Tej zaum koj twb tau hnov txog lo lus Cortisol . Txawm hais tias ntau tus neeg hu nws ua lub cev "hormone kev ntxhov siab tseem ceeb," nws tsis yog tsuas yog kev teb rau kev ntxhov siab xwb. Cortisol yog ib qho hormone tseem ceeb uas ua haujlwm tseem ceeb rau koj txoj kev noj qab haus huv txhua hnub. Los ntawm kev nkag siab tias nws ua haujlwm li cas - nws cuam tshuam li cas rau koj lub cev, dab tsi tshwm sim thaum nws cov qib tsis sib npaug, thiab yuav ua li cas tswj hwm lawv - koj tuaj yeem tau txais kev pom tseeb dua ntawm koj tus kheej kev noj qab haus huv. Hauv tsab xov xwm no, peb tshawb nrhiav cov hormone tseem ceeb no los ntawm lub lens ntawm kev kho mob ntawm Nirogi Lanka.
Cortisol yog dab tsi?
Cortisol yog ib yam tshuaj steroid uas yog ib feem ntawm tsev neeg glucocorticoid. Nws yog tsim tawm thiab tso tawm los ntawm koj cov qog adrenal, uas nyob rau sab saum toj ntawm koj lub raum. Xav txog cortisol ua koj lub cev lub tswb ceeb toom. Nws ua lub luag haujlwm tseem ceeb hauv kev tswj hwm ntau yam tseem ceeb, kev ua haujlwm tas mus li hauv koj lub cev. Nws cov khoom tsim tawm yog tswj hwm nruj me ntsis los ntawm kev sib txuas lus nyuaj uas cuam tshuam nrog koj lub hlwb - tshwj xeeb tshaj yog hypothalamus thiab pituitary gland - thiab koj cov qog adrenal.
Dhau Kev Nyuaj Siab: Ntau Lub Luag Haujlwm ntawm Cortisol
Txawm hais tias kev tswj kev ntxhov siab yog ib qho ntawm nws txoj haujlwm tseem ceeb, cortisol yeej cuam tshuam rau yuav luag txhua lub cev hauv koj lub cev. Nov yog ob peb yam tseem ceeb ntawm nws cov haujlwm:
1. Kev Tswj Xyuas Lub Cev Kev Nyuaj Siab
Thaum koj ntsib kev ntxhov siab luv luv lossis ntev, koj lub cev tso tawm cov tshuaj hormones zoo li adrenaline los teb tam sim ntawd (qhov kev teb "sib ntaus lossis khiav"). Cortisol ( Cortisol ) ua haujlwm ua ke nrog cov no kom koj lub cev ceeb toom thiab muaj zog. Nws ua tiav qhov no los ntawm kev tso cov glucose (qab zib) tawm ntawm koj lub siab, muab lub zog xav tau los daws qhov xwm txheej ntxhov siab.
2. Kev zom zaub mov thiab kev tswj cov piam thaj hauv cov ntshav
Cortisol tseem ceeb heev rau koj txoj kev ua haujlwm ntawm lub cev - txoj kev uas koj lub cev siv lub zog. Nws pab ua kom koj cov ntshav qab zib nyob ruaj khov los ntawm kev cuam tshuam rau txoj kev tsim cov insulin thiab glucagon thiab tswj hwm txoj kev uas cov rog , cov leeg nqaij, thiab cov hlwb siab siv cov glucose.
3. Tswj Kev Mob O
Nyob rau lub sijhawm luv luv, cortisol ua haujlwm ua ib yam khoom siv tiv thaiv kev o, pab txo qhov o ( inflammation ). Txawm li cas los xij, yog tias cov cortisol tseem siab rau lub sijhawm ntev, nws tuaj yeem muaj qhov cuam tshuam rov qab, uas ua rau kev o nce ntxiv thiab ua rau koj lub cev tiv thaiv kab mob tsis muaj zog ( immune system ).
4. Tswj Kev Ntshav Siab
Txawm hais tias tseem tab tom kawm txog qhov tseeb ntawm cov txheej txheem no, peb paub tias cortisol pab txhawb rau kev tswj ntshav siab. Muaj kev sib txuas meej ntawm cov qib cortisol thiab kev hloov pauv ntawm koj cov ntshav siab.
5. Kev cuam tshuam rau Circadian Rhythm
Koj cov cortisol theem ib txwm hloov pauv thoob plaws hnub. Feem ntau lawv nce siab tshaj plaws thaum sawv ntxov los pab koj sawv thiab poob qis tshaj plaws thaum hmo ntuj los txhawb kev pw tsaug zog. Lub suab circadian no yog qhov tseem ceeb rau kev pw tsaug zog zoo thiab xav tias tshiab txhua hnub.
Yuav ua li cas yog tias Cortisol ntau dhau? (Hypercortisolism)
Kev muaj cortisol ntau dhau (ib yam mob hu ua Cushing's syndrome) tsis zoo rau kev noj qab haus huv. Txawm hais tias kev ntxhov siab txhua hnub tsis tshua ua rau qhov no nws tus kheej, nws feem ntau yog ua los ntawm:
- Cov Tshuaj: Siv cov tshuaj corticosteroids ntau ntau mus sij hawm ntev (piv txwv li, prednisone).
- Cov qog nqaij hlav: Kev loj hlob ntawm cov qog pituitary lossis cov qog adrenal uas ua rau muaj cortisol ntau dhau lossis cov tshuaj hormones uas ua rau nws (tshwj xeeb yog ACTH-Adrenocorticotropic hormone).
Cov cim qhia ntau ntawm cov tshuaj Cortisol siab:
Cov neeg uas muaj cortisol ntau dhau yuav muaj cov tsos mob no:
- Qhov hnyav nce ntau, tshwj xeeb tshaj yog ntawm lub ntsej muag ("lub ntsej muag hli") thiab lub plab, thaum cov ceg yuav nyias.
- Cov rog tso rau ntawm lub xub pwg nyom ("buffalo hump").
- Cov cim ncab dav, xim av, tshwj xeeb tshaj yog ntawm lub plab.
- Cov leeg tsis muaj zog.
- Ntshav qab zib nce siab, uas tuaj yeem ua rau muaj ntshav qab zib hom 2.
- Ntshav Siab (ntshav siab).
- Mob tawv nqaij yooj yim.
- Cov pob txha tawg (osteoporosis).
- Rau cov poj niam, cov tsos mob xws li hirsutism (plaub hau loj hlob ntau dhau) lossis lub voj voog tsis tu ncua.
Yuav ua li cas yog tias Cortisol qis dhau? (Adrenal Insufficiency)
Qhov tsis txaus ntawm adrenal tshwm sim thaum koj cov qog adrenal tsis tsim cov cortisol txaus. Qhov tsis txaus no tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv yog tias tsis kho. Yog tias koj muaj cov tsos mob hnyav, thov hu rau cov kev pabcuam thaum muaj xwm txheej ceev (911) lossis mus ntsib tsev kho mob ze tshaj plaws tam sim ntawd. Cov laj thawj tseem ceeb suav nrog:
- Kab mob adrenal tsis txaus (Addison's disease): Qhov no feem ntau tshwm sim vim yog tus kab mob autoimmune uas koj lub cev tiv thaiv kab mob tawm tsam koj cov qog adrenal tsis raug. Kev kis kab mob lossis lwm yam kev raug mob rau cov qog kuj tuaj yeem yog cov laj thawj tseem ceeb.
- Kev Tsis Txaus ntawm Adrenal Thib Ob: Qhov no tshwm sim thaum koj lub qog pituitary tsis ua haujlwm zoo (vim yog qog nqaij hlav lossis txo qis kev ua haujlwm), ua rau kev tsim cov ACTH (Adrenocorticotropic hormone) tsawg zuj zus, uas qhia koj lub cev kom tsim cov cortisol. Nws kuj tseem tuaj yeem tshwm sim yog tias koj tsis txhob noj cov tshuaj corticosteroid ntev.
Cov tsos mob ntawm cov qib cortisol qis:
Yog tias koj cov cortisol qis dhau, koj yuav pom cov tsos mob no:
- Mob qaug zog tas li, mob hnyav thiab tsis muaj zog.
- Poob phaus yam tsis paub.
- Tsis qab los noj mov.
- Ntshav siab qis (hypotension), uas yuav ua rau kiv taub hau lossis mob taub hau thaum sawv ntsug.
- Xeev siab, ntuav, lossis mob plab.
- Mob nqaij lossis mob pob qij txha.
- Muaj xim ntau dhau los yog tsaus ntawm daim tawv nqaij (ib qho cim ntawm tus kab mob Addison).
Kev Tswj Cortisol: Kev hloov kho txoj kev ua neej lossis kev cuam tshuam kev kho mob?
Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm kev tswj hwm cov kev hloov pauv cortisol ib txwm muaj feem cuam tshuam nrog kev ntxhov siab txhua hnub thiab nrhiav kev kho rau cov mob uas ua rau cov tshuaj hormones tsis zoo.
Kev txhawb nqa txoj kev ua neej rau cov qib cortisol sib npaug:
Yog tias koj tsis muaj mob uas kuaj pom tab sis xav tswj koj txoj kev ntxhov siab thiab ua kom koj cov cortisol sib npaug, xav txog cov tswv yim no:
- Tsom koj txoj kev pw tsaug zog rau qhov tseem ceeb: Xyuas kom koj tau pw tsaug zog zoo tas li. Kev tsis pw tsaug zog ntev ntev yog paub tias ua rau cov cortisol nce siab.
- Ua kom koj lub cev nquag: Kev tawm dag zog tsis tu ncua pab txo kev ntxhov siab thiab ua kom koj lub cev lub cev ua haujlwm zoo.
- Xyaum cov txheej txheem so: Ua pa tob tob, xav, thiab yoga tuaj yeem ua rau koj lub paj hlwb parasympathetic ("so thiab zom") ua haujlwm zoo li tshuaj tua kab mob rau cov tshuaj hormones kev ntxhov siab.
- Tswj kev sib raug zoo hauv zej zog: Kev sib raug zoo nrog cov neeg koj hlub ua lub luag haujlwm tiv thaiv kev ntxhov siab.
- Ua lub sijhawm rau kev xyiv fab: Luag thiab koom nrog kev ua si lom zem ua rau muaj kev tso tawm endorphins, uas pab txo cov cortisol.
Kev kho mob rau kev tsis sib npaug ntawm cortisol:
Yog tias koj raug kuaj pom tias muaj cov mob xws li Cushing's syndrome lossis adrenal insufficiency, kev hloov pauv hauv lub neej ib leeg tsis txaus. Kev kho mob yog qhov tsim nyog thiab tej zaum yuav suav nrog:
- Tshuaj: Txhawm rau kom tsis txhob muaj cortisol ntau dhau, thaiv nws cov teebmeem, lossis muab kev kho mob hloov pauv yog tias cov tshuaj cortisol qis dhau.
- Kev Phais Mob: Tshem tawm cov qog nqaij hlav uas ua rau muaj cortisol ntau dhau.
- Txo qhov hnyav: Maj mam txo cov tshuaj corticosteroid yog tias koj cov cortisol ntau yog vim tshuaj.
Thaum twg yuav tsum nrhiav kev pab kho mob?
Yog tias koj muaj cov tsos mob uas cuam tshuam nrog cortisol siab lossis qis, thov sab laj nrog koj tus kws kho mob. Txawm tias nws yog qhov hnyav hloov pauv tsis paub meej, qaug zog ntev, cov leeg tsis muaj zog, lossis teeb meem ntshav siab, tham nrog koj tus kws kho mob. Lawv tuaj yeem xaj kev kuaj mob tsim nyog (ntshav, zis, lossis qaub ncaug) kom paub qhov ua rau tseeb. Tsis txhob kuaj mob tus kheej siv kev tshawb nrhiav hauv internet lossis ua raws li cov ntsiab lus tsis paub txog kev kho mob xws li "adrenal qaug zog," vim qhov no tuaj yeem ncua koj txoj kev nkag mus rau kev kho mob tsim nyog, cawm txoj sia. Yog tias muaj xwm txheej ceev, hu rau 911 lossis koj cov kev pabcuam xwm txheej ceev hauv zos tam sim ntawd.
Cov ntaub ntawv txhim khu kev qha txog Cortisol los ntawm Nirogi Lanka
Cortisol yog ib yam tshuaj hormones tseem ceeb thiab muaj zog heev. Kev nkag siab txog nws ua haujlwm li cas thiab lees paub cov cim ceeb toom ntawm kev tsis sib npaug yog ib kauj ruam tseem ceeb hauv kev tswj koj txoj kev noj qab haus huv mus sij hawm ntev.
