Tijaabada Cortisol

Qanacsan

• Waa maxay baaritaanka cortisol?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka cortisol?
• Maxaa dhacaya inta lagu jiro baaritaanka cortisol?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka cortisol?
• Tixraacyo

Waa maxay baaritaanka cortisol?

Cortisol waa hormoon saameeya ku dhowaad dhammaan xubnaha iyo unugyada jirkaaga ku jira. Waxay ka ciyaareysaa door muhiim ah kaa caawinta inaad:

• Ka jawaab walaaca
• La dagaallanka infekshinka
• Xakamee sonkorta dhiiga
• Joogtee cadaadiska dhiigga
• Xakamee dheef-shiid kiimikaadka, habka habka jirkaagu u isticmaalo cuntada iyo tamarta

Cortisol waxaa sameeya qanjidhadaada adrenal, laba qanjirro yaryar oo ku yaal korka kilyaha. Baaritaanka cortisol wuxuu cabiraa heerka cortisol ee dhiigaaga, kaadida, ama candhuufta. Baadhitaanka dhiiggu waa habka ugu caansan ee lagu cabiro cortisol. Haddii heerarkaaga cortisol uu aad u sarreeyo ama aad u hooseeyo, waxay macnaheedu noqon kartaa inaad leedahay cillad qanjidhada adrenal. Cilladahaani waxay noqon karaan kuwo daran haddii aan la daweyn.

Magacyada kale: kaadida cortisol, salivary cortisol, cortisol bilaash ah, baaritaanka xakamaynta dexamethasone, DST, baaritaanka kicinta ACTH, dhiigga cortisol, plasma cortisol, plasma

Maxaa loo adeegsadaa?

Tijaabada 'cortisol' waxaa loo isticmaalaa in lagu caawiyo baaritaanka ciladaha qanjirada 'adrenal gland'. Kuwaas waxaa ka mid ah xanuunka loo yaqaan 'Cushing's syndrome', oo ah xaalad ku keenta jirkaaga inuu sameeyo cortisol aad u badan, iyo cudurka 'Addison', oo ah xaalad uusan jidhkaagu samayn cortisol ku filan.

Maxaan ugu baahanahay baaritaanka cortisol?

Waxaad u baahan kartaa baaritaanka cortisol haddii aad leedahay astaamaha cudurka Cushing’s syndrome ama cudurka Addison.

Astaamaha lagu garto cudurka 'Cushing's syndrome' waxaa ka mid ah:

• Cayilka, gaar ahaan jirka
• Dhiig kar
• Sonkor dhiig oo sareeya
• Dareenka guduudka ah ee caloosha
• Maqaarka si fudud u nabaro
• Murqaha oo daciifa
• Dumarku waxay yeelan karaan caadooyin aan caadi ahayn iyo timo siyaado ah wajiga

Calaamadaha cudurka Addison waxaa ka mid ah:

• Miisaanka oo yaraada
• Daal
• Murqaha oo daciifa
• Calool xanuun
• Maqaarka maqaarka oo madow
• Cadaadis dhiig oo hooseeya
• Lalabbo iyo matag
• Shuban
• Timaha jirka oo yaraaday

Waxa kale oo laga yaabaa inaad u baahato baaritaanka cortisol haddii aad leedahay astaamo dhibaato adrenal ah, xaalad nafta halis gelisa oo dhici karta marka heerarkaaga cortisol aad u hooseeyo. Calaamadaha dhibaatada adrenal waxaa ka mid ah:

• Cadaadis dhiig oo aad u hooseeya
• Matag daran
• Shuban daran
• Fuuqbax
• Xanuun lama filaan ah oo daran oo ku dhaca caloosha, dhabarka hoose, iyo lugaha
• Jahwareer
• Miyir beelid

Maxaa dhacaya inta lagu jiro baaritaanka cortisol?

Baadhitaanka 'cortisol' badanaa waa qaab tijaabo dhiig ah. Inta lagu jiro baaritaanka dhiigga, xirfadle daryeel caafimaad ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Sababtoo ah heerarka cortisol wuu isbeddelaa maalinta oo dhan, waqtiga tijaabada cortisol waa muhiim. Baadhitaanka dhiigga 'cortisol' waxaa badanaa la sameeyaa laba jeer maalintii - hal mar subaxdii marka heerarka cortisol uu heerkoodu sareeyo, iyo markale 4ta galabnimo, marka heerarku aad u hooseeyaan.

Cortisol sidoo kale waxaa lagu cabbiri karaa kaadi ama baaritaanka candhuufta. Tijaabada kaadida cortisol, bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu kaa codsado inaad aruuriso dhamaan kaadida mudo 24-saac ah. Tan waxaa lagu magacaabaa "baaritaanka 24-ka saac ee kaadida." Waxaa loo isticmaalaa maxaa yeelay heerarka cortisol way kala duwan yihiin maalintii oo dhan. Tijaabadan, daryeel caafimaad bixiyahaaga ama xirfadlaha sheybaarka ayaa ku siin doona weel aad ku ururiso kaadidaada iyo tilmaamaha ku saabsan sida loo ururiyo loona keydiyo shaybaarkaaga. Tijaabada tijaabada kaadida 24-ka saacadood sida caadiga ah waxaa ku jira talaabooyinka soo socda:

• Faaruq kaadi haystaada subaxa oo kaadidaas kaadi. Qor waqtiga.
• 24ka saacadood ee soo socda, keydi dhammaan kaadidaada ku dhacday weelka la siiyay.
• Ku keydi weelka kaadida qaboojiyaha ama qaboojiye baraf leh.
• Ku soo celi weelka muunada xafiiska bixiyaha caafimaadkaaga ama shaybaarka sida lagu faray.

Baaritaanka candhuufta ee 'cortisol canva' waxaa badanaa lagu sameeyaa guriga, goor dambe habeenkii, marka heerarka 'cortisol' uu ka hooseeyo. Bixiyaha xanaanada caafimaadkaaga ayaa kugula talin doona ama ku siin doona xirmo baaritaankaan ah. Xirmada waxay u badan tahay inay ku jiri doonto suuf si loo soo qaado shaybaarkaaga iyo weel lagu keydiyo. Talaabooyinka badanaa waxaa ka mid ah kuwan soo socda:

• Ha cunin, ha cabbin, ama caday ilkahaaga 15-30 daqiiqo baaritaanka ka hor.
• Ururi muunadda inta u dhexeysa 11 habeenimo iyo saqda dhexe, ama sida uu ku faray bixiyahaaga.
• Suufka afka geli.
• Suuf ku duub afkaaga illaa 2 daqiiqo si ay ugu daboosho dhareerka.
• Ha ku taaban caarada suufkaaga farahaaga.
• Suufka geli weelka ku jira xirmada oo dib ugu celi adeeg bixiyahaaga sida lagu faray.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Cadaadiska ayaa kor u qaadi kara heerarkaaga kortilaasoor, markaa waxaad u baahan kartaa inaad nasato baaritaankaaga ka hor. Tijaabada dhiiggu waxay u baahan doontaa inaad jadwal u sameyso laba ballamo waqtiyo kala duwan oo maalinta ah. Afar iyo labaatan saac oo kaadi ah iyo baaritaanka candhuufta ayaa lagu sameeyaa guriga. Hubso inaad raacdo dhammaan tilmaamaha uu ku siiyo bixiyahaaga.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan. Ma jiraan wax qatar ah oo la ogyahay oo ku imaan kara baaritaanka kaadi ama candhuuf.

Maxay natiijooyinka ka dhigan yihiin?

Heerarka sare ee cortisol ayaa macnaheedu noqon karaa inaad qabtid xanuunka 'Cushing's syndrome', halka heerarka hooseeya ay macnaheedu noqon karto inaad qabtid cudurka Addison ama nooc kale oo ah cudurka adrenal. Haddii natiijooyinkaaga cortisol uusan caadi ahayn, macnaheedu maahan inaad leedahay xaalad caafimaad oo u baahan daaweyn. Waxyaabaha kale, oo ay ku jiraan infekshinka, walbahaarka, iyo uurka ayaa saameyn ku yeelan kara natiijooyinkaaga. Kiniiniyada ka hortagga uurka iyo dawooyinka kale ayaa sidoo kale saameyn ku yeelan kara heerarkaaga 'cortisol'. Si loo barto macnaha natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka cortisol?

Haddii heerarkaaga cortisol uusan caadi ahayn, daryeel caafimaad bixiyahaagu wuxuu u badan yahay inuu dalbado baaritaanno dheeri ah kahor intaan cudurka lagu ogaanin. Tijaabooyinkan waxaa ka mid noqon kara baaritaanno dheeri ah oo dhiig iyo kaadi iyo baaritaanno sawir ah, sida CT (kumbuyuutar tomography) iyo baaritaannada MRI (magnetic resonance imaging), kuwaas oo u oggolaanaya bixiyahaaga inuu fiiriyo qanjidhada adrenal iyo pituitary.

Tixraacyo

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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.