I-Peak Into "Yokukhathala Kwe-Adrenal" Ukuphikisana
Ucwaningo lubonisa ukuxhumana okukhona phakathi kwesifo se-autoimmune, njenge- Hashimoto's thyroiditis nesifo se-Graves, nesimo esibandakanya izigulane zakho ezibizwa ngokuthi i-adrenal insufficiency (isifo sika-Addison).
Nakuba ukungaqiniseki kwe-adrenal eyinhloko kubhekwa njengesifo esingavamile, ukuqonda ukuxhumana okukhona nesifo se-autoimmune kuyasiza, ikakhulukazi eqenjini elikhethiwe (kodwa elincane) labantu.
Eqinisweni, ucwaningo olulodwa lubonisa ukuthi ukungakwazi ukusebenza okuyinhloko kungase kube yimbangela yezibonakaliso eziqhubekayo zabantu, naphezu kokwelashwa kwesifo sabo se-thyroid.
I-Anatomy ye-Gren Adrenal
Ama-adrenals akho angama-glands amabili amancane, elinye libekwe phezulu kwezinso zakho.
Ingubo ngayinye ye-adrenal ihlukaniswe ibe i-cortex yangaphandle kanye ne-medulla yangaphakathi. I-cortex kanye ne-medulla yezinhlayiya zakho ze-adrenal ziveza ama-hormone ahlukene.
I-Adrenal Cortex
I-cortex yakho enama-adrenal iqukethe izifunda ezintathu ezihlukene, esifundeni ngasinye esikhiqiza iqembu elihlukile noma uhlobo lwe-hormone. Ngokomzimba, wonke ama-hormone akhiqizwa i-cortex yakho abhekwa njenge-steroids.
- I-Mineralocorticoids ifihliwe yisifunda sangaphandle se-correx e-adrenal. I-mineralocorticoid eyinhloko i-aldosterone, eyenza ukulawula amazinga e-sodium ne-potassium emzimbeni wakho, kanye nengcindezi yegazi.
- I-glucocorticoids ifihliwe yisifunda esiphakathi se-correx ye-adrenal. I-glucocorticoid eyinhloko i-cortisol, eyandisa amazinga egazi le-glucose futhi isisiza umzimba womuntu ukuthi uphendule ekucindezelekeni.
- Iqembu lesithathu le-steroids eligcinwe yisifunda esingaphakathi kwe-cortex e-adrenal yi-hormone ye- androgen (isibonelo, testosterone ne dehydroepiandrosterone, noma i-DHEA). Okuphawulayo, ngaphezu kwama-gland adrenal, ama-testes nama-ovari akhiqiza i-androgen emadodeni nakwabesifazane, ngokulandelana.
I-Adrenal Medulla
I-adrenal medulla yakho ikhiqiza amahomoni amabili: i-epinephrine, ne-norepinephrin. Lawa mahomoni amabili "alwa-noma-indiza" akhululwa ekuphenduleni izimo ezicindezelayo ngokomzimba nangokomzwelo, njengokunqotshwa kokulala, ukukhathazeka ngokwezezimali, ukucindezelwa komsebenzi, izinselelo zomndeni, ukuphikisana, ukuhamba, ukugula, ukuhlinzwa nokudla okunomsoco.
Izimpawu Zokuntuleka Okuyinhloko Kwe-Adrenal
Ukuntuleka kwe-primary adrenal kwenzeka lapho izigulane ezingenakukwazi ukukhiqiza inani elanele lamahomoni, naphezu kwezinga elijwayelekile noma elikhulayo le-corticotropin (ACTH). I-ACTH iyi-hormone ekhishwa yi-pituitary gland yakho (etholakala ebuchosheni bakho) evuselela izigulane eziyingozi ukukhulula ama-hormone abo.
Ezinye izimpawu zokungasebenzi kahle okuyinhloko zihlanganisa:
- Ukukhathala
- Ama-muscle aches
- Ukungabi namandla
- Ukulahlekelwa isifiso nokulahlekelwa isisindo
- Izimpawu zamathumbu ezinjengokuhlukumeza, ukuhlanza nokuhlukunyezwa kwesisu
- Ukuthanda ukudla okusawoti
- Ukuzwa ikhanda elikhanyayo uma limile
Ukwaneleka kokuqala kwe-Adrenal nokuzivumelanisa ngokuzenzakalelayo ukuxhuma kwe-Thyroid
Ngokwenhlolovo e- European Thyroid Journal, cishe amaphesenti angu-5 abantu abanesifo se-autoimmune-autoimmune ayinakho amandla-amaphesenti amancane, kodwa aphezulu ekucabangeni ukuthi ukungaqiniseki okuyinhloko okungajwayelekile okubonakalayo kungabonwa kanjani.
Ngalesi sifundo, abalobi besifundo babonisa ukuthi abantu abaqhubeka bezwa izimpawu ezithile, njengokukhathala, izinhlungu zomzimba, nezinkinga zomzimba ezinjengezinhlanzi (naphezu kokwelapha isifo sabo se-autoimmune) kufanele zihlolwe ukungenakuthola okusemqoka kokuqala.
Inothi Ngokukhathala Okungavamile
Kubalulekile ukungafihli ukungaqiniseki kokuqala komuntu ngegama, "ukukhathala okunamandla" okusetshenziselwa ukuchaza isimo lapho idatha ye-laboratory (njengegazi le-cortisol namazinga e-ACTH) ayisekeli ukuxilongwa kokuntuleka komzimba, kodwa umuntu usaqhubeka nokubika -izimpawu ezihlobene:
- Ukukhathala ngokweqile nokukhathala
- Ukulala okungaqabuli (uthola amahora okwanele okulala, kodwa uvuse ukuzwela)
- Ukuzwa ukucindezeleka noma ukuhluleka ukubhekana nokucindezeleka
- Ukuthanda ukudla okusawoti
- Ukunzima ukugxila, ubuchopho bobuchopho
- Ukugaya okubi
Umqondo wokukhathala okukhulu kunzima kakhulu futhi okwamanje awubonwa yiyiphi imiphakathi ye-Endocrine, okusho ukuthi ayihlonishwa njengesimo sangempela sezokwelapha.
Eqinisweni, ngokucwaninga okukhulu okubuyekezwa ku- BMC Endocrine Disorders, abaphenyo babika ngemuva kokuhlaziywa ngokucacile ukuthi akukho nje ubufakazi obukhona besayensi bokuthi ukukhathala kwe-adrenal kukhona.
Noma kunjalo, umphakathi owodwa ohlala ukholelwa ukuthi ukukhathala okwedlulele kuyinkinga yokwelapha yangempela futhi engahloliswanga yi-American Academy of Medicine Anti-Aging. Lo mphakathi awubonakali yiBhodi YaseMelika Yezokwelapha noma i-Association of American Medical Colleges.
Izwi elivela
Kunemiyalezo emibili yokuthatha ekhaya:
- Cabanga ukuthi uhlolwe ukungaqiniseki okuyinhloko uma ungenazo izimpawu eziqhubekayo ezifana nokukhathala, ubuhlungu besisu, kanye / noma izinkinga zokugaya (ngemva kokwelapha isifo sakho se-thyroid).
- Kuze kube yilapho ukukhathala okunamandla kukhishwa ngaphandle, gxila ekuzibandakeni emikhubeni enempilo njengokubona udokotela wakho ukuhlola njalo, ukulala ngokwanele, ukugwema noma ukulinganisela ukudla kwe-caffeine, nokudla ukudla okunomsoco. Abanye abantu bakhetha ukudla okungezansi-glycemic (ngenxa yomphumela wokulwa nokuvuvukala), kodwa khuluma nodokotela wakho kuqala ngaphambi kokuqala lokhu.
> Imithombo:
> Cadegiani FA, uKater CE. Ukukhathala okwedlule akusho > kukhona: > ukubuyekezwa okuhlelekile. I-BMC Endocr Disord. 2016; 16 (1): 48.
> Edwards, MD Lena, et. al. "Ngaphandle Kokukhathala Okukodwa: Kusuka Ekuqaleni Kwamanye Ama-Evidence Based Based Medicine." I-American Academy ye-Anti-Aging Medicine. 2015.
> Melmed S, et. al. "Williams Bookbook of Endocrinology." 12th. " Philadelphia, PA: Elsevier Saunders; 2011
> Yamamoto T. Comorbid ukungakwazi ukusebenza okungekho emthethweni nge-autoimmune isifo se-thyroid. I-Eur Thyroid J. 2015 Sep; 4 (3): 201-06.