I- thyroid yokuvuselela i-hormone (TSH) yonyango lwegazi elisetyenziselwa ukuxilonga nokulawula i-hypothyroidism. Nangona kunjalo, ukutolika isiphumo somntu we-TSH kunokuba lukhuni, kuba kukho ingxoxo malunga nokuba yintoni inqanaba "eliqhelekileyo" nelithi "elifanelekileyo" leTSH.
Iyini Inqanaba "eliqhelekileyo" leTSH?
Kwii-laboratories ezininzi, inqanaba "eliqhelekileyo" le- TSH lijikeleze i-0.4 okanye i-0.5 ukuya kwi-4.5 okanye i-5.0 yeeyunithi zamazwe ngamazwe ngeli-litre (mU / L).
Nangona kunjalo, kukho ingxoxo phakathi kweengcali malunga nale ndlela.
Ngokomzekelo, ezinye iingcali zithi umda ophezulu we-TSH oqhelekileyo kufuneka ube ngaphantsi (malunga ne-2.5 mU / L), ngenxa yokuba ininzi yolutsha, i-euthyroid inenani eliphakathi kwe-0.4 ne-2.5 mU / L.
Ingxaki ngokutshintsha olu luhlu kukuba oko kuthetha ukuthatha abantu abaninzi abantu kwiyeza le-hormone ye-substitute.
Ukongezelela, oogqirha abaninzi balandela amanqanaba e-TSH aguqulwe ngokwexesha elide, oku kuthetha ukuba bakholelwa ukuba umda osemgangathweni oqhelekileyo kumntu omdala kufuneka ube ngaphezu kwe-4.5 ukuya ku-5.0 mU / L. Kungenxa yokuba xa abantu bekhula, i-TSH yabo iphakama ngokwemvelo.
Iyini Inqanaba "elichanekileyo" leTSH?
Kwimeko yomntu ofunyenwe ukuba yi- hypothyroidism eyona nto , ukugqiba kwezinga eliphezulu le-TSH kufuna ukucinga ngokucokisekileyo.
Ngethuba umntu ecinga ukuba ukufikelela kwi-TSH ngaphakathi kwesiqendu "sesigqirha" sikulungele, kukho ngokwenene ezinye iinjongo zonyango (ngaphandle kokushaya i-TSH level).
Ezi njongo zonyango ziquka:
- Ukuphuculwa kweempawu
- Ukunciphisa naluphi na ukwandiswa kwe-thyroid, ebizwa ngokuba yi- goiter (ukuba ikhona)
- Ukuphepha ukugqithisa (okubizwa ngokuthi iatrogenic thyrotoxicosis)
Ngokomzekelo, ukuba umntu unesifo se-TSH esingaphantsi kwemida ephezulu, kwaye izibonakaliso ze-hypothyroid (umzekelo, ukuzithemba okanye ukunyamezela), ugqirha unako ukwandisa umthamo weyeza le-hormone ye-substituted medication ngenjongo yokujolisa i-TSH ephantsi (enye esondele kwi-1.0 mU / L).
Le ndlela yinkcazelo njengendlela yokunyanga isigulane, kungekhona nje inamba.
Nangona kunjalo, unokuzibuza ukuba kutheni abagqirha abahlali bejolise kwi-TSH kwisiphelo esiphantsi "sesigqirha."
Ubudala
Inyaniso kukuba abantu abathile, inqanaba le-TSH elingaphantsi (eliphakathi kwe-0.4 ukuya ku-2.5mU / L) lifanelekileyo kubantu abancinci nabangaphakathi. Oku kungenxa yokuba uphando luboniswe ukuba kubemi bonke, abantu abasithoba kwabayishumi banezinga le-TSH ye-1.4 mU / L.
Kodwa kubantu abadala (abaneminyaka yobudala engama-65 okanye i-70 nangaphezulu), i-TSH ephambili ye-3.0 ukuya kwi-6.0 mU / L ifanelekile ngakumbi, ngokuqwalasela ukunyuka kwe-age-related related TSH.
Mngcipheko we zeMpilo
Ngaphandle kokuqwalasela iminyaka, ugqirha unokucinga kwakhona ngembali yakho yezonyango (njengokuba unengxaki yeentliziyo), njengoko kukho imingcipheko yempilo echaphazelekayo ekuphatheni i-thyroid yomntu.
Enyanisweni, ngaphezu kokutshintsha i-hormone yakho ye-thyroid kunokubangela intliziyo yesimo esibizwa ngokuba yi-fibrillation ye-atrial (oku kudla ngokuqhelekileyo kubantu abadala) kunye / okanye ukulahleka kwethambo (oku kukodwa ngokubhekiselele kubafazi besimo se-postmenopausal).
ILizwi
Emva kokuba ufumene ukuba unesifo se-hypothyroidism, ukugqiba i-TSH inqanaba lakho elifanelekileyo okanye elijoliswe kuyo lingathatha ixesha kunye nomonde njengoko wena kunye nodokotela wakho uhlela izinto ezinjengeempawu zakho, impilo yakho yonke kunye nobudala bakho.
Ekugqibeleni, qiniseka ukuba unokufumana iqondo elifanelekileyo lamachiza ukulawula i-hypothyroidism yakho.
Hlala ugxininise kwimpilo yakho kunye nemikhwa yakho enempilo njengoko uhamba ngehambo lakho le-thyroid.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10 Edition. WLL / Wolters Kluwer; 2012.
> Jonklaas, J et al. "Izikhokelo zoLonyango lwe-Hypothyroidism: Lulungiswe yi-American Thyroid Association Task Force kwi-Thyroid Hormone Replacement (ngo-2014)." I-Thyroid 24 (12): 1670-1751, 2014.
> Ross DS. (2018). Ukunyangwa kwe-primary hypothyroidism kubantu abadala. Cooper DS, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.