A chang chuan chhan awm lovin rintlak takin i chau thin em? A nih loh leh, i rit hle tih i inhria em, i rilru hahna nasa tak hnuaia awm reng ang maiin? A châng chuan i rihna chu a pung emaw, a tlahniam emaw nghal thei bawk. Heng thilte nen hian doctor i pan a, ani chuan, "Cortisol test i ti ang u," a tih hian, chu chu eng nge a awmzia tih i ngaihtuah mai thei. Ngaihtuah buai suh, vawiinah hian he cortisol test chungchang hi awlsam takin kan sawi dawn a ni.
I en hmasa ang, Cortisol hi eng nge ni?
A awlsam zawngin sawi ila, Cortisol hi kan taksaah hormone pawimawh tak a ni. Kan kal chunga awm gland te tak te pahnih, adrenal glands atanga siam a ni. Mi tam tak chuan "Stress Hormone" an ti a, chu chu kan stress laia hormone siam chhuah tam lutuk a ni tihna a ni. Chu chu a dik a, mahse Cortisol hnathawh hi chutiang chauh chu a ni lo.
I taksa hi company lian tak angin han ngaihtuah teh. Cortisol hi chu company-a manager tha tak ang mai a ni. Emergency leh stressful situation-a taksa hnathawh enkawltu a ni.
- Energy control: Kan taksain chakna a mamawh thuai chuan Cortisol hian kan taksaa sugar (glucose), thau leh protein awmte chu kan hmang tangkai thei a ni.
- Immune system a tidanglam: He hormone hian taksaa inflammation ang chi thilte a control thei bawk.
- Thisen sang a control: Cortisol hian kan thisen sang chu a normal level-a awm reng turin a pui bawk.
- Mut leh harh theihna a tidanglam: Cortisol level inthlak danglamna hi zing kan thawh hian chakna min pe a, zan mut turin min buatsaih bawk.
Chuvangin Cortisol hi stress nena inzawm hormone mai ni lovin kan taksaa thil pawimawh tam takah a inrawlh tih i hrethiam mai thei.
Engvangin nge doctor hian he cortisol test hi tih tir che?
Tunah chuan cortisol level dik tak neih a pawimawhzia chu i hrethiam tawh mai thei. He level hi a sang lutuk emaw a hniam lutuk emaw a nih chuan kan taksaah harsatna hrang hrang a thleng thei a ni. Doctor chuan i symptoms te hi i cortisol level inthlauhna avanga lo awm a nih a rinhlelh chauhvin he test hi a order ang.
He test hian damdawi lam thil engemaw zat hriat theihna a pui ber a:
- Cushing Syndrome: Hei hi taksaa cortisol tam lutuk avanga lo awm a ni. Doctor chuan a hnuaia symptoms te hi i neih chuan a ringhlel thei ang:
- Pum chauh a chhuak a, a ke leh ke te chu a hring ta a ni.
- Hmai chu a round leh plump (moon face) a lo ni ta.
- Kawr hnunglam leh kekawr inkar (buffalo hump) ah hian thau layer a lo lang thin.
- Vun chu a hring a, a hliam awlsam a, purple streaks (stretch marks) a lo awm bawk.
- Thisen sang leh thisen sugar level sang.
- Hmeichhia thlasik hun mumal lo leh hmai sam duh loh zawnga sei.
- Addison’s Disease: Hei hi taksain hormone Cortisol a siam chhuah tlem vang a ni. A lan chhuah dan chu:
- Chau lutuk tih hriat reng reng.
- Chaw ei chakna hloh leh taksa rihna tlahniam.
- Luak chhuak leh thisen sang hniam.
- Vun hmun thenkhat, a bik takin vun fold leh gums ang chi te chu a dum thin.
- Chaw tui tak ei duh lutuk.
- Tumor dang: A châng chuan, adrenal glands emaw pituitary gland-a tumor chi hrang hrang awm hian cortisol level danglam takin a tisang thei a ni.
A pawimawh ber chu, heng symptoms te hi i neih vang mai maia he natna hi i nei tih ring suh. Hengte hi chhan dang vang pawh a ni thei. Chuvang chuan doctor chuan hetiang hian test a nei a, a chhan dik tak chu a zawng chhuak thin.
Cortisol level hi engtin nge kan enfiah ang? Test chi hrang hrangte chu engte nge ni?
I cortisol level test dan kawng hrang hrang a awm. I doctor chuan i dinhmun a zirin eng test nge i tan a tha ber tih a rel ang. A châng chuan, ni khatah vawi hnih test nei turin an ti thei che a ni. Hei hi a chhan chu kan cortisol level hi nitin a inang reng loh vang a ni. Cortisol level hi zing kan thawh hian a sang zawk tlangpui a, chumi hnuah ni a liam zel chuan a tlahniam zauh zauh a, zan lamah chuan a hniam hle.
A hnuaia table atang hian heng test chi hrang hrangte hi i hrethiam mai ang.
| Test dan tur | Eng nge check mek? | Engtin nge hetiang hi kan tih ang? |
|---|---|---|
| Thisen Test a ni | Thisenah cortisol level a awm | Ni khatah thisen sample vawi hnih lak a ni a, a tlangpuiin zing dar 8 vel leh tlai dar 4 vel a ni. |
| Saliva Test a ni | Cortisol level chu hmuiah a awm | Saliva sample chu hmanraw bik hmangin lak a ni. Hei hi zanlai dar 11 leh 12 inkarah tih a ni tlangpui a, chutih lai chuan cortisol level a hniam ber a ni. |
| Zun Test a ni | Zun atanga cortisol chhuak zat | Darkar 24 chhunga zun chhuak zawng zawng chu lakkhawmin test vek a ni. |
He test hi tih dan tur hi chipchiar deuhin han en ila .
Tunah chuan he test hi pakhat hnu pakhatin chipchiar takin kan en ang. Tichuan he thil hi hlauhna leh rinhlelhna i neih a ngai tawh lovang.
Cortisol Test (Thisen endik) 1.1.
Hei hi thisen test i tih thin ang chiah kha a ni.
1. Chair-ah i thu ang a, lab-a mi pakhatin i kut ah vein a hmu ang. A tlangpuiin thisen chu i elbow chhung lam atanga lak chhuah a ni ang.
2. Chumi hnuah a hmun chu uluk takin silfai a, zungbun te tak te chu vein chhungah thun a, thisen tlem te te chu lakchhuah a ni. Hetih lai hian rulhut te tak te seh ang maia natna i nei thei.
3. Thisen mamawh zat an lak zawh hnuah a zung chu la chhuakin chu hmunah chuan cotton chi khat dahin an hmet thla a.
4. Tichuan plaster te tak te chu a hmunah hnawih a ni. Minute 5 aia rei lovah a tawp vek.
Saliva Test a ni
Hei hi in lama tih theih test a ni tlangpui. Hei atan hian i doctor chuan kit bik a pe ang che. Instruction dik tak i zawm a ngai a ni.
1. Test i tih hmain minute 30 chhung ei leh in, ha sil, engmah zuk loh tur.
2. Kit chhunga swab chu i ka chhungah dah la, i kut hmanga khawih lovin i hmui chhungah dah la.
3. Minute engemaw zat i ka chhungah i vawn tur a ni a, chu chu chil a hnim tha vek hma loh chuan.
4. Tichuan khawih ngai lovin kit chhunga test container chhungah dah la.
5. Chumi hnuah chuan doctor chuan lab-a thawn kir dan tur a hrilh ang che.
Urine Cortisol Test hmanga enfiah a ni
He test hian darkar 24 chhunga i zun i chhuah apiang chu la khawm turin a ti che a ni . Hei hi harsatna ang maia lang mah se, result dik tak hmuh a pawimawh hle.
1. I ni tan hun tur thlang rawh. Zing dar 8 a.m ti ila , chutih laia i zun hmasa ber kha la khawm suh, a hma ang bawkin toilet-ah kal mai rawh. Mahse, a hun dik tak chu ziak rawh.
2. A hnu lama zun chhuah apiang, .Nitin leh zankhuain lab-in a pek bik container-ah i khawlkhawm a ngai a ni. Urine drop khat pawh tla lo turin fimkhur rawh. Tin, bawlhhlawh emaw toilet paper phek emaw pawh a chhungah lut suh.
3. He zun bottle hi hman loh hunah fridge emaw cooler emaw ah dah thin ang che.
4. A tuk zingah, hna i thawh tan rual vek (entir nan, zing dar 8-ah) bottle chhunga zun hnuhnung ber chu la khawm tum ang che.
5. Bottle-ah hian i hming, i tan hun leh i zawh hun chiang takin ziak la, a rang thei ang bera lab-ah rawn thawn rawh.
Report hlutna te hi i hrethiam ang u.
Test atanga ni engemaw zat chhungin report i dawng ang. A chhunga hlutna awmte i hmuh chuan hlauthawng suh. I doctor chauhvin chiang takin a hrilhfiah thei ang.
Thisena cortisol level pangngai chu hetiang hi a ni:
- Zing dar 6 - 8 inkarah: 10 atanga 20 mcg/dL (deciliter khatah microgram)
- Tlai dar 4 vel: 3 atanga 10 mcg/dL
Zing lamah level a sang zawk a, tlai lamah a hniam zawk tih i hmu mai thei. Mahse, heng value te hi lab hrang hrangah leh mi hrang hrangah a inang lo deuh thei a ni. Chuvangin report-a hlutna awmte chungchangah thutlukna siam turin zuang lut suh.
I cortisol level a san chuan... (High Levels)
Cortisol level beisei aia a san chhan hi eng emaw zat a awm thei.
- Damdawi thenkhat i ei thin, a bik takin corticosteroid ang chi te.
- Pituitary gland-a tumor a awm chuan hormone ACTH a siam tam lutuk a.
- Adrenal gland-a tumor awm avanga cortisol siam tam lutuk.
- Taksa hmun danga tumor, lung cancer ang chi.
I cortisol level a hniam chuan... (Low Levels)
Chhan engemaw zat avang hian cortisol level tlahniam a awm thei.
- Pituitary gland a thawk tha lo.
- Adrenal glands a chhiat emaw, hnathawh a tlahniam emaw.
Report-ah hian thil danglam tak a awm a nih chuan eng nge thleng leh ang?
Hei hi a pawimawh ber a ni. Test report-in hlutna pangngai lo a lantir vang mai mai chuan natna khirh tak i nei tihna a ni lo. Cortisol level a inthlak danglam theih chhan dang tam tak a awm bawk.
- Stress: Test ni-a stress nasa tak i neih chuan a value te chu a danglam thei.
- Taksa tihchak: Exercise tam lutuk ang chi thil.
- Damdawi lam thil dang: Khawsik, hri kai ang chi thil.
- I mut dan: Zan lama hnathawk mi pakhat cortisol pattern hi a danglam thin.
- Damdawi thenkhat.
Chuvangin, doctor chuan i report, i symptoms leh i medical history kimchang chu a khaikhin a, thutlukna a siam ang. A tul chuan a chhan thuk zawka zir chian nan test engemaw zat neih belh leh a rawt thei bawk.
- ACTH tihchakna test: 1.1.Hei hian i adrenal glands te hian ACTH hormone an chhan dan a test thin.
- Dexamethasone suppression test: He test-ah hian damdawi an pe che a, chutah chuan i cortisol level an teh thin.
- Imaging test: I glands dinhmun enfiah nan MRI emaw CT scan ang chi thil tih tir i ni thei bawk.
Report hmuh hnua lungkhamna awm hi thil pangngai tak a ni. Mahse, hre reng ang che, cortisol level sang emaw, hniam emaw i neih vang mai mai chuan enkawlna ngai damdawi i nei tihna a ni lo. Thâwk la la, i doctor nen hemi chungchang hi zalen takin sawipui rawh. I mamawh kaihhruaina a pe ang che.
Take-Home Thuchah a ni
- Cortisol hi kan taksaah hna pawimawh tak tak thawktu hormone a ni. "Stress hormone" mai a ni lo.
- Cortisol test hian taksaah he hormone hi a tam lutuk nge a tlem lutuk tih a hriat theih. Hei hian Cushing syndrome leh Addison natna ang chi natna hriatchhuahna kawngah a pui thei a ni.
- He test hi thisen, hmui, zun sample hmanga tih theih a ni. I doctor chuan i tana tha ber tur a ruat ang.
- Test report-in value pangngai lo a lantir vang mai maiin hlauthawng suh. Hei hi thil tam takin a nghawng thei a, chung zingah chuan stress, natna dang, leh damdawi te pawh a tel.
- I test report leh i tih tur dangte chu i doctor nen sawiho fo ang che. Thutlukna siam tura zuang chhuak chu pumpelh rawh.











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