Shin sinadarin damuwa naka ya lalace? Bari mu koyi komai game da gwajin cortisol ta hanya mai sauƙi!

Shin wani lokacin kana jin gajiya sosai, ƙara nauyi ba tare da wani dalili ba, ko kuma kana jin damuwa da damuwa sosai? Ko da yake sau da yawa muna tunanin cewa waɗannan abubuwa ne na yau da kullun, abubuwan da ke faruwa saboda matsalolin yau da kullun, akwai wasu canje-canje a cikin 'hormone na damuwa' da ake kira cortisol a jikinmu a bayan wannan. Don haka idan likitanka ya ga waɗannan alamun, zai iya ba da shawarar yin wannan gwajin cortisol. A yau, za mu yi magana game da menene wannan gwajin cortisol, dalilin da yasa ake yin sa, da kuma abin da zai iya gaya maka.

Da farko, menene cortisol?

A taƙaice dai, cortisol muhimmin hormone ne a jikinmu. Ana samar da shi ta hanyar ƙananan gland guda biyu da ke saman kodanmu, wato glandar adrenal. Duk mun san wannan a matsayin 'hormone na damuwa'. Ka yi tunanin, idan muka fuskanci haɗari, matsin lamba, ko tsoro kwatsam, wannan hormone na cortisol ne ke ba wa jikinmu ƙarfi da shiri da ake buƙata don fuskantarsa.

Amma aikin cortisol bai ƙare a nan ba. Yana da wasu muhimman ayyuka da yawa.

• Sarrafa hawan jini.
• Yana taimakawa wajen kiyaye matakan sukari a jini.
• Tsarin metabolism na jikinmu, wanda shine tsarin da ake raba abincin da muke ci zuwa carbohydrates, furotin, da mai sannan a mayar da shi makamashi, yana taimakawa.
• Sarrafa kumburi a jiki.
• Sarrafa tsarin baccinmu da farkawarmu.

Ka gani? Cortisol ba wai kawai wani abu ne da ke da alaƙa da damuwa ba, wani abu ne da ke da mahimmanci ga abubuwa da yawa a jikinmu su yi aiki yadda ya kamata.

Mene ne alamun yawan matakan cortisol?

Idan matakan cortisol ɗinku sun yi yawa, yana iya zama alamar wata cuta da ake kira Cushing's syndrome . Ga wasu daga cikin alamun da za ku iya gani.

Menene dalilan ƙaruwar cortisol?

• Magungunan Steroid: Shan magunguna masu yawa na steroid kamar dexamethasone ko prednisolone na dogon lokaci don wasu cututtuka na lafiya (misali asma, rheumatoid arthritis).
• Ciwon glandar pituitary: Ciwon da ke cikin glandar pituitary, wanda ke a gindin kwakwalwarmu kuma yana kama da babban gland da ke sarrafa sauran glandar hormones a jiki.
• Ciwon glandar adrenal: Ciwon daji ko kuma ci gaban da bai dace ba a cikin glandar kanta, wanda ke samar da cortisol.

Me zai faru idan matakan cortisol suka faɗi?

Idan matakan cortisol suka yi ƙasa sosai, yana iya zama alamar wata cuta da ake kira Addison's disease . Ga alamun.

• Gajiya mai ɗorewa
• Jin jiri
• Rage nauyi
• Ƙarancin hawan jini
• Canza launin fata launin ruwan kasa ko baƙi a wurare

Menene dalilan ƙarancin cortisol?

• Cutar Addison: Wannan shine lokacin da garkuwar jikinmu ke kai hari kuma tana lalata glandar adrenal ɗinmu ba tare da wani dalili ba.
• Lalacewar glandar adrenal: Lalacewar waɗannan glanders sakamakon kamuwa da cuta ko wani dalili.
• Matsalar glandar pituitary: Idan 'master' ɗin ba ya aiki yadda ya kamata, glandar adrenal ba ta karɓar siginar samar da cortisol ba.
• Dakatar da maganin steroids ba zato ba tsammani: Wannan yana da matukar muhimmanci. Idan kun daɗe kuna shan maganin steroids saboda wata matsala ta lafiya, dakatar da su ba zato ba tsammani na iya haifar da raguwar matakan cortisol ɗinku cikin haɗari. Kullum ku daina shan maganin a ƙarƙashin jagorancin likitan ku, a hankali rage yawan shan.

Wadanne nau'ikan gwaje-gwajen cortisol ne ake da su?

Idan likitanka ya yi odar gwaji don duba matakan cortisol ɗinka, akwai manyan hanyoyi guda uku don yin hakan.

1. Gwajin Jini: Wannan ita ce hanya mafi yawan amfani. Tunda matakan cortisol sun bambanta a duk tsawon yini (mafi yawa da safe, mafi ƙanƙanta da dare), likitanka zai iya buƙatar ka ɗauki samfuran jini guda biyu, yawanci ɗaya da misalin ƙarfe 8 na safe da kuma wani da misalin ƙarfe 4 na yamma. Wannan zai taimaka maka ganin yadda matakan cortisol ɗinka suke a waɗannan lokutan.

2. Gwajin Madarar Ciki: Sau da yawa ana yin hakan da daddare kafin a kwanta barci, tsakanin ƙarfe 11 zuwa 12 na dare. Wannan saboda matakan cortisol na mutum mai lafiya ya kamata su kasance mafi ƙanƙanta a wannan lokacin. Idan matakan cortisol har yanzu suna da yawa a wannan lokacin, dalili ne mai kyau na zargin wata cuta kamar Cushing's syndrome. Likitanka zai ba ka kayan aiki na musamman don wannan.

3. Gwajin Fitsari: Wani lokaci likitanka zai iya tambayarka ka tattara dukkan fitsarinka na tsawon awanni 24 ka gwada shi. Ana kiran wannan "gwajin fitsari na awanni 24." Kodayake yana iya zama ɗan wahala, wannan hanyar tana ba ka mafi kyawun fahimtar adadin "cortisol kyauta" da jikinka ke samarwa a duk tsawon yini.

Sauran gwaje-gwaje na musamman da aka yi tare da wannan gwajin

Wani lokaci, don gano ainihin dalilin ƙarancin ko yawan matakan cortisol, likitanka zai iya ba da shawarar wasu gwaje-gwaje na musamman.

• Gwajin Ƙarfafawa na ACTH: Wannan yana gwada yadda glandar adrenal ɗinku ke amsawa ga 'umarnin' (hormone 'ACTH') daga glandar pituitary ɗinku. Kamar shugaba ne ke duba ko ma'aikaci yana yin abin da ya dace idan aka nemi ya yi wani abu. Ana yin wannan musamman don gano dalilin ƙarancin matakan cortisol.

• Gwajin Matse Dexamethasone:Wannan kamar ɗayan ɓangaren gwajin ne. Yana duba ko ana sarrafa matakan cortisol masu yawa a jiki ta hanyar ba da ƙaramin adadin maganin steroid mai suna ''(dexamethasone)''. Wannan yana taimakawa wajen gano ko kuna da cutar Cushing da kuma ko ƙari ne ya haifar da shi a cikin glandar pituitary ko kuma a wani wuri.

Idan likitanka yana zargin wani abu kamar ƙari, zai iya tura ka zuwa CT scan ko MRI scan.

Wasu dalilan da yasa sakamakon zai iya zama ba daidai ba

Ciwon Cushing da cutar Addison ba kasafai ake samun su ba. Akwai kuma abubuwan da suka fi haifar da rashin daidaituwar matakan cortisol.

• Damuwa Mai Tsanani
• Motsa jiki fiye da kima
• Ciki
• Kiba
• Wasu magunguna, kamar magungunan hana haihuwa

Don haka kada ku ji tsoron canjin sakamako kwatsam. Likitan ku zai yi la'akari da duk waɗannan kuma ya gaya muku ainihin dalilin.