Yu dɔktɔ dɔn tɛl yu fɔ du ACTH tɛst? Yu kin fred smɔl we yu yɛri di nem. Yu kin de tink se, "Us kayn strenj tɛst dis?" Bɔt nid nɔ de fɔ fred. Na wan rili simpul blɔd tɛst. Tide, wi go tɔk bɔt di ACTH tɛst, wetin mek dɛn du am, ɛn aw fɔ pripia fɔ am insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na ACTH?
Okay, mek wi tink bɔt am dis we. Yu bɔdi tan lɛk big kɔmni. Bɔku impɔtant tin dɛn de apin na dis kɔmni.
- Di Men Maneja: Rayt ɔnda yu bren, wan smɔl gland de we di sayz lɛk smɔl pis. Wi kin kɔl dis di pituitary gland. Dis na di men manija fɔ wi stori.
- Di Mɛsej: Dis manija, we na di pituitary gland, kin sɛn spɛshal mɛsej. Na da mɛsej de wi kin kɔl ACTH (Adrenocorticotropic hormone).
- Di Wokman: Dis ACTH mɛsej de go dairekt to tu smɔl gland dɛn we de ɔp yu kidni. Wi kin kɔl dɛn di adrenal gland dɛn. Dis na di wokman dɛm fɔ wi stori.
- di Prodak: We dεn gεt di ACTH mεsej, dεn adrenal gland dεm ya de mek wan rili imכtant כmon we dεn kכl kכtisol.
So ACTH na di ɔmon we de tɛl wi fɔ mek kɔtisol. Dis kɔtisol ɔmon rili impɔtant fɔ wi bɔdi. I de ɛp wi fɔ kɔntrol wi blɔd prɛshɔn , fɔ ansa di infɛkshɔn dɛn fayn fayn wan , ɛn ɛp wi fɔ brok di shuga, fat, ɛn prɔtin dɛn we de insay di it we wi de it to ɛnaji .
Yu ɔndastand naw? If yu dɔktɔ sɔprayz se sɔntin nɔ de apin to dis sistɛm, i go aks yu fɔ tek blɔd tɛst fɔ chɛk yu ACTH ɛn kɔtisol lɛvɛl.
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?
Dɛn nɔ kin du di ACTH tɛst in wan. Klosap ɔltɛm dɛn kin du am togɛda wit kɔtisol tɛst. dis na biכs di simptom dεm we wi kin gεt we di ACTH lεvεl dεm hכy כ lכw kin riliyt to di chenj dεm na di kכtisol lεvεl dεm.
Naw lɛ wi si wetin na dɛn kwaliti dɛn ya.
| di simptom dεm fכ inkrεs kכtisol biכs fכ inkrεs ACTH | Simptom dεm fכ lכw kכtisol biכs fכ lכw ACTH |
|---|---|
| We yu gɛt bɔku bɔku wet wantɛm wantɛm, mɔ na yu bɛlɛ, yu fes, ɛn yu sholda | We yu de lɔs yu wet fɔ natin |
| Pink ɔ pepul strɛch mak dɛn kin apin na sɔm pat dɛn na di bɔdi. | Nɔs ɔ vɔmit |
| Skin we de brus rili izi | Bɛlɛ de at ɛn dayarɛa |
| di ia we de gro pasmak na di bכdi εn di fes (insay uman dεm) . | Fɔ fil se yu gɛt diziz |
| Di mɔsul dɛn we wik ɛn taya | Dak spat (blak hεd) dεm na sכm pat dεm na di skin |
| Akni we gɛt akni | Fɔ want sɔl pasmak |
If yu luk dɛn sayn ya ɛn tɛst yu ACTH ɛn kɔtisol lɛvɛl, yu dɔktɔ kin no if yu gɛt ɛni wan pan dɛn sik ya:
- Cushing’s syndrome: Di kɔtisol de bɔku na di bɔdi.
- Addison’s disease: Di kɔtisol lɛvɛl na di bɔdi rili smɔl.
- If tumbu de na di pituitary gland ɔ ɔdasay .
- If yu pituitary ɔ adrenal gland dɛn nɔ de wok fayn.
Aw fɔ rɛdi fɔ di tɛst?
Fɔ mek yu gɛt kɔrɛkt rizɔlt frɔm dis tɛst, yu nid fɔ pripia smɔl. Fɔ fala dɛn step ya kɔrɛkt wan.
- Stɛroyd: If yu de tek stɛroyd (e.g. Prednisolone), yu go nid fɔ stɔp fɔ tek am lɛk 48 awa bifo di tɛst. Dɛn mɛrɛsin ya kin afɛkt di tin dɛn we kin apin. Bɔt nɔ ɛva stɔp fɔ tek dɛn if yu nɔ go to yu dɔktɔ fɔs. I go advays yu bɔt dis.
- Fɔ it ɛn drink: Yu dɔktɔ kin tɛl yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di tɛst. Sɔntɛnde, dɛn go tɛl yu bak fɔ stɔp fɔ it tin dɛn we gɛt bɔku kabɔhaydrɛt (stach) fɔ lɛk tu dez bifo dat.
- Gud slip: Gɛt gud slip di nɛt bifo di tɛst.
- Ɛksesaiz: Nɔ ɛksesaiz tranga wan 12 awa bifo di tɛst.
- Stress: Tray fɔ rilaks as yu ebul. Nɔ strɛs pasmak fɔ 12 awa bifo di tɛst.
Di tin we impɔtant pas ɔl: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (prɛskrishɔn, nɔ prɛskrishɔn), vaytamɛn, ɛbul mɛrɛsin, ɛn ɛni ɔda tin we yu de tek. Dis rili impɔtant.
Aw fɔ du di tɛst ɛn di prɔblɛm dɛn we kin apin
Dis na tin we rili simpul. Jɔs lɛk aw pɔsin kin gi yu blɔd we nɔmal, nɔs go tek smɔl blɔd frɔm wan vein we de na yu an.
Bikɔs wi ɔmon dɛn kin chenj ɔl di de, yu dɔktɔ kin tɛl yu fɔ du blɔd tɛst wan tɛm na mɔnin ɛn bak na ivintɛm . di ACTH lεvεl kin hכy pasmak arawnd 8 a.m. εn afta dat i kin dכn tכwεd ivintɛm. Dis dabl chɛk de ɛp yu dɔktɔ fɔ gɛt kɔmplit pikchɔ.
Afta dɛn dɔn pul di blɔd, dɛn kin put di sɛmpul pan ays wantɛm wantɛm ɛn sɛn am na di lɛbɔtri.
Di risk dɛm na jɔs di nɔmal risk dɛm fɔ mek dɛn pul blɔd wit nidul. Dat min se i kin pen smɔl na di say we di nidul de, i kin brus smɔl, ɔ i nɔ kin izi fɔ mek i gɛt infekshɔn.
Aw fɔ ɔndastand di tin dɛn we kin apin?
Di valyu dɛm na yu tɛst ripɔt kin difrɛn smɔl frɔm wan lab to ɔda wan. Di tin dɛn we kin apin kin difrɛn bak fɔ di tɛm we dɛn pul di blɔd.
nכmal wan, di ACTH lεvεl dεm na hεlty adכlt de bitwin 10-50 pg/mL (pikogram pan wan mililita) arawnd 8 a.m. Bay nayt, dis de dכn to less dan 5-10 pg/mL.
Bɔt nɔ jomp to kɔnklushɔn bays pan dɛn nɔmba dɛn ya. Ɔda tin dɛn kin afɛkt yu rizɔlt.
- Di we aw yu bin slip di nɛt bifo di tɛst.
- Di strɛs we yu de ɔnda.
- If yu gɛt bɛlɛ ɔ yu de na yu prɛgnɛshɔn.
- Sɔm mɛrɛsin dɛn we yu kin tek (e.g. ɔmon, insulin, stɛroyd).
- Wan aksidɛnt ɔ trauma we dɛn jɔs dɔn gɛt.
- If dɛn bin gɛda di blɔd sɛmpul fayn fayn wan ɛn kip am na ays.
Yu dɔktɔ go kɔmpia di ACTH ripɔt wit di kɔtisol ripɔt ɛn mach am wit yu simptom fɔ rich wan las kɔnklushɔn. If sɔntin nɔ de na yu ACTH lɛvɛl, i kin ɔda fɔ du ɔda tɛst fɔ no di rayt tin we mek i apin.
Mɛsej we dɛn kin kɛr go na os
- ACTH na mɛsenja we di pituitary gland de pul we de kɔntrol di we aw di ɔmon we dɛn kɔl kɔtisol de mek.
- Dis tɛst kin chɛk mɔ fɔ si if ɛni prɔblɛm de wit di we aw yu pituitary gland ɛn adrenal gland dɛn de wok.
- Fɔ mek yu gɛt kɔrɛkt rizɔlt, i rili impɔtant fɔ fala wetin di dɔktɔ tɛl yu fɔ du (lɛk fɔ it ɛn drink, fɔ stɔp fɔ tek mɛrɛsin, ɛn ɔda tin dɛn) jɔs bifo yu du di tɛst.
- Nɔ wɔri bɔt di valyu dɛn we de na di tɛst ripɔt nɔmɔ. Ɔltɛm tɔk to yu dɔktɔ bɔt am ɛn gɛt in ɛksplen.
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