Renin-Angiotensi-Aldosterone system

Adrenal Medulla The hypothalamus starts nerve impulses that travel the path from the bloodstream, spinal cord, and sympathetic nerve fibers to the Adrenal Medulla, which then releases hormones. The effects of these hormones provide a short-term response to stress

Excessive secretion of the glucocorticoids causes Cushing's syndrome, characterized by muscle atrophy or degeneration and hypertension or high blood pressure.

Under secretion of these substances produces Addison's disease, characterized by low blood pressure and stress.

Epinephrine and norepinephrine produce the "fight or flight" response, similar to the effect from the sympathetic nervous system. Therefore, they increase heart rate, breathing rate, blood flow to most skeletal muscles, and the concentration of glucose in the blood. They decrease blood flow to the digestive organs and diminish most digestive processes.

The adrenal medulla secretes two hormone, adrenalin or epinephrine and noradrenalin or norepinephrine, whose functions are very similar but not identical. The adrenal medulla is derived embriogically from neural tissue. It has been likened to an overgrown sympathetic ganglion whose cell bodies do not send out nerve fibers, but release their active substances directly into the blood, thereby fulfilling the criteria for an endocrine gland. In controlling epinephrine secretion, the adrenal medulla behaves just like any sympathetic ganglion, and is dependent upon stimulation by sympathetic preganglionic fibers.

Epinephrine promotes several responses, all of which are helpful in coping with emergencies: the blood pressure rises, the heart rate increases, the glucose content of the blood rises because of glycogen breakdown, the spleen contracts and squeezes out a reserve supply of blood, the clotting time decreases, the pupils dilate, the blood flow to skeletal muscles increase, the blood supply to intestinal smooth muscle decreases and hairs become erect.  

These adrenal functions, which mobilize the resources of the body in emergencies, have been called the fight-or-flight response. Norepinephrine stimulates reactions similar to those produced by epinephrine, but is less effective in conversion of glycogen to glucose.

fight-or-flight response

Sumber : Bpk. Dr. Iskandar Zulkarnain

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