Tlem mak tak maiin i chau tawh em, rang takin i thau emaw, i thau lo emaw, i vun rawng a danglam tawh em? Hetiang hunah hian doctor-in, "ACTH test i ti ang" a tih che chuan i hlauthawng deuh mai thei. "Chu chu eng ang test nge ni?" I ngaihtuah mai thei. Lungngai suh. Hei hi thisen test pangngai a ni a, kan taksaa hormone awmte enfiah nan kan ti fo thin. Vawiin hian engkim hi i hriatthiam theih tur angin awlsam takin kan sawi dawn a ni.
A awlsam zawngin, ACTH chu eng nge ni?
Kan taksa hi machine mak tak a ni. Each part of it communicates with each other through chemical messages called "hormones." Pea ang maia lian, kan thluak bul hnaia awm,
pituitary gland hi office lian takah chief manager ang mai a ni ang tih han ngaihtuah teh. He manager hian thuchah bik a tichhuak a, chu chu
ACTH (Adrenocorticotropic hormone) tih a ni. He thuchah hi
adrenal glands-ah a kal nghal a, chu chu kan kal chungah cap pahnih ang mai a ni. Heng adrenal glands te hi factory ang mai an ni. ACTH thuchah chu pituitary gland atanga a lo chhuah chuan he factory hian hormone pawimawh tak
cortisol tih chu a siam chhuak ta a ni.
Chuti a nih chuan, engvangin nge he hormone cortisol hi kan tan a pawimawh?
Cortisol hi hormone mai a ni lo. Kan taksaah hna pawimawh tak a nei a.
- I thisen sang control nan a pui thin .
- Taksa chu natna hrik dona kawngah chakna a pe a .
- Kan ei tur a sugar , thau leh protein te chu min ti chhe vek a , chakna kan siam chhuak thin .
- Taksain stress a enkawl theih nan a pui thin.
Tunah chuan he system hi a pawimawh zia i hrethiam tawh em? Pituitary gland atanga ACTH message a pun chuan adrenal glands te hian cortisol an siam tam zawk thin. ACTH a tlahniam chuan cortisol siamchhuah pawh a tlahniam bawk. Doctor-in heng gland pahnih hnathawh danah rinhlelhna a neih chuan, chu chu ACTH emaw cortisol emaw level sang leh hniam a hriat duh chuan he ACTH test hi a order ang.
He test hi eng ang symptoms nge tih a nih?
ACTH hormone inthlauhna avanga symptoms lo awm hi cortisol hormone tihpun emaw tlahniam emaw nen a inzawm tlat a ni. Heng symptoms te hi eng nge ni tih i lo en ang u.
ACTH sang lutuk avanga cortisol level sang lutuk symptoms
| Rihna a sang chho zel | Thau awm zat, a bik takin hmai vel, kawr hnunglam leh kekawrte vel. |
| Vun a inthlak danglam thin | Pum, kawr leh hnuteah pink emaw purple emaw stretch marks lo lang. |
| Chak lo zawk | Muscle chak lohna leh hah lutuk fo thin. |
| Thil dang pawh a awm | Hliam te tak te pawh hi a sen nghal vat a, hmai vun a pung a, hmeichhiaah duh loh zawngin sam a seng a, thisen sang a sang bawk. |
ACTH tlahniam avanga cortisol level tlahniam symptoms
| Rihna tihtlem | Chaw ei tha mahse taksa rihna tihtlem. |
| Digestive system lama harsatna awm thei | Luak chhuak fo, luak chhuak, pum na, leh luak chhuak. |
| Vun a inthlak danglam thin | Hmun thenkhatah vun a dum (blackening) a, a bik takin elbows leh knees a thim (blackening). |
| Thil dang pawh a awm | Chauhna nasa tak, luak chhuak, leh ei tur chi ei duhna rilru pu fo thin. |
Heng chhinchhiahnate a\ang hian i doctor chuan
Cushing’s syndrome (cortisol tihpun),
Addison’s disease (cortisol tlahniam), emaw pituitary gland emaw hmun dangah emaw tumor i nei tih a ringhlel mai thei. Chu rinhlelhna chu nemnghet turin he ACTH test hi a pawimawh hle.
Test hmain engtin nge i inbuatsaih ang?
Hei hi thisen test a nih avangin inbuatsaihna tam tak a ngai tawh lo. Mahse, test result tichhe thei thil engemaw zat a awm. Chuvang chuan Doctor thupek dik taka zawm
a pawimawh hle .
- Steroids: Steroid damdawi eng emaw i ei a nih chuan i doctor chuan test hma darkar 48 vel khan ei tawh loh turin a ti thei che a ni. Heng damdawi te hian result a tidanglam vek thei a ni.
- Ei leh In: Test hma zan zanlai atanga chaw nghei tura tih i ni thei. Carbohydrate ( starch ) ei tur tihtlem turin an ti thei bawk .
- Exercise leh stress : Test hma darkar 12 chhungin exercise nasa lutuk emaw, a tul lo taka stress emaw tih loh tur. Heng thilte hian hormone level a nghawng thei a ni.
- Zan mut tha rawh: A hma zan khan mut tha rawh. Mut tlem pawhin hormone a nghawng thei a ni.
- Damdawi zawng zawng chungchang hi doctor hnenah hrilh rawh: Damdawi zawng zawng (Western, Ayurvedic, Sinhala), vitamin leh supplement i ei zawng zawng te chu i doctor hnenah hrilh ngei ang che.
Test tih dan tur leh a hlauhawmna te
Hei hi kalphung awlsam tak a ni. Thisen sample ang bawkin nurse chuan i kut vein atanga thisen sample a la ang. Mahse hetah hian thil danglam tak a awm. Kan ACTH leh cortisol level hi ni khata hun a zirin a danglam thin.
ACTH level hi zing dar 8 vel a sang ber a ni a ,
zan lamah a hniam ber bawk . Chuvangin, i doctor-in i hormone thlalak kimchang tak a hmuh duh chuan zing lamah vawi khat thisen sample an la thei a, tlai lamah emaw zan lamah emaw thisen sample an la leh thei bawk. Thisen an lak zawh chuan sample te chu ice-ah dah nghal a ni a, lab-ah thawn nghal a ni. Hei hi a chhan chu ACTH hi hormone tihchhiat thuai theih a nih vang a ni. Risk chungchang erawh chu thisen test eng pawha risk awm tlangpui a awm. Needle dahna hmunah hian natna engemaw zat a awm thei a, hliam engemaw zat a awm thei a, a tlem hle bawk a, infection a awm thei bawk. Thil ngaihtuah tur a awm lo.
Engtin nge a rah chhuah chu kan hriatthiam theih ang?
I report result hi lab hrang hrangah a inang lo deuh thei. Puitling hrisel tak tan chuan ACTH level average, zing dar 8 a.m.-a teh chu milliliter khatah picogram 10 leh 50 inkar (pg/mL) a ni tur a ni. Mahse,
doctor ni suh la, report a\angin nangmah ngeiin thutlukna siam mai rawh . Heng result te hi a nghawng thei thil dang tam tak a awm bawk.
- Test hma ni khatah khan i muhil tha em?
- I stress em?
- Damdawi dang i ei lai (e.g. insulin, hormone pills).
- Hmeichhia a nih chuan a thlasik hun ni.
- Tun hnaia accident emaw trauma emaw a awm.
- Thisen sample chu uluk taka lak a nih leh nih loh, ice-a dah a nih leh nih loh, leh dah that a nih leh nih loh.
Heng zawng zawng hi ngaihtuah chungin i doctor chuan i ACTH result leh i cortisol result pahnih chu a en dun ang. Result pakhat chauh atanga thutlukna an siam dawn lo. I ACTH level a sang a, i cortisol level pawh a sang a nih chuan thil pakhat a awm tihna a ni. I ACTH level a sang a, i cortisol level a hniam chuan thil dang a awm tihna a ni. Chuvangin, i result i hmuh veleh i doctor hmu turin i hruai ang. Heng zawng zawng hi ngaihtuah chhuakin i dinhmun leh i tih tur dik tak hrilhtu tur che a ni ang. Heng result finfiah nan hian test tam zawk an order thei bawk.
Take-Home Thuchah a ni
- ACTH test hi thisen test a ni a, kan thluaka pituitary gland atanga hormone a chhuah dan tehna a ni. Tin, adrenal glands hnathawh dan min hrilh thei bawk.
- He test hi cortisol hormone test nen tih a ni tlangpui.
- Doctor chuan he test hi a rawt thei ang, chhan hriat loha i taksa rihna inthlak danglam, hah lutuk, vun inthlak danglam ang chi symptoms i neih chuan.
- Results dikna atan chuan test hmaa doctor thupek (ei leh in, damdawi, leh exercise chungchangah) dik taka zawm a pawimawh hle.
- Test report i dawn hnuah chuan value-te hmangin nangmah ngeiin thutlukna siam suh. Report chu i doctor hnenah a dik taka thlirletna leh thurawn pe turin entir ngei ang che.
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