Ukuhlolwa kwegazi leCatecholamine
Lokhu kuhlolwa kukala amazinga ama-catecholamines egazini. AmaCatecholamine ngamahomoni enziwa yizindlala ze-adrenal. Ama-catecholamines amathathu yi-epinephrine (adrenalin), norepinephrine, ne-dopamine.
AmaCatecholamine avame ukukalwa ngokuhlolwa komchamo kunokuhlolwa kwegazi.
Kudingeka isampula yegazi.
Uzotshelwa ukuthi ungadli noma yini (ngokushesha) amahora ayi-10 ngaphambi kokuhlolwa. Ungavunyelwa ukuphuza amanzi ngalesi sikhathi.
Ukunemba kokuhlolwa kungathinteka ekudleni okuthile nasemithini. Ukudla okungakhuphula amazinga e-catecholamine kufaka:
- Ikhofi
- Itiye
- Ubhanana
- Ushokoledi
- Ukhokho
- Izithelo ze-Citrus
- I-Vanilla
Akufanele ukudle lokhu kudla izinsuku ezimbalwa ngaphambi kokuhlolwa. Lokhu kuyiqiniso ikakhulukazi uma kukalwa ama-catecholamine egazi nomchamo.
Kufanele futhi ugweme izimo ezicindezelayo nokuvivinya umzimba ngamandla. Zombili zingathinta ukunemba kwemiphumela yokuhlolwa.
Imithi nezinto ezingakhuphula izilinganiso ze-catecholamine zifaka:
- I-Acetaminophen
- I-Albuterol
- I-Aminophylline
- Ama-Amphetamines
- I-Buspirone
- Ikhafeyini
- Ama-block block wesiteshi seCalcium
- Cocaine
- ICyclobenzaprine
- ULevodopa
- IMethyldopa
- I-Nicotinic acid (amanani amakhulu)
- I-Phenoxybenzamine
- Ama-phenothiazines
- I-Pseudoephedrine
- Hlanganisa kabusha
- I-Tricyclic antidepressants
Imithi enganciphisa izilinganiso ze-catecholamine ifaka:
- Clonidine
- IGuanethidine
- Ama-inhibitor e-MAO
Uma uthatha noma imuphi kule mithi engenhla, buza umhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuhlolwa kwegazi ukuthi kufanele uyeke ukuthatha umuthi wakho.
Lapho kufakwa inaliti ukuze kutholakale igazi, abanye abantu bezwa ubuhlungu obuncane. Abanye bazizwa behlatshwa noma betinyelwa. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.
AmaCatecholamine adedelwa egazini lapho umuntu ecindezelekile ngokomzimba noma ngokomzwelo. Ama-catecholamines amakhulu yi-dopamine, i-norepinephrine, ne-epinephrine (eyayikade ibizwa nge-adrenalin).
Lokhu kuhlolwa kusetshenziselwa ukuxilonga noma ukukhipha izicubu ezithile ezingavamile, njenge-pheochromocytoma noma i-neuroblastoma. Kungenziwa nasezigulini ezinalezo zimo ukunquma ukuthi ukwelashwa kuyasebenza yini.
Ububanzi obujwayelekile be-epinephrine ngu-0 kuye ku-140 pg / mL (764.3 pmol / L).
Ububanzi obujwayelekile be-norepinephrine ngu-70 kuye ku-1700 pg / mL (413.8 kuye ku-10048.7 pmol / L).
Ububanzi obujwayelekile be-dopamine yi-0 iye ku-30 pg / mL (195.8 pmol / L).
Qaphela: Amabanga wamanani ajwayelekile angahluka kancane kumalabhorethri ahlukile. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.
Amazinga aphakeme kunokujwayelekile we-catecholamines egazi angaphakamisa:
- Ukukhathazeka okukhulu
- I-Ganglioblastoma (isimila esingavamile kakhulu)
- I-Ganglioneuroma (isimila esingavamile kakhulu)
- I-Neuroblastoma (isimila esingavamile)
- I-Pheochromocytoma (isimila esingavamile)
- Ukucindezeleka okukhulu
Izimo ezingeziwe lapho ukuhlolwa kungenziwa khona zifaka phakathi i-atrophy yohlelo oluningi.
Kunobungozi obuncane bokuthathwa kwegazi 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
- Ukuquleka noma uzizwe unekhanda elincane
- Ukubhoboza okuningi ukuthola imithambo
- I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
- Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)
I-Norepinephrine - igazi; I-Epinephrine - igazi; I-Adrenalin - igazi; I-Dopamine - igazi
- Ukuhlolwa kwegazi
IChernecky CC, iBerger BJ. AmaCatecholamine - i-plasma. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 302-305.
UGuber HA, uFarag AF, uLo J, uSharp J. 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.
WF osemncane. I-Adrenal medulla, i-catecholamines, ne-pheochromocytoma. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 228.