Kumvetsetsa Cortisol

Kumvetsetsa Cortisol: Ntchito ndi Zotsatira pa Thanzi | Nirogi Lanka

Physician Reviewed — Not Medical Advice

Mwina mwamvapo za mawu oti Cortisol . Ngakhale ambiri amatcha kuti ndi "hormone yovutitsa maganizo" yaikulu m'thupi, si chinthu chongochitika chifukwa cha kupsinjika maganizo. Cortisol ndi mahomoni ofunikira omwe amagwira ntchito zofunika kwambiri pa thanzi lanu la tsiku ndi tsiku. Mwa kumvetsetsa momwe imagwirira ntchito—momwe imakhudzira thupi lanu, zomwe zimachitika pamene milingo yake yachepa, komanso momwe mungawathanitsire—mutha kukhala ndi malingaliro omveka bwino pa thanzi lanu. M'nkhaniyi, tifufuza mahomoni ofunikirawa kudzera mu sayansi ya zamankhwala ku Nirogi Lanka.

Kodi Cortisol ndi chiyani?

Cortisol ndi mahomoni otchedwa steroid omwe ali m'gulu la glucocorticoid. Amapangidwa ndi kutulutsidwa ndi ma adrenal glands anu, omwe amakhala pamwamba pa impso zanu. Ganizirani za cortisol ngati dongosolo la alamu lomangidwa mkati mwa thupi lanu. Imagwira ntchito yofunika kwambiri poyendetsa njira zambiri zofunika komanso zopitilira mu dongosolo lanu. Kupanga kwake kumayendetsedwa mosamala kudzera mu netiweki yovuta yolumikizirana yokhudza ubongo wanu - makamaka hypothalamus ndi pituitary gland - ndi ma adrenal glands anu.

Kupitirira Kupsinjika Maganizo: Ntchito Zambiri za Cortisol

Ngakhale kuti kuchepetsa kupsinjika maganizo ndi ntchito yake yayikulu, cortisol imakhudza pafupifupi ziwalo zonse m'thupi lanu. Nazi zina mwa ntchito zake zazikulu:

1. Kuwongolera momwe Thupi Limayankhira pa Nkhawa

Mukakumana ndi kupsinjika kwakanthawi kochepa kapena kwa nthawi yayitali, thupi lanu limatulutsa mahomoni monga adrenaline kuti achitepo kanthu nthawi yomweyo ("nkhondo kapena kuthawa"). Cortisol ( Cortisol ) imagwira ntchito limodzi ndi izi kuti thupi lanu likhale tcheru komanso losangalala. Imakwaniritsa izi mwa kutulutsa shuga (shuga) kuchokera ku chiwindi chanu, ndikukupatsani mphamvu yofunikira kuti muthane ndi vuto lopsinjika.

2. Kagayidwe kachakudya ndi Kulamulira Shuga M'magazi

Cortisol ndi yofunika kwambiri pa kagayidwe kanu ka chakudya—momwe thupi lanu limagwiritsira ntchito mphamvu. Imathandiza kuti shuga m'magazi mwanu azikhalabe olimba mwa kusintha momwe insulin ndi glucagon zimapangidwira komanso kuwongolera momwe mafuta , minofu, ndi maselo a chiwindi amagwiritsira ntchito shuga.

3. Kusamalira Kutupa

M'kanthawi kochepa, cortisol imagwira ntchito ngati mankhwala achilengedwe oletsa kutupa, kuthandiza kuchepetsa kutupa ( kutupa ). Komabe, ngati kuchuluka kwa cortisol kumakhalabe kokwera kwa nthawi yayitali, kumatha kukhala ndi zotsatira zosiyana, zomwe zitha kuwonjezera kutupa ndikufooketsa chitetezo chamthupi ( chitetezo chamthupi ).

4. Kulamulira Kuthamanga kwa Magazi

Ngakhale kuti njira yeniyeniyo ikuphunziridwabe, tikudziwa kuti cortisol imathandizira kwambiri pakulamulira kuthamanga kwa magazi. Pali mgwirizano womveka bwino pakati pa kuchuluka kwa cortisol ndi kusinthasintha kwa kuthamanga kwa magazi.

5. Kukhudza Circadian Rhythm

Kuchuluka kwa cortisol m'thupi lanu kumasintha mwachibadwa tsiku lonse. Nthawi zambiri kumawonjezeka kwambiri m'mawa kuti kukuthandizeni kudzuka ndikutsika kwambiri usiku kuti mugone bwino. Kugona kumeneku ndikofunikira kwambiri kuti munthu agone bwino komanso kuti amve bwino tsiku lililonse.

Nanga bwanji ngati kuchuluka kwa Cortisol kuli kokwera kwambiri? (Hypercortisolism)

Kuchuluka kwa cortisol (matenda otchedwa Cushing's syndrome) nthawi zonse sikwabwino. Ngakhale kuti kupsinjika maganizo tsiku ndi tsiku sikumayambitsa izi zokha, nthawi zambiri kumayamba chifukwa cha:

  • Mankhwala: Kugwiritsa ntchito mankhwala a corticosteroids okwera kwambiri kwa nthawi yayitali (monga prednisone).
  • Zotupa: Kukula kwa pituitary gland kapena adrenal glands komwe kumayambitsa kupanga kwambiri kwa cortisol kapena mahomoni omwe amachititsa izi (makamaka ACTH—Adrenocorticotropic hormone).

Zizindikiro zodziwika bwino za kuchuluka kwa Cortisol m'magazi:

Anthu omwe ali ndi cortisol yokwera nthawi zonse amatha kukhala ndi zotsatirazi:

  • Kulemera kwakukulu, makamaka pankhope ("nkhope ya mwezi") ndi pamimba, pomwe miyendo imatha kuonda.
  • Mafuta amaikidwa pakati pa mapewa ("buffalo hump").
  • Mabala otambalala ofiirira, makamaka pamimba.
  • Kufooka kwa minofu.
  • Kuchuluka kwa shuga m'magazi, komwe kungayambitse matenda a shuga amtundu wa 2.
  • Kuthamanga kwa magazi (Kuthamanga kwa magazi kwambiri).
  • Kutupa kosavuta.
  • Mafupa ofooka (osteoporosis).
  • Kwa akazi, zizindikiro monga hirsutism (kukula kwambiri kwa tsitsi) kapena kusakhazikika kwa msambo.

Nanga bwanji ngati kuchuluka kwa Cortisol kuli kotsika kwambiri? (Kusakwanira kwa Adrenal)

Kulephera kwa adrenal glands kumachitika pamene adrenal glands yanu ikulephera kupanga cortisol yokwanira. Kusowa kumeneku kungayambitse mavuto aakulu pa thanzi ngati sikuchiritsidwa. Ngati mukukumana ndi zizindikiro zoopsa, chonde funsani ogwira ntchito zadzidzidzi (911) kapena pitani kuchipatala chapafupi nthawi yomweyo. Zifukwa zazikulu ndi izi:

  • Kulephera kwa adrenal cortex koyamba (matenda a Addison): Izi nthawi zambiri zimachitika chifukwa cha vuto la autoimmune lomwe chitetezo cha mthupi chanu chimaukira molakwika adrenal glands yanu. Matenda kapena kuvulala kwina kwa adrenal glands kungakhalenso chifukwa chachikulu.
  • Kulephera kwa Adrenal kwachiwiri: Izi zimachitika pamene pituitary gland yanu sikugwira ntchito bwino (chifukwa cha zotupa kapena kuchepa kwa ntchito), zomwe zimapangitsa kuti kupanga ACTH (Adrenocorticotropic hormone) kuchepe, komwe kumasonyeza thupi lanu kuti lipange cortisol. Zitha kuchitikanso ngati mwadzidzidzi mwasiya kumwa mankhwala a corticosteroid kwa nthawi yayitali.

Zizindikiro za kuchuluka kwa cortisol m'magazi:

Ngati kuchuluka kwa cortisol m'magazi anu kuli kotsika kwambiri, mungazindikire zizindikiro izi:

  • Kutopa kosalekeza, kwakukulu komanso kufooka.
  • Kuchepetsa thupi kosamveka bwino.
  • Kusowa chilakolako.
  • Kutsika kwa kuthamanga kwa magazi (hypotension), komwe kungayambitse chizungulire kapena mutu wopepuka munthu akaima.
  • Kusanza, kusanza, kapena kusamva bwino m'mimba.
  • Kupweteka kwa minofu kapena mafupa.
  • Kuchuluka kwa pigment kapena mdima pakhungu (chizindikiro cha matenda a Addison).

Kusamalira Cortisol: Kusintha kwa moyo kapena kulowererapo kwachipatala?

Ndikofunikira kusiyanitsa pakati pa kuthana ndi kusinthasintha kwabwinobwino kwa cortisol kokhudzana ndi kupsinjika kwa tsiku ndi tsiku ndi kufunafuna chithandizo cha matenda omwe amayambitsa kuchuluka kwa mahomoni kosazolowereka.

Thandizo la moyo kuti mukhale ndi milingo yoyenera ya cortisol:

Ngati mulibe vuto la matenda koma mukufuna kuchepetsa nkhawa yanu ndikusunga kuchuluka kwa cortisol m'magazi anu, ganizirani njira izi:

  • Konzani nthawi yanu yogona: Onetsetsani kuti mumagona nthawi zonse komanso mwabwino kwambiri. Kusowa tulo nthawi zonse kumadziwika kuti kumawonjezera kuchuluka kwa cortisol.
  • Khalani otanganidwa: Kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kuchepetsa nkhawa komanso kusunga kamvekedwe ka thupi lanu kukhala koyenera.
  • Yesetsani njira zopumulira: Kupuma mozama, kusinkhasinkha, ndi yoga kungathandize kuti mitsempha yanu ya parasympathetic ("kupumula ndi kugaya") ikhale yothandiza kwambiri polimbana ndi mahomoni opsinjika maganizo.
  • Sungani ubale wabwino ndi anthu: Ubale wolimba ndi okondedwa umakhala ngati chitetezo chachilengedwe ku nkhawa.
  • Pezani nthawi yosangalala: Kuseka ndi kuchita zinthu zosangalatsa kumayambitsa kutulutsidwa kwa ma endorphins, omwe amathandiza kuchepetsa cortisol.

Chithandizo cha matenda a cortisol imbalance:

Ngati mwapezeka ndi matenda monga Cushing's syndrome kapena adrenal insufficiency, kusintha moyo kokha sikukwanira. Chithandizo chamankhwala n'chofunikira ndipo chingaphatikizepo:

  • Mankhwala: Kuletsa kupanga kwa cortisol, kuletsa zotsatira zake, kapena kupereka chithandizo cholowa m'malo ngati milingo yake ndi yotsika kwambiri.
  • Opaleshoni: Kuchotsa zotupa zomwe zimayambitsa kupanga kwambiri cortisol.
  • Kuchepetsa: Kuchepetsa pang'onopang'ono mankhwala a corticosteroid ngati cortisol yanu yambiri imachokera ku mankhwala.

Kodi ndi liti pamene muyenera kufunsa uphungu kwa dokotala?

Ngati muli ndi zizindikiro zosalekeza zokhudzana ndi cortisol yokwera kapena yotsika, chonde funsani dokotala wanu. Kaya ndi kusintha kosamveka bwino kwa kulemera, kutopa kosatha, kufooka kwa minofu, kapena mavuto a kuthamanga kwa magazi, lankhulani ndi dokotala wanu. Akhoza kuyitanitsa mayeso ofunikira ozindikira matenda (magazi, mkodzo, kapena malovu) kuti adziwe chomwe chimayambitsa. Pewani kudzifufuza nokha pogwiritsa ntchito intaneti kapena kutsatira mfundo zosadziwika bwino zachipatala monga "kutopa kwa adrenal," chifukwa izi zingachedwetse mwayi wanu wopeza chithandizo choyenera komanso chopulumutsa moyo. Pakagwa ngozi yachipatala, imbani 911 kapena ogwira ntchito zadzidzidzi zapafupi nanu nthawi yomweyo.

Zambiri zodalirika zokhudza Cortisol kuchokera ku Nirogi Lanka

Cortisol ndi mahomoni ofunikira komanso amphamvu. Kumvetsetsa momwe imagwirira ntchito komanso kuzindikira zizindikiro zochenjeza za kusalinganika ndi gawo lofunikira kwambiri pakusunga thanzi lanu kwa nthawi yayitali.