I taksaah heng inthlak danglamna te hi i nei em? Cortisol vang pawh a ni thei! (Cortisol Test) tih a ni.

A chang chuan, "Aw ka pathian, engvangin nge ka upa chak lutuk?" A nih loh leh i hmai chu a zungbun a, i kawr hnung lamah thau te tak te a lo lang tawh em? I chau leh luak chhuak reng reng pawh a ni mai thei. Heng symptoms pakhat emaw a aia tam emaw i neih chuan a chhan chu i taksaa hormone cortisol level inthlak vang a ni thei. Chuvangin vawiin hian cortisol chungchang leh a tehna test chungchang chipchiar takin kan sawi dawn a, awlsam takin.

A awlsam zawngin, cortisol chu eng nge ni?

Cortisol hi kan taksa tana hormone pawimawh tak a ni. Kan taksa "stress response" hormone ber angin ngaihtuah rawh. Kan stress emaw, pressure kan neih emaw hian cortisol hi kan taksa chu a hmachhawn thei tura buatsaihtu a ni. Tin, he hormone hian kan taksaa hna pawimawh dang tam tak a thawhpui bawk.

• Thisen sang a control thin.
• Thisen sugar level vawng reng turin a pui.
• Kan ei tur a carbohydrates, protein leh lipids te hian chakna ah min siam chhuak thin.
• Taksa chhunga inflammation a control thin.
• Kan mut leh harh chhuahna control tu sleep-wake cycle-ah pawh a pui bawk.

He cortisol hormone hi kan kal chunga awm gland te tak te pahnih atanga siam a ni. Hengte hi adrenal glands kan ti a. Chuvangin heng glands te hi harsatna a awm a nih chuan, emaw thluak bul lama pituitary gland te hi a awm a nih chuan cortisol level hi a sang lutuk emaw a hniam lutuk emaw a ni thei. I doctor-in heng symptoms te hi a zawt che a nih chuan cortisol test nei turin a ti thei che a ni.

Cortisol sang leh hniam hi eng symptoms nge ni?

Cortisol level a inthlak chuan kan taksa hian signal hrang hrang a thawn chhuak thin. Heng chhinchhiahnate hi eng nge ni tih i lo en ang u. Hei hi awlsam taka i hriatthiam theih nan table-ah ka rawn entir ang che.

Cortisol tihpun chhante chu engte nge ni?

Cortisol level a sang hle a nih chuan chu dinhmun chu Cushing’s syndrome kan ti a ni. Hei hi chhan lian tak tak engemaw zat a awm thei a:

• Natna dang tan steroid damdawi (e.g. prednisone) rei tak ei thin.
• Thluak chhunga pituitary gland-a tumor awm. He gland hi gland dangte "command" tu a ni.
• Adrenal glands-a tumor awm.

Cortisol tlahniam chhante chu engte nge ni?

Cortisol level tlahniam chhan ber chu Addison natna a ni . Hei hi kan taksa hriselna (immune system) ngeiin adrenal glands a beih lai a ni. Chubakah chuan,

• Adrenal glands natna hrik emaw tihchhiat emaw.
• Pituitary gland a thawk tha lo.
• Hun rei tak chhunga hman tawh steroid damdawi pakhat chu tihtawp nghal mai a ni.

Pawimawh: Steroid damdawi eng pawh i hmang a nih chuan i doctor thurawn tel lo chuan i ei nghal vat tawh ngai lo ang.Chutianga tih chuan cortisol level a tlahniam nghal thei a, dinhmun hlauhawm tak a siam thei a ni.

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Engtin nge cortisol test hi an tih thin?

I cortisol level enfiah dan tlangpui pathum a awm a, chungte chu thisen, hmui leh zun test te an ni. I doctor chuan i symptoms a zirin test dik ber a pe ang.

Cortisol level hi nitin a inthlak danglam tlangpui a, zingkar hmasa berah a sang ber a, zanlai lamah a hniam ber bawk . Hei vang hian test thenkhat chu ni khata hun bik neia tih a ngai a ni.

1. Cortisol Thisen Test

Hei hi test hman tlanglawn ber a ni. Ni khatah vawi hnih tih thin a ni tlangpui.

• A hmasa ber: zing dar 8 vel (cortisol level a san ber lai)
• Pahnihna: Tlai dar 4 vel (cortisol level a tlahniam chuan)

A awlsam khawp mai. Lab hian i kut chhunga vein pakhat atanga thisen sample tlemte chauh a la thin.

2. Cortisol Saliva Test neih a ni

Hei pawh hi a dik em em a, a awlsam em em bawk. Hei hi Cushing’s syndrome hriatchhuahna atan a pawimawh hle. Doctor chuan kit te tak te a pe ang che.

• Hei hi zan dar 11 leh 12 inkar , mut hmain tih thin a ni. Hei hi a chhan chu chu chu mi hrisel tak cortisol level a hniam ber lai a nih vang a ni. Chutih lai chuan level a la sang a nih chuan harsatna a awm tih hriattirna a ni.
• Test hma minute 30 chhungin ei leh in, ha sil loh tur a ni.
• Swab chu i hmuiah minute 2 vel i vawn a ngai a, chu chuan chil i khawlkhawm a, chutah chuan tube-ah dah lehin lab-ah i thawn leh tur a ni.

3. Cortisol Zun Test

A chang chuan i doctor chuan darkar 24 chhunga zun sample lak turin a ti ang che.

• Hemi kawngah hian thil thleng chu darkar 24 chhunga i zun i chhuah apiang sample pakhat chu special bottle-ah i lak a ngai a ni.
• He bottle hi refrigerator-ah emaw, ice awmna box-ah emaw dah fo tur a ni.
• Darkar 24 a ral chuan lab-ah thawn a ngai a ni.

Eng special test dang nge tih thin?

A châng chuan, i cortisol level dik lo awm chhan dik tak hriat tumin test belh a ngai ṭhin.

• ACTH Stimulation Test: Hei hian i adrenal glands ten hormone ACTH an tih, pituitary gland atanga lo chhuak an dawn dan a test thin. Hei hi cortisol level a hniam chuan tih a ni fo.
• Dexamethasone Suppression Test: Hei hi a chunga test lehlam ang kha a ni. Cortisol level sang chhan zawn nan tih a ni. Hetah hian steroid tlemte Dexamethasone an tih chu pek a ni a, a tuk zingah cortisol level enfiah a ni.

Heng test result hian i doctor chu i pituitary gland, adrenal gland emaw, thil dang emaw-ah a awm em tih a hriat theih nan a pui ang. A châng chuan, tumor rinhlelh a nih chuan CT scan emaw MRI scan emaw tih a ni thei bawk.

Test report-a cortisol level dik lo hi natna khirh tak chhinchhiahna a ni ngai lo tih hre reng ang che. Cortisol level pawh hi stress sang, exercise, naupai, leh damdawi thenkhat vangin a danglam thei bawk.