So wo duruyɛfo aka akyerɛ wo sɛ yɛ ACTH nhwehwɛmu? Ebia wo ho popo kakra bere a wote din no. Ebia wobɛdwene sɛ, "Sɔhwɛ a ɛyɛ nwonwa bɛn na eyi yɛ?" Nanso ɛho nhia sɛ wusuro. Ɛyɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Ɛnnɛ, yɛbɛka ACTH sɔhwɛ no ho asɛm, nea enti a wɔyɛ, ne sɛnea wobɛsiesie wo ho ama no wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne ACTH?
Okay, momma yensusuw ho saa kwan yi so. Wo nipadua te sɛ adwumakuw kɛse bi. Nneɛma a ɛho hia pii rekɔ so wɔ adwumakuw yi mu.
- Ɔhwɛfo Titiriw: W’amemene ase pɛɛ no, ntini ketewaa bi wɔ hɔ a ne kɛse bɛyɛ sɛ pea ketewaa bi. Yɛfrɛ eyi sɛ pituitary gland. Eyi ne yɛn asɛm no sohwɛfo titiriw.
- Nkrasɛm no: Saa ɔhwɛfo yi, pituitary gland no, de nkrasɛm titiriw bi kɔma. Saa nkrasɛm no ne nea yɛfrɛ no ACTH (Adrenocorticotropic hormone).
- Odwumayɛni no: Saa ACTH nkrasɛm yi kɔ ntini nketewa abien a ɛwɔ w’asaabo atifi no so tẽẽ. Yɛfrɛ wɔn adrenal glands. Eyinom ne yɛn asɛm no mu adwumayɛfo.
- Ade a Wɔde Yɛ: Sɛ saa adrenal ntini ahorow yi nsa ka ACTH nkrasɛm no a, ɛma hormone bi a ɛho hia yiye a wɔfrɛ no cortisol.
Enti ACTH ne hormone a ɛka kyerɛ yɛn sɛ yɛnyɛ cortisol. Saa cortisol hormone yi ho hia yɛn nipadua yiye. Ɛboa yɛn ma yɛhwɛ yɛn mogya mmoroso so , yɛyɛ yɛn ade wɔ ɔyare mmoawa ho yiye , na ɛboa ma yɛpaapae asikre, srade, ne protein a ɛwɔ aduan a yedi mu no mu ma ɛbɛyɛ ahoɔden .
So wote ase mprempren? Sɛ wo duruyɛfo susuw sɛ biribi asɛe wɔ nhyehyɛe yi ho a, ɔbɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu mfa nhwɛ wo ACTH ne cortisol dodow.
Dɛn nti na oduruyɛfo bi bɛkamfo nhwehwɛmu yi akyerɛ?
Ɛnyɛ nea wɔtaa yɛ ACTH sɔhwɛ no nkutoo. Ɛkame ayɛ sɛ bere nyinaa wɔyɛ no de ka cortisol nhwehwɛmu ho. Eyi te saa efisɛ sɛnkyerɛnne ahorow a yehu bere a ACTH dodow kɔ soro anaasɛ ɛba fam no ne nsakrae a ɛba cortisol dodow mu no wɔ abusuabɔ tẽẽ.
Afei ma yɛnhwɛ nea saa su ahorow yi yɛ.
| Nsɛnkyerɛnne a ɛkyerɛ sɛ cortisol kɔ soro esiane ACTH a ɛkɔ soro nti | Nsɛnkyerɛnne a ɛkyerɛ sɛ cortisol sua esiane ACTH a ɛba fam nti |
|---|---|
| Mu duru a ɛkɔ soro mpofirim, titiriw wɔ yafunu, anim, ne mmati mu | Mu duru a wɔtew so a ntease biara nnim |
| Ntrɛwmu a ɛyɛ pink anaa kɔkɔɔ pue wɔ nipadua no afã horow bi. | Akisikuru anaa ɔfe |
| Wora a ɛyɛ mmerɛw sɛ ɛbɛpirapira | Yafunu mu yaw ne akisikuru |
| Nwi a enyin dodo wɔ nipadua ne anim (wɔ mmea mu) . | Sɛ wote nka sɛ n’adwene atu afra |
| Ntini mu mmerɛwyɛ ne ɔbrɛ | Nsonsonoe tuntum (blackheads) wɔ honam ani afã horow bi |
| Acne a ɛwɔ nipadua no mu | Nkyene ho akɔnnɔ a ɛboro so |
Ɛdenam saa sɛnkyerɛnne ahorow yi a wobɛhwɛ na woasɔ wo ACTH ne cortisol dodow ahwɛ so no, wo duruyɛfo betumi ahu sɛ wowɔ tebea horow a edidi so yi mu biara anaa:
- Cushing yare: Cortisol a ɛdɔɔso wɔ nipadua no mu.
- Addison yare: Cortisol dodow a ɛba fam koraa wɔ nipadua no mu.
- Sɛ́ ebia akisikuru bi wɔ pituitary gland no mu anaa baabi foforo .
- Sɛ́ ebia wo pituitary anaa adrenal ntini no ntumi nyɛ adwuma yiye no.
Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no?
Sɛ wubenya nea efi sɔhwɛ yi mu aba pɛpɛɛpɛ a, ɛsɛ sɛ wusiesie wo ho kakra. Di anammɔn yi akyi pɛpɛɛpɛ.
- Steroids: Sɛ worenom steroids (e.g. Prednisolone) a, ɛho behia sɛ wugyae nom bɛyɛ nnɔnhwerew 48 ansa na wɔayɛ nhwehwɛmu no. Saa nnuru yi betumi aka nea efi mu ba no. Nanso, nnyae wɔn nom da a wunni kan nkɔ wo duruyɛfo nkyɛn. Ɔbɛtu wo fo wɔ eyi ho.
- Aduan ne Nsã: Ebia wo duruyɛfo bɛka akyerɛ wo sɛ nnidi anaa nnom biribiara anadwo fã akyi anadwo ansa na wɔayɛ nhwehwɛmu no. Ɛtɔ mmere bi a, wɔbɛka akyerɛ wo nso sɛ to nnuan a carbohydrates (starches) pii wom ano hye bɛyɛ nna abien ansa na woadi.
- Da pa: Da pa anadwo a edi sɔhwɛ no anim.
- Apɔw-mu-teɛteɛ: Kwati apɔw-mu-teɛteɛ a emu yɛ den nnɔnhwerew 12 ansa na wɔayɛ sɔhwɛ no.
- Adwennwen: Bɔ mmɔden sɛ wubegye w’ahome sɛnea wubetumi biara. Kwati adwennwen a ɛboro so nnɔnhwerew 12 ansa na woayɛ sɔhwɛ no.
Nea ɛho hia sen biara: Ka nnuru a wonom nyinaa (a wɔakyerɛw ama wo, nea wɔankyerɛw ama wo), vitamin ahorow, nhabannuru, ne biribiara a wonom ho asɛm kyerɛ wo duruyɛfo. Eyi ho hia paa.
Sɛnea wɔyɛ sɔhwɛ no ne asiane ahorow a ɛwom
Eyi yɛ mmerɛw yiye. Te sɛ mogya a wɔde ma daa no, ɔyarehwɛfo begye mogya ketewaa bi afi ntini bi a ɛwɔ wo nsa mu no mu.
Esiane sɛ yɛn hormone dodow sesa da mũ no nyinaa nti, ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu pɛnkoro anɔpa na wɔsan yɛ anwummere . Mpɛn pii no, ACTH dodow kɔ soro sen biara bɛyɛ anɔpa 8 na afei ɛso tew bɛyɛ anwummere. Saa nhwehwɛmu mprenu yi boa wo duruyɛfo ma onya mfonini a edi mũ.
Sɛ wɔtwe mogya no wie a, wɔde nhwɛsode no gu nsukyenee so ntɛm ara na wɔde kɔ aduruyɛdan mu.
Asiane ahorow no yɛ asiane ahorow a ɛtaa ba bere a wɔde ade bɛtwe mogya no ara kwa. Ɛno kyerɛ sɛ ɛyaw kakra wɔ baabi a wɔde ade no di dwuma, akuru kakra, anaasɛ, ɛntaa nsi koraa no, ɔyare mmoawa.
Ɔkwan bɛn so na yɛbɛte nea efi mu ba no ase?
Ebia gyinapɛn ahorow a ɛwɔ wo sɔhwɛ amanneɛbɔ no so no bɛsakra kakra wɔ lab biako mu. Ɛsono nea efi mu ba nso gyina bere a wɔtwee mogya no so.
Mpɛn pii no, ACTH dodow wɔ ɔpanyin a ɔwɔ apɔwmuden mu no bɛyɛ 10-50 pg/mL (picograms wɔ mililita biara mu) bɛyɛ anɔpa 8. Edu anadwo a, eyi so tew kodu nea ennu 5-10 pg/mL.
Nanso nhuruw nnyina akontaabu ahorow yi so nnya nsɛm a ɛba awiei. Nneɛma afoforo betumi aka nea ebefi mu aba no.
- Ɔkwan a wofaa so dae anadwo ansa na sɔhwɛ no reba no.
- Adwennwen a wowɔ mu no.
- Sɛ́ ebia woanyinsɛn anaasɛ worekɔ nna mu no.
- Nnuru bi a wonom (e.g. hormone, insulin, steroids).
- Honam fam akwanhyia anaa ahodwiriw bi a esii nnansa yi.
- Sɛ́ ebia wɔboaboaa mogya no ano yiye na wɔde siee nsukyenee so anaa.
Wo duruyɛfo de ACTH amanneɛbɔ no bɛtoto cortisol amanneɛbɔ no ho na ɔde atoto wo yare no ho sɛnkyerɛnne ahorow ho na ama wanya asɛm a etwa to. Sɛ biribi a ɛnteɛ wɔ wo ACTH dodow mu a, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba ankasa.
Nkrasɛm a Wɔde Kɔ Fie
- ACTH yɛ ɔbɔfo a pituitary gland a ɛhwɛ sɛnea hormone cortisol yɛ so no gyae.
- Saa sɔhwɛ yi hwehwɛ titiriw sɛ ebia ɔhaw bi wɔ wo pituitary gland ne adrenal glands no dwumadi mu anaa.
- Sɛnea ɛbɛyɛ na woanya nea efi mu ba no pɛpɛɛpɛ no, ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ (te sɛ adidi ne anom, nnuru a wogyae, ne nea ɛkeka ho) akyi pɛpɛɛpɛ ansa na wɔayɛ nhwehwɛmu no.
- Mma gyinapɛn ahorow a ɛwɔ sɔhwɛ amanneɛbɔ no nkutoo mu nhaw wo ho. Bere nyinaa wo ne wo duruyɛfo nka ho asɛm na nya ne nkyerɛkyerɛmu.
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