Gwajin ACTH

Wadatacce

• Yadda ake gwajin ACTH
• Me yasa ake yin gwajin ACTH
• Menene sakamakon gwajin ACTH na iya ma'ana
• Hadarin gwajin ACTH
• Abin da ake tsammani bayan gwajin ACTH

Menene gwajin ACTH?

Adrenocorticotropic hormone (ACTH) wani hormone ne wanda aka samar dashi a gaba, ko gaba, glandon pituitary a cikin kwakwalwa. Aikin ACTH shine daidaita matakan steroid na cortisol, wanda aka saki daga gland adrenal.

ACTH kuma ana kiranta da:

• adrenocorticotropic hormone
• magani adrenocorticotropic hormone
• mai matukar damuwa ACTH
• corticotropin
• cosyntropin, wanda shine nau'in magani na ACTH

Gwajin ACTH yana auna matakan ACTH da cortisol a cikin jini kuma yana taimakawa likitanka gano cututtukan da ke haɗuwa da yawa ko caramar cortisol a cikin jiki. Dalilin da ke haifar da wadannan cututtukan sun hada da:

• mai larurar rashin aiki
• wani ciwon kumburi
• wani ciwon ciki
• ciwon huhu

Yadda ake gwajin ACTH

Likitanku na iya ba ku shawara kada ku ɗauki kowane kwayoyi masu maganin steroid kafin gwajin ku. Waɗannan na iya shafar daidaiton sakamakon.

Jarabawar galibi ana yin ta ne da safe. Matakan ACTH sune mafi girma lokacin da kuka farka daga bacci. Likitanku zai iya tsara gwajin ku da sassafe.

Ana gwada matakan ACTH ta amfani da samfurin jini. Ana ɗaukar samfurin jini ta hanyar ɗaga jini daga jijiya, yawanci daga cikin cikin gwiwar hannu. Ba da samfurin jini ya haɗa da matakai masu zuwa:

1. Wani mai ba da lafiya ya fara tsabtace shafin tare da maganin kashe kwayoyin cuta.
2. Bayan haka, za su nade igiyar roba a hannu. Wannan yana sa jijiyar ta kumbura da jini.
3. A hankali za su saka sirinjin allura a cikin jijiyar ka kuma su tara jininka a cikin sirinjin.
4. Lokacin da bututun ya cika, sai a cire allurar. Daga nan sai a cire bandin na roba, sannan an huda wurin huda da fatar bakararre don dakatar da zub da jini.

Me yasa ake yin gwajin ACTH

Likitanku na iya yin odar gwajin jini na ACTH idan kuna da alamun alamun cortisol mai yawa ko yawa. Wadannan alamun na iya bambanta daga mutum zuwa mutum kuma galibi alama ce ta ƙarin matsalolin lafiya.

Idan kana da babban matakin cortisol, zaka iya samun:

• kiba
• fuska zagaye
• aras, fata mara kyau
• Lines masu launi a kan ciki
• tsokoki marasa ƙarfi
• kuraje
• yawan gashin gashi
• hawan jini
• ƙananan matakan potassium
• babban matakin bicarbonate
• babban matakan glucose
• ciwon sukari

Kwayar cututtukan ƙananan cortisol sun haɗa da:

• tsokoki marasa ƙarfi
• gajiya
• asarar nauyi
• karin launin fata a wuraren da ba a fallasa rana
• rashin ci
• saukar karfin jini
• ƙananan matakan glucose na jini
• ƙananan matakan sodium
• babban matakan potassium
• matakan alli

Menene sakamakon gwajin ACTH na iya ma'ana

Valuesa'idodin al'ada na ACTH sune picogram 9 zuwa 52 a kowane milliliter. Jeri na darajar al'ada na iya bambanta kaɗan dangane da dakin gwaje-gwaje. Likitanku zai bayyana muku sakamakon gwajin ku.

Babban matakin ACTH na iya zama alamar:

• Cutar Addison
• adrenal hyperplasia
• Cutar Cushing
• wani kumburin kumburi wanda ke haifar da ACTH
• adrenoleukodystrophy, wanda yake da wuya sosai
• Ciwon Nelson, wanda ba safai ba

Levelananan matakin ACTH na iya zama alamar:

• ciwon daji
• exogenous Cushing's ciwo
• hypopituitarism

Yin shan magungunan steroid na iya haifar da ƙananan matakan ACTH, don haka tabbatar da gaya wa likitanka idan kuna kan kowane maganin steroid.

Hadarin gwajin ACTH

Gwajin jini yawanci ana jurewa sosai. Wasu mutane suna da ƙanana ko manyan jijiyoyi, wanda hakan na iya sa ɗaukar samfurin jini ya zama da wahala. Koyaya, haɗarin da ke tattare da gwajin jini kamar gwajin hormone na ACTH ba safai ba.

Hadarin da ba kasafai ake samu ba na daukewar jini sun hada da:

• yawan zubar jini
• ciwon kai ko suma
• hematoma, ko tarawar jini a karkashin fata
• kamuwa da cuta a wurin

Abin da ake tsammani bayan gwajin ACTH

Binciken cututtukan ACTH na iya zama mai rikitarwa. Likitanka na iya buƙatar yin odar ƙarin gwaje-gwajen dakunan gwaje-gwaje da kuma yin gwajin jiki kafin su yi bincike.

Don ciwon ɓoye na ACTH, yawanci ana nuna tiyata. Wani lokaci, ana iya amfani da ƙwayoyi kamar cabergoline don daidaita matakan cortisol. Hypercortisolism saboda cututtukan ƙwayar adrenal yawanci yana buƙatar tiyata.