Adrenalectomy (removal of the adrenal glands)

Depending on the nature of the disease may require removal of one or both adrenal glands. The operation is performed under general anesthesia.

There are two approaches:

Conventional adrenalectomy —abdominal surgery. If the tumor is small — small incision of skin and muscles in the lumbar area of the side or back. If the tumor is large, it is necessary to perform a fairly wide cross-section of the abdomen. After the surgery is joint. Endoscopic adrenalectomy performed by means of special tools and endoscopes that are inserted through small incisions (one centimeter). Moreover, the cuts may be

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Analysis on adrenal hormones

1) dehydroepiandrosterone sulfate

Dehydroepiandrosterone sulfate (DHEA-S, DHEA-SO4) — androgenic steroid hormone that is synthesized by the adrenal cortex. It is used by the body to produce testosterone and estrogen. His excessive content can lead to the threat of termination of pregnancy and spontaneous abortion.

In some cases, prescribe a blood test for DHEA-s?

congenital adrenal hyperplasia; tumors of the adrenal cortex; ectopic ACTH-producing tumors; recurrent miscarriage; small for gestational; delayed puberty; diagnostics of the fetoplacental complex with 12-15 weeks of pregnancy.

How to prepare for a blood test for DHEA-s?

Before sending the blood are advised to avoid stress

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Diseases of the adrenal glands

The adrenal glands — small paired organs located, as the name implies, above the upper pole of the kidneys.

The main objective of the adrenal glands — production hormones that regulate all the vital processes in the body. For example, glucocorticoid hormones responsible for metabolism and energy metabolism, mineralocorticoids are involved in water and salt metabolism, androgens and estrogens — are sex hormones, epinephrine and norepinephrine — hormones of stress.

Adrenal disease may be caused by:

excessive production of ACTH by the pituitary hormone that regulates the adrenal glands (disease Cushing); excessive production of hormones by the adrenal

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Acute adrenal insufficiency

Acute adrenal failure (addisonichesky crisis) — An acute serious condition that occurs as a result of a sharp reduction or elimination of the production of hormones by the adrenal cortex.


Acute failure adrenocortical most often occurs in patients with chronic adrenal insufficiency. For example, if they stop taking hormones, corticosteroids, making up for the lack of their own. The same thing can happen on a background of injury, surgery, acute infectious diseases, climate change, heavy physical exertion, severe emotional stress.

In addition, addisonichesky crisis happens:

in acute adrenal hemorrhage or developing them infarction (tissue necrosis); meningitis,

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Chronic adrenal insufficiency

Chronic adrenal insufficiency — a disease that occurs when reducing the production of hormones by the adrenal cortex.


primary adrenal insufficiency (disease Addison's disease). The disease is caused by the defeat of the adrenal cortex, which do not produce enough hormones; secondary failure the adrenal cortex, when hormone production declines because of reducing the amount of ACTH — a hormone produced in the pituitary gland and regulating the activities of the adrenal cortex. Causes

The cause of primary adrenal insufficiency (Addison's disease) often remains unknown (in50-60% Of cases).

The disease can also occur due to

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