I-Peak kwi-"Adrenal Fatigue"
Uphando lubonisa ukuba unxibelelwano olunokwenzeka phakathi kwesifo se-thyroid, njenge- Hashimoto's thyroiditis kunye nesifo se-Graves, kunye nemeko ebandakanya izilwanyana zakho ezinjenge-adrenal insufficiency (isifo sika-Addison).
Nangona i-primary adrenal insufficiency ithathwa njengesifo esinqabileyo, ukuqonda uxhumano olunalo kwisifo se-thyroid sinokubaluleka, ngakumbi kwiqela elikhethiweyo (kodwa elincinci).
Enyanisweni, uphando oluthile lubonisa ukuba ukungazi kakuhle kwamanqanaba angundoqo kunokuba yinto ebangela ukuba iimpawu zabanye abantu ziqhubekeke, nangona unyango lwezifo zakho ze-thyroid.
I-Anatomy ye-Adrenal Gland
Amadrenals akho amancinci amancinci amabini, enye ikhonjwe phezulu kweentso zakho.
I-adrenal gland nganye ihlukaniswe ibe i-cortex yangaphandle kunye ne-medulla yangaphakathi. I-cortex kunye ne-medulla ye-adrenal glands ivelisa ama-hormone ahlukeneyo.
Adrenal Cortex
I-corrox yakho ye-adrenal iquka imimandla emithathu eyahlukeneyo, kunye nommandla ngamnye ovelisa iqela elihlukeneyo okanye uhlobo lwee-hormone. I-Chemically, zonke i-hormone eziveliswa yi-cortex yakho zibhekwa njenge-steroids.
- I-Mineralocorticoids ifihliwe ngummandla ongaphandle we-correnx ye-adrenal. Inqununu ye-mineralocorticoid yi-aldosterone, eyenza ukulawula amanqanaba e-sodium ne-potassium emzimbeni wakho, kunye negazi lakho.
- I-Glucocorticoids ifihliwe ngummandla ophakathi we-correnx ye-adrenal. Inqununu ye-glucocorticoid yi-cortisol, eyandisa igazi lezinga le-glucose kwaye inceda umzimba womntu uphendule kwixinzelelo.
- Iqela lesithathu le-steroids elifihliwe ngummandla ongaphakathi kumgangatho we-adrenal cortex yi-hormone ye- androgen (umzekelo, i-testosterone ne-dehydroepiandrosterone, okanye i-DHEA). Ingqalelo, ngaphezu kweengqungquthela ze-adrenal, ii-testes kunye nama-ovari zivelisa i-androgens kumadoda nakwabasetyhini, ngokulandelanayo.
Adrenal Medulla
I-adrenal medulla yakho ivelisa amahomoni amabini: i-epinephrin, ne-norepinephrine. Ezi zimbini ze-hormone "zilwa-okanye-zindiza" zikhutshwa ngokuphendula kwiimeko ezixinzelelekileyo ezingokwenyama nangokwemvakalelo, njengokunyanzela ukulala, ukukhathazeka kwezezimali, ukunyanzelwa komsebenzi, imingeni yentsapho, iingxabano, ukuhamba, ukugula, ukuhlinzwa kunye nokutya okungondlekiyo.
Iimpawu zoLungiso oluPhambili lwe-Adrenal
I-adrenal insufficiency yamabanga aphezulu ayenzeka xa izilonda ze-adrenal zikwazi ukuvelisa inani elaneleyo lee-hormone, nangona ziqhelekileyo okanye zonyuka izinga le-corticotropin (ACTH). I-ACTH iyi-hormone eveliswa yi-pituitary gland (ekhoyo kwingqondo yakho) ekhuthaza izilonda ze-adrenal ukukhulula ama-hormone abo.
Ezinye iimpawu zokungakwazi ukuzaliswa kokuqala zibandakanya:
- Ukukhathala
- Iintsimbi zomzimba
- Ubuthathaka
- Ukulahlekelwa ngumdla wokulahleka kwesisindo
- Izimpawu zesisu ezinjengezonyameko, ukuhlanza kunye nesisu esiswini
- Ukutya okunesonka
- Ukubona iphosi elikhanyayo xa limile
Ukunqongophala kwe-Primary Adrenal kunye ne-Autoimmune Connection ye-Thyroid
Ngokutsho kwiphando e- European Thyroid Journal, malunga neepesenti ezi-5 zabantu abane-auto-immune disease ye-auto-immunal -sufficiency-a small percentage, kodwa ephakamileyo ekuqwalaseleni ukuba kunjani ukungafezekanga okungaqhelekanga.
Ngaloo nto ifunyenwe, abalobi belo cwaningo banqwenela ukuba abantu abaqhubeka befumana iimpawu ezithile, ezifana nokukhathala, iintlungu zesisu, kunye neengxaki zesisu ezinjengesifo sengwenya (nangona bephathwa ngenxa yesifo se-thyroid) kufuneka bavavanywe kwi-primary adrenal insufficiency.
Inqaku kwi-Adrenal Fatigue
Kubalulekile ukuba ungadibanisi ukungakwazi ukuqala ukungena kwi-term "adrenal tiredness" esetyenziswe ukuchaza imeko apho idatha yebhubhoratri (njenge-cortisol yegazi kunye namazinga e-ACTH) ayixhasi ukuxilongwa kwe-adrenal insufficiency, kodwa umntu ubika iingxelo ze-adrenal ezinxulumene neempawu ezifana:
- Ukukhathala nokugqithisa
- Ubuthongo obungabonakaliyo (ufumana iiyure ezaneleyo zokulala, kodwa uvuke unxungule)
- Ndiziva ndixakeke okanye ndingakwazi ukujamelana noxinzelelo
- Ukutya okunesonka
- Unzima ukugxila, ingqondo yengqondo
- Ukungcola kakhulu
Ingcamango yokukhathala ngokukodwa iyinto engqubuzanayo kwaye okwangoku ayibonwa nayiphi na indawo yase-Endocrine, oku kuthetha ukuba ayifumwanga njengemeko yonyango.
Enyanisweni, ngokubhekiselele ekuhloliseni okubanzi kwi- BMC Endocrine Disorders, abaphandi babika emva kokuhlalutya ngokucacileyo ukuba akukho nje ubungqina benzululwazi bokuthi ukukhathala kwe-adrenal kukhoyo.
Nangona kunjalo, uluntu oluphambili olukholelwa ukuba ukukhathala ngokukodwa kuyinkinga yonyango kwaye ingaphantsi kweNgcali ye-American Academy ye-Anti-Aging Medicine. Lo mbutho awubonakalwanga yiBhodi yaseMerika yezoNyango zezoNyango okanye uMbutho weeNyuvesi zeMerika zezoNyango.
ILizwi
Kukho imiyalezo emibini yokuthatha ekhaya:
- Cinga ukuvavanywa kwe-primary adrenal insufficiency xa unemiqondiso engapheliyo njengokukhathala, ubuhlungu besisu, kunye / okanye imiba yokutya (emva kokunyanga isifo sakho se-thyroid).
- Kuze kube lula ukuxhatshazwa kwe-adrenal, gxininisa ekubandakanyekeni kwimikhwa enempilo efana nokubona ugqirha wakho ukuhlola rhoqo, ukulala ngokwaneleyo, ukuphepha okanye ukunciphisa i-caffeine, kunye nokutya ukutya okunomsoco. Abanye abantu bakhetha ukutya okuphantsi kwe-glycemic (ngenxa yesiphumo sayo sokuchasa), kodwa uthetha nogqirha wakho kuqala ngaphambi kokuqalisa le nto.
> Imithombo:
> Cadegiani FA, iKater CE. Ukukhathala kwe-adrenal akuthi > kukho: > ukuhlaziywa okucwangcisiweyo. I-BMC Endocr Disord. 2016; 16 (1): 48.
> Edwards, MD Lena, et. al. "Ngaphandle kokukhathala kwe-Adrenal: Ukususela kwi-Anecdotal to Medicine Based Based Medicine." I-American Academy ye-Anti-Aging Medicine. 2015.
> Melmed S, kunye. al. "Williams Bookbook of Endocrinology. Philadelphia, PA: Elsevier Saunders; 2011
> Yamamoto T. Comorbid latent adrenal insufficiency ne-autoimmune isifo se-thyroid. Eur Thyroid J. 2015 Sep; 4 (3): 201-06.