Dab tsi yog nws rau thiab yuav ua li cas kev kuaj mob cortisol
Zoo Siab
Cortisol feem ntau yog xaj kom kuaj xyuas cov teeb meem nrog rau lub qog adrenal los sis lub qog pituitary, vim tias cortisol yog yam tshuaj uas ua los tsim thiab tswj los ntawm cov qog no. Yog li, thaum muaj kev hloov pauv hauv cov txiaj ntsig cortisol zoo li qub, nws ib txwm muaj thaum yuav tsum tau hloov pauv ib qho ntawm cov qog. Siv qhov kev ntsuas no nws muaj peev xwm los soj ntsuam cov kab mob xws li Cushing's Syndrome, nyob rau kis tus mob cortisol lossis Addison's Disease, piv txwv li cortisol tsis tshua muaj, piv txwv.
Cortisol yog ib yam tshuaj uas pab tswj kev ntxhov siab, txo qhov mob, txhim kho lub cev ua haujlwm thiab pab cov metabolism ntawm cov protein, cov rog thiab carbohydrates, ua kom cov ntshav qab zib nyob mus ib txhis. Nkag siab dab tsi cov cortisol hormone yog dab tsi thiab nws yog rau dab tsi.
Muaj 3 ntau hom kev kuaj mob cortisol, uas suav nrog:
- Kev soj ntsuam ntawm salivary cortisol: ntsuas cov cortisol hauv cov qaub ncaug ntau npaum li cas, pab ntsuas kev mob ntsws ntev lossis ntshav qab zib;
- Kev kuaj mob ntawm lub ntsws cortisol: ntsuas qhov nyiaj cortisol dawb hauv tso zis, thiab kuaj zis yuav tsum ntsuas hauv 24 teev;
- Kuaj ntshav cortisol: ntsuas qhov ntau npaum li cas ntawm cov protein cortisol thiab cortisol dawb hauv cov ntshav, pab ntsuas Cushing's Syndrome, piv txwv - kawm paub ntau ntxiv txog Cushing's Syndrome thiab kev kho mob li cas.
Qhov siab ntawm cortisol hauv lub cev nws txawv txav nruab hnub, yog li ob qho kev sib sau ib txwm ua: ib qho ntawm 7 txog 10 teev sawv ntxov, hu ua kev kuaj mob cortisol los yog 8 teev cortisol kuaj, thiab lwm qhov thaum 4 teev tsaus ntuj, hu ua cortisol kuaj 16 teev , thiab ib txwm ua thaum muaj ntau tshaj qhov xav tau hauv lub cev.
Yuav Npaj Li Cas rau Cortisol Txoj Kev Kuaj
Npaj rau kev kuaj mob cortisol yog qhov tseem ceeb tshwj xeeb tshaj yog tias muaj qhov yuav tsum coj cov ntshav mus rau. Hauv cov xwm txheej zoo li no, nws pom zoo:
- Ceev ceev rau 4 teev ua ntej sau, los ntawm 8 lossis 16 teev;
- Zam kev tawm dag zog lub cev ua ntej hnub mus kuaj mob;
- So li 30 feeb ua ntej kuaj.
Tsis tas li ntawd, nyob rau txhua hom kev sim cortisol, koj yuav tsum qhia tus kws kho mob txog cov tshuaj uas koj noj, tshwj xeeb tshaj yog muaj corticosteroids, xws li dexamethasone, vim lawv tuaj yeem ua rau muaj kev hloov pauv hauv cov txiaj ntsig.
Yog hais tias sim ua kom muaj salivary cortisol kuaj, yuav tsum khaws cov qaub ncaug kom zoo dua li 2 teev tom qab so. Txawm li cas los xij, yog tias nws tau ua tom qab noj mov tseem ceeb, tos 3 teev thiab zam kom tsis txhob txhuam koj cov hniav thaum lub sijhawm no.
Kev siv qhov tseem ceeb
Kev siv qhov tseem ceeb rau cortisol sib txawv raws li cov ntaub ntawv sau thiab qhov chaw kuaj sim ua, uas yuav yog:
| Cov khoom siv | Kev siv qhov tseem ceeb |
| Zis | Cov txiv neej: qis dua 60 µg / hnub Poj niam: qis dua 45 µg / hnub |
| Spittle | Nruab nrab ntawm 6 teev sawv ntxov thiab 10 teev sawv ntxov: qis dua 0.75 µg / mL Nruab nrab ntawm 16h thiab 20h: qis dua 0.24 µg / mL |
| Ntshav | Thaum sawv ntxov: 8.7 txog 22 µg / dL Tav su: qis dua 10 µg / dL |
Kev hloov pauv ntawm cov ntshav cortisol muaj txiaj ntsig yuav qhia txog teeb meem kev noj qab haus huv, xws li qog nqaij hlav pituitary, Addison's disease lossis Cushing's syndrome, piv txwv li, uas cortisol nce ntxiv. Saib seb dab tsi yog qhov tseem ceeb ua rau muaj kev cortisol siab thiab yuav kho nws li cas.
Hloov pauv cortisol tshwm sim
Cov txiaj ntsig ntawm kev kuaj mob cortisol tuaj yeem hloov vim yog cua sov, mob khaub thuas, kis tus kabmob, kev tawm dag zog ntau dhau, rog dhau, kev xeeb menyuam lossis kev ntxhov siab, thiab tej zaum yuav tsis muaj qhov qhia tau tias muaj mob. Yog li, thaum ntsuas cov txiaj ntsig tau hloov, nws yuav tsum tau rov ua qhov ntsuas dua kom pom tias muaj kev cuam tshuam los ntawm ib qho twg.
Cov Lus Nthuav Dav
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