Whakamatautau Cortisol

Toka Te Manawa

• He aha te whakamatautau Cortisol?
• Hei aha te whakamahi?
• He aha i hiahiatia ai e ahau he whakamatautau Cortisol?
• Ka ahatia i te wa o te whakamatautau Cortisol?
• Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
• He raru pea mo te whakamatautau?
• He aha te tikanga o nga hua?
• Kei tetahi atu mea ano me mohio au mo te whakamatautau Cortisol?
• Tohutoro

He aha te whakamatautau Cortisol?

Ko te Cortisol he homoni e pa ana ki nga okana katoa me nga kiko o to tinana. He mea nui hei awhina i a koe ki te:

• Whakautu ki te ahotea
• Whawhai mate
• Whakahaerehia te huka toto
• Kia mau ki te pehanga toto
• Whakahaerehia te miihini, te mahinga e whakamahia ai e to tinana te kai me te kaha

Ko te Cortisol he mea hanga e o repe adrenal, e rua nga repe iti kei runga ake o nga whatukuhu. Ma te whakamatautau Cortisol e whakaatu te taumata o te cortisol i roto i o toto, mimi, to huware ranei. Ko nga whakamatautau toto te huarahi noa ki te mehua i te cortisol. Mena he teitei, he iti rawa ranei to taumata cortisol, he tikanga kei te raru koe i ou repe adrenal. Ka raru pea enei mate ki te kore e rongoa.

Ko etahi ingoa: urinary cortisol, salivary cortisol, cortisol koreutu, whakamātautau pehanga dexamethasone, DST, whakamātautau whakaongaonga ACTH, cortisol toto, cortisol plasma, plasma

Hei aha te whakamahi?

Whakamahia ai te whakamatautau cortisol hei awhina i nga mate o te repe adrenal. Kei roto i enei ko te Cushing's syndrome, he ahuatanga e kaha rawa ai to tinana ki te hanga i te cortisol, me te mate Addison, he ahua e kore ai e nui te tinana o te tinana ki to tinana.

He aha i hiahiatia ai e ahau he whakamatautau Cortisol?

Ka hiahia pea koe ki te whakamatautau Cortisol mena he tohu o te mate Cushing, te mate Addison ranei.

Ko nga tohu o te mate a Cushing e whai ake nei:

• Te momona, ina koa i te koikoi
• Te toto toto tiketike
• Te huka toto tiketike
• Ko nga riipene papura i runga i te kopu
• Kiri e ngawari te karu
• Te ngoikore o te uaua
• Ka raru pea te wa o te wa o nga waahine, ka nui rawa nga makawe o te kanohi

Nga tohu o te mate Addison:

• Te whakaheke taumaha
• Ngenge
• Te ngoikore o te uaua
• Te mamae o te kopu
• Nga kiri pouri o te kiri
• Te pehanga toto iti
• Te whakapairuaki me te ruaki
• Matepukupuku
• Whakaheke nga makawe o te tinana

Akene ka hiahia ano koe ki te whakamatautau Cortisol mena ka kitea e koe he tohu o te raru adrenal, he ahua morearea ka mate ka pa mai i te wa e tino iti ana o taumata cortisol. Ko nga tohu o te raru adrenal kei roto:

• Tino toto toto
• Ruaki kaha
• Te kaha o te mate korere
• Matewai
• Te mamae ohorere me te kino o te kopu, tua o raro, me nga waewae
• Raruraru
• Tuhinga o mua

Ka ahatia i te wa o te whakamatautau Cortisol?

Ko te whakamātautau cortisol he rite tonu ki te whakamātautau toto. I te wa e whakamatautauria ana te toto, ka tangohia e tetahi tohunga ngaio hauora tetahi tauira toto mai i te uaua i roto i to ringa, ma te whakamahi i te ngira iti. Whai muri i te kuhunga o te ngira, ka kohia he toto iti ki roto i te ipuipu, ipu ranei. Akene he iti to ngau ka puta te ngira ki waho ka puta atu ranei. Ko te tikanga ka iti ake i te rima meneti tenei.

Na te mea ka rereke nga taumata cortisol i te roanga o te ra, he mea nui te waa whakamatautau Cortisol. Ko te whakamātautau toto cortisol e rua nga wa e mahia ana i te ra-kotahi i te ata i te waa kei runga rawa atu nga taumata kortisol, ana ano hoki i te 4 i te ahiahi, ka tino heke nga taumata.

Ka whangangahia ano hoki te Cortisol i te mimi, i te whakamatautau huware ranei. Mo te whakamatautau mimi cortisol, ka tono pea to kaiwhakarato hauora ki a koe kia kohia e koe nga mimi katoa i roto i te waa 24-haora. Ka kiia tenei ko te "24-haora tauira whakamatautau mimi." Ka whakamahia na te mea he rereke nga taumata cortisol puta noa i te ra. Mo tenei whakamatautau, ma to kaiwhakarato hauora, ma te tohunga taiwhanga ranei koe e hoatu he ipu ki te kohi mimi me nga tohutohu mo te kohi me te penapena i o tauira. Ko te whakamātautau tauira mimi 24 haora te tikanga e whai ake nei:

• Whakakahoretia to peepapa i te ata ka panu atu i te mimi. Tuhia te waa.
• Mo nga haora 24 e whai ake nei, penapenahia o mimi katoa i tukuna i roto i te ipu i tukuna.
• Raua atu to ipu mimi ki roto i te pouaka whakamātao, ki te pouaka whakamātao ranei me te huka.
• Whakahokihia te ipu ipu ki to tari tari hauora, ki te whare taiwhanga ranei kua tohua.

I te nuinga o te waa ka mahia he whakamatautau hihi cortisol i te kaainga, i te mutunga o te po, i te wa e iti ana nga taumata cortisol. Ka taunaki mai to kaiwhakarato hauora ki te tohatoha ranei i tetahi kete mo tenei whakamatautau. Akene ka uru atu te kete ki te pana ki te kohikohi i to tauira me te ipu hei penapena. Ko nga taahiraa te tikanga e whai ake nei:

• Kaua e kai, inu, paraia ranei o niho mo nga meneti 15-30 i mua i te whakamatautau.
• Kohikohia te tauira i waenga i te 11 i te po i waenganui po, peera i te tohutohu a to kaiwhakarato.
• Kuhua te papa ki to mangai.
• Hurihia te papa ki to waha mo te 2 meneti pea ka taupokina e te huware.
• Kaua e pa ki te pito o te pana ki o maihao.
• Kuhua te peera ki roto i te ipu i roto i te kete ka whakahoki ki to kaiwhakarato kia rite ki nga tohutohu.

Me mahi e au tetahi mea hei whakareri mo te whakamatautau?

Ka taea e te ahotea te hiki i o taumata cortisol, no reira me okioki pea koe i mua i to whakamatautau. Ma te whakamatautau toto koe e whakarite kia rua nga waa i nga waa rereke o te ra. Rua tekau ma wha haora te whakamatautau mimi me te huware ka mahia i te kaainga. Kia mahara ki te whai i nga tohutohu katoa i homai e to kaiwhakarato.

He raru pea mo te whakamatautau?

He iti noa te tuponotanga ka tirohia o toto. Ka mamae pea koe, ka maru ranei koe i te waahi i maka ai te ngira, engari ko te nuinga o nga tohu ka tere wawe. Kaore he morearea e mohiotia ana mo te mimi, o te wairangi ranei.

He aha te tikanga o nga hua?

Ko te nui o te cortisol ko te tikanga kei a koe te mate o Cushing, engari ko te iti o te taumata ka mate koe i te mate Addison, tetahi atu momo mate pukupuku ranei. Mena kaore i te noa nga hua o te cortisol, ehara i te mea he mate hauora to kei te mate koe. Ko etahi atu take, tae atu ki te mate, te ahotea, me te haputanga ka pa ki o hua. Ko nga pire whakahaere whanau me etahi atu rongoa ka pa ki o taumata cortisol. Kia mohio koe he aha te tikanga o o hua, korero ki to kaiwhakarato hauora.

Ako atu mo nga whakamatautau taiwhanga, awhe tohutoro, me te maarama ki nga hua.

Kei tetahi atu mea ano me mohio au mo te whakamatautau Cortisol?

Mena kaore i te taangata nga taumata cortisol, ka tono pea to kaiwhakarato hauora kia nui ake nga whakamatautau i mua i to whakatau mate. Ko enei whakamatautau ka uru pea ki etahi atu whakamatautau toto me te mimi me nga whakamatautau atahanga, penei i te CT (rorohiko rorohiko) me te miihini MRI (whakaahua whakarakei) ka taea e to kaiwhakarato te tiro ki o repe repe adrenal me te pituitary.

Tohutoro

1. Hauora Allina [Ipurangi]. Hauora Allina; c2017. Me Pehea te Kohikohi i tetahi Tauira Tuwha mo te Whakamatau Cortisol [i whakahuahia 2017 Jul 10]; [e 4 pea nga mata]. Wātea mai i: https://www.allinahealth.org/Medical-Services/SalivaryCortisol15014
2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2^nd Ed, Rama.Philadelphia: Wolters Kluwer Hauora, Lippincott Williams & Wilkins; c2014. Cortisol, Plasma me te Urine; 189–90 wh.
3. Johns Hopkins Medicine [Ipurangi]. Johns Hopkins Rongoa; Whare Pukapuka Hauora: Adrenal Glands [whakahua 2017 Jul 10]; [tata ki te 3 nga mata]. Wātea mai i: http://www.hopkinsmedicine.org/healthlibrary/conditions/adult/endocrinology/adrenal_glands_85,p00399
4. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. American Association mo te Haumanu Haumanu; c2001–2017. Cortisol: Nga Patai Noa [whakahoutia 2015 Oketopa 30; whakahuahia 2017 Jul 10]; [tata ki te 5 o nga mata]. Wātea mai i: https://labtestsonline.org/understanding/analytes/cortisol/tab/faq
5. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. American Association mo te Haumanu Haumanu; c2001–2017. Cortisol: Te Whakamatau [whakahoutia i te 2015 Oketopa 30; whakahuahia 2017 Jul 10]; [e 4 pea nga mata]. Wātea mai i: https://labtestsonline.org/understanding/analytes/cortisol/tab/test
6. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. American Association mo te Haumanu Haumanu; c2001–2017. Cortisol: Ko te Tauira Whakamatautau [whakahoutia i te 2015 Oketopa 30; whakahuahia 2017 Jul 10]; [tata ki te 3 nga mata]. Wātea mai i: https://labtestsonline.org/understanding/analytes/cortisol/tab/test
7. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. American Association mo te Haumanu Haumanu; c2001–2017. Papakupu: 24-Haora Urine Tauira [whakahuatia 2017 Jul 10]; [tata ki te 3 nga mata]. Wātea mai i: https://labtestsonline.org/glossary/urine-24
8. Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Cushing Syndrome [whakahua i te 2017 Jul 10]; [tata ki te 2 nga mata]. Wātea mai i: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorder/adrenal-gland-disorder/cushing-syndrome#v772569
9. Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Tirohanga mo nga Adrenal Glands [whakahua i te 2017 Jul 10]; [tata ki te 2 nga mata]. Wātea mai i: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorder/adrenal-gland-disorder/overview-of-the-adrenal-glands
10. National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. He aha nga morearea o nga whakamatautau toto? [whakahoutia 2012 Hanuere 6; whakahuahia 2017 Jul 10]; [tata ki te 6 o nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
11. National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. He Aha Me Tono Ki Nga Toto Toto [whakahoutia 2012 Hanu 6; whakahuahia 2017 Jul 10]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests
12. National Institute of Diabetes and Digestive and Kidney Diseases [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Te Hara Adrenal & Mate a Addison; 2014 Mei [whakahua 2017 Jul 10]; [tata ki te 3 nga mata]. Wātea mai i: https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease
13. National Institute of Diabetes and Digestive and Kidney Diseases [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Cushing's Syndrome; 2012 Apr [whakahua 2017 Jul 10]; [tata ki te 3 nga mata]. Wātea mai i: https://www.niddk.nih.gov/health-information/endocrine-diseases/cushings-syndrome
14. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2017. Encyclopedia Hauora: Cortisol (Toto) [whakahua 2017 Jul 10]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=cortisol_serum
15. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2017. Encyclopedia Hauora: Cortisol (Urine) [whakahua i te 2017 Jul 10]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=cortisol_urine
16. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2017. Korero Hauora: Metabolism [whakahoutia 2016 Oketopa 13; whakahuahia 2017 Jul 10]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/definition/metabolism/stm159337.html#stm159337-sec

Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai ​​taau mo to hauora.