Kodi munayamba mwamvapo kutopa modabwitsa, kuwonjezeka kapena kuchepa thupi mwadzidzidzi, kapena kusintha mtundu wa khungu? Panthawi ngati iyi, ngati dokotala atakuuzani kuti, "Tiyeni tichite mayeso a ACTH," mungakhale ndi mantha pang'ono. "Ndi mayeso otani amenewo?" Mwina mukudabwa. Musadandaule. Iyi ndi mayeso a magazi omwe nthawi zambiri amachitidwa kuti aone mahomoni m'thupi lathu. Lero, tikambirana za chilichonse m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi ACTH ndi chiyani?
Thupi lathu ndi makina odabwitsa. Chigawo chilichonse chimalankhulana kudzera mu mauthenga a mankhwala otchedwa "mahomoni." Tangoganizani kuti
pituitary gland, yomwe ndi kukula kwa nandolo ndipo ili pansi pa ubongo wathu, ili ngati manejala wamkulu mu ofesi yayikulu. Manager uyu amatulutsa uthenga wapadera wotchedwa
ACTH (Adrenocorticotropic hormone) . Uthengawu umapita mwachindunji ku ma
adrenal glands, omwe ali ngati zipewa ziwiri pamwamba pa impso zathu. Ma adrenal glands awa ali ngati fakitale. Uthenga wa ACTH ukangochokera ku pituitary gland, fakitale iyi imapanga mahomoni ofunikira otchedwa
cortisol .
Nanga, n’chifukwa chiyani hormone iyi ya cortisol ndi yofunika kwa ife?
Cortisol si hormone yokha, koma imagwira ntchito yofunika kwambiri m'thupi lathu.
- Zimathandiza kulamulira kuthamanga kwa magazi .
- Zimapatsa thupi mphamvu yolimbana ndi matenda moyenera .
- Zimatithandiza kuswa shuga , mafuta , ndi mapuloteni muzakudya zomwe timadya ndikupanga mphamvu .
- Zimathandiza thupi kuthana ndi kupsinjika maganizo.
Tsopano mukumvetsa kufunika kwa dongosololi? Ngati uthenga wa ACTH wochokera ku pituitary gland ukuwonjezeka, ma adrenal glands amapanga cortisol yambiri. Ngati ACTH ikuchepa, kupanga kwa cortisol kumachepanso. Ngati dokotala akukayikira za momwe ma glands awiriwa amagwirira ntchito, ndiye kuti, ngati akufuna kudziwa ngati ACTH kapena cortisol ili pamwamba kapena pansi, adzayitanitsa mayeso a ACTH awa.
Chofunika kwambiri, mayeso a ACTH nthawi zambiri amachitidwa nthawi yomweyo ndi mayeso a cortisol , chifukwa ntchito za mahomoni awiriwa zimagwirizana.
Kodi mayesowa amachitidwa zizindikiro za mtundu wanji?
Zizindikiro zomwe zimayambitsidwa ndi kusalinganika kwa hormone ya ACTH zimagwirizana mwachindunji ndi kuwonjezeka kapena kuchepa kwa hormone ya cortisol. Tiyeni tiwone zizindikiro izi.
Zizindikiro za kuchuluka kwa cortisol chifukwa cha kuchuluka kwa ACTH
| Kulemera | Mafuta amachuluka, makamaka kuzungulira nkhope, kumbuyo kwa khosi, ndi mapewa. |
| Kusintha kwa khungu | Kuwoneka kwa mabala otambasula a pinki kapena ofiirira pamimba, ntchafu, ndi mabere. |
| Kufooka | Kufooka kwa minofu ndi kutopa kwambiri pafupipafupi. |
| Zina mwazinthu | Ngakhale bala laling'ono limasintha kukhala labuluu mwachangu, ziphuphu zimawonjezeka, tsitsi losafunikira limakula mwa akazi, komanso kuthamanga kwa magazi. |
Zizindikiro za kuchuluka kwa cortisol komwe kumabwera chifukwa cha kuchepa kwa ACTH
| Kuchepetsa thupi | Kuchepetsa thupi ngakhale mutadya bwino. |
| Mavuto a m'mimba | Kusanza pafupipafupi, kusanza, kupweteka m'mimba, komanso kutsegula m'mimba. |
| Kusintha kwa khungu | Kuda (kuda) kwa khungu m'malo ena, makamaka m'zigongono ndi m'mawondo. |
| Zina mwazinthu | Kumva kutopa kwambiri, chizungulire, komanso kulakalaka zakudya zamchere pafupipafupi. |
Kutengera ndi zizindikiro izi, dokotala wanu angaganize kuti muli ndi vuto monga
Cushing's syndrome (kuchuluka kwa cortisol),
Addison's disease (kuchepa kwa cortisol), kapena chotupa mu pituitary gland kapena kwina kulikonse. Kuyesa kwa ACTH kumeneku ndikofunikira kwambiri kuti kutsimikizire kukayikirako.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Popeza iyi ndi mayeso a magazi, palibe chifukwa chokonzekera kwambiri. Komabe, pali zinthu zingapo zomwe zingakhudze zotsatira za mayeso. Chifukwa chake,
ndikofunikira kwambiri kutsatira malangizo a dokotala molondola.
- Ma Steroid: Ngati mukumwa mankhwala aliwonse a steroid, dokotala wanu angakufunseni kuti musiye kumwa mankhwalawa maola 48 musanayesedwe. Mankhwalawa amatha kusintha zotsatira zake kwathunthu.
- Chakudya ndi Zakumwa: Mungapemphedwe kusala kudya kuyambira pakati pausiku usiku usanachitike mayeso. Mungapemphedwenso kuchepetsa kudya kwa carbohydrate ( starch ).
- Kuchita masewera olimbitsa thupi ndi kupsinjika maganizo : Pewani kuchita masewera olimbitsa thupi mopitirira muyeso kapena kupsinjika maganizo kosafunikira maola 12 mayeso asanachitike. Zinthu izi zingakhudze kuchuluka kwa mahomoni m'thupi.
- Gonani bwino usiku: Gonani bwino usiku watha. Ngakhale kusagona mokwanira kungakhudze mahomoni.
- Uzani dokotala wanu za mankhwala onse: Onetsetsani kuti mwauza dokotala wanu za mankhwala onse (a ku Western, Ayurvedic, Sinhala), mavitamini, ndi zowonjezera zomwe mukumwa.
Momwe mungachitire mayeso ndi zoopsa zake
Iyi ndi njira yosavuta kwambiri. Monga momwe zimakhalira ndi magazi, namwino adzatenga magazi kuchokera mumtsempha womwe uli m'dzanja lanu. Koma pali china chake chapadera apa. Miyezo yathu ya ACTH ndi cortisol imasintha kutengera nthawi ya tsiku.
Miyezo ya ACTH nthawi zambiri imakhala yokwera kwambiri pafupifupi 8 koloko m'mawa komanso
yotsika kwambiri usiku . Chifukwa chake, ngati dokotala wanu akufuna kudziwa bwino mahomoni anu, amatha kutenga zitsanzo za magazi kamodzi m'mawa komanso madzulo kapena usiku. Magazi akatengedwa, zitsanzozo zimayikidwa nthawi yomweyo pa ayezi ndikutumizidwa ku labu. Izi zili choncho chifukwa ACTH ndi mahomoni omwe amatha kuwonongedwa mwachangu. Ponena za zoopsa, pali zoopsa zomwe zimachitika kawirikawiri poyesa magazi. Pakhoza kukhala kupweteka kwina komwe singano idayikidwa, mabala ena, komanso matenda osowa kwambiri. Palibe chodetsa nkhawa.
Kodi mungamvetse bwanji zotsatira zake?
Zotsatira za lipoti lanu zingasiyane pang'ono malinga ndi labu. Mulingo wapakati wa ACTH kwa munthu wamkulu wathanzi, womwe umayesedwa nthawi ya 8 koloko m'mawa, uyenera kukhala pakati pa ma picogram 10 ndi 50 pa milliliter (pg/mL). Komabe,
musakhale dokotala ndipo ingopangani zisankho zanu kutengera lipotilo . Pali zinthu zina zambiri zomwe zingakhudze zotsatira izi.
- Kodi munagona bwino tsiku lisanafike mayeso?
- Kodi munali ndi nkhawa?
- Mankhwala ena omwe mukumwa (monga insulin, mapiritsi a mahomoni).
- Ngati ndi mkazi, tsiku la kusamba kwake.
- Ngozi kapena ngozi yaposachedwa.
- Kaya chitsanzo cha magazi chinasonkhanitsidwa bwino, kusungidwa pa ayezi, ndi kusungidwa.
Poganizira zonsezi, dokotala wanu adzayang'ana zotsatira zanu za ACTH ndi zotsatira zanu za cortisol pamodzi. Sadzapanga chisankho kutengera zotsatira chimodzi zokha. Ngati mulingo wanu wa ACTH uli pamwamba ndipo mulingo wanu wa cortisol uli pamwamba, zikutanthauza chinthu chimodzi. Ngati mulingo wanu wa ACTH uli pamwamba ndipo mulingo wanu wa cortisol uli pansi, zikutanthauza chinthu china. Chifukwa chake, mukapeza zotsatira zanu, zitengeni kuti mukaone dokotala wanu. Iye ndiye amene adzaganizira zonsezi ndikukuuzani momwe mulili komanso zomwe mungachite kenako. Angapemphenso mayeso ena kuti atsimikizire zotsatirazi.
Uthenga Wopita Nawo Kunyumba
- Kuyezetsa kwa ACTH ndi kuyesa magazi komwe kumayesa mahomoni omwe amatulutsidwa ndi pituitary gland muubongo wathu. Kungatiuzenso za ntchito ya adrenal glands.
- Mayeso amenewa nthawi zambiri amachitidwa limodzi ndi mayeso a mahomoni a cortisol.
- Dokotala angakulangizeni mayesowa ngati muli ndi zizindikiro monga kusintha kwa thupi kosadziŵika bwino, kutopa kwambiri, kapena kusintha kwa khungu.
- Ndikofunikira kwambiri kuti zotsatira zake zikhale zolondola kutsatira malangizo a dokotala (okhudza zakudya, mankhwala, ndi masewera olimbitsa thupi) musanayesedwe.
- Mukalandira lipoti la mayeso, musapange zisankho zanu kutengera zomwe zili muyeso. Onetsetsani kuti mwawonetsa lipotilo kwa dokotala wanu kuti akuwunikeni bwino komanso akupatseni upangiri.
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