So wowɔ saa nsakrae yi wɔ wo nipadua mu? Ebetumi aba sɛ efi cortisol! (Cortisol Sɔhwɛ) .

So ɛtɔ da bi a wususuw sɛ, "Oh me nyame, adɛn nti na merenyin ntɛmntɛm saa?" Anaasɛ w’anim ayɛ kurukuruwa na srade ketewaa bi apue wɔ wo kɔn akyi? Ebia wo nso wote nka sɛ woabrɛ na w’adwene tu fra bere nyinaa. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ebia nea enti a ɛte saa ne nsakrae a ɛba wɔ hormone cortisol dodow a ɛwɔ wo nipadua mu no mu. Enti ɛnnɛ, momma yɛnka cortisol ne sɔhwɛ a ɛsusuw no kɔ akyiri ho asɛm, tiawa koraa.

Sɛ yɛbɛka no tiawa a, dɛn ne cortisol?

Cortisol yɛ hormone a ɛho hia ma yɛn nipadua. Fa no sɛ ɛyɛ yɛn nipadua no "adwennwen ho mmuae" hormone titiriw. Sɛ yɛwɔ adwennwen anaa nhyɛso ase a, cortisol na esiesie yɛn nipadua ma etumi di ho dwuma. Nea ɛka ho no, saa hormone yi boa ma yɛyɛ nnwuma afoforo pii a ɛho hia wɔ yɛn nipadua mu.

• Ɛhwɛ mogya mmoroso so.
• Ɛboa ma asikre dodow a ɛwɔ mogya mu no kɔ so tra hɔ.
• Carbohydrates, protein, ne lipids a ɛwɔ aduan a yedi mu no boa yɛn ma yɛsakra no ma ɛbɛyɛ ahoɔden.
• Ɛhwɛ ɔfe a ɛwɔ nipadua no mu so.
• Ɛboa nso wɔ nna-nyane kyinhyia a ɛhwɛ yɛn nna ne yɛn ani so no mu.

Ntini nketewa abien a ɛwɔ yɛn asaabo atifi na ɛyɛ saa cortisol hormone yi. Yɛfrɛ eyinom adrenal glands. Enti sɛ ɔhaw bi wɔ saa ntini ahorow yi mu, anaasɛ pituitary ntini a ɛwɔ amemene no ase no ho a, cortisol dodow betumi akɔ soro dodo anaasɛ akɔ fam dodo. Sɛ wo duruyɛfo bisa wo saa sɛnkyerɛnne ahorow yi ho asɛm a, ebia ɔbɛka akyerɛ wo sɛ yɛ cortisol nhwehwɛmu.

Dɛn ne cortisol a ɛdɔɔso ne nea ɛba fam ho sɛnkyerɛnne?

Sɛ cortisol dodow sesa a, yɛn nipadua no de nsɛnkyerɛnne ahorow kɔ. Ma yɛnhwɛ nea saa nsɛnkyerɛnne yi yɛ. Mede eyi bɛkyerɛ wo wɔ pon so sɛnea ɛbɛyɛ a wobɛte ase ntɛm.

Dɛn ne nneɛma a ɛma cortisol kɔ soro?

Sɛ cortisol dodow kɔ soro yiye a, yɛfrɛ saa tebea no Cushing syndrome . Nneɛma atitiriw pii betumi ama eyi aba:

• Steroid nnuru dodow a ɛdɔɔso (e.g. prednisone) a wɔnom bere tenten ma nyarewa afoforo.
• Akisikuru a ɛwɔ amemene no mu ntini a ɛwɔ amemene mu no mu. Saa ntini yi ne nea "ɛhyɛ" ntini afoforo no.
• Akisikuru bi a ɛwɔ adrenal glands mu.

Dɛn ne nneɛma a ɛde cortisol a ɛba fam ba?

Tebea titiriw a ɛma cortisol dodow so tew ne Addison yare . Eyi ne bere a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no tow hyɛ adrenal ntini no so. Bio,

• Ɔyare mmoawa anaasɛ adrenal glands a ɛsɛe.
• Pituitary gland a ɛnyɛ adwuma yiye.
• Steroid aduru bi a wɔde adi dwuma bere tenten a wobegyae mpofirim.

Ɔkwan bɛn so na wɔyɛ cortisol nhwehwɛmu no?

Akwan atitiriw abiɛsa na wubetumi afa so ahwɛ sɛnea wo cortisol dodow te: mogya, nnompe, ne nsu mu nhwehwɛmu. Wo duruyɛfo bɛkyerɛ wo nhwehwɛmu a ɛfata sen biara a egyina wo sɛnkyerɛnne ahorow so.

Mpɛn pii no, cortisol dodow sakra da mũ no nyinaa, na ɛkɔ soro anɔpatutuutu na ɛba fam koraa anadwo fã . Eyi nti na ɛsɛ sɛ wɔyɛ sɔhwɛ ahorow bi wɔ mmere pɔtee bi mu wɔ da no mu no.

1. Cortisol Mogya mu Nhwehwɛmu

Eyi ne sɔhwɛ a wɔtaa yɛ. Wɔtaa yɛ no mprenu da biara.

• Nea edi kan: bɛyɛ anɔpa nnɔnwɔtwe (bere a cortisol dodow dɔɔso sen biara) .
• Nea ɛto so abien: Bɛyɛ anwummere nnɔnnan (bere a cortisol dodow so tew) .

Ɛyɛ mmerɛw yiye. Lab no gye mogya ketewaa bi fi ntini bi a ɛwɔ wo basa mu mu ara kwa.

2. Cortisol Nnompe mu Nhwehwɛmu

Eyi nso yɛ ɔkwan a ɛyɛ pɛpɛɛpɛ na ɛnyɛ den yiye. Eyi ho hia titiriw ma Cushing yare no a wobehu. Oduruyɛfo no bɛma wo kit ketewaa bi.

• Wɔtaa yɛ eyi wɔ anadwo nnɔn 11 kosi 12 ntam , ansa na wɔada. Eyi te saa efisɛ ɛno ne bere a obi a ɔwɔ apɔwmuden cortisol dodow kɔ fam sen biara. Sɛ levels no da so ara kɔ soro saa bere no a, ɛyɛ ɔhaw bi ho sɛnkyerɛnne.
• Ɛsɛ sɛ wokwati adidi, anom, anaa wo sẽ a wobɛhohoro simma 30 ansa na wɔayɛ sɔhwɛ no.
• Ɛsɛ sɛ wode swab no kura w’anom bɛyɛ simma 2 na ama woaboaboa nnompe ano, afei wosan de gu tube no mu na wode kɔ lab.

3. Cortisol Nsu mu Nhwehwɛmu

Ɛtɔ mmere bi a wo duruyɛfo bɛka akyerɛ wo sɛ fa nnɔnhwerew 24 nsu a wɔde yɛ no.

• Nea ɛba wɔ eyi mu ne sɛ ɛsɛ sɛ woboaboa nsu biara a wobɛfa wɔ nnɔnhwerew 24 mu no bi ano wɔ toa titiriw bi a wɔde ma wo mu.
• Ɛsɛ sɛ wɔde saa toa yi sie frigye anaa adaka a nsukyenee wom mu bere nyinaa.
• Sɛ nnɔnhwerew 24 no twam a, ɛsɛ sɛ wɔde kɔ lab.

Sɔhwɛ titiriw afoforo bɛn na wɔyɛ?

Ɛtɔ mmere bi a, ɛho hia sɛ woyɛ nhwehwɛmu foforo na ama woahu nea ɛde wo cortisol dodow a ɛnteɛ no ba ankasa.

• ACTH Stimulation Test: Eyi sɔ sɛnea wo adrenal glands no yɛ wɔn ade wɔ hormone bi a wɔfrɛ no ACTH a efi pituitary gland no mu no hwɛ. Wɔtaa yɛ eyi bere a cortisol dodow sua no.
• Dexamethasone Suppression Test: Eyi te sɛ sɔhwɛ a ɛwɔ atifi hɔ no fã foforo no. Wɔyɛ de hu nea ɛde cortisol dodow a ɛkɔ soro ba. Ɛha yi, wɔde steroid kakraa bi a wɔfrɛ no `Dexamethasone` ma, na ade kyee anɔpa no wɔhwɛ cortisol dodow.

Nea ebefi nhwehwɛmu ahorow yi mu aba no bɛboa wo duruyɛfo ma wahu sɛ ebia ɔhaw no wɔ wo pituitary gland, adrenal gland, anaa biribi foforo mu anaa. Ɛtɔ mmere bi a, sɛ wosusuw sɛ akisikuru bi wɔ hɔ a , wobetumi akra sɛ wɔnyɛ CT scan anaa MRI scan .