzelelo lwegazi ) kukunyusa nokugcina uxinzelelo lwegazi luhlala lukhona. Iimeko ezinjalo zezi:
- Ukubanjwa kwe-cardiac
- I-Septic Shock (umothuko osongela ubomi obangelwa lusulelo oluqatha)
- Ngexesha le-anesthesia yomgogodla (i-Spinal Anesth ESI a)
- Kwiimpendulo zamayeza athile
- Kwiimeko ezinje ngokuqokelelwa kolwelo olujikeleze intliziyo (i-pericardial tamponade)
Ukongeza, amayeza okuthintela ukungakwazi ukugxila (ADHD) kunye nezinye izidambisi-ntlungu zisebenza ngokunyusa amanqanaba e-norepinephrine engqondweni.
Ixesha lokunika i-Epinephrine (i-Adrenaline)
I-epinephrine yokwenziwa isetyenziswa njengeyeza kwiimeko ezibalulekileyo kakhulu.
- Ngexesha lokuvuselelwa kwentliziyo (CPR)
- Gcina amehlo evulekile ngexesha lotyando lwamehlo.
- Ukunyusa uxinzelelo lwegazi xa kukho i-septic shock
- Vula iindlela zomoya xa une-asthma (njenge-inhaler)
Ukubaluleka kwe-Epinephrine kwi-Anaphylaxis
Enye yezona ndlela zibalulekileyo zokusebenzisa i-epinephrine kunyango olungxamisekileyo lwe-allergies ezinzima nezisongela ubomi, ezibizwa ngokuba yi-anaphylaxis.
Khawuthelekelele umntu ngequbuliso enengxaki yokutya into efana namandongomane, iishrimp, okanye ukutyiwa yinyosi.
- Umphimbo uvakala uqinile kwaye udumbile
- Kuya kuba nzima ukuphefumla.
- Ukukhohlela, ukuthimla.
- Kuvakala ngathi liphupha elibi.
Ngamaxesha anje, iyeza elisindisa ubomi yi-epinephrine. Eli lidla ngokunikezelwa ngepeni yokuzijova ngokuzenzekelayo (njenge-EpiPen). Abantu abane-allergies ezinzima badla ngokuxelelwa ngoogqirha babo ukuba bagcine le peni nabo ngamaxesha onke. Ngamanye amaxesha, kufuneka uyijove kwangoko nje ukuba iimpawu ziqale. Ingalawula ngokukhawuleza iimpawu ezinzima, ezifana nokuphefumla kancinci.
Kubaluleke kakhulu: Nokuba inaliti ye-epinephrine isetyenzisiwe kwaye iimpawu ziphele ngokupheleleyo, kubalulekile ukuba uye kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) okanye utsalele umnxeba ku-1990 Suwaseriya. Oku kungenxa yokuba iimpawu zinokuvela kwakhona emva kokuba iyeza liphelile.
Kuthekani ukuba ezi zinto azanele emzimbeni?
Ngamanye amaxesha imizimba yethu inokuvelisa ezi hormone zincinci. Izizathu zoku zinokuba nzima, kwaye ngugqirha kuphela onokuzifumana.
Iingxaki ezinxulumene namanqanaba aphantsi e-norepinephrine:
- Ixhala kunye noxinzelelo
- I-ADHD
- Intloko ebuhlungu
- Iingxaki zememori kunye nokulala
- Uxinzelelo lwegazi oluphantsi (iHypotension)
- Iswekile ephantsi egazini (iHypoglycemia)
Iingxaki ezinxulumene namanqanaba aphantsi e-epinephrine:
- Ixhala kunye noxinzelelo
- Intloko ebuhlungu
- Iingxaki zokulala
- Iswekile ephantsi egazini (iHypoglycemia)
Ukuba uqhubeka uneempawu ezinje, eyona nto ingcono onokuyenza kukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Epinephrine (iAdrenaline) kunye neNorepinephrine ngabadlali ababini abaphambili kwimpendulo ethi 'Yilwa okanye Ubhabhe' elungiselela umzimba wakho ingozi.
- I-Norepinephrine yi-neurotransmitter esebenza rhoqo, ilawula izinto ezifana noxinzelelo lwegazi, ingqalelo, kunye nokulala.
- I-Epinephrine yi-hormone esebenza kakhulu xa kukho uxinzelelo olukhawulezileyo.
- I-Norepinephrine isetyenziswa njengeyeza lokunyusa uxinzelelo lwegazi oluphantsi kakhulu ukuba lungabeka ubomi esichengeni.
- I-Epinephrine lunyango olusindisa ubomi kwiimpendulo ezinzima ze-allergy (i-anaphylaxis).
- Ukuba uneengxaki eziqhubekayo ezifana nokuxhalaba, intloko ebuhlungu, okanye utshintsho kuxinzelelo lwegazi, qiniseka ukuba ubona ugqirha wakho ukuze akunike ingcebiso.
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