Kei te tino ngenge koe, kei te piki, kei te heke rānei tō taumaha kāore i te mārama, kei te kite rānei koe i ngā huringa o tō kiri? Mena kua tūtohu tō tākuta i tētahi "whakamātautau ACTH," he mea maori te āwangawanga, te pōhēhē rānei. Kaua e manukanuka. He whakamātautau toto paerewa tēnei e whakamahia ana hei aromatawai i te mahi a ngā homoni o tō tinana. I Nirogi Lanka, e hiahia ana mātou ki te wehewehe i tēnei ki ngā kupu māmā kia mārama ai koe ki te mea e tupu ana.
He aha rawa te ACTH?
He pūnaha whakamiharo tō tinana, e whakawhitiwhiti kōrero ana ngā wāhanga rerekē mā roto i ngā karere matū e kiia nei ko ngā "hormone." Whakaarohia te repe pituitary rite te rahi ki te pī kei te pūtake o tō roro hei "Kaiwhakahaere Matua" o tētahi whakahaere nui.
Ka tukuna e tēnei kaiwhakahaere tētahi tohutohu motuhake e kiia nei ko te ACTH (Adrenocorticotropic hormone) . Ka haere tika tēnei tohu ki ō repe adrenal , e noho ana pērā i ngā taupoki iti i runga i ō whatukuhu. Whakaarohia ēnei repe he wheketere. Ina tukuna e te repe pituitary te tohu ACTH, ka whakaputahia e te wheketere adrenal tētahi homoni nui e kiia nei ko te cortisol .
He aha te hiranga o te Cortisol ki a koe?
Ehara te Cortisol i te homoni noa iho; he maha ngā mahi nui a ia i roto i tō tinana:
- Ka āwhina i te whakahaere i tō toto toto ( te pēhanga toto ) .
- Ka whakaratohia he pūngao ki tō tinana hei whawhai tōtika i ngā mate urutā .
- Ka āwhina i te wawahi i ngā huka , ngā ngako , me ngā pūmua mai i te kai ka kainga e koe hei hanga pūngao.
- Ka āwhina i tō tinana ki te whakahaere i te ahotea tinana me te ahotea kare ā-roto.
Ka kite koe he aha te hiranga o tēnei pūnaha. Mēnā ka piki ake te tohu ACTH mai i te repe pituitary, ka nui ake te cortisol e whakaputaina ana e ngā repe adrenal. Mēnā ka heke te ACTH, ka pōturi te hanga cortisol. I te nuinga o te wā ka whakahau tō tākuta i tētahi whakamātautau ACTH hei tirotiro mēnā kei te hē tēnei taurite—ina koa kia kite mēnā he nui rawa, he iti rawa rānei ō taumata.
Ko te mea nui, ko te whakamātautau ACTH ka mahia tahitia me te whakamātautau cortisol ( Cortisol ), nā te mea he hononga tata te mahi a ēnei homoni e rua.
He aha pea ka tonoa ai tēnei whakamātautau e tō tākuta?
E pā ana ngā tohu o te kore taurite o te ACTH ki te nui rawa, ki te iti rawa rānei o ō taumata cortisol.
| Te pikinga o te taumaha | Tērā te kohikohinga ngako i te mata, te tuara o runga, me ngā pakihiwi. |
| Ngā Huringa Kiri | Te whanaketanga o ngā tohu totoro māwhero, papura rānei ki te puku, ki ngā huha, ki ngā ū rānei. |
| ngoikore | Te ngoikore o ngā uaua me te ngenge roa, nui hoki. |
| Ētahi atu Tohu | Ngāwari te maru, te hakihaki, te tupu nui o ngā huruhuru tinana i roto i ngā wāhine, me te toto toto tiketike. |
| Te Whakaiti Taumaha | Te hekenga taumaha kāore i te mārama ahakoa te hiahia kai noa. |
| Ngā raruraru nakunaku | Te whakapairuaki pinepine, te ruaki, te mamae o te puku, te korere rānei. |
| Ngā Huringa Kiri | Te pōuriuri o te kiri (te whero o te kiri), inā koa ki ngā wāhi pēnei i ngā tuke me ngā turi. |
| Ētahi atu Tohu | Te ngenge nui, te whanoke, me te hiahia nui ki ngā kai tote. |
Mā te aromatawai i ēnei tohu, ka taea e tō tākuta te tirotiro i ngā āhuatanga pēnei i te mate a Cushing (he nui te cortisol), te mate a Addison (he iti te cortisol), ngā raruraru pituitary pea rānei. He taputapu tātaritanga nui te whakamātautau ACTH hei whakamārama i ēnei āhuatanga pea.
Me pēhea te whakarite mō te whakamātautau
He whakamātautau toto tēnei, he iti noa te whakarite e hiahiatia ana. Heoi, he maha ngā āhuatanga ka pā ki ngā hua, he mea nui te whai i ngā tohutohu a tō tākuta.
- Ngā Rongoā Steroid: Mena kei te whakamahi koe i ētahi rongoā kei roto i te steroid, ka tono pea tō tākuta kia mutu te tango i aua rongoā i roto i te 48 hāora i mua i te whakamātautau, nā te mea ka rerekē rawa ngā hua.
- Kai: Tērā pea ka tonoa koe kia nohopuku (kaua e kai, kaua e inu) mai i waenganui pō i mua i te whakamātautau. Tērā pea ka tohutohuhia koe kia aroturuki i tō kai warowaihā ( ngā warowaihā ) ( ngā panonitanga kai ).
- Korikori Tinana me te Taumahatanga: Āta karohia te korikori tinana nui, te ahotea koretake rānei i roto i ngā haora 12 i mua i te whakamātautau, nā te mea ka pā pea ēnei ki ngā taumata homoni.
- Okiokinga Pai: Me whai kia moe pai i mua i te whakamātautau, nā te mea ka pā te kore moe ki ō homoni.
- Whakaaturia ngā Rongoā katoa: Kia tino whakamōhio koe ki tō tākuta mō ngā rongoā katoa (ngā rongoā whakahaunga, ngā rongoā otaota, ngā tāpiringa, ngā huaora rānei) e tangohia ana e koe i tēnei wā.
Te Tukanga me te Haumaru
He tikanga noa, he māmā hoki te mahi; ka kohia e te nēhi he tauira toto mai i tētahi uaua i tō ringa.
Kia mōhio koe, ka rerekē ngā taumata o te ACTH me te cortisol puta noa i te rā. I te nuinga o te wā, ka teitei ake ngā taumata o te ACTH i te 8:00 i te ata , ā, ka tae ki te iti rawa i te pō. Hei whiwhi i te pikitia katoa, ka hiahia pea tō tākuta ki te tango toto i te ata, ā, i te ahiahi pea.
Kia kohia, ka tere te whakamatao i ngā tauira ki runga i te hukapapa, nā te mea he homoni te ACTH ka tere te pirau.
Mō ngā mōrearea, he rite tonu ngā mōrearea o tēnei whakamātautau ki tētahi atu whakamātautau toto: he mamae iti, he maru rānei i te wāhi i werohia ai te ngira, ā, he onge noa iho, he mate iti. Kāore he take e mataku nui ai.
Te Whakamāori i ngā Hua
Tērā pea ka rerekē ngā awhe tohutoro i waenga i ngā taiwhanga. I te nuinga o te wā, mō te pakeke hauora, me heke te taumata ACTH o te 8:00 AM i waenga i te 10-50 pikokaramu ia miririta (pg/mL).
Heoi, kaua e ngana ki te tātaritanga i a koe anō i runga i tāu pūrongo . He maha ngā āhuatanga e pā ana ki ēnei tau:
- I pai tō moe i te pō i mua atu?
- I pāngia koe e te ahotea nui?
- He aha atu ngā rongoā (hei tauira, te insulin, ngā pire homoni) e tangohia ana e koe?
- Mena e tika ana, kei roto koe i tēhea wāhanga o tō huringa paheketanga?
- I pāngia koe e tētahi whara, whara rānei i ngā wā tata nei?
- I tika te whakahaere me te penapena i te tauira ki runga i te hukapapa?
Ka arotakehia ngātahitia e tō tākuta ō hua ACTH me te cortisol. Kāore rātou e whakatakoto i tētahi tātaritanga i runga i te tau kotahi. He rerekē te kōrero a te ACTH teitei me te cortisol teitei i te ACTH teitei me te cortisol iti.
Kia tae mai ō hua, whakaritea he wā hui ki tō tākuta. Ko rātou te hunga tino matatau ki te whakamārama i ēnei kitenga i roto i te horopaki o tō hauora whānui, me te tuku tohutohu mō ngā mahi e whai ake nei, tae atu ki ētahi atu whakamātautau tātaritanga.
Karere Tangohia ki te Kāinga
- He whakamātautau toto te whakamātautau ACTH e ine ana i te homoni e tukuna ana e tō repe pituitary, ā, e āwhina ana ki te aromatawai i te mahi a te repe adrenal.
- I te nuinga o te wā ka mahia tēnei whakamātautau me te whakamātautau homoni cortisol.
- Ka tūtohu pea tō tākuta i tēnei whakamātautau mēnā kei a koe ngā tohu pēnei i te huringa taumaha kāore i te whakamāramatia, te ngenge roa, te huringa kiri rānei.
- He mea nui te whai i ngā tohutohu a tō tākuta (e pā ana ki te kai, ngā rongoā, me te korikori tinana) i mua i te whakamātautau kia tika ai ngā hua.
- Kaua e whakamātau ki te whakamārama i ngā hua o tō whakamātautau. Me kōrero tonu ki tō tākuta kia whiwhi ai koe i tētahi whakamārama ngaio me te aratohu whaiaro.
