Iyini nokuthi ungaluhlola kanjani i-cortisol
-Delile
- Ungasilungiselela Kanjani Isivivinyo seCortisol
- Amanani ayizethenjwa
- Izinguquko kwimiphumela ye-cortisol
Ukuhlolwa kweCortisol kuvame ukuyalwa ukuba kubhekwe izinkinga ngezindlala ze-adrenal noma i-pituitary gland, ngoba i-cortisol iyi-hormone ekhiqizwa futhi ilawulwa yilezi zindlala. Ngakho-ke, lapho kuba noshintsho kumanani ejwayelekile e-cortisol, kuyinto ejwayelekile ukuthi kube noshintsho kunoma yiziphi izindlala. Usebenzisa lolu vivinyo kungenzeka ukuxilonga izifo ezinjengeCushing's Syndrome, esimweni se-cortisol ephezulu noma i-Addison's Disease, uma kwenzeka i-cortisol ephansi, ngokwesibonelo.
ICortisol yihomoni esiza ukulawula ukucindezeleka, yehlise ukuvuvukala, ithuthukise ukusebenza kwamasosha omzimba futhi isize imetabolism yamaprotheni, amafutha kanye ne-carbohydrate, egcina amazinga kashukela egazini njalo. Qonda ukuthi iyini i-hormone i-cortisol nokuthi yenzelwe ini.
Kunezinhlobo ezi-3 zokuhlolwa kwe-cortisol, ezibandakanya:
- Ukuhlolwa kwe-cortisol yamathe: ihlola inani le-cortisol ematheni, isiza ukuthola ukuxineka okungapheli noma isifo sikashukela;
- Ukuhlolwa kwe-cortisol yomchamo: kukala inani le-cortisol yamahhala emchameni, futhi isampula yomchamo kufanele ithathwe amahora angama-24;
- Ukuhlolwa kwegazi le-cortisol: ihlola inani lamaprotheni i-cortisol kanye ne-cortisol yamahhala egazini, isiza ekutholeni iCushing's Syndrome, isibonelo - funda kabanzi ngeCushing's Syndrome nokuthi ukwelashwa kwenziwa kanjani.
Ukuhlushwa kwe-cortisol emzimbeni kuyahluka emini, ngakho-ke amaqoqo amabili avame ukwenziwa: eyodwa iphakathi kuka-7 no-10 ekuseni, ebizwa nge-basal cortisol test noma i-8hortisol test amahora, kanti enye ngo-4 ntambama, ebizwa nge-cortisol test 16 amahora , futhi kuvame ukwenziwa lapho kusolwa i-hormone eyeqile emzimbeni.
Ungasilungiselela Kanjani Isivivinyo seCortisol
Ukulungiselela ukuhlolwa kwe-cortisol kubaluleke kakhulu ezimweni lapho kudingeka khona ukuthatha isampula yegazi. Ezimweni ezinjalo, kunconywa:
- Shesha amahora amane ngaphambi kokuqoqwa, kungaba ngamahora ayi-8 noma ayi-16;
- Gwema ukuzivocavoca umzimba ngosuku olwandulela ukuhlolwa;
- Phumula imizuzu engama-30 ngaphambi kokuhlolwa.
Ngaphezu kwalokho, kunoma yiluphi uhlobo lokuhlolwa kwe-cortisol, kufanele wazise udokotela ngemithi oyiphuzayo, ikakhulukazi esimweni se-corticosteroids, njenge-dexamethasone, njengoba ingadala ushintsho emiphumeleni.
Endabeni yokuhlolwa kwe-salivary cortisol, ukuqoqwa kwamathe kufanele kwenziwe ngaphakathi kwamahora amabili ngemuva kokuvuka. Kodwa-ke, uma kwenziwa ngemuva kwesidlo esikhulu, linda amahora ama-3 futhi ugweme ukuxubha amazinyo akho ngalesi sikhathi.
Amanani ayizethenjwa
Amanani ayizethenjwa e-cortisol ayahluka ngokuya ngezinto eziqoqiwe nelabhorethri lapho kwenziwa khona ukuhlolwa, okungaba:
Izinto | Amanani ayizethenjwa |
Umchamo | Abesilisa: ngaphansi kuka-60 µg / ngosuku Abesifazane: ngaphansi kuka-45 µg / ngosuku |
Khafula amathe | Phakathi kuka-6 ekuseni no-10 ekuseni: ngaphansi kuka-0.75 µg / mL Phakathi kuka-16h no-20h: ngaphansi kuka-0.24 µg / mL |
Igazi | Ekuseni: 8.7 kuye ku-22 µg / dL Ntambama: ngaphansi kuka-10 µg / dL |
Izinguquko kumanani we-cortisol egazi angakhombisa izinkinga zempilo, njenge-pituitary tumor, isifo se-Addison noma i-Cushing's syndrome, ngokwesibonelo, lapho i-cortisol iphakanyisiwe khona. Bona ukuthi yiziphi izimbangela ezinkulu ze-cortisol ephezulu nokuthi ungayilapha kanjani.
Izinguquko kwimiphumela ye-cortisol
Imiphumela yokuhlolwa kwe-cortisol ingashintshwa ngenxa yokushisa, ukubanda, ukutheleleka, ukuvivinya umzimba ngokweqile, ukukhuluphala ngokweqile, ukukhulelwa noma ukucindezeleka, futhi kungenzeka kungakhombisi ukugula. Ngakho-ke, lapho umphumela wokuhlolwa ushintshwa, kungadingeka ukuphinda ukuhlolwa ukuze ubone ukuthi ngabe kukhona yini ukuphazamiseka okuvela kunoma yisiphi isici.