Yu dɔn ɛva fil lɛk se yu taya smɔl, yu dɔn gɛt mɔ wet wantɛm wantɛm ɔ yu dɔn lɛf fɔ it bɔku bɔku it dɛn, ɔ yu dɔn chenj in kɔlɔ? Na tɛm lɛk dis, if dɔktɔ tɛl yu se, "Lɛ wi du ACTH tɛst," yu kin fred smɔl. "Us kain test na dat?" Yu go de wɔnda. Nɔ wɔri. Dis na blɔd tɛst we dɛn kin du ɔltɛm fɔ chɛk di ɔmon dɛn we de na wi bɔdi. Tide, wi go tɔk bɔt ɔltin insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na ACTH?
Wi bɔdi na wɔndaful mashin. εvri pat pan am de kכmכnik wit insεf tru kεmikכl mεsej dεm we dεn kכl "hכmon dεm." Imajin se
di pituitary gland we di sayz lɛk pis ɛn we de na di say we wi bren de, tan lɛk di chif manija na big ɔfis. Dis manija de pul wan spɛshal mɛsej we dɛn kɔl
ACTH (Adrenocorticotropic hormone) . Dis mɛsej de go dairekt to di
adrenal gland dɛn, we tan lɛk tu kap dɛn we de ɔp wi kidni dɛn. Dɛn adrenal gland dɛn ya tan lɛk faktri. we di ACTH mɛsej kɔmɔt na di pituitary gland, dis faktri de mek di impɔtant ɔmon we dɛn kɔl
kɔtisol .
So, wetin mek dis ɔmon kɔtisol impɔtant to wi?
Kɔtisol nɔto jɔs ɔmon. I gɛt wan rili impɔtant wok na wi bɔdi.
- I de ɛp fɔ kɔntrol yu blɔd prɛshɔn .
- I de gi di bɔdi di trɛnk fɔ fɛt infɛkshɔn fayn fayn wan .
- I de ɛp wi fɔ brok di shuga , fat , ɛn prɔtin we de insay di it we wi de it ɛn mek wi gɛt ɛnaji .
- I de ɛp di bɔdi fɔ kɔntrol di strɛs.
Naw yu ɔndastand aw dis sistɛm impɔtant? if di ACTH mεsej frכm di pituitary gland inkrεs, di adrenal gland dεm de prodyuz mכr kכtisol. if ACTH dכn, di kכtisol prodakshכn de dכn bak. If dɔktɔ gɛt dawt bɔt aw dɛn tu gland ya de wok, dat min se if i want fɔ no if di ACTH ɔ kɔtisol lɛvɛl ay ɔ smɔl, i go ɔda dis ACTH tɛst.
di imכtant tin na dat, dεn kin du di ACTH tεst di sem tεm we dεn de du di kכtisol tεst , biכs di wok we dεn tu כmon dεm ya de du de fכm.
Us kayn sayn dɛm wae dɛn kin du dis tɛst fɔ?
di simptom dεm we de kכz fכ di imbalans na di ACTH כmon de riliyt to di inkrεs כ dכn na di kכtisol כmon. Lɛ wi si wetin na dɛn sayn ya.
di simptom dεm we de sho se di kכtisol lεvεl dεm de εlevεt bikoz fכ di ACTH we de inkrεs
| We yu de gɛt mɔ wet | Fat we kin de, mɔ na di fes, di bak pat na di nɛk, ɛn di sholda dɛn. |
| Skin kin chenj | Di we aw i kin tan lɛk pink ɔ pepul strɛch mak dɛn na di bɛlɛ, di shɔl, ɛn di bɔdi. |
| We i de wik | Mɔsul dɛn kin wik ɛn taya pasmak ɔltɛm. |
| Ɔda tin dɛn we de apin | Ivin smɔl wund kin tɔn blu kwik kwik wan, akni kin bɔku, uman dɛn ia kin gro we dɛn nɔ want, ɛn i kin gɛt ay blɔd prɛshɔn. |
di simptom dεm fכ di lכw kכtisol lεvεl bikoz fכ di lכw ACTH
| We yu de lɔs yu wet | Fɔ lɔs yu wet pan ɔl we yu de it fayn. |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Nɔs ɔltɛm, vɔmit, bɛlɛ kramp, ɛn dayarɛa. |
| Skin kin chenj | di skin de dak (blak) na sɔm say dɛn, mɔ di ɛlb ɛn ni. |
| Ɔda tin dɛn we de apin | Bɔku tɛm, yu kin fil se yu taya pasmak, yu ed kin tɔn, ɛn yu kin want fɔ it tin dɛn we gɛt sɔl. |
Bay dɛn sayn ya, yu dɔktɔ kin tink se yu gɛt wan sik lɛk
Cushing’s syndrome (increased cortisol),
Addison’s disease (decreased cortisol), ɔ wan tumbu na di pituitary gland ɔ ɔdasay. Dis ACTH tɛst rili impɔtant fɔ kɔnfɔm da saspek de.
Aw yu fɔ pripia bifo di tɛst?
Bikɔs dis na blɔd tɛst, i nɔ nid fɔ pripia bɔku. Bɔt sɔm tin dɛn de we kin afɛkt di rizɔlt fɔ di tɛst. So,
i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Stɛroyd: If yu de tek ɛni stɛroyd mɛrɛsin, yu dɔktɔ kin aks yu fɔ stɔp fɔ tek am lɛk 48 awa bifo di tɛst. Dɛn mɛrɛsin ya kin chenj di rizɔlt kpatakpata.
- Fɔ it ɛn drink: Dɛn kin aks yu fɔ fast frɔm midulnɛt di nɛt bifo di tɛst. Dɛn kin aks yu bak fɔ stɔp di kabɔhaydrɛt ( stach ) we yu de it .
- Ɛksesaiz ɛn strɛs : Nɔ du ɛksɛsayz pasmak ɔ strɛs we yu nɔ nid 12 awa bifo di tɛst. Dɛn tin ya kin afɛkt di ɔmon lɛvɛl.
- Gɛt gud slip: Gɛt gud slip di nɛt bifo. Ivin we pɔsin nɔ slip, i kin afɛkt di ɔmon dɛn.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn (Western, Ayurvedic, Sinhala), vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek.
Aw fɔ du di tɛst ɛn di prɔblɛm dɛn we kin apin
Dis na rili simpul we fɔ du tin. Jɔs lɛk blɔd sɛmpul, nɔs go tek blɔd sɛmpul frɔm wan vein na yu an. Bɔt sɔntin spɛshal de ya. di ACTH εn kכtisol lεvεl dεm de chenj dipכnt pan di tεm fכ di de.
di ACTH lεvεl kin hεvi pasmak arawnd 8 a.m. εn
i kin lכs pas ɔl na nɛt . So, if yu dɔktɔ want fɔ gɛt kɔmplit pikchɔ bɔt yu ɔmon dɛn, dɛn kin tek blɔd sɛmpul wan tɛm na mɔnin ɛn bak aftanun ɔ na nɛt. Afta dɛn dɔn tek di blɔd, dɛn kin put di sɛmpul dɛn pan ays wantɛm wantɛm ɛn sɛn dɛn na di lɛb. Dis na bikɔs ACTH na ɔmon we kin pwɛl kwik kwik wan. As fɔ di risk dɛm, di risk dɛm de we dɛn kin gɛt we dɛn du ɛni blɔd tɛst. Sɔm kayn pen kin de usay dɛn put di nidul, sɔm kin gɛt brus, ɛn nɔ kin rili gɛt infekshɔn. Natin nɔ de fɔ wɔri bɔt.
Aw fɔ ɔndastand di tin dɛn we kin apin?
Di rizɔlt fɔ yu ripɔt kin difrɛn smɔl frɔm wan lab to ɔda lab. di avrej ACTH lεvεl fכ wan hεlty adכlt, we dεn mכsu na 8 a.m., fכ bi bitwin 10 εn 50 pikogram pan wan mililita (pg/mL). Bɔt
nɔ bi dɔktɔ ɛn jɔs disayd fɔ yusɛf bay di ripɔt . Bɔku ɔda tin dɛn de we kin afɛkt dɛn tin ya we kin apin.
- Yu bin slip fayn di de bifo di tɛst?
- Yu bin strɛs?
- Ɔda mɛrɛsin dɛn we yu de tek (e.g. insulin, ɔmon pil).
- If na uman, di de we in menstrual saykl.
- Aksidɛnt ɔ trauma we dɛn jɔs dɔn gɛt.
- If dɛn bin gɛda di blɔd sɛmpul fayn fayn wan, kip am na ays, ɛn kip am.
Wit ɔl dis na yu maynd, yu dɔktɔ go luk ɔl tu yu ACTH rizɔlt ɛn yu kɔtisol rizɔlt togɛda. Dɛn nɔ go disayd fɔ du sɔntin bay we dɛn jɔs gɛt wan rizɔlt. If yu ACTH lɛvɛl ay ɛn yu kɔtisol lɛvɛl bak ay, dat min wan tin. If yu ACTH lɛvɛl ay ɛn yu kɔtisol lɛvɛl smɔl, dat min ɔda tin. So, we yu dɔn gɛt yu rizɔlt, tek am wit yu fɔ go si yu dɔktɔ. Na in go bi di wan we go tek ɔl dis na kɔna ɛn tɛl yu ustɛm yu sik ɛn wetin fɔ du nɛks. Dɛn kin ɔda bak fɔ mek dɛn du mɔ tɛst fɔ kɔnfɔm dɛn rizɔlt ya.
Mɛsej we dɛn kin kɛr go na os
- di ACTH tεst na blɔd tεst we de mכsu wan כmon we di pituitary gland de kכmכt na wi bren. I kin tɛl wi bak bɔt aw di adrenal gland dɛn de wok.
- Dɛn kin du dis tɛst wit kɔtisol ɔmon tɛst.
- Dɔktɔ kin tɛl yu fɔ du dis tɛst if yu gɛt sɔm sayn dɛn lɛk fɔ chenj yu wet we yu nɔ ɛksplen, we yu taya pasmak, ɔ we yu skin chenj.
- I rili impɔtant fɔ mek di rizɔlt kɔrɛkt fɔ fala di dɔktɔ in instrɔkshɔn (we gɛt fɔ du wit it, mɛrɛsin, ɛn ɛksesaiz) jɔs bifo di tɛst.
- Afta yu dɔn gɛt di tɛst ripɔt, nɔ pul yu yon kɔnklushɔn bay di valyu dɛn. Mek shɔ se yu sho di ripɔt to yu dɔktɔ fɔ mek i gɛt kɔrɛkt analisis ɛn advays.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt