Zomwe muyenera kudziwa zokhudza mayeso a cortisol

Kodi mumadzimva wotopa nthawi zonse, mumakhala ndi ululu popanda chifukwa, kapena muli ndi nkhawa kwambiri? Mwina mutangolankhula ndi dokotala wanu za izi, iye anakuuzani za mayeso a magazi kapena mkodzo. Umenewo ndi mayeso a cortisol. Musachite mantha, ngakhale dzinalo lili losavuta, ichi ndi chinthu chosavuta kwambiri. Tiyeni tikambirane zonsezi momveka bwino lero.

Mwachidule, kodi cortisol ndi chiyani?

Cortisol ndi homoni yofunika kwambiri m'thupi lathu. Imapangidwa ndi tiziwalo tiwiri tating'ono tomwe tili pamwamba pa impso zathu, timene timatulutsa adrenal glands. Imatchedwanso "homoni yovutitsa maganizo." Izi zili choncho chifukwa matupi athu amapanga homoni yochulukirapo imeneyi tikamavutika maganizo kapena kuchita mantha.

Koma si zokhazo zomwe cortisol imachita. Imathandiza pazinthu zina zambiri.

• Kulamulira kuchuluka kwa shuga m'thupi lathu.
• Kulamulira kuthamanga kwa magazi.
• Kuchepetsa kutupa m'thupi.
• Kuthandiza kukumbukira kwathu.

Kotero mayeso a cortisol awa ndi oti mudziwe ngati thupi lanu lili ndi kuchuluka kofunikira kwa mahomoni awa, kapena ngati ali ndi ochepa kapena ambiri .

N’chifukwa chiyani dokotala akukupemphani kuti muchite mayeso awa?

Ngati muli ndi zizindikiro zilizonse m'thupi lanu, dokotala wanu angakulangizeni mayesowa kuti adziwe ngati akuchitika chifukwa cha kusintha kwa kuchuluka kwa cortisol. Mayesowa amachitika makamaka ngati pali kukayikira kwa matenda awiri.

1. Matenda a Addison: Uwu ndi mkhalidwe womwe thupi silipanga mahomoni okwanira a cortisol. Zizindikiro zake zingakhale kutopa kosalekeza, kuchepa thupi, komanso mdima m'malo ena a thupi (makamaka zigongono ndi mawondo).

2. Matenda a Cushing: Uwu ndi mkhalidwe womwe thupi limapanga mahomoni ambiri a cortisol. Zizindikiro zake zingakhale nkhope yozungulira, yotupa, kunenepa (makamaka m'mimba), khungu lochepa thupi, komanso mabala osavuta.

Kuphatikiza apo, mitundu ina ya zotupa ingayambitsenso kusintha kwa kuchuluka kwa cortisol. Kuyesaku kungathandizenso kutsimikizira izi ngati pali kukayikira kulikonse.

Kodi kuchuluka kwa cortisol kumeneku kumayesedwa bwanji?

Pali njira zitatu zazikulu zoyezera kuchuluka kwa cortisol. Nthawi zina dokotala wanu angakulangizeni njira imodzi kapena zingapo mwa izi.

• Kuchokera ku chitsanzo cha magazi
• Kuchokera ku chitsanzo cha mkodzo
• Kuchokera ku chitsanzo cha malovu

Tsopano tiyeni tiwone momwe mayeso onsewa amachitikira.

Kuyesa Magazi

Izi zili ngati kuyezetsa magazi komwe tonse timadziwa komanso timachita nthawi zonse.

• Mudzakhala pampando ndipo mtsempha wosavuta kuupeza udzasankhidwa kuti utenge magazi, nthawi zambiri kuchokera mkati mwa mkono wanu pansi pa chigongono.
• Kenako malowo amatsukidwa bwino, singano yaying'ono imayikidwa, ndipo magazi ochepa amasonkhanitsidwa mu chubu. Mungamve kupweteka pang'ono singano ikayikidwa.
• Pambuyo poti magazi ofunikira atengedwa, singano imachotsedwa ndipo chidutswa cha thonje chimayikidwa ndikukanikizidwa pansi.
• Magazi akasiya kutuluka, pulasitala yaying'ono imayikidwa pamalopo. Zonsezi zimatenga mphindi zosakwana zisanu.

Mayeso a Malovu

Iyi ndi mayeso omwe nthawi zambiri amachitikira kunyumba, chifukwa nthawi yeniyeni yopezera chitsanzo (kaya mutadzuka m'mawa kapena musanagone usiku) ndi yofunika kwambiri.

• Dokotala adzakupatsani zida zapadera zogwiritsira ntchito izi. Muyenera kuwerenga malangizo mosamala.
• Kawirikawiri amalangizidwa kuti musadye, kumwa, kutsuka mano anu, kapena kusuta fodya kwa mphindi 30 musanayambe kumwa mankhwalawa.
• Chiwaya chonga thonje (swab) chomwe chili mu bokosichi chiyenera kuyikidwa mkamwa popanda kuchikhudza ndi manja anu.
• Muyenera kuigwira pakamwa panu kwa mphindi zochepa, mpaka itanyowa bwino ndi malovu.
• Kenako muyenera kuiyika mwachindunji mu chubu chomwe chaperekedwa, osaikhudzanso.
• Kenako dokotala adzakuuzani momwe mungapititsire chitsanzocho ku labu.

Kuyesa kwa Mkodzo

Izi nthawi zambiri zimaphatikizapo kusonkhanitsa kuchuluka konse kwa mkodzo womwe umatuluka mkati mwa maola 24 .

• Laboratory idzakupatsani chidebe chachikulu cha izi.
• Pa tsiku loyesa, muyenera kutaya mkodzo woyamba womwe mwakodza m'mawa. Izi zikutanthauza kuti musatenge. Koma lembani nthawi yeniyeni papepala. Imeneyo ndi nthawi yoyambira mayeso.
• Kenako tsiku lonse, mpaka nthawi yomwe munalemba koyamba tsiku lotsatira, muyenera kusonkhanitsa zonse mu chidebe chomwe mwapereka nthawi iliyonse mukakodza. Musalole dontho limodzi lokha kutayika.
• Musalole kuti mapepala a chimbudzi kapena ndowe zisakanizidwe ndi izi.
• Ngati simukugwiritsa ntchito, sungani chidebechi mufiriji kapena pamalo ozizira.
• Yesani kusonkhanitsa mkodzo womaliza pafupi ndi mapeto a nthawi ya maola 24 momwe mungathere (monga, ngati munayamba nthawi ya 8 koloko m'mawa Lolemba, tengani nthawi ya 8 koloko m'mawa Lachiwiri).
• Muyenera kulemba dzina lanu momveka bwino, nthawi yoyambira, ndi nthawi yomaliza pa chidebecho ndikuchitengera ku labu mwachangu momwe mungathere.

Kodi zimatenga nthawi yayitali bwanji kuti zotsatira za mayeso zibwerere?

Nthawi zambiri zimatenga tsiku limodzi kapena asanu kuti mupeze zotsatira, kutengera labu komwe mumalandira mayeso.

Kodi zotsatira izi zikuti chiyani?

Dokotala wanu ndi amene ayenera kutanthauzira zotsatira zake ndikusankha chochita nazo. Izi zili choncho chifukwa zimatengera zinthu zambiri, monga zizindikiro zanu ndi zotsatira zina za mayeso. Koma kuti mudziwe zambiri, tiyeni tiwone zomwe zili bwino.

Mitengo iyi ingasiyane pang'ono kuchokera ku labu kupita ku labu, choncho yerekezani ndi "mtundu wamba" womwe uli mu lipoti lanu.

Zifukwa za kuchuluka kwa cortisol m'magazi

• Kumwa mankhwala enaake ambiri (makamaka ma steroids - corticosteroids).
• Chotupa mu pituitary gland chimayambitsa kupanga kwambiri kwa hormone yotchedwa `ACTH` (hormone iyi ya `ACTH` imalimbikitsa adrenal glands kuti ipange cortisol).
• Kupanga kwambiri kwa cortisol chifukwa cha chotupa mu adrenal gland.
• Chotupa chomwe chimapezeka kwina m'thupi (monga m'mapapo).

Zifukwa za kuchepa kwa cortisol

• Kuchepa kwa kupanga kwa ACTH chifukwa cha kuchepa kwa ntchito ya pituitary gland kapena chotupa mkati mwake.
• Kuwonongeka kwa adrenal glands kapena kuchepa kwa ntchito.

Kodi ndiyenera kuda nkhawa ngati zotsatira zake sizili zachilendo?

Ayi konse. Kungoti zotsatira za mayeso zili kunja kwa mlingo woyenera sizikutanthauza kuti muli ndi matenda oopsa. Milingo ya Cortisol ndi yovuta kwambiri. Zinthu zina zambiri zingakhudze mtengo wake.

Mwachitsanzo:

• Kupsinjika Maganizo: Ngati munali ndi nkhawa kwambiri tsiku lisanafike mayeso, zigoli zanu zingasinthe.
• Kuchita masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi mopitirira muyeso.
• Matenda ena: Zinthu monga malungo, matenda opatsirana.
• Kutentha: Kukumana ndi kuzizira kwambiri kapena kutentha kwambiri.
• Mankhwala ena.
• Kugona: Ngati mumagwira ntchito usiku, machitidwe anu a cortisol angasinthenso chifukwa machitidwe anu ogona ndi osiyana.

Mwina, ngati dokotala akufuna kudziwa zambiri, angakupempheni kuti muyesedwenso.

• Mayeso olimbikitsa ACTH: Izi zimayesa momwe ma adrenal glands anu amayankhira jekeseni wa mahomoni opangidwa ndi `ACTH`.
• Kuyezetsa kwa Dexamethasone: Mankhwala otchedwa dexamethasone amaperekedwa, kenako milingo ya cortisol imayesedwa.
• Mayeso ojambulira: MRI kapena CT scan imachitika kuti ione ngati pali zotupa zilizonse m'matenda.