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ADRENAL MEDULLA
The adrenal medulla develops from the neuroectoderm of the embryo.
Medulla consists of chromaffin cells or phaeochromocytes. These cells are connected with the preganglionic motor fibres of the sympathetic nervous system.
Hormones : The medulla of the adrenal glands secretes two hormones: norepinephrine (noradrenaline) and epinephrine
(adrenaline). Norepinephrine and epinephrine are derived from the aminoacid tyrosine.
(i) Norepinephrine (Noradrenaline). It regulates the blood pressure under normal condition. It causes constriction of essentially all the blood vessels of the body. It causes increased activity of the heart, inhibition of gastrointestinal tract, dilation of the pupils of the eyes and so furth.
(ii) Epinephrine (Adrenaline). It is secreted at the time of emergency. Hence it is also called emergency hormone. It causes almost the same effects as those caused by norepinephrine, but the effects differ in the following respects.
Target Cells. Both adrenaline and noradrenaline acts on the cells of skeletal, cardiac and smooth muscles and blood vessels and fat cells.
Because of the role of their hormones, the adrenal glands are also called 'glands of emergency'.
Thus, the objectives of the nutritional care process should include the following points: 1. Restoration of good nutritional status with dietary modifications and counseling.
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