Faʻalavelave matuiā adrenal

Ogaoga adrenal faʻalavelave o se tulaga lamatia le ola e tupu pe a leai le lava cortisol. Lenei o se homone faia e le adrenal glands.

O le adrenal glands o loʻo tu i luga aʻe o fatugaʻo. O le adrenal gland aofia ai vaega e lua. O le pito i fafo, ua faʻaigoaina o le cortex, e maua ai le cortisol. Ole taua lea ole homone mo le faʻatonutonuina ole toto. O le vaega i totonu, ua taʻua o le medulla, e gaosia ai le homone adrenaline (e taʻua foi o le epinephrine). O le cortisol ma le adrenaline e faʻasaʻolotoina i le tali atu i le popole.

O le gaosiga o le Cortisol e faʻatonutonuina e le pituitary. Lenei o se tamai gland i lalo ifo o lalo o le faiai. O le pituitary faʻasaʻoloto le adrenocorticotropic hormone (ACTH). Lenei o le homone e mafua ai le adrenal glands e faʻasaʻoloto le cortisol.

Adrenaline gaosiga e faʻatonutonuina e neula e sau mai le faiʻai ma tuaula ma faʻasolosolo homone.

Ole faʻalavelave ole adrenal e mafai ona tupu mai se tasi o mea nei:

• O le adrenal gland ua faʻaleagaina ona o, mo se faʻataʻitaʻiga, Addison faʻamaʻi poʻo isi adrenal gland faʻamaʻi, poʻo le taotoga
• O le pituitary ua manuʻa ma le mafai ona faʻamalolo ACTH (hypopituitarism)
• E leʻo togafitia lelei le lava ole adrenal
• Ua leva na e inuina fualaʻau ole glucocorticoid, ae faafuasei loa ona taofi
• Ua e matua mago i le tino
• Siama poʻo isi faʻalavelave faʻaletino

Faʻailoga ma faʻailoga o le faʻalavelave faʻalavelave e mafai ona aofia ai se tasi o mea nei:

• Manava o le manava poʻo le pito i tiga
• Le mautonu, leiloa o le malamalama, po o le koma
• Faʻamaligiina
• Uli poʻo le malamalama
• Le lava, vaivai vaivaiga
• Tigā ulu
• Fiva maualuga
• Leai o le fiaai
• Maualalo le toto
• Maualalo suka suka
• Faanoi, puaʻi
• Toto vave fatu
• Fua vave ona manava
• Gaioi lemu, lemu
• E le masani ai ma soʻona afu i foliga poʻo alofilima

Suʻega e mafai ona faʻatonuina e fesoasoani faʻailoaina matuitui faigata adrenal faʻalavelave aofia ai:

• ACTH (cosyntropin) faʻaosooso tofotofoga
• Tulaga Cortisol
• Suka suka
• Potasi tulaga
• Sodium tulaga
• tulaga o le pH

I faʻalavelave faʻafuaseʻi, e manaʻomia ona tuʻuina atu ia te oe le vailaʻau faʻasolosolo i le taimi nei e ala i le uaua (sela) poʻo le maso (intramuscular). E te ono mauaina ni vai faʻaalu pe a fai e maualalo lou toto.

Oe e manaʻomia le alu i le falemaʻi mo togafitiga ma siaki. Afai o faʻamaʻi poʻo seisi faʻafitauli tau fomaʻi na mafua ai le faʻalavelave, oe ono manaʻomia nisi togafitiga.

E ono faʻateʻia oe pe a le vave faia se togafitiga, ma e ono lamatia ai le ola.

Alu i le potu faʻafuaseʻi pe telefoni le numera o faʻalavelave faʻafuaseʻi i le lotoifale (pei o le 911) pe a fai e te maua i faʻamaʻi ogaoga faʻalavelave adrenal.

Valaʻau lau fomaʻi pe a fai o loʻo e maua i le Addison faʻamaʻi poʻo le hypopituitarism ma ua le mafai ona inu lau vailaʻau o le glucocorticoid mo se mafuaʻaga.

Afai e te maua Addison faʻamaʻi, oe masani ona taʻu atu ia te oe e faʻateleina le metotia o lau vailaʻau o le glucocorticoid pe a fai e te popole pe maʻi, pe ao le i faia se taotoga.

Afai e te maua Addison faʻamaʻi, aʻoaʻo ia iloa faʻailoga o ono ono faʻalavelave ono ono mafua ai se matuia adrenal faʻalavelave. Afai na faʻatonuina oe e lau fomaʻi, ia e sauni e tuʻuina ia te oe se faʻalavelave faʻafuaseʻi o le glucocorticoid pe faʻateleina lau metotia o vailaʻau fofoga glucocorticoid i taimi o mafatiaga. E tatau i matua ona aʻoaʻo e faia lenei mea mo a latou fanau e le lava le adrenal.

Ave i taimi uma le ID faafomaʻi (card, taulima, poʻo asoa) e fai mai ua le lava lou adrenal. O le ID e tatau foi ona fai mai le ituaiga o vailaʻau ma metotia oe manaʻomia i le tulaga o se faʻalavelave faʻafuaseʻi.

Afai e te inuina fualaʻau o le glucocorticoid mo le lē lava o le pituitary ACTH, ia e mautinoa e te iloa le taimi e ave ai le faʻatamaʻi o le vailaʻau. Talanoaina lenei mea ma lau tautua.

Aua neʻi misia le inuina o au vailaʻau.

Adrenal faʻalavelave; Faʻalavelave Addisonian; Matuā le lava adrenal

• Laʻau Endocrine
• Adrenal gland homo faalilolilo

Bornstein SR, Alloliu B, Arlt W, et al. Suʻesuʻega ma togafitiga o le muamua adrenal Le lava: o le Endocrine Society falemaʻi faʻataʻitaʻiina taʻiala. J Clin Endocrinol Metab. 2016; 101 (2): 364-389. PMID: PMC4880116 www.ncbi.nlm.nih.gov/pmc/articles/PMC4880116.

Stewart PM, Newell-Tau JDC. Le adrenal cortex I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Tusitusiga o Endocrinology. 13th lomiga. Filatelefia, PA: Elsevier; 2016: mata 15.

Thiessen MEW. O lou gasegase ma gasegase oona. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 120.