Kodi mukumva kutopa kwambiri, mukuwonjezeka kapena kuchepa thupi mwadzidzidzi, kapena mukuona kusintha kwa khungu lanu? Ngati dokotala wanu wakupatsani "test ACTH," ndi zachibadwa kukhala ndi nkhawa kapena kusokonezeka. Chonde musadandaule. Iyi ndi mayeso wamba a magazi omwe amagwiritsidwa ntchito poyesa momwe mahomoni a thupi lanu amagwirira ntchito. Ku Nirogi Lanka, tikufuna kufotokoza izi m'mawu osavuta kuti mumvetse bwino zomwe zikuchitika.
Kodi ACTH ndi chiyani kwenikweni?
Thupi lanu ndi dongosolo lodabwitsa kumene ziwalo zosiyanasiyana zimalankhulana kudzera mwa amithenga a mankhwala otchedwa "mahomoni." Ganizirani za pituitary gland yofanana ndi nandolo yomwe ili pansi pa ubongo wanu ngati "Woyang'anira Wamkulu" wa bungwe lalikulu.
Woyang'anira uyu amatumiza malangizo enaake otchedwa ACTH (Adrenocorticotropic hormone) . Chizindikiro ichi chimayenda mwachindunji ku ma adrenal glands anu, omwe amakhala ngati zipewa zazing'ono pamwamba pa impso zanu. Ganizirani za ma adrenal glands awa ngati fakitale. Pituitary gland ikangotumiza chizindikiro cha ACTH, adrenal factory imapanga hormone yofunika kwambiri yotchedwa cortisol .
Kodi Cortisol ndi yofunika kwambiri kwa inu?
Cortisol si hormone wamba chabe; imagwira ntchito zingapo zofunika m'thupi lanu:
- Zimathandiza kulamulira kuthamanga kwa magazi ( kuthamanga kwa magazi ) .
- Zimapatsa thupi lanu mphamvu zolimbirana matenda moyenera.
- Zimathandiza kuswa shuga , mafuta , ndi mapuloteni kuchokera muzakudya zomwe mumadya kuti mupange mphamvu.
- Zimathandiza thupi lanu kuthana ndi kupsinjika maganizo ndi thupi.
Mutha kuona chifukwa chake dongosololi ndi lofunika kwambiri. Ngati chizindikiro cha ACTH kuchokera ku pituitary gland chikuwonjezeka, ma adrenal glands amapanga cortisol yambiri. Ngati ACTH ikuchepa, kupanga cortisol kumachepa. Dokotala wanu nthawi zambiri amalamula kuti muyesedwe ndi ACTH kuti muwone ngati mulingo wanu uli wochepa—makamaka kuti muwone ngati mulingo wanu ndi wokwera kwambiri kapena wotsika kwambiri.
Chofunika kwambiri, mayeso a ACTH nthawi zambiri amachitidwa limodzi ndi mayeso a cortisol ( Cortisol ), chifukwa ntchito ya mahomoni awiriwa imagwirizana kwambiri.
N’chifukwa chiyani dokotala wanu angakupatseni mayeso amenewa?
Zizindikiro za kusalinganika kwa ACTH zimagwirizana mwachindunji ndi kuchuluka kwa cortisol m'magazi anu komwe kuli kokwera kwambiri kapena kotsika kwambiri.
| Kulemera Kwambiri | Makamaka mafuta akuchulukana mozungulira nkhope, kumbuyo, ndi mapewa. |
| Kusintha kwa Khungu | Kutuluka kwa mabala otambasula a pinki kapena ofiirira pamimba, ntchafu, kapena mabere. |
| Kufooka | Kufooka kwa minofu ndi kutopa kosalekeza komanso kopitirira muyeso. |
| Zizindikiro Zina | Kutupa kosavuta, ziphuphu, kukula kwa tsitsi m'thupi mwa akazi, komanso kuthamanga kwa magazi. |
| Kuchepetsa Thupi | Kuchepetsa thupi mosadziwika bwino ngakhale kuti munthu sakufuna kudya mokwanira. |
| Mavuto a M'mimba | Kusanza, kupweteka m'mimba, kapena kutsegula m'mimba pafupipafupi. |
| Kusintha kwa Khungu | Kuda kwa khungu (hyperpigmentation), makamaka m'malo monga zigongono ndi mawondo. |
| Zizindikiro Zina | Kutopa kwambiri, chizungulire, komanso chilakolako champhamvu cha zakudya zamchere. |
Poyesa zizindikirozi, dokotala wanu akhoza kufufuza matenda monga matenda a Cushing (cortisol yokwera), matenda a Addison (cortisol yotsika), kapena mavuto omwe angakhalepo a pituitary. Kuyesa kwa ACTH ndi chida chofunikira kwambiri chodziwira matenda awa.
Momwe mungakonzekerere mayeso
Popeza iyi ndi mayeso a magazi, siimafuna kukonzekera kwambiri. Komabe, popeza zinthu zingapo zingakhudze zotsatira zake, kutsatira malangizo a dokotala wanu ndikofunikira .
- Mankhwala a Steroid: Ngati mugwiritsa ntchito mankhwala aliwonse okhala ndi steroid, dokotala wanu angakupempheni kuti muwasiye pasanathe maola 48 mayeso asanachitike, chifukwa angasinthe kwambiri zotsatira zake.
- Zakudya: Mungapemphedwe kuti musadye kapena kumwa chilichonse kuyambira pakati pausiku musanayesedwe. Mungalangizidwenso kuti muziyang'anira chakudya chomwe mumadya ( chakudya ) ( kusintha zakudya ).
- Kuchita Maseŵera Olimbitsa Thupi ndi Kupsinjika Maganizo: Pewani kuchita masewera olimbitsa thupi kwambiri kapena kupsinjika maganizo kosafunikira mkati mwa maola 12 musanayese mayeso, chifukwa izi zingakhudze kuchuluka kwa mahomoni.
- Kupuma Kwabwino: Yesetsani kugona bwino usiku musanayese mayeso, chifukwa kusagona mokwanira kungakhudze mahomoni anu.
- Ululani Mankhwala Onse: Onetsetsani kuti mwadziwitsa dokotala wanu za mankhwala onse (mankhwala olembedwa ndi dokotala, mankhwala azitsamba, zowonjezera, kapena mavitamini) omwe mukumwa panopa.
Ndondomeko ndi Chitetezo
Njirayi ndi yachizolowezi komanso yosavuta; namwino adzatenga magazi kuchokera m'mitsempha yomwe ili m'dzanja lanu.
Dziwani kuti kuchuluka kwa ACTH ndi cortisol kumasinthasintha tsiku lonse. Nthawi zambiri, kuchuluka kwa ACTH kumakhala kwakukulu pafupifupi 8:00 AM ndipo kumafika pamlingo wotsika kwambiri usiku. Kuti mudziwe bwino, dokotala wanu angafunike kuyeza magazi m'mawa ndipo mwina madzulo.
Zikasonkhanitsidwa, zitsanzozo zimaziziritsidwa mwachangu pa ayezi, chifukwa ACTH ndi mahomoni omwe amatha kuwonongeka mwachangu.
Ponena za zoopsa, mayesowa ali ndi zoopsa zomwezo monga momwe magazi ena amatengedwa: kupweteka pang'ono kapena kuvulala pamalo pomwe pali singano, ndipo nthawi zambiri, matenda ang'onoang'ono. Palibe chifukwa chodera nkhawa kwambiri.
Kutanthauzira Zotsatira
Ma reference ranges amatha kusiyana pang'ono pakati pa ma laboratories. Kawirikawiri, kwa munthu wamkulu wathanzi, mulingo wa ACTH wa 8:00 AM uyenera kutsika pakati pa 10-50 picograms pa milliliter (pg/mL).
Komabe, chonde musayese kudziyesa nokha kutengera lipoti lanu . Pali zinthu zambiri zomwe zimakhudza manambala awa:
- Kodi munagona bwino usiku watha?
- Kodi munkavutika maganizo kwambiri?
- Ndi mankhwala ena ati (monga insulin, mapiritsi a mahomoni) omwe mukumwa?
- Ngati ndi kotheka, kodi muli mu gawo liti la msambo wanu?
- Kodi mwavulala kapena mwavulala posachedwapa?
- Kodi chitsanzocho chinasamalidwa bwino ndi kusungidwa pa ayezi?
Dokotala wanu adzawunikanso zotsatira za ACTH ndi cortisol pamodzi. Sadzagwiritsa ntchito njira imodzi yodziwira matenda. ACTH yokwera yokhala ndi cortisol yambiri imafotokoza nkhani yosiyana ndi ACTH yokwera yokhala ndi cortisol yochepa.
Mukalandira zotsatira zanu, chonde konzani nthawi yokumana ndi dokotala wanu. Iwo ali okonzeka bwino kutanthauzira zomwe mwapezazi poganizira za thanzi lanu lonse ndikukupatsani malangizo pa njira zina zofunika, zomwe zingaphatikizepo kuyezetsa matenda ena.
Uthenga Wopita Nawo Kunyumba
- Kuyezetsa kwa ACTH ndi kuyesa magazi komwe kumayesa mahomoni omwe amatulutsidwa ndi pituitary gland yanu ndipo kumathandiza kuwona momwe adrenal gland imagwirira ntchito.
- Mayeso amenewa nthawi zambiri amachitidwa limodzi ndi mayeso a mahomoni a cortisol.
- Dokotala wanu angakulangizeni mayesowa ngati muli ndi zizindikiro monga kusintha kwa kulemera kosaneneka, kutopa kosatha, kapena kusintha kwa khungu.
- Kutsatira malangizo a dokotala wanu mosamala (okhudza zakudya, mankhwala, ndi masewera olimbitsa thupi) musanayesedwe ndikofunikira kuti mupeze zotsatira zolondola.
- Musayese kutanthauzira zotsatira za mayeso anu nokha. Nthawi zonse funsani dokotala wanu kuti akupatseni kufotokozera kwa akatswiri komanso malangizo anu.
