Cortisol Kev Kuaj

Zoo Siab

• Cortisol kuaj yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj li xav tau ib qho cortisol kuaj?
• Muaj dab tsi tshwm sim thaum kuaj cortisol?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog ntsuas cortisol?
• Ua tim khawv

Cortisol kuaj yog dab tsi?

Cortisol yog hom tshuaj hormones uas cuam tshuam rau txhua yam hauv nruab nrog cev thiab cov nqaij hauv koj lub cev. Nws lub luag haujlwm tseem ceeb hauv kev pabcuam koj:

• Teb rau kev ntxhov siab
• Sib ntaus sib tua
• Tswj ntshav qab zib
• Tswj ntshav siab
• Tswj kev siv metabolism, cov txheej txheem ntawm yuav ua li cas koj lub cev siv khoom noj thiab lub zog

Cortisol yog tsim los ntawm koj cov qog adrenal, ob lub qog me me uas nyob siab dua ob lub raum. Kuaj ntshav ntsuas cortisol ntsuas txog qib cortisol hauv koj cov ntshav, zis, lossis qaub ncaug. Kev kuaj ntshav yog txoj kev niaj hnub ntsuas cortisol. Yog tias koj cov qib cortisol ntau dua lossis dhau qis, nws yuav txhais tau tias koj muaj kev tsis txaus siab ntawm koj cov qog adrenal. Cov kev tsis zoo no yuav loj heev yog tias tsis kho.

Lwm lub npe: urinary cortisol, salivary cortisol, free cortisol, dexamethasone suppression test, DST, ACTH stimulation test, ntshav cortisol, ntshav cortisol, ntshav ntshav

Nws siv rau dab tsi?

Kev kuaj mob cortisol yog siv los pab txhawm rau tshuaj xyuas kev ua haujlwm ntawm lub qog adrenal. Cov no suav nrog Cushing's syndrome, ib qho mob uas ua rau koj lub cev ua cortisol ntau dhau, thiab Addison tus kab mob, ib qho mob uas koj lub cev tsis ua cortisol txaus.

Vim li cas kuv thiaj li xav tau ib qho cortisol kuaj?

Koj yuav tsum tau kuaj cortisol yog tias koj muaj tsos mob ntawm Cushing's syndrome lossis Addison tus kab mob.

Cov tsos mob ntawm Cushing's syndrome muaj xws li:

• Kev pham, qhov tseem ceeb hauv lub npog tas ib ce
• Ntshav siab
• Ntshav qab zib siab
• Cov ntshav ua kom pom kev ntawm lub plab
• Cov tawv nqaij uas doog yooj yim
• Nqaij tsis muaj zog
• Cov poj niam tuaj yeem coj khaub ncaws tsis xwm yeem thiab muaj plaub hau heev ntawm lub ntsej muag

Cov tsos mob ntawm tus mob Addison muaj xws li:

• Lub cev yuag
• Nkees
• Nqaij tsis muaj zog
• Mob plab
• Cov tawv nqaij tsaus nti
• Cov ntshav siab qis
• Xeev siab thiab ntuav
• Zawv plab
• Txo cov plaub hau lub cev

Koj tseem yuav xav tau cortisol kuaj yog tias koj muaj cov tsos mob ntawm kev nyuaj siab adrenal, lub neej muaj kev phom sij uas tuaj yeem tshwm sim thaum koj qib cortisol qis heev. Cov tsos mob ntawm kev kub ntxhov adrenal yog:

• Tsawg ntshav siab
• Kev ntuav heev
• Zawv plab heev
• Lub cev qhuav dej
• Kev raug mob hnyav sai thiab mob plab, plab nraub qaum, thiab ceg
• Tsis meej pem
• Tsis nco qab

Muaj dab tsi tshwm sim thaum kuaj cortisol?

Kev kuaj ntshav cortisol feem ntau ua rau kev kuaj ntshav. Lub sijhawm kuaj ntshav, tus kws saib xyuas kev noj qab haus huv yuav nqa ntshav los ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Vim tias qib cortisol pauv txhua hnub, sij hawm ntsuas cortisol yog qhov tseem ceeb. Kev kuaj ntshav cortisol feem ntau ua ob zaug ib hnub – ib zaug thaum sawv ntxov thaum qib cortisol nyob ntawm lawv qhov siab tshaj, thiab ib ncig ntawm 4 p.m., thaum cov qib qis dua.

Cortisol kuj tseem ntsuas tau hauv kev kuaj zis lossis tso quav. Txog kev ntsuas ntshav cortisol, koj tus kws kho mob yuav hais kom koj khaws tag nrho cov zis hauv 24 teev. Qhov no hu ua "kuaj zis li ntawm 24 teev." Nws raug siv vim tias cortisol qib sib txawv txhua hnub. Txog kev sim no, koj tus kws saib xyuas kev noj qab haus huv lossis tus kws tshaj lij kuaj mob yuav muab ib lub taub ntim rau koj cov zis thiab cov lus qhia txog kev khaws thiab khaws koj cov hnoos qeev. Kev kuaj zis 24 teev txhua zaus suav nrog cov theem hauv qab no:

• Muab koj lub zais zis tso plhuav thaum sawv ntxov thiab maj mam tso zis mus. Sau lub sijhawm.
• Hauv 24 teev tom ntej, khaws tag nrho koj cov zis tso rau hauv lub taub ntim.
• Muab koj lub taub tso rau hauv lub tub rau khoom txias lossis txias txias nrog dej khov.
• Nqa lub thawv ntim khoom rov qab mus rau koj tus kws saib xyuas kev noj qab haus huv chaw ua haujlwm lossis chav kuaj xyuas raws li qhia.

Qhov kev ntsuas kab mob cortisol feem ntau ua rau hauv tsev, thaum tsaus ntuj, thaum cortisol qib qis dua. Koj tus neeg saib xyuas kev noj qab haus huv yuav qhia lossis muab ib qho khoom siv rau qhov kev ntsuas no rau koj. Cov khoom siv yuav zoo li tus khauj khaum mus muab koj cov hnoos qeev thiab lub thawv ntim rau. Cov kauj ruam feem ntau muaj xws li cov hauv qab no:

• Tsis txhob noj, haus, lossis txhuam koj cov hniav li 15-30 feeb ua ntej ntsuas.
• Sau cov qauv ntawm 11 p.m. thiab ib tag hmo, lossis raws li koj tus kws khomob qhia koj.
• Muab qhov paj ntawd tso rau hauv koj lub qhov ncauj.
• Dov qhov paj nyob hauv koj lub qhov ncauj li 2 feeb kom nws tuaj yeem npog hauv cov qaub ncaug.
• Tsis txhob kov lub ntsis ntawm qhov qhwv nrog koj cov ntiv tes.
• Muab tus pas qhwv mus rau hauv lub thawv rau hauv pob khoom thiab xa rov qab rau koj tus kws kho mob raws li kev qhia.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Kev ntxhov siab tuaj yeem nce koj qib cortisol, yog li koj yuav tsum so kom txaus ua ntej koj mus ntsuas. Kuaj ntshav yuav xav kom koj teem sijhawm ob zaug nyob rau txawv sijhawm nyob rau hnub. Nees nkaum plaub teev kuaj zis thiab qaub ncaug rau tom tsev. Nco ntsoov ua raws txhua cov lus qhia koj tus kws kho mob muab.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai. Kuj tsis paub txog kev phom sij rau kuaj zis lossis qaub ncaug.

Cov txiaj ntsig li cas?

Qib feem ntau ntawm cortisol tuaj yeem txhais tau tias koj muaj Cushing's syndrome, thaum qib qis yuav txhais tau tias koj muaj tus mob Addison lossis lwm yam mob adrenal. Yog tias koj cov txiaj ntsig cortisol tsis zoo, nws tsis txhais tau tias koj muaj mob uas xav tau kev kho mob. Lwm yam, nrog rau kev kis tus mob, kev ntxhov siab, thiab cev xeeb tub tuaj yeem cuam tshuam koj cov txiaj ntsig. Tshuaj noj tiv thaiv tsis pub muaj menyuam thiab lwm yam tshuaj tuaj yeem cuam tshuam rau koj qib cortisol. Txhawm rau paub seb koj cov txiaj ntsig tau txhais li cas, tham nrog koj tus kws kho mob.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog ntsuas cortisol?

Yog tias koj cov qib cortisol tsis zoo, koj tus kws kho mob yuav xaj kuaj ntxiv ua ntej ua kev kuaj mob. Cov kev ntsuam xyuas no yuav suav nrog kev sim ntshav ntxiv thiab tso zis thiab ntsuas cov duab, xws li CT (computerized tomography) thiab MRI (sib nqus cuam tshuam ua duab), uas ua rau koj tus kws kho mob saib koj cov qog adrenal thiab pituitary.

Ua tim khawv

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Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.