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Luyintoni uvavanyo lwe-TSH kwaye zithini iziphumo zakho?

Luyintoni uvavanyo lwe-TSH kwaye zithini iziphumo zakho?Imfundo yezeMpilo

Uvavanyo lwehomoni ekhuthaza i-thyroid (TSH) kuvavanya ukusebenza kwe-thyroid kunye nenqanaba lehomoni yedlala lengqula. Iveliswa yindlala yebhinqa, exelela idlala lengqula, elibekwe ngaphambili emazantsi entamo yakho, ukuba lenze lize likhulule iihormoni ezilawula ubushushu bomzimba wethu, imetabolism, kunye nokugcina iingqondo, iintliziyo kunye namanye amalungu ethu esebenza kakuhle.





Umbutho weAmerican Thyroid Association (ATA) ucebisa ukuba abantu abadala baqale ukuvavanywa kwe-TSH beneminyaka engama-35 kwaye baphinde bavavanye rhoqo kwiminyaka emihlanu ukuba iziphumo zikuluhlu oluqhelekileyo. Ugqirha wakho unokuyalela uvavanyo lwe-TSH ukuba ufumana iimpawu zentsholongwane engasebenziyo okanye engasebenziyo. Iimpawu zehypothyroidism (i-thyroid engasebenziyo) inokubandakanya ukudinwa, inkungu yengqondo, ulusu olomileyo kakhulu, ukulahleka kweenwele kunye nokuziva ubanda. Iimpawu yehyperthyroidism (idyroid esebenzayo) inokubandakanya ukubila, ukubetha kwentliziyo ngokukhawuleza, ubuthathaka bemisipha, ixhala kunye nokucaphuka. Kuzo zombini ezi meko, wena-okanye umboneleli wakho wezempilo- unokufumanisa ukuba idlala lengqula yakho liyandisiwe, elibizwa ngokuba yi-goiter, okanye amaqhuqhuva edlala lengqula, azizigaqa ezincinane kwidlala lengqula.



Uvavanyo lwe-TSH lubandakanya ntoni?

Uvavanyo lwegazi lwe-TSH luhlala luqhutywa njengenxalenye yephaneli yovavanyo lwegazi ngokudibeneyo novavanyo lwempilo lonyaka. Uvavanyo luchaza ukuba i-thyroid yakho isebenza njani ngokulinganisa inani le-hormone evuselela i-thyroid egazini lakho. Luvavanyo lwegazi olungaziliyo, okuthetha ukuba akukho mfuneko yokuba wenze nantoni na ekhethekileyo ukulungiselela.

Oogqirha kufuneka bathathe isampulu yegazi le-TSH kwizigulana ze-thyroid qho emva kweeveki ezine ukuya kwezisibhozo emva kokufunyaniswa kwesifo. Inkqubo ye- bona icebisa ukuvavanywa kwe-TSH rhoqo kwiinyanga ezintandathu ukuya kwezili-12 ngelixa ukwidosi yonyango oluzinzileyo kwaye rhoqo ukuba idosi yakho itshintshile.

Liliphi inqanaba lakho le-TSH?

Uninzi lweelabhoratri luhlela amanqanaba aqhelekileyo e-TSH phakathi kwe-0.4 kunye ne-4.5 milliunits ilitha nganye (mU / L), ngokwe Umbutho we-Thyroid waseMelika (ATA). Inqanaba eliqhelekileyo le-TSH kwiimeko ezininzi, zihlala zibonisa ukuba awunangxaki ye-thyroid.



Inkqubo ye- bona iingxelo zokuba phantse ama-20 ezigidi aseMelika aneendlela ezithile zesifo segilo. Ukanti ngaphezulu kwe-60% yabo bane-thyroid disorder abayazi imeko yabo yonyango.

Kuthetha ntoni xa i-TSH yakho isezantsi?

Kwiimeko ezininzi, amanqanaba e-TSH asezantsi kwe-0.4 mU / L abonisa i-hyperthyroidism, ekwabizwa ngokuba yi-thyroid engasebenziyo, oko kukuthi, umzimba wakho uvelisa ihomoni eninzi kakhulu. Isifo se-Graves sisifo sokuzimela komzimba ngamanye amaxesha esibangela i-hyperthyroidism.

Kwenzeka ntoni xa i-TSH yakho iphezulu?

Ngokubanzi, amanqanaba e-TSH aphezulu kune-4.5 mU / L abonisa i-hypothyroidism, okanye i-thyroid engasebenzi, oko kuthetha ukuba umzimba wakho awenzi ngokwaneleyo idlala lengqula. IHashimoto's thyroiditis sisifo sokuzimela komzimba ngamanye amaxesha esibangela i-hypothyroidism.



Ngaba usenokuba nengxaki ukuba i-TSH yakho iqhelekile?

Uvavanyo lwe-TSH luphawu olubuthathaka kakhulu lwempilo yakho ye-thyroid, utshilo uBrittany Henderson, MD, ugqirha we-endocrinologist oqinisekisiweyo Iziko le-Thyroid leCharleston eMount Pleasant, eSouth Carolina . Ukutolika kunokuba nzima kuba kukho uluhlu olubanzi 'oluqhelekileyo' kwisikali seTSH.

Amayeza kunye nezongezelelo ozithathayo ngoku zinokuchaphazela iziphumo zovavanyo lwakho lwe-TSH. Omnye umzekelo yi-biotin, enokubonisa ngobuxoki amanqanaba asezantsi e-TSH.

Oko kuthathwa njengesiqhelo kuchatshazelwa zizinto ezininzi:



  • Ubudala
  • Ukukhulelwa
  • Ubuhlanga

Uphando ibonakalisile ukuba amanqanaba e-TSH athanda ukwanda kunye nobudala, anciphise ukukhulelwa, kwaye ayahluka ngokobuhlanga.

Ubudala

Nye ukufunda ifumanise ukuba i-97.5% yezigulana ukuya kuthi ga kubudala beminyaka engama-55 zazinexabiso le-TSH ngaphantsi kwe-4.0 mU / L. Ngaphezulu kwelo xesha ixabiso eliphezulu le-97.5th percentile lenyuka laya kufikelela kwi-4.75 mU / L phakathi kweminyaka engama-75 ukuya kuma-85 kunye ne-5.0 mU / L kwizigulana eziphakathi kweminyaka engama-85 nama-90. Abantu abadala abafuni kunyangwa.



Amanqanaba e-TSH anokuhluka nakubantwana kwaye uluhlu lunokutshintsha ngokobudala. Kuyacetyiswa ukuba abazali bajonge ugqirha we-endocrinologist ukumisela uluhlu lwe-TSH yomntwana wabo.

Ukukhulelwa

Kwabasetyhini abakhulelweyo kwikota yabo yokuqala, iAmerican Thyroid Association icebisa ukuba amanqanaba e-TSH agcinwe ngokusekwe kwisimo se-thyroid. Ngokwesiqhelo, i-TSH igcinwa phakathi kwe-0.2-<2.5 mU/L or the upper limit of TSH ie, 4.5 mU/L based on autoimmunity. TSH is recommended to be maintained between 0.3-3 mU/L in the remaining trimesters.



Ubuhlanga

UGqirha Henderson, owayebhala kunye nencwadi, Into ekufuneka uyazi Ngezifo zikaHashimoto , amanqaku ukuba iziphumo ze-TSH zinokwahluka ngokobuhlanga. Amanqanaba e-TSH ngokwesiqhelo aphezulu kubemi abamhlophe, asezantsi kubantu abamnyama, kwaye kwindawo ethile embindini wabantu baseSpain, uyacacisa.

Uthi abaguli banokuba neziphumo ze-TSH kuluhlu 'oluqhelekileyo', ngelixa befumana iimpawu ezisebenzayo (ezinje ngokunciphisa umzimba okanye ukuzuza, ukulahleka kweenwele, ukudinwa, unxunguphalo nokunye). Amanqanaba e-TSH abonisa ukuba i-thyroid yakho inengxaki, kodwa ayibonisi ukuba yintoni ebangela ingxaki. Ukuze ufumane oko, umboneleli wakho wezempilo unokuyalela iimvavanyo ezongezelelweyo.



Xa unokufuna iimvavanyo ezongezelelweyo

Kule meko, oogqirha banokukhetha uku-odola iphaneli ebanzi yovavanyo lomsebenzi we-thyroid ukulinganisa i-thyroxine efana neFree T4, iyonke i-T4, iyonke i-T3, kunye ne-antibodies ye-thyroid, ukongeza kwi-TSH. Inxalenye ebalulekileyo yokufumana ezona ziphumo zovavanyo ze-TSH kunye nonyango lwe-thyroid kubandakanya ukuqinisekisa ukuba ufumana iimvavanyo ezifanelekileyo zokuqonda isifo.

Uvavanyo lwe-T4

I-T4 yasimahla luvavanyo lwegazi olungaziliyo olulinganisa amanqanaba e-T4, idlala lengqula. Kwinqanaba eliqhelekileyo le-T4 yasimahla phakathi0.8 ukuya ku-1.5iimicrogram ngedesilitha nganye (ng / dL). Iyakwazi ukwahluka ngokuxhomekeke kwilingo elebhu elisetyenzisiweyo. Itotali iyonke ayiqhele ukwenziwa ngaphandle kokukhulelwa xa ichaneke ngakumbi kunovivinyo lweFree T4.Uluhlu oluqhelekileyo lweT4 ngu-5-12 ug / dl. Amanqanaba asezantsi e-T4 zibonwa ngehypothyroidism, ngelixa amanqanaba aphezulu ebonwa ngehyperthyroidism.

Uvavanyo lwe-T3

Uvavanyo lwegazi lwe-T3 lilonke olungaziliyo Ngamanye amaxesha kunconywa njengendlela yokufumanisa i-hyperthyroidism kunye nokuchonga ubunzima besifo. Iziphumo eziqhelekileyo ze-T3 zilinganiswa ukusuka kwi-100 ukuya kwi-200 yee-nanograms kwi-deciliter nganye (ng / dl). Uvavanyo lwasimahla lwe-T3 alukhuthazwa ngenxa yokungahambelani kolingo lwelabhoratri. Ukubuyela umva kwe-T3 kunendima encinci ekuchongeni iingxaki ze-thyroid kwaye akusoloko kucetyiswa.

Ufuna nini unyango?

Izigulana ezininzi ze-hypothyroid ziziva zikwimeko entle xa zikumayeza kwaye amanqanaba e-thyroid ekwindawo efanelekileyo ye-TSH ye-0.5-2.00 (ngenqanaba lelebhu le-0.45-4.5), utshilo uGqirha Henderson. Kuba ukuvavanywa kweelebhu kunye nobubanzi ziyahluka, amanqanaba aphuculweyo elebhu yesigulana esithile anokuhluka. Kwizigulana ezigugileyo, iithagethi ye-TSH ikuluhlu lwe-4.0 - 6.0.

Uninzi loogqirha bavame ukunyanga izigulana zabo ze-hypothyroid ngethamo le-levothyroxine yemihla ngemihla, uguqulelo olwenziwe ngumntu lwe-T4 thyroid hormone eyenziwe ngumzimba, abanye oogqirha bancomela ukusebenzisa i-T4 kunye ne-T3 njengonyango.

Ezinxulumene: Izinto ezi-5 ezinokuphazamisa amayeza akho e-thyroid

Ngamayeza e-thyroid, i-dosing kufuneka ilungile, utshilo uGqirha Henderson. Amayeza amaninzi kakhulu okanye amancinci kakhulu anokukhokelela kwiziphumo ebezingalindelekanga ezichaphazela impilo yesigulana.

Kwizigulana ezi ifunyenwe njenge-hyperthyroid, Unyango lunokubandakanya amayeza e-antithyroid anje nge-methimazole, esebenza ukulawula i-thyroid engasebenzi. Ezinye izigulana zinikwa iodine ene-radioactive, ethi inikwe kwifom yeepilisi ngokuthe ngcembe nangokukhuselekileyo inciphise i-thyroid.

Ukuba ufumana iimpawu ze-thyroid engaphantsi okanye engasebenzi, funa iingcebiso zonyango kwizonyango zakho okanye kwi-endocrinology malunga nale mvavanyo kunye nonyango.