What is being monitored

What is being monitored

Gabby is having regular blood samples taken in order to monitor a variety of hormones.  The taking of blood is called phlebotomy.

She was quite sleepy over the past 24 hours, which is completely understandable, but seems to be a bit more alert this morning.  Her throat is sore from the breathing tube, so it may be a day or 2 before she starts to talk much.  She is hungry.  The nurses are calling her a unicorn patient - they just don't exist.

Currently she is being monitored for diabetes insipidus, where the kidneys don’t reabsorb water.  This is related to the function of the Hypothalamus.

Where is my hypothalamus? http://www.yourhormones.info/glands/hypothalamus.aspx

 The hypothalamus is located on the undersurface of the brain. It lies just below the thalamus and above the pituitary gland, to which it is attached by a stalk. It is an extremely complex part of the brain containing many regions with highly specialised functions. In humans, the hypothalamus is approximately the size of a pea and accounts for less than 1% of the weight of the brain.

What does my hypothalamus do?

One of the major functions of the hypothalamus is to maintain homeostasis, ie, to keep the human body in a stable, constant condition.

The hypothalamus responds to a variety of signals from the internal and external environment including body temperature, hunger, feelings of being full up after eating, blood pressure and levels of hormones in the circulation. It also responds to stress and controls our daily bodily rhythms such as the night-time secretion of melatonin from the pineal gland and the changes in cortisol (the stress hormone) and body temperature over a 24-hour period. The hypothalamus collects and combines this information and puts changes in place to correct any imbalances.

What hormones does my hypothalamus produce?

 There are two sets of nerve cells in the hypothalamus that produce hormones. One set sends the hormones they produce down through the pituitary stalk to the posterior lobe of the pituitary gland where these hormones are released directly into the bloodstream. These hormones are anti-diuretic hormone and oxytocin. Anti-diuretic hormone causes water reabsorption at the kidneys and oxytocin stimulates contraction of the uterus in childbirth and is important in breastfeeding.

The other set of nerve cells produces stimulating and inhibiting hormones that reach the anterior lobe of the pituitary gland via a network of blood vessels that run down through the pituitary stalk. These regulate the production of hormones that control the gonads, thyroid gland and adrenal cortex, as well as the production of growth hormone, which regulates growth, and prolactin, which is essential for milk production. The hormones produced in the hypothalamus are corticotrophin-releasing hormone, dopamine, growth hormone-releasing hormone, somatostatin, gonadotrophin-releasing hormone and thyrotrophin-releasing hormone.

What could go wrong with my hypothalamus?

Hypothalamic function can be affected by head trauma, brain tumours, infection, surgery, radiation and malnutrition. It can lead to disorders of energy balance and thermoregulation, disorganised body rhythms, (insomnia) and symptoms of pituitary deficiency due to loss of hypothalamic control. Pituitary deficiency (hypopituitarism) ultimately causes a deficiency of hormones produced by the gonads, adrenal cortex and thyroid gland, as well as loss of growth hormone.

Lack of anti-diuretic hormone production by the hypothalamus causes diabetes insipidus. In this condition the kidneys are unable to reabsorb water, which leads to excessive production of dilute urine and very large amounts of drinking.