Yafupika tochepa: zimayambitsa ndi makhalidwe

Tochepa - ndi glucocorticoid timadzi opangidwa ndi kotekisi adrenal. Ichi ndi yang'anira zofunika zomanga thupi, zimam'patsa ndipo thupi mafuta. The achangu timadzi izi zikuyamba chikule panthaŵi zovuta. ubongo akutumiza mbendera kwa adrenal kotekisi yopanga tochepa lalikulu zedi kuti pa maganizo thupi kapena maganizo, njira zina yotithandiza ntchito mtima ndi kupereka mkulu wa ndende tcheru.

Norma zili timadzi izi mu mwazi wa ana osaposa zaka sikisitini za zaka ranges ku 85 kuti 580 nmol / L akuluakulu - kuchokera 135 mpaka 635 nmol / L. Kuwonjezeka kuchuluka kwa tochepa anamuona pa miyezi yomaliza ya mimba, nkhawa zimabwezera AIDS. Komanso, mlingo zingasiyane malingana ndi nthawi makamaka kwa tsiku. Akukhulupirira kuti m'mawa mlingo timadzi ndi apamwamba kuposa madzulo.

Yafupika tochepa mwina zimasonyeza mavuto monga kusowa pituitary - waukulu endocrine England wonongeka wa ku kotekisi adrenal, chitukuko cha matenda Addison a, chiwindi kapena chiwindi matenda enaake. Komanso, apa mukhoza kuyikapo utachepa katulutsidwe mahomoni, kufooka kwa thupi, ndi matenda a anorexia. Yafupika tochepa ingakhalenso chotsatira chenicheni cha phwando angapo a mankhwala osokoneza bongo.

Tiyenera kuganizira mmene zonse akupanikizika zomwe zili timadzi izi. Kukachitika kuti munthu pa nthawiyo (mwachitsanzo, miyezi ingapo) ali nkhawa, ndi zopangitsa adrenal anayamba kutaya luso lawo kuyankha ubongo amam'dziŵitsa kufunika kuonjezera tochepa. Chifukwa, wakuta amapezeka. The chizindikiro chachikulu cha chikhalidwe ichi - adatchithisira tochepa m'magazi.

Molondola kudziwa zili timadzi imeneyi kungakhale kokha mu bungwe apadera zachipatala. A magazi kuti tochepa amagwirizana ndi chiwerengero cha mbali ya makhalidwe ake. Choyamba, madzulo a kafukufuku chotheka kuti achepetse kumwa mankhwala alionse. Ngati izi sizingatheke, muyenera kufunsa pasadakhale ndi dokotala. Kachiwiri, kuti molondola kudziwa kapena maola tochepa, tsiku pamaso yobereka nkhani akatswiri musati amalangiza kuchita masewera ndi kusuta. Kuwonjezera kuphunzira magazi choyezera, zikhoza kuchitidwa ndi mkodzo. Izi ndi zofufuza yovuta kwambiri kwa mtima wa chiwerengero cha matenda tsatanetsatane monga syndrome Cushing a. Pankhaniyi, mayeso chifukwa tochepa mkodzo adzalola njira kuwasiyanitsa ku kunenepa yosavuta.

Amachititsa glucocorticoid timadzi mlingo kuvutika kungakhale kwambiri, koma molondola amapenda zotsatira za kafukufuku ndi analandira kafukufuku angakhoze kokha oyenerera m'thupi yemwenso. Mmisiri waluso mosavuta kupeza chifukwa chenicheni cha matenda ndi mankhwala njira yoyenera kwambiri chifukwa cha mankhwala zachokera makhalidwe munthu wodwala kapena wina.