Inxalenye yeengxabano zixoki kwi-TSH evamile
Unokuzifumana (okanye othandekayo) kwimeko echaphazela abanye abantu abaninzi abaneengxaki ze-thyroid: Unesifo sikaHashimoto (esichazela ukuba unesifo sengqondo se-thyroid peroxidase (TPO), kodwa i-hormone yakho evuselela i-hormone (TSH) iwela ngaphakathi uluhlu oluqhelekileyo lwesithenjwa.
Ngaphezu koko, unokufumana ubuninzi okanye ubuninzi beempawu ezinxulumene ne-hypothyroid ezifana nokukhathala, inzuzo yokunyamezela, inkohlakalo yengqondo, ukuxinezeleka, ukuvuvukala, okanye imisipha ye-achy-kwaye uzibuze ukuba unyango lufanelekile.
Inyaniso yolu mbandela kukuba ukuphathwa kwesifo sikaHashimoto ngokubhekiselele kwi-TSH eqhelekileyo (okanye i-TSH ephakamileyo ngokunyanisekileyo) yindawo enokuphikisana nayo, ebomvu yonyango lwempilo.
Yintoni i-TSH evamile?
Uninzi lwagqirha abaphatha isifo se-thyroid bakholelwa ukuba unesifo sikaHashimoto, njengoko kuboniswe ngamathambo ephezulu e- thyroid peroxidase (TPOAb) okanye i-thyroid biopsy iziphumo, akusizathu esaneleyo sokunyanga wena, nje ngokuba i- thyroid ivuselela i-hormone (TSH) ukubeka ngaphakathi kwesiqendu "sesigqirha".
Ingxaki yinto yokuba "uluhlu" olubhekiselele kwi-TSH luphikisana phakathi kweengcali, ezinye zikhankanya ukuba iiyunithi zamazwe angama-4.5 ngeyure nganye okanye i-MU / L yiphelo eliqhelekileyo eliqhelekileyo, kanti abanye bakholelwa ukuba into engaphezu kwe-2.5mU / L iphakamileyo.
Nangona le ngxoxo, kuzo zonke iinjongo ezinzulu, ezininzi ielabhuyibrari zisacacisa isiqulatho sesicatshulwa esiqhelekileyo phakathi kwe-0.4 ne-4.5 mU / L.
Hycothyroidism
Ngaloo nto, ukuba une- subclinical hypothyroidism , ithetha ukuba i-TSH yakho iphakanyiswe ngokukhawuleza (masithi malunga ne-6.0 mU / L) kwaye izinga lakho le-thyroxine (T4) liqhelekile, ukuba unayo i-TPO isifo esithintekayo singasichaphazela ugqirha wakho kukunyanga umthamo ophantsi weyeza le-hormone ye-thyroid.
Ugqirha wakho unokugqithiselwa ngakumbi ukunyanga (okanye uzame ngaphandle) ukuba unempawu ze-hypothyroid, ezifana nokuzibetha, ukudandatheka okanye ukulahleka kweenwele ze-scalp.
Isizathu esiphezulu emva kokuqalisa unyango kukuba ukunyanga i-hyplinroidism i-subclinical hypothyroidism inokuthintela ukuqhubela phambili kwi-hypothyroidism (xa i-TSH yakho iphakanyisiwe kwaye izinga lakho le-T4 liphantsi).
Unyango lunokuphucula iimpawu okanye ezinye iimpawu ze-hypothyroidism (njenge-cholesterol ephezulu).
Ukunyanga i-Subclinical Hypothyroidism: Ezinye izinto ezifanele zihlale zingqondweni
Ukongeza kwi-antibodies ye-TPO kunye nokuba unayo impawu, ugqirha wakho uya kuqwalasela ezinye iimeko xa ekhetha ukuba okanye awuyi kunyanga i-subclinical hypothyroidism:
Ubudala
Enye into yokuba amazinga ase-TSH adala-ubudala angakhula ngokukhula, nangabantu abangenayo isifo se-thyroid.
Yingakho ugqirha angayichaza i-thyroid i-hormone i-substitute medication yomntu omncinci ophethe i-TSH ehloniphekileyo, i-T4 evamile, kunye nama-antibodies, kodwa kungekhona umntu omdala (ngaphezu kweminyaka engama-60) kunye neziphumo zokuhlola igazi; nangona, indlela yokulinda nokulinda "idlalwa rhoqo, ithetha ukuba uya kuhlola rhoqo i-TSH ukuze ubone ukuba ivela nini.
Ezinye zeengxaki zezeMpilo
Ukufumana imbali yentsapho yesifo se-thyroid okanye imbali yomuntu siqu ye-cholesterol ephezulu inokuqhubela phambili ugqirha ukuba uphathe unyango lwe-hypothyroidism.
Ekubeni i-hyplinroidism yamancinci inganyusa ingozi yokukhulelwa kwesisu nokuzalwa kwangaphambi kokuqala, unyango luqaliswa ngokubanzi.
Ukuhlahlela ukuPhatha i-Subclinical Hypothyroidism
Nangona iyeza le-hormone ye-substitution isenokunyamezela, kukho ezinye iindawo ezinokuthi ziqalise unyango lwe-hyplinroidism.
Enye inkxalabo enkulu yengozi yokuxhatshazwa, oku kuthetha ukuba umntu uba ne-hyperthyroid, enokubenza babe mngcipheko wokuphucula i-fibrillation kunye ne-osteoporosis.
Ezinye izinto ezingaphantsi kwezi zinto ziquka iindleko, ukuphazamiseka, kunye "neyeza" kwimeko eqhelekileyo.
ILizwi
Ukuba wena okanye umntu obathandayo unesifo se-hypothyroidism, kunye nokuba nesifo se-TPO esifanelekileyo ( isifo sikaHashimoto ) sinokugqirha ugqirha wakho ekuqaliseni isilingo se-levothyroxine.
Ekugqibeleni, ukugqiba ukuba ngaba uqale unyango lwe-thyroid okanye ungaziqali ufuna ingxoxo enengqiqo kunye nodokotela wakho-kwaye ukhumbule, yintoni efanelekileyo yakho ye-thyroid kunye nempilo yonke ingahle ingalungile komnye umntu.
> Imithombo:
> Ubutha iRB, iBates CK, iHartzband P, iStetana GW. Ngaba kufuneka siphathe i-hyplinroidism? Ann Intern Med. 2016 Juni 7; 164 (11): 764-70.
> Garber, J, Cobin, R, Gharib, H, kunye. al. "Izikhokelo zeCliniki zoLwazi lwe-Hypothyroidism kubantu abadala: I-Cosponsored yi-American Association of Clinical Endocrinologists kunye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 uNovemba / Disemba 2012.
> Jonklaas J et al. Izikhokelo zoLonyango lwe-Hypothyroidism: Lulungiswe nguMbutho we-American Thyroid Association Task Force kwi-Hormone Replacement. Thyroid . Ngomhla ka-1 ku-1: 1 (24): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Crowther CA, Bain E. Ulungiso lwe-hypothyroidism ngaphambi kokukhulelwa kunye nokukhulelwa. Cochrane Database Syst Rev. 2013 Meyi 31; (5): CD007752.
> I-Thangarantinam S, i-Tan A, i-Knox E, i-Kilby MD, i-Franklyn J, i-Coomarasamy A. Umbutho phakathi kwe-autoantibodies kunye nesisu nokukhulelwa kwangaphambi kokuzalwa: ukuhlaziywa kwe-meta-analysis. BMJ . 2011 Meyi 9; 342: d2616.