Catecholamines - umchamo

IiCatecholamines ziikhemikhali ezenziwa ziithambo zentliziyo (kubandakanya nengqondo) kunye nedlala leadrenal.

Ezona ntlobo ziphambili zeekatecholamines yidopamine, norepinephrine, kunye neepinephrine. Ezi khemikhali ziwela kwezinye izinto, ezishiya umzimba wakho kumchamo wakho.

Uvavanyo lomchamo lunokwenziwa ukulinganisa inqanaba leekatecholamines emzimbeni wakho. Uvavanyo lomchamo olwahlukileyo lunokwenziwa ukulinganisa izinto ezinxulumene noko.

IiCatecholamines zinokulinganiswa kuvavanyo lwegazi.

Kolu vavanyo, kufuneka uqokelele umchamo wakho kwingxowa ekhethekileyo okanye kwisitya ngalo lonke ixesha uchama kangangexesha leeyure ezingama-24.

• Ngomhla woku-1, chamela phezu kwendlu yangasese xa uvuka kusasa kwaye ulahle loo mchamo.
• Chamela kwisitya esikhethekileyo ngalo lonke ixesha usebenzisa igumbi lokuhlambela iiyure ezingama-24 ezizayo. Gcina kwifriji okanye kwindawo epholileyo ngexesha lokuqokelela.
• Ngomhla wesi-2, chamela kwisitya kusasa kwakhona xa uvuka.
• Bhala ileyibhile ngegama lakho, umhla, ixesha lokugqitywa, kwaye usibuyisele njengoko kuyalelwe.

Ngosana, hlamba kakuhle indawo apho umchamo uphuma khona emzimbeni.

• Vula ingxowa yokuqokelela umchamo (ibhegi yeplastiki enephepha lokuncamathela kwelinye icala).
• Kumadoda, beka yonke incanca engxoweni kwaye uncamathisele ukunamathela kulusu.
• Kubafazi, beka ibhegi ngaphezulu kweelebhu.
• I-Diaper njengesiqhelo ngaphezulu kwengxowa ekhuselekileyo.

Le nkqubo inokuthatha amatrayi ambalwa. Usana olusebenzayo lunokuhambisa ingxowa ebangela ukuba umchamo ungene kwi-diaper.

Jonga usana rhoqo kwaye utshintshe ibhegi emva kokuba usana luchamile kulo. Ukucoca umchamo engxoweni kwisitya esinikezwe ngumboneleli wakho wezempilo.

Hambisa isampuli elabhoratri okanye kumboneleli wakho ngokukhawuleza.

Uxinzelelo kunye nokuzilolonga okunzima kunokuchaphazela iziphumo zovavanyo.

Olunye uhlobo lokutya lunokunyusa iikatekramini kumchamo wakho. Kuya kufuneka uphephe oku kutya kunye nokusela okulandelayo kwiintsuku ezininzi ngaphambi kovavanyo:

• Iibhanana
• Itshokholethi
• Iziqhamo zeCitrus
• Cocoa
• Kofu
• Licorice
• Iti
• IVanilla

Amayeza amaninzi anokuphazamisa iziphumo zovavanyo.

• Umboneleli wakho uya kukuxelela ukuba ngaba ufuna ukuyeka ukuthatha nawaphi na amayeza phambi kokuba wenze olu vavanyo.
• SUKUYEKE okanye utshintshe amayeza akho ungakhange uthethe nomboneleli wakho kuqala.

Uvavanyo lubandakanya kuphela ukuchama okuqhelekileyo, kwaye akukho kungonwabi.

Uvavanyo luhlala lwenziwa ukufumanisa isifo se-adrenal gland ebizwa ngokuba yi-pheochromocytoma. Ingasetyenziselwa ukuxilonga i-neuroblastoma. Amanqanaba e-catecholamine e-Urine ayonyuswa kubantu abaninzi abane-neuroblastoma.

Uvavanyo lomchamo lwee-catecholamines lunokusetyenziselwa ukubeka esweni abo bafumana unyango kwezi meko.

Zonke iicatecholamines zohlulwe zangasebenzi ezingabonakali kumchamo:

• I-Dopamine iba yi-homovanillic acid (HVA)
• INorepinephrine iba yi-normetanephrine kunye ne-vanillylmandelic acid (VMA)
• I-Epinephrine iba yimaneane kunye neVMA

La maxabiso aqhelekileyo alandelayo lixabiso lezinto ezifumaneka kumchamo ngaphezulu kweeyure ezingama-24:

• I-Dopamine: i-65 ukuya kwi-400 ye-micrograms (mcg) / iiyure ezingama-24 (420 ukuya ku-2612 nmol / iiyure ezingama-24)
• I-Epinephrine: 0.5 ukuya kwi-20 mcg / iiyure ezingama-24
• I-Metanephrine: 24 ukuya kwi-96 mcg / iiyure ezingama-24 (ezinye iilebhu zinika uluhlu njenge-140 ukuya kwi-785 mcg / iiyure ezingama-24)
• I-Norepinephrin: 15 ukuya kwi-80 mcg / iiyure ezingama-24 (89 ukuya ku-473 nmol / iiyure ezingama-24)
• I-Normetanephrine: 75 ukuya kwi-375 mcg / iiyure ezingama-24
• Iyonke icatecholamines yomchamo: i-14 ukuya kwi-110 mcg / iiyure ezingama-24
• I-VMA: 2 ukuya kwi-7 milligrams (mg) / iiyure ezingama-24 (10 ukuya kwi-35 mcmol / iiyure ezingama-24)

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Imizekelo engentla ibonisa imilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Ezinye iilabhoratri zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo.

Amanqanaba aphakamileyo eekatekramini zomchamo unokubonisa:

• Uxinzelelo olukhulu
• I-Ganglioneuroblastoma (inqabile kakhulu)
• I-Ganglioneuroma (inqabile kakhulu)
• Neuroblastoma (inqabile)
• Pheochromocytoma (inqabile)
• Uxinzelelo olukhulu

Uvavanyo lunokwenziwa kwakhona:

• Uninzi lwe-endocrine neoplasia (MEN) II

Akukho bungozi.

Ukutya okuninzi kunye neziyobisi, kunye nokusebenza komzimba kunye noxinzelelo, kunokuchaphazela ukuchaneka kolu vavanyo.

Uvavanyo lwe-Dopamine - umchamo; Uvavanyo lwe-Epinephrine - umchamo; Uvavanyo lwe-Adrenalin - umchamo; Umchamo we-metanephrine; INormetanephrine; Uvavanyo lwe-Norepinephrin - umchamo; Iicatecholamines zomchamo; VMA; HVA; IMetanephrine; IHomovanillic acid (HVA)

• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Uvavanyo lomchamo weCatecholamine

UGuber HA, uFarag AF. Uvavanyo lomsebenzi we-endocrine. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 24.

WF omncinci. I-Adrenal medulla, ii-catecholamines, kunye ne-pheochromocytoma. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 228.