Ese wumva unaniwe bidasanzwe, urimo kwiyongera ibiro cyangwa kugabanuka k'ibiro mu buryo butunguranye, cyangwa ubona impinduka mu ruhu rwawe? Niba muganga wawe yakubwiye "ikizamini cya ACTH," ni ibisanzwe kumva uhangayikishijwe gato cyangwa utazi icyo ukora. Nyamuneka ntugahangayike. Iki ni ikizamini gisanzwe cy'amaraso gikoreshwa mu gusuzuma uko imisemburo y'umubiri wawe ikora. Muri Nirogi Lanka, turashaka kubisobanura mu magambo yoroshye kugira ngo usobanukirwe neza ibiri kuba.
ACTH ni iki mu by'ukuri?
Umubiri wawe ni sisitemu itangaje aho ibice bitandukanye biganira binyuze mu butumwa bw'ibinyabutabire bwitwa "hormones." Tekereza ku gasabo k'ubwonko kangana n'amashaza gaherereye mu nsi y'ubwonko bwawe nk'"Umuyobozi Mukuru" w'ikigo kinini.
Uyu muyobozi yohereza amabwiriza yihariye yitwa ACTH (Adrenocorticotropic hormone) . Iki kimenyetso kigenda mu turemangingo tw’inkende , twicaye nk’udupfundikizo duto hejuru y’impyiko zawe. Tekereza kuri izi misemburo nk’uruganda. Iyo misemburo ya pituitary yohereje ikimenyetso cya ACTH, uruganda rwa adrenal rukora imisemburo y’ingenzi yitwa cortisol .
Kuki Cortisol ari ingenzi cyane kuri wewe?
Cortisol si imisemburo isanzwe gusa; ikora imirimo myinshi y'ingenzi mu mubiri wawe:
- Bifasha mu kugena umuvuduko w'amaraso yawe ( umuvuduko w'amaraso ) .
- Biha umubiri wawe imbaraga zo kurwanya indwara zandura neza.
- Bifasha mu gusenya isukari , ibinure na poroteyine mu byo urya kugira ngo bikubyaze imbaraga.
- Bifasha umubiri wawe guhangana n'imihangayiko y'umubiri n'amarangamutima.
Urabona impamvu iyi sisitemu ari ingenzi cyane. Iyo ikimenyetso cya ACTH giturutse ku gasabo ka pituitary cyiyongereye, imisemburo ya adrenal ikora cortisol nyinshi. Iyo ACTH igabanutse, ikorwa rya cortisol riragabanuka. Muganga wawe asanzwe ategeka ikizamini cya ACTH kugira ngo arebe niba iri ngano ritari ryuzuye—cyane cyane kugira ngo arebe niba urugero rwawe ruri hejuru cyane cyangwa ruri hasi cyane.
Icy'ingenzi kurushaho, ikizamini cya ACTH gikunze gukorwa hamwe n'ikizamini cya cortisol ( Cortisol ), kuko imikorere y'iyi misemburo yombi ifitanye isano rikomeye.
Kuki muganga wawe ashobora gutegeka iki kizamini?
Ibimenyetso by'uko ACTH idahuye neza bifitanye isano n'uko urugero rwa cortisol mu mubiri wawe ruri hejuru cyane cyangwa hasi cyane.
| Kongera ibiro | By’umwihariko ibinure byiyongera hirya no hino mu maso, inyuma yo hejuru no ku bitugu. |
| Impinduka z'uruhu | Itera ry'iminkanyari y'umutuku cyangwa iy'umuhengeri ku nda, ku bibero, cyangwa ku mabere. |
| Intege nke | Intege nke z'imitsi n'umunaniro ukabije kandi udashira. |
| Ibindi Bimenyetso | Gukomereka byoroshye, ibiheri, gukura k'umusatsi mwinshi mu mubiri ku bagore, n'umuvuduko ukabije w'amaraso. |
| Kugabanya ibiro | Kugabanya ibiro mu buryo budasanzwe nubwo umuntu akunda kurya ibiryo bisanzwe. |
| Ibibazo by'igogora | Kurwara isesemi kenshi, kuruka, kubabara mu nda, cyangwa impiswi. |
| Impinduka z'uruhu | Kwijima k'uruhu (hyperpigmentation), cyane cyane mu bice nko mu nkokora no mu mavi. |
| Ibindi Bimenyetso | Kunanirwa cyane, kuzungera, no kwifuza cyane ibiryo by'umunyu. |
Mu gusuzuma ibi bimenyetso, muganga wawe ashobora gusuzuma indwara nka Cushing's syndrome (cortisol iri hejuru), indwara ya Addison (cortisol iri hasi), cyangwa ibibazo bishobora kubaho mu mikorere y'ubwonko. Ikizamini cya ACTH ni igikoresho cy'ingenzi cyo gusuzuma ibi bintu.
Uburyo bwo kwitegura ikizamini
Kubera ko iki ari ikizamini cy'amaraso, bisaba kwitegura bike. Ariko, kubera ko hari ibintu byinshi bishobora kugira ingaruka ku bisubizo, gukurikiza amabwiriza ya muganga ni ingenzi .
- Imiti ya Steroid: Niba ukoresha imiti iyo ari yo yose ishingiye kuri steroid, muganga wawe ashobora kugusaba kuyihagarika amasaha 48 mbere y'ikizamini, kuko ishobora guhindura cyane ibisubizo.
- Indyo: Ushobora gusabwa kwiyiriza ubusa (nta cyo kurya cyangwa kunywa) kuva saa sita z'ijoro mbere yo kwipimisha. Ushobora kandi kugirwa inama yo kugenzura ifunguro ryawe rya karubohidrati ( karubohidrati ) ( impinduka mu mirire ).
- Imyitozo ngororamubiri n'imihangayiko: Irinde gukora imyitozo ngororamubiri ikomeye cyangwa imihangayiko idakenewe mu masaha 12 mbere yo kwipimisha, kuko bishobora kugira ingaruka ku rugero rw'imisemburo.
- Kuruhuka neza: Ishyirireho gusinzira neza nijoro mbere yo kwipimisha, kuko kubura ibitotsi bishobora kugira ingaruka ku misemburo yawe.
- Menya Imiti yose: Menya neza ko wamenyesheje muganga wawe imiti yose (imiti itangwa na muganga, imiti y'ibimera, inyongeramusaruro, cyangwa vitamine) urimo gufata.
Uburyo n'umutekano bikurikizwa
Uburyo bwo gukora ni ubusanzwe kandi bworoshye; umuforomo azagufatira amaraso mu mutsi uri mu kuboko kwawe.
Menya ko urugero rwa ACTH na cortisol ruhindagurika umunsi wose. Ubusanzwe, urugero rwa ACTH ruri hejuru cyane ahagana saa mbiri za mu gitondo kandi rukagera ku rugero rwo hasi nijoro. Kugira ngo umuganga amenye neza, ashobora gusaba ko upimwa amaraso mu gitondo ndetse wenda n'andi nimugoroba.
Iyo bimaze gukusanywa, ingero zihita zikonjeshwa ku rubura, kuko ACTH ari imisemburo ishobora kwangirika vuba.
Ku bijyanye n'ingaruka, iki kizamini gifite ibyago bimwe n'ibindi byose byo gukurura amaraso: ububabare buto cyangwa gukomereka aho urushinge rwashyizwe, kandi gake cyane, ubwandu buke. Nta mpamvu yo gutera ubwoba bukomeye.
Gusobanura Ibisubizo
Ingano z'ibipimo zishobora gutandukana gato hagati ya laboratwari. Muri rusange, ku muntu mukuru muzima, urwego rwa ACTH rwa saa mbiri za mu gitondo rugomba kugabanuka hagati ya picograms 10-50 kuri mililitiro imwe (pg/mL).
Ariko, nyamuneka ntugerageze kwisuzuma ukurikije raporo yawe . Hari ibintu byinshi bigira ingaruka kuri iyi mibare:
- Wasinziriye neza mu ijoro ryabanjirije iryo?
- Ese wahuye n'imihangayiko ikomeye?
- Ni iyihe miti yindi (urugero: insuline, ibinini bya hormone) ufata?
- Niba bishoboka, uri mu cyiciro ki cy'ukwezi kwawe?
- Ese wahuye n'imvune cyangwa ihungabana riherutse?
- Ese icyitegererezo cyafashwe neza kandi kikabikwa ku rubura?
Muganga wawe azasuzuma ibisubizo bya ACTH na cortisol hamwe. Ntabwo bazashingira ku mubare umwe. ACTH yongerewe hamwe na cortisol nyinshi ivuga inkuru itandukanye n'iy'uko ACTH yongerewe hamwe na cortisol nkeya.
Umaze kubona ibisubizo byawe, nyamuneka teganya gahunda yo kubonana na muganga wawe. Ni bo bafite ubushobozi bwo gusobanura ibi byavuye muri ubu bushakashatsi mu rwego rw'ubuzima bwawe muri rusange no gutanga inama ku ntambwe zose zikenewe zikurikiraho, zishobora kuba zirimo no gupimwa ibindi.
Ubutumwa bwo kujyana mu rugo
- Ikizamini cya ACTH ni ikizamini cy'amaraso gipima imisemburo irekurwa n'agace ka pituitary kawe kandi kigafasha gusuzuma imikorere y'agace k'intanga ngabo.
- Iki kizamini gikunze gukorwa hamwe n'ikizamini cya cortisol hormone.
- Muganga wawe ashobora kukugira inama yo gupima niba ufite ibimenyetso nk'impinduka z'ibiro zidasobanutse, umunaniro udashira, cyangwa impinduka z'uruhu.
- Gukurikiza amabwiriza ya muganga wawe neza (ajyanye n'imirire, imiti, n'imyitozo ngororamubiri) mbere yo kwipimisha ni ingenzi kugira ngo ubone ibisubizo nyabyo.
- Ntugerageze gusobanura ibisubizo by'ibizamini byawe wenyine. Buri gihe gisha inama muganga wawe kugira ngo akubere ibisobanuro by'inzobere n'ubuyobozi bwihariye.
