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 level a san chuan (High Cortisol) . | Cortisol level a tlahniam chuan (Low Cortisol) . |
|---|---|
| Thau lutuk (a bik takin pum, rilru leh hmaiah) . | Chauhna awm reng |
| Hmai zungbun | Luak chhuak thei |
| Kawng hnunglam emaw, kekawr inkar emawa thau hring (fatty lump) lo awm | Rihna tihtlem |
| Thisen sang a sang | Thisen sang hniam |
| Thisen sugar level a sang | Muscle chak lohna |
| Vun a inthlak (bruising awlsam, purple streaks) . | Luak chhuak, luak chhuak, leh pum na |
| Hmeichhiaah thlasik hun mumal lo | Taksa chhunga chi (salt craving) a awm |
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.
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.
Take-Home Thuchah a ni
- Cortisol hi kan taksaa stress control tu hormone a ni a, hna pawimawh dang tam tak a thawk bawk.
- Symptoms, taksa rihna sang nghal, hahna, leh luak chhuak te hi cortisol level inthlak danglam vang a ni thei.
- Cortisol level hi thisen, hmui, zun test hmanga teh theih a ni. A level hi ni khata hun a zirin a inang lo.
- Cortisol level a san lutuk chuan Cushing’s syndrome chhinchhiahna a ni thei a, a hniam lutuk chuan Addison’s disease chhinchhiahna a ni thei bawk.
- Heng symptoms te hi i neih emaw, i test result i ngaihtuah emaw a nih chuan i doctor nen inbia ngei ang che . Mahni inhriatthiamna leh mahni inenkawl hi pumpelh rawh.
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