Chiyeso Chachikulu Chimene Sichikupezeka ku United States
Pali mayeso oposa umodzi omwe angagwiritsidwe ntchito kuti aone momwe chithokomiro chanu chikugwirira ntchito.
Kuwonjezera pa kuyesa kutentha kwa hormone (TSH) kapena thyroxine level (T4), dokotala akhoza kugwiritsa ntchito thyrotropin-release hormone (TRH) test stimulation. Izi zikuti, mayesowa sagwiritsidwa ntchito nthawi zambiri; Ndipotu, sizipezeka ku United States, ngakhale zilipo m'mayiko ena.
Kumvetsetsa mayeso a TRH
Kuti mumvetse momwe kuyesayesa kwa TRH kumagwirira ntchito, choyamba kumathandiza kuti muwone mwamsanga momwe mahomoni osiyanasiyana amagwirizanirana ndi chithokomiro:
- Your hypothalamus ndi chikopa mu ubongo wanu chomwe chimabisa thyrotropin-release hormone (TRH).
- Pamene TRH imasulidwa, imachititsa kuti ubongo wanu ukhale wotulutsa kachilombo (TSH).
- TSH imachititsa kuti chithokomiro chikhazikitse kupanga mahomoni a chithokomiro.
Madokotala ambiri amagwiritsa ntchito mayeso a TSH, omwe amayeza kuchuluka kwa TSH m'magazi nthawi imodzi. Zotsatira zoyesera za TSH zimasuliridwa; ngati mawindo anu ali apamwamba kapena otsika kusiyana ndi zolembera, izi zikuwonedwa ngati umboni wa matenda a chithokomiro.
Mayeso a TRH ndi osiyana. Choyamba, mayeso oyamba a TSH apangidwa. Ndiye mumapatsidwa mlingo wa TRH kupyolera mu mitsempha yanu yomwe imalimbikitsa chiwongoladzanja chanu kumasula TSH. Phunziro lachiwiri la magazi limatengedwa mphindi 20 mpaka 60 kenako, ndipo chiwerengero cha TSH chimabwezeretsedwa.
Akatswiri ena amakhulupirira kuti mayeso a TRH angathe kudziwa mavuto a chithokomiro osadziwika bwino ndipo amatha kudziwa momwe chithokomiro chanu chingayankhire pa nthawi yeniyeni, poyerekezera ndi mayeso a TSH, omwe ndi chithunzi cha chithokomiro nthawi imodzi.
Mmene Test Test TRH Imasiyanirana ndi Test TSH
Poyerekeza kuyesayesa kwa TRH ndi kuyesedwa kwa TSH kuli ngati kuyezetsa mtima kwa mtima poyerekezera ndi electrocardiogram, kapena test test tolerance test, poyerekeza ndi kusala kwa mlingo wa shuga.
Mu kuyesa kokakamiza, vutoli lingasonyeze kuwonongeka kwa chithokomiro.
Komabe, madokotala ambiri amaona kuti chiwerengero cha TSH ndi cholondola kwambiri ndi kukhetsa magazi kamodzi kokha ndipo palibe chopadera. Komanso, TSH ndi yotchipa. Poyerekeza, kuyeserera kwakukulu ndi mtengo wofunika kwambiri wa TRH kumafuna awiri osiyana akukhalira limodzi theka la ora, kupezeka kwa TRH, ndi kudziwa momwe angachitire molondola ndi kutanthauzira mayesero.
Phindu la mayeso a TRH
Kafukufuku wa TRH nthawi zina amagwiritsidwa ntchito pofuna kuthandizira kudziwa kachilombo ka hypothyroidism (hypothyroidism yomwe imabwera chifukwa cha vuto la pitupiti) komanso maphunziro apamwamba a hypothyroidism (hypothyroidism omwe amayamba chifukwa cha hypothalamic disorder).
Komabe, pamene TRH ikhoza kugwiritsidwa ntchito kuti ipeze sekondale kapena yapamwamba hypothyroidism (yomwe imatchedwa central hypothyroidism), sizingagwiritsidwe ntchito kusiyanitsa pakati pa pituitary versus hypothalamic disease.
Kutsiliza
Potsirizira pake, ofufuza asonyeza kuti kuyesera kwa TRH kungagwiritsidwe ntchito pozindikira kuti pakati pa hypothyroidism ndi matenda omwe sali ofanana ndi chithokomiro.
Kafukufuku wam'mbuyomo akuwonetsanso kuti kuyesera kwa TRH kungasonyeze zomwe zimatchulidwa koyambirira kwa kachirombo kakang'ono ka biochemical hypothyroidism musanayambe kugwiritsidwa ntchito muyeso wamba wa TSH.
Mwinamwake, maphunziro atsopano adzachitidwa kuti adziwe zomwe zingapindule kwa odwala omwe akugwiritsidwa ntchito kwambiri ndi mayesowa.
> Zotsatira:
> Doi SAR, Issac D, Abalkhail S, Al-Qudhaiby MM, Hafez MF, Al-Shoumer KAS. Kulimbikitsa kwa TRH Pamene TSH yaying'ono ili m'kati mwachilendo: Kodi Pali "Zamoyo Zachilengedwe"? Clinical Medicine & Research . 2007; 5 (3): 145-148. do: 10.3121 / cmr.2007.756.
> Ross DS. (2017). Central hypothyroidism. Cooper DS, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.