Mayeso a Cortisol

Zamkati

• Kodi kuyesa kwa cortisol ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika kuyesa kwa cortisol?
• Kodi chimachitika ndi chiyani pakuyesa kwa cortisol?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndimafunikira kudziwa pamayeso a cortisol?
• Zolemba

Kodi kuyesa kwa cortisol ndi chiyani?

Cortisol ndi hormone yomwe imakhudza pafupifupi chiwalo chilichonse ndi minofu mthupi lanu. Imachita mbali yofunikira kukuthandizani kuti:

• Yankhani kupsinjika
• Limbani ndi matenda
• Sungani shuga m'magazi
• Pitirizani kuthamanga kwa magazi
• Sungani kagayidwe kake, momwe thupi lanu limagwiritsira ntchito chakudya ndi mphamvu

Cortisol imapangidwa ndimatenda anu a adrenal, tiziwalo ting'onoting'ono tating'ono tomwe tili pamwamba pa impso. Chiyeso cha cortisol chimayeza kuchuluka kwa cortisol m'magazi anu, mkodzo, kapena malovu. Mayeso amwazi ndi njira yofala kwambiri yoyezera cortisol. Ngati milingo yanu ya cortisol ndiyokwera kwambiri kapena yotsika kwambiri, zitha kutanthauza kuti muli ndi vuto lamatenda anu a adrenal. Matendawa atha kukhala ovuta ngati sangalandire chithandizo.

Mayina ena: cortisol yamikodzo, salivary cortisol, free cortisol, dexamethasone suppression test, DST, ACTH test test, blood cortisol, plasma cortisol, plasma

Amagwiritsidwa ntchito yanji?

Kuyezetsa kwa cortisol kumagwiritsidwa ntchito kuthandizira kuzindikira zovuta za adrenal gland. Izi zimaphatikizapo Cushing's syndrome, vuto lomwe limapangitsa thupi lanu kupanga cortisol yochulukirapo, ndi matenda a Addison, vuto lomwe thupi lanu silipanga cortisol yokwanira.

Chifukwa chiyani ndikufunika kuyesa kwa cortisol?

Mungafunike kuyesa cortisol ngati muli ndi zizindikiro za Cushing's syndrome kapena matenda a Addison.

Zizindikiro za Cushing's syndrome ndi monga:

• Kunenepa kwambiri, makamaka torso
• Kuthamanga kwa magazi
• Shuga wamagazi ambiri
• Nsalu zofiirira pamimba
• Khungu lomwe limaphwanya mosavuta
• Minofu kufooka
• Amayi amatha kukhala ndi nthawi yosamba mosiyanasiyana komanso tsitsi lowonjezera kumaso

Zizindikiro za matenda a Addison ndi awa:

• Kuchepetsa thupi
• Kutopa
• Minofu kufooka
• Kupweteka m'mimba
• Magazi akuda
• Kuthamanga kwa magazi
• Nseru ndi kusanza
• Kutsekula m'mimba
• Kuchepetsa tsitsi la thupi

Mwinanso mungafunike kuyesa cortisol ngati muli ndi zizindikiro za vuto la adrenal, zomwe zimawopseza moyo zomwe zimatha kuchitika pamene milingo yanu ya cortisol ili yotsika kwambiri. Zizindikiro za vuto la adrenal ndizo:

• Kuthamanga kwambiri kwa magazi
• Kusanza kwambiri
• Kutsekula m'mimba kwambiri
• Kutaya madzi m'thupi
• Mwadzidzidzi komanso kupweteka kwambiri m'mimba, kumbuyo kumbuyo, ndi miyendo
• Kusokonezeka
• Kutaya chidziwitso

Kodi chimachitika ndi chiyani pakuyesa kwa cortisol?

Kuyeza kwa cortisol nthawi zambiri kumakhala ngati kuyesa magazi. Mukayezetsa magazi, katswiri wa zamankhwala amatenga magazi kuchokera mumtsuko womwe uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Chifukwa kuchuluka kwa cortisol kumasintha tsiku lonse, nthawi yoyesedwa ya cortisol ndiyofunika. Kuyezetsa magazi a cortisol nthawi zambiri kumachitika kawiri patsiku - kamodzi m'mawa pamene milingo ya cortisol imakhala yokwera kwambiri, komanso mozungulira 4 koloko masana, pomwe milingo imakhala yotsika kwambiri.

Cortisol amathanso kuyezedwa mumayeso amkodzo kapena malovu. Kuti muyesedwe mkodzo wa cortisol, wothandizira zaumoyo wanu akhoza kukupemphani kuti mutenge mkodzo wonse munthawi yamaola 24. Izi zimatchedwa "kuyesa kwa mkodzo wamaora 24." Amagwiritsidwa ntchito chifukwa milingo ya cortisol imasiyanasiyana tsiku lonse. Pakuyesaku, wothandizira zaumoyo wanu kapena walabotale amakupatsani chidebe kuti mutenge mkodzo wanu ndi malangizo amomwe mungatolere ndikusunga zitsanzo zanu. Kuyezetsa mkodzo kwa maola 24 nthawi zambiri kumaphatikizapo izi:

• Tulutsani chikhodzodzo chanu m'mawa ndikutsuka mkodzowo. Lembani nthawi.
• Kwa maola 24 otsatira, sungani mkodzo wanu wonse wopyola mu chidebe chomwe chaperekedwa.
• Sungani chidebe chanu cha mkodzo mufiriji kapena chozizira ndi ayezi.
• Bweretsani chidebe chachitsanzo kuofesi ya omwe amakuthandizani azaumoyo kapena ku labotale monga momwe adauzira.

Kuyesedwa kwa malovu a cortisol nthawi zambiri kumachitika kunyumba, mochedwa kwambiri usiku, milingo ya cortisol ikakhala yotsika. Wothandizira zaumoyo wanu angakulimbikitseni kapena kukupatsirani zida zoyeserera izi. Chikwamacho chingaphatikizepo swab kuti musonkhanitse zitsanzo zanu ndi chidebe kuti musunge. Njira nthawi zambiri zimaphatikizapo izi:

• Osadya, kumwa, kapena kutsuka mano kwa mphindi 15 mpaka 30 mayeso asanayesedwe.
• Sonkhanitsani chitsanzo pakati pa 11 koloko masana ndi pakati pausiku, kapena monga walangizidwa ndi omwe amakupatsani.
• Ikani swab m'kamwa mwako.
• Pendeketsani swab m'kamwa mwanu kwa mphindi pafupifupi ziwiri kuti ithe.
• Musakhudze nsonga ya swab ndi zala zanu.
• Ikani swab mu chidebecho mkati mwazitsulo ndikuzibwezera kwa omwe akukuthandizani monga momwe adanenera.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Kupsinjika kumatha kukweza milingo yanu ya cortisol, chifukwa chake mungafunike kupumula musanayezedwe. Kuyezetsa magazi kukufunika kuti mukonzekere nthawi ziwiri nthawi zosiyanasiyana patsiku. Kuyesa kwamkodzo ndi malovu makumi awiri mphambu anayi kumachitika kunyumba. Onetsetsani kuti mukutsatira malangizo onse operekedwa ndi omwe amakupatsani.

Kodi pali zoopsa zilizonse pamayeso?

Pali chiopsezo chochepa kwambiri choyesedwa magazi. Mutha kukhala ndi ululu pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikiro zambiri zimatha msanga. Palibe zowopsa paziyeso za mkodzo kapena malovu.

Kodi zotsatirazi zikutanthauza chiyani?

Kuchuluka kwa cortisol kungatanthauze kuti muli ndi matenda a Cushing, pomwe kutsika kungatanthauze kuti muli ndi matenda a Addison kapena matenda ena amtundu wa adrenal. Ngati zotsatira za cortisol sizachilendo, sizitanthauza kuti muli ndi matenda omwe akufunikira chithandizo. Zinthu zina, kuphatikizapo matenda, kupsinjika, komanso kukhala ndi pakati zingakhudze zotsatira zanu. Mapiritsi oletsa kubereka ndi mankhwala ena amathanso kukhudza milingo yanu ya cortisol. Kuti mudziwe tanthauzo lanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndimafunikira kudziwa pamayeso a cortisol?

Ngati kuchuluka kwanu kwa cortisol sikuli bwino, wothandizira zaumoyo wanu atha kuyitanitsa mayeso ena asanadziwe. Mayesowa atha kuphatikizanso kuyesedwa kwa magazi ndi mkodzo ndi kuyerekezera kwa kujambula, monga CT (kompyuta ya tomography) ndi ma MRI (magnetic resonance imaging), omwe amalola omwe amakupatsani kuti ayang'ane ma gland anu a adrenal ndi pituitary.

Zolemba

1. Allina Health [Intaneti]. Allina Health; c2017. Momwe Mungasonkhanitsire Chitsanzo cha Malovu Poyesa kwa Cortisol [wotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.allinahealth.org/Medical-Services/SalivaryCortisol15014
2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2^nd Mkonzi, Kindle.Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Cortisol, Plasma ndi Mkodzo; 189–90 p.
3. Johns Hopkins Medicine [Intaneti]. Johns Hopkins Mankhwala; Library Yaumoyo: Adrenal Glands [yotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: http://www.hopkinsmedicine.org/healthlibrary/conditions/adult/endocrinology/adrenal_glands_85,p00399
4. Kuyesa kwa Labu Paintaneti [Intaneti]. American Association for Chipatala Chemistry; c2001–2017. Cortisol: Mafunso Omwe [amasinthidwa 2015 Oct 30; yatchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 5]. Ipezeka kuchokera: https://labtestsonline.org/understanding/analytes/cortisol/tab/faq
5. Kuyesa kwa Labu Paintaneti [Intaneti]. American Association for Chipatala Chemistry; c2001–2017. Cortisol: Chiyeso [chosinthidwa 2015 Oct 30; yatchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://labtestsonline.org/understanding/analytes/cortisol/tab/test
6. Kuyesa kwa Labu Paintaneti [Intaneti]. American Association for Chipatala Chemistry; c2001–2017. Cortisol: Chiyeso cha Mayeso [chosinthidwa 2015 Oct 30; yatchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://labtestsonline.org/understanding/analytes/cortisol/tab/test
7. Kuyesa kwa Labu Paintaneti [Intaneti]. American Association for Chipatala Chemistry; c2001–2017. Zakumapeto: Zitsanzo za Mkodzo wa Maola 24 [wotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://labtestsonline.org/glossary/urine-24
8. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co. Inc. .; c2017. Cushing Syndrome [yotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/adrenal-gland-disorders/cushing-syndrome#v772569
9. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co. Inc. .; c2017. Chidule cha Adrenal Glands [yotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/adrenal-gland-disorders/overview-of-the-adrenal-glands
10. National Heart, Lung, ndi Blood Institute [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kodi Kuopsa Kwa Kuyesedwa Kwa Magazi Ndi Chiyani? [yasinthidwa 2012 Jan 6; yatchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 6]. Ipezeka kuchokera: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
11. National Heart, Lung, ndi Blood Institute [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Zomwe Mungayembekezere Kuyesedwa kwa Magazi [kusinthidwa 2012 Jan 6; yatchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 5]. Ipezeka kuchokera: https://www.nhlbi.nih.gov/health-topics/blood-tests
12. National Institute of Diabetes and Digestive and Impso Diseases [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kulephera kwa Adrenal & Matenda a Addison; 2014 Meyi [yotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease
13. National Institute of Diabetes and Digestive and Impso Diseases [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Cushing's Syndrome; 2012 Apr [yotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.niddk.nih.gov/health-information/endocrine-diseases/cushings-syndrome
14. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2017. Health Encyclopedia: Cortisol (Magazi) [wotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=cortisol_serum
15. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2017. Health Encyclopedia: Cortisol (Mkodzo) [wotchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=cortisol_urine
16. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2017. Zambiri Zaumoyo: Metabolism [yasinthidwa 2016 Oct 13; yatchulidwa 2017 Jul 10]; [pafupifupi zowonetsera 5]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/definition/metabolism/stm159337.html#stm159337-sec

Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.