Gwajin fitsarin Cortisol

Gwajin fitsarin cortisol yana auna matakin cortisol a cikin fitsarin. Cortisol shine kwayar glucocorticoid (steroid) wanda aka samar dashi daga gland adrenal.

Hakanan za'a iya auna Cortisol ta amfani da gwajin jini ko na yau.

Ana buƙatar samfurin fitsari na awa 24. Kuna buƙatar tattara fitsarinku sama da awanni 24 a cikin akwatin da dakin gwaje-gwaje ya bayar. Mai ba ku kiwon lafiya zai gaya muku yadda ake yin wannan. Bi umarnin daidai.

Saboda samar da sinadarin cortisol ta hanyar adrenal gland na iya bambanta, gwajin na iya buƙatar yin sau uku ko fiye da haka don samun cikakken hoto na matsakaiciyar samar da cortisol.

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

Jarabawar ta shafi fitsarin al'ada ne kawai. Babu rashin jin daɗi.

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). Wannan hormone ne wanda aka saki daga glandon pituitary a 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 fitsarin cortisol na iya taimakawa gano wadannan yanayin.

Matsakaicin al'ada shine 4 zuwa 40 mcg / 24 awanni ko 11 zuwa 110 nmol / rana.

Jeri na darajar yau da kullun 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 mai baka game da ma'anar takamaiman sakamakon gwajin ka.

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
• Tsananin damuwa
• Tumor na adrenal gland wanda ke samar da cortisol mai yawa
• Mai tsananin damuwa
• Rashin rikicewar kwayar halitta

Thanasa da matakin al'ada na iya nunawa:

• Cutar Addison wanda gland adrenal baya samar da isasshen cortisol
• Hypopituitarism wanda glandon pituitary baya nuna alamar gland shine zai 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

Babu haɗari tare da wannan gwajin.

Cortisol kyauta na 24-hour (UFC)

• Mace fitsarin mata
• Maganin fitsarin namiji

Chernecky CC, Berger BJ. Cortisol - fitsari. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 389-390.

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.