Namuhla sizokhuluma ngengxenye emangalisayo kakhulu nebaluleke kakhulu yomzimba wethu. Ifana 'nesikhungo sokulawula esiphuthumayo' esincane emzimbeni wethu. Siyibiza ngokuthi 'i-Adrenal Medulla'. Kungenzeka ukuthi awukaze uzwe ngaleli gama ngaphambili, kodwa umsebenzi eliwenzayo ubaluleke kakhulu kuwe. Ngakho-ke, ake sibone ukuthi liyini, lisebenza kanjani, nokuthi lisenzani kithi.
Kuyini lokhu `(Adrenal Medulla)`?
Kalula nje, i-`(Adrenal Medulla)` yingxenye encane engaphakathi kwe-`(Adrenal Gland)` yakho, okuyilokho esikubiza ngokuthi i-adrenal gland ngesiSinhala. Cabanga nje, le ndlala ye-adrenal ifana nesigqoko esincane esingunxantathu ngaphezu kwezinso zakho ezimbili. Unezinso ezimbili, ngaphansi kancane kwesikhala sembambo. Lezi zindlala ezimbili ze-adrenal zitholakala ngaphezu kwalezo zinso ezimbili. Le ndlala ye-adrenal yakhiwe izingxenye ezimbili eziyinhloko. Ingxenye enkulu engaphandle ibizwa ngokuthi i-`(Adrenal Cortex)`. I-`(Adrenal Medulla)` esikhuluma ngayo namuhla yingxenye encane engaphakathi. Ngakho-ke, le `(Adrenal Medulla)` yilapho kukhishwa khona
ama-hormone abalulekile alawula
uhlelo lwethu lwezinzwa oluzimele `(Autonomic nervous system)`. Uyazi ukuthi luyini lolu hlelo lwezinzwa oluzimele? Yilona olulawula izinto ezenzeka ngokuzenzakalelayo ngaphandle kokuthi sicabange ngakho. Isibonelo, izinto ezifana nokushaya kwenhliziyo yakho,
ukuphefumula , nokujuluka.
Kwenzekani ku-`(Adrenal Medulla)`? Indima ebaluleke kakhulu!
Umsebenzi oyinhloko walo `(Adrenal Medulla)` ukulungiselela imizimba yethu ukubhekana nesimo esiphuthumayo, noma lokho esikubiza ngokuthi
ukucindezeleka . Lokhu kwenzeka ngokukhulula iqembu elikhethekile lama-hormone, okungukuthi `(Catecholamines)`. Wake wezwa nge `(Adrenaline)` kanye ne `(Noradrenaline)`? (Lawa abizwa nangokuthi `(Epinephrine)` kanye ne `(Norepinephrine)`. Lawo ma-hormone amabili angaphansi kwaleli qembu `(Catecholamines)`. Cabanga ukuthi uhamba emgwaqweni bese ngokuzumayo inja ifika ikuxosha. Bese kuba lowo muzwa wokushaya kwenhliziyo, ukushaya kwenhliziyo okusheshayo, umuzwa wokubanda, isifiso sokugijima - woza, konke lokho kwenzeka ngemizuzwana embalwa ngenxa yama-hormone avela kulo `(Adrenal Medulla)`. Yilokho esikubiza ngokuthi `(Fight-or-fly response)`. Okungukuthi, impendulo elungiselela umzimba
'ukulwa noma ukugijima' . Lokhu kungenxa yempendulo:
- Ngisho noma ulimele, ubuhlungu obuncane awubuzwa ngaleso sikhathi.
- Amandla akho nesivinini sakho kuzokhula ngokuzumayo.
- Ukunaka indawo ezungezile kuyanda kakhulu .
Iyini indima ye-`(Adrenaline)`?
I-hormone ethi ``Adrenaline`` ikhishwa ku-``Adrenal Medulla`` lapho amazinga kashukela egazini ehla noma ngesikhathi sokuzivocavoca. Isiza umzimba ukubhekana nezimo eziphuthumayo ngezindlela ezilandelayo:
Kwenzekani nge-`(Noradrenaline)`?
Le hormone isiza nomzimba ukuthi ubhekane nokucindezeleka. Nansi indlela:
- Kukhulisa amazinga kashukela egazini .
- Imithambo yegazi iyancipha (eminye yayo).
- Kukhuphula umfutho wegazi.
Akukhona lokho kuphela, `(Norepinephrine)` (lokho `(Noradrenaline)` uqobo) futhi kwenza izinto ezifana nalezi:
- Kusiza ukugcina izinkumbulo ebuchosheni.
- Kukusiza ukuthi uvuke ekuseni.
- Kwandisa ukunaka nokuxhumana.
- Iphinde isekele impilo yengqondo.
Iyini isakhiwo se-`(Adrenal Medulla)`?
Lokhu kungokwesayensi kancane, kodwa ake sizame ukukuqonda kalula.
- Ukuhlinzekwa kwegazi : Njengoba i-adrenal medulla ikhipha ama-hormone, idinga ukuhlinzekwa kwegazi okuhle. Ithola igazi emagatsheni emithambo yegazi emikhulu njenge-inferior phrenic artery, i-renal artery, kanye ne-abdominal aorta.
- Ukuhlinzekwa kwemizwa: Inzwa ebizwa ngokuthi `(Greater splanchnic nerve)` isiza `(Adrenal Medulla)` ukuxhumana nomzimba wonke. Le nzwa ingeye `(Autonomic nervous system)` esixoxe ngayo ngaphambili.
- `(Amaseli e-Chromaffin)`: Lawa uhlobo olukhethekile lweseli olutholakala ku-`(Adrenal Medulla)`. Lawa maseli aqukethe ama-granules amancane `(ama-granules). Uma kuvela isignali ephuthumayo evela ku-`(Splanchnic nerve)`, lawa `(amaseli e-Chromaffin)` akhipha ama-granules awo. Bese ama-hormone `( Adrenaline )` kanye ne-`(Noradrenaline)` engezwa egazini.
Yiziphi izifo ezithinta i-`(Adrenal Medulla)`?
Izimo ezithinta i-adrenal medulla
zivame ukungabi vamile , kodwa ngezinye izikhathi zingaba yingozi empilweni. Iningi lalezi zimo yizimila ze-adrenal. Iningi lalezi zimila azinabungozi, okusho ukuthi azinawo umdlavuza. Kodwa-ke, ezinye izinhlobo zomdlavuza zingavela. Ngezinye izikhathi lezi zimila zingazuzwa njengefa. Ezinye zezinhlobo zezimila ezingakhula ku-adrenal medulla yilezi:
- I-Ganglioneuroma: Lesi isimila esingakhula kubantu abadala kanye nasezinganeni. Sivela emaseli esimiso sezinzwa esizimele.
- I-Neuroblastoma: Lona umdlavuza okhula ezicutshini zemizwa. Uvame kakhulu ezinganeni. Ungakhula esiswini, esifubeni, noma ngisho nasemzimbeni womgogodla.
- I-Paraganglioma: Lesi futhi isimila esivela ezicutshini ze-chromaffin zezindlala ze-adrenal. Singakhula ohlelweni lwezinzwa olungaphandle futhi sithinte izindawo ezifana nezitho zomzimba, ikhanda, intamo kanye nesisu.
- `(Pheochromocytoma)`: Lesi simila sithinta ukukhishwa kwama-hormone `(Epinephrine)` kanye `( Norepinephrine )`. Lesi simo singabangela ukwanda okungazelelwe nokuyingozi komfutho wegazi. Lokhu kubizwa ngokuthi `(Inkinga Yomfutho Ophezulu)`.
Yiziphi izimpawu ze-Adrenal Medulla Cysts?
Lezi zimila zivame
ukukhula kancane kakhulu . Ngakho-ke ungase ungaziboni izimpawu ekuqaleni. Ngokuvamile, zitholakala ngengozi, ngesikhathi socwaningo lwezithombe olwenziwe ngesinye isizathu. (Zibizwa nangokuthi ama-adrenal incidenticalomas.) Kodwa-ke, uma kuvela izimpawu zesimila se-adrenal medulla, zingathinta lezi zinhlelo ezilandelayo:
- Umfutho wegazi (isib. umfutho wegazi ophezulu )
- Uhlelo lokugaya ukudla (isib. ubuhlungu besisu, isicanucanu)
- Isimiso sezinzwa (isib. ikhanda elibuhlungu, ukujuluka)
- Uhlelo lokuphefumula (isb., ubunzima bokuphefumula)
- Uhlelo lomchamo
Yiziphi izimpawu "zenkinga yomfutho wegazi ophezulu"?
`(Inkinga yokucindezeleka kwegazi)`, okungukuthi, ukwanda okuyingozi komfutho wegazi, kungenzeka uma ama-hormone akhishwa yi-`(Adrenal Medulla)` engakwazi ukulawulwa kahle ngisho nangokucindezeleka okuncane. Cabanga nje, ngisho nento elula njengokugoba phambili noma ukudla ukudla okuthile ingabangela lezi zimpawu:
- Ubuhlungu besifuba
- Ukujuluka ngokweqile (i-Hyperhidrosis)
- Ikhanda elibuhlungu
- I-Syncope
- Isicanucanu nokuhlanza
- Isifo sokuwa (umsebenzi kagesi ongajwayelekile ebuchosheni)
- Ubunzima bokuphefumula (i-Dyspnea)
Okubalulekile: Uma unezimpawu ezinjengalezi, kungaba yisimo esidinga usizo oluphuthumayo lwezokwelapha.
Ingabe zikhona ezinye izimo ezithinta i-`(Adrenal Medulla)`?
Yebo, uma leli zinga lama-hormone liphezulu ngendlela engavamile, lingahlotshaniswa nezinkinga ezithile zempilo yengqondo. Isibonelo:
- Umlutha
- Ukukhathazeka
- Isifo sokungakwazi ukugxilisa ingqondo (ADHD)
- Ukucindezeleka
- Isifo sokwesaba
- Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)
La ma-hormone akuzona zodwa ezibangela lezi zimo, kodwa ukungalingani kula ma-hormone kungabangela lokhu.
Yiziphi izindlela zokwelapha izifo ze-`(Adrenal Medulla)`?
Uhlobo lokwelashwa oludingayo luzoncika ekuxilongweni kwakho kanye nobukhali bezimpawu zakho. Ukwelashwa kungafaka:
- Ukwelashwa `(Inkinga Yomfutho Ophezulu)`: Ukwelashwa okuphuthumayo kuyadingeka ukuze kwehliswe umfutho wegazi. Lokhu kungenziwa ngemithi efana `(Ama-Vasodilator).` Le mithi yandisa ngokushesha imithambo yegazi evalekile.
- Ukwelashwa kwezimila kanye nomdlavuza:Ama-cyst avame ukudinga ukuhlinzwa. Udokotela ohlinzayo kungase kudingeke asuse indlala eyodwa noma zombili ze-adrenal. Ama-cyst anomdlavuza angadinga ukwelashwa ngemisebe kanye ne-chemotherapy.
Ngingayigcina kanjani i-`(Adrenal Medulla)` yami iphilile?
Ngokuzinakekela kahle, ungagcina izindlala zakho ze-adrenal, noma i-adrenal medulla, zisebenza kahle. Izinto ezilandelayo zingasiza ngalokhu:
- Phila impilo esebenzayo: Vivinya umzimba njalo . Ukuhamba okungenani imizuzu engama-30 ngosuku nakho kuhle.
- Yidla ukudla okunomsoco: Yidla imifino eminingi, izithelo, ubhontshisi, kanye nokudla okusanhlamvu okuphelele. Nciphisa ukudla okumnandi nokunamafutha.
- Phuza amanzi ahlanzekile amaningi: Zama ukuphuza okungenani izingilazi zamanzi ezingu-8 ngosuku.
- Ukulawula ukucindezeleka: Ukuzivocavoca okujulile kokuphefumula kanye nokuzindla kungasiza ekunciphiseni ukucindezeleka. Thola indlela ekusebenzelayo.
- Thola ukunakekelwa kokuvimbela: Thola
(physical exams) njalo ukuze ukwazi ukubona noma yiziphi izinkinga kusenesikhathi.
Ngamafuphi, yini okufanele uyikhumbule! (Umyalezo Wokuya Ekhaya)
Ama-hormone akhiqizwa yi-adrenal medulla yakho alawula indlela umzimba wakho osabela ngayo ezimweni eziphuthumayo, noma ukucindezeleka. Lawa ma-hormone akunika amandla okusinda ezimweni eziyingozi. Kodwa-ke, uma la mazinga ama-hormone eba phezulu ngendlela engavamile, angabangela izinkinga eziningi zempilo, ezinye zazo ezingasongela impilo.
Uma unokungabaza noma ukwesaba ngesimila se-adrenal medulla, inkinga yomfutho wegazi ophakeme, noma ukwanda kwama-hormone, kufanele nakanjani uthintane nodokotela we-endocrinologist. Khona-ke uzokwazi kahle ukuthi kwenzekani. Ungakhathazeki, kunezindlela zokwelapha ezinhle zezinto eziningi manje.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho