I- hormone evuselela i-thyroid (TSH) yindlela yokuhlolwa kwegazi esetshenziselwa kokubili ukuhlola nokulawula i-hypothyroidism. Kodwa-ke, ukuhumusha umphumela we-TSH womuntu kungaba yinkimbinkimbi, ngoba kukhona impikiswano mayelana nokuthi yiliphi lelizinga "elijwayelekile" nelithi "elilungile" le-TSH.
Iyini Inombolo "Ejwayelekile" ye-TSH?
Ezingxenyeni eziningi ze-laboratories, izinga le-TSH " elingajwayelekile " lizungeze u-0.4 noma 0.5 ukuya ku-4.5 noma ama-5.0 amayunithi angamazwe ngamazwe ngelitha (mU / L).
Noma kunjalo, kukhona impikiswano phakathi kochwepheshe mayelana nalolu hlu.
Ngokwesibonelo, ezinye izazi zithi umkhawulo ongaphezulu we-TSH ojwayelekile kufanele ube ngaphansi (cishe u-2.5 mU / L), ngenxa yokuthi iningi labantu abasha, abakwa-euthyroid banenani le-TSH phakathi kuka-0.4 no-2.5 mU / L.
Inkinga ngokushintsha lolu hlu ukuthi lokho kusho ukuqala abantu abaningi emitholampilo ye-hormone esikhundleni somuthi.
Ngaphezu kwalokho, odokotela abaningi balandela amazinga e-TSH asezingeni elidala, okusho ukuthi bakholelwa ukuthi umkhawulo ophezulu wokujwayelekile kumuntu omdala kufanele ube ngaphezu kuka-4.5 kuya ku-5.0 mU / L. Lokhu kungenxa yokuthi njengoba abantu bekhula, ama-TSH abo avuka ngokwemvelo.
Kuyini "Izinga eliphezulu" le-TSH?
Kumuntu otholwe ukuthi une- hypothyroidism eyinhloko , ukukhetha isigaba sabo esihle se-TSH kudinga ukucabangela ngokucophelela.
Ngenkathi omunye engacabanga ukuthi ukufeza i-TSH ngaphakathi kwebala elijwayelekile "lokubhekisela" lilungile, kuneminye imigomo yokwelashwa (ngaphandle kokushaya izinga le-TSH elibhekiswe).
Le migomo yokwelashwa ihlanganisa:
- Ukuthuthukisa izimpawu
- Ukunciphisa kunoma yikuphi ukwandiswa kwe -roid, okuthiwa i- goiter (uma ikhona)
- Gwema ukuphuza ngokweqile (okubizwa nge-iatrogenic thyrotoxicosis)
Isibonelo, uma umuntu enesifo se-TSH esingaphakathi kwemingcele ephezulu evamile, futhi anezimpawu ze-hypothyroid (isibonelo, ukuqothulwa noma ukungaboni ngaso sonke isikhathi), udokotela angakwandisa umthamo we-thyroid ye-hormone substitution medication ngenhloso yokukhomba i-TSH ephansi (eyodwa esiseduze no-1.0 mU / L).
Lokhu kuyindlela enengqondo njengoba kuyindlela yokwelapha isiguli, hhayi nje inombolo.
Noma kunjalo, ungase uzibuze ukuthi kungani odokotela bengabhekisi ngaso sonke isikhathi i-TSH ekupheleni okuphansi "kokujwayelekile."
Ubudala
Iqiniso liwukuthi kubantu abathile, izinga eliphansi le-TSH (eliphakathi kuka-0.4 kuya ku-2.5mU / L) lilungile kubantu abasha nabaphakathi. Lokhu kungenxa yokuthi ucwaningo luye lwabonisa ukuthi emphakathini jikelele, abantu abayisishiyagalolunye kwabayishumi banesilinganiso se-TSH esingu-1.4 mU / L.
Kodwa kubantu asebekhulile (abaneminyaka yobudala engama-65 noma engu-70 nangaphezulu), i-TSH ehlongozwayo ye-3.0 kuya ku-6.0 mU / L ibaluleke kakhulu, kucabangela ukukhula okuhlobene neminyaka ku-TSH.
Izingozi zezempilo
Ngaphandle kokucabangela ubudala, udokotela angase ahlole nomlando wakho wezokwelapha (njengokungathi unezinkinga zenhliziyo), njengoba kunezingozi zempilo ezihlobene nokuphatha ngokweqile isifo somuntu.
Eqinisweni, esikhundleni sokushisa i-hormone yakho ye-thyroid kungabangela isimo senhliziyo esibizwa ngokuthi i-friday fibrillation (lokhu kuvame ukuvela kubantu asebekhulile) kanye / noma ukulahleka kwethambo (lokhu ikakhulukazi ngokuphathelene nabesifazane be-postmenopausal).
Izwi elivela
Uma usuvele uthola ukuthi une-hypothyroidism, ukucacisa izinga lakho le-TSH elilungile noma elithintekayo kungathatha isikhathi nokubekezela njengoba wena nodokotela wakho bekhipha izici ezihlukahlukene ezinjengezimpawu zakho, impilo yakho yonke, neminyaka yakho.
Ekugcineni, phumula ukuthi ungathola umthamo ofanele wemithi ukuphatha i-hypothyroidism yakho.
Hlala ugxile entweni yakho enhle nemikhuba yakho enempilo njengoba uhamba ngendlela yakho ye-thyroid.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. I-WLL / Wolters Kluwer; 2012.
> Jonklaas, J et al. "Izinkombandlela zokwelashwa kwe-Hypothyroidism: Ilungiselelwe i-American Thyroid Association Task Force kwi-Thyroid Hormone Replacement (ngo-2014)." I-Thyroid 24 (12): 1670-1751, 2014.
> I-Ross DS. (2018). Ukwelashwa kwe-primary hypothyroidism kubantu abadala. Cooper DS, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.