Okudingeka ukwazi ngokuhlolwa kwe-cortisol

Ingabe uzizwa ukhathele ngaso sonke isikhathi, unamahlaba ngaphandle kwesizathu, noma ungaphansi kokucindezeleka okukhulu? Mhlawumbe lapho ukhuluma nodokotela wakho ngalokhu, wakutshela ngokuhlolwa kwegazi noma komchamo. Leso yisilingo se-cortisol. Ungesabi, naphezu kwegama, lokhu kuyinto elula kakhulu. Ake sixoxe ngakho konke ngokucacile namuhla.

Kalula nje, iyini i-cortisol?

I-Cortisol iyi-hormone ebaluleke kakhulu emzimbeni wethu. Ikhiqizwa yizindlala ezimbili ezincane ezitholakala ngaphezu kwezinso zethu, izindlala ze-adrenal. Ibizwa nangokuthi "i-hormone yokucindezeleka." Lokhu kungenxa yokuthi imizimba yethu ikhiqiza kakhulu le-hormone uma sicindezelekile noma sesaba.

Kodwa akusikho konke lokho i-cortisol ekwenzayo. Iyasiza kwezinye izinto eziningi.

• Ukulawula amazinga kashukela emizimbeni yethu.
• Ukulawula umfutho wegazi.
• Ukunciphisa ukuvuvukala emzimbeni.
• Kusiza inkumbulo yethu.

Ngakho-ke lolu vivinyo lwe-cortisol luwukuthola ukuthi umzimba wakho unenani elidingekayo lale hormone, noma ukuthi awunayo yini i-hormone encane kakhulu noma eningi kakhulu .

Kungani udokotela ekucela ukuthi wenze lolu vivinyo?

Uma unezimpawu emzimbeni wakho, udokotela wakho angase akuncome lokhu kuhlolwa ukuze anqume ukuthi kungenxa yezinguquko emazingeni e-cortisol. Lokhu kuhlolwa kwenziwa ikakhulukazi uma kukhona okusolwayo ngezimo ezimbili zezokwelapha.

1. Isifo sika-Addison: Lesi yisimo lapho umzimba ungakhiqizi khona i-hormone i-cortisol eyanele . Izimpawu zingase zihlanganise ukukhathala okuqhubekayo, ukwehla kwesisindo, kanye nokuba mnyama kwezinye izindawo zomzimba (ikakhulukazi izindololwane namadolo).

2. I-Cushing's syndrome: Lesi yisimo lapho umzimba ukhiqiza khona i-cortisol eningi kakhulu . Izimpawu zingase zihlanganise ubuso obuyindilinga, obuvuvukele, ukukhuluphala (ikakhulukazi esiswini), isikhumba esinciphile, kanye nokulunywa kalula.

Ngaphezu kwalokho, izinhlobo ezithile zezimila nazo zingabangela ushintsho emazingeni e-cortisol. Lokhu kuhlolwa kungasiza futhi ekuqinisekiseni lokhu uma kukhona ukungabaza.

Leli zinga le-cortisol lilinganiswa kanjani?

Kunezindlela ezintathu eziyinhloko zokulinganisa amazinga e-cortisol. Ngezinye izikhathi udokotela wakho angase ancome enye noma ngaphezulu yalezi zindlela.

• Kusukela kusampula yegazi
• Kusukela kusampula yomchamo
• Kusukela kusampula yamathe

Manje ake sibone ukuthi kwenziwa kanjani ukuhlolwa ngakunye kwalokhu.

Ukuhlolwa Kwegazi

Lokhu kufana nokuhlolwa kwegazi okuvamile esikwaziyo futhi esikwenza njalo.

• Uzohlaliswa esihlalweni futhi kuzokhethwa umthambo okulula ukuwuthola ukuze udonse igazi, ngokuvamile kusuka ngaphakathi kwengalo yakho ngaphansi kwendololwane.
• Ngemuva kwalokho indawo iyahlanzwa kahle, kufakwa inaliti encane, bese kuqoqwa igazi elincane epayipini. Ungase uzizwe umuzwa omncane wokuhlaba lapho kufakwa inaliti.
• Ngemva kokuthathwa kwegazi elidingekayo, inaliti iyasuswa bese kufakwa ucezu lwekotini bese lucindezelwa phansi.
• Uma ukopha sekuphelile, kufakwa iplasta encane endaweni. Konke kuthatha imizuzu engaphansi kwemihlanu.

Ukuhlolwa Kwamathe

Lokhu ukuhlolwa okuvame ukwenziwa ekhaya, ngoba isikhathi esiqondile sosuku sokuqoqa isampula (kungaba ngemva nje kokuvuka ekuseni noma ngaphambi kokulala ebusuku) kubalulekile.

• Udokotela uzokunikeza ikhithi ekhethekile yalokhu. Udinga ukufunda imiyalelo ngokucophelela.
• Ngokuvamile kuyalulekwa ukuthi ungadli, ungaphuzi, ungaxubhi amazinyo akho, noma ungabhemi imizuzu engama-30 ngaphambi kokuthatha isampula.
• Ingxenye efana nekotini (i-swab) esekhithini kufanele ifakwe emlonyeni ngaphandle kokuyithinta ngezandla zakho.
• Kufanele uyibambe emlonyeni wakho imizuzu embalwa, kuze kube yilapho imanziswe kahle ngamathe.
• Ngemuva kwalokho udinga ukuyifaka ngqo epayipini elinikeziwe, ngaphandle kokuyithinta futhi.
• Udokotela uzokutshela ukuthi ungayithatha kanjani isampula uye nayo elabhorethri.

Ukuhlolwa Komchamo

Lokhu kuvame ukuhilela ukuqoqa inani eliphelele lomchamo owukhiphayo esikhathini samahora angama-24 .

• Ilebhu izokunikeza isitsha esikhulu salokhu.
• Ngosuku lokuhlolwa, kufanele ulahle umchamo wokuqala owuchamelayo ekuseni. Lokho kusho ukuthi ungawuqoqi. Kodwa bhala phansi isikhathi esiqondile ephepheni. Leso yisikhathi sokuqala kokuhlolwa.
• Bese kuthi phakathi nosuku, kuze kube yilapho ubhale phansi okokuqala ngosuku olulandelayo, kufanele ukuqoqe konke esitsheni esinikeziwe njalo uma uchama. Ungavumeli ngisho neconsi elilodwa lichitheke.
• Ungavumeli noma yiliphi iphepha langasese noma indle kuxubane nalokhu.
• Uma ingasetshenziswa, gcina lesi sitsha esiqandisini noma endaweni epholile.
• Zama ukuqoqa isampula yokugcina yomchamo eduze kokuphela kwesikhathi samahora angu-24 ngangokunokwenzeka (isib., uma uqale ngo-8 ekuseni ngoMsombuluko, yithathe ngo-8 ekuseni ngoLwesibili).
• Kufanele ubhale ngokucacile igama lakho, isikhathi sokuqala, nesikhathi sokuqeda esitsheni bese usiyisa elabhorethri ngokushesha okukhulu.

Kuthatha isikhathi esingakanani ukuthi imiphumela yokuhlolwa ibuye?

Ngokuvamile kuthatha usuku olulodwa kuya kwezinhlanu ukuthola imiphumela, kuye ngelebhu lapho uthola khona ukuhlolwa.

Ithini le miphumela?

Kungumsebenzi kadokotela wakho ukuhumusha imiphumela bese enquma ukuthi uzokwenzenjani ngayo. Lokhu kungenxa yokuthi kuncike ezintweni eziningi, njengezimpawu zakho kanye neminye imiphumela yokuhlolwa. Kodwa ukuze uthole ulwazi, ake sibheke amanani ajwayelekile.

Lezi zindinganiso zingase zihluke kancane kusukela elabhorethri kuya kwelebhu, ngakho-ke ziqhathanise "nobubanzi obujwayelekile" embikweni wakho.

Izimbangela zamazinga aphezulu e-cortisol

• Ukuthatha imithamo ephezulu yemithi ethile (ikakhulukazi ama-steroid - ama-corticosteroids).
• Isimila esise-pituitary gland sibangela ukukhiqizwa ngokweqile kwe-hormone ebizwa ngokuthi i-`ACTH` (le hormone ethi 'ACTH` ivuselela izindlala ze-adrenal ukuthi zikhiqize i-cortisol).
• Ukukhiqizwa ngokweqile kwe-cortisol ngenxa yesimila esise-adrenal gland.
• Isimila esenzeka kwenye indawo emzimbeni (isib. emaphashini).

Izimbangela zamazinga aphansi e-cortisol

• Ukwehla kokukhiqizwa kwe-ACTH ngenxa yokwehla kokusebenza kwe-pituitary gland noma isimila esikuyo.
• Ukulimala kwezindlala ze-adrenal noma ukungasebenzi kahle.

Ingabe kufanele ngikhathazeke uma umphumela ungavamile?

Lutho neze. Ukuthi nje umphumela wokuhlolwa ungaphandle kwebanga elijwayelekile akusho ukuthi unesifo esingathi sína. Amazinga e-Cortisol azwela kakhulu. Ezinye izinto eziningi zingathinta inani.

Ngokwesibonelo:

• Ukucindezeleka: Uma ubucindezeleke kakhulu ngosuku olwandulela ukuhlolwa, amaphuzu akho angashintsha.
• Umsebenzi womzimba: Ukuzivocavoca ngokweqile.
• Ezinye izimo zezokwelapha: Izinto ezifana nomkhuhlane, izifo ezithathelwanayo.
• Izinga lokushisa: Ukuchayeka emakhazeni noma ekushiseni okukhulu.
• Eminye imithi.
• Ukulala: Uma usebenza ebusuku, amaphethini akho e-cortisol angase ashintshe ngoba amaphethini akho okulala ahlukile.

Mhlawumbe, uma udokotela edinga ulwazi olwengeziwe, angakucela ukuthi wenze ezinye izivivinyo.

• Ukuhlolwa kokukhuthazwa kwe-ACTH: Lokhu kuhlola ukuthi izindlala zakho ze-adrenal zisabela kanjani ekufakweni kwehomoni yokwenziwa ethi `ACTH`.
• Ukuhlolwa kokucindezela i-Dexamethasone: Kunikezwa umuthi obizwa ngokuthi i-dexamethasone, bese kulinganiswa amazinga e-cortisol.
• Ukuhlolwa kwezithombe: Kwenziwa i-MRI noma i-CT scan ukuhlola noma yiziphi izimila ezindlaleni.