ACTH Kev Xeem

Zoo Siab

• Ua li cas qhov kev xeem ACTH
• Vim li cas ACTH kev xeem ua
• Ua li cas ACTH cov ntawv xeem tuaj yeem txhais tau
• Kev phom sij ntawm qhov kuaj ACTH
• Dab tsi tshwm sim tom qab kuaj ACTH

Txoj kev xeem ACTH yog dab tsi?

Adrenocorticotropic hormone (ACTH) yog ib yam tshuaj uas tsim nyob rau hauv pem hauv ntej, lossis pem hauv ntej, caj pas pituitary hauv lub hlwb. Kev ua haujlwm ntawm ACTH yog los tswj cov qib ntawm steroid hormone cortisol, uas tso tawm los ntawm qog adrenal.

ACTH kuj tseem hu ua:

• adrenocorticotropic lawm
• ntshiab ntshav adrenocorticotropic lawm
• co-rhiab ACTH
• corticotropin
• cosyntropin, uas yog ib daim ntawv tshuaj ntawm ACTH

Kev ntsuam xyuas ACTH ntsuas qhov ntau ntawm ob qho ACTH thiab cortisol hauv cov ntshav thiab pab koj tus kws kho mob kuaj xyuas cov kab mob uas cuam tshuam nrog ntau dhau lossis cortisol ntau hauv lub cev. Cov ua tau los ntawm cov kab mob no muaj xws li:

• lub sijhawm ua haujlwm tsis zoo hauv lub hlwb lossis adrenal ua haujlwm
• lub qog pituitary
• cov qog ntshav siab
• mob ntsws

Ua li cas qhov kev xeem ACTH

Koj tus kws kho mob yuav qhia koj kom tsis txhob noj tshuaj steroid ua ntej koj sim. Cov no tuaj yeem cuam tshuam qhov tseeb ntawm cov txiaj ntsig.

Qhov kev ntsuam xyuas yog feem ntau ua thawj zaug thaum sawv ntxov. QIB ACTH yog siab tshaj plaws thaum koj tsuas yog woken. Koj tus kws khomob yuav teem sijhawm tuaj kuaj koj ntxov ntxov.

Qib ACTH raug sim siv cov ntshav ntsuas. Kev kuaj ntshav yog coj los ntawm kev nqus ntshav los ntawm cov hlab ntsha, feem ntau los ntawm sab hauv ntawm lub luj tshib. Kev muab cov ntshav kuaj muaj li hauv qab no:

1. Tus kws kho mob ua ntej ntxuav qhov chaw ntawd nrog tshuaj tua kab mob kom tua cov kab mob.
2. Tom qab ntawv, lawv yuav qhwv ib txoj hlua khi ncig ntawm koj sab caj npab. Qhov no ua rau cov leeg ntshav nrog ntshav.
3. Lawv yuav maj mam ntxig ib rab koob koob txhaj tshuaj mus rau hauv txoj hlab ntshav thiab sau koj cov ntshav hauv lub raj tshuaj dej.
4. Thaum lub raj xa dej puv lawm, cov koob raug tshem tawm. Elite band mam li tawm, thiab qhov chaw puncture yog them nrog lub huv huv lub hauv paus kom tsis txhob los ntshav.

Vim li cas ACTH kev xeem ua

Koj tus kws kho mob yuav xaj kuaj ACTH ntshav yog tias koj muaj cov tsos mob ntau dhau lossis cortisol ntau dhau. Cov tsos mob no tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus thiab feem ntau yog cov cim ntawm cov teeb meem kev noj qab haus huv ntxiv.

Yog tias koj muaj qib siab cortisol, koj yuav muaj:

• rog dhau
• lub ntsej muag sib npaug
• puas yooj yim, nyias tawv nqaij
• ntshav kab rau ntawm lub plab mog
• cov leeg tsis muaj zog
• pob txuv
• nce ntxiv ntawm lub cev plaub hau
• ntshav siab
• cov poov tshuaj qab zib ntau ntau
• siab bicarbonate theem
• cov piam thaj siab ntau
• mob ntshav qab zib

Cov tsos mob ntawm tus mob cortisol tsawg suav nrog:

• cov leeg tsis muaj zog
• nkees
• poob phaus
• nce tawv nqaij pigmentation rau tej chaw uas tsis raug tshav
• ib tug poob ntawm qab los noj mov
• ntshav siab
• cov piam thaj hauv ntshav tsawg
• cov dej qab ntsev tsawg
• muaj cov poov tshuaj ntau ntau
• siab calcium ntau ntau

Ua li cas ACTH cov ntawv xeem tuaj yeem txhais tau

Cov khoom tseem ceeb ntawm ACTH yog 9 txog 52 picograms ib milliliter. Tus nqi zoo li qub yuav txawv me ntsis nyob ntawm kuaj pom. Koj tus kws kho mob yuav piav qhia koj qhov kuaj sim rau koj.

Theem siab ntawm ACTH tej zaum yuav yog lub cim ntawm:

• Addison's disease
• adrenal hyperplasia
• Cushing's disease
• ib qho ectopic mob qog uas tsim tawm ACTH
• adrenoleukodystrophy, uas yog muaj tsawg heev
• Nelson's syndrome, uas muaj tsawg

Qhov qes ntawm ACTH yuav yog qhov pom ntawm:

• cov qog adrenal
• exogenous Cushing's syndrome
• Kev Ntsuas Ncaj

Kev noj tshuaj steroid tuaj yeem ua rau qis ntawm ACTH, yog li nco ntsoov qhia koj tus kws kho mob yog tias koj tau noj nrog cov tshuaj steroids.

Kev phom sij ntawm qhov kuaj ACTH

Kev ntsuam xyuas ntshav yog ib txwm zoo tiv thaiv. Qee tus neeg muaj cov leeg me dua lossis loj dua, uas yuav ua rau kev kuaj ntshav tsis yooj yim dua. Txawm li cas los xij, kev pheej hmoo cuam tshuam nrog kev kuaj ntshav xws li kuaj ACTH cov tshuaj hormones yog qhov tsis tshua muaj.

Cov kev pheej hmoo txaus ntshai uas tau nqus ntshav muaj xws li:

• ntev li ntawm los ntshav
• pom kev tsaus muag lossis tsaus muag
• hematoma, los ntshav hauv ntshav tawv nqaij
• kis tau ntawm qhov chaw

Dab tsi tshwm sim tom qab kuaj ACTH

Kev kuaj pom ACTH cov kab mob tuaj yeem pom tau ntau yam. Koj tus kws kho mob yuav xav tau cov kev kuaj ntsuas ntxiv thiab kuaj lub cev ua ntej lawv tuaj yeem kuaj mob.

Rau ACTH cov qog zais zis, kev phais mob feem ntau qhia. Qee zaum, cov tshuaj xws li cabergoline tuaj yeem siv los ua kom tsis txhob cortisol ntau ntau. Hypercortisolism vim yog qog cov hlav feem ntau yuav tsum tau phais ib yam nkaus.