Gwajin jinin Cortisol

Gwajin jinin cortisol yana auna matakin cortisol a cikin jini. Cortisol shine kwayar steroid (glucocorticoid ko corticosteroid) hormone da aka samar ta gland adrenal.

Hakanan ana iya auna Cortisol ta amfani da fitsari ko gwajin miyau.

Ana bukatar samfurin jini.

Kila likitanku zai iya yin gwajin da sassafe. Wannan yana da mahimmanci, saboda matakin cortisol ya bambanta ko'ina cikin yini.

Ana iya tambayarka kada kuyi wani motsa jiki mai karfi kwana daya kafin gwajin.

Hakanan za'a iya gaya maka ka daina shan magunguna na ɗan lokaci wanda zai iya shafar gwajin, gami da:

• Magungunan rigakafi
• Estrogen
• Glucocorticoids na mutum (kamar na roba), kamar su hydrocortisone, prednisone da prednisolone
• Androgens

Lokacin da aka saka allurar don zana jini, wasu mutane suna jin matsakaicin ciwo. Wasu kuma suna jin ƙyalli ko harba. Bayan haka, ƙila za a sami wasu rauni ko ƙwanƙwasa rauni. Wannan da sannu zai tafi.

Ana yin gwajin don bincika ƙara ko rage samar da cortisol. Cortisol shine kwayar glucocorticoid (steroid) wanda aka saki daga gland adrenal saboda amsa ga adrenocorticotropic hormone (ACTH). ACTH wani sinadarin hormone ne wanda aka fitar daga glandonda yake cikin kwakwalwa.

Cortisol yana shafar tsarin jiki da yawa. Yana taka rawa a cikin:

• Ci gaban ƙashi
• Tsarin jini
• Tsarin rigakafi
• Halittar ƙwayoyi na ƙwayoyi, carbohydrates, da furotin
• Aikin tsarin jijiya
• Amsar danniya

Cututtuka daban-daban, kamar cututtukan Cushing da cutar Addison, na iya haifar da da yawa ko ƙaramar samar da cortisol. Auna matakin cortisol na jini na iya taimakawa wajen gano waɗannan yanayin. Hakanan ana auna shi don kimanta yadda pituitary da adrenal gland ke aiki.

Ana yin gwajin sau da yawa kafin da awa 1 bayan allurar wani magani da ake kira ACTH (cosyntropin). Wannan bangare na gwajin ana kiran shi gwajin motsawar ACTH. Gwaji ne mai mahimmanci wanda ke taimakawa duba aikin pituitary da adrenal gland.

Sauran sharuɗɗan da za'a iya umartar gwajin sun haɗa da:

• Rikicin adrenal mai rikitarwa, yanayin barazanar rai wanda ke faruwa yayin rashin isasshen cortisol
• Sepsis, ciwo ne wanda jiki ke da mummunan amsa ga ƙwayoyin cuta ko wasu ƙwayoyin cuta
• Pressureananan hawan jini

Valuesa'idodin al'ada na samfurin jini da aka ɗauka a 8 na safe sune 5 zuwa 25 mcg / dL ko 140 zuwa 690 nmol / L.

Valuesa'idodin al'ada sun dogara da lokacin rana da mahallin asibiti. Jeri na al'ada na iya ɗan bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Wasu ɗakunan gwaje-gwaje suna amfani da ma'aunai daban-daban ko na iya gwada samfuran daban. Yi magana da likitanka game da ma'anar takamaiman sakamakon gwajin ku.

Matsayi mafi girma fiye da al'ada na iya nunawa:

• Cutar Cushing, wanda glandon pituitary yayi yawa ACTH saboda yawan ciwan glandar ko ƙari a cikin gland din
• Ciwon Ectopic Cushing, wanda ƙari a wajen pituitary ko adrenal gland yayi yawa ACTH
• Tumor na adrenal gland wanda ke samar da cortisol mai yawa
• Danniya
• Ciwon mara lafiya

Thanasa da matakin al'ada na iya nunawa:

• Cutar Addison, wanda adrenal gland baya samar da isasshen cortisol
• Hypopituitarism, wanda glandon pituitary baya nuna alamar gland shine yake samar da isasshen cortisol
• Danniya na al'ada pituitary ko adrenal aiki ta glucocorticoid magunguna ciki har da kwayoyi, fata creams, eyedrops, inhalers, hadin allura, chemotherapy

Akwai 'yar hatsarin da ke tattare da daukar jininka. Jijiyoyi da jijiyoyin jini sun bambanta da girma daga mutum ɗaya zuwa wancan kuma daga wannan gefe na jiki zuwa wancan. Bloodaukar jini daga wasu mutane na iya zama da wahala fiye da wasu.

Sauran haɗarin da ke tattare da ɗaukar jinni ba su da yawa, amma na iya haɗawa da:

• Zub da jini mai yawa
• Sumewa ko jin an sassauta kai
• Mahara huda don gano wuri jijiyoyinmu
• Hematoma (jini yana taruwa a ƙarƙashin fata)
• Kamuwa (ƙananan haɗari kowane lokaci fata ta karye)

Maganin cortisol

Chernecky CC, Berger BJ. Cortisol - jini ko magani. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 388-389.

Stewart PM, Newell-Price JDC. Tsarin adrenal. A cikin: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Littafin Williams na Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: babi na 15.