Uvavanyo lweCortisol

Umxholo

• Yintoni uvavanyo lwe-cortisol?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lwe-cortisol?
• Kwenzeka ntoni ngexesha lovavanyo lwe-cortisol?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-cortisol?
• Izalathiso

Yintoni uvavanyo lwe-cortisol?

ICortisol yincindi yedlala echaphazela phantse onke amalungu kunye nethishu emzimbeni wakho. Idlala indima ebalulekileyo ekuncedeni ukuba:

• Phendula kuxinzelelo
• Ukulwa nosulelo
• Ukulawula iswekile yegazi
• Gcina uxinzelelo lwegazi
• Lawula imetabolism, inkqubo yendlela umzimba wakho okusebenzisa ngayo ukutya kunye namandla

ICortisol yenziwa ngamadlala akho eadrenal, amadlala amabini amancinci abekwe ngaphezulu kwezintso. Uvavanyo lwe-cortisol lilinganisa inqanaba le-cortisol egazini lakho, kumchamo, okanye kumathe. Uvavanyo lwegazi yeyona ndlela ixhaphakileyo yokulinganisa i-cortisol. Ukuba amanqanaba akho e-cortisol aphezulu kakhulu okanye asezantsi kakhulu, oko kunokuthetha ukuba unesifo se-adrenal gland. Ezi ngxaki zinokuba nzulu ukuba azinyangwa.

Amanye amagama: i-cortisol yomchamo, i-salivary cortisol, i-cortisol yasimahla, uvavanyo lokucinezelwa kwe-dexamethasone, i-DST, uvavanyo lokukhuthaza i-ACTH, i-cortisol yegazi, i-plasma cortisol, iplasma

Isetyenziselwa ntoni?

Uvavanyo lwe-cortisol lusetyenziselwa ukunceda ekuchongeni ukuphazamiseka kwe-adrenal gland. Oku kubandakanya i-Cushing's syndrome, imeko ebangela ukuba umzimba wakho wenze i-cortisol eninzi kakhulu, kunye nesifo i-Addison, imeko apho umzimba wakho ungenzi ngokwaneleyo i-cortisol.

Kutheni ndifuna uvavanyo lwe-cortisol?

Unokufuna uvavanyo lwe-cortisol ukuba uneempawu zesifo sikaCushing okanye isifo iAddison.

Iimpawu zeCushing's syndrome zibandakanya:

• Ukutyeba kakhulu, ngakumbi kwi-torso
• Igazi elonyukayo
• Iswekile yegazi ephezulu
• Imigca emfusa esiswini
• Ulusu olukruquke ngokulula
• Ubuthathaka bemisipha
• Abasetyhini banokuba nexesha elingavumelekanga lokuya esikhathini kunye neenwele ezingaphezulu ebusweni

Iimpawu zesifo iAddison zibandakanya:

• Ukuhla ukusinda
• Ukudinwa
• Ubuthathaka bemisipha
• Intlungu zesisu
• Amabala amnyama esikhumba
• Uxinzelelo lwegazi oluphantsi
• Isicaphucaphu nokugabha
• Urhudo
• Ukunciphisa iinwele zomzimba

Unokufuna uvavanyo lwe-cortisol ukuba uneempawu zengxaki ye-adrenal, imeko esongela ubomi enokuthi yenzeke xa amanqanaba akho e-cortisol ephantsi kakhulu. Iimpawu zengxaki ye-adrenal zibandakanya:

• Uxinzelelo lwegazi oluphantsi kakhulu
• Ukugabha kakhulu
• Urhudo oluqatha
• Ukuphelelwa ngamanzi emzimbeni
• Ngequbuliso kunye neentlungu ezibuhlungu esiswini, kumqolo osezantsi, nasemilenzeni
• Ukudideka
• Ukuphulukana nokuqonda

Kwenzeka ntoni ngexesha lovavanyo lwe-cortisol?

Uvavanyo lwe-cortisol luhlala luhlobo lwegazi. Ngexesha lokuvavanywa kwegazi, ingcali yokhathalelo lwempilo iya kuthatha isampulu yegazi kumthambo engalweni yakho, usebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Kuba amanqanaba e-cortisol atshintsha imini yonke, ixesha lokuvavanywa kwe-cortisol libalulekile. Uvavanyo lwegazi lwe-cortisol luhlala lwenziwa kabini ngemini- kube kanye kusasa xa amanqanaba e-cortisol ephezulu, kwaye kwakhona nge-4 emva kwemini, xa amanqanaba esezantsi kakhulu.

ICortisol inokulinganiswa nakuvavanyo lomchamo okanye kwamathe. Uvavanyo lomchamo we-cortisol, umboneleli wakho wezempilo unokucela ukuba uqokelele wonke umchamo ngexesha leeyure ezingama-24. Oku kubizwa ngokuba "luvavanyo lweeyure ezingama-24 zovavanyo lomchamo." Isetyenziswa kuba amanqanaba e-cortisol ayahluka yonke imihla. Kolu vavanyo, umboneleli wakho wokhathalelo lwempilo okanye ingcali elabhoratri iya kukunika isikhongozeli sokuqokelela umchamo wakho kunye nemiyalelo malunga nendlela yokuqokelela kunye nokugcina iisampulu zakho. Uvavanyo lweesampuli lweeyure ezingama-24 zihlala zibandakanya la manyathelo alandelayo:

• Khuphela isinyi sakho kusasa uze uhlambe umchamo lowo kude. Rekhoda ixesha.
• Kwiiyure ezingama-24 ezizayo, gcina wonke umchamo wakho ugqityiwe kwisitya esinikiweyo.
• Gcina isitya sakho somchamo kwifriji okanye kwindawo epholileyo enomkhenkce.
• Buyisela isampulu yesikhongozeli kwi-ofisi yomboneleli wakho wezempilo okanye elebhu njengoko kuyalelwe.

Uvavanyo lwe-saliva ye-cortisol ihlala yenziwa ekhaya, ezinzulwini zobusuku, xa amanqanaba e-cortisol esezantsi. Umboneleli wakho wezempilo uya kukucebisa okanye akunike ikiti yolu vavanyo. Ikhithi inokuthi ibandakanye i-swab yokuqokelela isampulu yakho kunye nekhonteyina ukuyigcina. Amanyathelo ahlala abandakanya oku kulandelayo:

• Musa ukutya, usele, okanye uhlambe amazinyo akho imizuzu eli-15 ukuya kwengama-30 phambi kovavanyo.
• Qokelela isampuli phakathi kwentsimbi ye-11. ezinzulwini zobusuku, okanye njengoko kuyalelwe ngumboneleli wakho.
• Faka i-swab emlonyeni wakho.
• Qengqa isawidi emlonyeni wakho kangangemizuzu emi-2 ukuze ikwazi ukugutyungelwa ngamathe.
• Musa ukuchukumisa incam yeswekile ngeminwe yakho.
• Faka i-swab kwisitya ngaphakathi kwekhithi kwaye uyibuyisele kumboneleli wakho njengoko kuyalelwe.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Uxinzelelo lunokunyusa amanqanaba akho e-cortisol, ke kuya kufuneka uphumle ngaphambi kovavanyo lwakho. Uvavanyo lwegazi luya kufuna ukuba ucwangcise amaxesha amabini ngamaxesha ahlukeneyo emini. Amashumi amabini anesine eeyure zokuchama kunye nokuvavanywa kwamathe kwenziwa ekhaya. Qiniseka ukuba ulandela yonke imiyalelo enikezwe ngumboneleli wakho.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza. Akukho bungozi baziwayo kumchamo okanye kuvavanyo lwamathe.

Zithetha ntoni iziphumo?

Amanqanaba aphezulu e-cortisol anokuthetha ukuba une-Cushing's syndrome, ngelixa amanqanaba asezantsi anokuthetha ukuba unesifo i-Addison okanye olunye uhlobo lwesifo se-adrenal. Ukuba iziphumo zakho zecortisol aziqhelekanga, oko akuthethi ukuba unemeko yonyango efuna unyango. Ezinye izinto, kubandakanya usulelo, uxinzelelo kunye nokukhulelwa kunokuchaphazela iziphumo zakho. Iipilisi zolawulo lokuzalwa kunye namanye amayeza anokuchaphazela amanqanaba akho e-cortisol. Ukuze ufunde ukuba zithini iziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-cortisol?

Ukuba amanqanaba akho e-cortisol aqhelekanga, umboneleli wakho wokhathalelo lwempilo uya kuthi aodole iimvavanyo ezininzi ngaphambi kokwenza isifo. Olu vavanyo lunokubandakanya uvavanyo lwegazi kunye nomchamo kunye novavanyo lwe-imaging, njenge-CT (ikhompyuter tomography) kunye ne-MRI (imaging resonance imaging), evumela umboneleli wakho ukuba ajonge iadrenal kunye ne-pituitary gland.

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.