Ingabe uhlala ukhathele? Ingabe ucindezelekile? Mhlawumbe sekuyisikhathi sokufunda ngokuhlolwa kwe-Cortisol!

Ingabe ngezinye izikhathi uzizwa ukhathele kakhulu ngaphandle kwesizathu? Noma uzizwa usinda kakhulu, sengathi uhlala ungaphansi kokucindezeleka okukhulu? Ngezinye izikhathi isisindo sakho singase sikhuphuke noma sehle ngokuzumayo. Uma uya kudokotela onalezi zinto, bese ethi, "Masenze ukuhlolwa kwe-cortisol," ungase uzibuze ukuthi kusho ukuthini lokho. Ungakhathazeki, namuhla sizokhuluma ngalolu vivinyo lwe-cortisol ngendlela elula kakhulu.

Ake siqale sibone, iyini i-Cortisol?

Kalula nje, i-Cortisol iyi-hormone ebaluleke kakhulu emizimbeni yethu. Ikhiqizwa yizindlala ezimbili ezincane ezitholakala ngaphezu kwezinso zethu, izindlala ze-adrenal. Abantu abaningi bayibiza ngokuthi "i-Stress Hormone," okusho ukuthi yi-hormone ekhiqizwa ngokweqile lapho sicindezelekile. Lokho kuyiqiniso, kodwa umsebenzi we-Cortisol awugcini kulokho kuphela.

Cabanga ngomzimba wakho njengenkampani enkulu. I-Cortisol ifana nomphathi osebenza kahle kakhulu kuleyo nkampani. Yiyo ephethe umsebenzi womzimba ezimweni eziphuthumayo nasezimweni ezicindezelayo.

• Ilawula amandla: Uma imizimba yethu idinga amandla ngokushesha, i-Cortisol isisiza ukusebenzisa ushukela (i-glucose), amafutha, kanye namaprotheni emzimbeni wethu.
• Ilawula amasosha omzimba: Le hormone isiza futhi ekulawuleni izinto ezifana nokuvuvukala emzimbeni.
• Ilawula umfutho wegazi: I-Cortisol iphinde ibe negalelo ekugcineni umfutho wegazi wethu usezingeni elijwayelekile.
• Ilawula ukulala nokuvuka: Izinguquko emazingeni e-cortisol yizo ezisinika amandla lapho sivuka ekuseni futhi zisilungiselele ukulala ebusuku.

Ngakho-ke cishe uyaqonda ukuthi i-Cortisol akuyona nje i-hormone ehlobene nokucindezeleka, kodwa ihilelekile ezinqubweni eziningi ezibalulekile emzimbeni wethu.

Kungani udokotela ekucela ukuthi wenze lolu vivinyo lwe-cortisol?

Manje cishe usuyaqonda ukuthi kubaluleke kangakanani ukuba nezinga elifanele le-cortisol. Uma leli zinga liphezulu kakhulu noma liphansi kakhulu , izinkinga ezahlukahlukene zingavela emizimbeni yethu. Udokotela uzoyala lokhu kuhlolwa kuphela uma esola ukuthi izimpawu zakho zibangelwa ukungalingani kwamazinga akho e-cortisol.

Lokhu kuhlolwa kusiza kakhulu ekuxilongeni izimo eziningana zezokwelapha:

• I-Cushing Syndrome: Lesi yisimo esibangelwa amazinga aphezulu e-cortisol emzimbeni. Udokotela angase asole lokhu uma unezinye zezimpawu ezilandelayo:
• Kuphuma isisu kuphela, bese izitho ziba zincane.
• Ubuso buba yindilinga futhi bube bukhulu (ubuso benyanga).
• Kuvela ungqimba lwamafutha ngemuva kwentamo naphakathi kwamahlombe (i-buffalo hump).
• Isikhumba siba sincane, siphuka kalula, futhi sibe nemivimbo ensomi (amamaki okwelula).
• Ukwanda komfutho wegazi kanye namazinga kashukela egazini.
• Ukungajwayelekile kwemijikelezo yokuya esikhathini kwabesifazane kanye nokukhula kwezinwele ebusweni okungafuneki.

• Isifo Sika-Addison: Lesi yisimo lapho umzimba ungakhiqizi khona i-hormone i-Cortisol eyanele. Izimpawu zingase zihlanganise:
• Ukuzizwa ukhathele kakhulu ngaso sonke isikhathi.
• Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo.
• Isiyezi kanye nomfutho wegazi ophansi.
• Ezinye izindawo zesikhumba, ikakhulukazi imibimbi yesikhumba kanye nezindawo ezifana nezinsini, ziba mnyama.
• Ukufisa kakhulu ukudla okunosawoti.

• Ezinye Izimila: Ngezinye izikhathi, izinhlobo ezithile zezimila ezindlaleni ze-adrenal noma indlala ye-pituitary zingabangela amazinga aphezulu kakhulu e-cortisol.

Ungawahlola kanjani amazinga e-cortisol? Yiziphi izinhlobo zokuhlolwa?

Kunezindlela eziningana zokuhlola amazinga akho e-cortisol. Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okukulungele ngokusekelwe esimweni sakho. Ngezinye izikhathi, ungase ucelwe ukuthi uhlole kabili ngosuku. Lokhu kungenxa yokuthi amazinga ethu e-cortisol awahlali efana usuku lonke. Amazinga e-cortisol avame ukuba phezulu lapho sivuka ekuseni, bese ehla kancane kancane njengoba usuku luqhubeka, bese ehla aye emazingeni aphansi kakhulu ebusuku.

Ake siqonde nje lezi zinhlobo zokuhlola kusukela kuthebula elingezansi.

Ake sibheke ukuthi singalwenza kanjani lolu vivinyo ngemininingwane ethile.

Manje ake sibheke ukuthi singalwenza kanjani lolu vivinyo ngalunye ngokuningiliziwe. Khona-ke ngeke kudingeke ube nokwesaba noma ukungabaza ngalokhu.

Ukuhlolwa kwe-Cortisol (Ukuhlolwa Kwegazi)

Lokhu kufana nje nokuhlolwa kwegazi okuvamile ukukwenza.

1. Uzohlaliswa esihlalweni bese othile elabhorethri ezothola umthambo engalweni yakho. Ngokuvamile, igazi lizothathwa ngaphakathi kwendololwane yakho.

2. Bese indawo ihlanzwa kahle, kufakwa inaliti encane emthanjeni bese kukhishwa igazi elincane. Kuleli qophelo, ungase uzizwe ubuhlungu obufana nokulunywa yintuthwane encane.

3. Ngemva kokuthathwa kwegazi elidingekayo, inaliti iyasuswa bese kufakwa ucezu lwekotini kuleyo ndawo bese lucindezelwa phansi.

4. Bese kufakwa iplasta encane endaweni. Konke kuyaphela ngaphansi kwemizuzu emi-5.

Ukuhlolwa Kwamathe

Lokhu kuvame ukuba ukuhlolwa ongakwenza ekhaya. Udokotela wakho uzokunikeza ikhithi ekhethekile yalokhu. Udinga ukulandela imiyalelo ngqo.

1. Ungadli, ungaphuzi, ungaxubhi amazinyo akho, noma ubheme noma yini imizuzu engama-30 ngaphambi kokwenza isivivinyo.

2. Faka i-swab ekhithini emlonyeni wakho ngaphandle kokuyithinta ngezandla zakho.

3. Kufanele uyibambe emlonyeni imizuzu embalwa, kuze kube yilapho imanzi kahle ngamathe.

4. Ngemuva kwalokho, ngaphandle kokuyithinta, yifake ngaphakathi kwesitsha sokuhlola esisekhithini.

5. Udokotela uzobe esekuyala ukuthi ungayibuyisela kanjani elabhorethri.

Ukuhlolwa kwe-Urine Cortisol

Lokhu kuhlolwa kukucela ukuthi uqoqe wonke amaconsi omchamo owadlulayo esikhathini samahora angama-24 . Nakuba lokhu kungase kubonakale kuyinkinga, kubalulekile ukuthola imiphumela enembile.

1. Khetha isikhathi sokuqala usuku lwakho. Ake sithi kungu-8 ekuseni. Ungabuthi umchamo wokuqala owukhipha ngaleso sikhathi, vele uye endlini yangasese njengenjwayelo. Kodwa bhala phansi isikhathi esiqondile.

2. Ukuchama ngakunye okulandelayo,Kuyo yonke imini nobusuku, udinga ukukuqoqa esitsheni esikhethekile esinikezwe yilebhu. Qaphela ukuthi ungaphuthelwa yiconsi elilodwa lomchamo. Futhi ungavumeli noma yimuphi udoti noma izingcezu zephepha langasese zingene kuwo.

3. Gcina leli bhodlela lomchamo esiqandisini noma esiqandisini uma lingasetshenziswa.

4. Ngakusasa ekuseni, ngesikhathi esifanayo oqale ngaso umsebenzi (isibonelo, ngo-8 ekuseni), zama ukuqoqa umchamo wokugcina ebhodleleni.

5. Bhala igama lakho ngokucacile, isikhathi sokuqala, nesikhathi sokuqeda ebhodleleni, bese uliletha elabhorethri ngokushesha okukhulu.

Ake siqonde izindinganiso zombiko.

Uzothola umbiko zingakapheli izinsuku ezimbalwa kusukela kuhlolwe. Ungesabi uma ubona amanani kuwo. Udokotela wakho kuphela ongawuchaza kahle.

Amazinga ajwayelekile e-cortisol egazini anjengokulandelayo:

• Phakathi kuka-6 kuya ku-8 ekuseni: 10 kuya ku-20 mcg/dL (ama-microgram nge-deciliter ngayinye)
• Cishe ngo-4 ntambama: 3 kuya ku-10 mcg/dL

Ungase uqaphele ukuthi amazinga aphezulu ekuseni futhi aphansi kusihlwa. Kodwa-ke, la manani angahluka kancane kusukela elabhorethri kuya kwelebhu kanye nakumuntu nomuntu. Ngakho-ke ungasheshi ufinyelele eziphethweni mayelana namanani asembikweni.

Uma amazinga akho e-cortisol ephezulu... (Amazinga Aphezulu)

Kungase kube nezizathu eziningana ezenza amazinga e-cortisol abe phezulu kunalokho obekulindelekile.

• Eminye imithi oyithathayo, ikakhulukazi leyo efana nama-corticosteroids.
• Isimila esise-pituitary gland sibangela ukukhiqizwa ngokweqile kwe-hormone i-ACTH.
• Ukukhiqizwa ngokweqile kwe-cortisol ngenxa yesimila esise-adrenal gland.
• Isimila kwenye indawo emzimbeni, njengomdlavuza wamaphaphu.

Uma amazinga akho e-cortisol ephansi... (Amazinga Aphansi)

Izizathu eziningana zingabangela amazinga aphansi e-cortisol.

• Indlala ye-pituitary ayisebenzi kahle.
• Ukulimala kwezindlala ze-adrenal noma ukungasebenzi kahle.

Uma kukhona okungajwayelekile embikweni, kuzokwenzekani ngokulandelayo?

Lokhu kuyinto ebaluleke kakhulu. Ukuthi nje umbiko wokuhlolwa ukhombisa inani elingavamile, akusho ukuthi unesifo esibi kakhulu. Kunezinye izizathu eziningi zokuthi amazinga e-cortisol angashintsha.

• Ukucindezeleka: Uma ucindezeleke kakhulu ngosuku lokuhlolwa, amanani angashintsha.
• Umsebenzi womzimba: Izinto ezifana nokuzivocavoca ngokweqile.
• Ezinye izimo zezokwelapha: Izinto ezifana nomkhuhlane, izifo ezithathelwanayo.
• Indlela yakho yokulala: Indlela yokusebenza kwe-cortisol yomuntu osebenza ebusuku ihlukile.
• Eminye imithi.

Ngakho-ke, udokotela uzofinyelela esiphethweni ngokuqhathanisa umbiko wakho, izimpawu zakho, kanye nomlando wakho wezokwelapha ophelele. Uma kudingeka, angase ancome ezinye izivivinyo ukuze ahlole ngokujulile imbangela.

• Ukuhlolwa kokukhuthazwa kwe-ACTH:Lokhu kuhlola ukuthi izindlala zakho ze-adrenal zisabela kanjani ku-hormone ye-ACTH.
• Ukuhlolwa kokucindezela i-Dexamethasone: Kulolu vivinyo, unikezwa umuthi bese kulinganiswa amazinga akho e-cortisol.
• Ukuhlolwa kwezithombe: Ungase ucelwe futhi ukuthi wenze into efana ne-MRI noma i-CT scan ukuze ubheke isimo sezindlala zakho.

Ukuhlolwa kwe-Cortisol, i-cortisol, i-hormone yokucindezeleka, i-Cushing syndrome, isifo sika-Addison, ukuhlolwa kwegazi, ukuhlolwa komchamo, ama-hormone, izindlala ze-adrenal, izindlala ze-adrenal, ukucindezeleka, ukuhlolwa kwama-hormone, isihloko sezokwelapha saseSinhala