Adrenal qog yog khub qog ua qog. Lawv nyob rau hauv symmetrically - nyob ze txhua lub raum thiab ua haujlwm ntau yam tseem ceeb. Qhov no yog vim li cas nws yuav zoo rau cov poj niam kom paub cov tsos mob ntawm cov kab mob adrenal kom paub txog lawv, yog tias tsim nyog. Yog tias tsis yog, tus neeg mob yuav pib mob nyhav, kev daws teebmeem uas tsis ua haujlwm.
Cov kab mob qog ntawm lub caj pas hauv cov poj niam
Qhov tseem ceeb ntawm kev hnoos plab hnyuv siab raum yog qhov muag ntawm adrenaline, norepinephrine thiab lwm cov tshuaj hormones. Cov cawv pwm ib feem hauv cov txheej txheem ntawm cov metabolism, ua kom lub txiaj ntsim ntawm kev xav tawm mus rau sab nraud.
Cov kws khomob xav txog kev ua txhaum ntawm cov qog ntawm lub cev qog nqaij tawv los ua ib qho teeb meem loj. Vim tias lawv, lub cev pib ua yuam kev. Raws li kev xyaum qhia, feem ntau ntawm cov poj niam muaj cov tsos mob ntawm cov kab mob ntawm cov qog ntawm qog:
- Hyperaldosteronism yog ib tug txheej txheem uas tshwm sim tawm tsam tom qab ntawm ntau cov khoom ntawm aldosterone los ntawm adrenal cortex. Qhov ua rau ntawm tus kab mob yog txawv: nephritis nyob rau hauv daim ntawv ntev, lub plawv tsis ua hauj lwm, mob siab nqaij daim tawv mob, cirrhosis.
- Hauv cov pojniam, cov tsos mob ntawm tus kabmob hu ua adrenal, xws li mob qog nqaij hlav tsis huv , tshwm sim vim kev mob ntsws postpartum necrosis, qhov chaw mos rau ntawm tus kab mob pituitary, oncology, thiab cov kab mob mus ntev.
- Adrenogenital syndrome yog ib lub tswvyim uas ua ke nrog ob peb yam kev sib txawv ntawm cov keeb. Lawv ua rau lawv cov kev hloov uas tshwm sim ntawm cov caj ces.
- Qee lub sij hawm cov tsos mob ntawm cov teeb meem ntawm adrenal rau cov poj niam yog los ntawm hlav hlav . Nws tsis yooj yim hais raws nraim li cas neoplasms yog los ntawm, cov kws kho mob. Nws yuav hais tias qhov txhaum yog qhov kev xeeb tub.
- Addison tus kab mob yog ib qho tsis tshua muaj sia. Vim yog kev mob nkeeg no, cov qog adrenal nres nres cortisol. Nws tuaj yeem tshwm sim los ntawm tuberculosis, qaug cawv, ua rau muaj kev sib chwv los ntawm cov tshuaj, cov txheej txheem oob khab.
- Nrog Isenko-Cushing syndrome, adrenal hormones exert ntau dhau rau lub cev.
Cov cim tseem ceeb ntawm cov kab mob ntawm cov kab mob hauv cov poj niam
Lees paub tias hyperaldosteronism yog:
- leeg tsis muaj zog;
- cov cim qhia ntawm tachycardia;
- nquag yoov yaus;
- kev sib ceg;
- mob ceev ceev;
- polyuria;
- cem quav;
- edema.
Ntawm cov tsos mob ntawm qhov ua txhaum ntawm cov qog ntawm cov pojniam, xws li mob qoob loo, cov nram qab no yuav tsum yog qhov txawv:
- nocturia;
- deterioration ntawm qab los noj mov;
- qhov pigmentation ntawm daim tawv nqaij;
- dyspepsia;
- hypoglycemia ;
- hypotension;
- profuse tawm hws;
- txias hauv tes thiab taw;
- kev puas siab puas ntsws mob hlwb;
- tsawg zis;
- Sudden ntse poob poob;
- tsaus muag.
Hyperplasia tau nws tus kheej:
- pob txuv;
- virilization;
- nce kiav txhab;
- kab mob qaum kev mob;
- txo qis mis;
- ua txhaum dej tshuav nyiaj.
Yog tias cov kab mob qog nqaij hlav hauv cov poj niam ua rau qog nqaij hlav, cov tsos mob nram qab no tshwm sim:
- tawm tsam ntawm kev tawm tsam siab;
- ua daus no ;
- txhuam cov kaus mom hauv qhov ncauj;
- cyanosis ntawm daim tawv nqaij;
- muaj kev ntshai;
- xeev siab;
- ntuav;
- mob taub hau;
- qhov tsos ntawm mob ib ce nyob rau hauv cov pob qij txha;
- txob taus;
- txog kev ua tsis taus pa;
- mob hauv plab.
Addison tus kab mob yog pom los ntawm:
- tremor;
- ib qho kev tsis tu ncua;
- kev puas tsuaj nyob rau hauv lub hauv paus ntawm lub paj hlwb;
- nco tsis tau;
- nocturnal tso zis.
Thaum muaj cov tsos mob ntawm cov kab mob uas tsis haum xeeb, cov poj niam yuav tsum tau kuaj pom. Koj yuav tau noj cov kev kuaj ntshav (tag nrho thiab kev tshawb fawb qib hormone), tso zis, kis tus kab mob MRI, ua ultrasound thiab computed tomography.