Uyakhumbula umuzwa owutholayo lapho uxoshwa yinja ngokuzumayo emgwaqweni, noma lapho uthola iphepha lakho lemibuzo yokuhlolwa esandleni sakho? Inhliziyo yakho iyashaya ngamandla, inhliziyo yakho ishaya ngokushesha, umzimba wakho uyabanda futhi ujuluka... Lokhu yilokho esikubiza ngokuthi impendulo " yokulwa noma yokubaleka ". Okusho ukuthi, indlela yomzimba yokuzilungiselela "ukulwa noma ukugijima." Sonke sizwile nge-adrenaline, esebenza emizimbeni yethu ngalesi sikhathi. Kodwa uke wezwa ngengane yalo, esebenza ngendlela efanayo ne-adrenaline, kodwa ngendlela ehluke kancane? Ibizwa ngokuthi i-norepinephrine. Sizokhuluma ngalezi ezimbili namuhla.
Ziyini lezi catecholamines?
Kalula nje, i-Norepinephrine ne-Epinephrine zingamalungu amabili eqembu lama-hormone abizwa ngokuthi 'ama-Catecholamines' . La ma-hormone akhiqizwa emizimbeni yethu yizindlala ezimbili ezincane ezitholakala ngaphezu kwezinso. Sizibiza ngokuthi 'izindlala ze-Adrenal'. Ngezinye izikhathi lezi zikhiqizwa ubuchopho njengama -'Neurotransmitters' , izithunywa zamakhemikhali ezithwala imiyalezo ohlelweni lwezinzwa.
Elinye ilungu elibalulekile laleli qembu yi -dopamine . Uma uzizwa ukwesaba, usongo, noma ukucindezeleka, lawa ma-hormone amathathu asebenza ndawonye ukulungiselela umzimba wakho. Uma lawa esemazingeni aphezulu emzimbeni wakho,
- Inani legazi eligeleza liye ebuchosheni nasemisipheni liyakhula.
- Ukunaka nokuqapha kuyakhula.
- Isilinganiso senhliziyo siyanda.
- Umfutho wegazi uyakhuphuka.
Ngezinye izikhathi, uma unezimpawu eziqhubekayo njengomfutho wegazi ophezulu ongalawulwa ukwelashwa, ukukhathazeka okuvamile, isicanucanu, kanye nekhanda elibuhlungu, udokotela wakho angase acele ukuhlolwa kwegazi nomchamo ukuze ahlole amazinga akho ala ma-catecholamine. Amazinga aphezulu alokhu aqhubeka nokuba uphawu lohlobo lomdlavuza olungavamile oluvela ezindlaleni ze-adrenal.
I-Norepinephrine ne-Epinephrine - Imisebenzi Emibili Yababili
Nakuba laba ababili besebenza ndawonye, imisebenzi yabo eyinhloko ihlukile kancane. Ake sibone ukuthi lokho kusebenza kanjani.
| I-Norepinephrine (i-Noradrenaline) | I-Epinephrine (i-Adrenaline) |
|---|---|
| Ngokuvamile i-neurotransmitterIsebenza njengesithunywa ohlelweni lwezinzwa. | Ngokuvamile isebenza njenge -hormone . Esimweni esiphuthumayo, ikhishwa ingene egazini isuka endlaleni ye-adrenal. |
| Ihlala isebenza emzimbeni, ilawula izinto ezifana nokulala, ukunaka kanye nomfutho wegazi. | Isetshenziswa kakhulu kuphela ngezikhathi eziphuthumayo . |
| Umsebenzi oyinhloko ukugcina umfutho wegazi ngokuncipha imithambo yegazi. | Umsebenzi oyinhloko ukusheshisa ukushaya kwenhliziyo, ukwandisa amandla, nokunciphisa ukuqonda ubuhlungu. |
Kwenzekani nge-norepinephrine?
I-Norepinephrine ifana nomlawuli ohlala emizimbeni yethu. Ayisebenzi kuphela ezimweni eziphuthumayo, kodwa futhi nasempilweni yansuku zonke.
- Ukunaka nokulala: I-Norepinephrine ikusiza ukuthi uvuke ekuseni futhi ikusize uhlale uphapheme futhi ugxile usuku lonke. Ngisho noma usukuma ngokuzumayo, i-norepinephrine ethile iyakhishwa ukuze ikusize uhlale usebenza.
- Umfutho wegazi: Ubangela ukuba imithambo yegazi inciphe ukuze kuvinjelwe umfutho wegazi ukuthi wehle kakhulu. Kodwa-ke, uma leli zinga lihlala liphezulu, kungaholela ekucindezelekeni kwegazi okuphezulu.
- Imizwa: Amazinga aphansi ahlotshaniswa nokucindezeleka nezinye izinkinga zempilo yengqondo. Futhi, ukwanda okungazelelwe kwe-norepinephrine kungabangela imizwa yenjabulo kanye nokuhlaselwa uvalo .
Kwenzekani nge-Epinephrine (Adrenaline)?
I-Epinephrine iyi-adrenaline esiyaziyo sonke. Yileyo eza ukuzosisiza njengeqhawe esimweni esiphuthumayo.
- Amandla nesivinini: Kwandisa ukushaya kwenhliziyo nomfutho wegazi, futhi kwenezela ushukela (i-glucose) egazini, okukunika amandla asheshayo.
- Ukunciphisa ubuhlungu : Ngisho noma ulimele, kungaqeda ubuhlungu okwesikhashana, kukusize ukuthi uqhubeke ulwa noma ugijima.
- Ukukhulisa amandla: I-Epinephrine ingakhulisa amandla akho okwesikhashana.
Kodwa-ke, uma izinga le-epinephrine kumuntu ohlala ecindezelekile lihlala liphezulu, lingabangela ukungaphumuli, ukuqwasha, ngisho nokulimala kwenhliziyo.
Zisetshenziswa kanjani lezi zindlela zokwelapha?
Ngenxa yemiphumela enamandla nesheshayo yakho kokubili, odokotela bayakusebenzisa njengomuthi.
| Nini ukunikeza i-Norepinephrine | Nini ukunikeza i-epinephrine |
|---|---|
| Ukwandisa umfutho wegazi uma wehla uye ezingeni elisongela ukuphila (isib. ukushaqeka kwe-septic, ukumiswa kwenhliziyo). | Ukuvuselela (CPR) lapho inhliziyo ima. |
| Uma ingcindezi incishisiwe ngenxa ye-anesthesia yomgogodla. | Njengokwelashwa okuphuthumayo kokusabela okukhulu kokungezwani komzimba (i-anaphylaxis) . |
| Eminye imithi ye-ADHD kanye neyokulwa nokucindezeleka isebenza ngokwandisa amazinga e-Norepinephrine ebuchosheni. | Ukuvula imigudu yokuphefumula kubantu abane-asthma . |
| Ezimweni zokushaqeka kwemizwa okubangelwa ukulimala komgogodla. | Ukugcina umfundi ekhulisiwe ngesikhathi sokuhlinzwa kwamehlo. |
I-Epinephrine kanye nokusabela okukhulu kwe-allergy (i-Anaphylaxis)
Enye yezindlela ezibaluleke kakhulu zokusebenzisa i-epinephrine ukwelashwa okuphuthumayo kwezifo ezinzima zokungezwani komzimba (i-anaphylaxis), okungaba yingozi empilweni. Abanye abantu bangabhekana nalesi simo ngemuva kokuchayeka ekudleni okuthile noma ekutinyelweni yizinambuzane (isb., ukutinyelwa yizinambuzane).
Ezinye zezimpawu ze-anaphylaxis yilezi:
- Ukuvuvukala noma ukuqina komphimbo
- Ubunzima bokuphefumula
- Ukuqina kwesifuba noma ukukhwehlela
- Ukuzungeza noma ukulahlekelwa ukwazi
Abantu abane-allergies enzima bayelulekwa ukuthi bahlale bephethe i -epinephrine auto-injector enqunywe ngudokotela (njenge-EpiPen). Ukuyijova ngokushesha kungasindisa impilo uma kwenzeka ukusabela kwe-allergy.
Kubaluleke kakhulu: Uma, naphezu kokusebenzisa umjovo we-epinephrine, izimpawu zakho zingapheli ngokuphelele noma uma izimpawu zibuya, kubalulekile ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Kwenzekani uma la ma-hormone ehla emzimbeni?
Ngezinye izikhathi, ukukhiqizwa kwala ma-hormone emzimbeni wethu kungancipha. Amazinga aphansi ala ma-hormone angahlotshaniswa nezinkinga ezahlukene zempilo.
- Izinkinga ezihambisana namazinga aphansi e-norepinephrine: Ukukhathazeka, ukucindezeleka, i-ADHD, ikhanda elibuhlungu, ukulahlekelwa inkumbulo, izinkinga zokulala, umfutho wegazi ophansi.
- Izinkinga ezihambisana namazinga aphansi e-epinephrine: ukukhathazeka, ukucindezeleka, ikhanda elibuhlungu, izinkinga zokulala, amazinga aphansi kashukela egazini (hypoglycemia).
Uma unezimpawu ezinjengalezi, kungcono ukukhuluma nodokotela wakho ukuze uthole ukuthi imbangela iyishintsho yini kula mazinga ama-hormone.
Umlayezo Wokuya Nawe Ekhaya
- I-Norepinephrine kanye ne-epinephrine ama-hormone amabili "okulwa noma ukubaleka" akusiza uma uzizwa wesaba noma usongelwa.
- I-Norepinephrine (i-Noradrenaline) ifana ne-thermostat yomzimba. Isebenza njalo, ilawula izinto ezifana nokunaka kanye nomfutho wegazi.
- I-Epinephrine (i-Adrenaline) ifana ne-alamu yomlilo. Ikhala kuphela uma kunesimo esiphuthumayo futhi ikunika amandla ngokushesha.
- Njengomuthi, i-Norepinephrine isetshenziswa kakhulu ukwandisa umfutho wegazi ophansi kakhulu, kanti i-Epinephrine isetshenziswa njengokwelashwa okusheshayo kwezifo ezinzima zokungezwani komzimba (i-anaphylaxis).
- Ukungalingani kula mazinga ama-hormone kungathinta impilo yakho yomzimba neyengqondo, ngakho-ke funa iseluleko sezokwelapha uma unenkinga.
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