SHBG Idanwo Ẹjẹ

Akoonu

• Kini idanwo ẹjẹ SHBG?
• Kini o ti lo fun?
• Kini idi ti MO nilo idanwo ẹjẹ SHBG?
• Kini yoo ṣẹlẹ lakoko idanwo ẹjẹ SHBG?
• Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
• Ṣe eyikeyi awọn eewu si idanwo naa?
• Kini awọn abajade tumọ si?
• Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo ẹjẹ SHBG?
• Awọn itọkasi

Kini idanwo ẹjẹ SHBG?

Idanwo yii wọn awọn ipele ti SHBG ninu ẹjẹ rẹ. SHBG duro fun homonu abo ti o ni asopọ globulin. O jẹ amuaradagba ti a ṣe nipasẹ ẹdọ ati fi ara mọ awọn homonu abo ti a rii ninu awọn ọkunrin ati awọn obinrin. Awọn homonu wọnyi ni:

• Testosterone, homonu akọkọ abo ninu awọn ọkunrin
• Dihydrotestosterone (DHT), homonu akọ-abo miiran
• Estradiol, irisi estrogen kan, homonu abo akọkọ ninu awọn obinrin

Awọn iṣakoso SHBG melo ni a firanṣẹ awọn homonu wọnyi si awọn ara ara. Botilẹjẹpe SHBG so mọ gbogbo awọn homonu mẹta wọnyi, idanwo SHBG jẹ lilo julọ lati wo testosterone. Awọn ipele SHBG le fihan ti o ba wa pupọ tabi pupọ testosterone ti ara nlo.

Awọn orukọ miiran: testosterone-estrogen abuda globulin, TeBG

Kini o ti lo fun?

Ayẹwo SHBG ni igbagbogbo julọ lati wa bi iye testosterone ti n lọ si awọn ara ara. Awọn ipele testosterone le wọn ni idanwo lọtọ ti a pe ni testosterone lapapọ. Idanwo yii fihan iye testosterone ti o wa ninu ara, ṣugbọn kii ṣe iye ti ara nlo.

Nigbakan idanwo testosterone lapapọ jẹ to lati ṣe idanimọ kan. Ṣugbọn diẹ ninu awọn eniyan ni awọn aami aiṣan ti pupọ tabi pupọ ti homonu ti apapọ awọn abajade idanwo testosterone ko le ṣe alaye. Ni awọn iṣẹlẹ wọnyi, idanwo SHBG le paṣẹ lati pese alaye diẹ sii nipa iye testosterone ti o wa si ara.

Kini idi ti MO nilo idanwo ẹjẹ SHBG?

O le nilo idanwo yii ti o ba ni awọn aami aiṣan ti awọn ipele testosterone aiṣedeede, paapaa ti idanwo testosterone lapapọ ko le ṣe alaye awọn aami aisan rẹ. Fun awọn ọkunrin, o jẹ aṣẹ julọ ti o ba wa awọn aami aiṣan ti awọn ipele testosterone kekere. Fun awọn obinrin, o paṣẹ julọ ti o ba jẹ awọn aami aiṣan ti awọn ipele testosterone giga.

Awọn aami aisan ti awọn ipele testosterone kekere ninu awọn ọkunrin pẹlu:

• Iwakọ ibalopo kekere
• Iṣoro lati ni idẹ
• Awọn iṣoro irọyin

Awọn aami aisan ti awọn ipele testosterone giga ninu awọn obinrin pẹlu:

• Ara ti o pọ ati idagbasoke irun oju
• Ijinlẹ ti ohun
• Awọn aiṣedeede oṣu
• Irorẹ
• Ere iwuwo
• Awọn iṣoro irọyin

Kini yoo ṣẹlẹ lakoko idanwo ẹjẹ SHBG?

Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.

Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

O ko nilo eyikeyi awọn ipese pataki fun idanwo SHBG.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.

Kini awọn abajade tumọ si?

Ti awọn abajade rẹ ba fihan awọn ipele SHBG rẹ ti kere ju, o le tumọ si pe amuaradagba ko ni ara mọ si testosterone to to. Eyi n gba laaye testosterone diẹ sii ti ko ni asopọ lati wa ninu eto rẹ. O le fa ki testosterone pupọ ju lọ si awọn ara ara rẹ.

Ti awọn ipele SHBG rẹ ga ju, o le tumọ si pe amuaradagba n so ararẹ pọ mọ testosterone pupọ. Nitorinaa o kere si homonu wa, ati pe awọn ara rẹ le ma ni testosterone to to.

Ti awọn ipele SHBG rẹ ba kere ju, o le jẹ ami kan ti:

• Hypothyroidism, ipo kan ninu eyiti ara rẹ ko ṣe awọn homonu tairodu to
• Tẹ àtọgbẹ 2
• Lilo pupọ ti awọn oogun sitẹriọdu
• Aisan ti Cushing, ipo kan ninu eyiti ara rẹ ṣe pupọ ti homonu ti a pe ni cortisol
• Fun awọn ọkunrin, o le tumọ si akàn ti awọn ẹyin tabi awọn keekeke oje. Awọn keekeke adrenal wa ni oke awọn kidinrin ati ṣe iranlọwọ iṣakoso iṣọn-ọkan, titẹ ẹjẹ, ati awọn iṣẹ ara miiran.
• Fun awọn obinrin, o le tumọ si iṣọn ara ọgbẹ polycystic (PCOS). PCOS jẹ rudurudu homonu ti o wọpọ ti o kan awọn obinrin ibimọ. O jẹ ọkan ninu awọn idi pataki ti ailesabiyamo obinrin.

Ti awọn ipele SHBG rẹ ga ju, o le jẹ ami kan ti:

• Ẹdọ ẹdọ
• Hyperthyroidism, ipo kan ninu eyiti ara rẹ ṣe pupọ homonu tairodu pupọ
• Awọn rudurudu jijẹ
• Fun awọn ọkunrin, o le tumọ si iṣoro pẹlu awọn ayẹwo tabi ẹṣẹ pituitary. Ẹsẹ pituitary wa ni isalẹ ọpọlọ o si ṣakoso ọpọlọpọ awọn iṣẹ ara.
• Fun awọn obinrin, o le tumọ si iṣoro pẹlu iṣan pituitary, tabi arun Addison. Aarun Addison jẹ rudurudu ninu eyiti awọn keekeke ọfun ko le ṣe to ti awọn homonu kan.

Olupese ilera rẹ le paṣẹ awọn idanwo afikun gẹgẹbi testosterone lapapọ tabi awọn idanwo estrogen lati ṣe iranlọwọ lati ṣe iwadii kan. Ti o ba ni awọn ibeere nipa awọn abajade rẹ, ba olupese rẹ sọrọ.

Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.

Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo ẹjẹ SHBG?

Awọn ipele SHBG jẹ deede giga ni awọn ọmọde ti awọn akọ ati abo, nitorinaa o fẹrẹ lo idanwo nigbagbogbo fun awọn agbalagba.

Awọn itọkasi

1. Awọn ile-iṣẹ Accesa [Intanẹẹti]. El Segundo (CA): Awọn ile-iṣẹ Acessa; c2018. Igbeyewo SHBG; [imudojuiwọn 2018 Aug 1; toka si 2018 Aug 4]; [nipa iboju 2]. Wa lati: https://www.accesalabs.com/SHBG-Test
2. ACOG: Awọn Oniwosan Ilera ti Awọn Obirin [Intanẹẹti]. Washington DC: Ile-ẹkọ giga ti Amẹrika ti Awọn Obstetricians ati Gynecologists; c2017. Polycystic Ovary Syndrome (PCOS); 2017 Jun [toka si 2018 Aug 4]; [nipa iboju 3]. Wa lati: https://www.acog.org/Patients/FAQs/Polycystic-Ovary-Syndrome-PCOS
3. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington D.C.; Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2018. Aisan Cushing; [imudojuiwọn 2017 Nov 29; toka si 2018 Aug 4]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/conditions/cushing-syndrome
4. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington D.C.; Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2018. Polycystic Ovary Saa; [imudojuiwọn 2018 Jun 12; toka si 2018 Aug 4]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/conditions/polycystic-ovary-syndrome
5. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington D.C.; Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2018. Ibalopo Hormone Binding Globulin (SHBG); [imudojuiwọn 2017 Nov 5; toka si 2018 Aug 4]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/tests/sex-hormone-binding-globulin-shbg
6. Ile-iwosan Mayo: Awọn ile-iwosan Iṣoogun Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1995–2018. Idanwo Idanimọ: SHBG: Ibalopo Hormone-Binding Globulin (SHBG), Omi ara: Ile-iwosan ati Itumọ; [toka si 2018 Aug 4]; [nipa iboju 4]. Wa lati: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/9285
7. National Cancer Institute [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; NCI Dictionary ti Awọn ofin akàn: DHT; [toka si 2018 Aug 4]; [nipa iboju 3]. Wa lati: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/dht
8. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn idanwo ẹjẹ; [toka si 2018 Aug 4]; [nipa iboju 3]. Wa lati: https://www.nhlbi.nih.gov/health-topics/blood-tests
9. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Arun Ibojì; 2017 Oṣu Kẹsan [toka si 2018 Aug 4]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease
10. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Arun Hashimoto; 2017 Oṣu Kẹsan [toka si 2018 Aug 4]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
11. Awọn Ayẹwo Quest [Intanẹẹti]. Ibeere Ayẹwo; c2000–2017. Ile-iṣẹ Idanwo: Ibalopo Hormone Binding Globulin (SHBG); [toka si 2018 Aug 4]; [nipa iboju 3]. Wa lati: https://www.questdiagnostics.com/testcenter/TestDetail.action?ntc=30740
12. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2018. Encyclopedia Health: Ibalopo Hormone Binding Globulin (Ẹjẹ); [toka si 2018 Aug 4]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=shbg_blood
13. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Awọn ile-iwosan ti Wisconsin ati Alaṣẹ Ile-iwosan; c2018. Testosterone: Awọn abajade; [imudojuiwọn 2017 May 3; toka si 2018 Aug 4]; [nipa awọn iboju 8]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/testosterone/hw27307.html#hw27335
14. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2018. Testosterone: Akopọ Idanwo; [imudojuiwọn 2017 May 3; toka si 2018 Aug 4]; [nipa iboju 2]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/testosterone/hw27307.htm

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.