Kachilombo kamene kamayambitsa mahomoni (TSH) ndi kuyesa kwa magazi komwe amagwiritsidwa ntchito pofufuza komanso kusamalira hypothyroidism. Komabe, kutanthauzira zotsatira za munthu wa TSH kungakhale kovuta kwambiri, chifukwa pali kutsutsana kwina pa zomwe TSH ili "yachibadwa" ndi "yabwino".
Kodi "Tchikhalidwe" cha TSH ndi chiyani?
Kwa ma laboratories ambiri, chiwerengero cha TSH "chachilendo" chili pafupi ndi 0.4 kapena 0.5 mpaka 4.5 kapena 5.0 milli-international ma unit per lita (mU / L).
Komabe, pali kutsutsana pakati pa akatswiri pankhaniyi.
Mwachitsanzo, akatswiri ena amanena kuti kutsika kwa TSH kumakhala kochepa (pafupifupi 2.5 mU / L), chifukwa chakuti achinyamata ambiri, akuluakulu a euthyroid ali ndi TSH ya pakati pa 0.4 ndi 2.5 mU / L.
Vuto ndi kusintha masewerawa ndikutanthauza kuyamba anthu ambiri pa mankhwala a chithokomiro.
Kuonjezera apo, madokotala ambiri amatsatira miyezo ya TSH yambirimbiri, kutanthauza kuti amakhulupirira kuti kumapeto kwabwino kwa munthu wamkulu kumakhala koposa 4.5 mpaka 5.0 mU / L. Izi zili choncho chifukwa pamene anthu akukula, TSH yawo imakwera mwachilengedwe.
Kodi "Tsh Level" Yotani?
Mu munthu yemwe amapezeka ndi primary hypothyroidism , kusankha chisankho choyenera cha TSH kumafuna kulingalira mosamala.
Ngakhale wina angaganize kuti kukwaniritsa TSH mkati mwawonekedwe "mwachibadwa" ndilobwino, palinso zolinga zina za mankhwala (kuphatikizapo kugunda TSH mlingo).
Zolinga za mankhwalawa zikuphatikizapo:
- Kupititsa patsogolo zizindikiro
- Kuchepetsa kukula kwa chithokomiro, chotchedwa goiter (ngati alipo)
- Kupewa kupitirira malire (otchedwa iatrogenic thyrotoxicosis)
Mwachitsanzo, ngati munthu ali ndi TSH yomwe imakhala yachilendo, ndipo ali ndi zizindikiro za hypothyroid (mwachitsanzo, kudzimbidwa kapena kusalana), dokotala akhoza kuwonjezera mlingo wa mankhwala a chithokomiro m'malo mwake. TSH yochepa (yomwe ili pafupi ndi 1.0 mU / L).
Njira imeneyi ndi njira yothandizira wodwala, osati nambala chabe.
Ngakhale zili choncho, mungadabwe kuti chifukwa chiyani madokotala samawombera nthawi zonse TSH kumapeto kwa "zachibadwa".
Zaka
Chowonadi ndi chakuti kwa anthu ena, mlingo wapansi wa TSH (womwe uli pakati pa 0.4 mpaka 2.5mU / L) ndi wabwino kwambiri kwa achinyamata ndi azaka zapakati. Ichi ndi chifukwa chakuti kafukufuku wasonyeza kuti mwa anthu ambiri, anthu asanu ndi anayi mwa khumi aliwonse ali ndi TSH ya 1.4 mU / L.
Koma kwa anthu achikulire (a zaka 65 kapena 70 ndi apamwamba), TSH yochuluka ya 3.0 mpaka 6.0 mU / L ndi yoyenera, poganizira kukula kwachibadwa kwa TSH.
Zoopsa za Umoyo
Kuwonjezera pa kulingalira za msinkhu, dokotala akhoza kuganiziranso mbiri yanu yachipatala (monga ngati muli ndi vuto la mtima), popeza pali zoopsa zaumoyo zomwe zimagwirizanitsa ndi chithandizo cha chithokomiro cha munthu.
Ndipotu, m'malo mwachithokomiro chanu mungayambe kukhala ndi mtima wochuluka kwambiri wotchedwa "red fibrillation" (izi zimachitika makamaka kwa anthu achikulire) ndi / kapena kuperewera kwa mafupa (makamaka makamaka kwa amayi a postmenopausal).
Mawu Ochokera
Mukapeza kuti muli ndi hypothyroidism, kudziŵa kuti TSH yanu ndi yabwino kapena yeniyeni ingathe kutenga nthawi ndi kuleza mtima pamene inu ndi dokotala mutulutsa zinthu zosiyanasiyana monga zizindikiro zanu, thanzi lanu lonse, ndi msinkhu wanu.
Pamapeto pake, khala womasuka kuti upeze mlingo woyenera wa mankhwala kuti ugwiritse ntchito hypothyroidism.
Khalani ndi chidwi pa moyo wanu ndi zizoloŵezi zanu zabwino pamene mukuyenda ulendo wanu wa chithokomiro.
> Zotsatira:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Jonklaas, J et al. "Malangizo Othandiza Kuchiza Chithandizo cha Hypothyroidism: Wokonzedwa ndi American Thyroid Association Task Force pa Chithokomiro cha Hormone (2014)." Chithokomiro 24 (12): 1670-1751, 2014.
> Ross DS. (2018). Chithandizo cha primary hypothyroidism mwa akuluakulu. Cooper DS, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.