Wetin yu nid fɔ no bɔt kɔtisol tɛst

Yu kin fil taya ɔltɛm, yu kin fil pen ɛn pen fɔ natin, ɔ yu kin strɛs bad bad wan? Sɔntɛm we yu tɔk to yu dɔktɔ bɔt dis, i tɛl yu bɔt blɔd ɔ urine tɛst. Dat na di kɔtisol tɛst. No fred, no mata di nem, dis na rili simpul tin. Lɛ wi tɔk bɔt ɔltin klia wan tide.

Fɔ tɔk am simpul wan, wetin na kɔtisol?

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. dεn kכl am bak "strεs כmon." Dis na bikɔs wi bɔdi de mek mɔ pan dis ɔmon we wi strɛs ɔ fred.

Bɔt nɔto dat nɔmɔ kɔtisol kin du. I kin ɛp wit bɔku ɔda tin dɛn.

• Fɔ kɔntrol di shuga we de na wi bɔdi.
• Fɔ kɔntrol blɔd prɛshɔn.
• Fɔ ridyus di inflamɛns na di bɔdi.
• Fɔ ɛp wi fɔ mɛmba.

So dis kɔtisol tɛst na fɔ no if yu bɔdi gɛt di ɔmon we dɛn nid, ɔ if i gɛt tu smɔl ɔ tumɔs pan am.

Wetin mek dɔktɔ de aks yu fɔ du dis tɛst?

If yu gɛt ɛni sayn na yu bɔdi, yu dɔktɔ kin tɛl yu fɔ du dis tɛst fɔ no if na bikɔs ɔf di chenj we de na di kɔtisol lɛvɛl. Dɛn kin du dis tɛst mɔ if dɛn tink se tu sik dɛn de we pɔsin kin gɛt.

1. Addison’s disease: Dis na wan sik we di bɔdi nɔ de prodyuz inof ɔmon we dɛn kɔl kɔtisol. Di sayn dɛm kin bi wae yu taya ɔltɛm, yu de lɔs yu wet, ɛn sɔm pat dɛm na yu bɔdi kin dak (espɛshali di ɛlbow ɛn ni dɛm).

2. Cushing’s syndrome: Dis na wan sik we di bɔdi de mek tumɔs pan di ɔmon we dɛn kɔl kɔtisol. Di sayn dɛm kin bi fɔ mek yu fes rawnd ɛn ful-ɔp, yu gɛt bɔku bɔku wet (espɛshali na yu bɛlɛ), yu skin kin tan, ɛn yu kin brus izi wan.

pan tap dat, sכm kayn tכmכro dεm kin mek bak di kכtisol lεvεl chenj. Dis tɛst kin ɛp bak fɔ kɔnfɔm dis if ɛni dawt de.

Aw dɛn kin mɛzhɔ dis kɔtisol lɛvɛl?

Tri men we dεm de fכ mכsu di kכtisol lεvεl. Sɔntɛnde, yu dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn we ya.

• Frɔm wan blɔd sɛmpul
• Frɔm wan urine sampul
• Frɔm wan saliva sampul

Naw lɛ wi si aw dɛn kin du ɛni wan pan dɛn tɛst ya.

Blɔd Tɛst

Dis na sɔntin lɛk blɔd tɛst we wi kin du ɔltɛm we wi ɔl no ɛn du ɔltɛm.

• Yu go sidɔm na chia ɛn dɛn go pik wan vein we izi fɔ fɛn fɔ pul blɔd, bɔku tɛm frɔm insay yu an, dɔŋ di ɛlb.
• Dɔn dɛn kin klin di say fayn fayn wan, dɛn kin put smɔl nidul insay, ɛn gɛda smɔl blɔd insay wan tiub. Yu kin fil lɛk se yu de swɛt smɔl we dɛn put di nidul insay.
• Afta dɛn dɔn tek di blɔd we dɛn nid, dɛn kin pul di nidul ɛn put wan kɔtɔn ɛn prɛs am dɔŋ.
• We di blɔd dɔn stɔp, dɛn kin put smɔl plasta na di say. Di wan ol tin nɔ kin tek fayv minit.

Tɛst fɔ Saliva

Dis na tɛst we dɛn kin du na os, bikɔs di rayt tɛm fɔ di de fɔ gɛda di sɛmpul (we yu fɔs wek na mɔnin ɔ bifo yu go slip na nɛt) impɔtant.

• Di dɔktɔ go gi yu wan spɛshal kit fɔ dis. Yu nid fɔ tek tɛm rid di instrɔkshɔn dɛn.
• Bɔku tɛm, dɛn kin advays yu nɔ fɔ it, drink, brus yu tit, ɔ smok fɔ 30 minit bifo yu tek di sampul.
• di pat we tan lεk kכtכn (swab) we de insay di kit fכ put insay di mכt we yu nכ tכch am wit yu an.
• Yu fɔ ol am na yu mɔt fɔ sɔm minit, te i wet fayn fayn wan wit saliva.
• Dɔn yu nid fɔ put am dairekt insay di tiub we dɛn gi yu, ɛn yu nɔ fɔ tɔch am igen.
• Dɔn di dɔktɔ go tɛl yu aw fɔ kɛr di sampul go na di lab.

Tɛst fɔ Yurin

Dis kin min fɔ gɛda di ɔl di urine we yu de pul fɔ 24 awa .

• Di lab go gi yu wan big kɔntena fɔ dis.
• Di de we dɛn de du di tɛst, yu fɔ trowe di fɔs urine we yu pis na mɔnin. Dat min se nɔ fɔ gɛda am. Bɔt rayt di rayt tɛm pan wan pepa. Dat na di tɛm we dɛn kin bigin fɔ du di tɛst.
• Dɔn ɔl di de, te di tɛm we yu bin rayt fɔs di nɛks de, yu fɔ gɛda am ɔl insay di kɔntena we dɛn gi yu ɛvri tɛm we yu de pis. Nɔ mek wan drop go west.
• Nɔ mek ɛni tɔylɛt pepa ɔ fes miks wit dis.
• We yu nɔ de yuz am, kip dis kɔntena na frij ɔ na say we kol.
• Tray fɔ gɛda di las urine sɛmpul as klos to di ɛnd fɔ di 24 awa tɛm as i pɔsibul (e.g., if yu bigin na 8 a.m. na Mɔnde, gɛda am na 8 a.m. na Tɛstamɛnt).
• Yu fɔ rayt yu nem klia wan, di tɛm we yu bigin, ɛn di tɛm we yu fɔ dɔn di kɔntena ɛn kɛr am go na di lɛb kwik kwik wan.

Aw lɔng i kin tek fɔ mek di tɛst rizɔlt kam bak?

I kin tek wan to fayv dez fɔ gɛt di rizɔlt, i kin dipen pan di lab usay yu kin gɛt di tɛst.

Wetin dɛn tin ya we dɛn dɔn fɛn de tɔk?

Na yu dɔktɔ fɔ ɛksplen di rizɔlt ɛn disayd wetin fɔ du wit dɛn. Dis na bikɔs i kin dipen pan bɔku tin, lɛk di sayn dɛm wae yu gɛt ɛn ɔda tɛst rizɔlt. Bɔt fɔ yu infɔmeshɔn, lɛ wi luk di nɔmal valyu dɛn.

Dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab, so kɔmpia dɛn to di "nɔmal rɛnj" na yu ripɔt.

Di tin dɛn we kin mek di kɔtisol lɛvɛl go ɔp

• Fɔ tek bɔku mɛrɛsin dɛn (espɛshali stɛroyd - kɔtikosterɔyd).
• tכmכro na di pituitary gland de mek dεn prodyuz pasmak כmon we dεn kכl `ACTH` (dis `ACTH` כmon de mek di adrenal gland dεm prodyuz kכtisol).
• di prodakshכn fכ kכtisol pasmak bikoz fכ wan tכmכro na di adrenal gland.
• tכmכro we de apin כdasay na di bכdi (e.g., na di lכng dεm).

Di tin dɛn we kin mek di kɔtisol lɛvɛl smɔl

• di dכn prodakshכn fכ ACTH bikoz fכ di dכn fכnshכn fכ di pituitary gland כ wan tכmכro insay am.
• Damej pan di adrenal gland dεm כ di dεkrεshכn fכ wok.

A fɔ wɔri if di tin we apin nɔ fayn?

Atɔl. Jɔs bikɔs di tɛst rizɔlt de ausayd di nɔmal rɛnj nɔr min se yu gɛt siriɔs sik. di kכtisol lεvεl dεm kin rili sεnsitiv. Bɔku ɔda tin dɛn kin afɛkt di valyu.

Fɔ ɛgzampul:

• Stress: If yu bin de ɔnda bɔku strɛs di de bifo di tɛst, yu mak kin chenj.
• Fɔ du bɔdi wok: Fɔ ɛksesaiz pasmak.
• Ɔda mɛrɛsin dɛn: Tin dɛn lɛk fiva, infɛkshɔn.
• Tɛmpratura: We yu de na say we kol ɔ wam bad bad wan.
• Sɔm mɛrɛsin dɛn.
• Slip: If yu de wok na nɛt shift, yu kɔtisol patɛn kin chenj bak bikɔs yu slip patɛn difrɛn.

Sɔntɛm, if di dɔktɔ nid mɔ infɔmeshɔn, i kin aks yu fɔ du sɔm ɔda tɛst dɛn.

• ACTH stimulashכn tεst: dis de tεst aw yu adrenal gland dεm de rεspכnd to injεkshכn fכ di sεntetik כmon `ACTH`.
• Dexamethasone suppression test: Dɛn kin gi wan mɛrɛsin we dɛn kɔl dexamethasone, dɔn dɛn kin mɛzhɔ di kɔtisol lɛvɛl.
• Imej tɛst: Dɛn kin du MRI ɔ CT skan fɔ chɛk if ɛni tɔŋ de na di gland dɛn.