Congenital Adrenal Hyperplasia - Adrenal Glands

What is congenital adrenal hyperplasia ? 

The adrenal hyperplasia is an inherited disorder in the production of hormones in the adrenal glands.

The adrenal glands are glands that lie on top of your kidneys. The adrenal glands make hormones, such as aldosterone, cortisol and sex. What do these hormones?

-Aldosterone: remove salt from your blood, the kidneys and carry it with urine. Aldosterone ensures that you do not lose too much salt via the kidneys. Because so your blood pressure would be very low.

-Cortisol: This plays a role in the immune system (immune system), with exertion and stress. Cortisol is important for proper control of your blood sugar.

-Sex is mainly made ​​in the ovaries and the testes, but also in the adrenal cortex. For example, sex creates menstruation, breast development and body hair.

In the adrenogenital syndrome:

-The adrenal glands can make too little aldosterone. As a result, you lose too much water and salt through the kidneys into your urine. You can then dry out.

-Make the adrenals too little cortisol. This will cause, for example, the blood sugar down.
Your brains notice that the adrenal glands make too much cortisol. A brain gland (pituitary) goes further stimulate the adrenal glands.

-Make the adrenals especially too much male hormone (testosterone), the extra stimulation from the brains.

The congenital form of congenital adrenal hyperplasia is detected in blood tests in neonates. This goes with a heel prick, 2 or 3 days after birth. The earlier AGS is detected, the sooner treatment can begin.

What are the symptoms of adrenal hyperplasia? 

The adrenogenital syndrome has many symptoms. For example bad coming, bad food, vomiting, abdominal pain, leg pain and fainting stress.

Children with AGS often have a lot of pull in salt and can easily dry out.

They may be very early in puberty. They get pubic hair, pimples (acne) and a deep voice (girls too).

Girls can get a large clitoris or a small penis before birth.

Treatment of the adrenogenital syndrome 

The adrenal hyperplasia is treated by lifelong cortisol (hydrocortisone) and aldosterone (fludrocortisone) to swallow properly.

The treatment is usually done by a pediatrician or a gland specialist '(endocrinologist).

What next for congenital adrenal hyperplasia? 

Children with congenital adrenal hyperplasia should be checked regularly by a doctor:

-Children under 1 year: a monthly check
-Children between 1 and 4 years: every 3 months a check
-Children from 4 years: three times a year an audit

If it does not go well, the doctor checks the child often.

It is very important to the lifelong medications carefully to take.

May affect the growth and development of the child is disturbed. Skipping during irregular use of the medications, or occasionally a few days The child might also dry.

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