Sɔntɛnde, yu kin fil lɛk se yu taya pasmak, yu kin gɛt bɔku bɔku bɔdi fɔ natin, ɔ yu kin rili wɔri ɛn strɛs? pan ɔl we wi kin tink bɔku tɛm se dɛn tin ya na nɔmal tin, tin dɛn we kin apin bikɔs ɔf ɛvride prɔblɛm, sɔm chenj kin de na di ‘strɛs ɔmon’ we dɛn kɔl kɔtisol na wi bɔdi biɛn dis. So if yu dɔktɔ si dɛn sayn ya, i kin tɛl yu fɔ du dis kɔtisol tɛst. Tide, lɛ wi tɔk bɔt wetin na dis kɔtisol tɛst, wetin mek dɛn kin du am, ɛn wetin i kin tɛl yu.
Fɔs, wetin na kɔtisol?
Fɔ tɔk am simpul wan, kɔtisol na impɔtant ɔmon na wi bɔdi. Na tu smɔl smɔl gland dɛn we de ɔp wi kidni dɛn, we na di adrenal gland dɛn, de mek am. Wi ɔl no dis as di ‘stress hormone’. Imajin, we wi gɛt prɔblɛm wantɛm wantɛm, prɛshɔn, ɔ fred, na dis kɔtisol ɔmon de gi wi bɔdi di trɛnk ɛn pripia we wi nid fɔ bia wit am.
Bɔt di wok we kɔtisol de du nɔ de dɔn de. I gɛt bɔku ɔda impɔtant wok dɛn.
- Fɔ kɔntrol blɔd prɛshɔn.
- I de ɛp fɔ mek di blɔd shuga kɔntinyu fɔ de.
- di mεtabolism na wi bכdi, we na di prכsεs we di it we wi de it de brok dכn to kabohaydret, protin, εn fεt εn kכnvכlt to enεji, de εp.
- Fɔ kɔntrol di inflamɛns na di bɔdi.
- Fɔ kɔntrol wi slip-wek saykl.
Si? Kɔtisol nɔto jɔs sɔntin we gɛt fɔ du wit strɛs, na sɔntin we impɔtant fɔ mek bɔku tin dɛn na wi bɔdi wok fayn fayn wan.
Wetin na di sayn dɛm we de sho se pɔsin gɛt bɔku kɔtisol?
If yu kɔtisol lɛvɛl tumɔs, i kin bi sayn fɔ wan sik we dɛn kɔl Cushing’s syndrome . Na sɔm pan de sayn dɛm wae yu kin si.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| We yu gɛt bɔku bɔku wet wantɛm wantɛm | Fat we kin gɛda, mɔ na di bɛlɛ, chɛst, ɛn fes. |
| Raun fes | Di fes kin swel ɛn rawnd. |
| Wan smɔl smɔl fat we de na di bak pat na di nɛk | fεt hכmp de fכm bay di fεt we de kכmכt bitwin di sכlda dεm bihayn di nεk. |
| Skin kin chenj | di skin kin tan, i kin izi fɔ mek i brus, ɛn di strɛch mak dɛn we gɛt pepul kɔlɔ kin tan na say dɛn lɛk di bɛlɛ ɛn di shɔl. |
| Ay blɔd prɛshɔn ɛn dayabitis | Di blɔd prɛshɔn ɛn di blɔd shuga lɛvɛl go ɔp. |
| Ɔda tin dɛn we de apin | di mכsul dεm we de wik, di bon dεm we de wik, diprεshכn, wɔri, εn di mεnstral saykl dεm we nכ de rεgulεr pan uman dεm. |
Wetin na di tin dɛn we kin mek di kɔtisol bɔku?
- Stɛroyd mɛrɛsin: Fɔ tek big dos stɛroyd mɛrɛsin lɛk dɛxamethasone ɔ prednisolone fɔ lɔng tɛm fɔ ɔda mɛrɛsin kɔndishɔn (e.g. asma, rεumatoid atraytis).
- Pituitary gland tumor: Na tumor na di pituitary gland, we de na di bays pan wi bren ɛn i tan lɛk di masta gland we de kɔntrol di ɔda ɔmon gland dɛn na di bɔdi.
- adrenal gland tumor: Na tumor ɔ abnɔmal growth na di gland insɛf, we de mek kɔtisol.
Wetin kin apin if di kɔtisol lɛvɛl go dɔŋ?
If di kɔtisol lɛvɛl go dɔŋ bad bad wan, i kin bi sayn fɔ wan sik we dɛn kɔl Addison’s disease . Na dis na di sayn dɛm.
- Fɔ taya ɔltɛm
- Diziz we pɔsin kin gɛt
- We yu de lɔs yu wet
- Lɔw blɔd prɛshɔn
- Brawn ɔ blak we de chenj di kɔlɔ na di skin na sɔm say dɛn
Wetin na di tin dɛn we kin mek pɔsin gɛt smɔl kɔtisol?
- Adisin sik: Dis na we wi yon bɔdi in imyun sistɛm de atak ɛn pwɛl wi adrenal gland dɛm fɔ natin.
- Adrenal gland damej: Dɛn gland ya kin pwɛl bikɔs ɔf infɛkshɔn ɔ ɔda tin.
- di pituitary gland dysfunction: we di ‘masta’ nכ de wok fayn, di adrenal gland dεm nכ de gεt di signal fכ prodyuz kכtisol.
- Fɔ stɔp fɔ tek stɛroyd wantɛm wantɛm: Dis rili impɔtant. If yu dɔn de tek stɛroyd fɔ lɔng tɛm fɔ wan kɔndishɔn, if yu stɔp am wantɛm wantɛm, dat kin mek yu kɔtisol lɛvɛl go dɔŋ bad bad wan. Ɔltɛm, stɔp fɔ tek di mɛrɛsin ɔnda yu dɔktɔ in sɔpɔtishɔn, ɛn smɔl smɔl yu fɔ ridyus di doz.
Us kayn kɔtisol tɛst dɛn de?
If yu dɔktɔ tɛl yu fɔ du tɛst fɔ chɛk yu kɔtisol lɛvɛl, tri men we dɛn de fɔ du am.
1. Blɔd Tɛst: Dis na di we aw dɛn kin du am pas ɔl. Bikɔs di kɔtisol lɛvɛl kin difrɛn ɔlsay na di de (i kin ay pas ɔl na mɔnin, i kin smɔl pas ɔl na nɛt), yu dɔktɔ kin aks yu fɔ tek tu blɔd sɛmpul, bɔku tɛm wan na arawnd 8 oklɔk mɔnin ɛn ɔda wan arawnd 4 oklɔk na nɛt. Dis go ɛp yu fɔ si aw yu kɔtisol lɛvɛl tan lɛk dɛn tɛm dɛn de.
2. Saliva Test: Bɔku tɛm dɛn kin du dis na nɛt bifo yu go slip, bitwin 11 ɛn 12 midnayt. Dis na bikɔs di kɔtisol lɛvɛl fɔ pɔsin we gɛt wɛlbɔdi fɔ de na in lɔs pas ɔl da tɛm de. If di kɔtisol lɛvɛl stil ay da tɛm de, na gud rizin fɔ sɔspɛkt se yu gɛt wan sik lɛk Cushing’s syndrome. Yu dɔktɔ go gi yu spɛshal kit fɔ dis.
3. Yurin Tɛst: Sɔntɛnde yu dɔktɔ kin aks yu fɔ gɛda ɔl yu urine fɔ 24 awa ɛn tɛst am. dis dεn kכl am ``24 awa urine test.`` pan כl we i kin bi sכm hεs, dis mεtכd de gi yu di bεst aidia fכ di כmכnt כf ``fri kכtisol`` we yu bכdi de prodyuz כl di de.
Fɔ intaprit wan kɔtisol tɛst rizɔlt fɔ bi ɔltɛm wit yu dɔktɔ. Nɔ jɔs bay di tin dɛn we yu go disayd fɔ du na di intanɛt.
Ɔda spɛshal tɛst dɛn we dɛn kin du wit dis tɛst
Sɔntɛnde, fɔ no di rayt tin we kin mek di kɔtisol nɔ bɔku ɔ i bɔku, yu dɔktɔ kin tɛl yu fɔ du sɔm mɔ spɛshal tɛst dɛn.
- ACTH Stimulation Test: Dis de tεst aw yu adrenal gland dεm de rεspכnd to di ‘kכmand' (di כmon `ACTH`) frכm yu pituitary gland. I tan lɛk se bɔs de chɛk fɔ si if pɔsin we de wok de du di rayt tin we dɛn aks am fɔ du sɔntin. Dɛn kin du dis mɔ fɔ no wetin mek di kɔtisol lɛvɛl smɔl.
- Dɛksametazɔn Sɔpreshɔn Tɛst:Dis tan lɛk di ɔda say na da tɛst de. i de chεk if di hכy kכtisol lεvεl dεm na di bכdi de kכntro bay we dεn gi sכm sכm stεroyd dכg we dεn kכl ``(dexamethasone)''. Dis kin ɛp fɔ no if yu gɛt Cushing’s syndrome ɛn if na tumor na di pituitary gland ɔ ɔdasay kin mek yu gɛt am.
If yu dɔktɔ saspek sɔntin lɛk tumbu, i kin rifer yu bak fɔ mek dɛn du CT skan ɔ MRI skan.
Ɔda rizin dɛn we mek di rizɔlt kin bi abnɔmal
Di sik we dɛn kɔl Cushing’s syndrome ɛn Addison’s disease na tin dɛn we nɔ kin apin so ɔltɛm. Mɔ tin dɛn de we kin mek di kɔtisol lɛvɛl nɔ fayn.
- Siriɔs strɛs
- Fɔ ɛksesaiz pasmak
- We uman gɛt bɛlɛ
- Fat
- Sɔm mɛrɛsin dɛn, lɛk pils fɔ mek yu nɔ bɔn pikin
So nɔ fred fɔ chenj wantɛm wantɛm na di rizɔlt. Yu dɔktɔ go tek ɔl dis ɛn tɛl yu di rial rizin.
Mɛsej we dɛn kin kɛr go na os
- Kכtisol nכto כnli wi bכdi in ‘strεs כmon’, bכt na imכtant כmon we de kכntrכl bכdi prεshכn, shuga lεvεl, εn mεtabolism.
- di kכtisol lεvεl dεm de difrεn dipכnt pan di tεm fכ di de. Dɛn kin ay pasmak na mɔnin ɛn dɛn kin smɔl na nɛt.
- di kכtisol lεvεl we rili ay kin bi sayn fכ Cushing in sεndrכm. If yu gɛt smɔl smɔl tin dɛn, dat kin bi sayn fɔ di sik we dɛn kɔl Addison.
- Stret, ɛksesaiz, bɛlɛ, ɛn sɔm mɛrɛsin dɛn kin mek bak di kɔtisol lɛvɛl chenj.
- If yu nid fɔ tek kɔtisol tɛst, ɔltɛm tɔk bɔt di rizɔlt wit yu dɔktɔ. I go gi yu di bɛst gayd.
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