Mbali ya kutsutsana imayankhula mu TSH yachibadwa
Mungapeze nokha (kapena wokondedwa) mkhalidwe umene umakhudza anthu ena ambiri omwe ali ndi matenda a chithokomiro: Muli ndi matenda a Hashimoto (kutanthauza kuti muli ndi tizilombo toyambitsa chithokomiro chotchedwa peroxidase (TPO), koma matenda anu otchedwa hormone (TSH) amalowa mkati mwawo zolembera zachibadwa.
Zowonjezerapo, mwina mukukumana ndi zizindikiro zokhudzana ndi hypothyroid zokhudzana ndi kutopa, kupweteka kwa ubongo, ubongo wa ubongo, kuvutika maganizo, kutupa, kapena minofu ya achy-ndikudabwa ngati chithandizo chili choyenera.
Chowonadi cha nkhaniyi ndi chakuti kuchiza matenda a Hashimoto mosiyana ndi TSH (mwachibadwa kapena mokweza TSH) ndizovuta kwambiri, malo amtundu wa chithandizo chamankhwala.
Kodi TSH Yachibadwa Ndi Chiyani?
Madokotala ambiri amene amachiza matenda a chithokomiro amakhulupirira kuti ali ndi matenda a Hashimoto, monga momwe amachitira ndi majeremusi apamwamba a peroxidase (TPOAb) kapena zotsatira za chithokomiro, sizingakwanirireni, malinga ndi momwe chithokomiro chanu chotsitsimutsa timadzimadzi (TSH) akuyika iwe mkati mwa "zachibadwa" zolembera.
Vuto ndiloti "TSHATU" yowonongeka ndi akatswiri ena, ena amanena kuti ma unit angapo mamiliyoni 4.5 pa lita imodzi kapena mU / L ndi mapeto ake onse, pamene ena amakhulupirira kuti chilichonse chomwe chili pamwamba pa 2.5mU / L chili chokwanira.
Ngakhale kulimbikitsana uku, chifukwa cha zolinga zonse, ma laboratories ambiri amatha kunena kuti TSH yowoneka bwino pakati pa 0.4 ndi 4.5 mU / L.
Magulu amodzi a Hypothyroidism
Ndiyetu, ngati muli ndi subclinical hypothyroidism , kutanthauza kuti TSH yanu ili pamwamba (tiyeni tiwone pozungulira 6.0 mU / L) ndipo tizilombo ta thyroxine (T4) ndi yachilendo, chifukwa chakuti muli ndi ma antibodies abwino omwe angakhudze dokotala wanu kuti akuchitireni mlingo wochepa wa mankhwala a chithokomiro m'malo mwa mankhwala.
Dokotala wanu akhoza kutsutsidwa kwambiri kuti muwachitire (ngati mukuyesedwa) ngati muli ndi zizindikiro za hypothyroid, monga kudzimbidwa, kuvutika maganizo, kapena kutaya tsitsi.
Chifukwa chachikulu choyambitsa mankhwala ndi chakuti kuchiza hypcroidical hypothyroidism kungalepheretse kupititsa patsogolo kwa hypothyroidism (pamene TSH yanu ikukwera ndipo T4 yanu ili yochepa).
Chithandizo chingathandizenso zizindikiro kapena zizindikiro zina za hypothyroidism (monga mkulu wa cholesterol).
Kuchiza Chinthu Choponyera Chinthu Chomwe Chimadzi: Zinthu Zina Zimene Muyenera Kuzikumbukira
Kuwonjezera pa kukhalapo kwa TPO mankhwala osokoneza bongo komanso ngati muli ndi zizindikiro, dokotala wanu angaganizire zinthu zina pamene akuganiza ngati sakuchita chithandizo cha subclinical hypothyroidism:
Zaka
Chinthu chimodzi ndi msinkhu wa zaka-TSH ukhoza kukwera ndi zaka zowonjezera, ngakhale anthu omwe alibe matenda a chithokomiro.
Ichi ndichifukwa chake dokotala angapereke mankhwala ochotsera mavairasi a chithokomiro kwa achinyamata omwe ali ndi TSH yowonongeka, yachibadwa T4, ndi ma antibodies abwino a TPO, koma osati munthu wachikulire (oposa zaka 60) omwe ali ndi zotsatira zofanana zowunika magazi; ngakhale, njira ya "kudikira ndi kuyembekezera" nthawi zambiri imatengedwa, kutanthauza kuti mudzakhala ndi TSH yanu nthawi zonse yowunika kuti muwone ngati ikukwera.
Matenda Enanso
Kukhala ndi mbiri ya banja la matenda a chithokomiro kapena mbiri yakale ya cholesterol yapamwamba ingaperekedwe kwa dokotala kuti athe kuchiritsa matenda a hypothyroidism.
Popeza magulu a hypothyroidism amachititsa kuti pakhale pangozi yoti abereke padera komanso asanabadwe, nthawi zambiri amayamba kuchira.
Kutsika Kwambiri Kudzetsa Chinthu Choponyedwa M'madzi
Ngakhale kuti mankhwala a chithokomiro amaloledwa m'malo mwake amavomerezedwa bwino, pali zina zomwe zingatheke poyambitsa mankhwala a subclinical hypothyroidism.
Chodetsa nkhaŵa chachikulu ndi chiopsezo cha kutengeka kwambiri, kutanthauza kuti munthu amakhala hyperthyroid, zomwe zingawaike pangozi yotenga matenda opatsirana pogonana komanso osteoporosis.
Zina zowonjezereka zingaphatikizepo mtengo, zosokoneza, ndi "mankhwala" a chikhalidwe choyenera.
Mawu ochokera
Ngati inu kapena wokondedwa wanu muli ndi subclinical hypothyroidism, komanso kuti mukhale ndi mankhwala abwino a TPO ( matenda a Hashimoto ) angayambe dokotala wanu kuti ayambe kuyambitsa levothyroxine.
Pamapeto pake, kusankha ngati mungayambe kulandira chithandizo cha chithokomiro kumafuna kukambirana momveka bwino ndi dokotala wanu-ndipo kumbukirani, choyenera kuti chithokomiro chanu komanso thanzi lanu likhale losayenera kwa wina aliyense.
> Zotsatira:
> Amawotcha RB, Mabatire CK, Hartzband P, Smetana GW. Kodi tiyenera kugwiritsira ntchito subclinical hypothyroidism ?: Grand Rounds Kukambirana kuchokera ku Beth Israel Deaconess Medical Center. Ann Intern Med. 2016 Jun 7; 164 (11): 764-70.
> Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Okhudza Zipatala za Hypothyroidism M'zochitika Zakale: Ambiri amathandizidwa ndi American Association of Clinical Endocrinologists ndi American Thyroid Association. " Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.
> Jonklaas J et al. Malangizo a Chithandizo cha Hypothyroidism: Wokonzedwa ndi American Thyroid Association Task Force pa Kutentha Hormone m'malo. Chithokomiro . 2014 Dec 1; 24 (12): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Wowonjezerapo CA, Bain E. Njira zothandizira kuchipatala ndi matenda osokoneza bongo. Cochrane Database Rev Rev. 2013 May 31; (5): CD007752.
> Thangarantinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Association pakati pa zithokomiro zowonongeka ndi kupititsa patsogolo ndi kuberekera: meta-analysis of evidence. BMJ . 2011 May 9; 342: d2616.