I stress hormone chu a out of whack em? Cortisol test chungchang zawng zawng hi a awlsam zawngin i zir vek ang u!

A châng chuan a danglam bîk takin i chau a, chhan awm lovin i thau a, a nih loh leh lungkhamna leh lungkhamna nasa tak i nei em? Hengte hi thil pangngai, nitin harsatna avanga thil thleng niin kan ngai fo thin a, mahse hei hnung lama kan taksaa ‘stress hormone’ cortisol an tih hi eng emaw zat inthlak danglamna a awm thei a ni. Chuvangin i doctor hian heng symptoms te hi a hmuh chuan he cortisol test hi tih a rawt mai thei. Vawiin hian he cortisol test hi eng nge a nih, engvangin nge tih a nih tih leh eng nge a hrilh theih che tih kan sawi dawn a ni.

A hmasa berah chuan cortisol chu eng nge ni?

A awlsam zawngin sawi ila, cortisol hi kan taksaa hormone pawimawh tak a ni. Kan kal chunga awm gland te tak te pahnih, adrenal glands atanga siam a ni. Hei hi ‘stress hormone’ tiin kan hre vek. Ngaihtuah teh, hlauhawm, nawrna emaw, hlauhna emaw kan hmachhawn nghal hian, he cortisol hormone hian kan taksa chu a hmachhawn tur chakna leh inbuatsaihna a pe a ni.

Mahse cortisol hnathawh chu chutah chuan a tawp lo. Hna pawimawh dang tam tak a nei bawk.

• Thisen sang control dan tur.
• Thisen sugar level vawng reng turin a pui.
• Kan taksa metabolism, kan ei tur chu carbohydrates, proteins leh fats-a then a, energy-a chantirna hian a pui a ni.
• Taksa chhunga inflammation control.
• Kan mut leh harh cycle control.

Hmu? Cortisol hi stress nena inzawm mai a ni lo va, kan taksa chhunga thil tam tak hnathawh thatna atana thil pawimawh tak a ni.

Cortisol level sang lutuk hian eng symptoms nge a neih?

I cortisol level a san lutuk chuan Cushing’s syndrome tih hming pu natna chhinchhiahna a ni thei. I hmuh theih tur symptom thenkhat chu hetiang hi a ni.

Cortisol tihpun chhante chu engte nge ni?

• Steroid damdawi: Damdawi dang (e.g. asthma, rheumatoid arthritis) atan steroid damdawi tam tak dexamethasone emaw prednisolone emaw rei tak ei thin.
• Pituitary gland tumor: Pituitary gland-a tumor awm, kan thluak bul hnaia awm, taksa chhunga hormonal gland dangte control tu master gland ang mai a ni.
• Adrenal gland tumor: Gland chhung ngeia tumor emaw, a lo thang dan pangngai lo emaw, cortisol siamtu.

Cortisol level a tlahniam chuan eng nge thleng ang?

Cortisol level hlauhawm taka a tlahniam chuan Addison’s disease an tih natna chhinchhiahna a ni thei . Hetah hian a symptoms te chu tarlan a ni.

• Chauhna awm reng
• Luak chhuak thei
• Rihna tihtlem
• Thisen sang hniam
• Hmun thenkhatah vun rawng dum emaw dum emaw a inthlak danglam thin

Cortisol tlahniam chhante chu engte nge ni?

• Addison natna: Hei hi keimahni taksa ngeiin kan adrenal glands a beih a, chhan awm lova a tihchhiat hian a ni.
• Adrenal gland chhiatna: Heng glands te hi natna hrik emaw thil dang emaw avanga chhiatna.
• Pituitary gland dysfunction: ‘Master’ in hna a thawh that loh chuan adrenal gland te hian cortisol siam chhuahna signal an dawng lo.
• Steroid ei khap nghal mai: Hei hi a pawimawh hle. Damdawi lam thil avanga steroid i ei rei tawh a nih chuan, tihtawp nghal mai chuan i cortisol level chu hlauhawm takin a tlahniam thei a ni. I doctor kaihhruaina hnuaiah damdawi ei kha titawp fo la, zawi zawiin a dose chu tihhniam rawh.

Cortisol test chi hrang hrang nge awm?

I doctor-in i cortisol level enfiah turin test a ti a nih chuan tih dan tlangpui pathum a awm.

1. Thisen Test: Hei hi hmanraw hman tlanglawn ber a ni. Cortisol level hi nitin a inang lo (zing lamah a sang ber, zanah a hniam ber) avangin i doctor chuan thisen sample pahnih lak turin a ti thei che a, a tlangpuiin pakhat chu zing dar 8 vel a ni a, pakhat chu tlai dar 4 vel a ni. Hei hian chutih hunah chuan i cortisol level chu eng ang nge a nih tih i hmu thei ang.

2. Saliva Test: Hei hi zan mut hma, zanlai dar 11 leh 12 inkarah tih a ni fo. Hei hi a chhan chu mi hrisel chuan chutih lai chuan cortisol level a hniam ber tur a ni. Chutih lai chuan cortisol level a la sang a nih chuan Cushing’s syndrome ang chi hi rinhlelhna chhan tha tak a ni. Hei atan hian i doctor chuan kit bik a pe ang che.

3. Zun Test: A chang chuan i doctor chuan darkar 24 chhunga i zun zawng zawng la khawm a, test vek turin a ti thei che a ni. Hei hi ``Darkar 24 chhunga zun test an ti a.`` A buaithlak deuh thei a, mahse he method hian nitin i taksain ``free cortisol`` a siam chhuah zat tur ngaihtuahna tha ber a pe che a ni.

He test hmanga test bik dang tih te

A châng chuan, cortisol level hniam emaw, sang emaw chhan dik tak hriat nân, i doctor chuan specialized test ṭhenkhat a rawt thei bawk.

• ACTH Stimulation Test: Hei hian i adrenal glands ten i pituitary gland atanga ‘command’ (hormone `ACTH`) an dawn dan a test thin. Boss-in hnathawk pakhatin thil tih tura tih a nih chuan thil dik a ti em tih a enfiah ang mai a ni. Hei hi a bik takin cortisol level tlahniam chhan hriat nan an ti thin.

• Dexamethasone tihtawp dan tur test:Hei hi chu fiahna lehlam ang mai a ni. Taksa chhunga cortisol level sang tak chu steroid damdawi ``(dexamethasone)'' tih tlemte pek hmangin a control em tih a enfiah thin. Hei hian Cushing’s syndrome i vei em tih leh pituitary gland-a tumor emaw hmun danga emaw tumor avanga lo awm a nih leh nih loh hriat nan a pui a ni.

I doctor chuan tumor ang chi thil a rinhlelh chuan CT scan emaw MRI scan emaw atan pawh a refer thei bawk.

Results a dik lo thei chhan dang

Cushing’s syndrome leh Addison’s disease hi a tlem hle. Cortisol level dik lo awm chhan tam zawk a awm.

• Stress nasa tak a awm
• Exercise tam lutuk
• Naupai lai
• Thau lutuk
• Damdawi thenkhat, birth control pill ang chi te

Chuvangin result a inthlak thut chu hlau suh. I doctor chuan heng zawng zawng hi a ngaihtuah ang a, a chhan dik tak chu a hrilh ang che.