Zomwe muyenera kudziwa zokhudza mayeso a ACTH

Kodi dokotala wanu wakuuzani kuti muyesedwe ACTH? Mungakhale ndi mantha pang'ono mukamva dzinalo. Mungakhale mukuganiza kuti, "Ndi mayeso achilendo otani awa?" Koma palibe chifukwa choopa. Ndi mayeso osavuta kwambiri a magazi. Lero, tikambirana za mayeso a ACTH, chifukwa chake amachitika, komanso momwe mungakonzekerere m'njira yosavuta yomwe mungamvetse.

Mwachidule, kodi ACTH ndi chiyani?

Chabwino, tiyeni tiganizire motere. Thupi lanu lili ngati kampani yayikulu. Pali zinthu zambiri zofunika zomwe zikuchitika mu kampaniyi.

• Woyang'anira Wamkulu: Pansi pa ubongo wanu, pali kachidutswa kakang'ono kofanana ndi nandolo kakang'ono. Timatcha kachidutswa ka pituitary. Uyu ndiye woyang'anira wamkulu wa nkhani yathu.
• Uthenga: Woyang'anira uyu, pituitary gland, amatumiza uthenga wapadera. Uthenga umenewo ndi umene timautcha kuti ACTH (Adrenocorticotropic hormone).
• Wogwira Ntchito: Uthenga uwu wa ACTH umapita mwachindunji ku tiziwalo tiwiri tating'onoting'ono pamwamba pa impso zanu. Timati ndi tiziwalo ta adrenal. Awa ndi ogwira ntchito m'nkhani yathu.
• Chogulitsa: Tizilombo ta adrenal timeneti tikalandira uthenga wa ACTH, timadzi timeneti timatulutsa mahomoni ofunika kwambiri otchedwa cortisol.

Choncho ACTH ndi mahomoni omwe amatiuza kuti tipange cortisol. Homoni ya cortisol iyi ndi yofunika kwambiri m'matupi athu. Imatithandiza kulamulira kuthamanga kwa magazi athu , kuyankha bwino matenda , komanso imatithandiza kugawa shuga, mafuta, ndi mapuloteni muzakudya zomwe timadya kukhala mphamvu .

Kodi mwamvetsa tsopano? Ngati dokotala wanu akukayikira kuti pali vuto ndi dongosololi, adzakufunsani kuti muyesedwe magazi kuti muwone kuchuluka kwa ACTH ndi cortisol m'magazi anu.

N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?

Kuyezetsa kwa ACTH nthawi zambiri sikumachitika kokha. Nthawi zambiri kumachitika limodzi ndi mayeso a cortisol. Izi zili choncho chifukwa zizindikiro zomwe timakumana nazo pamene ACTH ili pamwamba kapena pansi zimagwirizana mwachindunji ndi kusintha kwa milingo ya cortisol.

Tsopano tiyeni tiwone makhalidwe awa.

Poyang'ana zizindikiro izi ndikuyesa kuchuluka kwa ACTH ndi cortisol m'thupi lanu, dokotala wanu angadziwe ngati muli ndi vuto lililonse mwa izi:

• Matenda a Cushing: Kuchuluka kwa cortisol m'thupi.
• Matenda a Addison: Kuchuluka kwa cortisol m'thupi kumakhala kochepa kwambiri.
• Kaya pali chotupa mu pituitary gland kapena kwina kulikonse .
• Kaya pituitary glands yanu kapena adrenal glands sizikugwira ntchito bwino.

Kodi mungakonzekere bwanji mayeso?

Kuti mupeze zotsatira zolondola kuchokera ku mayesowa, muyenera kukonzekera pang'ono. Tsatirani njira izi molondola.

• Ma Steroid: Ngati mukumwa ma steroids (monga Prednisolone), muyenera kusiya kuwamwa maola 48 musanayesedwe. Mankhwalawa angakhudze zotsatira zake. Komabe, musasiye kuwamwa popanda kufunsa dokotala wanu kaye. Iye adzakulangizani pa izi.
• Chakudya ndi Zakumwa: Dokotala wanu angakuuzeni kuti musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku usanachitike mayeso. Nthawi zina, angakuuzeninso kuti muchepetse zakudya zokhala ndi chakudya chambiri (starch) kwa masiku awiri musanayambe mayeso.
• Gona bwino: Gona bwino usiku usanafike mayeso.
• Kuchita masewera olimbitsa thupi: Pewani kuchita masewera olimbitsa thupi otopetsa maola 12 mayeso asanachitike.
• Kupsinjika maganizo: Yesetsani kupumula momwe mungathere. Pewani kupsinjika maganizo kwambiri kwa maola 12 mayeso asanachitike.

Momwe mungachitire mayeso ndi zoopsa zake

Izi n'zosavuta kwambiri. Monga momwe zimakhalira popereka magazi mwachizolowezi, namwino adzatenga chitsanzo cha magazi pang'ono kuchokera mumtsempha womwe uli m'dzanja lanu.

Popeza kuchuluka kwa mahomoni athu kumasintha tsiku lonse, dokotala wanu angakupatseni mayeso a magazi kamodzi m'mawa komanso madzulo . Kuchuluka kwa ACTH nthawi zambiri kumakhala kwakukulu pafupifupi 8 koloko m'mawa kenako kumachepa madzulo. Kuwunikanso kawiri kumeneku kumathandiza dokotala wanu kupeza chithunzi chonse.

Magazi akatengedwa, chitsanzocho chimayikidwa nthawi yomweyo pa ayezi ndikutumizidwa ku labotale.

Zoopsa zake ndi zoopsa zomwe zimachitika chifukwa chotenga magazi pogwiritsa ntchito singano. Zimenezi zikutanthauza kupweteka pang'ono pamalo pomwe paikidwa singano, kuvulala pang'ono, kapena, kawirikawiri, matenda.

Kodi mungamvetse bwanji zotsatira zake?

Miyezo yomwe ili pa lipoti lanu la mayeso ingasiyane pang'ono kuchokera ku labu imodzi kupita ku ina. Zotsatira zake zimasiyananso kutengera nthawi yomwe magazi adatengedwa.

Kawirikawiri, kuchuluka kwa ACTH mwa munthu wathanzi kumakhala pakati pa 10-50 pg/mL (ma picogram pa milliliter) pafupifupi 8 koloko m'mawa. Pofika usiku, izi zimatsika kufika pa zosakwana 5-10 pg/mL.

Koma musafulumire kuganiza mozama potengera manambala awa. Zinthu zina zingakhudze zotsatira zanu.

• Mmene munagonera usiku usanachitike mayeso.
• Kupsinjika maganizo komwe muli nako.
• Kaya muli ndi pakati kapena muli pa nthawi yanu ya msambo.
• Mankhwala ena omwe mumamwa (monga mahomoni, insulin, steroids).
• Ngozi yakuthupi kapena ngozi yaposachedwa.
• Kaya chitsanzo cha magazi chinatengedwa bwino ndikusungidwa pa ayezi.

Dokotala wanu adzayerekeza lipoti la ACTH ndi lipoti la cortisol ndikuligwirizanitsa ndi zizindikiro zanu kuti apeze yankho lomaliza. Ngati pali vuto pamlingo wanu wa ACTH, akhoza kuyitanitsa mayeso ena kuti adziwe chomwe chimayambitsa vutoli.