ACTH Stimulation Test chungchang hi a awlsam zawngin i zir ang u.

I chau, i chau, a nih loh leh i taksa rihna tihtlem i nei fo em? Doctor i hmuh hian i hormone enfiah a tum mai thei. A bik takin, hormone cortisol tih hi a ni. Chuvangin, i cortisol level a normal em tih enfiahna atana tih thin test ber chu ACTH Stimulation Test hi a ni. A hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai. Vawiin hian a zawng zawng hi han sawi ila.

A awlsam zawngin sawi ila, he ACTH Stimulation Test hi eng nge ni?

Hei hi medical test a ni. A dik tak chuan i taksa peng pahnih adrenal glands an tih te hian kan thluak atanga lo chhuak hormone ACTH (Adrenocorticotropic hormone) an dawn dan a en a ni. Hei hi a buaithlak deuhin a ri em? Awle, hetiang hian han ngaihtuah teh ang.

I thluaka pituitary gland chu company lian tak manager ang maiin han ngaihtuah teh. I kal chunga adrenal gland te tak te pahnih chu chu company-a hnathawk pahnih ang mai a ni.

Manager (pituitary gland) hian thil tih a duh chuan hnathawktute (adrenal glands) hnenah ‘ACTH’ tih thuchah a thawn thin. He thuchah hi an dawn chuan hnathawktute (adrenal glands) te hian hormone ‘cortisol’ an tih chu an siam a, taksaah an chhuah tir thin. He cortisol hi kan taksa tana hormone pawimawh tak a ni. Thil tam takah a pui a, chu chu stress control-na te, thisen sugar level control-na te, thisen sang control-na te hi a ni.

Chuvangin, ACTH Stimulation Test hian a tih chu pawn lam atanga siam synthetic ACTH hormone (cosyntropin an tih) i taksaah kan inject a, i adrenal glands (hnathawkte) te hian an chhang let a, cortisol an siam tha em tih kan en a ni.

He test hi ‘adrenal insufficiency’ an tih natna hmuhchhuah nan hman a ni ber. Hei hian adrenal glands te hian cortisol an siam chhuak tlem tihna a ni. Hei hi chi thum ah then a ni.

Eng dinhmunah nge doctor chuan he test hi ti turin a tih che?

I doctor-in he test hi a rawt chhan hrang hrang a awm thei.

• Thisen test hmasaah cortisol level hniam a awm a nih chuan: Chhan dang avanga thisen test i neih tawh chuan cortisol level hniam tih i hmu a nih chuan, chu chu finfiah nan he test hi ti turin an ti thei che a ni.
• Adrenal insufficiency symptoms i neih chuan: A hmaa kan sawi tawh ang khan, hah reng, taksa rihna tlahniam, pum na, luak chhuak, luak chhuak, leh thisen sang hniam ang chi symptoms i neih chuan he test hi he natna hi a chhan a ni em tih hriat nan tih a ni.
• Steroid i ei rei tawh a nih chuan: Prednisone ang chi glucocorticoid damdawi i hman rei chuan i pituitary leh adrenal glands te hian hun eng emaw chen chu hna an thawk tawh lo thei a ni. Chuvangin, damdawi i ei tawh loh hnuah pawh he test hi tih a ni bawk a, chu chu glands te hian a thawk tha leh tawh em tih enfiah a ni.

Test hmain engtin nge i inbuatsaih ang?

Hei hi a pawimawh hle. Doctor thupek dik takin i zawm tur a ni. A tlangpuiin, hetiang hian i sawi thei:

• Chaw nghei: Test hma darkar 6 vel ei leh in lo turin an ti thei che a ni. Tui chauh phal a ni.
• Activity khap: Test hma darkar 12-24 chhung chu exercise hahthlak ang chi thil tih loh turin an ti thei che a ni.
• Chaw: A chang chuan carbohydrates tamna ei tur ei tura tih i ni thei bawk.
• Damdawi ei khap: Damdawi thenkhat i ei (a bik takin steroid cream, pill, inhaler) te hian test result a nghawng thei a ni. Chuvangin, i doctor chuan rei lo te atan ei tawh lo turin a ngen mai thei che a ni. Doctor zawt hmasa lovin i damdawi ei kha bansan ngai suh.

Awle, tunah chuan test ni-ah eng nge thleng dawn tih kan en ang.

Hei hi i ngaihtuah angin a hlauhawm lo. Damdawi inah emaw, endocrinologist clinic-ah emaw tih a ni tlangpui. Hetah hian step by step khata thil thleng chu kan rawn tarlang e.

1. Thisen sample lak hmasak ber: A hmasa berin nurse pakhatin i kut vein atanga thisen lak a la ang. Hei hian test tan hmain i baseline cortisol level a check ang.

2. Injection pek dan: A dawtah chuan nurse pakhatin synthetic ACTH (cosyntropin) awmna injection a pe ang che. Hei hi i kut ruh chhungah pek a ni tlangpui. Hmuhthei te tak te in a chil ang maiin a lang ang a, mahse second tlemte chhungin a bo mai ang.

3. Thisen sample pahnihna leh pathumna: Injection hnu minute 30-ah thisen sample dang lak leh tur i ni ang. Tichuan minute 60 hnuah thisen sample dang lak leh a ni ang . Hei hian injection i pek atanga i adrenal glands ten cortisol an siam chhuah zat a teh ang.

4. Laboratory-a thawn: Thisen sample lakte chu laboratory-ah thawn chhuah a ni.

I thisen i lak chuan i rilru a na deuh chauh a ni. Chu chu rei vak lo hnuah a bo ta a ni. Thisen lakna hmunah hian hliam te tak te i nei thei a, chu chu thil pangngai a ni.

Engtikah nge result a awm ang a, eng nge an sawi ang?

He test result hi a lo let leh theih nan kar khat vel a ngai thei. Hei hi a chhan chu result a hmuh veleh i doctor chuan uluk takin a zirchiang ang a, i natna lan chhuah dan nen a khaikhin ang a, thutlukna siam thei ang.

Results pangngai chu eng nge ni?

Mi hrisel takah chuan ACTH injection hnuah adrenal glands te chu a tichak tha tur a ni a, thisena cortisol level pawh nasa takin a sang tur a ni. I doctor chuan i lab report-a value awmte leh normal range chu a hrilhfiah ang che.

Abnormal Result chu eng nge ni?

• Primary Adrenal Insufficiency (adrenal glands-ah harsatna a awm chuan): Hetiang natna vei tan hian ACTH injection pek pawh ni se, cortisol level hi a sang lo tak zet a, a tlem hle bawk. Hei hi a chhan chu buaina chu adrenal glands-ah a awm a, pawn lam atanga eng ang pawhin stimulation pek ni mahse cortisol an siam thei lo.
• Secondary Adrenal Insufficiency (pituitary gland-ah harsatna a awm chuan): Pituitary gland-in ACTH a chhuah rei loh chuan adrenal glands te chu a lo tlem zauh zauh a, inactive (atrophy) an ni tan thin. Chutiang mi chu ACTH injection pek a nih chuan inactive adrenal glands te hian an chhang nghal thei lo. Chuvangin an cortisol level hi a sang tlem hle a, a sang lo hle bawk.

A châng chuan pituitary gland buaina hi tun hnaiah a awm emaw, a ṭhen chauh a nghawng emaw a nih chuan cortisol level hi a sang deuh thei a ni. Heng zawng zawng chungchanga thutlukna siam tur hian i doctor hi a tha ber a ni.