Zapamwamba mu "Adrenal Fatigue" Controversy
Kafukufuku amasonyeza kugwirizana komwe kulipo pakati pa matenda a chithokomiro, monga Hashimoto's thyroiditis ndi Graves's disease, komanso matenda omwe amachititsa kuti adrenal glands asatuluke (Addison's disease).
Ngakhale kuti chiwerengero cha adrenal sichikudziwanika ndi matenda osadziwika bwino, kumvetsetsa kugwirizana kumene kuli ndi matenda a chithokomiro kumapindulitsa, makamaka kwa gulu la anthu osankhidwa (koma laling'ono).
Ndipotu, kafukufuku wina amasonyeza kuti vuto loyamba la adrenal silingathe kukhala chifukwa cha zizindikiro za anthu ena, ngakhale kuti akudwala matenda a chithokomiro.
Anatomy ya Adrenal Gland
Zilonda zanuzo ndizo zing'onozing'ono ziwiri, imodzi ili pamwamba pa impso yanu iliyonse.
Mtundu uliwonse wa adrenal umagawidwa kukhala kanyumba kunja ndikukhala mkatikati. Kortex ndi medulla ya ma gland adrenal amapanga mahomoni osiyanasiyana.
Adrenal Cortex
Mbali yanu ya adrenal cortex ili ndi zigawo zitatu zosiyana, ndipo dera lililonse limapanga gulu losiyana kapena mtundu wa mahomoni. Mankhwala, mahomoni onse opangidwa ndi cortex amachitidwa ngati steroids.
- Mineralocorticoids amavomerezedwa ndi dera lakunja la adrenal cortex. Mineralocorticoid yaikulu ndi aldosterone, yomwe imayang'anira mphamvu za sodium ndi potaziyamu m'thupi lanu, komanso magazi anu.
- Glucocorticoids amalembedwa ndi pakatikati pa adrenal cortex. Glucocorticoid yaikulu ndi cortisol, yomwe imapangitsa kuti magazi azikhala ndi shuga komanso zimathandiza thupi la munthu kuthana ndi vuto.
- Gulu lachitatu la steroids losungidwa ndi mkatikati mwa adrenal cortex ndi mahomoni a androgen (mwachitsanzo, testosterone ndi dehydroepiandrosterone, kapena DHEA). Zindikirani, kuwonjezerapo kwa ma glands adrenal, mayeso ndi mazira amapanga mavitamini mwa amuna ndi akazi, motero.
Adrenal Medulla
Adrenal medulla yanu imapanga mahomoni awiri: epinephrine, ndi norepinephrine. Mahomoni awiriwa "amenyana-kapena-kutha" amamasulidwa chifukwa cha kukhumudwa kwa thupi ndi kukhumudwa, monga kukhumudwa, kuganizira zachuma, mavuto a ntchito, mavuto a m'banja, kutsutsana, magalimoto, matenda, opaleshoni, ndi zakudya zoperewera.
Zizindikiro za Primary Primary Adrenal Kulephera
Mavuto akuluakulu amtundu wa adrenal amapezeka pamene mazira a adrenal sangathe kupanga mahomoni ochuluka, ngakhale kuti ndi ochepa kapena owonjezeka a corticotropin (ACTH). ACTH ndi mahomoni opangidwa ndi ubongo wanu (womwe uli mu ubongo) umene umapangitsa kuti mazira a adrenal achotse mahomoni awo.
Zizindikilo zina zapadera zomwe sizingatheke ndizo:
- Kutopa
- Misala ya minofu
- Kufooka
- Kutaya njala ndi kulemera kwa thupi
- Zizindikiro za m'mimba zimakhala ngati kunyoza, kusanza, ndi kupweteka m'mimba
- Kukonda zakudya za mchere
- Kukumana ndi mutu wamdima pamene wayimirira
Kusakwanira kwa Adrenal Primary ndi Kudziletsa Kugonana kwa Chithokomiro
Malinga ndi kafukufuku wina ku European Thyroid Journal, pafupifupi 5 peresenti ya anthu omwe ali ndi matenda a chithokomiro omwe amadziwika kuti ali ndi matendawa amatha kukhala osadziwika bwino-koma ndi ochepa chabe, koma apamwamba akuganizira kuti sangakwanitse kuchita chiyani.
Pofufuza izi, olemba a phunziroli amasonyeza kuti anthu omwe akupitirizabe kuwona zizindikiro zina, monga kutopa, minofu ya minofu, ndi mavuto a m'mimba monga nkhanza (ngakhale kuti akuchiritsidwa ndi matenda a chithokomiro chawo) ayenera kuyesedwa kuti ayambe kusamalidwa.
Chidziwitso cha Kutopa kwa Adrenal
Ndikofunika kuti musasokoneze chizoloŵezi choyambirira cha adrenal ndi mawu akuti "adrenal tiredness" omwe amagwiritsidwa ntchito kufotokoza momwe zinthu zomwe ma laboratory (monga cortisol magazi ndi ACTH) zimathandizira kuti munthu asadziwe, koma munthu adzalengeza kuti adrenal -zizindikiro zofanana monga:
- Kutopa kwambiri ndi kutopa
- Tulo tosangalatsa (mumakhala ndi maola okwanira, koma mutengeke)
- Kukhumudwa kapena kusakhoza kupirira kupanikizika
- Kukonda zakudya za mchere
- Kuvuta kuika maganizo, ubongo wa ubongo
- Kusasaka bwino
Lingaliro la kutopa kwa adrenal ndi lovuta kwambiri ndipo silinadziwidwe ndi mtundu uliwonse wa Endocrine, kutanthauza kuti siukuvomerezeka ngati matenda enieni.
Ndipotu, malinga ndi kufufuza kwakukulu ku BMC Endocrine Disorders, ofufuza amavomereza mosapita m'mbali kuti palibe umboni wosayansi wosonyeza kuti kutopa kwa adrenal kulipo.
Ngakhale zili choncho, anthu ambiri omwe amakhulupirirabe kuti kutopa ndi adrenal ndi vuto lenileni ndi lachipatala ndi American Academy of Anti-Aging Medicine. Anthuwa sadziwika ndi American Board of Medical Specialties kapena Association of American Medical Colleges.
Mawu Ochokera
Pali mauthenga awiri a kunyumba:
- Ganizirani kuyesedwa kwa chiwerengero choyambirira chokhala ndi mwana ngati muli ndi zizindikiro zowonjezera monga kutopa, ululu wam'mimba, ndi / kapena matenda opatsirana (mutatha kuchiza matenda anu a chithokomiro).
- Mpaka mutayambe kukangana ndizovuta, khalani ndi chizoloŵezi chokhala ndi thanzi labwino monga kuwona dokotala wanu pakufufuza nthawi zonse, kupeza kugona mokwanira, kupeŵa kapena kuchepetsa kudya kwa khofi, ndi kudya zakudya zopatsa thanzi. Anthu ena amasankha zakudya zochepa (chifukwa chotsutsana ndi zotupa), koma kambiranani ndi dokotala wanu musanayambe.
> Zotsatira:
> Cadegiani FA, Kater CE. Kutopa kwa Adrenal si > kulipo: > ndondomeko yowonongeka. BMC Endocr Disord. 2016; 16 (1): 48.
> Edwards, MD Lena, ndi. al. "Kuwonjezera pa Kutopa Kwambiri kwa Adrenal: Kuchokera Kwambiri ku Umboni Wopereka Umboni." The American Academy of Anti-Aging Medicine. 2015.
> Melmed S, et. al. "Williams Textbook of Endocrinology." 12th ed. " Philadelphia, PA: Elsevier Saunders; 2011
> Yamamoto T. Comorbid latent adrenal kusakwanira ndi autoimmune matenda a chithokomiro. Eur Thyroid J. 2015 Sep; 4 (3): 201-06.