Litšoelesa tsa adrenal

Litšoelesa tsa adrenal ke litšoelesa tse peli tse nyane tse bopehileng joaloka likhutlo li tharo. Tšoelesa e le 'ngoe e kaholimo ho liphio ka leng.

Tšoelesa e 'ngoe le e' ngoe ea adrenal e ka lekana le karolo e kaholimo ea monoana o motona. Karolo e kantle ea tšoelesa e bitsoa cortex. E hlahisa lihormone tsa steroid tse kang cortisol, aldosterone, le lihormone tse ka fetoloang ho ba testosterone. Karolo e ka hare ea tšoelesa e bitsoa medulla. E hlahisa epinephrine le norepinephrine. Lihormone tsena li boetse li bitsoa adrenaline le noradrenaline.

Ha litšoelesa li hlahisa lihomone tse ngata ho feta tse tloaelehileng, u ka kula. Sena se ka etsahala ha a hlaha kapa hamorao bophelong.

Litšoelesa tsa adrenal li ka angoa ke mafu a mangata, joalo ka mathata a mmele, tšoaetso, lihlahala le ho tsoa mali. Tse ling ke tsa ka ho sa feleng 'me tse ling li tsamaea ka nako. Meriana le eona e ka ama litšoelesa tsa adrenal.

Pituitary, e leng tšoelesa e nyenyane e ka tlaase ho boko, e ntša hormone e bitsoang ACTH eo e leng ea bohlokoa ho hlohlelletsa kotana ea adrenal. Maloetse a pituitary a ka baka mathata ka ts'ebetso ea adrenal.

Maemo a amanang le mathata a tšoelesa ea adrenal a kenyelletsa:

• Boloetse ba Addison, boo hape bo bitsoang adrenal insufficiency - bothata bo hlahang ha litšoelesa tsa adrenal li sa hlahise lihormone tse lekaneng
• Congenital adrenal hyperplasia - lefu leo ​​ho lona litšoelesa tsa adrenal li hlokang enzyme e hlokahalang ho etsa lihormone
• Cushing syndrome - boloetse bo hlahang ha 'mele o na le boemo bo phahameng ba hormone ea cortisol
• Lefu la tsoekere mellitus (tsoekere e phahameng maling) le bakoang ke tšoelesa ea adrenal e etsang cortisol e ngata haholo
• Meriana ea glucocorticoid e kang prednisone, dexamethasone le tse ling
• Moriri o feteletseng kapa o sa batleheng ho basali (hirsutism)
• Hump ​​ka mor'a mahetla (pente e mafura a mafura)
• Hypoglycemia - tsoekere e tlase maling
• Primary aldosteronism (Conn syndrome) - boloetse boo tšoelesa ea adrenal e ntšang hormone aldosterone e ngata haholo
• Matšoao a maholo a mali a mali a mabeli (Waterhouse-Friderichsen syndrome) - ho hloleha ha litšoelesa tsa adrenal ho sebetsa ka lebaka la ho tsoa mali kahare, hangata e amanang le tšoaetso e matla, e bitsoang sepsis

• Litšoelesa tsa endocrine
• Litšoelesa tsa adrenal
• Lefu la adrenal biopsy

TC ea Friedman. Tšoelesa ea adrenal. Ka: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, bangoli. Cecil ea Bohlokoa ea Bongaka ea Andreoli le Carpenter. La 9th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 64.

Newell-Price JDC, Auchus RJ. Karolo ea adrenal cortex. Ka: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, bangoli. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 15.

E emeng S. Suprarenal (adrenal) tšoelesa. Ka: E eme S, ed. Gray's Anatomy. La 41, ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 71.