Kei roto i tō tinana ēnei huringa? Tērā pea nā te cortisol! (Whakamātautau Cortisol)

Kei te whakaaro koe i ētahi wā, "Aue, he aha ahau i tere ai te koroheketanga?" Kua porotaka ake rānei tō mata, ā, kua puta he puranga ngako iti ki muri o tō kaki? Tērā pea kei te ngenge koe, kei te pōuri hoki i ngā wā katoa. Mena kei a koe tētahi, ētahi rānei o ēnei tohu, ko te take pea he panoni i te taumata o te homoni cortisol i roto i tō tinana. Nō reira, i tēnei rā, me kōrero tātou mō te cortisol me te whakamātautau e ine ana i tēnei mea me te taipitopito, he tino māmā noa iho.

He aha te cortisol?

He homoni nui te cortisol mō tō tātou tinana. Whakaarohia koinei te homoni matua "tauhohenga ahotea" a tō tātou tinana. Ina ahotea tātou, ina pēhia rānei, ko te cortisol te mea e whakarite ana i tō tātou tinana ki te aro atu ki tēnā. Hei tāpiri, ka whai wāhi tēnei homoni ki ngā mahi nui maha atu o tō tātou tinana.

• Whakahaere i te toto toto.
• Āwhina ki te pupuri i ngā taumata huka toto.
• Ka āwhina te pākia o te tinana ki te huri i ngā warowaihā, ngā pūmua, me ngā ngako i roto i te kai e kainga ana e tātou hei pūngao.
• Ka whakahaere i te mumura i roto i te tinana.
• Ka āwhina hoki i te huringa moe-ara e whakahaere ana i tā tātou moe me te ara ake.

Ka hangaia tēnei homoni cortisol e ngā repe iti e rua kei runga ake i ō tātou whatukuhu. Ka kiia ēnei e tātou ko ngā repe adrenal. Nō reira, ki te mea he raruraru kei roto i ēnei repe, kei te repe pituitary rānei kei te pūtake o te roro, ka taea e ngā taumata cortisol te tino tiketike, te tino iti rānei. Ki te pātai atu tō tākuta ki a koe mō ēnei tohu, ka tono pea ia kia whakamātauria koe i te cortisol.

He aha ngā tohu o te cortisol teitei me te iti?

Ina rerekē ngā taumata cortisol, ka tukuna e tō tātou tinana ngā tohu rerekē. Kia tirohia tātou he aha ēnei tohu. Ka whakaaturia e au tēnei ki a koe i roto i tētahi ripanga kia māmā ai tō mārama.

He aha ngā take e piki ake ai te cortisol?

Mena he tino tiketike ngā taumata cortisol, ka kiia taua āhuatanga ko te mate Cushing . He maha ngā take matua mō tēnei:

• Te tango i ngā horopeta nui o ngā rongoā steroids (hei tauira, prednisone) mō te wā roa hei rongoā mō ētahi atu mate.
• He pukupuku kei roto i te repe pituitary i te roro. Ko tēnei repe te mea e "whakahau" ana i ngā repe kē atu.
• He pukupuku i roto i ngā repe adrenal.

He aha ngā take o te iti o te cortisol?

Ko te mate a Addison te mate matua e hua ai te iti o te cortisol. Koinei te wā e whakaekea ai e tō tātou ake pūnaha ārai mate ngā repe adrenal. Hei tāpiri,

• Te mate urutā, te kino rānei ki ngā repe adrenal.
• Kāore te repe pituitary e mahi tika.
• Te whakamutua ohorere o te rongoā steroid kua roa e whakamahia ana.

Me pēhea te whakamātautau cortisol?

E toru ngā huarahi matua hei tirotiro i ō taumata cortisol: ngā whakamātautau toto, huware, me te mimi. Mā tō tākuta e tohu te whakamātautau tino tika i runga i ō tohumate.

Ka rerekē haere ngā taumata cortisol puta noa i te rā, ko ngā taumata teitei rawa i te atatu, ko ngā taumata iti rawa i waenganui pō . Koia te take me mahi ētahi whakamātautau i ngā wā motuhake o te rā.

1. Whakamātautau Toto Cortisol

Koinei te whakamātautau tino noa. E rua ngā wā ka mahia i te rā.

• Ko te tuatahi: i te 8 i te ata (i te wā e tino teitei ana ngā taumata cortisol)
• Tuarua: Tata ki te 4 i te ahiahi (ina heke te taumata cortisol)

He tino māmā noa iho. Ka tangohia noa e te taiwhanga he tauira toto iti mai i te uaua i tō ringa.

2. Whakamātautau Huware Cortisol

He tikanga tino tika, he ngāwari hoki tēnei. He mea nui rawa atu tēnei mō te tautuhi i te mate Cushing. Ka hoatu e te tākuta he kete iti ki a koe.

• Ko te tikanga ka mahia tēnei i waenga i te 11 me te 12 i te poutumarotanga , i mua i te haerenga ki te moe. Nā te mea koinei te wā e iti rawa ana ngā taumata cortisol o te tangata hauora. Mena kei te teitei tonu ngā taumata i taua wā, he tohu tēnei kei te puta he raruraru.
• Me karo koe i te kai, te inu, te parai rānei i ō niho 30 meneti i mua i te whakamātautau.
• Me pupuri te ūkui i roto i tō waha mō te rua meneti hei kohi i te huware, kātahi ka whakahokia ki roto i te ngongo ka tukuna ki te taiwhanga.

3. Whakamātautau Mimi Cortisol

I ētahi wā ka tono tō tākuta kia kohia e koe he tauira mimi mō ngā haora 24.

• Ko te mea ka tupu i roto i tēnei tukanga, me kohi e koe he tauira o ia mimi e mimia ana e koe i roto i te wā 24-hāora ki roto i tētahi pounamu motuhake ka hoatu ki a koe.
• Me rongoa tonu tēnei pounamu ki roto i te pouaka whakamātao, ki roto rānei i tētahi pouaka kei roto he hukapapa.
• Kia pau ngā hāora 24, me tuku atu ki te taiwhanga.

He aha atu ngā whakamātautau motuhake e mahia ana?

I ētahi wā, me whai whakamātautau anō kia kitea ai te tino take o ō taumata cortisol rerekē.

• Whakamātautau Whakaoho ACTH: Ka whakamātautauhia te urupare a ō repe adrenal ki tētahi homoni e kiia nei ko te ACTH, e ahu mai ana i te repe pituitary. He maha ngā wā ka mahia tēnei ina iti ngā taumata cortisol.
• Whakamātautau Whakaiti Dexamethasone: He rite tēnei ki tērā taha o te whakamātautau i runga ake nei. Ka mahia hei kimi i te pūtake o ngā taumata cortisol teitei. I konei, ka hoatu he iti o te steroid e kiia nei ko te 'Dexamethasone', ā, ka tirohia ngā taumata cortisol i te ata e whai ake nei.

Mā ngā hua o ēnei whakamātautau ka āwhina tō tākuta ki te whakatau mēnā kei roto i tō repe pituitary, i tō repe adrenal, i tētahi atu mea rānei te raruraru. I ētahi wā, mēnā e whakapaetia ana he pukupuku , ka tonoa pea he matawai CT, he matawai MRI rānei .