17-hydroxycorticosteroids whakamātautau mimi

Ko te whakamatautau 17-hydroxycorticosteroids (17-OHCS) te ine i te taumata o te 17-OHCS i te mimi.

He tauira mimi 24-haora e hiahiatia ana. Me kohikohi koe i to mimi mo te 24 haora. Ma to kaiwhakarato hauora e whakaatu ki a koe me pehea te mahi i tenei. Me whai tika i nga tohutohu.

Ma te Kaiwhakarato koe e ako, ki te tika, ki te whakamutu i nga rongoa ka raru pea te whakamatautau. Kei roto hoki i enei:

• Nga pire whakahaere whanau kei roto te estrogen
• Ko etahi antibiotic
• Glucocorticoids

Ko te whakamātautau he urino noa noa iho. Kaore he awangawanga.

Ko te 17-OHCS he hua i hangaia i te wa e pakaru ana te ate me etahi atu kiko o te tinana i te homone steroid cortisol.

Ma tenei whakamatautau e ahei te whakatau mena he nui rawa te hua o te tinana i te tinana. Ka whakamahia pea te whakamatautau hei tohu i te mate Cushing. He raru tenei ka pa ana ka nui tonu te kaha o te cortisol i te tinana.

Ko te nui o te mimi me te waihanga mimi ka mahia i nga wa katoa me te whakamatautau 17-OHCS i te wa kotahi. Ma tenei e awhina te kaiwhakarato ki te whakamaori i te whakamatautau.

Kaore tenei whakamatautau i te nuinga o nga wa inaianei. Ko te whakamātautau miihini kortisol koreutu he pai ake te tirotiro i nga mate Cushing.

Nga uara noa:

• Tane: 3 ki te 9 mg / 24 haora (8.3 ki te 25 µmol / 24 haora)
• Wahine: 2 ki te 8 mg / 24 haora (5.5 ki te 22 µmol / 24 haora)

Ko nga awhe uara noa ka rereke te rereketanga o nga taiwhanga rereke. Ko etahi o nga taiwhanga e whakamahi ana i nga mehua rereke, i nga tauira rereke ranei. Korero ki to kaiwhakarato mo te tikanga o o hua o te whakamatautau.

Ko te teitei ake i te taumata noa o te 17-OHCS ka tohu:

• He momo Cushing syndrome na te puku i roto i te repe adrenal e whakaputa ana i te cortisol
• Pouri
• Maimoatanga Hydrocortisone
• Kai-kore
• Momona
• Tuhinga o mua
• He take hormonal o te kaha toto tiketike
• He tino ahotea a-tinana, a-whatumanawa ranei
• Te puku i roto i te repe pituitary, i etahi atu waahanga ranei o te tinana e whakaputa ana i te homone e kiia nei ko te adrenocorticotropic hormone (ACTH)

Ko te tohu ki raro o te taumata 17-OHCS e tohu ana:

• Kaore nga repe adrenal i te whakaputa i o raatau homoni
• Kaore te repe Pituitary i te whakaputa i ana homoni
• Te ngoikoretanga o te whākōkī tupu
• Te pokanga o mua hei tango i te repe adrenal

Ko te mimi neke atu i te 3 rita i te ra (polyuria) ka nui ake te hua o te whakamatautau ahakoa he tikanga noa te hanga cortisol.

Kaore he raru o tenei whakamatautau.

17-OH corticosteroids; 17-OHCS

Chernecky CC, Berger BJ. 17-hydroxycorticosteroids (17-OHCS) - mimi 24-haora. I roto i: Chernecky CC, Berger BJ, eds. Nga Whakamatau Laboratory me nga Huarahi Taatari. 6 ed. St Louis, MO: Elsevier Saunders; 2013: 659-660.

Juszczak A, Morris DG, Grossman AB, Nieman LK. Tuhinga o mua. I roto i: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Pakeke me te Pediatric. Ed 7. Philadelphia, PA: Elsevier Saunders; 2016: chap 13.