Ngaba ngamanye amaxesha ukhe ucinge, "Owu Thixo wam, kutheni ndikhula ngokukhawuleza kangaka?" Okanye ngaba ubuso bakho buye baba ngqukuva kwaye kuvele iqhekeza elincinci lamafutha ngasemva kwentamo yakho? Mhlawumbi nawe uziva udiniwe kwaye unesiyezi ngalo lonke ixesha. Ukuba unenye okanye ngaphezulu kwezi mpawu, isizathu sisenokuba kukutshintsha kwinqanaba le-cortisol yehomoni emzimbeni wakho. Ke namhlanje, masithethe nge-cortisol kunye novavanyo oluyilinganisa ngokweenkcukacha, ngokulula.
Ngamafutshane, yintoni i-cortisol?
I-Cortisol yi-hormone ebalulekileyo emzimbeni wethu. Cinga ngayo njenge-hormone ephambili "yokuphendula kuxinzelelo" emzimbeni wethu. Xa sixinezelekile okanye siphantsi koxinzelelo, i-cortisol yiyo elungiselela umzimba wethu ukuba ujongane nayo. Ukongeza, le hormone inegalelo kweminye imisebenzi emininzi ebalulekileyo emzimbeni wethu.
- Ilawula uxinzelelo lwegazi.
- Inceda ukugcina amanqanaba eswekile egazini.
- Iicarbohydrate, iiproteni, kunye nee-lipids ekutyeni esikutyayo zisinceda ukuba sizisebenzise zibe ngamandla.
- Ilawula ukudumba emzimbeni.
- Ikwanceda kumjikelo wokulala nokuvuka olawula ukulala kwethu nokuvuka kwethu.
Le hormone ye-cortisol iveliswa zii-glands ezimbini ezincinci ezikwindawo engentla kwezintso zethu. Ezi sizibiza ngokuba zii-adrenal glands. Ngoko ke ukuba kukho ingxaki ngezi glands, okanye nge-pituitary gland esezantsi kwengqondo, amanqanaba e-cortisol anokuba phezulu kakhulu okanye aphantsi kakhulu. Ukuba ugqirha wakho ukubuza ngezi mpawu, angakucela ukuba wenze uvavanyo lwe-cortisol.
Zithini iimpawu ze-cortisol ephezulu nephantsi?
Xa amanqanaba e-cortisol etshintsha, imizimba yethu ithumela imiqondiso eyahlukeneyo. Masibone ukuba zeziphi ezi mpawu. Ndiza kukubonisa oku kwitheyibhile ukuze ukuqonde lula.
| Xa amanqanaba e-cortisol ephezulu (i-Cortisol ephezulu) | Xa amanqanaba e-cortisol ehla (i-Cortisol ephantsi) |
|---|---|
| Ukunyuka kobunzima ngokukhawuleza (ingakumbi esiswini, esifubeni, nasebusweni) | Ukudinwa rhoqo |
| Ubuso obujikelezileyo | Isiyezi |
| Ukwakheka kweqhubu elinamafutha ngasemva kwentamo okanye phakathi kwamagxa | Ukuhla ukusinda |
| Igazi elonyukayo | Uxinzelelo lwegazi oluphantsi |
| Amanqanaba eswekile egazini anyukileyo | Ubuthathaka bemisipha |
| Utshintsho lolusu (luyakrazuka lula, imicu emfusa) | Ukugabha, isicaphucaphu, kunye nentlungu yesisu |
| Imijikelo yokuya exesheni engaqhelekanga kubafazi | Ukunqwenela ityuwa emzimbeni |
Zithini izizathu zokwanda kwe-cortisol?
Ukuba amanqanaba e-cortisol aphezulu kakhulu, loo meko siyibiza ngokuba yi-Cushing's syndrome . Kunokubakho izizathu ezininzi eziphambili zoku:
- Ukusela amayeza e-steroid angaphezulu (umz. i-prednisone) ixesha elide kwezinye izifo.
- Ithumba elikwi-pituitary gland ebuchotsheni. Eli thumba lelona "lilawula" amanye amadlala.
- Ithumba kwi-adrenal glands.
Zithini izizathu zokuba i-cortisol iphantsi?
Eyona meko iphambili ebangela amanqanaba aphantsi e-cortisol sisifo sika-Addison . Oku kwenzeka xa inkqubo yethu yomzimba yokuzikhusela ihlasela amadlala e-adrenal. Ukongeza,
- Usulelo okanye umonakalo kwiindlala ze-adrenal.
- I-pituitary gland ayisebenzi kakuhle.
- Ukuyeka ngequbuliso amayeza e-steroid ebesetyenziswa ixesha elide.
Kubalulekile: Ukuba usebenzisa naliphi na iyeza le-steroid, ungaze uyeke ukulithatha ngequbuliso ngaphandle kwengcebiso kagqirha wakho.Ukwenza njalo kunokubangela ukuba amanqanaba e-cortisol ehle ngequbuliso, nto leyo edala imeko eyingozi.
Uvavanyo lwe-cortisol lwenziwa njani?
Kukho iindlela ezintathu eziphambili zokujonga amanqanaba akho e-cortisol: uvavanyo lwegazi, amathe, kunye nomchamo. Ugqirha wakho uya kukunika uvavanyo olufanelekileyo ngokusekelwe kwiimpawu zakho.
Amanqanaba eCortisol ahlala etshintshatshintsha imini yonke, apho amanqanaba aphezulu kusasa aze aphantsi phakathi kobusuku . Yingakho kufuneka kwenziwe ezinye iimvavanyo ngamaxesha athile osuku.
1. Uvavanyo lwegazi lweCortisol
Olu lolona vavanyo luqhelekileyo. Ludla ngokwenziwa kabini ngemini.
- Eyokuqala: malunga nentsimbi yesi-8 kusasa (xa amanqanaba e-cortisol ephezulu)
- Okwesibini: Malunga nentsimbi yesi-4 emva kwemini (xa amanqanaba e-cortisol ehla)
Kulula kakhulu. Ilebhu ithatha nje isampuli encinci yegazi elivela kumthambo osengalweni yakho.
2. Uvavanyo lweCortisol Saliva
Le yindlela echanekileyo nelula. Oku kubaluleke kakhulu ekuxilongeni isifo sikaCushing. Ugqirha uza kukunika ikhithi encinci.
- Oku kudla ngokwenziwa phakathi kwentsimbi ye-11 neye-12 emva kwemini , ngaphambi kokuba ulale. Oku kungenxa yokuba kulapho amanqanaba e-cortisol yomntu ophilileyo esezantsi khona. Ukuba amanqanaba asephezulu ngelo xesha, luphawu lwengxaki.
- Ufanele ukuphephe ukutya, ukusela, okanye ukuhlamba amazinyo akho imizuzu engama-30 ngaphambi kovavanyo.
- Kufuneka ubambe i-swab emlonyeni wakho malunga nemizuzu emibini ukuze uqokelele amathe, uze uwabuyisele kwityhubhu uze uwathumele kwilebhu.
3. Uvavanyo lomchamo weCortisol
Ngamanye amaxesha ugqirha wakho uya kukucela ukuba uthathe isampuli yomchamo ethatha iiyure ezingama-24.
- Okwenzekayo koku kukuba kufuneka uqokelele isampuli yomchamo ngamnye owudlulayo kwixesha leeyure ezingama-24 kwibhotile ekhethekileyo oyinikwayo.
- Le bhotile mayihlale igcinwe efrijini okanye kwibhokisi enomkhenkce.
- Xa iiyure ezingama-24 ziphelile, kufuneka zithunyelwe kwilabhoratri.
Zeziphi ezinye iimvavanyo ezikhethekileyo ezenziwayo?
Ngamanye amaxesha, kufuneka uvavanyo olongezelelweyo ukuze kufunyanwe unobangela ochanekileyo wamanqanaba akho e-cortisol angaqhelekanga.
- Uvavanyo Lokukhuthaza I-ACTH: Olu vavanyo luvavanya indlela amadlala akho e-adrenal asabela ngayo kwi-hormone ebizwa ngokuba yi-ACTH, evela kwi-pituitary gland. Oku kudla ngokwenziwa xa amanqanaba e-cortisol ephantsi.
- Uvavanyo lokuNciphisa iDexamethasone: Oku kufana nolunye uviwo olungasentla. Kwenziwa ukuze kufunyanwe unobangela wamanqanaba aphezulu e-cortisol. Apha, kunikwa inani elincinci le-steroid ebizwa ngokuba yi-'Dexamethasone', kwaye amanqanaba e-cortisol ajongwa kusasa olulandelayo.
Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho unokufumanisa ukuba ingxaki ikwi-pituitary gland, kwi-adrenal gland, okanye kwenye into. Ngamanye amaxesha, ukuba kukho ithumba elirhanelwayo , unokufuneka ukuba uhlolwe nge-CT scan okanye nge-MRI scan .
Khumbula, inqanaba le-cortisol elingaqhelekanga kwingxelo yovavanyo alisoloko liluphawu lwesifo esinzima. Amanqanaba e-cortisol anokutshintsha ngenxa yezinto ezifana noxinzelelo oluphezulu, umthambo, ukukhulelwa, kunye namayeza athile.
Umyalezo Wokuya Ekhaya
- I-Cortisol yi-hormone elawula uxinzelelo emizimbeni yethu kwaye yenza neminye imisebenzi emininzi ebalulekileyo.
- Iimpawu ezinje ngokutyeba ngequbuliso, ukudinwa, kunye nesiyezi zinokubangelwa kukutshintsha kwamanqanaba e-cortisol.
- Amanqanaba e-cortisol anokulinganiswa ngovavanyo lwegazi, amathe, okanye umchamo. Amanqanaba ayo ayahluka ngokuxhomekeke kwixesha losuku.
- Ukuba amanqanaba e-cortisol aphezulu kakhulu, isenokuba luphawu lwe- Cushing's syndrome , kwaye ukuba aphantsi kakhulu, isenokuba luphawu lwe- Addison's disease .
- Ukuba unayo nayiphi na kwezi mpawu okanye ukhathazekile ngeziphumo zovavanyo lwakho, qiniseka ukuba uthetha nogqirha wakho . Kuphephe ukuzixilonga nokunyanga ngokwakho.
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