Ukukhula test hormone ukukhuthaza

Isivivinyo sokukhuthaza i-hormone yokukhula (GH) silinganisa ikhono lomzimba lokukhiqiza i-GH.

Igazi lidonswa kaningana. Amasampula egazi athathwa ngomugqa we-intravenous (IV) esikhundleni sokufaka inaliti njalo. Ukuhlolwa kuthatha amahora aphakathi kuka-2 no-5.

Inqubo yenziwa ngale ndlela elandelayo:

• IV ivame ukufakwa emthanjeni, imvamisa ingaphakathi lendololwane noma ngemuva kwesandla. Isayithi liqale lihlanzwe ngemithi yokubulala amagciwane (isinqandakuvunda).
• Isampula lokuqala likhishwa ekuseni kakhulu.
• Imithi inikezwa ngomthambo. Lo muthi uvuselela i-pituitary gland ukukhipha i-GH. Kunemithi eminingi etholakalayo. Umhlinzeki wezempilo uzonquma ukuthi imuphi umuthi ongcono kunabo bonke.
• Amasampula egazi angeziwe adwetshwa emahoreni ambalwa alandelayo.
• Ngemuva kokuthi kuthathwe isampula lokugcina, umugqa we-IV uyasuswa. Ingcindezi isetshenziswa ukumisa noma yikuphi ukopha.

UNGADLI amahora ayi-10 kuya kwayi-12 ngaphambi kokuhlolwa. Ukudla ukudla kungashintsha imiphumela yokuhlolwa.

Eminye imithi ingathinta imiphumela yokuhlolwa. Buza umhlinzeki wakho uma kufanele uyeke ukuthatha noma yimiphi imithi yakho ngaphambi kokuhlolwa.

Uma ingane yakho izokwenza lesi sivivinyo, chaza ukuthi isivivinyo siyozizwa kanjani. Ungahle uthande ukukhombisa kudoli. Lapho ingane yakho ijwayelene ngokwengeziwe nokuthi kuzokwenzekani nenhloso yenqubo, iyozizwa ikhathazeka kancane.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa behlatshwa noma bezwa nje kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Lokhu kuhlolwa kuvame ukwenziwa ukuthola ukuthi ukushoda kwe-hormone yokukhula (ukushoda kwe-GH) kubangela ukukhula okuhamba kancane yini.

Imiphumela ejwayelekile ifaka phakathi:

• Inani eliphakeme elijwayelekile, okungenani u-10 ng / mL (10 µg / L)
• Okungapheli, 5 kuya ku-10 ng / mL (5 kuya ku-10 µg / L)
• Okungajwayelekile, i-5 ng / mL (5 µg / L)

Inani elijwayelekile lilawula ukuntuleka kwe-hGH. Kwamanye ama-laboratories, ileveli ejwayelekile ingu-7 ng / mL (7 µg / L).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Uma lokhu kuhlolwa kungakhuphuli amazinga e-GH, kunenani elincishisiwe le-hGH eligcinwe ku-pituitary yangaphakathi.

Ezinganeni, lokhu kubangela ukushoda kweGH. Kubantu abadala, ingaxhunyaniswa nokushoda kwe-GH yabantu abadala.

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukubhoboza okuningi ukuthola imithambo
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Imithi evusa i-pituitary ngesikhathi sokuhlolwa ingadala imiphumela emibi. Umhlinzeki angakutshela kabanzi ngalokhu.

Ukuhlolwa kwe-Arginine; Ukuhlolwa kwe-Arginine - GHRH

• Ukukhula test hormone ukukhuthaza

I-Alatzoglou KS, Dattani MT. Ukukhula kwama-hormone ezinganeni. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 23.

UGuber HA, uFarag AF. Ukuhlolwa komsebenzi we-endocrine. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 24.

IPatterson BC, iFelner EI. I-Hypopituitarism. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 573.