Nnwale Cortisol

Ndinaya

• Kedu ihe bụ ule cortisol?
• Kedu ihe eji ya?
• Kedu ihe kpatara m ji chọọ ule cortisol?
• Kedu ihe na - eme n'oge ule cortisol?
• Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?
• Onwere ihe egwu di n’ule a?
• Kedu ihe nsonaazụ ahụ pụtara?
• Onwere ihe ozo ichoro ima banyere ule cortisol?
• Ntughari

Kedu ihe bụ ule cortisol?

Cortisol bụ homonụ nke na-emetụta ihe fọrọ nke nta ka ọ bụrụ akụkụ niile na anụ ahụ dị gị n’ahụ. Ọ na-arụ ọrụ dị mkpa n'inyere gị aka:

• Nzaghachi nrụgide
• Na-alụso ọrịa ọgụ
• Dozie ọbara shuga
• Nọgide na-enwe ọbara mgbali
• Dezie metabolism, usoro otu ahụ gị si eji nri na ume

Cortisol mere site na gland adrenal gị, obere glands abụọ dị n'elu akụrụ. Nnwale cortisol na-atụle ogo cortisol n'ọbara gị, mamịrị, ma ọ bụ asu. Nyocha ọbara bụ ụzọ kachasị esi atụle cortisol. Ọ bụrụ na ọkwa cortisol gị dị elu ma ọ bụ dị obere, ọ nwere ike ịpụta na ị nwere nsogbu nke gland adrenal gị. Nsogbu ndị a nwere ike ịdị njọ ma ọ bụrụ na agwọghị ha.

Aha ndị ọzọ: urinary cortisol, salivary cortisol, free cortisol, dexamethasone suppression test, DST, ACTH stimulation test, ọbara cortisol, plasma cortisol, plasma

Kedu ihe eji ya?

A na-eji ule cortisol enyere aka ịchọpụta nsogbu nke gland adrenal. Ndị a gụnyere Cushing’s syndrome, ọnọdụ nke na-eme ka ahụ gị mee cortisol buru oke ibu, yana ọrịa Addison, ọnọdụ nke ahụ gị anaghị eme cortisol zuru oke.

Kedu ihe kpatara m ji chọọ ule cortisol?

Nwere ike ịchọ ule cortisol ma ọ bụrụ na ị nwere mgbaàmà nke ọrịa Cushing ma ọ bụ ọrịa Addison.

Mgbaàmà nke ọrịa Cushing gụnyere:

• Ibu, karịsịa na toso
• Ọbara mgbali elu
• Ọbara ọbara dị elu
• Purple na-ada na afọ
• Akpụkpọ ahụ nke na-emerụ ahụ n'ụzọ dị mfe
• Ike adịghị ike
• Mụ nwanyị nwere oge ịhụ nsọ ha na ntutu dị oke na ihu

Mgbaàmà nke ọrịa Addison gụnyere:

• Iwetulata ibu
• Ike ọgwụgwụ
• Ike adịghị ike
• Ime mgbu
• Ọchịchịrị gbara nke akpụkpọ ahụ
• Ọbara mgbali elu
• Ọgbọ na ọgbụgbọ
• Afọ ọsịsa
• Mbelata ntutu isi

Nwekwara ike ịchọ ule cortisol ma ọ bụrụ na ị nwere mgbaàmà nke nsogbu adrenal, ọnọdụ egwu ndụ nke nwere ike ime mgbe ọkwa cortisol gị dị oke ala. Mgbaàmà nke nsogbu nsogbu adrenal gụnyere:

• Ọbara mgbali elu
• Oké agbọ agbọ
• Oké afọ ọsịsa
• Akpịrị ịkpọ nkụ
• Mberede na nnukwu ihe mgbu na afọ, ala, azụ na ụkwụ
• Mgbagha
• Loss nke nsụhọ

Kedu ihe na - eme n'oge ule cortisol?

Nnwale cortisol na-abụkarị n'ụdị nyocha ọbara. N'oge ule ọbara, onye ọkachamara ahụike ga-ewere ihe nyocha ọbara site na akwara aka gị, na-eji obere agịga. Mgbe etinyere agịga ahụ, a ga-achịkọta obere ọbara n'ime ule nyocha ma ọ bụ vial. Nwere ike na-eche ntakịrị ihe mgbe agịga na-abanye ma ọ bụ na-apụta. Nke a na-ewe ihe na-erughị nkeji ise.

Ebe ọ bụ na ọkwa cortisol na-agbanwe ụbọchị niile, oge ule cortisol dị mkpa. A na-eme nnwale ọbara cortisol ugboro abụọ n’ụbọchị – otu ụtụtụ mgbe ọkwa cortisol nọ na nke kachasị elu, yana kwa elekere anọ nke elekere, mgbe ọkwa dị obere.

Enwere ike tụọ Cortisol na mmamịrị ma ọ bụ nyocha mmiri. Maka ule mmamịrị cortisol, onye nlekọta ahụike gị nwere ike ịrịọ gị ka ịnakọta mmamịrị niile n'oge oge 24. A na-akpọ nke a "nnwale mamịrị nke 24 awa." A na-eji ya n'ihi na ọkwa cortisol dịgasị iche n'ụbọchị. Maka ule a, onye na-ahụ maka ahụike gị ma ọ bụ onye ọkaibe ụlọ nyocha ga-enye gị akpa iji kpokọta mamịrị gị yana ntuziaka ka esi anakọta ma chekwaa nnwale gị. Nyocha 24 hour nke mmamịrị na-agụnye usoro ndị a:

• Wepụ eriri afo gị n'ụtụtụ ma wepụ mamịrị ahụ. Dekọọ oge.
• Maka awa 24 na-esote, chekwaa mmamịrị gị niile n'ime akpa enyere.
• Chekwaa akpa mamịrị gị n'ime ngwa nju oyi ma ọ bụ oyi nwere ice.
• Weghachite ihe nlele ahụ na ụlọ ọrụ ahụike gị ma ọ bụ ụlọ nyocha dị ka enyere gị iwu.

A na-eme ule anwansi cortisol n'ụlọ, n'ime abalị, mgbe ọkwa cortisol dị ala. Onye na-ahụ maka ahụike gị nwere ike ịkwado ma ọ bụ nye gị kit maka ule a. Ngwa ahụ nwere ike ịgụnye swab iji chịkọta ihe nlele gị na akpa iji chekwaa ya. Nzọụkwụ na-agụnyekarị ihe ndị a:

• Erila, a drinkụ, ma ọ bụ ịsacha ezé gị maka minit 15-30 tupu ule ahụ.
• Chịkọta ihe nlele n'etiti elekere 11. na etiti abalị, ma ọ bụ dịka onye nyere gị nyere iwu.
• Tinye swab ahụ n'ime ọnụ gị.
• Nyefee swab ahụ n'ọnụ gị ihe dị ka nkeji 2 ka o wee nwee ike iji kpuchie ọnụ ya.
• Ejila mkpịsị aka emetụ ọnụ swab ahụ.
• Tinye swab n'ime akpa n'ime ngwa ahụ ma weghachite ya na onye na-eweta gị dịka enyere gị ndụmọdụ.

Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?

Nchegbu nwere ike ibuli ogo cortisol gị, yabụ ịnwere ike izu ike tupu ule gị. Nnwale ọbara ga-achọ ka ịhazi oge abụọ n'oge dị iche iche n'ụbọchị. A na-eme mmamịrị na awa iri abụọ na anọ n’ụlọ. Jide n'aka na ị ga - agbaso ntuziaka niile nke onye na - eweta gị.

Onwere ihe egwu di n’ule a?

O nwechaghị ihe egwu dị n’inyocha ọbara. May nwere ike ịnwe obere ihe mgbu ma ọ bụ mmerụ ahụ ebe etinyere agịga ahụ, mana ọtụtụ mgbaàmà na-apụ ngwa ngwa. Onweghi ihe egwu amaghi na mmamiri ma obu onu.

Kedu ihe nsonaazụ ahụ pụtara?

Nnukwu nke cortisol nwere ike ịpụta na ị nwere ọrịa Cushing, ebe ọkwa dị ala nwere ike ịpụta na ị nwere ọrịa Addison ma ọ bụ ụdị ọrịa adrenal ọzọ. Ọ bụrụ na nsonaazụ cortisol gị abụghị nke nkịtị, ọ pụtaghị na ị nwere ọnọdụ ahụike chọrọ ọgwụgwọ. Ihe ndị ọzọ, gụnyere ọrịa, nrụgide, na afọ ime nwere ike imetụta nsonaazụ gị. Ngwunye ọgwụ ọmụmụ na ọgwụ ndị ọzọ nwekwara ike imetụta ogo cortisol gị. Iji mụta ihe nsonaazụ gị pụtara, gwa onye na-ahụ maka ahụike gị.

Mụtakwuo maka ule nyocha ụlọ, akara ngosi, na nghọta nsonaazụ.

Onwere ihe ozo ichoro ima banyere ule cortisol?

Ọ bụrụ na ọkwa cortisol gị adịghị mma, onye na-ahụ maka ahụike gị nwere ike ịtụkwuo ule tupu ịme nchoputa. Ule ndị a nwere ike ịgụnye nyocha ọbara na mmamịrị ọzọ na nyocha onyonyo, dị ka CT (kọmputa kọmpụta) na nyocha MRI (magnetic resonance imaging), nke na-enye onye na-eweta gị aka ileba anya na adrenal na pituitary glands.

Ntughari

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Ejila ozi dị na saịtị a dị ka onye dochie anya nlekọta ahụike ọkachamara ma ọ bụ ndụmọdụ. Kpọtụrụ onye na-ahụ maka ahụike ma ọ bụrụ na ị nwere ajụjụ gbasara ahụike gị.