mercredi 24 décembre 2014

Anatomy and physiology of the adrenal glands

Anatomy and physiology of the adrenal glands

2 adrenal glands are part of the endocrine systemThey are located just above eachkidney, buried deep in the upper part of the abdomen.

Structure
The adrenal glands are made of three layers of tissue:
adrenal cortex (cortex)
outer layer of the adrenal gland
made of glandular tissue (gland)
composed of 3 layers (internal, external, intermediate)
adrenal Medulla (Medullary)
internal layer of the adrenal gland
made of nervous tissue (nerve)
capsule
external coating of the adrenal gland
made of dense fibrous tissue



Function

As part of the endocrine system, the adrenal glands produce hormones.
Adrenal cortex

The adrenal cortex produces several hormones. The most important are aldosterone(Mineralocorticoid), cortisol (glucocorticoid) and androgen and estrogen (sexhormones). These hormones regulate metabolism and body characteristics, such ashair growth and hair and the shape of the body.
Aldosterone
It helps the kidneys regulate the amount of salt in the blood and tissues of the body.
Cortisol (called hydrocortisone)
It helps the body to balance and use the carbohydrates, proteins and fats.
It causes changes in metabolism to help the body deal with stress.
It weakens the immune system.
Androgen (male sex hormone) and estrogen (female sex hormone)
Excessive androgen production is more common than the excessive production of estrogen.

The adrenal cortex is composed of an inner layer, a middle layer and an outer layer.Aldosterone is produced in the outer layer. Cortisol, androgen and estrogen areproduced in the inner layer (active area) and stored in the intermediate layer (storagearea). In times of stress, the storage area shrinks and the active area thickens tosecrete hormones.
Adrenal Medulla

The hormones produced by the adrenal Medulla are called catecholamines. They actnot only as hormones but also as neurotransmitters, or chemical messengers of thenervous system. They are responsible for the reaction of the body to stress. 2 the mostimportant catecholamines are as follows:
Adrenaline (epinephrine)
It is released during short periods of stress (fear or shock suddenly for example).
It increases heart rate, blood pressure and blood sugar levels.
noradrenaline (norepinephrine)
It constricts blood vessels.
Just like the adrenaline, it increases heart rate, blood pressure and blood sugar levels.

The adrenal Medulla is also produces a protein called Chromogranin A, whichinformation is stored and secreted with the adrenaline and noradrenaline.
Capsule
The capsule encloses and protects the adrenal gland.

1 commentaire:

  1. Hi,
    I Took Onglyza off and on for a year. I have an enlarged adrenal gland. Still I await the outcome of that CT, but I know that much. Will find out more.
    I had the CT because of chronic pancreatic pain that started out as "attacks" from a couple of times a month to finally after 3 months of use without interruption, "attacks" 2-3 times a week. My PA put Onglyza on my allergies list.
    In the meantime, I lost almost 50 lbs in 5 months due to illness. Loss of appetite, pancreatic pain, chronic diarrhea, then eventually, inability to move my bowels. Severe back pain from the pancreas, and severe chest pain sent me to the ER where I was worked up for cardiac pain. I was cardiac cleared, but told my amylase was very low.
    Still seeking a diagnosis, but I lay the blame squarely on Onglyza. I'd had pancreatic issues in the past, and argued with the PA that prescribed it, she was calling me non-compliant, and I feared repercussions from my insurance company.
    I even took an article about the dangers of Onglyza, particularly in patients with a history, and she made me feel foolish.
    I wish I had listened to my instincts, I fear not only damage to my pancreas that is irreversible, but also severe damage to my left kidney, though I have bilateral kidney pain.
    I was off all diabetes meds, and controlled sugars strictly low to no carb. I can barely eat anymore, I have severe anorexia.
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