Suʻega ole Cortisol

Anotusi

• O le a le suʻesuʻega ole kortisol?
• O le a le mea e faʻaaoga ai?
• Aisea ou te manaʻomia ai se suʻega o le kulose?
• O le a le mea e tupu i le taimi o le faʻataʻatiaga o le kortisol?
• Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
• E i ai ni lamatiaga i le suʻega?
• O le a le uiga o faʻaiuga?
• E i ai seisi mea e tatau ona ou iloa e uiga i se faʻamaoniga o le kortisol?
• Faʻamatalaga

O le a le suʻesuʻega ole kortisol?

Cortisol o se homone e afaina ai toetoe lava o totoga uma ma aano o lou tino. E iai sona sao taua ile fesoasoani ia oe e:

• Tali atu i le popole
• Tau le faʻamaʻi
• Faʻatonutonu suka i le toto
• Taofi le toto
• Faʻatonutonu metabolism, o le faʻagasologa o le faʻaoga e lou tino o meaʻai ma le malosi

Cortisol e faia e lau adrenal glands, lua laiti glands tu i luga aʻe o fatugaʻo. O le suʻesuʻega ole kortisol e fua ai le maualuga ole kortisol i lou toto, mimi, poʻo le faua. Toto tofotofoga o le sili ona masani ai auala o le fuaina cortisol. A faʻapea e maualuga tele pe maualalo tele lau paʻu kulisi, e ono faʻapea e iai lou faʻaletonu o ou totoga adrenal. O nei faʻaletonu e mafai ona ogaoga pe a le togafitia.

Isi igoa: urinary cortisol, salivary cortisol, free cortisol, dexamethasone suppression test, DST, ACTH stimulate test, toto cortisol, plasma cortisol, plasma

O le a le mea e faʻaaoga ai?

O le faʻataʻitaʻiga ole kortisol e faʻaaoga e fesoasoani ai ile faʻailoaina o faʻalavelave o le adrenal gland. E aofia ai ma le Cushing's syndrome, o se tulaga e mafua ai ona tele lou tino i le tino, ma le faʻamaʻi Addison, o se tulaga e le lava ai le tino o lou tino.

Aisea ou te manaʻomia ai se suʻega o le kulose?

Atonu e te manaʻomia se suʻesuʻega ole kortisol peʻa iai sau faʻailoga ole Cushing's syndrome poʻo le Addison faʻamaʻi.

Faʻailoga o le Cushing's syndrome aofia ai:

• Ova tele, aemaise i le tino
• Toto maualuga
• Suka suka maualuga
• O maʻamauli lanu viole i luga o le manava
• Paʻu e faigofie ona totolia
• Vaivaiga maso
• Tamaʻitaʻi ono i ai taimi le faʻalelei taimi ma sili atu laulu i luga o foliga

Faʻailoga o le Addison faʻamaʻi aofia ai:

• Paʻu pauna
• Le lavava
• Vaivaiga maso
• Tiga o le manava
• Paʻu pogisa o paʻu
• Maualalo le toto
• Faanoi ma puaʻi
• Manava tata
• Faʻaitiitia le laulu o le tino

Oe ono manaʻomia se suʻesuʻega ole kortisol peʻa iai sau faʻailoga o le adrenal crisis, o se faʻamataʻu ile ola e mafai ona tupu pe a fai o lau tino ole laʻau e sili ona maualalo. Faʻailoga o se faʻalavelave faigata aofia ai:

• Maualalo le toto maualuga
• Puaʻi leaga
• Matuā tatā
• Faʻamaligiina
• Faafuaseʻi ma tiga matuitui i le manava, lalo i lalo, ma vae
• Le mautonu
• Leiloa o le malamalama

O le a le mea e tupu i le taimi o le faʻataʻatiaga o le kortisol?

O le faʻataʻitaʻiga ole kortisol e masani ona faia ile suʻega ole toto. I le taimi o le suʻega toto, o le tagata faigaluega soifua maloloina o le a ave se toto faʻataʻitaʻiga mai se uaua i lou lima, faʻaaoga ai se tamaʻi nila. A maeʻa ona tuʻu i totonu le nila, o le a faʻaputuputuina se vaega laʻititi o le toto i totonu o se faʻamaoniga poʻo se ipu. Atonu e te lagonaina sina tiga pe a alu le nila i totonu pe fafo. Lenei masani ona alu ifo i lalo o le lima minute.

Talu ai o suiga ole laʻau ole kortisol e suia ile aso atoa, e taua ai le taimi ole suʻesuʻega ole kortisol. E masani ona faʻataʻilua ona faia le suʻesuʻega ole toto ole kortisol ile aso ile taimi e tasi ile taeao pe a oʻo ile maualuga naʻo le tulaga ole kortisol, ma faʻapea foi ile 4 ile afiafi, pe a paʻu maualalo tulaga.

E mafai foi ona fua le Cortisol ile suʻesuʻe poʻo le faua suʻega. Mo se suʻesuʻega urine, e ono fai atu lau fomaʻi e faʻaputu uma au feʻau i le vaitaimi e 24 itula. Ua taʻua lea ole "24-itula urine sample test." E faʻaaogaina ona e eseese lava tulaga ole kortisol ile aso atoa. Mo lenei suʻega, o le a avatua ia te oe e lau fomaʻi tausi soifua poʻo se tagata poto faapitoa i fale suesue, se container e aoina ai lau miaga ma faʻatonuga i auala e aoina ai ma teu ai au faʻataʻitaʻi. O le suʻesuʻega faʻataʻitaʻi e 24 itula le umi e masani ona aofia ai laʻasaga nei:

• Faʻamama lau lapisi i le taeao ma faʻamama ese atu lena miaga. Faamaumau le taimi.
• Mo le isi 24 itula, sefe uma au miini na pasia i le koneteina na tuʻuina atu.
• Teu lou container urine i totonu o le pusaaisa poʻo se cooler ma le aisa.
• Faʻafoʻi le container container i le ofisa o lau soifua maloloina poʻo le fale suʻesuʻe e pei ona faʻatonuina.

E masani ona faia se suʻega ole kortisol ile fale, i le leva ole po, pe a oʻo i lalo ole tulaga ole kortisol. O le a fautuaina pe tuʻuina atu e lau tautua faʻasoifua maloloina se pusa mo lenei suʻega. O le ato atonu e aofia ai se swab e aoina lau faʻataʻitaʻiga ma se atigipusa e teu ai. O sitepu e masani ona aofia ai mea nei:

• Aua le 'ai, inu, pe fufulu ou nifo mo le 15-30 minute ae leʻi faia le suʻega.
• Faʻaputuputu le faʻataʻitaʻiga i le va o le 11 i le po. ma le vaeluaga o po, pe pei ona faʻatonuina e lau tautua.
• Tuʻu le fusi i lou gutu.
• Lulu le solo i lou gutu pe a ma le 2 minute ina ia mafai ona lilo i le faua.
• Aua le tago i le pito o le solo i ou tamatamailima.
• Tuʻu le lapisi i totonu o le koneteina i totonu o le pusa ma faʻafoʻi ia i lau tautua e pei ona faatonuina.

Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?

O le faʻamalosi e mafai ona siʻitia ai lou tulaga i luga ole laʻau, o lea e manaʻomia ai ona e malolo ae leʻi faia lau suʻega. O le suʻega ile toto e manaʻomia ai oe e faʻatulaga lua taimi atofaina i taimi 'eseʻese o le aso. Luasefulu fa itula suʻesuʻe urin ma faua e faia i le fale. Ia mautinoa ia mulimuli i faʻatonuga uma na tuʻuina mai e lau tautua.

E i ai ni lamatiaga i le suʻega?

E laʻititi lava le aʻafia ile faia ole suʻega ile toto. E i ai sina tiga poʻo se tiga i le mea na tuu ai le nila, ae o le tele o faʻailoga e vave ona alu ese. E i ai le iloa lamatiaga i se miaga poʻo faua suʻega.

O le a le uiga o faʻaiuga?

Ole maualuga ole fua ole kortisol e ono faʻapea e te maua i le Cushing's syndrome, aʻo le maualalo o tulaga e ono uiga i ai oe faʻafitauli Addison poʻo seisi ituaiga faʻamaʻi adrenal. A faʻapea e le masani ona maua lou cortisol, e le faʻapea e iai se maʻi faafomaʻi e manaʻomia se togafitiga. O isi mea, e aofia ai faʻamaʻi, mafatiaga, ma maitaga e mafai ona aʻafia ai au iʻuga. O fualaʻau taofiofia le fanau mai ma isi vailaʻau e mafai foi ona afaina ai lou tulaga o le cortisol. Ina ia iloa le uiga o au iʻuga, talanoa i lau soifua maloloina.

Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga

E i ai seisi mea e tatau ona ou iloa e uiga i se faʻamaoniga o le kortisol?

A faʻapea e le masani le tulaga o lou toto, e ono faʻatonu e lau fomaʻi le tele o suʻesuʻega ae e leʻi faia se faʻamaoniga. O nei suʻega ono aofia ai faʻaopopo toto ma suʻega suʻega ma faʻataʻitaʻiga faʻataʻitaʻi, pei o le CT (computerised tomography) ma le MRI (magnetic resonance imaging) scans, e faʻatagaina ai lau tautua ona vaʻai i au adrenal ma pituitary glands.

Faʻamatalaga

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O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.