Hōʻike Cortisol

Anter

• He aha ka hōʻike kortisol?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i kahi hōʻike kortisol?
• He aha ka hana i ka manawa o kahi hōʻike cortisol?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike cortisol?
• Nā kūmole

He aha ka hōʻike kortisol?

ʻO Cortisol kahi hōmona e pili kokoke i nā mea āpau a me nā mea i loko o kou kino. He mea nui ia i ke kōkua ʻana iā ʻoe e:

• E pane i ke koʻikoʻi
• E hakakā i ka maʻi maʻi
• Hoʻoponopono i ke kō kō
• Mālama i ke kahe o ke koko
• Hoʻoponopono i ka metabolism, ke kaʻina hana o pehea e hoʻohana ai kou kino i ka meaʻai a me ka ikehu

Hana ʻia ʻo Cortisol e kāu mau adrenal glands, ʻelua mau gland liʻiliʻi ma luna o nā puʻupaʻa. Hoʻopili kahi hōʻike kortisol i ke kiʻekiʻe o ka cortisol i loko o kou koko, mimi, a i ʻole kuha. ʻO nā hoʻokolohua koko ka ala maʻamau o ke ana ʻana iā Cortisol. Inā kiʻekiʻe a haʻahaʻa paha kāu pae kortisol, manaʻo paha ia he maʻi kāu o kāu mau adrenal. Hiki ke koʻikoʻi kēia mau maʻi inā ʻaʻole mālama ʻia.

Nā inoa ʻē aʻe: urinary cortisol, salivary Cortisol, free cortisol, dexamethasone suppression test, DST, ACTH stimulate test, blood Cortisol, plasma cortisol, plasma

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi hōʻike kortisol e kōkua i ke kuhi hewa ʻana i ka momona adrenal. Hoʻopili kēia me Cushing's syndrome, kahi kumu e hana ai i kou kino e hana i ka nui nui o ka cortisol, a me ka maʻi Addison, kahi ʻano i lawa ʻole ai kou kino i ka cortisol.

No ke aha wau e pono ai i kahi hōʻike kortisol?

Pono ʻoe i kahi hoʻokolohua kortisol inā loaʻa iā ʻoe nā ʻōuli o Cushing's syndrome a i ʻole maʻi Addison.

ʻO nā ʻōuli o ka maʻi ʻo Cushing ka:

• ʻO ka momona, keu hoʻi i ka kino
• Piʻi koko kiʻekiʻe
• Koko kō kiʻekiʻe
• Nā kaha poni ma ka ʻōpū
• ʻO ka ʻili e palapū wale ai
• Nāwaliwali ka ʻiʻo
• Hiki paha i nā wahine ke hala i ka manawa maʻamau a me ka lauoho i ka maka

Nā ʻōuli o ka maʻi Addison me:

• Kaumaha emi
• Ka luhi
• Nāwaliwali ka ʻiʻo
• Abdominal eha
• Nā ʻili pouli o ka ʻili
• Kaomi haʻahaʻa
• ʻO Nusea a me ka luaʻi
• Pohā
• ʻO ka lauoho lauoho hōʻemi

Pono paha ʻoe i kahi hoʻokolohua kortisol inā loaʻa iā ʻoe nā ʻōuli o kahi ulia adrenal, kahi ʻano hoʻoweliweli e hiki ke hana inā haʻahaʻa loa kāu pae cortisol. ʻO nā ʻōuli o ka pilikia adrenal me:

• Ke kaomi haʻahaʻa haʻahaʻa loa
• Luai nui
• Mākī nui loa
• Make wai
• ʻO ka ʻehaʻeha a ʻeha loa i ka ʻōpū, hoʻi i lalo, a me nā wāwae
• Huikau
• Ka nalowale o ka ʻike

He aha ka hana i ka manawa o kahi hōʻike cortisol?

ʻO kahi ho'āʻo cortisol ma ke ʻano he hōʻike koko. I ka wā o kahi hoʻokolohua koko, e lawe kahi loea mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila liʻiliʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Ma muli o ka loli o nā pae cortisol i ka lā holoʻokoʻa, he mea nui ka manawa o kahi hōʻike kortisol. Hana pinepine ʻia kahi hōʻike koko cortisol i ʻelua mau manawa i ka lā – hoʻokahi manawa i ke kakahiaka ke kiʻekiʻe loa ka pae o ka cortisol, a ma kahi o ka hola 4, ke emi loa nā pae.

E ana ʻia nō hoʻi ʻo Cortisol i kahi mimi a i ʻole hōʻike lawaiʻa. No kahi hōʻike mimi kortisol, hiki i kāu mea mālama ola ke noi iā ʻoe e hōʻiliʻili i nā mimi āpau ma kahi o 24 mau hola. Kapa ʻia kēia he "24-hola mimi hōʻike hāpana." Hoʻohana ʻia ia no ka mea ʻokoʻa nā pae o cortisol i ka lā holoʻokoʻa. No kēia hoʻāʻo, e hāʻawi kāu mea mālama ola a i ʻole kahi ʻoihana keʻena hoʻokolohua iā ʻoe i kahi ipu e hōʻiliʻili i kāu mimi a me nā ʻōkuhi pehea e ʻohiʻohi a mālama ai i kāu mau laʻana. ʻO kahi hōʻike hōʻike mimi he 24 mau hola e hoʻopili mau i nā kaʻina hana penei:

• Hoʻopau i kāu ʻōpū i ke kakahiaka a holoi i kēlā mimi. E hoʻopaʻa i ka manawa.
• No nā hola he 24 e hiki mai ana, e mālama i kāu mimi āpau i hala i ka pahu i hāʻawi ʻia.
• E mālama i kāu ipu mimi i loko o ka pahu hau a i ʻole kahi anuanu me ka hau.
• E hoʻihoʻi i ka ipu hāpana i kāu keʻena ʻoihana olakino a i ʻole ke keʻena hoʻokolohua e like me ke kauoha.

Hana ʻia kahi kuha salis kortisol ma ka home, i ka pō nui, ke haʻahaʻa nā pae o ka cortisol. E paipai a hāʻawi paha kāu mea mālama ola iā ʻoe i kahi kit no kēia hōʻike. E hoʻokomo paha ka kit i kahi swab e hōʻiliʻili ai i kāu hāpana a me kahi pahu e mālama iā ia. Pākuʻi ʻia nā mea i kēia mau mea:

• Mai ʻai, inu, a palaki i kou mau niho no 15-30 mau minuke ma mua o ka hoʻāʻo.
• E hōʻiliʻili i kahi laʻana ma waena o 11 p. a i ke aumoe, a i ʻole i kuhikuhi ʻia e kāu mea hāʻawi.
• E hoʻokomo i ka pā i loko o kou waha.
• E ʻōwili i ka pā i loko o kou waha ma kahi o 2 mau minuke i hiki iā ia ke uhi ʻia i ka lawai.
• Mai hoʻopili i ka piko o ka swab me kou mau manamana lima.
• E hoʻokomo i ka swab i loko o ka pahu i loko o ka pahu a hoʻihoʻi i kāu mea lawelawe e like me ke kuhikuhi.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

Hiki i ke koʻikoʻi ke hāpai i kāu pae cortisol, no laila pono ʻoe e hoʻomaha ma mua o kāu hōʻoia. E koi ana kahi hōʻike koko iā ʻoe e hoʻonohonoho i ʻelua mau manawa i kēlā me kēia manawa o ka lā. Lawe ʻia i ka home ka iwakāluakūmāhā hola mimi a me nā kuha. E mālama pono i nā ʻōkuhi āpau i hāʻawi ʻia e kāu mea hāʻawi.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku. ʻAʻohe mea ʻike ʻia i ka mimi a i ʻole ka lawaiʻa hōʻike.

He aha ke ʻano o nā hopena?

ʻO nā kiʻekiʻe kiʻekiʻe o ka cortisol e manaʻo paha he maʻi ko Cushing, ʻoiai haʻahaʻa nā pae haʻahaʻa he maʻi Addison a i ʻole kekahi ʻano o ka maʻi adrenal. Inā ʻaʻole maʻamau kāu hopena cortisol, ʻaʻole ia he manaʻo he ʻano olakino kāu e pono ai ka lāʻau. Hiki i nā kumu ʻē aʻe, ke komo pū me ka maʻi, ke koʻikoʻi, a me ka hāpai ʻana ke hoʻololi i kāu mau hopena. Hiki i nā lāʻau kaohi hānau a me nā lāʻau ʻē aʻe ke hoʻopili i kāu pae cortisol. E aʻo i ke ʻano o kāu mau hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike cortisol?

Inā ʻaʻole maʻamau kāu pae kortisol, e kauoha ana paha kāu mea mālama mālama ola i nā hoʻokolohua hou aʻe ma mua o ka hana ʻana i kahi hōʻailona. Hiki i kēia mau hoʻāʻo ke hoʻohui i nā hoʻokolohua koko a me ka mimi hou a me nā hoʻokolohua kiʻi, e like me CT (computer tomography) a me MRI (magnetic resonance imaging) scans, i ʻae ai i kāu mea nāna e nānā i kāu adrenal a me nā pituitary glands.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.