Adrenal glands are situated over the top of each kidney. Adrenal adenomas are non-cancerous tumours of the adrenal gland. They arise from the outer layer of the gland, called the adrenal cortex. The adrenal cortex normally makes hormones that belong to the steroid family. If an Adrenal adenomas produces hormones, it is called 'functioning', though this term makes them sound healthy when in fact such adenomas often produce excessive amounts of steroid hormones. If an adenoma does not produce a hormone it is termed 'non-functioning'.
Adrenal adenomas are often found by chance during a scan of the body for an unrelated condition. However, all adrenal masses (lumps) need careful evaluation to ascertain their nature, especially to see whether they are producing hormones. If an adrenal adenoma that is producing hormones is not treated, it can have serious consequences.
The cause of Adrenal adenomasis unknown, but the
current accepted theory is that they arise because of mutations (changes)
in certain genes (which are not yet identified). Adrenal adenomas are more
common in some inherited diseases, including multiple endocrine neoplasia
type I, Beckwith-Wiedemann syndrome and the Carney complex. Also, patients
with genetic defects of the body systems that manufacture steroid hormones
(e.g congenital adrenal hyperplasia), especially those whose condition is
poorly controlled, may have a higher risk of adrenal adenomas. However,
most Adrenal adenomas are not linked with an inherited disease. The
likelihood of developing an adenoma increases with age.
About 6 per cent of patients over 60 years of age have an Adrenal adenomas.
Most patients with an adrenal adenoma will have no symptoms caused by the adenoma. However, even in symptom-free patients, proper investigations reveal that many Adrenal adenomas produce abnormal amounts of steroid hormones to some degree. The commonest abnormality is the production of too much cortisol, a steroid hormone involved in the response to stress and energy balance. Adenomas that produce massive amounts of steroid hormones will cause obvious symptoms. Large amounts of cortisol will cause Cushing's syndrome, too much aldosterone causes Conn's syndrome, and an excess of male sex steroids causes acne and hair growth. Very rarely, bleeding can occur into adenomas and cause pain in the flanks or back.
Most Adrenal adenomas are discovered by chance when an abdominal computed-tomography (CT) or magnetic-resonance imaging (MRI) scan is done for unrelated symptoms.
More rarely, a mass in the adrenal gland is cancer that has spread from another part of the body, usually the lung or bowel (i.e 'metastatic' cancer). Generally, the origin of the cancer is clear from the clinical examination or from simple tests such as a chest X-ray. In addition, the CT or MRI appearance of metastatic cancer in the adrenal gland can be distinguished from a benign adrenal adenoma by use of specialised radiology. An adrenal mass might also be a cancer of the adrenal cortex (adrenocortical carcinoma). Although they are very rare, these cancers are often large and can produce a combination of hormones.
Adrenal masses can also arise from the inner part of the adrenal gland, called the adrenal medulla, which is part of the nervous system and produces the hormones adrenaline and noradrenaline. Tumours of the adrenal medulla are called phaeochromocytomas, and they also can be distinguished from adenomas by specialized scanning techniques as well as by blood and urine tests for adrenaline and noradrenaline.
Hypoadrenalism (under-activity of the adrenal glands)
Adrenal glands are two small but very important glands, situated one above each kidney, which produce a range of hormones, or 'chemical messengers'. Under-activity of the adrenal glands is called hypoadrenalism.
Many of the symptoms of hypoadrenalism are due to
a deficiency of the steroid hormone cortisol, which is a potentially fatal
deficiency if left uncorrected. These is call the Kidney's Yin deficiency.
Each adrenal gland consists of two parts:
an outer ring - the cortex
an inner core - the medulla.
The two parts have separate hormone functions and control mechanisms. The production of cortisol in the cortex is controlled by the hormone adrenocorticotropin (ACTH), which is produced by the pituitary gland at the base of the brain which is also call the associated Kidney's Qi.
Function of pituitary gland in adrenal function.
The way in which the pituitary gland regulates the normal production of steroid hormones by the adrenal gland is through the secretion of ACTH. If the adrenal gland produces too little cortisol, then there will be a lower level of cortisol in the blood. This is sensed by the pituitary, which therefore will increase the release of ACTH, which in turn stimulates the adrenal cortex to produce more cortisol.
Conversely, too much circulating steroid hormone will switch off the release of ACTH from the pituitary gland, which in turn reduces the adrenal gland production of steroids.
Primary hypoadrenalism or Addison's disease, results from failure of the adrenal glands themselves. This is usually an 'autoimmune' disease, where the immune system produces antibodies that attack tissues of the body rather than a virus or bacteria. In Addison's disease, antibodies attack the adrenal cortex, causing damage and scarring. Antibodies to the adrenal cortex can be detected in the blood of some patients. This is also call the Kidney's Qi .
Secondary hypoadrenalism or ACTH deficiency
Secondary hypoadrenalism, or ACTH deficiency hypoadrenalism, is caused by diseases of the pituitary gland, which lead to adrenal failure as a secondary effect.
Other causes Tuberculosis of the adrenal glands may also cause hypoadrenalism. This was a common cause of Addison's disease in Britain before the 20th century and remains a major cause in underdeveloped countries. Tuberculosis destroys the whole gland, both the cortex and the medulla. There are usually signs of tuberculosis in other organs, particularly the lungs. Destruction of the adrenal glands by tuberculosis is irreversible once hormonal deficiencies are clinically detectable. Being the Lung's which is the Metal and the Kidney the Water, Metal give rise to Water, Lung give rise to Kidney, the Five Elements.
The Kidney's Qi deficiency when it comes to too low a stage it may be dangerous, so act fast. ALL of these cases have been proven effective with CHINESE MASTER'S WAY OF TREATMENT.
Male menopause, androgen deficiency and PADAM
All men and women undoubtedly experience symptoms
related to reduced production of sex hormones (sex steroids) as they get
older. These changes affect individuals differently, could be balance and
minimize of symptom with the use of CHINESE MASTER'S herbal medications. Some
people experience very few symptoms, whereas others are completely
disabled by them. It is important to remember that this fall in sex
hormone production is a natural process and not a disease. However, many
unpleasant natural processes can be helped with CHINESE MASTER'S medical
treatment just as effectively as diseases. In women, the fall in sex
hormone production is quite abrupt and usually occurs over a few months or
years in their 40s or 50s. The ovaries dramatically reduce their
production of oestrogens (the female-determining sex steroids), a woman's
periods become disturbed and eventually stop ( menopause). Menopausal
women may also experience:
alterations in sexual response, such as vaginal dryness
changes in the level of sexual interest.
In men, the fall in sex hormone production is much more gradual, developing over decades rather than months or years. Mental and physical changes can occur, but they are much more gradual and can easily be missed. As such, the term 'male menopause', or andropause, is probably not accurate. Instead, experts prefer to talk about 'partial androgen deficiency of the ageing male' (PADAM).
Formation of testosterone (the principal male-determining sex steroid) falls gradually and progressively from the 40s onwards. Other hormones are also affected, including growth hormone, insulin-like growth factor-1 (IGF-1), parathyroid hormone and melanocyte-stimulating hormone. Other endocrine (hormonal) disorders, such as hypothyroidism (thyroid underactivity) and diabetes, are also more common with advancing age but are better understood.
Research on treatment for the menopause in women is done widely in the western world, but very little research has been undertaken into PADAM and the effects of treatment except for Acupuncture and Herbal Treatment in KL. A very considerable body of evidence supports the use of oestrogen replacement in menopausal women which in long term may cause cancer, but hormone supplementation in ageing men is highly controversial. Acupuncture and Herbal Treatment Centre in KL has done many years of research and now has the formulars for enhanceing the male sexual hormone and keep it going for a very long time.
What are androgens?
Androgens are steroid hormones with specific effects on tissue growth (muscle, fat, skin, hair and others) and brain function. They play important roles in both men and women, but are produced in much bigger quantities for men. Men after puberty, the majority of androgens are produced by the testicles, mainly as testosterone. Other androgens - dehydroepiandrostenedione (DHEA), its sulphate (DHEAS), and dihydrotestosterone (DHT) - are produced in the adrenal cortex, skin and liver.
Androgen deficiency can occur in younger men, and even in children and adolescents, as a result of testicular damage, genetic disorders, long term sickness or metabolic disorders. It is very important to get treatment at an early stage and receive Chinese Master's herbal treatment.
Symptoms of androgen deficiency
The symptoms :
Circulation and the nervous system
irritability and tiredness
decreased sense of well-being
lack of motivation
low mental energy
difficulty with short-term memory
being easily frightened.
Masculinity and virility
decreased vigour and physical energy
diminished muscle strength.
decreased interest in or desire for sex
less sexual activity
reduced quality of orgasm
weakness of ejaculation
reduced volume of ejaculated fluid.
Physical features include: diminished muscle mass
loss of body hair
Several other effects on body chemistry and metabolism occur, such as:
reduction in high-density lipoprotein (HDL) cholesterol and increase in low-density lipoprotein (LDL) cholesterol, which increases the risk of developing coronary artery disease.
increase in total body fat (because of a fall in the proportion of body weight that is muscle rather than through weight gain).
reduction in red cell volume (a reduction in the proportion of red blood cells to plasma.
Changes caused by PADAM could potentially affect
health in several ways:
increased risk of osteoporotic fracture and cardiovascular disease
reduced general well-being
cognitive impairment (problems with thought, concentration and memory).
reduced physical strength
The symptoms, signs and metabolic consequences of androgen deficiency are largely reversible, and can be corrected by CHINESE MASTER'S WAY OF MEDICATIONS.
For those with less disturbances will need only twice a weak of herbal medicine to maintain your sexual power.
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