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Adrenal glands

  • The adrenal glands are small, triangular-shaped glands located on top of both kidneys.

  • They are part of the body’s endocrine system, producing hormones that are vital for life.

human adrenal glands

Here are the illustrations of the human adrenal glands.

  • Each adrenal gland is structurally and functionally divided into two main parts: the adrenal cortex and the adrenal medulla, each responsible for producing different sets of hormones.

Structure

1. Adrenal Cortex: 

  • The outer section of the gland, makes up the bulk of the adrenal gland.

  • It is divided into three zones: the zona glomerulosa, the zona fasciculata, and the zona reticularis. Each zone produces different types of hormones.

2. Adrenal Medulla: 

  • The inner section of the gland, which produces adrenaline (epinephrine) and noradrenaline (norepinephrine).

Function

I.   Adrenal Cortex:

  • Zona Glomerulosa: Produces mineralocorticoids, mainly aldosterone, which regulate sodium and potassium balance and blood pressure.

  • Zona Fasciculata: Produces glucocorticoids, mainly cortisol, which influences metabolism, immune response, and stress response.

  • Zona Reticularis: Produces androgens, which are converted to fully functional sex hormones in other body tissues, influencing sex drive and secondary sexual characteristics.

II.   Adrenal Medulla:

  • Produces catecholamines, mainly adrenaline and noradrenaline, which increase heart rate, blood pressure, and blood sugar levels, preparing the body for a "fight or flight" response.

Disorders

  • Adrenal gland disorders occur when the glands produce too much or too little of these hormones.

1. Addison's Disease (Primary Adrenal Insufficiency):

  • Characterized by insufficient production of cortisol and often aldosterone, symptoms may include fatigue, muscle weakness, weight loss, low blood pressure, and darkening of the skin.

  • It's often caused by autoimmune destruction of the adrenal cortex.

2. Cushing's Syndrome:

  • Results from excessive cortisol production, which can be due to prolonged use of corticosteroid medication or a tumor that leads to overproduction of ACTH (adrenocorticotropic hormone) stimulating cortisol release.

  • Symptoms include weight gain, thinning skin, high blood pressure, and osteoporosis.

3. Primary Hyperaldosteronism (Conn's Syndrome):

  • Characterized by the overproduction of aldosterone, leading to high blood pressure and low potassium levels.

  • It's often caused by a benign tumor in the adrenal gland.

4. Pheochromocytoma:

  • A rare tumor of the adrenal medulla that causes excessive production of catecholamines, leading to severe hypertension, headaches, sweating, and rapid heartbeat.

5. Adrenal Cancer:

  • Although rare, adrenal glands can develop malignant tumors.

  • Adrenal cancer can produce excess hormones and lead to symptoms similar to those of other adrenal disorders.

Treatment

  • Treatment for adrenal gland disorders varies depending on the specific condition and its cause.

  • It may include medication to replace deficient hormones (e.g., hydrocortisone for Addison's disease) or to control excess hormone production (e.g., mitotane for adrenal cancer), surgery to remove tumors, and managing symptoms and complications associated with these disorders.

  • Proper diagnosis and management are crucial for individuals with adrenal gland disorders to maintain balance and function of the hormones essential for life.

adrenal glands

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