Uma sikhathazekile, sesaba, noma sicindezelekile kakhulu, imizimba yethu idlula ezinguqukweni eziningi, akunjalo? Cabanga, bekuzokwenzekani uma inja ingagxuma phambi kwakho ngokuzumayo? Ukushaya kwenhliziyo yakho kuyakhuphuka, uyajuluka, futhi uzizwa amandla enyuka. Abadlali abaphambili abasiza imizimba yethu ukuba isabele ngale ndlela ngezikhathi ezinjengalezi ama-hormone abizwa ngokuthi "ama-catecholamines." Ngakho-ke namuhla sizokhuluma ngokuhlolwa okukhethekile okulinganisa amazinga ala ma-hormone.
Kalula nje, ayini lawa ma-catecholamine?
Ama-Catecholamines ayiqembu lama-hormone akhishwa yizindlala zethu ze-adrenal. Lawa ama-gland amabili amancane, afana ne-cap atholakala ngaphezu kwezinso zethu. Uma ubhekene nokucindezeleka okukhulu, kungaba ngokomzimba noma ngokwengqondo, la ma-gland akhipha ama-hormone e-catecholamine egazini.
Kunamalungu amathathu ayinhloko aleli qembu lama-hormone:
- I-Epinephrine: Lena yi -adrenaline sonke esiyaziyo.
- I-Norepinephrine
- I-Dopamine
La ma-hormone angena egazini futhi alungiselela imizimba yethu "ukulwa noma ukubaleka." Okusho ukuthi, ukulungiselela umzimba ukubhekana nesimo esiphuthumayo. Kwenzekani ngalesi sikhathi?
- I-Adrenaline iyakhishwa futhi inika umzimba amandla ngokushesha.
- Isilinganiso sakho senhliziyo kanye nomfutho wegazi kuyakhuphuka.
- Kwandisa ukugxila kwakho kwengqondo kanye nokuphaphama .
- Igazi eliningi lithunyelwa ebuchosheni nasemisipheni , ngoba zidinga amandla ukuze kuthathwe isinyathelo esiphuthumayo.
Ngemva kokuba la ma-hormone eseqedile umsebenzi wawo, umzimba ukhipha imfucuza esele emchameni. Ukuhlolwa kwe-catecholamine kulinganisa amazinga ala ma-hormone egazini noma emchameni wakho.
Pho-ke, kungani udinga ukwenza lolu vivinyo?
Ngokuvamile, la mazinga ama-hormone anda kuphela uma sicindezelekile. Kodwa-ke, uma la mazinga e-catecholamine ephezulu ngendlela engavamile ngaphandle kwesizathu esibonakalayo, kungaba uphawu lohlobo olungavamile lwesimila olukhula ezindlaleni zethu ze-adrenal.
Izimo eziyinhloko ezibhekwa yilolu vivinyo yilezi:
- I-Neuroblastoma: Lona umdlavuza okhula ezicutshini zemizwa. Uvame kakhulu ezinganeni ezincane .
- I-Paraganglioma: Lesi futhi isimila. Kodwa ngokuvamile asisona umdlavuza. Sithinta amangqamuzana ezinzwa alawula umfutho wegazi.
- I-Pheochromocytoma:Lesi isimila esikhula endlaleni ye-adrenal. Lokhu kubangela ukuthi umzimba ukhiqize ama-hormone amaningi kakhulu njenge-adrenaline.
Yiziphi izimpawu ezingenza udokotela anqume ukwenza lolu vivinyo?
Udokotela wakho angancoma lokhu kuhlolwa uma unezimpawu ezihlobene nezinhlobo zezimila esixoxe ngazo ekuqaleni. Futhi, uma othile emndenini wakho eye waba nezimo ezifana ne-neuroblastoma, i-paraganglioma, noma i-pheochromocytoma, okungukuthi, uma unomlando womndeni, khona-ke ungase ucelwe ukuthi wenze lokhu kuhlolwa.
Izimpawu zingase zihluke kancane kuye ngobudala.
Izimpawu ezingase zivele kubantu abadala
| Isibonakaliso | Incazelo |
|---|---|
| Ukukhathazeka okuvamile | Ukuzizwa ukhathazekile futhi ukhathazekile njalo ngaphandle kwesizathu esithile. |
| Umfutho wegazi ophakeme | Umfutho wegazi ophakeme oqhubekayo okunzima ukuwulawula ngemithi ejwayelekile. |
| Isicanucanu | Ukuzizwa sengathi uhlanza njalo. |
| Ukushaya kwenhliziyo | Inhliziyo ishaya ngokushesha kangangokuthi ungayizwa. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elinzima nelinzima eliqala ngokuzumayo. |
| Ukuba ndikindiki ezithweni zomzimba | Ukuzwa sengathi izandla nezinyawo azinamizwa. |
Izimpawu ezingase zivele ezinganeni ezincane
| Isibonakaliso | Incazelo |
|---|---|
| Iqhubu elingavamile esiswini | Ukuba neqhubu esiswini elingazwakala ngesandla. |
| Ubuhlungu emathanjeni | Ubuhlungu bethambo obuvela ngaphandle kwesizathu. |
| Ukunyakaza kwamehlo okungavamile | Amehlo ayahambahamba ngendlela engavamile. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Ukwehla kwesisindo kwengane ngaphandle kokunciphisa ukudla okudlayo. |
Kwenziwa kanjani lokhu kuhlolwa?
Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlolwa.
1. Ukuhlola isampula yomchamo yamahora angama-24 .
2. Ukuhlola isampula yegazi .
Kulezi zindlela ezimbili, ukuhlolwa komchamo kunikeza imiphumela ethembeke kakhulu . Yingakho odokotela bevame ukukuncoma. Kodwa-ke, uma kukhona okusolakala ukuthi kukhona isimila esibizwa ngokuthi i-pheochromocytoma, kungase kudingeke ukuhlolwa kwegazi. Kwezinye izimo, zombili lezi zivivinyo zingenziwa.
Ukuhlolwa Komchamo Kwamahora Angama-24
Indlela yokwenza lokhu ilula kakhulu, kodwa kufanele yenziwe ngendlela efanele.
- Ilebhu izokunikeza ibhodlela noma isitsha esikhethekile sokuqoqa umchamo wakho.
- Kufanele uchame futhi ukhiphe isinyi sakho ngaphambi nje kokuba kuqale isikhathi samahora angama-24. Asikho isidingo sokuqoqa lowo mchamo.
- Kusukela ngaleso sikhathi kuqhubeke, wonke amaconsi omchamo owadlulayo emahoreni angama-24 alandelayoNgidinga ukuyifaka ebhodleleni engilinikwe lona.
- Kubalulekile ukugcina ibhodlela lokuqoqwa komchamo lipholile ngokulibeka efrijini noma efrijini eligcwele iqhwa .
- Ngemva kwamahora angama-24, udinga ukuchamela ebhodleleni elifanayo okokugcina bese ulithumela elabhorethri.
Ukuhlolwa Kwegazi
Lokhu kufana nokuhlolwa kwegazi okuvamile.
- Elabhorethri, basebenzisa inaliti ukuze bathathe igazi engalweni yakho.
- Ngezinye izikhathi ungase ucelwe ukuba ulale embhedeni ngaphambi noma ngesikhathi sokukhipha igazi. Lokhu kungenxa yokuthi ngisho nokucindezeleka okuncane ngesikhathi sokukhipha igazi kungashintsha la mazinga ama-hormone, ngakho-ke nciphisa lowo mphumela.
Kufanele sizilungiselele kanjani ngaphambi kokuhlolwa? Lokhu kubaluleke kakhulu!
Ukulungiselela kwakho kunomthelela omkhulu ekunembeni kwemiphumela yalolu vivinyo. Ngakho-ke, kufanele ulandele imiyalelo kadokotela ngqo.
Amazinga e-hormone ye-catecholamine azwela kakhulu. Angashintshwa kalula ngokuzivocavoca umzimba, imizwa enamandla, ukudla okuthile, kanye nemithi. Ngakho-ke, ukunciphisa la mathonya ngangokunokwenzeka ngaphambi kokuhlolwa kubalulekile ukuze uthole imiphumela enembile.
Ukuzivocavoca nokuzola kwengqondo
Gwema ukuvivinya umzimba okunzima izinsuku ezimbalwa ngaphambi kokuhlolwa. Futhi, zama ukuhlala uzolile futhi uphumule ngangokunokwenzeka kulezi zinsuku ezimbalwa, ngaphandle kokucindezeleka noma ukukhathazeka .
Ukudla neziphuzo ezingathinta ukuhlolwa
Uyalulekwa ukuthi ugweme ukudla neziphuzo ezilandelayo izinsuku ezimbalwa ngaphambi kokuhlolwa.
| Ukudla/iziphuzo okufanele uzigweme |
|---|
| Ibhanana |
| Ama-cola ane-caffeine |
| Ushokoledi |
| Izithelo ze-citrus, njenge-orange |
| Ikhofi |
| Iziphuzo zamandla |
| Ukudla okuqukethe i-vanilla |
| Itiye |
Imithi okungadingeka iyekwe
Kubaluleke kakhulu: Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokukhuluma nodokotela wakho. Eminye imithi ingathinta ukuhlolwa. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Uzonquma ukuthi kufanele uyeke yini ukuyithatha izinsuku ezimbalwa.
Nazi ezinye zemithi ezingathinta isivivinyo:
- I-Acetaminophen - (isb., iPanadol)
- I-Amphetamine
- Imithi yomkhuhlane kanye nama-sinuses
- Imithi yokucindezeleka
- Ama-diuretics - imithi esusa uketshezi oluningi emzimbeni - isib. i-furosemide
- I-insulini
- I-Lithium
- I-Tetracycline
- Ama-Vasodilator - isibonelo i-hydralazine
Ezinye izinto
Lezi zinto kufanele futhi zigwenywe ngokuphelele ezinsukwini ezingaphambi kokuhlolwa:
- Utshwala
- I-Cocaine
- Ugwayi
Uthini umbiko wokuhlolwa?
Kujwayelekile ngokuphelele ukuba nezinga elithile lama-catecholamine egazini noma emchameni wakho. Uma izinga liphansi, akuyona inkinga nhlobo.
Kodwa-ke, uma amazinga e-catecholamine ephezulu kakhulu , kungaba uphawu lokuthi kungenzeka ukuthi ube nesimila se-adrenal, uhlobo olungavamile lwesimila esixoxe ngalo ekuqaleni.
Kodwa khumbula, lo mbiko wokuhlolwa wodwa awukwazi ukuxilonga. Ukuba namazinga aphezulu e-catecholamine akusho ukuthi unesimila.
Ngemva kokuthola le miphumela, udokotela wakho cishe uzokucela ukuthi uphinde ukuhlolwa ukuze aqinisekise ukuthi imiphumela ilungile. Noma, bangase bakuthumelele ukuhlolwa okwengeziwe ukuqinisekisa noma ukuqeda ukuxilongwa. Isibonelo, bangase benze iskeni ukuze bahlole isimila noma i-biopsy ukuze kuthathwe ucezu oluncane lwezicubu endaweni esolisayo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-catecholamines ama-hormone okucindezeleka akhiqizwa yimizimba yethu lapho sicindezelekile.
- Lolu vivinyo, olulinganisa amazinga ama-hormone, lusiza ekuboneni izinhlobo ezingavamile kakhulu zezimila ezingakhula ezindlaleni ze-adrenal.
- Ukuze uthole imiphumela yokuhlolwa enembile, kubaluleke kakhulu ukulandela imiyalelo kadokotela maqondana nokudla, imithi, kanye nokuzivocavoca ngaphambi kokuhlolwa.
- Ungakhathazeki uma amazinga akho e-catecholamine ephezulu. Akusho ukuthi unesimila ngaso sonke isikhathi. Kumane kuyisibonakaliso sokuthi kudingeka ukuhlolwa okwengeziwe.
- Khuluma nodokotela wakho ngokukhululekile njalo ngemiphumela yokuhlolwa kwakho kanye nezinyathelo ezilandelayo.
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