Mob puas hlwb adrenal

Mob ntsws adrenal yog qhov kev pheej hmoo tuag taus uas tshwm sim thaum tsis muaj cortisol txaus. Qhov no yog yam tshuaj tsim los ntawm cov qog adrenal.

Cov qog adrenal ua haujlwm nyob sab saud lub raum. Lub qog adrenal muaj ob ntu. Qhov sab nraud, hu ua cortex, tsim tawm cortisol. Qhov no yog cov tshuaj hormones tseem ceeb rau kev tswj ntshav siab. Lub puab sab hauv, hu ua medulla, tsim cov tshuaj adrenaline (tseem hu ua epinephrine). Ob cortisol thiab adrenaline raug tso tawm hauv kev teb rau kev ntxhov siab.

Cortisol ntau lawm yog tswj hwm los ntawm cov pituitary. Qhov no yog lub caj pas me me hauv qab lub hlwb. Lub pituitary tso tawm adrenocorticotropic hormone (ACTH). Qhov no yog cov tshuaj hormones uas ua rau cov qog adrenal tso cov cortisol tawm.

Adrenaline ntau lawm yog tswj los ntawm cov hlab ntsha nkag los ntawm lub hlwb thiab tus txha caj qaum thiab los ntawm cov roj ntsha mus ncig.

Kev ntxhov siab Adrenal tuaj yeem tshwm sim los ntawm ib qho hauv qab no:

• Lub qog adrenal yog qhov puas vim, piv txwv li, Addison tus kab mob lossis lwm yam kev mob qog, lossis phais
• Lub pituitary raug mob thiab tsis tuaj yeem tso ACTH (hypopituitarism)
• Adrenal tsis txaus kho tsis zoo kho
• Koj tau noj tshuaj glucocorticoid ntev, thiab dheev tsum
• Koj yog neeg tsis muaj dej ntau
• Kev kis mob lossis lwm yam kev ntxhov siab ntawm lub cev

Cov tsos mob thiab cov tsos mob ntawm tus mob adrenal tuaj yeem suav nrog ib qho hauv qab no:

• Mob plab los yog flank mob
• Tsis meej pem, tsis nco qab, lossis tsis nco qab lawm
• Lub cev qhuav dej
• Kiv taub hau lossis teeb pom kev zoo
• Qaug zog, ua kom tsis muaj zog
• Mob taub hau
• Ua npaws kub siab
• Tsis qab los noj mov
• Cov ntshav siab qis
• Cov piam thaj hauv ntshav tsawg
• Xeev siab, ntuav
• Lub plawv dhia nrawm
• Cov pa ua pa ceev
• Kev mus qeeb, kev tawm qeeb
• Txawv tsis txaus thiab tawm hws ntau dhau ntawm lub ntsej muag lossis xib teg

Kev ntsuam xyuas uas yuav raug txiav txim los pab kuaj mob adrenal ntsoog xws li:

• ACTH (cosyntropin) kev sim ua kom lub zog
• Cortisol qib
• Ntshav qab zib
• Poov tshuaj ntau ntau
• Qib Qib
• pH qib

Hauv kev daws teeb meem adrenal, koj yuav tsum tau muab cov tshuaj hydrocortisone tam sim ntawd los ntawm cov leeg ntshav (leeg ntshav) lossis cov leeg nqaij (leeg nqaij). Tej zaum koj yuav tau txais dej haus yog tias koj cov ntshav qis.

Koj yuav tsum tau mus tom tsev kho mob rau kev kho mob thiab saib xyuas. Yog hais tias kis tau tus mob los yog lwm cov teeb meem kev kho mob ua rau muaj qhov teeb meem, koj yuav tsum tau txais kev kho ntxiv.

Kev poob siab yuav tshwm sim yog tias kev kho mob tsis muab ntxov, thiab nws tuaj yeem tsim kev phom sij rau lub neej.

Mus rau chav kho mob maj nrawm lossis hu rau tus xov tooj kub ceev hauv zos (xws li 911) yog tias koj muaj cov tsos mob ntawm kev mob hnyav adrenal.

Hu rau koj tus kws kho mob yog tias koj muaj Addison disease lossis hypopituitarism thiab tsis tuaj yeem noj koj cov tshuaj glucocorticoid yog tsis muaj teeb meem dab tsi.

Yog tias koj muaj tus kab mob Addison, feem ntau yuav qhia rau koj txoj kev muab cov tshuaj glucocorticoid kom ntev me ntsis yog tias koj ntxhov siab lossis mob, lossis ua ntej phais mob.

Yog tias koj muaj Addison tus kab mob, kawm paub txog cov cim ntawm qhov kev ntxhov siab uas yuav ua rau muaj kev puas hlwb adrenal. Yog tias koj tau raug qhia los ntawm koj tus kws kho mob, npaj siab muab tshuaj rau glucocorticoid los yog muab tshuaj rau glucocorticoid ntau npaum li cas thaum koj muaj kev ntxhov siab. Cov niam txiv yuav tsum kawm ua qhov no rau lawv cov menyuam uas muaj adrenal tsis txaus.

Nco ntsoov nqa ID kho mob (daim npav, tes tes, lossis caj dab) uas hais tias koj muaj adrenal tsis txaus. Daim ID tseem yuav hais txog hom tshuaj thiab ntau npaum li cas thaum koj muaj xwm txheej ceev.

Yog tias koj noj cov tshuaj glucocorticoid rau cov tshuaj pituitary ACTH tsis txaus, nco ntsoov tias koj paub thaum twg yuav tsum tau noj qhov kev ntxhov siab ntawm koj cov tshuaj. Tham nrog koj tus kws kho mob.

Nco ntsoov noj koj cov tshuaj.

Adrenal teebmeem; Kev kub ntxhov ntxiv; Mob tsis txaus adrenal tsis txaus

• Cov qog endocrine
• Adrenal caj pas hormone tso pa tawm

Bornstein SR, Alloliu B, Arlt W, li al. Kev kuaj mob thiab kev kho mob ntawm thawj adrenal Qhov tsis txaus: ua rau Endocrine Society soj ntsuam kev coj ua. J Clin Endocrinol MetabCov. 2016; 101 (2): 364-389. PMID: PMC4880116 www.ncbi.nlm.nih.gov/pmc/articles/PMC4880116.

Stewart PM, Newell-Nqe JDC. Lub adrenal cortex. Hauv: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Phau Ntawv ntawm EndocrinologyCov. 13th ed. Philadelphia, PA: Elsevier; 2016: chap 15.

Thiessen MEW. Lub raum thiab cov qog ntshav tsis zoo. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 120.