Nea ɛsɛ sɛ wuhu fa cortisol nhwehwɛmu ho

So wote nka sɛ woabrɛ bere nyinaa, wunya ɛyaw ne ɛyaw a ntease biara nnim, anaasɛ wowɔ adwennwen pii mu? Ebia bere a wo ne wo duruyɛfo kasa faa eyi ho no, ɔkaa mogya anaa nsu mu nhwehwɛmu ho asɛm kyerɛɛ wo. Ɛno ne cortisol sɔhwɛ no. Nsuro, ɛmfa ho din no, eyi yɛ ade a ɛyɛ mmerɛw yiye. Momma yɛnka ne nyinaa ho asɛm pefee nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne cortisol?

Cortisol yɛ hormone a ɛho hia yiye wɔ yɛn nipadua mu. Ntini nketewa abien a ɛwɔ yɛn asaabo atifi, adrenal glands, na ɛyɛ. Wɔsan frɛ no "adwennwen hormone." Nea enti a ɛte saa ne sɛ yɛn nipadua yɛ saa hormone yi pii bere a yɛayɛ basaa anaa yesuro no.

Nanso ɛnyɛ ɛno nkutoo ne nea cortisol yɛ. Ɛboa wɔ nneɛma afoforo pii mu.

• Asikre dodow a ɛwɔ yɛn nipadua mu a yɛbɛhwɛ so.
• Mogya mmoroso a wobedi so.
• Ɔfe a ɛba nipadua no mu a wɔbɛtew so.
• Yɛn nkae a yɛbɛboa.

Enti saa cortisol nhwehwɛmu yi yɛ nea wɔde hu sɛ ebia wo nipadua no wɔ saa hormone yi dodow a wɔhwehwɛ, anaasɛ ebia ɛwɔ mu kakraa bi anaasɛ ɛdɔɔso dodo .

Dɛn nti na oduruyɛfo bi reka akyerɛ wo sɛ yɛ nhwehwɛmu yi?

Sɛ wowɔ sɛnkyerɛnne bi wɔ wo nipadua mu a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛ ebia efi nsakrae a ɛba cortisol dodow mu anaa. Wɔyɛ sɔhwɛ yi titiriw sɛ wosusuw sɛ ɛwɔ aduruyɛ mu tebea abien ho a.

1. Addison yare: Eyi yɛ tebea a nipadua no ntumi nyɛ hormone cortisol a ɛdɔɔso . Nsɛnkyerɛnne no betumi ayɛ ɔbrɛ bere nyinaa, mu duru a ɛso tew, ne nipadua no mmeae bi (titiriw nsateaa ne nkotodwe) a ɛyɛ sum.

2. Cushing yare: Eyi yɛ tebea a nipadua no yɛ cortisol hormone pii dodo . Ebia sɛnkyerɛnne ahorow no bi ne anim a ɛyɛ kurukuruwa a ɛho ayɛ kurukuruwa, mu duru a ɛkɔ soro (titiriw wɔ yafunu mu), honam ani a ɛyɛ mmerɛw, ne akisikuru a ɛnyɛ den.

Nea ɛka ho no, akisikuru ahorow bi nso betumi ama nsakrae aba cortisol dodow mu. Saa sɔhwɛ yi nso betumi aboa ma wɔasi eyi so dua sɛ adwenem naayɛ bi wɔ hɔ a.

Ɔkwan bɛn so na wosusuw saa cortisol dodow yi?

Akwan atitiriw abiɛsa na ɛwɔ hɔ a wɔfa so susuw cortisol dodow. Ɛtɔ mmere bi a, wo duruyɛfo betumi akamfo saa akwan yi biako anaa nea ɛboro saa akyerɛ wo.

• Efi mogya a wɔde yɛɛ nhwehwɛmu mu
• Efi nsu a wɔde yɛ nhwehwɛmu mu
• Efi nnompe nhwɛsode bi mu

Afei ma yɛnhwɛ sɛnea wɔyɛ sɔhwɛ ahorow yi mu biara.

Mogya mu Nhwehwɛmu

Eyi yɛ biribi te sɛ mogya mu nhwehwɛmu a wɔyɛ no daa a yɛn nyinaa nim na yɛyɛ no daa.

• Wɔbɛtena akongua so na wɔapaw ntini bi a ɛnyɛ den sɛ wubehu a ɛbɛtwe mogya, mpɛn pii no efi wo nsa mu, wɔ wo nsateaa ase.
• Afei wɔhohoro baabi a ɛwɔ no yiye, wɔde ade ketewaa bi hyɛ mu, na wɔboaboa mogya kakraa bi ano wɔ afiri bi mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no ahyɛ mu no.
• Sɛ wɔfa mogya dodow a wɔhwehwɛ wie a, woyi ade a wɔde hyɛ mu no na wɔde kotoku asinasin bi gu mu na wɔde mia so.
• Sɛ mogya no gyae a, wɔde plaster ketewaa bi gu baabi a ɛwɔ no. Ade no nyinaa gye nea ennu simma anum.

Nnompe mu Nhwehwɛmu

Eyi yɛ sɔhwɛ a wɔtaa yɛ wɔ fie, efisɛ bere pɔtee a wɔde gye nhwɛsode no (bere a edi kan a wobɛsɔre anɔpa anaa ansa na woada anadwo) no ho hia.

• Oduruyɛfo no bɛma wo ade titiriw bi a wode bɛyɛ eyi. Ɛsɛ sɛ wokenkan akwankyerɛ no yiye.
• Wɔtaa tu fo sɛ ɛnsɛ sɛ wudi, nnom, nhohoro wo sẽ, anaa nnom sigaret simma 30 ansa na woafa nhwɛsode no.
• Ɛsɛ sɛ wode ɔfã a ɛte sɛ kotoku (swab) a ɛwɔ kit no mu no to ano a womfa wo nsa nka no.
• Ɛsɛ sɛ wokura mu wɔ w’anom simma kakraa bi, kosi sɛ nnompe bɛfra mu yiye.
• Afei ɛsɛ sɛ wode gu afiri a wɔde ama no mu tẽẽ, a woremfa wo nsa nka bio.
• Afei oduruyɛfo no bɛkyerɛ wo sɛnea wode nhwɛsode no bɛkɔ lab.

Nsuo mu Nhwehwɛmu

Mpɛn pii no, eyi hwehwɛ sɛ wobɛboaboa nsu dodow a wuyi afi mu no nyinaa ano wɔ nnɔnhwerew 24 mu .

• Lab no bɛma wo ade kɛse bi a wode bɛyɛ eyi.
• Da a wɔbɛyɛ nhwehwɛmu no, ɛsɛ sɛ wotow nsu a edi kan a wobɛtow anɔpa no gu. Ɛno kyerɛ sɛ nnye ntom. Nanso kyerɛw bere pɔtee no gu krataa bi so. Ɛno ne bere a wɔde fi sɔhwɛ no ase.
• Afei da mũ no nyinaa, kosi bere a wokyerɛwee mfiase no da a edi hɔ no, ɛsɛ sɛ woboaboa ne nyinaa ano gu ade a wɔde ama no mu bere biara a wobɛtow wo ho. Mma nsu a ɛtɔ gu fam biako mpo nsɛe.
• Mma tiafi krataa anaa nsu biara nnfra eyi mu.
• Sɛ womfa nni dwuma a, fa saa ade yi sie frigye mu anaa baabi a ɛhɔ yɛ nwini.
• Bɔ mmɔden sɛ wobɛboaboa nsu a etwa to no ano abɛn nnɔnhwerew 24 no awiei sɛnea wubetumi (e.g., sɛ wufii ase Memeneda anɔpa 8 a, gye no Yawda anɔpa 8).
• Ɛsɛ sɛ wokyerɛw wo din, bere a wufi ase, ne bere a wode wie no pefee wɔ ade no so na wode kɔ lab ntɛm ara sɛnea wubetumi.

Bere tenten ahe na egye ansa na sɔhwɛ no mu aba asan aba?

Mpɛn pii no egye da koro kosi anum ansa na woanya nea efi mu ba, a egyina lab a wobɛyɛ sɔhwɛ no so.

Dɛn na nea afi mu aba yi ka?

Ɛyɛ wo duruyɛfo na ɔbɛkyerɛ nea ebefi mu aba no ase na wasi nea ɔde bɛyɛ ho gyinae. Eyi te saa efisɛ egyina nneɛma pii so, te sɛ wo yare no ho sɛnkyerɛnne ne nhwehwɛmu afoforo a efi mu ba. Nanso sɛ wopɛ wo ho nsɛm a, ma yɛnhwɛ gyinapɛn ahorow a ɛfata no.

Saa gyinapɛn yi betumi ayɛ soronko kakra wɔ lab biara mu, enti fa toto "normal range" a ɛwɔ w'amanneɛbɔ no so no ho.

Nea ɛde cortisol dodow a ɛkɔ soro ba

• Nnuru bi a wɔnom (titiriw steroids - corticosteroids) dodow a ɛkɔ soro.
• Akisikuru a ɛwɔ pituitary gland no mu no ma wɔyɛ hormone bi a wɔfrɛ no `ACTH` (saa `ACTH` hormone yi kanyan adrenal glands no ma ɛyɛ cortisol).
• Cortisol a wɔyɛ boro so esiane akisikuru bi a ɛwɔ adrenal gland no mu nti.
• Akisikuru a ɛba nipadua no mu baabi foforo (e.g., wɔ ahurututu mu).

Nneɛma a ɛde cortisol dodow a ɛba fam ba

• ACTH a wɔyɛ no so tew esiane pituitary gland no dwumadi a ɛso tew anaasɛ akisikuru bi a ɛwɔ mu nti.
• Adrenal glands a ɛsɛe anaasɛ dwumadi a ɛso tew.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, so ɛsɛ sɛ mehaw me ho?

Nte saa koraa. Esiane sɛ sɔhwɛ bi mu aba no boro nea ɛfata so nti, ɛnkyerɛ sɛ wowɔ yare a emu yɛ den. Cortisol dodow yɛ nea ɛyɛ mmerɛw yiye. Nneɛma afoforo pii betumi aka mfaso a ɛwɔ so no.

Nhwɛsoɔ:

• Adwennwen: Sɛ na wowɔ adwennwen kɛse da a edi sɔhwɛ no anim a, ebia wo nkontaahyɛde bɛsakra.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a ɛtra so.
• Ayaresa mu tebea afoforo: Nneɛma te sɛ atiridiinini, ɔyare mmoawa.
• Ɔhyew: Sɛ obi de ne ho hyɛ awɔw anaa ɔhyew a ano yɛ den mu.
• Nnuru bi.
• Dae: Sɛ woyɛ adwuma anadwo a, ebia wo cortisol nhyehyɛe nso bɛsakra efisɛ ɛsono sɛnea woda.

Ebia, sɛ oduruyɛfo no hia nsɛm pii a, ebia ɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu foforo bi.

• ACTH stimulation test: Eyi sɔ sɛnea wo adrenal glands yɛ wɔn ade wɔ synthetic hormone `ACTH` a wɔde bɛhyɛ wo mu no hwɛ.
• Dexamethasone suppression test: Wɔde aduru bi a wɔfrɛ no dexamethasone ma, na afei wɔsusuw cortisol dodow.
• Mfoniniyɛ mu nhwehwɛmu: Wɔyɛ MRI anaa CT scan de hwɛ sɛ akisikuru biara wɔ ntini no mu anaa.