I fa chu i en a, "A kum rualpui naupang dang aiin a tawi zawk a ni lawm ni?" A nih loh leh, puitling i nih angin sawifiah theih loh khawpin i chau a, chakna i tlachham tih i inhria fo em? Heng kan taksaa thil thleng tam tak hnung lamah hian chemical messenger te te hormone an tih te hi an awm a. Chuvangin vawiin hian hormone pawimawh ber pakhat leh a tehna atana test bik tih kan sawi dawn a ni.
He Growth Hormone hi eng nge ni?
A awlsam zawngin sawi ila,
growth hormone hi a bik takin kan naupan lai hian kan sang zawk a, ruh chak zawk kan siam a, taksa ruh kan siam tha hle. Hei hi
Human Growth Hormone ,
emaw a tawi zawngin (HGH) emaw
(GH) emaw kan ti thin. Chu chu pea ang maia lian gland te tak te, kan thluak hnuaia awm, lu lai takah awmin a siam a, chu chu
pituitary gland an ti a ni. He pituitary gland hi kan taksaa "master gland" angin han ngaihtuah teh. Hormone system dang tam tak a control a ni. He system pumpui hi
endocrine system kan ti a . Chuvangin, eng emaw chhan vanga he growth hormone (GH) hi taksaah a mamawh aia tlem emaw, a chang chuan a tam emaw a siam chhuah a nih chuan hriselna lama harsatna hrang hrang a awm thei a ni.
Growth hormone (GH) level inthlauhna avanga harsatna awm thei
| GH level a hniam chuan (deficiency) . | |
| GH level a san chuan (hyperactivity) . | - Gigantism - naupang ruh sei dan pangngai lo
- Acromegaly - Puitlingah chuan kut, ke leh hmai ruh lian zawk
- Pituitary tumor a lo awm theihna
|
I fa emaw, nang emaw hian heng chhinchhiahnate hi i neih chuan, i doctor chuan
growth hormone stimulation test neih a rawt thei ang .
Engtik laiin nge doctor hian he test hi a refer che?
Hei hian naupang leh puitling a nghawng dan a inang lo.
Naupang lam erawh chu...
I fa chu routine checkup-a i hruai hunah, chu chu an
pediatrician -ah i hruai chuan, doctor chuan an
san zawng, an rih zawng, leh an lu vel chu a teh ang . Heng tehnate hi chutiang kum lama naupang hrisel tak takte thanlenna chart nen khaikhin a ni.
Entirnan, i fa chu a kum rualpui naupang dangte aiin a tawi zawk tih a chiang a, a nih loh leh a than chakna a tlahniam nghal a nih chuan doctor chuan a ringhlel mai thei. Chutih hunah chuan heng hormone level te hi enfiah tir tur nge tih a rel ang.
Puitling lam erawh chu...
Puitling i nih tawh chuan a hnuaia symptoms pakhat emaw a aia tam emaw i neih chhunzawm chuan doctor pan a pawimawh hle.
- Thahrui tlakchhamna leh hah reng reng
- Muscle mass hloh (i taksa ruh te a te deuh ang maia hriat, i khat tawh chung pawhin) .
- Taksa thau tam (a bik takin pum chhehvel) .
- Lungngaihna
- Ruh chakna a tlahniam
Dik tak chuan heng chhinchhiahnate hi natna dang tam takah pawh a awm fo. Amaherawhchu, GH hormone siamchhuahna lama harsatna an neih chhinchhiahna an ni thei bawk. Chuvangin a chhan dik tak hriat tumin test neih a pawimawh hle.
Test atan engtin nge kan inbuatsaih ang?
He test hma hian inbuatsaihna tlem a awm tur a ni. He inbuatsaihna hi naupang leh puitling tan chuan a danglam deuh hlek a ni.
Naupang buatsaih dan tur
Hei hi darkar eng emaw zat test a nih avangin rilru lama naupang inbuatsaih a pawimawh hle.
- Damdawi chungchangah fimkhur rawh: Test hma zan leh test ni-ah doctor phalna lo chuan damdawi engmah pek loh tur a ni. A bik takin i fain ADHD ang chi natna damdawi a ei a nih chuan, methylphenidate (Ritalin) ang chi, chu chu doctor hnenah i hrilh ngei ang. Hengte hi test laiin damdawi pek thin clonidine ang chi te nen an inzawm thei a ni.
- Chaw nghei: Test hma darkar engemaw zat chaw nghei tura tih i ni tlangpui ang. I doctor chuan a chipchiar tak chu a hrilhfiah ang che.
- Boredom awm lo turin tanpui rawh:Test neih hian darkar engemaw zat a daih dawn avângin, i fate chu a buai theih nân thil, lehkhabu, infiamna, a nih loh leh tablet . Tin, thawmhnaw nuam takin inthuam bawk ang che.
Puitlingin a inbuatsaih dan
Puitling tan chuan i doctor chuan GH Stimulation Test bakah hian hormone test dang engemaw zat a order thei bawk. Entirnan, hormone
IGF-1 leh
IGFBP-3 te level an enfiah thei a, chubakah
cortisol ,
prolactin, leh
testosterone ang hormone te pawh an enfiah thei bawk. Tin, hetiang hian i ti thei bawk:
- I chaw nghei a ngai dawn a ni . Darkar 10-12 chhung vel pawh a ni mai thei. Hemi chungchang hi doctor zawt rawh.
- Damdawi leh supplement thenkhat chu tihtawp a ngai mai thei . Entirnan, insulin, naupai venna damdawi, leh herbal supplement (St. John’s wort ang chi) te. Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Test hma darkar 10 velah exercise lak loh tur a ni a , hormone level a tidanglam thei a ni.
- Diabetes mellitus emaw obesity emaw i neih chuan i doctor hnenah pawh hrilh bawk ang che, heng dinhmunte hian result a nghawng thei a ni.
Test neih chhung hian eng nge thleng?
Hei hian hlau suh, a kalphung chu a awlsam hle. 1.
IV line dah: A hmasa berin, trained nurse emaw technician emaw chuan i (or i fa) kut emaw kut emaw vein pakhatah
cannula te tak te (IV line) a dah ang. Hei hi a vawi khatnaah i kut zungtang chu needle hmanga i hliam loh nan tih a ni a, test chhung zawng hian thisen vawi tam tak lak chhuah a nih dawn avangin. 2.
Thisen lak hmasak ber: Cannula an dah hnuah baseline blood sample lak a ni. 3.
Stimulating medication pek: Tichuan, pituitary gland GH hormone chhuah tir thei damdawi chu he cannula hmang hian taksaah pek a ni. Damdawi hman tam ber chu
clonidine, arginine , emaw
glucagon . Tun hma chuan insulin hi hman thin a ni a, tunah chuan himna atan hman a tlem tawh hle. Puitling tan chuan damdawi tui tak
macimorelin an tih pawh an hmang \hin. 4.
Thisen lak: Damdawi pek a nih hnuah
minute 30 danah darkar 2-3 chhung thisen sample eng emaw zat lak thin a ni. Hei hi a tlem hle a, ni khatah teaspoon hnih vel chauh a ni mai thei. 5.
Test tawp: Thisen sample zawng zawng lak vek hnuah Cannula chu lakchhuah a ni. Chumi hnuah chuan i ei leh in thei ang. Nilengin chawlh hahdam a tha ber. He test atang hian harsatna lian tham a awm lo. Mi thenkhat chuan an lu a hah deuh mai thei. Cannula dahna hmunah hian hliam engemaw zat a awm thei.
Results hian eng nge a sawi?
Ni engemaw zat chhungin result a awm tlangpui. I doctor chuan heng result te hi a zirchiang ang a, thil awmdan chu a sawifiah ang.
| Nghawngchhuah | Eng nge a awmzia ni thei |
|---|
| GH level beisei aia hniam a nih chuan (Low Levels) . | - GH hormone tlakchhamna a awm thei.
- Hei hi dwarfism awm chhan pawh a ni thei.
- Hypopituitarism a ni thei a, chu chu pituitary gland a thawk tha lo tihna a ni.
|
| GH levels beisei aia sang a nih chuan (High Levels) . | - Gigantism ( naupangah) emaw acromegaly (puitlingah) emaw an tih natna a ni thei.
- Pituitary gland-ah hian tumor a awm thei.
|
Heng GH harsatna te hi a chang chuan gland dang, thyroid gland te nena inzawmna nei thei a nih avangin i doctor chuan test dang neih belh turin a ti thei bawk. Tumor rinhlelh a nih chuan
MRI emaw CT scan emaw pawh a order thei bawk.
A pawimawh ber chu heng natna te hi a hmaa hriatchhuah a nih chuan enkawl theih a ni. Naupangah chuan hengte hi a chang chuan hun kal zelah an insiamtha thei a ni. GH tlakchhamna a awm chuan nitin GH hormone injection ang chi enkawlna awlsam tak hmanga than dan pangngai a awm theihna chance a awm.
Chuvangin nangmah emaw, i fa emaw hian heng symptoms te hi i nei a nih chuan hlauthawng suh la, i rilruah dah reng la, doctor thiam tak hnenah thurawn dil nghal rawh.
Take-Home Thuchah a ni
- Growth Hormone (GH) hi naupang san zawng leh taksa thanna atana pawimawh tak a ni.
- Naupang san zawng tlem, puitling tlai, puitling chau lutuk leh chakna hloh te ang chi natna lanchhuahna te hi GH hormone problem chhinchhiahna a ni thei.
- Growth Hormone Stimulation Test hi test him tak a ni a, pituitary gland a tichak a, taksain GH a siam chhuah zat a teh a ni.
- He test hian inbuatsaihna engemaw zat a mamawh thei a, chu chu chaw nghei emaw, damdawi thenkhat tihtawp emaw a ni thei. Hemi chungchang hi doctor zawt rawh.
- Hetiang harsatna i rinhlelh chuan a rang thei ang bera Doctor pan la, thurawn la turin hlau suh. Hriat hmasak chuan enkawlna hlawhtling tak a thlen thei a ni.
Growth Hormone, Growth Hormone, HGH, Naupang San zawng, Seng lo, Pituitary Gland, Growth Hormone Stimulation Test Sinhala, Hormone Test, Naupang thanlen dan
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