Wake wazizwa ukhathele kancane ngendlela exakile, wanda noma wehla isisindo ngokuzumayo, noma waba noshintsho embala wesikhumba? Ngesikhathi esinjengalesi, uma udokotela ekutshela ukuthi, "Masenze ukuhlolwa kwe-ACTH," ungase ukhathazeke kancane. "Luhlobo luni lokuhlolwa lokho?" Ungase uzibuze. Ungakhathazeki. Lokhu ukuhlolwa kwegazi okuvamile okwenziwa njalo ukuhlola ama-hormone emzimbeni wethu. Namuhla, sizoxoxa ngakho konke ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-ACTH?
Umzimba wethu ungumshini omangalisayo. Ingxenye ngayinye yawo ixhumana ngemiyalezo yamakhemikhali ebizwa ngokuthi “ama-hormone.” Cabanga ukuthi
i-pituitary gland, elingana nobhontshisi futhi etholakala phansi kobuchopho bethu, ifana nomphathi omkhulu ehhovisi elikhulu. Lo mphathi ukhipha umyalezo okhethekile obizwa ngokuthi
i-ACTH (i-Adrenocorticotropic hormone) . Lo myalezo uya ngqo
ezindlaleni ze-adrenal, ezifana nezimbobo ezimbili phezu kwezinso zethu. Lezi zindlala ze-adrenal zifana nefektri. Uma umyalezo we-ACTH uvela endlaleni ye-pituitary, le fektri ikhiqiza i-hormone ebalulekile ebizwa ngokuthi
i-cortisol .
Ngakho-ke, kungani le hormone i-cortisol ibalulekile kithi?
I-Cortisol akuyona nje i-hormone. Inomsebenzi obaluleke kakhulu emizimbeni yethu.
- Kusiza ekulawuleni umfutho wegazi lakho .
- Kunikeza umzimba amandla okulwa nezifo ngempumelelo .
- Kusisiza ukuthi sihlukanise ushukela , amafutha kanye namaprotheni ekudleni esikudlayo futhi kukhiqize amandla .
- Kusiza umzimba ukuthi ulawule ukucindezeleka.
Manje usuyaqonda ukuthi lolu hlelo lubaluleke kangakanani? Uma umyalezo we-ACTH ovela endlaleni ye-pituitary ukhuphuka, izindlala ze-adrenal zikhiqiza i-cortisol eningi. Uma i-ACTH yehla, ukukhiqizwa kwe-cortisol nakho kuyehla. Uma udokotela enokungabaza ngokusebenza kwalezi zindlala ezimbili, okungukuthi, uma efuna ukwazi ukuthi amazinga e-ACTH noma e-cortisol aphezulu noma aphansi, uzoyala lolu vivinyo lwe-ACTH.
Okubalulekile, ukuhlolwa kwe-ACTH kuvame ukwenziwa ngesikhathi esifanayo nokuhlolwa kwe-cortisol , njengoba imisebenzi yala ma-hormone amabili ihlobene.
Lolu vivinyo lwenzelwa ziphi izimpawu?
Izimpawu ezibangelwa ukungalingani kwe-hormone ye-ACTH zihlobene ngqo nokwanda noma ukwehla kwe-hormone ye-cortisol. Ake sibone ukuthi ziyini lezi zimpawu.
Izimpawu zamazinga aphezulu e-cortisol ngenxa yokwanda kwe-ACTH
| Ukwanda kwesisindo | Ukugcwala kwamafutha, ikakhulukazi ebusweni, ngemuva kwentamo, nasemahlombe. |
| Izinguquko zesikhumba | Ukubonakala kwamabala okwelula apinki noma ansomi esiswini, emathangeni nasemabeleni. |
| Ubuthakathaka | Ubuthakathaka bemisipha kanye nokukhathala okukhulu okuvamile. |
| Ezinye izici | Ngisho nesilonda esincane siphenduka sibe luhlaza okwesibhakabhaka ngokushesha, izinduna ziyanda, ukukhula kwezinwele okungafuneki kwabesifazane, kanye nomfutho wegazi ophakeme. |
Izimpawu zamazinga aphansi e-cortisol ngenxa ye-ACTH ephansi
| Ukwehlisa isisindo | Ukwehlisa isisindo naphezu kokudla kahle. |
| Izinkinga zesistimu yokugaya ukudla | Ukucanuzela njalo, ukuhlanza, izinhlungu esiswini, kanye nesifo sohudo. |
| Izinguquko zesikhumba | Ubumnyama (ukuba mnyama) kwesikhumba kwezinye izindawo, ikakhulukazi izindololwane namadolo. |
| Ezinye izici | Imizwa evamile yokukhathala okukhulu, isiyezi, kanye nokulangazelela ukudla okunosawoti. |
Ngokusekelwe kulezi zimpawu, udokotela wakho angase asole ukuthi unesifo esifana ne
-Cushing's syndrome (i-cortisol eyandisiwe),
isifo sika-Addison (i-cortisol enciphile), noma isimila e-pituitary gland noma kwenye indawo. Lokhu kuhlolwa kwe-ACTH kubaluleke kakhulu ukuqinisekisa lokho kusola.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Njengoba lokhu kuwukuhlolwa kwegazi, asikho isidingo sokulungiselela okuningi. Kodwa-ke, kunezinto eziningana ezingathinta imiphumela yokuhlolwa. Ngakho-ke,
kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Ama-Steroids: Uma uthatha noma yimiphi imithi yama-steroid, udokotela wakho angase akucele ukuthi uyeke ukuyithatha cishe emahoreni angu-48 ngaphambi kokuhlolwa. Le mithi ingashintsha ngokuphelele imiphumela.
- Ukudla Nokuphuza: Ungase ucelwe ukuzila ukudla kusukela phakathi kwamabili ngobusuku bangaphambi kokuhlolwa. Ungase ucelwe futhi ukuthi unciphise ukudla kwakho kwama-carbohydrate ( isitashi ).
- Ukuzivocavoca nokucindezeleka : Gwema ukuzivocavoca ngokweqile noma ukucindezeleka okungadingekile amahora angu-12 ngaphambi kokuhlolwa. Lezi zinto zingathinta amazinga ama-hormone.
- Lala kahle ebusuku: Lala kahle ebusuku obandulele. Ngisho nokungalali kahle kungathinta ama-hormone.
- Yazisa udokotela wakho ngayo yonke imithi: Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi (yaseNtshonalanga, yase-Ayurvedic, yaseSinhala), amavithamini, kanye nezithasiselo ozithathayo.
Indlela yokwenza isivivinyo kanye nezingozi
Lena inqubo elula kakhulu. Njengesampula yegazi, umhlengikazi uzothatha isampula yegazi emthanjeni osesandleni sakho. Kodwa kukhona okukhethekile lapha. Amazinga ethu e-ACTH kanye ne-cortisol ayashintsha kuye ngesikhathi sosuku.
Amazinga e-ACTH avame ukuba phezulu cishe ngo-8 ekuseni futhi
aphansi kakhulu ebusuku . Ngakho-ke, uma udokotela wakho efuna ukuthola isithombe esiphelele samahomoni akho, angase athathe amasampula egazi kanye ekuseni futhi aphinde athathwe kusihlwa noma ebusuku. Ngemva kokuthathwa kwegazi, amasampula abekwa ngokushesha eqhweni bese ethunyelwa elebhu. Lokhu kungenxa yokuthi i-ACTH iyihomoni engabhujiswa ngokushesha. Ngokuphathelene nezingozi, kunezingozi ezivamile zanoma yikuphi ukuhlolwa kwegazi. Kungase kube nobuhlungu lapho inaliti ifakwe khona, ukuklwebheka okuthile, kanye nokutheleleka okungajwayelekile. Akukho okufanele ukhathazeke ngakho.
Ungayiqonda kanjani imiphumela?
Imiphumela yombiko wakho ingahluka kancane kuye ngelebhu. Izinga elijwayelekile le-ACTH lomuntu omdala onempilo, elilinganiswa ngo-8 ekuseni, kufanele libe phakathi kwama-picogram ayi-10 nama-50 nge-milliliter (pg/mL). Kodwa-ke,
ungabi udokotela bese wenza izinqumo zakho ngokusekelwe embikweni . Kunezinye izinto eziningi ezingathinta le miphumela.
- Ulale kahle ngosuku olwandulela ukuhlolwa?
- Ingabe wawucindezelekile?
- Eminye imithi oyithathayo (isib. i-insulin, amaphilisi e-hormone).
- Uma kungowesifazane, usuku lomjikelezo wakhe wokuya esikhathini.
- Ingozi noma ukuhlukumezeka kwamuva nje.
- Ukuthi isampula yegazi iqoqwe kahle, yagcinwa eqhweni, futhi yagcinwa yini.
Uma ucabanga ngakho konke lokhu, udokotela wakho uzobheka imiphumela yakho ye-ACTH kanye nemiphumela yakho ye-cortisol ndawonye. Ngeke benze isinqumo ngokusekelwe emphumeleni owodwa nje kuphela. Uma izinga lakho le-ACTH liphezulu kanye nezinga lakho le-cortisol nalo liphezulu, lokho kusho into eyodwa. Uma izinga lakho le-ACTH liphezulu kanye nezinga lakho le-cortisol liphansi, lokho kusho enye into. Ngakho-ke, uma usuthole imiphumela yakho, yithathe uhambe nayo uyobona udokotela wakho. Nguye ozocabangela konke lokhu futhi akutshele kahle ukuthi isimo sakho siyini nokuthi yini okufanele uyenze ngokulandelayo. Bangase futhi ba-ode ukuhlolwa okwengeziwe ukuqinisekisa le miphumela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-ACTH ukuhlolwa kwegazi okulinganisa i-hormone ekhishwa yi-pituitary gland ebuchosheni bethu. Kungasitshela nangokusebenza kwezindlala ze-adrenal.
- Lokhu kuhlolwa kuvame ukwenziwa kanye nokuhlolwa kwe-cortisol hormone.
- Udokotela angase akuncome lokhu kuhlolwa uma unezimpawu ezifana nokushintsha kwesisindo okungachazeki, ukukhathala ngokweqile, noma izinguquko zesikhumba.
- Kubaluleke kakhulu ukuze imiphumela ibe nokunemba ukulandela imiyalelo kadokotela (mayelana nokudla, imithi, kanye nokuzivocavoca) ngaphambi nje kokuhlolwa.
- Ngemva kokuthola umbiko wokuhlolwa, ungafiki eziphethweni zakho ngokusekelwe kumanani. Qiniseka ukuthi ubonisa udokotela wakho umbiko ukuze akuhlaziye kahle futhi akunike iseluleko.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment