Teko ea mali ea Catecholamine

Teko ena e metha litekanyo tsa catecholamines maling. Catecholamines ke lihomone tse entsoeng ke litšoelesa tsa adrenal. Li-catecholamine tse tharo ke epinephrine (adrenalin), norepinephrine le dopamine.

Hangata katatecholamine e lekanyetsoa ka teko ea moroto ho feta ka tlhahlobo ea mali.

Ho hlokahala sampole ea mali.

Mohlomong u tla bolelloa hore u se ke ua ja letho (ka potlako) lihora tse 10 pele ho tlhahlobo. U ka lumelloa ho noa metsi nakong ena.

Ho nepahala ha tlhahlobo ho ka angoa ke lijo le meriana e itseng. Lijo tse ka eketsang maemo a catecholamine li kenyelletsa:

• Kofi
• Tee
• Libanana
• Tsokolate
• Cocoa
• Litholoana tsa Citrus
• Vanilla

Ha ua lokela ho ja lijo tsena matsatsi a 'maloa pele ho tlhahlobo. Sena ke nnete haholoholo haeba ho ka lekanngoa likatekolamine tsa mali le tsa moroto.

Hape o lokela ho qoba maemo a sithabetsang le boikoetliso bo matla. Ka bobeli li ka ama ho nepahala ha sephetho sa liteko.

Meriana le lintho tse ka eketsang litekanyo tsa catecholamine li kenyelletsa:

• Acetaminophen
• Albuterol
• Aminophylline
• Li-amphetamine
• Buspirone
• K'hafeine
• Lisebelisoa tsa calcium channel
• K'hok'heine
• Cyclobenzaprine
• Levodopa
• Methyldopa
• Nicotinic acid (tekanyetso e kholo)
• Phenoxybenzamine
• Li-phenothiazine
• Pseudoephedrine
• Tsosa maikutlo
• Tricyclic ho imeloa kelellong

Meriana e ka fokotsang litekanyo tsa catecholamine e kenyelletsa:

• Clonidine
• Guanethidine
• MAO inhibitors

Haeba u noa efe kapa efe ea meriana e kaholimo, botsa mofani oa tlhokomelo ea bophelo pele ho tlhahlobo ea mali hore na u lokela ho khaotsa ho noa moriana oa hau.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo fokolang. Ba bang ba utloa ho hlaba kapa ho hlaba. Kamora moo, ho ka ba le ho phatloha kapa ho longoa hanyane. Haufinyane sena sea fela.

Catecholamines e lokolloa maling ha motho a le tlasa khatello ea maikutlo 'meleng le maikutlong. Li-catecholamine tse ka sehloohong ke dopamine, norepinephrine le epinephrine (eo pele e neng e bitsoa adrenalin).

Teko ena e sebelisetsoa ho hlahloba kapa ho ntša lihlahala tse itseng tse sa tloaelehang, joalo ka pheochromocytoma kapa neuroblastoma. E kanna ea etsoa ho bakuli ba nang le maemo ao ho fumana hore na kalafo ea sebetsa.

Mofuta o tloaelehileng oa epinephrine ke 0 ho isa ho 140 pg / mL (764.3 pmol / L).

Mefuta e tloaelehileng ea norepinephrine ke 70 ho 1700 pg / mL (413.8 ho 10048.7 pmol / L).

Mefuta e tloaelehileng ea dopamine ke 0 ho isa ho 30 pg / mL (195.8 pmol / L).

Tlhokomeliso: Mekhahlelo ea boleng bo tloaelehileng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li leka liteko tse fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.

Methati e phahameng ho feta e tloaelehileng ea katatecholamine ea mali e ka fana ka maikutlo a hore:

• Matšoenyeho a maholo
• Ganglioblastoma (hlahala e sa tloaelehang haholo)
• Ganglioneuroma (hlahala e sa tloaelehang haholo)
• Neuroblastoma (hlahala e sa tloaelehang)
• Pheochromocytoma (hlahala e sa tloaelehang)
• Ho imeloa kelellong haholo

Maemo a mang ao tlhatlhobo e ka etsoang ka ona a kenyelletsa atrophy ea sistimi e ngata.

Ho na le kotsi e nyane ea ho nkuoa mali a hau. Methapo le methapo li fapana ka boholo ho tloha ho motho e mong ho ea ho o mong le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho nka mali ho batho ba bang ho ka ba thata ho feta ho ba bang.

Likotsi tse ling tse amanang le ho huloa mali li nyane, empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Li-punctures tse ngata ho fumana methapo
• Hematoma (mali a bokellanang ka tlasa letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

Norepinephrine - mali; Epinephrine - mali; Adrenalin - mali; Dopamine - mali

• Teko ea mali

CC ea Chernecky, Berger BJ. Katekolamine - lero la mali. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 302-305.

Guber HA, Farag AF, Lo J, Sharp J. Tekolo ea ts'ebetso ea endocrine. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro.La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 24.

WF e monyane. Adrenal medulla, catecholamines, le pheochromocytoma. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 228.