Tus Sau: William Ramirez
Hnub Kev Tsim: 22 Lub Cuaj Hli Ntuj 2021
Hloov Hnub: 3 Lub Kaum Ib Hli Ntuj 2024
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Có Chàng Trai Viết Lên Cây - Phan Mạnh Quỳnh | MẮT BIẾC OST
Daim Duab: Có Chàng Trai Viết Lên Cây - Phan Mạnh Quỳnh | MẮT BIẾC OST

Kev tshuaj ntsuam ACTH kev ntsuas pom kev ntsuas seb cov qog ua haujlwm zoo li cas rau adrenocorticotropic hormone (ACTH). ACTH yog yam tshuaj tsim nyob rau hauv lub qog pituitary uas ua rau cov qog adrenal ua haujlwm tso cov tshuaj hormone hu ua cortisol.

Kev kuaj mob yog ua raws li cov hauv qab no:

  • Koj cov ntshav raug kos.
  • Koj tom qab ntawd koj txhaj tshuaj ACTH (txhaj tshuaj) ntawm ACTH, feem ntau rau hauv cov leeg nqaij hauv koj lub xub pwg. ACTH tej zaum yog daim ntawv uas neeg tsim (hluavtaws).
  • Tom qab li 30 feeb lossis 60 feeb, lossis ob qho tib si, nyob ntawm ACTH koj tau txais ntau npaum li cas, koj cov ntshav rov qab los.
  • Cov kev kuaj pom cov qib cortisol hauv txhua qhov kuaj ntshav.

Koj kuj tseem yuav muaj lwm yam kev kuaj ntshav, suav nrog ACTH, uas yog ib feem ntawm kev kuaj ntshav thawj zaug. Nrog rau kev kuaj ntshav, koj kuj tseem yuav tau ntsuas cov zis cortisol lossis tso zis 17-ketosteroids kuaj, uas suav nrog kev tso zis li ntawm 24-teev.

Koj yuav tsum tau txwv kev ua si thiab noj zaub mov uas muaj cov khoom noj muaj protein ntau 12 txog 24 teev ua ntej ntsuas. Tej zaum koj yuav raug yoo mov 6 teev ua ntej ntsuas. Qee zaum, tsis muaj kev npaj tshwj xeeb ntxiv. Tej zaum koj yuav raug thov kom txwv tsis pub noj tshuaj ib ntus, xws li hydrocortisone, uas tuaj yeem cuam tshuam nrog cortisol kuaj ntshav.


Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov duav lossis pob me me. Tsis ntev no ploj mus.

Kev txhaj tshuaj rau hauv lub xub pwg tuaj yeem ua rau mob me lossis tswg.

Qee tus neeg hnov ​​lub ntsej muag, nti, lossis xeev siab tom qab txhaj tshuaj ACTH.

Qhov kev kuaj ntshav no tuaj yeem pab txiav txim siab seb koj lub qog thiab lub caj pas puas ua haujlwm zoo. Feem ntau nws siv thaum koj tus kws kho mob xav tias koj muaj teeb meem adrenal caj pas, xws li Addison tus kab mob los sis lub hlwb tsis muaj txaus. Nws kuj tseem siv los xyuas seb koj lub qog pituitary thiab qog tau rov qab zoo los ntawm kev siv lub sijhawm ntev ntawm glucocorticoid tshuaj, xws li prednisone.

Kev nce cortisol tom qab kev txhawb nqa los ntawm ACTH yuav tsum. Cortisol qib tom qab ACTH kev txhawb nqa yuav tsum siab tshaj 18 txog 20 mcg / dL lossis 497 txog 552 nmol / L, nyob ntawm qhov siv ntawm ACTH siv.

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis sim cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.


Qhov kev ntsuas no yuav pab tau kom paub yog tias koj muaj:

  • Mob ntsws adrenal nyuaj (mob tuag taus uas tshwm sim thaum tsis muaj cortisol txaus)
  • Kab mob Addison (qog adrenal tsis tsim cortisol txaus)
  • Hypopituitarism (qog pituitary tsis ua txaus cov tshuaj hormones xws li ACTH)

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm tus, thiab los ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

  • Los ntshav ntau
  • Tsaus muag lossis hnov ​​nkaus lub teeb
  • Ntau cov punctures los nrhiav cov leeg ntshav
  • Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
  • Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Kev kuaj cov adrenal cia; Cosyntropin kev kuaj sim; Cortrosyn stimulation test; Synacthen stimulation kuaj; Tetracosactide stimulation test


Barthel A, Willenberg HS, Gruber M, Bornstein SR. Adrenal tsis txaus. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 102.

Chernecky CC, Berger BJ. ACTH cov kev kuaj sim tawm - kuaj mob. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 98.

Stewart PM, Newell-Nqe JDC. Lub adrenal cortex. Hauv: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Phau Ntawv ntawm EndocrinologyCov. 13th ed. Philadelphia, PA: Elsevier; 2016: chap 15.

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