Hōʻike mimi Cortisol

Ana ke ana mimi kortisol i ke kiʻekiʻe o ka cortisol i ka mimi. ʻO Cortisol kahi hormone glucocorticoid (steroid) i hana ʻia e ka adrenal gland.

Hiki ke ana ʻia ʻo Cortisol me ka hoʻāʻo ʻana i ke koko a i ʻole ka lawaiʻa.

Pono kahi laʻana mimi he 24 mau hola. Pono ʻoe e hōʻiliʻili i kou mimi ma kahi o 24 mau hola i loko o kahi pahu i hāʻawi ʻia e ka keʻena hoʻokolohua. E haʻi aku kāu mea mālama ola iā ʻoe pehea e hana ai i kēia. E hahai pololei i nā ʻōkuhi.

Ma muli o ka hiki ke loli ka hana kortisol e ka adrenal gland, pono paha e hana i ka hōʻoia ʻekolu a ʻoi paha mau manawa kaʻawale e kiʻi i kahi kiʻi ʻoi loa o ka hana maʻamau cortisol.

E noi paha ʻoe ʻaʻole e hana i ka hoʻoikaika kino i ka lā ma mua o ka hoʻāʻo.

Hiki paha iā ʻoe ke haʻi ʻia e hōʻoki i ka lawe ʻana i nā lāʻau i hiki ke hoʻololi i ka hōʻike, e like me:

• Nā lāʻau lapaʻau kūpale
• Estrogen
• ʻO nā glucocorticoids i hana ʻia e ke kanaka (synthetic), e like me hydrocortisone, prednisone a me prednisolone
• Androgens

Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.

Hana ʻia ka hoʻāʻo e nānā no ka hoʻonui a hoʻemi ʻia paha o ka hana cortisol. ʻO Cortisol kahi glucocorticoid (steroid) hormone i hoʻokuʻu ʻia mai ka adrenal gland i ka pane ʻana i ka adrenocorticotropic hormone (ACTH). ʻO kēia kahi hōmona i hoʻokuʻu ʻia mai ka pituitary gland i ka lolo. Hoʻopili ʻo Cortisol i nā ʻōnaehana kino ʻokoʻa. He mea nui ia i:

• Ulu iwi
• Kaohi kaomi koko
• Hana ʻōnaehana paleʻāina
• ʻO ka Metabolism o nā momona, nā paʻakai, a me nā protein
• Hana ʻōnaehana hopohopo
• Pane i ke koʻikoʻi

ʻO nā maʻi ʻokoʻa, e like me Cushing syndrome a me Addison maʻi, hiki ke alakaʻi i ka nui a i ʻole ka liʻiliʻi o ka hana ʻana o cortisol. Hiki i ke ana ʻana i ka pae mimi cortisol ke kōkua i ke koho ʻana i kēia mau ʻano.

ʻO ka palena maʻamau ʻo 4 a 40 mcg / 24 mau hola a i ʻole 11 a 110 nmol / lā.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

E hōʻike paha kahi kiʻekiʻe ma mua o ka pae maʻamau:

• ʻO ka maʻi cushing, kahi a ka pituitary gland e hana ai i ka nui o ka ACTH ma muli o ka ulu nui ʻana o ka pituitary gland a i ʻole kahi tumo i ka pituitary gland.
• ʻO ka Ectopic Cushing syndrome, kahi o kahi tumo ma waho o ka pituitary a i ʻole ke adrenal glands e hana ai i ka nui o ka ACTH
• Kaumaha loa
• Tumor o ka adrenal gland e hana nei i ka nui o ka cortisol
• Kaha koʻikoʻi
• Nā maʻi maʻi ʻole

Hōʻike kahi haʻahaʻa ma mua o ka pae maʻamau:

• ʻO ka maʻi Addison kahi a nā adrenal glands e hana ʻole ai i ka nui o ka cortisol
• Hypopituitarism kahi i hōʻike ʻole ai ka pituitary gland i ka adrenal gland e hana i ka nui o ka cortisol
• Kaohi ʻana i ka pituitary a i ʻole ka adrenal kuleana e nā lāʻau glucocorticoid e like me nā huaale, nā ʻili, nā kuʻemaka, nā inhalers, nā injection pū, chemotherapy

ʻAʻohe pilikia me kēia hōʻike.

24-hola urinary free cortisol (UFC)

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

Chernecky CC, Berger BJ. Cortisol - mimi. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 389-390.

ʻO Stewart PM, Newell-Kumukūʻai JDC. ʻO ka Cortex adrenal. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 15.