Yonke into owake wathanda ukuyiqonda ngeTSH ye-Thyroid Test

Ukuba unengxaki ye-thyroid, okanye mhlawumbi ukholelwa ukuba unayo, akukho phantse indlela yokuphepha kwi-TSH test.

I-TSH imele i-hormone ye-thyroid. Olu vavanyo luyalinganisa i-TSH, ekhutshwe yi-pituitary gland. I-pituitary yincinci encinane ekhompini. I-hormone ye-TSH ikhutshwa njengomthunywa, ukuthetha kwi-thyroid yakho: "velisa i-hormone ye-thyroid!"

Xa i-TSH yakho iphakama, oko kuthetha ukuba i-pituitary gland ifumene ukuba izinga lakho le-hormone ye-thyroid liphantsi kakhulu, imeko eyaziwa ngokuba yi-hypothyroidism. Ngokuvelisa i-TSH ethe xaxa kwaye uyikhulule, i-pituitary iyathumela umyalezo kwisifo sakho se-thyroid ukuze uphucule ukuveliswa kwehomoni ye-thyroid.

Ngakolunye uhlangothi, xa i-pituitary gland ikubona ukuba unayo i-hormone ye-thyroid eyaneleyo, iyancipha ekuvelweni kwe-TSH. Ukunciphisa i-TSH iyona myalezo kwisifo sakho se-thyroid, esithi "unciphise umlinganiselo we-hormone ye-thyroid." Ngoko i-TSH ephantsi ingabonakalisa ukuba isifo sakho se-thyroid sithintela i-hormone ye-thyroid, imeko ebizwa ngokuba yi-hyperthyroidism.

Uvavanyo lwe-TSH lubhekiswa ngabaninzi be-endocrinologists kunye noogqirha abaqhelekileyo njenge "standard standard" yokufumanisa imeko ye-thyroid. Kubantu abaninzi banokuba luvavanyo oluphela lusetyenziselwa ukuxilonga okanye ukulawula imeko ye -roid, okanye ukulawula umlinganiselo wakho weyeza le-hormone.

Kodwa ngaba uyayiqonda ngokwenene uvavanyo lwe-TSH, yintoni ekulinganisayo, ukuba lithini inani, kwaye lichaphazela njani impilo yakho?

Izibonelelo zokuqonda ukuhlolwa kweTSH

Kungenxa yokuba kuninzi malunga nokuxilongwa kwe-thyroid kunye namaziko okulawula ezijikelezayo kwi-TSH vavanyo, kubaluleke kakhulu ukuba nabani na abane-stroke imeko, kunye nabameli babo bangabanakekeli, baxelelwe kwaye banolwazi malunga nale mvavanyo, kwaye ziphi iziphumo zokuvavanya kwe-TSH.

Uvuka njani ukukhawuleza malunga novavanyo lwe-TSH? Nazi ezinye izixhobo zokukunceda uqonde le ngcamango ephambili ekuxilongweni kwe-thyroid nokuphathwa.

1. Isheke esihle sokuqala sokuqonda uvavanyo lwe-TSH yiyo yokukhawuleza ngokukhawuleza, ngokukodwa inkambo yokuhlaselwa kwi-TSH . Ngaphantsi komzuzu, uya kuqonda izinto eziyimfuneko.
2. Izigulane ezininzi zandibhalela ukuba ndibuze ukuba zenzeni ukuba iziphumo zeTSH ziqhelekileyo, kodwa azivazi kakuhle. Lo ngumbuzo oqhelekileyo ukuba sinesiqendu esinikezelwe kwesi sihloko: Yintoni endiyenzayo ukuba i-TSH iziphumo ziqhelekileyo kodwa ndineempawu?
3. Nanku umbuzo malunga neziphumo zokuvavanya kwe-TSH oogqirha abangenakuthetha ngazo kunye nawe, kodwa kuza njalo ixesha ngezigulane ezininzi. Kutheni i-TSH ngamanye amaxesha ihamba ngokunyuka kakhulu kwi vavanyo enye ukuya kwelinye?
4. Enye into ibonakala ingongoma yokubambelela yabaninzi ubuhlobo phakathi kwamanqanaba eTSH kunye namayeza akho weyeza le-hormone. Umbuzo obalulekileyo: Kutheni, xa i-TSH ikhuphuka, ingaba umlinganiselo weyeza uphinde uhambe?
5. Xa kufike ixesha lokufumana iimvavanyo zegazi le-thyroid, funda iqaku lethu kwixesha elifanelekileyo kunye neemeko zeemvavanyo ze-TSH: nini kufuneka uvavanyo, kwaye kufuneka uzilawule ngaphambi kokuvavanya?
6. Kuthekani ukuba iTSH yakho iyinto eqhelekileyo? Ngaba ufanele uphathwe? Abanye oogqirha bathi u-ewe, kodwa kuphela xa unayo i-antibodies ekhomba kwiHashimoto's thyroiditis. Ezinye iziganeko zikaHashimoto zifanele ziphathwe nangona i-TSH iyinto eqhelekileyo kuba inokukunceda ukukhusela amanqanaba omntu osakhulayo, kunye nokuqhubela phambili kwi-hypothyroidism epheleleyo.

I-TSH Reference Range Controversy

Mhlawumbi ebaluleke kakhulu kwizigulane ze-thyroid zikwazisa ukuphikisana okuqhubekayo kwi-TSH ebizwa ngokuba yi-TSH, ngamanye amaxesha kuthiwa "uluhlu oluqhelekileyo." Emuva kwiminyaka ye-2000, i- endocrinologists yamemezela ukuba uluhlu oluqhelekileyo lweTSH lwalucacisiwe. Ezi zikhokelo zintsholongwane zazibhekiselele ekubeni izigidi ezininzi zaseMelika zithathwa njenge-hypothyroid phantsi kohlu olutsha kunye nemigangatho, kwaye ngokuqinisekileyo ziyafunyanwa kwaye zonyango ngenxa yezimo ze-thyroid ezingasebenzi. Oku kwakuyinguqu ephawulekayo yesimo se-endocrinology yoluntu.

Ngelishwa, phantse emashumi amabini emva kamva, i-endocrinology yoluntu sele iguqule isikhundla sayo, kwaye ibuyele kwiindawo zokuqala zenkcazelo.

Oku kuphinda kubandakanye abantu abaninzi abane-sublinical okanye imida ye-thyroid egxilile, abaya kufunyaniswa kwaye baphathwe phantsi kwinqanaba elincinci lokubhekisa.

Kule ngongoma, abanye oogqirha basebenzisa ukuqonda kwabo kwaye bacinge ngoluhlu lwesicatshulwa esincinci seTSH ukuba luchaneke ngakumbi. Sekunjalo, ininzi ye-endocrinologists kunye noogqirha abaninzi abaqhelekileyo bayaqhubeka nokusebenzisa imigangatho yamanani endala. Ingxoxo iyaqhubeka, kwaye ukuba uyayikhathalela ngempilo yakho ye-thyroid, uya kufuna ukuqinisekisa ukuba ufunde nge "I-TSH Reference Range Wars" ukuze ufunde kabanzi malunga neendawo ezahlukeneyo zokubhekisa, kwaye oko kuthetha ntoni kwimpilo yakho.

ILizwi

Ayikwazi ukugxininiswa ngokwaneleyo. Njengomlwelwe we-thyroid, kufuneka ufunde kwaye uqonde izimvo ezintathu eziphambili

1. Oko uvavanyo lweTSH lulinganisa
2. Ziziphi iziphumo zokuvavanya kweTSH zithetha
3. Udweliso lokuhlola lwe-TSH ugqirha wakho usebenzisa ukuxilonga nokulawula imeko yakho ye-thyroid

Okokugqibela, qi