Kuyesa Magazi a Catecholamine

Zamkati

• Kodi cholinga cha kuyesa magazi a catecholamine ndi chiyani?
• Mwana wanu komanso mayeso a magazi a catecholamine
• Ndi zisonyezo ziti zomwe zingapangitse kuti dokotala wanga ayambe kuyesa magazi a catecholamine?
• Zizindikiro za pheochromocytoma
• Zizindikiro za neuroblastoma
• Momwe mungakonzekerere komanso zomwe muyenera kuyembekezera
• Nchiyani chingasokoneze zotsatira za mayeso?
• Zotsatira zake zingakhale zotani?
• Kodi njira zotsatirazi ndi ziti?

Kodi katekoline ndi chiyani?

Mayeso a magazi a catecholamine amayesa kuchuluka kwa kateketini mthupi lanu.

"Catecholamines" ndi ambulera ya mahomoni dopamine, norepinephrine, ndi epinephrine, omwe mwachilengedwe amapezeka mthupi lanu.

Madokotala nthawi zambiri amalamula mayeso kuti aone zotupa za adrenal mwa akuluakulu. Awa ndi zotupa zomwe zimakhudza adrenal gland, yomwe imakhala pamwamba pa impso.Kuyesaku kumayang'ananso ma neuroblastomas, khansa yomwe imayamba mu dongosolo lamanjenje, mwa ana.

Thupi lanu limapanga katekolamine ochulukirapo panthawi yamavuto. Mahomoni amenewa amakonzekeretsa thupi lanu kupsinjika ndikupangitsa mtima wanu kugunda kwambiri ndikukweza kuthamanga kwa magazi.

Kodi cholinga cha kuyesa magazi a catecholamine ndi chiyani?

Kuyezetsa magazi kwa catecholamine kumatsimikizira ngati milingo ya katekolini m'magazi mwanu ndiyokwera kwambiri.

Mwachidziwikire, dokotala wanu walamula kuti magazi a catecholamine ayesedwe chifukwa ali ndi nkhawa kuti mutha kukhala ndi pheochromocytoma. Ichi ndi chotupa chomwe chimakula pamatenda anu a adrenal, komwe ma catecholamine amamasulidwa. Ma pheochromocytomas ambiri amakhala oopsa, koma ndikofunikira kuwachotsa kuti asasokoneze ntchito yanthawi zonse ya adrenal.

Mwana wanu komanso mayeso a magazi a catecholamine

Dokotala wa mwana wanu atha kuyitanitsa kuyezetsa magazi katecholamine ngati ali ndi nkhawa kuti mwana wanu akhoza kukhala ndi neuroblastoma, yomwe ndi khansa yodziwika bwino yaubwana. Malinga ndi American Cancer Society, 6 peresenti ya khansa mwa ana ndi ma neuroblastomas. Mwana yemwe ali ndi neuroblastoma atangodziwika kumene ndikuyamba kulandira chithandizo, amakhala ndi malingaliro abwino.

Ndi zisonyezo ziti zomwe zingapangitse kuti dokotala wanga ayambe kuyesa magazi a catecholamine?

Zizindikiro za pheochromocytoma

Zizindikiro za pheochromocytoma, kapena chotupa cha adrenal, ndi:

• kuthamanga kwa magazi
• kugunda kwamtima mwachangu
• kugunda kwa mtima kovuta modabwitsa
• thukuta lolemera
• kupweteka kwa mutu kwakanthawi kwakanthawi
• khungu lotumbululuka
• kuonda kosadziwika
• kumva mantha modabwitsa popanda chifukwa
• kumverera mwamphamvu, nkhawa yosadziwika

Zizindikiro za neuroblastoma

Zizindikiro za neuroblastoma ndi izi:

• ziphuphu zopanda ululu pansi pa khungu
• kupweteka m'mimba
• kupweteka pachifuwa
• kupweteka kwa msana
• kupweteka kwa mafupa
• kutupa kwa miyendo
• kupuma
• kuthamanga kwa magazi
• kugunda kwamtima mwachangu
• kutsegula m'mimba
• maso okutira
• malo amdima mozungulira maso
• kusintha kulikonse pamapangidwe kapena kukula kwa maso, kuphatikiza kusintha kwamasukulu
• malungo
• kuonda kosadziwika

Momwe mungakonzekerere komanso zomwe muyenera kuyembekezera

Dokotala wanu angakuuzeni kuti musadye kapena kumwa chilichonse kwa maola 6 mpaka 12 musanayezedwe. Tsatirani malamulo a dokotala mosamala kuti mutsimikizire zolondola.

Wopereka chithandizo chamankhwala amatenga magazi pang'ono m'mitsempha mwanu. Mwina akufunsani kuti mukhale pansi mwakachetechete kapena kugona pansi kwa theka la ola musanayesedwe.

Wopereka chithandizo chamankhwala amamangirira zokongoletsera m'manja mwanu ndikuyang'ana mtsempha waukulu wokwanira kuyika singano yaying'ono. Akapeza mtsempha, amayeretsa malo ozungulira kuti atsimikizire kuti sakulowetsa majeremusi m'magazi anu. Kenako, amalowetsa singano yolumikizidwa ndi botolo laling'ono. Adzasonkhanitsa magazi anu m'mbale. Izi zitha kuluma pang'ono. Atumiza magazi omwe asonkhanitsidwa ku labu yoyezera matenda kuti awerenge molondola.

Nthawi zina wothandizira zaumoyo yemwe akutenga magazi anu amatha kulowa mumitsempha imodzi kumbuyo kwa dzanja lanu m'malo mokhala m'zigongono.

Nchiyani chingasokoneze zotsatira za mayeso?

Mankhwala, zakudya, ndi zakumwa zingapo zimatha kusokoneza zotsatira za kuyesa magazi kwa catecholamine. Khofi, tiyi, ndi chokoleti ndi zitsanzo za zinthu zomwe mwina mwadya posachedwa zomwe zimapangitsa kuchuluka kwanu kwa catecholamine. Mankhwala owonjezera pa-counter (OTC), monga mankhwala osokoneza bongo, amathanso kusokoneza kuwerenga.

Dokotala wanu ayenera kukupatsani mndandanda wa zinthu zomwe muyenera kupewa musanayezedwe. Onetsetsani kuti mwauza dokotala wanu mankhwala onse omwe mumalandira komanso OTC omwe mukumwa.

Popeza ngakhale kupsinjika pang'ono kumakhudza kuchuluka kwa catecholamine m'magazi, milingo ya anthu ena imatha kukwera chifukwa choti amachita mantha kukayezetsa magazi.

Ngati ndinu mayi woyamwitsa, mungafunenso kufunsa dokotala wanu za zomwe mumamwa mwana wanu asanayezetse magazi a catecholamine.

Zotsatira zake zingakhale zotani?

Chifukwa chakuti katekinoloje amalumikizana ndi kupsinjika kwakung'ono, mulingo wa katekineini mthupi lanu amasintha kutengera momwe mukuyimira, kukhala pansi, kapena kugona pansi.

Mayesowa amayesa ma catecholamines ndi picogram pa mamililita (pg / mL); picogram ndi trilioni imodzi ya gramu. Chipatala cha Mayo chimatchula zotsatirazi ngati misinkhu ya makatekolamu achikulire:

• norepinephrine
  • kugona pansi: 70-750 pg / mL
  • kuyimirira: 200-1,700 pg / mL
• epinephrine
  • kugona pansi: kosaoneka mpaka 110 pg / mL
  • kuyimirira: kosawoneka mpaka 140 pg / mL
• dopamine
  • zosakwana 30 pg / mL osasintha mawonekedwe

Magawo a ana a katekinesi amasiyanasiyana modabwitsa komanso amasintha pamwezi nthawi zina chifukwa chakukula kwawo msanga. Dokotala wa mwana wanu amadziwa momwe mwana wanu alili woyenera.

Magulu akuluakulu a katekolini mwa akulu kapena ana amatha kuwonetsa kupezeka kwa neuroblastoma kapena pheochromocytoma. Kuyesanso kwina kudzakhala kofunikira.

Kodi njira zotsatirazi ndi ziti?

Zotsatira zanu ziyenera kukhala zokonzeka m'masiku angapo. Dokotala wanu adzawawunikanso, ndipo nonse mutha kukambirana njira zotsatirazi.

Kuyezetsa magazi kwa catecholamine sikutsimikizira kotsimikizika kwa pheochromocytoma, neuroblastoma, kapena vuto lina lililonse. Zimathandiza dokotala wanu kuchepetsa mndandanda wa zomwe zingayambitse matenda anu. Kuyesanso kowonjezereka kuyenera kuchitidwa, kuphatikiza kuyesa kwa mkodzo wa catecholamine.