Ke ea eng le hore na u ka etsa tlhahlobo ea cortisol joang
Litaba
- Mokhoa oa ho itokisetsa tlhatlhobo ea Cortisol
- Litekanyetso tsa litšupiso
- Liphetoho liphethong tsa cortisol
Hangata liteko tsa Cortisol li laeloa ho lekola mathata ka litšoelesa tsa adrenal kapa tšoelesa ea pituitary, hobane cortisol ke hormone e hlahisoang le e laoloang ke litšoelesa tsena. Kahoo, ha ho na le phetoho ea boleng bo tloaelehileng ba cortisol, ho tloaelehile hore ho be le phetoho ho litšoelesa life kapa life. Ho sebelisa tlhahlobo ena ho a khonahala ho fumana mafu a kang Cushing's Syndrome, haeba ho na le lefu le phahameng la "cortisol" kapa "Addison's Disease", ha ho le joalo, ke "cortisol" e tlase.
Cortisol ke hormone e thusang ho laola khatello ea maikutlo, ho fokotsa ho ruruha, ho ntlafatsa tšebetso ea sesole sa 'mele le ho thusa metabolism ea liprotheine, mafura le lik'habohaedreite, ho boloka maemo a tsoekere maling a lula a le teng. Utloisisa hore na hormone ea cortisol ke eng le hore na e etselitsoe eng.
Ho na le mefuta e meraro e fapaneng ea liteko tsa cortisol, tse kenyeletsang:
- Ho hlahlojoa ha cortisol ea salivary: e lekola palo ea cortisol mathe, e thusa ho fumana khatello ea maikutlo e sa foleng kapa lefu la tsoekere;
- Ho hlahlojoa ha cortisol ea ho ntša metsi: e lekanya palo ea "cortisol ea mahala" morong, mme sampole ea moroto e lokela ho nkuoa lihora tse 24;
- Teko ea mali ea cortisol: e lekola palo ea protheine cortisol le cortisol ea mahala maling, e thusa ho fumana Cushing's Syndrome, mohlala - ithute haholoanyane ka Cushing's Syndrome le hore na kalafo e etsoa joang.
Phokotso ea cortisol 'meleng e fapana mots'eare, ka hona, ho bokelloa makhetlo a mabeli: e le ngoe lipakeng tsa 7 le 10 hoseng, e bitsoang basal cortisol test kapa 8 hours cortisol test,' me e ngoe ka 4 pm, e bitsoang cortisol test 16 hours , 'Me hangata e etsoa ha ho belaelloa ka hormone e feteletseng' meleng.
Mokhoa oa ho itokisetsa tlhatlhobo ea Cortisol
Ho itokisetsa tlhahlobo ea cortisol ho bohlokoa haholo maemong ao ho hlokahalang ho nka sampole ea mali. Maemong a joalo, ho kgothaletswa:
- Itima lijo lihora tse 4 pele ho pokello, ekaba lihora tse 8 kapa 16;
- Qoba ho ikoetlisa letsatsi pele ho tlhahlobo;
- Phomola metsotso e 30 pele ho tlhahlobo.
Ntle le moo, ka mofuta ofe kapa ofe oa tlhahlobo ea cortisol, o tlameha ho tsebisa ngaka ka meriana eo o e sebelisang, haholoholo mabapi le corticosteroids, joalo ka dexamethasone, kaha e ka baka liphetoho liphellong.
Tabeng ea teko ea "salivary cortisol", pokello ea mathe ka mokhoa o khethehileng e lokela ho etsoa nakong ea lihora tse peli kamora ho tsoha. Leha ho le joalo, haeba e etsoa kamora ho ja haholo, ema lihora tse 3 'me u qobe ho hlatsoa meno nakong ena.
Litekanyetso tsa litšupiso
Litekanyetso tsa litšupiso tsa cortisol lia fapana ho latela thepa e bokelletsoeng le laboratori eo tlhahlobo e neng e etsoa ho eona, e ka bang:
Boitsebiso | Litekanyetso tsa litšupiso |
Moroto | Banna: ka tlase ho 60 µg / ka letsatsi Basali: ka tlase ho 45 µg / ka letsatsi |
Mathe | Pakeng tsa 6 hoseng le 10 hoseng: tlase ho 0,75 µg / mL Pakeng tsa 16h le 20h: ka tlase ho 0.24 µg / mL |
Mali | Hoseng: 8.7 ho isa ho 22 µg / dL Thapama: tlase ho 10 µg / dL |
Liphetoho tsa boleng ba "cortisol" ea mali li ka supa mathata a bophelo bo botle, joalo ka hlahala ea pituitary, lefu la Addison kapa Cushing's syndrome, mohlala, moo cortisol e phahametseng teng. Bona lisosa tsa mantlha tsa cortisol e phahameng le mokhoa oa ho e phekola.
Liphetoho liphethong tsa cortisol
Liphetho tsa tlhahlobo ea cortisol li ka fetoloa ka lebaka la mocheso, serame, tšoaetso, boikoetliso bo feteletseng, botenya, ho ima kapa khatello ea maikutlo, mme e kanna ea se bontše bokuli. Kahoo, ha sephetho sa liteko se fetotsoe, ho kanna ha hlokahala hore u phete tlhahlobo ho bona hore na ho na le tšitiso efe kapa efe ho tsoa nthong efe kapa efe.