Uma unenkinga ye -roid, noma ngisho nokusola ukuthi unayo, akukho cishe indlela yokubalekela ukuhlolwa kwe-TSH ekhona.
I-TSH imele i-hormone ye-thyroid evuselelayo. Lokhu kuhlolwa kuqhathanisa i-TSH, eyenziwa yi-pituitary gland yakho. I-pituitary iyinkinga encane ekhona ebuchosheni. I-hormone ye-TSH ikhishwa njengesithunywa, ukusho ku-thyroid yakho: "ukhiqiza i-hormone engaphezulu ye-thyroid!"
Uma i-TSH yakho iphakama, lokho kusho ukuthi i-pituitary gland ithole ukuthi amazinga e-hormone akho we-thyroid aphansi kakhulu, isimo esibizwa ngokuthi i-hypothyroidism. Ngokukhiqiza i-TSH eyengeziwe nokuyikhulula, i-pituitary ithumela umlayezo kwi-gland yakho yegciwane ukuze uphuthukise ukukhiqizwa kwehomoni ye-thyroid.
Ngakolunye uhlangothi, lapho igciwane lakho le-pituitary libona ukuthi une-hormone ye-thyroid eyanele, iyancipha ekukhiqizeni i-TSH. Lokho ukunciphisa ku-TSH kuyimilayezo yesiguli sakho se-thyroid, ethi "wehlisa ukukhiqizwa kwehomoni ye-thyroid." Ngakho-ke i-TSH ephansi ingaba inkomba yokuthi igciwane lakho le-thyroid lidlulela ngaphezu kwe-hormone ye-thyroid, isimo esibizwa ngokuthi i-hyperthyroidism.
Isivivinyo se-TSH sibhekiswe ngabaningi be-endocrinologist kanye nodokotela abavamile njengendlela "yezinga legolide" lokuthola isimo se -roid. Kubantu abaningi kungase kube ukuhlolwa okuphela okusetshenziselwa ukuxilonga noma ukukhipha isimo se -roid, noma ukuphatha umthamo wakho we-thyroid esikhundleni somuthi we-hormone.
Kodwa ingabe uqonda ngempela ukuhlolwa kwe-TSH, ukuthi ukulinganisa, ukuthi izinombolo zisho ukuthini, nokuthi kuthinta kanjani impilo yakho?
Izinsiza zokuqonda ukuhlolwa kwe-TSH
Ngoba okuningi mayelana nokuxilongwa kwe-thyroid nokuphathwa kwe-thyroid kuzungeze ukuhlolwa kwe-TSH, kubaluleke kakhulu ukuthi noma ubani onesimo se-thyroid, kanye nabameli bakhe bangabanakekeli, bayatshelwa futhi banolwazi ngalolu vavanyo, nokuthi yimiphi imiphumela yokuhlolwa kwe-TSH.
Uvuka kanjani ukusheshisa ngokuhlolwa kwe-TSH? Nazi ezinye izinsiza zokusiza ukuqonda lo mqondo oyinhloko ekuxilongweni kwegciwane nokuphathwa.
- Isheke esihle sokuqala sokuqonda ukuhlolwa kwe-TSH yile ndlela yokuphola okusheshayo, ngokuyinhloko inkambo yokuphazamiseka esivivinyweni se-TSH . Ngaphansi kweminithi, uzoqonda okubalulekile.
- Iziguli eziningi zingibhalele ukuthi ngizobuza ukuthi yini okufanele ngiyenze uma imiphumela ye-TSH iyinto evamile, kodwa ayisazizwa kahle. Lona umbuzo ovamile ukuthi sinesihloko esinikeziwe ngalesi sihloko: Yini okufanele ngiyenze uma imiphumela yami ye-TSH iyinto evamile kodwa ngisenayo izimpawu?
- Nasi umbuzo mayelana nemiphumela yokuhlolwa ka-TSH odokotela abavami ukuxoxa nawe, kodwa ufika njalo ngeziguli eziningi. Kungani ngezinye izikhathi i-TSH iguquke kakhulu kusuka kokuhlolwa okulodwa kuya kwesinye?
- Into eyodwa ibonakala iphuzu lokunamathela kwabaningi ubuhlobo phakathi kwamazinga e-TSH kanye nemilinganiselo yakho yemithi ye-hormone esikhundleni somuthi we-thyroid. Umbuzo obalulekile: Kungani, uma i-TSH ikhuphuka, ingabe umthamo wezokwelapha uphinde uqhubeke?
- Uma sekuyisikhathi sokuthola ukuhlolwa kwegazi langempela, funda isihloko sethu ngesikhathi esiphezulu nezimo ze-TSH izivivinyo: nini kufanele uhlole, futhi kufanele uzila ukudla ngaphambi kokuhlolwa?
- Kuthiwani uma i-TSH yakho ijwayelekile? Ingabe kufanele uphathwe? Abanye odokotela bathi yebo, kodwa kuphela uma unezifo ezithathelwanayo ezikhomba uHashimoto's thyroiditis. Amanye amacala kaHashimoto kufanele aphathwe ngisho nalapho i-TSH ingavamile ngoba ingasiza ekuvimbeleni amazinga e-antibody akhulayo, nokuthuthukiswa kwe-hypothyroidism ephelele.
I-TSH Reference Range Controversy
Mhlawumbe okubaluleke kakhulu ezigulini ze-thyroid ukuqaphela ukuphikisana okuqhubekayo phezu kobubanzi bokubhekisela obubhekiswe ku-TSH, ngezinye izikhathi kuthiwa "uhla olujwayelekile." Emuva ekuqaleni kwawo-2000, i- endocrinologists yamemezela ukuthi u-TSH ububanzi obuvamile bubekwe eceleni. Lezi ziqondiso ezintsha zisho ukuthi izigidi eziningi zaseMelika zibhekwa njenge-hypothyroid ngaphansi kobubanzi obusha namazinga, futhi kungenzeka ukuthi zitholwe futhi ziphathwe ngezimo ze-thyroid ezingasebenzi. Lokhu kwakushintsha okukhulu kwesimo somphakathi we-endocrinology.
Ngeshwa, cishe eminyakeni engamashumi amabili kamuva, umphakathi we-endocrinology usuphendulile isikhundla sawo, futhi ubuyele emuva kumanethiwekhi okuqala okubhekisela kuwo.
Lokhu kuphinda kubandakanye abantu abaningi abanesifo se-sublinical noma se-borderline yesifo se-thyroid, abazobe besitholiwe futhi baphathwe ngaphansi kobubanzi obubhekiselwe kuzo.
Ngalesi sikhathi, odokotela abathile basebenzisa ukuhlakanipha kwabo futhi bacabange ububanzi obuncane bokubhekisela kwe-TSH ukuze bunembile. Noma kunjalo, iningi le-endocrinologists kanye nodokotela abaningi abavamile bayaqhubeka nokusebenzisa amazinga asezingeni elidala lokubhekisela. Le mpikiswano iyaqhubeka, futhi uma ukhathalela ngempilo yakho ye-thyroid, uzofuna ukuqinisekisa ukuthi ufunda nge "I-TSH Reference Range Wars" ukuze ufunde kabanzi mayelana nezindawo ezahlukene zokubhekisela, nokuthi kusho ukuthini impilo yakho.
Izwi kusuka
Ngeke kugcizelelwe ngokwanele. Njengesiguli se-thyroid, udinga ukwazi nokuqonda imiqondo emithathu eyinhloko
- Lokho ukuhlolwa kwe-TSH kulinganisa
- Yimiphi imiphumela yeTSH yokuhlola echaza
- Uhla lokuhlola lwe-TSH udokotela wakho usebenzisa ukuhlola nokuphatha isimo sakho se -roid
Okokugcina, uqiniseke ukuthi ubhukhimakhi kanye / noma ukuphrinta ishadi elibhekisiwe lokubhekisisa ekusebenziseni ukuhlolwa kokusebenza kwe -roid kanye namanani .