So ɛtɔ mmere bi a wote nka sɛ woabrɛ wɔ ɔkwan soronko so, wo mu duru yɛ kɛse a ntease biara nnim, anaasɛ wote nka sɛ wo ho yeraw wo kɛse na wo ho yeraw wo? Ɛwom sɛ yɛtaa susuw sɛ eyinom yɛ nneɛma a ɛfata, nneɛma a ɛba esiane da biara da ɔhaw ahorow nti de, nanso ebia nsakrae bi bɛba ‘adwennwen hormone’ a wɔfrɛ no cortisol no mu wɔ yɛn nipadua mu wɔ eyi akyi. Enti sɛ wo duruyɛfo hu saa sɛnkyerɛnne ahorow yi a, ebia ɔbɛhyɛ nyansa sɛ yɛ cortisol nhwehwɛmu yi. Ɛnnɛ, momma yɛnka nea cortisol sɔhwɛ yi yɛ, nea enti a wɔyɛ, ne nea ebetumi aka akyerɛ wo ho asɛm.
Nea edi kan koraa no, dɛn ne cortisol?
Sɛ yɛbɛka no tiawa a, cortisol yɛ hormone a ɛho hia wɔ yɛn nipadua mu. Ntini nketewa abien a ɛwɔ yɛn asaabo atifi, adrenal glands, na ɛyɛ. Yɛn nyinaa nim eyi sɛ ‘adwennwen hormone’. Fa no sɛ, sɛ yehyia asiane, nhyɛso, anaa ehu mpofirim a, ɛyɛ saa cortisol hormone yi na ɛma yɛn nipadua nya ahoɔden ne ahosiesie a ehia na ama yɛatumi agyina ano.
Nanso cortisol adwuma no nkɔ awiei wɔ hɔ. Ɛwɔ nnwuma afoforo pii a ɛho hia.
- Mogya mmoroso a wobedi so.
- Ɛboa ma asikre dodow a ɛwɔ mogya mu no kɔ so tra hɔ.
- Yɛn nipadua mu nneɛma a ɛsakra, a ɛyɛ ɔkwan a wɔfa so kyekyɛ aduan a yedi no mu ma ɛbɛyɛ carbohydrates, protein, ne srade na ɛdan ahoɔden no boa.
- Ɔfe a ɛwɔ nipadua no mu a wobedi so.
- Yɛn nna-nyane kyinhyia a yɛbɛhyɛ so.
Hwɛ? Cortisol nyɛ biribi a ɛfa adwennwen ho kɛkɛ, ɛyɛ biribi a ɛho hia na ama nneɛma pii a ɛwɔ yɛn nipadua mu ayɛ adwuma yiye.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ cortisol dodow kɔ soro?
Sɛ wo cortisol dodow dɔɔso dodo a, ebetumi ayɛ tebea bi a wɔfrɛ no Cushing syndrome ho sɛnkyerɛnne . Nsɛnkyerɛnne a ebia wubehu no bi ni.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Mu duru a ɛkɔ soro mpofirim | Srade a ɛboaboa ano, titiriw wɔ yafunu, koko, ne anim. |
| Anim kurukuruwa | Anim no hohoro na ɛyɛ kurukuruwa. |
| Srade a ɛyɛ kurukuruwa a ɛwɔ kɔn akyi | Srade a ɛboaboa ano wɔ mmati ntam wɔ kɔn akyi no na ɛba fatty hump. |
| Honam ani nsakrae | Wora a ɛyɛ mmerɛw, ɛnyɛ den sɛ ɛbɛpirapira, ne nsensanee a ɛyɛ kɔkɔɔ a ɛda adi wɔ mmeae te sɛ yafunu ne asen so. |
| Mogya mmoroso ne asikreyare | Mogya mmoroso ne asikre dodow a ɛkɔ soro wɔ mogya mu. |
| Nneɛma afoforo a ɛwom | Ntini a ɛyɛ mmerɛw, nnompe a ɛyɛ mmerɛw, adwenemhaw, dadwen, ne brayɛ a ɛnkɔ so daa wɔ mmea mu. |
Dɛn ne nneɛma a ɛma cortisol kɔ soro?
- Steroid nnuru: Steroid nnuru pii te sɛ dexamethasone anaa prednisolone a wɔnom bere tenten ma ayaresa tebea afoforo (e.g. ayamtu, ntini mu yare).
- Pituitary gland tumor: Akisikuru bi a ɛwɔ pituitary gland mu, a ɛwɔ yɛn amemene no ase na ɛte sɛ master gland a ɛhwɛ hormone ntini afoforo a ɛwɔ nipadua no mu no so.
- Adrenal gland tumor: Akisikuru anaa nyin a ɛnteɛ wɔ ntini no ankasa mu, na ɛma cortisol ba.
Sɛ cortisol dodow so tew a, dɛn na ɛba?
Sɛ cortisol dodow kɔ fam wɔ ɔkwan a ɛyɛ hu so a, ebetumi ayɛ tebea bi a wɔfrɛ no Addison yare ho sɛnkyerɛnne . Nsɛnkyerɛnne no ni.
- Ɔbrɛ a ɛkɔ so daa
- Adwene a ɛyɛ basaa
- Mu duru a ɛso tew
- Mogya mmoroso a ɛba fam
- Honam ani kɔla a ɛsakra bruu anaa tuntum wɔ mmeae bi
Dɛn ne nneɛma a ɛde cortisol a ɛba fam ba?
- Addison yare: Eyi ne bere a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn adrenal glands so na ɛsɛe no a ntease biara nnim.
- Adrenal gland a ɛsɛe: Ntini yi a ɛsɛe esiane ɔyare mmoawa anaa biribi foforo nti.
- Pituitary gland dysfunction: Sɛ ‘owura’ no nnyɛ adwuma yiye a, adrenal glands no nnya sɛnkyerɛnne a ɛbɛma wɔayɛ cortisol.
- Steroid a wubegyae mpofirim: Eyi ho hia yiye. Sɛ woanom steroid bere tenten esiane tebea bi nti a, sɛ wugyae mpofirim a, ebetumi ama wo cortisol dodow akɔ fam wɔ ɔkwan a ɛyɛ hu so. Gyae aduru no nom bere nyinaa wɔ wo duruyɛfo hwɛ ase, na nkakrankakra tew dodow no so.
Cortisol nhwehwɛmu ahorow bɛn na ɛwɔ hɔ?
Sɛ wo duruyɛfo hyɛ sɛ wɔnyɛ nhwehwɛmu mfa nhwɛ sɛnea wo cortisol dɔɔso a, akwan atitiriw abiɛsa na ɛwɔ hɔ a wobɛfa so ayɛ saa.
1. Mogya mu Nhwehwɛmu: Eyi ne ɔkwan a wɔtaa fa so. Esiane sɛ cortisol dodow gu ahorow da mũ no nyinaa (ɛdɔɔso sen biara anɔpa, ɛba fam sen biara anadwo) nti, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa mogya abien, mpɛn pii no biako bɛyɛ anɔpa nnɔnwɔtwe na foforo bɛyɛ awia nnɔnnan. Eyi bɛboa wo ma woahu sɛnea wo cortisol dodow te saa mmere no.
2. Nnompe mu Nhwehwɛmu: Wɔtaa yɛ eyi anadwo ansa na wɔada, wɔ anadwo fã 11 kosi 12 ntam. Eyi te saa efisɛ ɛsɛ sɛ obi a ɔwɔ apɔwmuden cortisol dodow yɛ nea ɛba fam sen biara saa bere no. Sɛ cortisol dodow da so ara dɔɔso saa bere no a, ɛyɛ ntease pa a enti ɛsɛ sɛ wususuw sɛ tebea bi te sɛ Cushing yare no wɔ hɔ. Wo duruyɛfo bɛma wo ade titiriw bi a wode bɛyɛ eyi.
3. Nsuo mu Nhwehwɛmu: Ɛtɔ da bi a wo duruyɛfoɔ bɛtumi aka akyerɛ wo sɛ boaboa wo nsuo nyinaa ano wɔ nnɔnhwereɛ 24 mu na ɔnsɔ hwɛ. Wɔfrɛ eyi ``nnɔnhwerew 24 nsu mu nhwehwɛmu.`` Ɛwom sɛ ebetumi ayɛ ɔhaw kakra de, nanso saa kwan yi ma wunya adwene a eye sen biara wɔ ``cortisol a wontua hwee`` dodow a wo nipadua no yɛ da mũ no nyinaa ho.
Ɛsɛ sɛ bere nyinaa wo ne wo duruyɛfo bom yɛ cortisol sɔhwɛ mu aba a wɔkyerɛ ase. Mfa wo gyinaesi nnyina nsɛm a wubehu wɔ intanɛt so nkutoo so.
Sɔhwɛ titiriw afoforo a wɔde sɔhwɛ yi yɛ
Ɛtɔ mmere bi a, sɛnea ɛbɛyɛ na woahu nea ɛde cortisol dodow a ɛba fam anaa ɛkɔ soro ba ankasa no, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ nhwehwɛmu titiriw bi.
- ACTH Stimulation Test: Eyi sɔ sɛnea wo adrenal glands no yɛ wɔn ade wɔ ‘ahyɛde’ (hormone `ACTH`) a efi wo pituitary gland no mu no hwɛ. Ɛte sɛ nea adwumam panyin bi rehwɛ sɛ ebia odwumayɛni bi reyɛ ade pa bere a wɔka kyerɛ no sɛ ɔnyɛ biribi no. Wɔyɛ eyi titiriw de hu nea ɛde cortisol dodow a ɛba fam ba.
- Dexamethasone a Wɔde Siw Ano Ho Sɔhwɛ:Eyi te sɛ saa sɔhwɛ no fã foforo no. Ɛhwɛ sɛ ebia wɔhyɛ cortisol dodow a ɛkɔ soro wɔ nipadua no mu no so denam steroid aduru ketewaa bi a wɔfrɛ no ``(dexamethasone)'' a wɔde ma so. Eyi boa ma wuhu sɛ ebia wowɔ Cushing yare no ne sɛ ebia akisikuru bi a ɛwɔ pituitary gland no mu anaa baabi foforo na ɛde ba.
Sɛ wo duruyɛfo susuw sɛ biribi te sɛ akisikuru a, obetumi nso de wo akɔ CT scan anaa MRI scan.
Nneɛma afoforo nti a ebia nea efi mu ba no bɛyɛ nea ɛnteɛ
Cushing yare ne Addison yare yɛ tebea horow a ɛntaa nsi koraa. Nneɛma pii wɔ hɔ a ɛtaa ma cortisol dodow a ɛnteɛ ba.
- Adwennwen a emu yɛ den
- Apɔw-mu-teɛteɛ a ɛtra so
- Nyinsɛn a wɔde di dwuma
- Obolo
- Nnuru bi, te sɛ nnuru a wɔde siw awo ano
Enti nsuro sɛ nsakrae bɛba nea ebefi mu aba mpofirim. Wo duruyɛfo no besusuw eyinom nyinaa ho na wakyerɛ wo nea enti ankasa.
Nkrasɛm a Wɔde Kɔ Fie
- Cortisol nyɛ yɛn nipadua ‘adwennwen hormone’ nko, na mmom ɛyɛ hormone a ɛho hia a ɛhwɛ mogya mmoroso, asikre dodow, ne nipadua mu nneɛma a ɛsakra so nso.
- Cortisol dodow gu ahorow a egyina da no mu bere so. Wɔtaa kɔ soro anɔpa na ɛba fam anadwo.
- Cortisol dodow a ɛkɔ soro yiye betumi ayɛ Cushing yare no ho sɛnkyerɛnne. Sɛ ɛba fam koraa a, ebetumi ayɛ Addison yare no ho sɛnkyerɛnne.
- Adwennwen, apɔw-mu-teɛteɛ, nyinsɛn, ne nnuru bi nso betumi ama nsakrae aba cortisol dodow mu.
- Sɛ ɛho hia sɛ woyɛ cortisol nhwehwɛmu a, bere nyinaa wo ne wo duruyɛfo nsusuw nea ebefi mu aba no ho. Ɔno na ɔbɛma wo akwankyerɛ a eye sen biara.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment