Baadhitaanka Dhiigga ee SHBG

Qanacsan

• Waa maxay baaritaanka dhiigga ee SHBG?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka dhiigga ee SHBG?
• Maxaa dhacaya inta lagu jiro baaritaanka dhiigga ee SHBG?
• 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 dhiigga ee SHBG?
• Tixraacyo

Waa maxay baaritaanka dhiigga ee SHBG?

Tijaabadani waxay qiyaasaysaa heerarka SHBG ee dhiiggaaga ku jira. SHBG waxay u taagan tahay hoormoonka galmada ku xidha globulin. Waa borotiin uu sameeyo beerka wuxuuna isku dhejiyaa hormoonada galmada ee laga helo ragga iyo dumarka. Hormoonadan ayaa kala ah:

• Hormoonkaas, hormoonka galmada ugu weyn ragga
• Dihydrotestosterone (DHT), hormoon kale oo lab ah
• Estradiol, waa nooc ka mid ah estrogen, hormoonka galmada ugu weyn ee dumarka

SHBG waxay maamushaa inta hoormoonadan la geeyo unugyada jirka. In kasta oo SHBG uu ku dhegan yahay dhammaan seddexda hormoonadan, baaritaanka SHBG waxaa badanaa loo isticmaalaa in lagu eego testosterone. Heerarka SHBG ayaa tusi kara haddii uu jirku aad u tiro badan yahay ama aad u yar yahay testosterone.

Magacyada kale: testosterone-estrogen globulin, TeBG

Maxaa loo adeegsadaa?

Tijaabada 'SHBG' waxaa badanaa loo isticmaalaa in lagu ogaado inta testosterone ay u socoto unugyada jirka. Heerarka testosterone waxaa lagu cabbiri karaa tijaabo gaar ah oo loo yaqaan wadarta testosterone. Tijaabadani waxay muujineysaa inta testosterone ay ku jirto jirka, laakiin ma ahan inta jirku isticmaalo.

Mararka qaarkood wadarta baaritaanka testosterone ayaa ku filan in lagu sameeyo cudurka. Laakiin dadka qaar waxay leeyihiin astaamo aad u badan ama aad u yar oo ah hoormoonka oo natiijada wadarta baaritaanka testosterone aysan sharxi karin. Xaaladahaas oo kale, tijaabada SHBG ayaa lagu amri karaa inay bixiso macluumaad dheeraad ah oo ku saabsan inta testosterone ee jirku heli karo.

Maxaan ugu baahanahay baaritaanka dhiigga ee SHBG?

Waxaad u baahan kartaa baaritaankaan haddii aad leedahay astaamo heerar testosterone aan caadi ahayn, gaar ahaan haddii wadarta baaritaanka testosterone uusan sharxi karin astaamahaaga. Ragga, waxaa badanaa la dalbadaa haddii ay jiraan astaamo heerar testosterone hooseeya. Haweenka, badanaa waa la dalbadaa haddii ay jiraan calaamado heerar testosterone oo sarreeya.

Calaamadaha heerarka testosterone ee hooseeya ee ragga waxaa ka mid ah:

• Jinsiga oo hooseeya
• Dhibaato kacsiga
• Dhibaatooyinka taranka

Astaamaha lagu garto heerarka testosterone ee haweenka waxaa ka mid ah:

• Kordhinta timaha jirka iyo wejiga
• Qoto-dheerida codka
• Ciladaha caadada
• Finanka
• Miisaanka oo kordha
• Dhibaatooyinka taranka

Maxaa dhacaya inta lagu jiro baaritaanka dhiigga ee SHBG?

Xirfadlaha daryeelka caafimaadka 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.

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

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay imtixaanka SHBG.

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.

Maxay natiijooyinka ka dhigan yihiin?

Haddii natiijooyinkaagu muujiyaan heerarkaaga SHBG inay aad u hooseeyaan, waxaa laga yaabaa inay macnaheedu tahay in borotiinku uusan ku xirneyn testosterone ku filan. Tani waxay u oggolaaneysaa testosterone aan xirneyn in laga helo nidaamkaaga. Waxay sababi kartaa testosterone aad u badan si ay ugu tagto unugyada jirkaaga.

Haddii heerarkaaga SHBG ay aad u sarreeyaan, waxay macnaheedu noqon kartaa in borotiinka uu isku dhejinayo testosterone aad u badan. Marka wax yar oo ka mid ah hoormoonka ayaa la heli karaa, unugyadaadana waxaa laga yaabaa inaysan helin testosterone ku filan.

Haddii heerarkaaga SHBG aad u hooseeyaan, waxay calaamad u noqon kartaa:

• Hypothyroidism, xaalad ah in jirkaaga uusan sameynin hormoonnada tayroodhka ku filan
• Nooca 2aad ee sonkorowga
• Si xad dhaaf ah u isticmaalida daawooyinka steroid
• Cushing’s syndrome, waa xaalad jirkaagu aad uga sameeyo hormoon la yiraahdo cortisol
• Ragga, waxay u noqon kartaa kansar ku dhaca xiniinyaha ama qanjidhada adrenal. Qanjirrada 'Adrenal glands' waxay ku yaalliin kilyaha kore waxayna ka caawiyaan xakameynta garaaca wadnaha, cadaadiska dhiigga, iyo shaqooyinka kale ee jirka.
• Haweenka, waxay u noqon kartaa cillad ugxansidaha ugxansidaha (PCOS). PCOS waa cillad hormoon oo caadi ah oo saameysa haweenka dhalmada. Waana mid kamid ah sababaha keena dhalmo la’aanta haweenka.

Haddii heerarkaaga SHBG ay aad u sarreeyaan, waxay calaamad u noqon kartaa:

• Cudurka beerka
• Hyperthyroidism, xaalad ah in jirkaagu sameeyo hormoon tayroodh badan
• Cunno xumida
• Ragga, waxay u noqon kartaa dhibaato xagga xiniinyaha ama qanjirka 'pituitary gland'. Qanjirka 'pituitary gland' wuxuu ku yaal maskaxda hoosteeda wuxuuna xukumaa howlo badan oo jirka ah.
• Haweenka, waxay u noqon kartaa dhibaato qanjirka pituitary, ama cudurka Addison. Cudurka 'Addison disease' waa cillad aan qanjidhada adrenal awood u lahayn inay ka dhigaan mid ku filan hormoonnada qaarkood.

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu dalbado baaritaano dheeri ah sida wadarta testosterone ama baaritaanka estrogen si looga caawiyo sameynta ogaanshaha. Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal adeeg 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 dhiigga ee SHBG?

Heerarka SHBG caadi ahaan waxay ku badan yihiin carruurta labada jinsi, sidaa darteed baaritaanka waxaa had iyo jeer loo isticmaalaa dadka waaweyn.

Tixraacyo

1. Sheybaarada Accesa [Internet]. El Segundo (CA): Acessa Shaybaarada; c2018. Imtixaanka SHBG; [cusboonaysiiyay 2018 Aug 1; daliishaday 2018 Aug 4]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.accesalabs.com/SHBG-Test
2. ACOG: Dhakhaatiirta Daryeelka Caafimaadka Haweenka [Internet]. Washington DC: Kuleejka Maraykanka ee Dhakhaatiirta Haweenka iyo Haweenka; c2017. Polycystic Ovary Syndrome (PCOS); 2017 Jun [daliishaday 2018 Aug 4]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.acog.org/Patients/FAQs/Polycystic-Ovary-Syndrome-PCOS
3. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington D.C; Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2018. Cudurka 'Cushing Syndrome'; [cusboonaysiiyay 2017 Nofeembar 29; daliishaday 2018 Aug 4]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/conditions/cushing-syndrome
4. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington D.C; Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2018. Cudurka Polycystic Ovary Syndrome; [cusboonaysiiyay 2018 Jun 12; daliishaday 2018 Aug 4]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/conditions/polycystic-ovary-syndrome
5. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington D.C; Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2018. Jinsiga Hormone Binding Globulin (SHBG); [cusboonaysiiyay 2017 Nofeembar 5; daliishaday 2018 Aug 4]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/tests/sex-hormone-binding-globulin-shbg
6. Mayo Clinic: Mayo Laboratories [Internet]. Aasaaska Mayo ee Caafimaadka Caafimaadka iyo Cilmi-baarista; c1995–2018. Aqoonsiga Tijaabada: SHBG: Galmada Hormone-Binding Globulin (SHBG), Serum: Xarun caafimaad iyo tarjumaad; [daliishaday 2018 Aug 4]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/9285
7. Machadka Kansarka Qaranka [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Qaamuuska NCI ee Shuruudaha Kansarka: DHT; [daliishaday 2018 Aug 4]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/dht
8. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Tijaabooyinka Dhiigga; [daliishaday 2018 Aug 4]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health-topics/blood-tests
9. Machadka Qaranka ee Sonkorowga iyo Cudurada Dheefshiidka iyo Kelyaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Cudurka Qabuuraha; 2017 Sep [daliishaday 2018 Aug 4]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease
10. Machadka Qaranka ee Sonkorowga iyo Cudurada Dheefshiidka iyo Kelyaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Cudurka Hashimoto; 2017 Sep [daliishaday 2018 Aug 4]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
11. Baadhitaanka Baadhitaanka [Internet]. Baaritaanka Quest; c2000–2017. Xarunta Imtixaanka: Hormone Gindone Binding Globulin (SHBG); [daliishaday 2018 Aug 4]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.questdiagnostics.com/testcenter/TestDetail.action?ntc=30740
12. Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2018. Caafimaadka Encyclopedia: Galmada Hormone Binding Globulin (Dhiig); [daliishaday 2018 Aug 4]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=shbg_blood
13. Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2018. Hormoonkaas: Natiijooyinka; [cusboonaysiiyay 2017 Meey 3; daliishaday 2018 Aug 4]; [ilaa 8 shaashadood]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/testosterone/hw27307.html#hw27335
14. Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2018. Hormoonkaas: Guudmarka Tijaabada; [cusboonaysiiyay 2017 Meey 3; daliishaday 2018 Aug 4]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/testosterone/hw27307.htm

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.