Yu kin taya ɔltɛm? Yu de strɛs? Sɔntɛm na tɛm fɔ lan bɔt wan Kɔtisol Tɛst!

Sɔntɛnde, yu kin fil taya pasmak fɔ natin? Ɔ yu kin fil se yu rili ebi, lɛk se yu kin gɛt bɔku strɛs ɔltɛm? Sɔntɛnde, yu wet kin go ɔp ɔ dɔŋ wantɛm wantɛm. We yu go to dɔktɔ wit dɛn tin ya, ɛn i se, "Lɛ wi du kɔtisol tɛst," yu kin wɔnda wetin dat min. Nɔ wɔri, tide wi go tɔk bɔt dis kɔtisol tɛst insay wan rili simpul we.

Lɛ wi si fɔs, wetin na Kɔtisol?

Fɔ tɔk am simpul wan, Kɔtisol na wan ɔmon we rili impɔtant na wi bɔdi. Na tu smɔl smɔl gland dɛn we de ɔp wi kidni dɛn, we na di adrenal gland dɛn, de mek am. Bɔku pipul dɛn kin kɔl am "Stress Hormone," we min se na di ɔmon we dɛn kin mek pasmak we wi strɛs. Dat na tru, bɔt nɔto dat nɔmɔ Kɔtisol de du.

Imajin yu bɔdi as big kɔmni. Kɔtisol tan lɛk wan manija we rili sabi wok na da kɔmni de. Na di wan we de manej di bɔdi in wok pan imejensi ɛn strɛs.

• I de kɔntrol ɛnaji: We wi bɔdi nid ɛnaji kwik, Kɔtisol de ɛp wi fɔ yuz di shuga (glukɔs), fat, ɛn prɔtin we de na wi bɔdi.
• I de rigul di imyun sistεm: Dis כmon de εp bak fכ kכntrכl tin dεm lεk inflameshn na di bכdi.
• I de kɔntrol blɔd prɛshɔn: Kɔtisol de ɛp bak fɔ mek wi blɔd prɛshɔn nɔmal.
• Rigul slip ɛn wek: Di chenj na di kɔtisol lɛvɛl na in de gi wi ɛnaji we wi wek na mɔnin ɛn rɛdi wi fɔ slip na nɛt.

So yu go dɔn ɔndastand se Kɔtisol nɔto jɔs wan ɔmon we gɛt fɔ du wit strɛs, bɔt i de insay bɔku impɔtant tin dɛn na wi bɔdi.

Wetin mek di dɔktɔ de aks yu fɔ du dis kɔtisol tɛst?

Naw yu go dɔn ɔndastand aw i impɔtant fɔ gɛt di rayt lɛvul fɔ kɔtisol. If dis lɛvɛl tu ay ɔ tu smɔl , difrɛn prɔblɛm dɛn kin apin na wi bɔdi. Di dɔktɔ go jɔs ɔda dis tɛst if i sɔprayz se yu sik dɛn na bikɔs yu nɔ balans na yu kɔtisol lɛvɛl.

Dis tɛst kin ɛp mɔ fɔ no sɔm sik dɛn we pɔsin kin gɛt:

• Cushing Syndrome: Dis na kכndyushכn we de kכz f כ hכ y lεvεl כf kכtisol na di bכdi. Dɔktɔ kin sɔprayz dis if yu gɛt ɛni wan pan dɛn sayn ya:
• Na di bɛlɛ nɔmɔ de kɔmɔt na do, ɛn di an ɛn fut dɛn kin tan lɛk tin.
• Di fes kin bi rawnd ɛn plɔmp (mun fes).
• wan layt fεt de apia na di bak pat na di nεk εn bitwin di sכlda dεm (buffalo hump).
• di skin kin tan, i kin brus izi wan, εn i kin gεt pepul strεk (stretch marks).
• Di blɔd prɛshɔn ɛn di blɔd shuga lɛvɛl go ɔp.
• di mεnstral saykl dεm we nכ de rεgulεr pan uman dεm εn di fכs ia we dεn nכ want fכ gro.

• Addison’s Disease: Dis na wan sik wae de bodi nɔr de prodyuz inof ɔmon we dɛn kɔl Kɔtisol. Di sayn dɛm kin bi:
• Fɔ fil taya pasmak ɔltɛm.
• I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi.
• Diziz ɛn blɔd prɛshɔn we de dɔŋ.
• Sɔm say dɛn na di skin, mɔ di fold dɛn na di skin ɛn say dɛn lɛk di gɔm, kin dak.
• Fɔ want fɔ it tin dɛn we gɛt sɔl pasmak.

• Ɔda Tumɔs: Sɔntɛnde, sɔm kayn tumbu dɛn na di adrenal gland ɔ pituitary gland kin mek di kɔtisol lɛvɛl we nɔrmal.

Aw fɔ chɛk di kɔtisol lɛvɛl? Wetin na di kayn tɛst dɛn we dɛn kin du?

Bɔku we dɛn de fɔ tɛst yu kɔtisol lɛvɛl. Yu dɔktɔ go disayd us tɛst go fayn fɔ yu bay aw yu sik. Sɔntɛnde, dɛn kin aks yu fɔ tek di tɛst tu tɛm insay di de. Dis na bikɔs wi kɔtisol lɛvɛl nɔ de di sem ɔl di de. di kכtisol lεvεl kin bכku we wi wek na mכnin, dεn kin dכn sכmtεm as di de de go, εn dεn kin dכn to rili lכw lεvεl na nɛt.

Lɛ wi jɔs ɔndastand dɛn kayn tɛst ya frɔm di tebul we de dɔŋ ya.

Lɛ wi luk aw fɔ du dis tɛst smɔl smɔl .

Naw lɛ wi tek wan luk pan aw fɔ du dis tɛst wan bay wan ditayli. Dɔn yu nɔ go nid fɔ fred ɔ dawt bɔt dis.

Kɔtisol Tɛst (Blɔd Tɛst) .

Dis na jɔs lɛk blɔd tɛst we yu go du nɔmal wan.

1. Yu go sidon fo chia and sombodi fo lab go fain vein fo yu an. Bɔku tɛm, dɛn go tek di blɔd na di insay pat na yu ɛlb.

2. Dɔn dɛn kin klin di say fayn fayn wan, dɛn kin put smɔl nidul insay di vein ɛn pul smɔl blɔd. Dis tɛm ya, yu kin fil pen lɛk se smɔl ant bit yu.

3. Afta dɛn dɔn tek di blɔd we dɛn nid, dɛn kin pul di nidul ɛn put wan kɔtɔn na da ples de ɛn prɛs am dɔŋ.

4. Dɔn dɛn kin put smɔl plasta pan di say. I dɔn ɔltin insay lɛs dan 5 minit.

Tɛst fɔ Saliva

Bɔku tɛm, dis na tɛst we yu kin du na os. Yu dɔktɔ go gi yu spɛshal kit fɔ dis. Yu nid fɔ fala di instrɔkshɔn dɛn di rayt we.

1. Nɔ it, drink, brus yu tit, ɔ smok ɛnitin fɔ 30 minit bifo yu tek di tɛst.

2. Put di swab insay di kit insay yu mɔt we yu nɔ tɔch am wit yu an.

3. Yu fɔ ol am na yu mɔt fɔ sɔm minit, te i wet fayn wit saliva.

4. Dɔn, we yu nɔ tɔch am, put am insay di tɛst kɔntena we de insay di kit.

5. Dɔn di dɔktɔ go tɛl yu aw fɔ go bak na di lab.

Yurin Kɔtisol Tɛst

Dis tɛst de aks yu fɔ gɛda ɛvri drop pan urine we yu pas fɔ 24 awa . Pan ɔl we dis kin tan lɛk se na prɔblɛm, i impɔtant fɔ gɛt kɔrɛkt rizɔlt.

1. Pik di tɛm fɔ bigin yu de. Lɛ wi se na 8 a.m. Nɔ gɛda di fɔs urine we yu pas da tɛm de, jɔs go na tɔylɛt lɛk aw yu kin go. Bɔt rayt di rayt tɛm.

2. Ɛvri we pɔsin kin pis afta dat, .Ɔl di de ɛn nɛt, yu nid fɔ gɛda am na spɛshal kɔntena we di lab gi yu. Tek tɛm mek yu nɔ mis wan drop pan yu urine. Ɛn nɔ mek ɛni fes ɔ tɔylɛt pepa go insay.

3. Stɔ dis urine bɔtul na frij ɔ kul we yu nɔ de yuz am.

4. Di nɛks mɔnin, di sem tɛm we yu bigin fɔ wok (fɔ ɛgzampul, na 8 oklɔk), tray fɔ gɛda di las urine na di bɔtul.

5. Rayt yu nem klia wan, di tɛm we yu bigin, ɛn di tɛm we yu fɔ dɔn di bɔtul, ɛn kɛr am go na di lɛb kwik kwik wan.

Lɛ wi ɔndastand di valyu dɛn we di ripɔt gɛt.

Yu go gɛt di ripɔt insay sɔm dez afta di tɛst. Nɔ panik we yu si di valyu dɛn we de insay. Na yu dɔktɔ nɔmɔ go ebul fɔ ɛksplen am di rayt we.

di nכmal lεvεl dεm fכ kכtisol na di bכdi na dεn wan ya:

• Bitwin 6 - 8 am: 10 to 20 mcg/dL (maykrogram pan wan desilita) .
• Arawnd 4 oklɔk na nɛt: 3 to 10 mcg/dL

Yu kin notis se di lɛvɛl dɛn kin ay pasmak na mɔnin ɛn dɛn kin smɔl na ivintɛm. Bɔt dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab ɛn frɔm wan pɔsin to ɔda pɔsin. So nɔ jomp to kɔnklushɔn bɔt di valyu dɛn we de na di ripɔt.

If yu kɔtisol lɛvɛl dɛn ay... (High Levels)

Bɔku rizin dɛn kin de we mek di kɔtisol lɛvɛl go ɔp pas aw dɛn bin de tink.

• Sɔm mɛrɛsin dɛn we yu kin tek, mɔ di wan dɛn lɛk kɔtikosterɔyd.
• wan tכmכro na di pituitary gland de mek dεn prodyuz di כmon ACTH pasmak.
• di prodakshכn fכ kכtisol pasmak bikoz fכ wan tכmכro na di adrenal gland.
• Wan tumbu we de ɔdasay na di bɔdi, lɛk kansa na di lɔng.

If yu kɔtisol lɛvɛl smɔl... (Lɔw Lɛvɛl) .

Bɔku rizin kin mek di kɔtisol lɛvɛl smɔl.

• Pituitary gland nɔ de wok fayn.
• Damej pan di adrenal gland dεm כ di dεkrεshכn fכ wok.

If sɔntin de we nɔ kɔmɔn na di ripɔt, wetin go apin nɛks?

Dis na di tin we impɔtant pas ɔl. Jɔs bikɔs wan tɛst ripɔt sho se yu gɛt abnɔmal valyu, dat nɔ min se yu gɛt siriɔs sik. Bɔku ɔda rizin dɛn de we mek di kɔtisol lɛvɛl kin chenj.

• Stress: If yu de ɔnda bɔku strɛs di de fɔ di tɛst, di valyu dɛn kin chenj.
• Fɔ du bɔdi wok: Tin dɛn lɛk fɔ du ɛksɛsayz pasmak.
• Ɔda mɛrɛsin dɛn: Tin dɛn lɛk fiva, infɛkshɔn.
• Yu slip patɛn: Di kɔtisol patɛn fɔ pɔsin we de wok na nɛt shift difrɛn.
• Sɔm mɛrɛsin dɛn.

So, di dɔktɔ go kam fɔ no wan kɔnklushɔn bay we i kɔmpia yu ripɔt, yu sik dɛn, ɛn yu kɔmplit mɛdikal istri. If nid de, i kin tɛl yu fɔ du sɔm ɔda tɛst dɛn fɔ no mɔ bɔt di tin we mek i apin.

• ACTH stimulashɔn tɛst: .dis de tεst aw yu adrenal gland dεm de rεspכnd to di ACTH כmon.
• Dexamethasone suppression test: Insay dis tɛst, dɛn kin gi yu wan mɛrɛsin ɛn afta dat dɛn kin mɛzhɔ yu kɔtisol lɛvɛl.
• Imej tɛst: Dɛn kin aks yu bak fɔ du sɔntin lɛk MRI ɔ CT skan fɔ luk aw yu gland dɛn de.