Ukuhlolwa Kwegazi leCatecholamine

-Delile

• Iyini inhloso yokuhlolwa kwegazi le-catecholamine?
• Ingane yakho kanye nokuhlolwa kwegazi le-catecholamine
• Iziphi izimpawu ezingenza udokotela wami ayalele ukuhlolwa kwegazi le-catecholamine?
• Izimpawu ze-pheochromocytoma
• Izimpawu ze-neuroblastoma
• Ungazilungiselela kanjani nokuthi yini ongayilindela
• Yini engaphazamisa imiphumela yokuhlolwa?
• Iyini imiphumela engaba khona?
• Yiziphi izinyathelo ezilandelayo?

Ayini ama-catecholamine?

Ukuhlolwa kwegazi le-catecholamine kukala inani lama-catecholamine emzimbeni wakho.

"I-Catecholamines" yigama lesambulela lamahomoni i-dopamine, i-norepinephrine, ne-epinephrine, eyenzeka ngokwemvelo emzimbeni wakho.

Odokotela bavame uku-oda ukuhlolwa ukubheka izicubu ze-adrenal kubantu abadala. Lezi yizicubu ezithinta i-adrenal gland, ehlala phezulu kwezinso. Ukuhlolwa kubheka futhi i-neuroblastomas, umdlavuza oqala ohlelweni lwemizwa oluzwelayo, ezinganeni.

Umzimba wakho ukhiqiza ama-catecholamine amaningi ngesikhathi sokucindezeleka. La mahomoni alungiselela umzimba wakho ukucindezelwa ngokwenza inhliziyo yakho ishaye ngokushesha futhi inyuse umfutho wegazi.

Iyini inhloso yokuhlolwa kwegazi le-catecholamine?

Ukuhlolwa kwegazi le-catecholamine kunquma ukuthi ngabe izinga lama-catecholamine egazini lakho liphezulu kakhulu.

Kungenzeka, udokotela wakho uyalele ukuhlolwa kwegazi le-catecholamine ngoba bakhathazekile ngokuthi ungaba ne-pheochromocytoma. Lesi isimila esikhula emgodini wakho we-adrenal, lapho kukhishwa khona ama-catecholamine. Iningi lama-pheochromocytomas alinangozi, kepha kubalulekile ukuwasusa ukuze angaphazamisi ukusebenza kwe-adrenal ejwayelekile.

Ingane yakho kanye nokuhlolwa kwegazi le-catecholamine

Udokotela wengane yakho anga-oda ukuhlolwa kwegazi le-catecholamine uma ekhathazekile ngokuthi ingane yakho ingaba ne-neuroblastoma, okuwumdlavuza ovamile wobuntwana. Ngokwe-American Cancer Society, amaphesenti ayisithupha omdlavuza ezinganeni angama-neuroblastomas. Ngokushesha lapho ingane ene-neuroblastoma itholakala futhi iqala ukwelashwa, umbono wabo uba ngcono.

Iziphi izimpawu ezingenza udokotela wami ayalele ukuhlolwa kwegazi le-catecholamine?

Izimpawu ze-pheochromocytoma

Izimpawu ze-pheochromocytoma, noma isimila se-adrenal, yilezi:

• umfutho wegazi ophakeme
• ukushaya kwenhliziyo okusheshayo
• ukushaya kwenhliziyo okunzima ngokungavamile
• ukujuluka okusindayo
• ubuhlungu obukhulu bekhanda buqhubeke isikhathi eside
• isikhumba esiphaphathekile
• ukuncipha kwesisindo okungaqondakali
• uzizwe wethukile ngokungajwayelekile ngaphandle kwesizathu
• ukuzizwa unamandla, ukukhathazeka okungachazeki

Izimpawu ze-neuroblastoma

Izimpawu ze-neuroblastoma yilezi:

• izigaxa ezingenabuhlungu zezicubu ngaphansi kwesikhumba
• ubuhlungu besisu
• ubuhlungu besifuba
• ukuhlungu obusemhlane
• ubuhlungu bamathambo
• ukuvuvukala kwemilenze
• isifuba
• umfutho wegazi ophakeme
• ukushaya kwenhliziyo okusheshayo
• isifo sohudo
• izinhlamvu zamehlo eziqhakazile
• izindawo ezimnyama ezizungeze amehlo
• noma yiluphi ushintsho ekubunjweni noma ngosayizi wamehlo, kufaka phakathi ushintsho kusayizi womfundi
• imfiva
• ukuncipha kwesisindo okungaqondakali

Ungazilungiselela kanjani nokuthi yini ongayilindela

Udokotela wakho angakutshela ukuthi ungadli noma uphuze noma yini amahora ayisithupha kuya kwangu-12 ngaphambi kokuhlolwa. Landela imiyalo kadokotela wakho ngokucophelela ukuqinisekisa imiphumela yokuhlolwa enembile.

Umhlinzeki wezokunakekelwa kwempilo uzothatha isampula encane yegazi emithanjeni yakho. Cishe bazokucela ukuthi uhlale ngokuthula noma ulale phansi isikhathi esingangengxenye yehora ngaphambi kokuhlolwa kwakho.

Umhlinzeki wezokunakekelwa kwempilo uzobopha i-tourniquet engalweni yakho engenhla bese ebheka umthambo omkhulu ngokwanele ukufaka inaliti encane kuwo. Lapho sebetholile umthambo, bazohlanza indawo ezungezile ukuze baqiniseke ukuthi abafaki amagciwane egazini lakho. Ngokulandelayo, bazofaka inaliti exhunywe kwi-vial encane. Bazoqoqa igazi lakho esitsheni. Lokhu kungaluma kancane. Bazothumela igazi eliqoqiwe ebhodini lokuxilonga ukuze lifundwe ngokunembile.

Kwesinye isikhathi umhlinzeki wezokunakekelwa kwempilo ethatha isampula segazi lakho uzofinyelela kolunye lwemithambo ngemuva kwesandla sakho esikhundleni sangaphakathi kwendololololwakho.

Yini engaphazamisa imiphumela yokuhlolwa?

Imithi eminingi ejwayelekile, ukudla, neziphuzo kungaphazamisa imiphumela yokuhlolwa kwegazi ye-catecholamine. Ikhofi, itiye, noshokoledi yizibonelo zezinto okungenzeka usanda kuzidla ezenza amazinga akho e-catecholamine akhuphuke. Imithi ye-over-the-counter (OTC), efana nemithi yokwaliwa komzimba, nayo ingaphazamisa ukufunda.

Udokotela wakho kufanele akunikeze uhlu lwezinto okufanele uzigweme ngaphambi kokuhlolwa kwakho. Qiniseka ukuthi utshela udokotela wakho yonke imishanguzo kadokotela oyisebenzisayo nemithi ye-OTC.

Njengoba ngisho nengcindezi encane ithinta amazinga e-catecholamine egazini, amazinga abanye abantu angakhuphuka ngoba nje benovalo ngokuhlolelwa igazi.

Uma ungumama oncelisayo, ungahle uthande ukubuza nodokotela wakho mayelana nokudla kwakho ngaphambi kokuhlolwa kwegazi lengane yakho le-catecholamine.

Iyini imiphumela engaba khona?

Ngoba ama-catecholamine ahlobene ngisho nengcindezi encane, izinga lama-catecholamine emzimbeni wakho liyashintsha ngokuya ngokuthi umile, uhleli, noma ulele phansi.

Ukuhlolwa kukala ama-catecholamine nge-picogram nge-milliliter (pg / mL); i-picogram i-trillionth eyodwa yegremu. Umtholampilo iMayo ubala okulandelayo njengamazinga ejwayelekile abantu abadala bama-catecholamine:

• norepinephrine
  • elele phansi: 70-750 pg / mL
  • imile: 200-1,700 pg / mL
• epinephrine
  • ukulala phansi: kungatholakali kuze kufike ku-110 pg / mL
  • imi: ayibonakali kuze kufike ku-140 pg / mL
• i-dopamine
  • ngaphansi kuka-30 pg / mL ngaphandle kokushintsha kokuma

Amazinga ezingane ama-catecholamine ahluka kakhulu futhi aguquka ngenyanga kwezinye izimo ngenxa yokukhula kwawo ngokushesha. Udokotela wengane yakho uzokwazi ukuthi iliphi izinga lempilo lengane yakho.

Amazinga aphezulu ama-catecholamines kubantu abadala noma ezinganeni angakhombisa ukuba khona kwe-neuroblastoma noma i-pheochromocytoma. Ukuhlolwa okwengeziwe kuzodingeka.

Yiziphi izinyathelo ezilandelayo?

Imiphumela yakho yokuhlolwa kufanele ilunge ezinsukwini ezimbalwa. Udokotela wakho uzozibukeza, futhi nobabili ningaxoxa ngezinyathelo zenu ezilandelayo.

Ukuhlolwa kwegazi le-catecholamine akusilo ukuhlolwa okucacile kwe-pheochromocytoma, i-neuroblastoma, noma esinye isimo. Kuyasiza udokotela wakho ukunciphisa uhlu lwezimo ezingadala izimpawu zakho. Ukuhlolwa okuningi kuzodinga ukwenziwa, kufaka phakathi nokuhlolwa komchamo we-catecholamine.